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OH HB469
Bill
Status
1/14/2020
Primary Sponsor
Susan Manchester
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AI Summary
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Requires health insuring corporations to cap annual copayments, cost sharing, and deductibles at 40% of the total annual cost of providing all covered health care services to a standard population.
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Exempts high deductible health plans linked to health savings accounts and catastrophic-only plans from the 40% cost-sharing cap requirement.
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Mandates that when calculating an enrollee's cost-sharing contributions, insurers must include all amounts paid by the enrollee and on behalf of the enrollee, to the extent allowable under federal law.
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Prohibits health insuring corporations from imposing lifetime maximums on basic health care services, though they may establish benefit limits for inpatient hospital services under supplemental health care agreements.
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Applies to health benefit plans delivered, issued for delivery, modified, or renewed 90 days after the effective date of the act.
Legislative Description
Prohibit certain health insurance cost-sharing practices
Health and Human Services : Health Care
Last Action
Refer to Committee: Health
1/28/2020