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OH SB121

Bill

Status

Introduced

3/30/2017

Primary Sponsor

John Eklund

Click for details

Origin

Senate

132nd General Assembly (2017-2018)

AI Summary

  • Amends three sections of Ohio Revised Code to include tomosynthesis technology as part of the definition of "screening mammography" covered by health insurance policies.

  • Requires individual and group health insurers, sickness and accident insurers, and employers providing health benefits to cover screening mammography expenses for adult women according to age-based frequency schedules (ages 35-40: one screening; ages 40-50: one every two years or annually if risk factors present; ages 50-65: one annually).

  • Establishes reimbursement limits capped at 130 percent of the Medicare reimbursement rate for screening mammography in Ohio, with providers unable to bill patients beyond approved deductibles and copayments.

  • Requires screening mammographies to be performed only at facilities or mobile units accredited under the American College of Radiology mammography accreditation program or in hospitals as defined in state law.

  • Repeals the existing versions of Revised Code sections 1751.62, 3923.52, and 3923.54 and replaces them with amended versions that incorporate tomosynthesis.

Legislative Description

Include tomosynthesis as part of mammography screening benefits

Health and Human Services : Health Care

Last Action

Refer to Committee: Insurance and Financial Institutions

4/26/2017

Committee Referrals

Insurance & Financial Institutions4/26/2017

Full Bill Text

No bill text available