Healthcare (Insurance)

introduced · Ohio · House Jul 1, 2026

HB 972: Prohibit certain health plan issuer pharmacy restrictions

To enact section 3902.78 of the Revised Code to prohibit a health plan issuer from imposing restrictions on pharmacy services that increase transparency and prescription drug access for patients.

Topics ✓ HealthcareSupports HealthcareBill prohibits restrictions on pharmacy services to increase transparency and prescription drug access, directly supporting patient healthcare access.95% confidence

Sub-Topics Insurance Prescription Drugs

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in committee · Ohio · House May 20, 2026

HB 904: Establish a reinsurance program

This bill establishes a state reinsurance program designed to help health insurance companies manage costs associated with high-risk individuals. To fund this program, the state will collect an annual one percent assessment from health insurance corporations based on their previous year's gross premiums. The reinsurance fund created by these assessments will provide payments to insurers, covering eighty percent of claims that exceed thirty thousand dollars but not more than two hundred fifty thousand dollars per person. The program's specific payment limits can be adjusted annually depending on the amount of money available in the fund. Additionally, the bill authorizes the state insurance superintendent to request a federal waiver to support the creation of this fund.

Topics ✗ Budget & TaxesOpposes Budget & TaxesBill imposes a new 1% assessment on health insurers, increasing state revenue collection and acting as a tax on the insurance industry.85% confidence ✓ HealthcareSupports HealthcareBill creates a reinsurance program to stabilize insurer costs for high-risk individuals, thereby protecting access to care and preventing coverage loss.85% confidence

Sub-Topics Insurance

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in committee · Ohio · House May 13, 2026

HB 861: Prohibit health plan, Medicaid denying dental claim based on age

To enact sections 3902.65 and 5164.18 of the Revised Code to prohibit a health benefit plan and the Medicaid program from denying a claim for dental services on the basis of the age of the patient.

Topics ✓ HealthcareSupports HealthcareBill prohibits denying dental claims based on age, expanding access to essential healthcare services and protecting patient rights.95% confidence

Sub-Topics Insurance Medicaid

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in committee · Ohio · House May 20, 2026

HB 937: 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 restrictive cost-sharing practices, improving patient access to health insurance and protecting consumer rights.85% confidence

Sub-Topics Insurance

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in committee · Ohio · House May 20, 2026

HB 888: Regards insurance, Medicaid coverage for infertility services

To amend section 1751.01 and to enact sections 3902.65 and 5164.11 of the Revised Code concerning insurance and Medicaid coverage for specified infertility services.

Topics ✓ HealthcareSupports HealthcareBill expands Medicaid and insurance coverage for infertility services, increasing patient access to reproductive healthcare.95% confidence

Sub-Topics Insurance Medicaid

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in committee · Ohio · House May 13, 2026

HB 831: Require health plan issuers, Medicaid to cover PANDAS, PANS

To amend section 3902.50 and to enact sections 5.22108, 3902.65, and 5164.094 of the Revised Code to require health plan issuers and the Medicaid program to cover treatments and services related to Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections and Pediatric Acute-onset Neuropsychiatric Syndrome.

Topics ✓ HealthcareSupports HealthcareBill mandates health plans and Medicaid to cover PANDAS/PANS treatments, expanding access and strengthening healthcare coverage.95% confidence

Sub-Topics Children's Health Insurance Medicaid

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in committee · Ohio · House Mar 18, 2026

HB 746: Allow political subdivision to participate in state health plan

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.

Topics ✓ HealthcareSupports HealthcareBill allows political subdivisions to participate in state health plan, expanding healthcare coverage access for local government employees.85% confidence

Sub-Topics Insurance

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in committee · Ohio · Senate Mar 25, 2026

SB 389: Regards augmentative, alternative comm. tool insurance coverage

This bill requires health insurance plans to cover augmentative and alternative communication tools for individuals aged 22 and younger when prescribed by qualified healthcare providers. The legislation defines these tools broadly to include speech-generating devices, communication software, tablets, and related accessories necessary for individuals with expressive communication disabilities. Coverage includes the full cost of standard devices up to $6,000, with an additional $14,000 allowance for enhanced tools when a speech-language pathologist documents that standard options are insufficient. The bill also mandates coverage for device replacement every five years or sooner if needed due to physical changes, repair needs, or communication requirements, along with related services like training and temporary loaner devices.

Topics ✓ HealthcareSupports HealthcareBill requires health insurance plans to cover augmentative and alternative communication tools, expanding healthcare access and funding for individuals with communication disabilities.95% confidence ✓ TechnologySupports TechnologyBill mandates insurance coverage for assistive communication technology, expanding access to essential digital tools for individuals with disabilities.92% confidence

Sub-Topics Insurance

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in committee · Ohio · House Feb 18, 2026

HB 699: Require prescription drug coverage by health plan issuers

HB 699 requires health insurance plans sold in Ohio to cover all prescription drugs approved by the U.S. Food and Drug Administration (FDA) for a patient's specific condition, provided the drug is recognized by an approved medical reference or peer-reviewed literature. It mandates coverage for all medically necessary services related to administering the drug, prohibits denials based solely on a drug's legal status, and exempts experimental drugs not FDA-approved for the condition or drugs contraindicated by the FDA. This directly affects health insurance issuers and policyholders by ensuring access to covered prescription drugs for diagnosed conditions. The bill does not require coverage for drugs not approved by the FDA or those deemed unsafe for the condition.

Topics ✓ HealthcareSupports HealthcareMandates coverage for all FDA-approved prescription drugs and prohibits denials based on drug legality, expanding patient access and protecting rights to necessary medications.95% confidence

Sub-Topics Insurance Prescription Drugs

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passed · Ohio · Senate Jun 16, 2026

SB 160: Regards prescription drugs and medication switching

SB 160 prohibits health insurance plans from making certain changes to drug coverage during a plan year, such as increasing patient costs, moving drugs to more restrictive tiers, or removing drugs from formularies (except for specific safety or manufacturer discontinuation reasons). It directly affects health insurance issuers and plan members by limiting how insurers can adjust coverage for prescription drugs. Key provisions include allowing generic substitution when available, preventing prior authorization for covered drugs, and exempting plans from restrictions if a drug’s cost rises more than 5% plus inflation. The bill aims to stabilize drug access for patients while permitting standard practices like formulary additions and generic substitutions.

Topics ✓ HealthcareSupports HealthcareSB 160 protects patient access to prescription drugs and prevents increased costs by limiting insurers' ability to change drug coverage during a plan year.95% confidence

Sub-Topics Insurance Prescription Drugs

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