§ 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 that
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 re
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§ 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 that
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 healthcare 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 healthcare
provider. Nothing contained in this section precludes the nonprofit hospital service
corporations from conducting managed care, medical necessity, or utilization review.