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