Effective August 17, 2021, a new regulation requires all healthcare workers and healthcare providers to be vaccinated against COVID-19 by October 1, 2021, in order to protect vulnerable populations.

The regulation provides that the only exemption from this requirement is a medical exemption evaluated by a licensed physician, physician assistant or advance practice registered nurse. Until October 1, 2021, all healthcare workers and providers who are not vaccinated are required to be tested at least twice per week via any COVID­19 test authorized by the FDA.

The Department of Health also issued an FAQ providing clarifying guidance on this requirement. The regulation is effective through December 14, 2021.

216-RICR-20-15-8 »
Vaccination Requirement FAQ »

As part of Rhode Island’s individual mandate, employers providing minimum essential coverage to Rhode Island residents must file a return with the Division of Taxation and a return to each individual.

Generally, reporting to Rhode Island residents and the division is due by January 31. For tax year 2020 only, the deadline has been extended to March 2, 2021 (to distribute returns to employees) and to March 31, 2021 (to file with the division).

As background, as of January 1, 2020, Rhode Island residents are required to have qualifying healthcare coverage, or pay a penalty (a “shared responsibility payment”), unless a hardship, religious, or other exemption applies. As part of this requirement, certain employers have reporting obligations to the division and to individuals. The law provides that Forms 1095-B and 1095-C issued by the employer for federal reporting purposes is sufficient to meet the Rhode Island reporting requirement but also provides an option to report via a flat file containing the same information.

Generally, employers will need to distribute Form 1095-C to employees and the IRS – which are current requirements under the ACA’s employer mandate – and then to the division by January 31 of the year following the calendar year for which the return was required to be made. However, the deadline to distribute Form 1095-C to employees has been extended to March 2, 2021, and the deadline to file with the division to March 31, 2021. These extensions only apply to tax year 2020 reporting. Plan sponsors of fully insured plans should note that if the insurer completes the reporting requirements described above, then no further reporting is required.

Employers with employees located in Rhode Island should be aware of these developments.

Department of Revenue Health Insurance Mandate Reporting Requirements FAQ »

On July 2, 2018, Gov. Raimondo signed HB 7002, which modified the coverage requirements for mastectomies. Plans that provide medical and surgical benefits with respect to mastectomies are permitted to apply annual deductibles and coinsurance provisions to coverage for mastectomies consistent with other benefits covered under the plan only until Jan. 1, 2019.

This bill contains no new employer obligations, but employers with fully insured plans in Rhode Island should review the new laws to better understand the required changes.

HB 7002 »

On July 10, 2017, Gov. Raimondo signed SB 789 into law. Under the new law, plans issued in Rhode Island must provide coverage for medically necessary, evidence-based, non-opioid treatments for pain. Those treatments may include chiropractic care and osteopathic manipulative treatments performed by certain licensed individuals.

The new law is effective for plans issued, delivered or renewed on or after April 1, 2018. Employers with plans issued in Rhode Island should familiarize themselves with the new law to better understand the coverage they’re offering employees and to address employee questions relating to pain treatment and services.

SB 789 »

On June 28, 2016, Gov. Raimondo signed HB 7160 into law. The new law requires group health plans to provide coverage for health care services provided through telemedicine for plans and policies issued or renewed on or after Jan. 1, 2018. “Telemedicine" is defined as the delivery of health care services by means of real time two-way audiovisual or other telecommunications or electronic communications. Plans can apply the same cost-sharing requirements, including coinsurance, copayments and deductibles, and prior authorization to health-care services provided through telemedicine that apply to the same health-care services provided in person.

HB 7160 »