Starting on January 1, 2020, a mandate went into effect requiring all non-exempt Rhode Island residents to maintain qualifying health insurance coverage. If you live or practice in Rhode Island — or if you're located just over the border in Massachusetts — here's a recap of the mandate with answers to potential patient questions such as: What's adequate coverage? What will happen if I don’t have coverage? Can I get an exception? For complete information, visit the Rhode Island Department of Revenue Division of Taxation’s Summary of Legislative Changes.