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SB 2109

AN ACT RELATING TO INSURANCE -- BENEFIT DETERMINATION AND UTILIZATION REVIEW ACT

2026 Regular Session Introduced by Jonathon Acosta and 7 co-sponsors

SB 2109 modifies Rhode Island insurance utilization review and benefit determination procedures, affecting how insurers approve or deny coverage for medical services and treatments.

06/04/2026 Referred to House Health & Human Services
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Bill Summary · SB 2109

Legislative bill overview

SB 2109 modifies Rhode Island's insurance utilization review processes and benefit determination procedures. The bill was recently introduced and referred to the Senate Health and Human Services Committee but has not yet been publicly detailed in available legislative summaries.

Why is this important

Utilization review and benefit determination directly affect patients' ability to access covered medical treatments and services. Changes to these processes can influence insurance claim approval timelines, provider reimbursement, and whether patients receive necessary care promptly.

Potential points of contention

  • Speed of determinations: Stakeholders may disagree on required review timeframes—insurers prefer longer periods for thorough analysis, while patients and providers advocate for faster decisions
  • Appeal processes: Disputes likely exist over how accessible and fair appeals procedures should be when initial benefit determinations are denied
  • Standards for denial: Disagreement may occur over what criteria insurers can use to deny coverage and whether medical necessity standards are appropriately defined

Compiled from official sources — confirm details with the bill’s official record.

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