To enact sections 113.65 and 5166.38 of the Revised Code to establish the American Dream Voluntary Transition Program as a component of the Medicaid program and to designate this act the American Dream Act.
To enact sections 1751.64, 3923.66, 3923.67, and 5164.11 of the Revised Code regarding insurance and Medicaid coverage of scalp cooling systems for individuals receiving cancer chemotherapy treatments.
To amend sections 3705.16, 3795.03, and 3795.04 and to enact sections 313.124, 3793.01, 3793.02, 3793.03, 3793.04, 3793.05, 3793.06, 3793.07, 3793.08, 3793.09, 3793.10, 3793.11, 3793.12, 3793.13, 3793.14, 3793.15, 3793.16, 3793.17, 3793.18, 3793.19, 3793.20, 3793.21, and 4729.97 of the Revised Code to authorize an individual with a terminal condition and the ability to make and communicate health care decisions to request a prescription for an aid-in-dying medication and to name this act the Ohio Medical Aid in Dying (MAID) Act.
This bill requires Medicaid managed care organizations to cover pharmacogenomic testing for Medicaid enrollees diagnosed with depression or anxiety when a prescriber is considering changes to their medication due to known gene-drug interactions. The testing must meet specific criteria, including Medicare coverage under a local determination, and managed care plans can only impose prior authorization if they provide a clear, timely process requiring minimal documentation. The bill also establishes enforcement measures, including fines and potential contract termination, for organizations that fail to comply with these coverage requirements.
To enact sections 3902.65 and 5164.081 of the Revised Code to require insurance and Medicaid coverage of the diagnosis and treatment of menopause, perimenopause, and menopausal and perimenopausal symptoms and to name this act the Ohio Menopause, Perimenopause, and Hormone Therapy Coverage Act.
To enact section 124.826 of the Revised Code to allow a political subdivision to participate in the same state health plan offered to state employees.
To amend section 4731.281 and to enact sections 4731.2911, 4731.2912, and 4731.2913 of the Revised Code to authorize the State Medical Board to issue limited licenses to certain international physicians.
HB 789 requires hospital and freestanding emergency departments to have physicians physically present and supervising medical and nursing staff during operating hours. The bill defines a freestanding emergency department as a facility that provides emergency care and is structurally separate from a hospital, and defines a physician as someone licensed in medicine or osteopathic medicine. Under this legislation, a physician must be on duty, immediately available to staff, and continuously involved in coordinating emergency care. This law directly affects hospitals and freestanding emergency facilities by mandating physician supervision of emergency care operations.
To enact sections 5164.40, 5164.401, 5164.402, 5164.403, 5164.404, 5164.405, and 5164.406 of the Revised Code to require the Department of Medicaid to establish electronic verification systems that promote program integrity for certain components of the Medicaid program and to name this act the Safeguarding Healthcare Integrity through Electronic Location Data (SHIELD) Act.
To amend sections 5165.06, 5165.151, 5165.158, 5165.19, 5165.26, and 5165.36 and to enact section 5165.061 of the Revised Code to make various changes to the law governing nursing facilities in the Medicaid program.