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OH SB166

Bill

Status

Introduced

4/1/2025

Primary Sponsor

Nathan Manning

Click for details

Origin

Senate

136th General Assembly

AI Summary

  • Prohibits third-party payers (health insurers) from imposing any charges, fees, or payment withholds on health care providers for electronic fund transfers or remittance advice transactions

  • Prohibits the Ohio Department of Medicaid, Medicaid managed care organizations, and the state pharmacy benefit manager from charging fees to Medicaid providers for electronic claims submissions

  • Amends Ohio Revised Code sections 3901.382 (governing health insurers) and 5164.46 (governing Medicaid) to add the fee prohibition provisions

  • Maintains existing allowance for providers to arrange non-electronic claims submission with third-party payers due to financial hardship or extenuating circumstances

  • Exempts nursing facilities, ICF/IIDs (intermediate care facilities for individuals with intellectual disabilities), and Medicaid managed care organizations from electronic claims submission requirements

Legislative Description

Prohibit health insurance, Medicaid electronic claim fees

Health and Human Services : Medicaid

Last Action

Referred to committee: Medicaid

4/2/2025

Committee Referrals

Medicaid4/2/2025

Full Bill Text

No bill text available