SB 227 would limit how much patients pay out-of-pocket for prescription insulin each month. It caps cost sharing at $35 per month for all insulin drugs covered under the bill. This directly affects people with diabetes who rely on insulin prescriptions. The law would require health plans and insurers to cover insulin costs above $35 at no additional charge to the patient.
HB 99 removes specific nonprofit agricultural membership organizations from Ohio's insurance regulations. It defines these organizations as state-incorporated entities serving farmers' interests and providing healthcare coverage exclusively to members and their families. The bill clarifies that such healthcare coverage is not considered "insurance" under state law, exempting these organizations from Title XXXIX regulations and the superintendent of insurance's jurisdiction. This allows the organizations to provide healthcare benefits without insurance licensing while permitting reinsuring of related risks through authorized insurers.
To amend sections 1753.28 and 3923.65 and to enact sections 1753.29 and 3923.66 of the Revised Code to prohibit a health insuring corporation or sickness and accident insurer from reducing or denying a claim based on certain factors.
HB 579 would require Ohio health insurers to follow new rules when using artificial intelligence for coverage decisions or pricing. It establishes specific requirements for transparency in AI decision-making and mandates bias testing for algorithms used in insurance processes. These rules directly apply to all health insurance companies operating in Ohio. The bill amends existing law (section 3902.50) and adds new provisions (section 3902.80) to create these regulatory standards.
SB 164 requires health insurers in Ohio to disclose how they use artificial intelligence in underwriting and claims decisions. It mandates transparency about AI algorithms, prohibits biased or discriminatory outcomes, and requires human review for significant coverage denials involving AI. The bill directly affects health insurers operating in Ohio and ensures policyholders receive clear explanations for AI-driven decisions impacting their coverage. Key provisions include requiring insurers to document AI systems and establish processes to address potential bias before implementation. This regulation aims to protect consumers from opaque or unfair AI practices in health insurance.
To amend sections 1751.12 and 1751.32 and to enact sections 3923.811 and 3959.21 of the Revised Code to prohibit certain health insurance cost-sharing practices.
To enact sections 3902.65, 3902.651, 3902.652, 3902.653, and 3902.654 of the Revised Code to require health insurance coverage of orthotic and prosthetic devices.
To amend section 109.02 and to enact sections 3920.01, 3920.02, 3920.03, 3920.04, 3920.05, 3920.06, 3920.07, 3920.08, 3920.09, 3920.10, 3920.11, 3920.12, 3920.13, 3920.14, 3920.15, 3920.21, 3920.22, 3920.23, 3920.24, 3920.25, 3920.26, 3920.27, 3920.28, 3920.31, 3920.32, and 3920.33 of the Revised Code to establish and operate the Ohio Health Care Plan to provide universal health care coverage to all Ohio residents.
To amend section 5747.98 and to enact section 5747.87 of the Revised Code to authorize an income tax credit for employers that subsidize employee insurance coverage for assisted reproduction.
To amend sections 5725.98, 5726.98, 5729.98, 5747.98, and 5751.98 and to enact sections 5725.39, 5726.62, 5727.242, 5727.301, 5729.22, 5736.51, 5747.74, and 5751.56 of the Revised Code to authorize a refundable tax credit for a portion of employer group health plan premiums.
