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OH HB619

Bill

Status

Introduced

6/3/2024

Primary Sponsor

Jean Schmidt

Click for details

Origin

House of Representatives

135th General Assembly (2023-2024)

AI Summary

  • Expands breast cancer screening coverage to include "supplemental breast cancer screening" methods (MRI, ultrasound, contrast-enhanced mammography, molecular breast imaging) for individuals with dense breast tissue or increased breast cancer risk.

  • Changes coverage requirements from "adult women" to "adult individuals" throughout insurance and Medicaid provisions.

  • Requires coverage of one screening mammography per year with digital breast tomosynthesis and eliminates cost-sharing requirements for all breast cancer screening and diagnostic examination benefits.

  • Sets reimbursement limits at 130% of Medicare rates for screening and supplemental breast cancer screenings, with separate payment allowances for service components.

  • Requires the Director of Health and Superintendent of Insurance to notify hospitals, physicians, and health plan issuers of the law's enactment within three months.

Legislative Description

Revise insurance, Medicaid coverage of breast cancer screenings

Health and Human Services : Health Care

Last Action

Referred to committee: Insurance

6/11/2024

Committee Referrals

Insurance6/11/2024

Full Bill Text

No bill text available