Loading chat...
OH HB220
Bill
Status
4/1/2025
Primary Sponsor
Heidi Workman
Click for details
AI Summary
-
Amends Ohio Revised Code sections 1751.72, 3923.041, and 5160.34 to modify prior authorization requirements for health insuring corporations, sickness and accident insurers, public employee benefit plans, and Medicaid programs
-
Requires insurers to honor prior authorization approvals for dosage changes of already-approved drugs for chronic conditions without requiring new authorization
-
Prohibits insurers from retroactively denying prior authorizations for mental health or substance use disorder treatment when the patient was eligible and the service was covered at the time of approval
-
Requires insurers to identify the name, specialty, and relevant qualifications of the clinical peer who evaluates prior authorization appeals
-
Prohibits insurers and Medicaid from charging fees for appealing adverse prior authorization determinations
Legislative Description
Regards health insurance, Medicaid prior authorization
Health and Human Services : Health Care
Last Action
Referred to committee: Insurance
4/9/2025