OH SB121

Establishes standards for health care insurers that use rating systems (grades, stars, tiers) to designate physician performance based on cost efficiency, quality of care, or clinical performance.

Requires health care insurers operating physician designation systems to comply with criteria in the "patient charter" developed by the consumer-purchaser disclosure project or substantially similar document, using either the most current version or any version from the prior twelve months.

Mandates annual certification by an independent ratings examiner approved by the superintendent of insurance that the insurer has complied with designation standards; insurers must pay all examiner charges.

Allows the department of job and family services to operate a physician designation system for Medicaid, with compliance verified by a nationally recognized health care quality standard-setting organization selected by the department.

Makes contract provisions unenforceable if they limit physician rights under the chapter or patient charter, and prohibits trade secret claims from excusing required disclosures under the patient charter.