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(a) Every individual or group hospital or medical expense insurance policy or contract
providing coverage for dependent children, delivered or renewed in this state on or after July 1,
2004, shall include coverage of early intervention services which coverage shall take effect no later
than January 1, 2005. Such coverage shall not be subject to deductibles and coinsurance factors.
Any amount paid by an insurer under this section for a dependent child shall not be applied to any
annual or lifetime maximum benefit contained in the policy or contract. For the purpose of this
section, “early intervention services” means, but is not limited to, speech and language therapy,
occupational therapy, physical therapy, evaluation, case management, nutrition, service plan
development and review, nursing services, and assistive technology services and devices for :
(1) dependents Dependents from birth to age three (3) who are certified by the executive
office of health and human services ("EOHHS") as eligible for services under part Part C of the
Individuals with Disabilities Education Act (20 U.S.C. § 1471 et seq.) ; or
(2) Dependents who are older than age three (3) and are eligible for services pursuant to §
23-13-22 and are certified by the EOHHS as eligible for services under Part C of the Individuals
with Disabilities Education Act (20 U.S.C. § 1431 et seq.) .
(b) Insurers shall reimburse certified, early intervention providers, who are designated as
such by the executive office of health and human services (EOHHS) , for early intervention services
as defined in this section at rates of reimbursement equal to, or greater than, the prevailing
integrated state Medicaid rate for early intervention services as established by the executive office
of health and human services (EOHHS) .
(c) This section shall not apply to insurance coverage providing benefits for: (1) Hospital
confinement indemnity; (2) Disability income; (3) Accident only; (4) Long-term care; (5) Medicare
supplement; (6) Limited benefit health; (7) Specified disease indemnity; (8) Sickness or bodily
injury or death by accident or both; and (9) Other limited benefit policies.
SECTION 3. Section 27-19-55 of the General Laws in Chapter 27-19 entitled "Nonprofit
Hospital Service Corporations" is hereby amended to read as follows: