§27-19-40.1  Third party reimbursement for services of registered nurse first assistants. –

Link to law: http://webserver.rilin.state.ri.us/Statutes/TITLE27/27-19/27-19-40.1.HTM
Published: 2015

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TITLE 27

Insurance

CHAPTER 27-19

Nonprofit Hospital Service Corporations

SECTION 27-19-40.1



   § 27-19-40.1  Third party reimbursement for

services of registered nurse first assistants. –

(a) Every individual or group health insurance contract, plan or policy

delivered, issued or renewed by an insurer or nonprofit or for profit health

service corporation which provides benefits to individual subscribers and

members within the state, or to all group members having a principal place of

employment within the state, shall provide benefits for services rendered by a

registered nurse first assistant designated as a registered nurse first

assistant provided, that the following conditions are met:



   (1) The registered nurse first assistant provides certain

health care services under the supervision of a licensed physician; is

currently licensed as a registered nurse in Rhode Island; has successfully

completed a course in preparing the registered nurse as a first assistant in

accordance with the Association of Operating Room Nurses core curriculum guide

for the registered nurse first assistant and includes a minimum of one academic

year in a college or university with didactic instruction and clinical

internship programs; and is certified in perioperative nursing by the

Certification Board Perioperative Nursing (minimum of two (2) years

perioperative experience);



   (2) The policy or contract currently provides benefits for

identical services rendered by a provider of health care licensed by the state;

and



   (3) The registered nurse first assistant is not a salaried

employee of the licensed hospital or facility for which the nonprofit hospital

service corporation has an alternative contractual relationship to fund the

services of a registered nurse first assistant.



   (b) It shall remain within the sole discretion of the

nonprofit hospital service corporation as to which registered nurse first

assistant it shall contract with. Reimbursement shall be provided according to

the respective principles and policies of the nonprofit hospital service

corporation; provided, that no nonprofit hospital service corporation may be

required to provide direct reimbursement, or pay for duplicative services

actually rendered by a registered nurse first assistant in surgery and any

other health care provider. Nothing contained in this section precludes the

nonprofit hospital service corporations from conducting managed care, medical

necessity or utilization review.



History of Section.

(P.L. 1999, ch. 509, § 2; P.L. 2002, ch. 292, § 37.)