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OH HB469

Bill

Status

Introduced

1/14/2020

Primary Sponsor

Susan Manchester

Click for details

Origin

House of Representatives

133rd General Assembly (2019-2020)

AI Summary

  • 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.

  • Exempts high deductible health plans linked to health savings accounts and catastrophic-only plans from the 40% cost-sharing cap requirement.

  • 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.

  • 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.

  • 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

Committee Referrals

Health1/28/2020

Full Bill Text

No bill text available