27-84-4. Pharmacy benefit manager study.
(a)On or before October 1, 2027, the health insurance…#
(a) On or before October 1, 2027, the health insurance commissioner shall provide the
governor and the general assembly with an analysis of the reporting information furnished pursuant
to § 27-84-3. The report shall also include a review of the role of pharmacy benefit managers in the
structure and cost of health insurance, a review of approaches to pharmacy benefit manager
regulation in other states, and any recommended actions to improve the oversight of pharmacy
benefit managers doing business in Rhode Island.
(b)The health insurance commissioner may contract with…#
(b) The health insurance commissioner may contract with actuaries and other subject
matter experts to assist the commissioner in conducting the study required under this section. The
actuaries and other experts shall serve under the direction of the health insurance commissioner.
Health insurance companies doing business in this state including, but not limited to, nonprofit
hospital service corporations and nonprofit medical service corporations established pursuant to
chapters 19 and 20 of title 27, and health maintenance organizations established pursuant to chapter
41 of title 27, shall bear the cost of these actuaries and subject matter experts according to a
schedule of their direct writing of health insurance in this state as determined by the health
insurance commissioner. The amount to be invoiced to and paid by the above-described health
insurance companies doing business in this state for the study conducted under this section shall
not exceed a total of one hundred seventy-five thousand dollars ($175,000).