Regards timing of health insurer recoupment from providers
SB 162 amends Ohio's Revised Code section 3901.388 to change the timeframe health insurers must use when recouping overpayments from healthcare providers. This directly affects health insurers and the providers who bill them for services. The bill specifies a new deadline for insurers to request repayment after identifying overpayments, replacing the previous timeframe outlined in the existing law. The change focuses solely on the timing mechanism for recoupment, without altering the conditions under which recoupment occurs.
Bill status
signed
all 5 stages cleared
Introduction
Apr 2025
Committee Review
May 2026
Senate Passage
Apr 2026
House Passage
Jun 2026
Signed into Law
Jul 2026
Introduced Apr 1, 2025
Signed Jul 8, 2026
Maddy AI version diff · 3 comparisons
What changed between versions
As Passed by the House
→
As Enrolled
·
6 edits
·
Jul 8, 2026
MODERATE
This bill clarifies and tightens the rules for health insurers to recover overpayments from providers. It shortens the statute of limitations for recovering overpayments from two years to one year, requires specific details in overpayment notices, and establishes a clear timeline for providers to appeal these determinations.
Scope change
The bill applies to all third-party payers and providers under the Revised Code sections governing health care payments, with no change in the general scope of applicability.
TIMELINE
Reduced the time limit for health insurers to initiate recovery of overpayments from two years to one year after payment.
Shortened the window for providers to appeal an overpayment determination from thirty days to sixty days.
REQUIREMENT
Mandated that overpayment notices must include specific details such as beneficiary names, service dates, claim numbers, and a detailed explanation of the overpayment basis.
Required insurers to offer providers a no-fee appeal process and to allow repayment via direct payment or deduction from future payments if the provider does not appeal.
ENFORCEMENT
Clarified that any contract terms contradicting these new recovery rules are unenforceable.
TECHNICAL
Removed redundant section headers and page numbers from the final enrolled text.
Floor votes · Senate Apr 15, 2026 · House Jun 11, 2026
How they voted
33–0
Passed
Total votes 33
Apr 15, 2026
D
Democratic9
100% Yea
R
Republican24
100% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
12
Key actions
5
Committee
2
Amendments
2
Jul 1, 2026
Legislature · Passed
Sent To The Governor
legislature
Jun 11, 2026
House · Passed
House Vote: pass (94-0)
house
Jun 10, 2026
Lower · Passed
Passed
lower
Jun 10, 2026
Introduced
Reported - Amended
lower
Jun 10, 2026
Upper · Passed
Concurred in House amendments
upper
May 13, 2026
Committee
Referred to committee
lower
Apr 21, 2026
Introduced
Introduced
lower
Apr 15, 2026
Upper · Passed
Passed
upper
Apr 2, 2025
Committee
Referred to committee
upper
Apr 1, 2025
Introduced
Introduced
upper
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Bill Blessing
RRepublican
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