OH HB512

Health benefit plans must cover epinephrine and glucagon in any prescribed form for covered persons 18 years of age or younger if medically necessary, with cost-sharing capped at $100 per prescription fill.

Medicaid programs must cover epinephrine and glucagon for recipients 18 years or younger if medically necessary, with cost-sharing requirements that do not exceed those for alternative forms of the same drug.

Medicaid cost-sharing requirements cannot disproportionately impact recipients with chronic illnesses or violate provisions related to epinephrine and glucagon coverage.

Providers cannot refuse service to Medicaid recipients unable to pay required copayments, though providers may pursue collection efforts and consider unpaid copayments as outstanding debt.

Medicaid MCO plans cannot require prior authorization for certain antidepressant and antipsychotic medications prescribed by qualified mental health professionals for FDA-approved uses.