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OH SB233
Bill
Status
9/27/2011
Primary Sponsor
Scott Oelslager
Click for details
AI Summary
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Limits copayments for occupational and physical therapy services so they do not exceed copayments charged for primary care physician office visits, and requires clear disclosure of therapy coverage and limitations in health plans.
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Requires health insurers to provide material amendments to provider contracts with 90 days' notice, allows providers 15 days to object in writing, and permits either party to terminate if no resolution is reached within 60 days of the effective date.
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Establishes requirements for intermediary organizations contracting with carriers or public employee benefit plans, including compliance with the same standards and medical policies as direct provider contracts and annual disclosure to the superintendent of insurance.
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Adds intermediary organization definition to health care contract law and clarifies that contracting entities include intermediary organizations subject to specified contracting and oversight requirements.
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Creates new unfair and deceptive insurance practice violations for improper copayment charges on physical and occupational therapy services and for intermediary organization contract violations.
Legislative Description
To limit copayments health insurers impose for physical therapy services and to make changes to the law governing health insurers and intermediary organizations.
Health insurers/intermediary organizations- revise law/limit physical therapy copays
Last Action
To Insurance, Commerce, & Labor
9/27/2011