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Bill

HB 7817

AN ACT RELATING TO INSURANCE -- PHARMACY FREEDOM OF CHOICE -- FAIR COMPETITION AND PRACTICES

2026 Regular Session Introduced by Charlene Lima

HB 7817 prohibits Rhode Island insurers from restricting patient pharmacy choice and imposes fair competition requirements on insurance-pharmacy relationships.

02/26/2026 Introduced, referred to House Health & Human Services
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Bill Summary · HB 7817

Legislative bill overview

HB 7817 addresses pharmacy freedom of choice and fair competition practices within Rhode Island's insurance system. The bill appears designed to regulate how insurance companies interact with pharmacies and limit restrictions on patient pharmacy selection. Specific provisions would prevent insurers from forcing patients to use preferred pharmacy networks or imposing discriminatory practices against independent pharmacies.

Why is this important

Insurance-mandated pharmacy networks can limit patient choice and potentially increase out-of-pocket costs at non-preferred pharmacies. This bill could protect consumers' ability to use their preferred local or independent pharmacies while maintaining competitive pressure on insurance companies to avoid anticompetitive practices. The outcome affects healthcare accessibility, particularly for vulnerable populations in rural areas or those with established relationships with specific pharmacies.

Potential points of contention

  • Insurer cost concerns: Insurance companies may argue that restricting network exclusivity increases claim costs, potentially raising premiums for all policyholders
  • Network efficiency trade-offs: Preferred pharmacy networks allow insurers to negotiate lower drug prices; eliminating restrictions could reduce their negotiating leverage
  • Implementation complexity: Defining "fair competition" and enforcing pharmacy freedom provisions could create regulatory and compliance challenges for insurers operating across multiple states

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

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