Healthcare (Insurance)

in committee · Ohio · House Jan 28, 2025

HB 24: Provide Medigap policies for certain Medicare-eligible persons

To amend sections 3923.33, 3923.331, 3923.332, 3923.337, 3923.338, 3923.339, and 3923.42 and to enact section 3923.3310 of the Revised Code to provide Medigap policies for Medicare-eligible individuals under the age of 65.

Topics ✓ HealthcareSupports HealthcareBill expands health insurance coverage by providing Medigap policies to Medicare-eligible individuals under 65, improving access to healthcare services.95% confidence

Sub-Topics Insurance Medicare

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in committee · Ohio · Senate Oct 1, 2025

SB 227: Cap cost sharing for prescription insulin drugs

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.

Topics ✓ Budget & TaxesSupports Budget & TaxesSB 227 provides direct financial relief to individuals by capping insulin costs, functionally similar to providing tax relief for personal budgets by reducing a significant expense.65% confidence ✓ HealthcareSupports HealthcareSB 227 caps insulin costs at $35/month, directly improving patient access and affordability for a vital medication, aligning with stronger healthcare access.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentBill caps insulin costs, enhancing health insurance as a worker benefit and protecting financial well-being for employees with diabetes.75% confidence

Sub-Topics Insurance Prescription Drugs

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in committee · Ohio · House Feb 26, 2025

HB 99: Exclude certain agricultural entities from insurance regulations

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.

Topics ✓ HealthcareSupports HealthcareBill exempts agricultural organizations providing healthcare coverage to members from state insurance regulations, facilitating access to coverage for farmers and their families.85% confidence ✓ Labor & EmploymentSupports Labor & EmploymentHB 99 exempts certain agricultural entities from insurance regulations for healthcare coverage provided to members, facilitating access to worker benefits.75% confidence

Sub-Topics Insurance

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in committee · Ohio · Senate Apr 2, 2025

SB 165: Prohibit denial of health insurance claim for certain factors

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.

Topics ✓ HealthcareSupports HealthcareThe bill prohibits health insurers from denying claims based on certain factors, which protects patient rights and strengthens health insurance coverage.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentThe bill prohibits health insurers from denying claims based on certain factors, which strengthens and protects health insurance benefits for individuals, including those obtained through employment.80% confidence

Sub-Topics Insurance

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in committee · Ohio · House Nov 12, 2025

HB 579: Regulate the use of artificial intelligence by health insurers

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.

Topics ✓ HealthcareSupports HealthcareHB 579 mandates transparency and bias testing for AI used by health insurers in coverage decisions, protecting patient rights and ensuring fairer access to insurance.95% confidence ✓ TechnologySupports TechnologyHB 579 regulates AI use in health insurance, mandating transparency and bias testing to protect consumers, aligning with regulating technology for consumer protection.95% confidence

Sub-Topics Insurance Artificial Intelligence

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in committee · Ohio · Senate Apr 2, 2025

SB 164: Regulate the use of artificial intelligence by health insurers

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.

Topics ✓ HealthcareSupports HealthcareSB 164 protects policyholders by requiring transparency and human review for AI in health insurance decisions, preventing biased outcomes and safeguarding patient rights.90% confidence ✓ TechnologySupports TechnologySB 164 regulates AI use in health insurance, mandating transparency and prohibiting biased outcomes to protect consumers, which supports responsible technology use and digital rights.90% confidence

Sub-Topics Insurance Artificial Intelligence

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in committee · Ohio · Senate May 28, 2025

SB 207: Prohibit certain health insurance cost-sharing practices

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.

Topics ✓ HealthcareSupports HealthcareBill prohibits certain health insurance cost-sharing practices, which likely improves patient access and protects patient rights regarding healthcare costs.85% confidence ✓ Labor & EmploymentSupports Labor & EmploymentBill prohibits certain health insurance cost-sharing practices, which would protect or expand worker benefits, a key aspect of Labor & Employment.75% confidence

Sub-Topics Insurance

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in committee · Ohio · House Nov 5, 2025

HB 564: Require health insurance coverage of orthotic, prosthetic devices

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.

Topics ✓ HealthcareSupports HealthcareBill requires health insurance coverage for orthotic and prosthetic devices, directly expanding health coverage and improving patient access.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentBill requires health insurance coverage for orthotic/prosthetic devices, expanding worker benefits and strengthening employment standards.85% confidence

Sub-Topics Insurance

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in committee · Ohio · House May 21, 2025

HB 289: Establish Ohio Health Care Plan for universal health coverage

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.

Topics ✓ Budget & TaxesSupports Budget & TaxesEstablishing and operating a universal health care plan for all residents would necessitate significant state funding, appropriations, and fiscal management, thus advancing government spending on public services.85% confidence ✓ HealthcareSupports HealthcareHB 289 aims to establish the Ohio Health Care Plan to provide universal health care coverage to all Ohio residents, which expands health coverage and improves patient access.95% confidence ✓ ImmigrationSupports ImmigrationBill establishes universal health care coverage for all Ohio residents, which would include immigrants, thereby providing them with a key service.80% confidence ✓ Labor & EmploymentSupports Labor & EmploymentEstablishes universal health care for all residents, which expands worker benefits by ensuring access to health coverage regardless of employment status.80% confidence

Sub-Topics Insurance

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in committee · Ohio · House Jun 11, 2025

HB 341: Authorize tax credit for assisted reproduction insurance coverage

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.

Topics ✗ Budget & TaxesOpposes Budget & TaxesThe bill authorizes an income tax credit for employers, which will reduce state tax revenue, thereby limiting the state's fiscal resources and budget.90% confidence ✓ HealthcareSupports HealthcareBill authorizes tax credits for employers subsidizing assisted reproduction insurance, expanding health coverage and access to specific health services.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentThe bill provides a tax credit to employers for subsidizing employee insurance coverage for assisted reproduction, effectively expanding worker benefits.85% confidence

Sub-Topics Income Tax Tax Credits Insurance

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