OH HB367

Prohibits health insurers from establishing or requiring fee schedules for dental services that are not covered dental services under any contract or participating provider agreement.

Adds new unfair and deceptive insurance practice (section 3901.21(BB)) making it unlawful to set fees or require insurer approval of fees for non-covered dental services.

Defines "covered dental services" as services for which reimbursement is available under an enrollee's health benefit plan contract, or would be available except for contractual limitations like deductibles, copayments, coinsurance, waiting periods, or frequency limits.

Exempts health benefit plans subject to federal Employee Retirement Income Security Act (ERISA) regulation from the restrictions on non-covered dental service fees.

Declares the General Assembly's intent to prevent dental insurers from circumventing this law by imposing minimal reimbursement rates on services as a workaround.