OH HB156

Amends Ohio Revised Code sections 3902.50 and 3902.63 to regulate health plan coverage of physician-administered drugs and medications.

Defines "physician-administered drug or medication" as an outpatient drug (other than vaccines) that cannot reasonably be self-administered and is typically administered in a physician's office, hospital outpatient infusion center, or other outpatient clinical setting.

Prohibits health benefit plans from requiring or incentivizing physician-administered drugs to be dispensed by a specific or affiliated pharmacy when the drug choice depends on clinical factors (weight changes, lab results, adverse events), requires compounding, or lacks written patient consent.

Prevents health plans from limiting coverage or imposing greater cost-sharing requirements for physician-administered drugs dispensed or administered at clinical settings rather than pharmacies.

Expands the definition of "health benefit plan" to include pharmacy and drug benefit plans managed or administered by pharmacy benefit managers.