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OH HB310

Bill

Status

Introduced

10/13/2009

Primary Sponsor

Edna Brown

Click for details

Origin

House of Representatives

128th General Assembly (2009-2010)

AI Summary

  • Defines "prosthesis" as an artificial leg, arm, or eye, including replacements required due to changes in the patient's physical condition.

  • Requires health insuring corporations to cover medically necessary prostheses at least equal to Medicare coverage levels under policies delivered, issued, or renewed in Ohio.

  • Requires sickness and accident insurers and public employee benefit plans to provide prosthesis coverage meeting Medicare standards for policies issued or plans established/modified after the effective date.

  • Allows insurers to require prior authorization using standard processes, impose cost-sharing (deductible, copayment, coinsurance) consistent with other covered benefits, and set reimbursement at Medicare fee schedule amounts.

  • Prohibits annual or lifetime dollar maximums specific to prostheses, except for aggregate maximums applying to all covered services; exempts supplemental policies and specific disease/accident coverage from requirements.

Legislative Description

To require health insurers to provide coverage for prostheses.

Health insurers-provide coverage for prostheses

Last Action

Committee Report - S

5/27/2010

Full Bill Text

No bill text available