As Passed by the House 1 123rd General Assembly 4 Regular Session Am. Sub. H. B. No. 221 5 1999-2000 6 REPRESENTATIVES VAN VYVEN-CALLENDER-CATES-MOTTLEY- 8 SCHULER-TERWILLEGER-TRAKAS-YOUNG-TIBERI-OLMAN 9 _________________________________________________________________ 10 A B I L L To enact sections 103.144, 105.01, 105.02, 105.03, 12 105.05, and 105.07 of the Revised Code to require 13 the Ohio Legislative Service Commission to 14 prepare a mandated benefit statement for each bill that contains a mandated benefit and 15 receives second consideration, to provide for the 16 establishment and operation of the Ohio Mandated 17 Benefits Review Council, and to terminate the 18 provisions of this act on December 31, 2003, by 19 repealing sections 103.144, 105.01, 105.02, 105.03, 105.05, and 105.07 of the Revised Code on 20 that date. 21 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO: 23 Section 1. That sections 103.144, 105.01, 105.02, 105.03, 25 105.05, and 105.07 of the Revised Code be enacted to read as 26 follows: 27 Sec. 103.144. (A) AS USED IN THIS SECTION, "MANDATED 29 BENEFIT" HAS THE SAME MEANING AS IN SECTION 105.01 OF THE REVISED 31 CODE. 32 (B) WITHIN THREE BUSINESS DAYS AFTER A BILL RECEIVES 34 SECOND CONSIDERATION IN EITHER HOUSE OF THE GENERAL ASSEMBLY, THE 36 LEGISLATIVE SERVICE COMMISSION SHALL REVIEW THE BILL TO DETERMINE 38 WHETHER THE BILL INCLUDES A MANDATED BENEFIT. IF THE LEGISLATIVE 40 SERVICE COMMISSION DETERMINES THAT THE BILL INCLUDES A MANDATED 41 BENEFIT, THE COMMISSION SHALL PREPARE A WRITTEN MANDATED BENEFITS 43 2 STATEMENT WITHIN THE THREE-BUSINESS-DAY REVIEW PERIOD SETTING 45 FORTH THE RESULTS OF THE REVIEW AND SHALL DISTRIBUTE COPIES OF 47 THE STATEMENT TO THE CHAIRPERSON OF THE COMMITTEE TO WHICH THE 48 BILL HAS BEEN ASSIGNED, THE OHIO MANDATED BENEFITS REVIEW COUNCIL 49 CREATED UNDER SECTION 105.02 OF THE REVISED CODE, AND THE 50 SUPERINTENDENT OF INSURANCE. 51 (C) WITHIN THREE BUSINESS DAYS AFTER AN AMENDMENT TO THE 53 BILL IS ADOPTED, OR A SUBSTITUTE BILL IS ADOPTED, BY THE 55 COMMITTEE, THE LEGISLATIVE SERVICE COMMISSION SHALL REVIEW THE 57 AMENDMENT OR SUBSTITUTE BILL TO DETERMINE WHETHER THE AMENDMENT 58 OR SUBSTITUTE BILL INCLUDES A MANDATED BENEFIT. IF THE 59 LEGISLATIVE SERVICE COMMISSION DETERMINES THAT THE AMENDMENT OR 60 SUBSTITUTE BILL INCLUDES A MANDATED BENEFIT, THE COMMISSION SHALL 61 PREPARE A WRITTEN MANDATED BENEFITS STATEMENT WITHIN THE 62 THREE-BUSINESS-DAY REVIEW PERIOD IF A STATEMENT WAS NOT 64 PREVIOUSLY PREPARED IN CONNECTION WITH THE BILL OR SHALL PREPARE 65 A REVISION OF ANY PREVIOUSLY ISSUED MANDATED BENEFITS STATEMENT 68 WITHIN THE THREE-BUSINESS-DAY REVIEW PERIOD TO REFLECT CHANGES PROPOSED BY THE AMENDMENT OR SUBSTITUTE BILL. THE LEGISLATIVE 71 SERVICE COMMISSION SHALL DISTRIBUTE COPIES OF ANY STATEMENT 72 PREPARED OR REVISED IN ACCORDANCE WITH THIS DIVISION TO THE 73 PARTIES IDENTIFIED IN DIVISION (B) OF THIS SECTION. 74 Sec. 105.01. AS USED IN SECTIONS 105.01 TO 105.07 OF THE 76 REVISED CODE: 77 (A) "MANDATED BENEFIT" MEANS THE FOLLOWING, WHEN 79 CONSIDERED IN THE CONTEXT OF A SICKNESS AND ACCIDENT INSURANCE 80 POLICY OR A HEALTH INSURING CORPORATION POLICY, CONTRACT, OR 81 AGREEMENT: 82 (1) ANY REQUIRED COVERAGE FOR A SPECIFIC MEDICAL OR 84 HEALTH-RELATED SERVICE, TREATMENT, MEDICATION, OR PRACTICE; 85 (2) ANY REQUIRED COVERAGE FOR THE SERVICES OF SPECIFIC 87 HEALTH CARE PRACTITIONERS; 88 (3) ANY REQUIREMENT THAT AN INSURER OR HEALTH INSURING 90 CORPORATION OFFER COVERAGE TO SPECIFIC INDIVIDUALS OR GROUPS; 91 3 (4) ANY REQUIREMENT THAT AN INSURER OR HEALTH INSURING 93 CORPORATION OFFER SPECIFIC HEALTH CARE SERVICES, TREATMENTS, OR 94 PRACTICES TO EXISTING INSUREDS OR ENROLLEES; 95 (5) ANY REQUIRED EXPANSION OF, OR ADDITION TO, EXISTING 97 COVERAGE; 98 (6) ANY MANDATED REIMBURSEMENT AMOUNT TO SPECIFIC HEALTH 100 CARE PRACTITIONERS. 101 (B) "MANDATED BENEFIT" DOES NOT INCLUDE ANY REQUIRED 103 COVERAGE OR OFFER OF COVERAGE, ANY REQUIRED EXPANSION OF, OR 104 ADDITION TO, EXISTING COVERAGE, OR ANY MANDATED REIMBURSEMENT 106 AMOUNT TO SPECIFIC PRACTITIONERS, AS DESCRIBED IN DIVISION (A) OF 107 THIS SECTION, WITHIN THE CONTEXT OF ANY PUBLIC HEALTH BENEFITS 108 ARRANGEMENT, INCLUDING BUT NOT LIMITED TO, THE COVERAGE OF 109 BENEFICIARIES ENROLLED IN TITLE XVIII OF THE "SOCIAL SECURITY 111 ACT," 49 STAT. 620 (1935), 42 U.S.C.A. 301, AS AMENDED, PURSUANT 113 TO A MEDICARE RISK CONTRACT OR MEDICARE COST CONTRACT, OR TO THE 114 COVERAGE OF BENEFICIARIES ENROLLED IN TITLE XIX OF THE "SOCIAL 116 SECURITY ACT," 49 STAT. 620 (1935), 42 U.S.C.A. 301, AS AMENDED, 120 KNOWN AS THE MEDICAL ASSISTANCE PROGRAM OR MEDICAID, PROVIDED BY 121 THE OHIO DEPARTMENT OF HUMAN SERVICES UNDER CHAPTER 5111. OF THE 123 REVISED CODE. 124 Sec. 105.02. (A) THERE IS HEREBY CREATED THE OHIO 126 MANDATED BENEFITS REVIEW COUNCIL. 128 (B) THE COUNCIL SHALL CONSIST OF FIFTEEN MEMBERS, SIX OF 131 WHOM SHALL BE VOTING MEMBERS AND NINE ADDITIONAL MEMBERS WHO 132 SHALL NOT VOTE EXCEPT IN THE EVENT THAT A TIE VOTE IS CAST BY THE 133 VOTING MEMBERS. (1) THE VOTING MEMBERS SHALL CONSIST OF THE FOLLOWING: 135 (a) THREE MEMBERS OF THE SENATE, APPOINTED BY THE 137 PRESIDENT OF THE SENATE, NOT MORE THAN TWO OF WHOM MAY BE MEMBERS 138 OF THE SAME POLITICAL PARTY; 139 (b) THREE MEMBERS OF THE HOUSE OF REPRESENTATIVES, 141 APPOINTED BY THE SPEAKER OF THE HOUSE OF REPRESENTATIVES, NOT 142 MORE THAN TWO OF WHOM MAY BE MEMBERS OF THE SAME POLITICAL PARTY. 143 4 (2) THE ADDITIONAL MEMBERS SHALL CONSIST OF THE FOLLOWING: 145 (a) THREE REPRESENTATIVES OF CONSUMERS, APPOINTED BY THE 147 GOVERNOR WITH THE ADVICE AND CONSENT OF THE SENATE, NOT MORE THAN 148 TWO OF WHOM SHALL BE MEMBERS OF THE SAME POLITICAL PARTY. NONE 149 OF THESE MEMBERS MAY BE EMPLOYED BY, OR IN ANY WAY AFFILIATED 150 WITH OR BIASED TOWARD, ANY OF THE PERSONS OR ENTITIES LISTED IN 151 DIVISIONS (B)(2)(b) TO (f) OF THIS SECTION. ONE OF THESE MEMBERS 153 SHALL REPRESENT THE INTERESTS OF PUBLIC EMPLOYERS AND THEIR 154 EMPLOYEES AS CONSUMERS OF HEALTH CARE. 155 (b) TWO REPRESENTATIVES OF HEALTH CARE PROVIDERS, ONE OF 157 WHOM IS TO BE APPOINTED BY THE PRESIDENT OF THE SENATE AND THE 158 OTHER BY THE SPEAKER OF THE HOUSE OF REPRESENTATIVES. 160 (c) ONE REPRESENTATIVE OF HEALTH INSURING CORPORATIONS, 162 APPOINTED BY THE PRESIDENT OF THE SENATE. 163 (d) ONE REPRESENTATIVE OF SICKNESS AND ACCIDENT INSURERS, 165 APPOINTED BY THE SPEAKER OF THE HOUSE OF REPRESENTATIVES. 166 (e) ONE REPRESENTATIVE OF EMPLOYERS IN THIS STATE, OTHER 168 THAN THE EMPLOYERS LISTED IN DIVISIONS (B)(2)(b) TO (d) OF THIS 170 SECTION, THAT EMPLOY FIFTY OR FEWER EMPLOYEES, APPOINTED BY THE 171 PRESIDENT OF THE SENATE. 172 (f) ONE REPRESENTATIVE OF EMPLOYERS IN THIS STATE, OTHER 174 THAN THE EMPLOYERS LISTED IN DIVISIONS (B)(2)(b) TO (d) OF THIS 176 SECTION, THAT EMPLOY MORE THAN FIFTY EMPLOYEES, APPOINTED BY THE 177 SPEAKER OF THE HOUSE OF REPRESENTATIVES. 178 (C) WITH RESPECT TO THE MEMBERS OF THE COUNCIL OTHER THAN 180 THOSE APPOINTED FROM THE MEMBERSHIP OF THE SENATE AND THE HOUSE 181 OF REPRESENTATIVES, ALL OF THE FOLLOWING APPLY: 182 (1) OF THE INITIAL APPOINTMENTS, THREE SHALL BE FOR A TERM 184 ENDING JUNE 30, 2001, THREE SHALL BE FOR A TERM ENDING JUNE 30, 185 2002, AND THREE SHALL BE FOR A TERM ENDING JUNE 30, 2003. 187 THEREAFTER, TERMS OF OFFICE SHALL BE FOR THREE YEARS, WITH EACH 188 TERM ENDING ON THE SAME DAY OF THE SAME MONTH AS DID THE TERM 190 THAT IT SUCCEEDS. (2) EACH MEMBER SHALL HOLD OFFICE FROM THE DATE OF 192 5 APPOINTMENT UNTIL THE END OF THE TERM FOR WHICH THE MEMBER WAS 193 APPOINTED. (3) ANY MEMBER APPOINTED TO FILL A VACANCY OCCURRING PRIOR 195 TO THE EXPIRATION DATE OF THE TERM FOR WHICH THE MEMBER'S 196 PREDECESSOR WAS APPOINTED SHALL HOLD OFFICE AS A MEMBER FOR THE 197 REMAINDER OF THAT TERM. 198 (4) A MEMBER SHALL CONTINUE IN OFFICE SUBSEQUENT TO THE 200 EXPIRATION DATE OF THE MEMBER'S TERM UNTIL THE MEMBER'S SUCCESSOR 201 TAKES OFFICE OR UNTIL A PERIOD OF SIXTY DAYS HAS ELAPSED, 202 WHICHEVER OCCURS FIRST. 203 (D) THE MEMBERS OF THE COUNCIL WHO ARE APPOINTED FROM THE 205 MEMBERSHIP OF THE SENATE OR THE HOUSE OF REPRESENTATIVES SHALL 206 SERVE DURING THEIR TERMS AS MEMBERS OF THE GENERAL ASSEMBLY AND 207 UNTIL THEIR SUCCESSORS ARE APPOINTED AND QUALIFIED, 208 NOTWITHSTANDING THE ADJOURNMENT OF THE GENERAL ASSEMBLY OF WHICH 209 THEY ARE MEMBERS OR THE EXPIRATION OF THEIR TERMS AS MEMBERS OF 210 SUCH GENERAL ASSEMBLY. 211 (E) VACANCIES ON THE COUNCIL SHALL BE FILLED IN THE MANNER 213 PROVIDED FOR ORIGINAL APPOINTMENTS. 214 Sec. 105.03. MEETINGS OF THE MANDATED BENEFITS REVIEW 216 COUNCIL SHALL BE CALLED IN SUCH MANNER AND AT SUCH TIMES AS 217 PRESCRIBED BY RULES ADOPTED BY THE COUNCIL. A MAJORITY OF THE 218 MEMBERSHIP OF THE COUNCIL CONSTITUTES A QUORUM AND NO ACTION 219 SHALL BE TAKEN BY THE COUNCIL UNLESS APPROVED BY A MAJORITY OF 220 THE VOTING MEMBERS. IF A TIE VOTE IS CAST BY THE VOTING MEMBERS, 222 THE ADDITIONAL COUNCIL MEMBERS SHALL BE REQUIRED TO CAST A VOTE 223 ON WHETHER TO APPROVE THE ACTION. THE MAJORITY VOTE OF THE 224 ADDITIONAL COUNCIL MEMBERS SHALL BE COUNTED AS A SINGLE VOTE FOR 225 THE PURPOSE OF BREAKING THE TIE VOTE CAST BY THE VOTING MEMBERS. 226 THE COUNCIL SHALL ORGANIZE BY SELECTING FROM AMONG THE 228 VOTING MEMBERS A CHAIRPERSON, A VICE-CHAIRPERSON, AND SUCH OTHER 229 OFFICERS AS IT CONSIDERS NECESSARY. THE COUNCIL SHALL ADOPT 230 RULES FOR THE CONDUCT OF ITS BUSINESS AND THE ELECTION OF ITS 231 OFFICERS. EACH MEMBER OF THE COUNCIL, BEFORE ENTERING UPON THE 232 6 MEMBER'S OFFICIAL DUTIES, SHALL TAKE AND SUBSCRIBE TO AN OATH OF 233 OFFICE, TO UPHOLD THE CONSTITUTION AND LAWS OF THE UNITED STATES 234 AND THIS STATE, AND TO PERFORM THE DUTIES OF THE OFFICE HONESTLY, 236 FAITHFULLY, AND IMPARTIALLY. 237 MEMBERS OF THE COUNCIL SHALL SERVE WITHOUT COMPENSATION BUT 239 MAY BE REIMBURSED FOR ACTUAL AND NECESSARY EXPENSES INCURRED IN 240 THE PERFORMANCE OF THEIR DUTIES UNDER SECTIONS 105.01 TO 105.07 241 OF THE REVISED CODE. 242 Sec. 105.05. (A)(1) THE COUNCIL SHALL HOLD A PUBLIC 244 MEETING TO CONSIDER THE FINDINGS OF AN INDEPENDENT HEALTHCARE 246 ACTUARIAL REVIEW PERFORMED UNDER SECTION 105.07 OF THE REVISED 248 CODE. THE COUNCIL MAY ADMINISTER OATHS AND HOLD PUBLIC HEARINGS 249 AT SUCH TIMES AND PLACES WITHIN THE STATE AS MAY BE NECESSARY TO 250 CARRY OUT THE PURPOSES AND INTENT OF SECTIONS 105.01 TO 105.07 OF 251 THE REVISED CODE. 252 (2) NO LATER THAN THIRTY DAYS AFTER RECEIPT OF THE 254 FINDINGS OF THE INDEPENDENT HEALTHCARE ACTUARIAL REVIEW, THE 255 COUNCIL SHALL CONSIDER THE FINDINGS AND DETERMINE WHETHER OR NOT 256 THE REVIEW MET THE REQUIRMENTS SET FORTH IN SECTION 105.07 OF THE 257 REVISED CODE. THE COUNCIL SHALL VOTE ON WHETHER OR NOT THE REVIEW MET THOSE REQUIREMENTS AND FORWARD THE OUTCOME OF THE VOTE 258 ALONG WITH THE FINDINGS TO THE CHAIRPERSON OF THE COMMITTEE TO 259 WHICH THE BILL HAS BEEN ASSIGNED. IF A TIE VOTE IS CAST BY THE 261 VOTING MEMBERS, THE ADDITIONAL COUNCIL MEMBERS SHALL BE REQUIRED 262 TO CAST A VOTE ON WHETHER OR NOT THE REVIEW MET THE REQUIREMENTS SET FORTH IN SECTION 105.07 OF THE REVISED CODE. THE MAJORITY 264 VOTE OF THE ADDITIONAL COUNCIL MEMBERS SHALL BE COUNTED AS A 265 SINGLE VOTE FOR THE PURPOSE OF BREAKING THE TIE VOTE CAST BY THE 266 VOTING MEMBERS. (B) THE COUNCIL MAY, FROM TIME TO TIME, REVIEW THE 268 PROVISIONS OF THE REVISED CODE THAT INCLUDE MANDATED BENEFITS AND 269 REQUEST THE SUPERINTENDENT OF INSURANCE TO ARRANGE FOR AN 271 INDEPENDENT HEALTHCARE ACTUARIAL REVIEW OF THE MANDATED BENEFITS 274 AS PROVIDED IN SECTION 105.07 OF THE REVISED CODE. THE COUNCIL 275 7 SHALL FORWARD THE FINDINGS REGARDING SUCH MANDATED BENEFITS TO 277 THE PRESIDENT OF THE SENATE, THE SPEAKER OF THE HOUSE OF 278 REPRESENTATIVES, AND THE CHAIRPERSONS OF THE COMMITTEES OF THE 279 GENERAL ASSEMBLY THAT HAVE PRIMARY JURISDICTION OVER HEALTH 280 INSURANCE. 281 (C) THE COUNCIL SHALL PREPARE AN ANNUAL SUMMARY OF ALL 283 FINDINGS WITH RESPECT TO PROPOSED AND EXISTING MANDATED BENEFITS, 284 AND SUBMIT A COPY OF THAT SUMMARY TO THE GOVERNOR, THE SPEAKER OF 286 THE HOUSE OF REPRESENTATIVES, AND THE PRESIDENT OF THE SENATE. 287 Sec. 105.07. (A) UPON RECEIPT OF A REQUEST FROM THE 289 MANDATED BENEFITS REVIEW COUNCIL PURSUANT TO DIVISION (B) OF 290 SECTION 105.05 OF THE REVISED CODE OR UPON RECEIPT OF A MANDATED 292 BENEFITS STATEMENT PREPARED BY THE LEGISLATIVE SERVICE COMMISSION 293 UNDER SECTION 103.144 OF THE REVISED CODE, THE SUPERINTENDENT OF 294 INSURANCE SHALL ARRANGE FOR THE PERFORMANCE OF AN INDEPENDENT 296 HEALTHCARE ACTUARIAL REVIEW OF THE MANDATED BENEFIT. IN MAKING 297 THIS ARRANGEMENT, THE SUPERINTENDENT SHALL RETAIN ONE OR MORE 298 INDEPENDENT ACTUARIES ON A CONSULTING BASIS TO DETERMINE THE 299 MEDICAL EFFICACY, AND SOCIAL AND FINANCIAL IMPACT OF THE MANDATED 300 BENEFIT IN ACCORDANCE WITH DIVISION (B) OF THIS SECTION. THE 302 SUPERINTENDENT SHALL PROVIDE THE ACTUARY OR ACTUARIES WITH COPIES 303 OF ANY INFORMATION SUBMITTED BY INTERESTED PARTIES RELATED TO THE 304 PROPOSED MANDATED BENEFIT AND SHALL ASSIST THEM IN OBTAINING ANY 305 ADDITIONAL INFORMATION NEEDED. NO LATER THAN FORTY-FIVE DAYS AFTER RECEIVING THE REQUEST 307 OR REPORT, THE SUPERINTENDENT SHALL SUBMIT THE FINDINGS OF THE 308 ACTUARIAL REVIEW TO THE COUNCIL. 309 (B) IN PERFORMING AN INDEPENDENT HEALTHCARE ACTUARIAL 311 REVIEW OF A MANDATED BENEFIT, THE ACTUARY SHALL DO THE FOLLOWING: 313 (1) USE APPROPRIATE ASSUMPTIONS THAT ACCURATELY 315 DEMONSTRATE THE SOCIAL AND FINANCIAL IMPACT OF THE MANDATED 316 BENEFIT; (2) DETERMINE TO WHAT EXTENT THE ABSENCE OF THE MANDATED 318 BENEFIT RESULTS IN UNDUE HARDSHIP TO THE GENERAL POPULATION; 319 8 (3) DETERMINE THE EXTENT OF PUBLIC DEMAND FOR THE MANDATED 321 BENEFIT, AND TO WHAT EXTENT VOLUNTARY COVERAGE OF THE BENEFIT IS 322 AVAILABLE; 323 (4) DETERMINE THE EXTENT OF PUBLIC DEMAND FOR INCLUSION OF 325 THE MANDATED BENEFIT IN ARRANGEMENTS NEGOTIATED THROUGH 326 COLLECTIVE BARGAINING; 327 (5) CONSULT WITH RELEVANT MEDICAL EXPERTS, ATTORNEYS, AND 329 OTHER PROFESSIONALS KNOWLEDGEABLE IN MATTERS RELATED TO THE 330 PERFORMANCE OF AN ACTUARIAL REVIEW OF A MANDATED BENEFIT; 331 (6) CONSIDER THE RESULTS OF AT LEAST ONE PROFESSIONALLY 333 ACCEPTABLE CONTROLLED TRIAL AND THE RESULTS OF ANY OTHER RELEVANT 334 PEER REVIEWED RESEARCH SPECIFICALLY CENTERED AROUND THE BENEFIT; 335 (7) CONSIDER ANY INFORMATION SUBMITTED BY INTERESTED 337 PARTIES RELATED TO THE PROPOSED MANDATED BENEFIT; 338 (8) IF APPLICABLE, DETERMINE THE EXTENT TO WHICH: 339 (a) COVERAGE WILL IMPROVE THE QUALITY OF LIFE OF THOSE 341 RECEIVING THE COVERED TREATMENT; 342 (b) COVERAGE WILL INCREASE OR DECREASE THE COST OF THE 344 TREATMENT OR SERVICE; (c) A SIMILAR MANDATED BENEFIT IN OTHER STATES HAS 346 IMPROVED THE QUALITY OF LIFE OF THOSE RECEIVING THE COVERED 347 TREATMENT; (d) A SIMILAR MANDATED BENEFIT IN OTHER STATES HAS 349 AFFECTED CHARGES, COSTS, UTILIZATION, AND PAYMENTS FOR SERVICES 350 AND TREATMENTS IN THOSE STATES; (e) COVERAGE WILL INCREASE OR DECREASE THE APPROPRIATE USE 353 OF THE TREATMENT OR SERVICE; 354 (f) COVERAGE WILL INCREASE OR DECREASE THE ADMINISTRATIVE 356 EXPENSES OF INSURANCE COMPANIES AND HEALTH INSURING CORPORATIONS; 357 (g) COVERAGE WILL INCREASE OR DECREASE PREMIUMS; 359 (h) EXISTING MANDATED BENEFITS MEET THE PROPOSED 362 REQUIREMENTS; (i) SMALL EMPLOYER, MEDIUM-SIZED EMPLOYERS, AND LARGE 364 EMPLOYERS WILL BE FINANCIALLY IMPACTED; AND 365 9 (j) COVERAGE WILL IMPACT THE TOTAL COST AND QUALITY OF 367 HEALTH CARE, INCLUDING ANY POTENTIAL COST SAVINGS THAT MAY BE 368 REALIZED. (C) THE SUPERINTENDENT SHALL ALSO PROVIDE ANY APPROPRIATE 370 PROFESSIONAL, TECHNICAL, AND CLERICAL SUPPORT FROM THE 371 SUPERINTENDENT'S STAFF THAT IS NEEDED BY THE COUNCIL TO FULFILL 372 ITS DUTIES. Section 2. Sections 103.144, 105.01, 105.02, 105.03, 374 105.05, and 105.07 of the Revised Code, as enacted by this act, 375 are hereby repealed, effective December 31, 2003. 376 Section 3. Initial appointments to the Ohio Mandated 378 Benefits Review Council shall be made no later than sixty days 379 after the effective date of this act. 380 Section 4. (A) As used in this section, "mandated 382 benefit" has the same meaning as in section 105.01 of the Revised 383 Code, as enacted by this act. 384 (B) The chairperson of a committee of either house of the 386 123rd General Assembly may request the Legislative Service 387 Commission to review any bill that was assigned to the 388 chairperson's committee prior to the effective date of this act, 389 or may request the Commission to review any amendment to or 390 substitute version of the bill that has been adopted by the 391 committee, in order to determine whether the bill, amendment, or 392 substitute bill includes a mandated benefit. The Commission 393 shall review the bill, amendment, or substitute bill, and if the 394 Commission determines that the bill, amendment, or substitute 395 bill includes a mandated benefit, the Commission shall prepare a 396 written mandated benefits statement within three business days 397 and shall distribute copies of the statement to the chairperson 398 who requested the review and to the Superintendent of Insurance. 399 (C) After initial appointments have been made to the Ohio 401 Mandated Benefits Review Council pursuant to section 105.02 of 402 the Revised Code, as enacted by this act, a chairperson of a 403 committee who has received a written mandated benefits statement 404 10 pursuant to division (B) of this section, may request the 405 Superintendent of Insurance to arrange for the performance of an 406 independent healthcare actuarial review of the mandated benefit. 407 The Superintendent shall, in the same manner as provided in 408 section 105.07 of the Revised Code, as enacted by this act, 409 arrange for the independent healthcare actuarial review and 410 submit the findings of the actuarial review to the Mandated 411 Benefits Review Council within forty-five days after receiving 412 the Commission's report. The Council shall, in the same manner 413 as provided in section 105.05 of the Revised Code, as enacted by 414 this act, consider the findings of the independent healthcare 415 actuarial review and, if the review meets the requirements set 416 forth in section 105.07 of the Revised Code, as enacted by this 417 act, forward the findings to the chairperson of the committee. 418