Rental Network Contract Arrangements
§ 27-20.10-2 Scope.
(a) This chapter shall apply to health insurance corporations subject to
chapter 1 of this title, nonprofit hospital or medical service corporations
subject to chapters 19 or 20 of this title, and health maintenance organization
incorporated or resident in the state of Rhode Island.
(b) This chapter shall not apply to provider network
contracts for services provided to Medicaid, Medicare or state children's
health insurance program (SCHIP) beneficiaries.
(c) This chapter shall not apply in circumstances where
access to the provider network contract is granted to an entity operating under
common control with or under the same brand licensee program as the contracting
entity ("affiliate entities"). Contracting entities shall, however, make the
list of such affiliate entities available on a website or by other means. The
affiliate entities shall have the same rights and responsibilities under the
provider network contracts as the contracting entities.
(d) This chapter shall not apply to a contract between a
contracting entity and a discount medical plan organization.
(e) This chapter shall not apply to any entity, such as
employers, church plans or government plans, receiving administrative services
from the contracting entity or an affiliate entity. Such exempt entities shall
have the same rights and responsibilities under the provider network contracts
as the contracting entities, except the exempt entities shall not grant access
to a provider's health care services and contractual discounts to any other
History of Section.
(P.L. 2009, ch. 190, § 1; P.L. 2009, ch. 209, § 1.)