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S2463
2026 -- S 2463
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LC004928
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STATE OF RHODE ISLAND
IN GENERAL ASSEMBLY
JANUARY SESSION, A.D. 2026
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A N A C T
RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES --
PHYSICAL THERAPY COPAY
Introduced By:
Senators Ujifusa, Mack, DiMario, Lauria, Valverde, Kallman, Acosta,
and Quezada
Date Introduced:
February 06, 2026
Referred To:
Senate Health & Human Services
It is enacted by the General Assembly as follows:
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SECTION 1. Chapter 27-18 of the General Laws entitled "Accident and Sickness Insurance
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Policies" is hereby amended by adding thereto the following section:
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27-18-96. Physical therapists.
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(a) An individual or group health insurance plan or policy delivered, issued for delivery, or
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renewed in this state on or after January 1, 2027, shall not impose a copayment, coinsurance, or
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office visit deductible amount charged to the insured for services rendered by a physical therapist
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licensed under § 5-40-7 that is greater than the copayment, coinsurance or office visit deductible
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amount charged to the insured for the services of a primary care physician or osteopath licensed
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under chapter 37 of title 5.
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(b) An insurer shall state clearly the availability of physical therapy coverage under its plan
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and all related limitations, conditions, and exclusions.
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SECTION 2. Chapter 27-19 of the General Laws entitled "Nonprofit Hospital Service
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Corporations" is hereby amended by adding thereto the following section:
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27-19-88. Physical therapists.
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(a) An individual or group health insurance plan or policy delivered, issued for delivery, or
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renewed in this state on or after January 1, 2027, shall not impose a copayment, coinsurance, or
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office visit deductible amount charged to the insured for services rendered by a physical therapist
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licensed under § 5-40-7 that is greater than the copayment, coinsurance or office visit deductible
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amount charged to the insured for the services of a primary care physician or osteopath licensed
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under chapter 37 of title 5.
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(b) An insurer shall state clearly the availability of physical therapy coverage under its plan
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and all related limitations, conditions, and exclusions.
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SECTION 3. Chapter 27-20 of the General Laws entitled "Nonprofit Medical Service
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Corporations" is hereby amended by adding thereto the following section:
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27-20-84. Physical therapists.
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(a) An individual or group health insurance plan or policy delivered, issued for delivery, or
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renewed in this state on or after January 1, 2027, shall not impose a copayment, coinsurance, or
10
office visit deductible amount charged to the insured for services rendered by a physical therapist
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licensed under § 5-40-7 that is greater than the copayment, coinsurance or office visit deductible
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amount charged to the insured for the services of a primary care physician or osteopath licensed
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under chapter 37 of title 5.
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(b) An insurer shall state clearly the availability of physical therapy coverage under its plan
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and all related limitations, conditions, and exclusions.
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SECTION 4. Chapter 27-41 of the General Laws entitled "Health Maintenance
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Organizations" is hereby amended by adding thereto the following section:
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27-41-101. Physical therapists.
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(a) An individual or group health insurance plan or policy delivered, issued for delivery, or
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renewed in this state on or after January 1, 2027, shall not impose a copayment, coinsurance, or
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office visit deductible amount charged to the insured for services rendered by a physical therapist
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licensed under § 5-40-7 that is greater than the copayment, coinsurance or office visit deductible
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amount charged to the insured for the services of a primary care physician or osteopath licensed
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under chapter 37 of title 5.
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(b) An insurer shall state clearly the availability of physical therapy coverage under its plan
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and all related limitations, conditions, and exclusions.
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SECTION 5. This act shall take effect upon passage.
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LC004928
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LC004928 - Page 2 of 3
EXPLANATION
BY THE LEGISLATIVE COUNCIL
OF
A N A C T
RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES --
PHYSICAL THERAPY COPAY
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This act would limit copays, coinsurance or office deductibles for services of a physical
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therapist to the amount authorized for the services of a primary care physician or osteopath on or
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after January 1, 2027.
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This act would take effect upon passage.
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LC004928
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LC004928 - Page 3 of 3