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To enact section 5902.20 of the Revised Code to | 1 |
create the Ohio Veterans Health Care System. | 2 |
Section 1. That section 5902.20 of the Revised Code be | 3 |
enacted to read as follows: | 4 |
Sec. 5902.20. (A) As used in this section: | 5 |
"Uniformed services" means the armed forces of the United | 6 |
States, the army national guard and the air national guard when | 7 |
engaged in active duty for training, inactive duty for training, | 8 |
or full-time national guard duty, the commissioned corps of the | 9 |
public health service, and any other category of persons | 10 |
designated by the president in time of war or national emergency. | 11 |
"Veteran" means a person who served in the uniformed services | 12 |
or a reserve component of the armed forces of the United States, | 13 |
and who was discharged or released therefrom under conditions | 14 |
other than dishonorable. | 15 |
(B) There is the Ohio veterans health care system to provide | 16 |
eligible veterans with comprehensive health care services, | 17 |
including health, medical, hospital, dental, and surgical | 18 |
benefits. The program is to provide veterans who are eligible for | 19 |
health care benefits under the medicaid program, instead with | 20 |
health care insurance through the Ohio veterans health care | 21 |
system. When the Ohio veterans health care system becomes | 22 |
operational, veterans receiving health care benefits under the | 23 |
medicaid program instead shall be transferred to and enrolled in | 24 |
the Ohio veterans health care system. | 25 |
(C) The director of veterans services, in consultation with | 26 |
the superintendent of insurance, the director of administrative | 27 |
services, and the director of job and family services, shall | 28 |
select the structure of the system from one of the following three | 29 |
options: | 30 |
(1) A state subsidized comprehensive health care plan | 31 |
provided by an insurance company authorized to do business in this | 32 |
state. | 33 |
(2) A state subsidized high deductible health care plan | 34 |
provided by an insurance company authorized to do business in this | 35 |
state, to be provided in conjunction with an obligation for the | 36 |
state to make periodic direct deposits into an individual health | 37 |
savings account, established by the veteran, which qualifies under | 38 |
section 223 of the Internal Revenue Code. | 39 |
(3) A voucher program that grants subsidies to eligible | 40 |
veterans for purchasing private health insurance under the Patient | 41 |
Protection and Affordable Care Act, Pub. L. No. 111-148, 124 Stat. | 42 |
119, through its health insurance marketplace exchange to the | 43 |
extent not otherwise subsidized under the Patient Protection and | 44 |
Affordable Care Act. | 45 |
The director of veterans services, in consultation with the | 46 |
director of administrative services and in accordance with the | 47 |
competitive selection procedures of Chapter 125. of the Revised | 48 |
Code, may contract with an insurance company or a health plan in | 49 |
combination with an insurance company, authorized to do business | 50 |
in this state, for the issuance of a policy or contract to cover | 51 |
veterans under the Ohio veterans health care system. | 52 |
(D) The director of veterans services in consultation with | 53 |
the superintendent of insurance, the director of administrative | 54 |
services, and the director of job and family services, shall adopt | 55 |
rules under Chapter 119. of the Revised Code that specify the | 56 |
terms and conditions of the Ohio veterans health care system, | 57 |
including, but not limited to: | 58 |
(1) Eligibility requirements; | 59 |
(2) Enrollment procedures; | 60 |
(3) Covered services; | 61 |
(4) Covered prescriptions; | 62 |
(5) Deductibles, copays, and maximum out-of-pocket expenses; | 63 |
(6) Any other terms and conditions necessary to implement and | 64 |
manage the system. | 65 |
The rule specifying eligibility requirements shall include a | 66 |
requirement that, in order to be eligible to receive benefits | 67 |
through the Ohio veterans health care system, a person must be a | 68 |
veteran, who is eligible to receive health care benefits under the | 69 |
medicaid program, and who is a resident of this state. | 70 |