OH HB597

Health benefit plans must cover epinephrine and glucagon in any prescribed form for individuals age 18 and younger if medically necessary, effective after the bill's enactment date.

Cost-sharing for epinephrine or glucagon autoinjectors is capped at $60 per package containing two autoinjectors, regardless of amount or type needed to fill the prescription.

Cost-sharing for epinephrine or glucagon in other prescribed forms is capped at $60 per dose equivalent to the dose in two autoinjectors, regardless of amount or type needed.

Cost-sharing limitations override any deductible, copayment, coinsurance, or other cost-sharing requirement that would otherwise apply under the health benefit plan.

Ohio Medicaid program must provide the same coverage and cost-sharing protections for epinephrine and glucagon to enrollees age 18 and younger, with managed care organizations required to comply with these provisions.