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OH HB655

Bill

Status

Introduced

5/12/2022

Primary Sponsor

Catherine Ingram

Click for details

Origin

House of Representatives

134th General Assembly (2021-2022)

AI Summary

  • Enacts section 3902.73 of the Revised Code to prohibit health plan issuers from steering covered persons to affiliated pharmacies when offering prescription drug coverage.

  • Defines "affiliated pharmacy" as a pharmacy in which a health plan issuer has a direct or indirect investment, ownership interest, or common ownership.

  • Prohibits health plan issuers from ordering patients to use affiliated pharmacies, restricting pharmacy selection within their network, imposing differential cost-sharing between in-network pharmacies, or preventing qualified pharmacies from joining their networks.

  • Bars health plan issuers from requiring pharmacies to meet accreditation standards beyond those of the state board of pharmacy and prohibits sharing patient prescription data to affiliated pharmacies for commercial purposes.

  • Establishes that violations constitute unfair and deceptive acts or practices in insurance, with exemptions for health insuring corporations where physicians are employed and for inpatient or emergency pharmacy services.

Legislative Description

Prohibit insurers from steering patients to affiliated pharmacies

Health and Human Services : Health Care

Last Action

Refer to Committee: Health

5/17/2022

Committee Referrals

Health5/17/2022

Full Bill Text

No bill text available