---
type: "Bill"
title: "AN ACT RELATING TO INSURANCE -- INDIVIDUAL HEALTH INSURANCE COVERAGE (Guarantees availability of coverage to eligible residents of state and does not limit or exclude coverage by imposing a preexisting condition exclusion.)"
description: "AN ACT RELATING TO INSURANCE -- INDIVIDUAL HEALTH INSURANCE COVERAGE (Guarantees availability of coverage to eligible residents of state and does not limit or exclude coverage by imposing a preexisting condition exclusion.)"
jurisdiction: "us/states/ri"
legislature: "Rhode Island General Assembly"
session: "2023"
identifier: "HB 5426"
citation: "Rhode Island HB 5426 (2023)"
classification: ["bill"]
subjects: ["Health & Safety", "Health Care Affordability", "Health Care Plans/Services", "Health Insurance", "Insurance"]
status: "enacted"
primary_sponsors: ["Ajello", "Alzate", "Bennett", "Carson", "Donovan", "Kislak", "McEntee", "McGaw", "Morales", "Speakman"]
version_count: 1
action_count: 14
vote_count: 1
first_action: "2023-02-08"
last_action: "2023-06-21"
source: "openstates"
source_identifier: "ocd-bill/c0023d81-2cc3-4f53-9ec2-d08eca3b5780"
source_url: "https://status.rilegislature.gov/"
source_hash: "4e5327947d6218b758a1eebe8e053982e958b64ea1260d6178e6635021445e30"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-ri"]
---

# Rhode Island HB 5426 (2023) — AN ACT RELATING TO INSURANCE -- INDIVIDUAL HEALTH INSURANCE COVERAGE (Guarantees availability of coverage to eligible residents of state and does not limit or exclude coverage by imposing a preexisting condition exclusion.)

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **5426 SUB A** (committee substitute) — [source](http://webserver.rilegislature.gov/BillText/BillText23/HouseText23/H5426A.pdf)

## Votes

- PASSAGE — **59–11** (pass) · lower

## Sponsors

- Ajello — primary (person)
- Alzate — primary (person)
- Bennett — primary (person)
- Carson — primary (person)
- Donovan — primary (person)
- Kislak — primary (person)
- McEntee — primary (person)
- McGaw — primary (person)
- Morales — primary (person)
- Speakman — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2023-02-08** 02/08/2023 Introduced, referred to House Health & Human Services `introduction, referral-committee`
- **2023-03-17** 03/17/2023 Scheduled for hearing and/or consideration
- **2023-03-19** 03/19/2023 Committee postponed at request of sponsor (03/21/2023)
- **2023-04-14** 04/14/2023 Scheduled for hearing and/or consideration (04/20/2023)
- **2023-04-20** 04/20/2023 Committee recommended measure be held for further study `committee-failure`
- **2023-06-06** 06/06/2023 Scheduled for consideration (06/08/2023)
- **2023-06-06** 06/06/2023 Proposed Substitute `substitution`
- **2023-06-08** 06/08/2023 Committee recommends passage of Sub A `committee-passage-favorable`
- **2023-06-09** 06/09/2023 Placed on House Calendar (06/12/2023) `reading-3`
- **2023-06-12** 06/12/2023 House passed Sub A `passage`
- **2023-06-12** 06/12/2023 Placed on Senate Calendar (06/14/2023) `reading-3`
- **2023-06-14** 06/14/2023 Senate passed Sub A in concurrence `passage`
- **2023-06-15** 06/15/2023 Transmitted to Governor `executive-receipt`
- **2023-06-21** 06/21/2023 Signed by Governor `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/c0023d81-2cc3-4f53-9ec2-d08eca3b5780`. Confidence: reported (aggregated from official Rhode Island legislature records).