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(125th General Assembly)(Substitute House Bill Number 331)
AN ACTTo amend sections 1751.62, 3701.74, 3701.741, 3701.742, 3923.52, 3923.53, and 3923.54 of the Revised Code to cap the benefits health care plans provide for the expense of screening mammographies, an examination that the plans are required to cover, at 130% of the Medicare reimbursement rate, to continue and adjust fee schedules for copies of medical records, and to declare an emergency. Be it enacted by the General Assembly of the State of Ohio:
SECTION 1. That sections 1751.62, 3701.74, 3701.741, 3701.742, 3923.52, 3923.53, and 3923.54 of the Revised Code be amended to read as follows:
Sec. 1751.62. (A) As used in
this section, "screening: (1) "Screening mammography" means a radiologic
examination utilized to detect unsuspected breast cancer at an
early stage in an asymptomatic woman and includes the x-ray
examination of the breast using equipment that is dedicated
specifically for mammography, including, but not limited to, the x-ray tube, filter,
compression device, screens, film, and cassettes, and that has
an average radiation exposure delivery of less than one rad
mid-breast. "Screening mammography" includes two views for each
breast. The term also includes the professional interpretation
of the film. "Screening mammography" does not include diagnostic
mammography.
(2) "Medicare reimbursement rate" means the reimbursement rate paid in Ohio under the medicare program for screening mammography that does not include digitization or computer-aided detection, regardless of whether the actual benefit includes digitization or computer-aided detection. (B) Every individual or
group health insuring corporation policy, contract, or agreement
providing basic health care services that is delivered, issued for delivery,
or renewed in this state
shall provide benefits for the expenses of both of the
following: (1) Screening mammography to detect the presence of
breast cancer in adult women; (2) Cytologic screening for the presence of cervical
cancer. (C) The benefits
provided under division (B)(1)
of this section shall cover expenses in accordance with all of
the following: (1) If a woman is at least thirty-five years of age but
under forty years of age, one screening mammography; (2) If a woman is at least forty years of age but under
fifty years of age, either of the following: (a) One screening
mammography every two years; (b) If a licensed
physician has determined that the woman has risk factors to
breast cancer, one screening mammography every year. (3) If a woman is at least fifty years of age but under
sixty-five years of age, one screening mammography every
year. (D)(1) The benefits Subject to divisions (D)(2) and (3) of this section, if a provider, hospital, or other health care facility provides a service that is a component of the screening mammography benefit in division (B)(1) of this section and submits a separate claim for that component, a separate payment shall be made to the provider, hospital, or other health care facility in an amount that corresponds to the ratio paid by medicare in this state for that component. (2) Regardless of whether separate payments are made for the benefit
provided under division (B)(1)
of this section, the total benefit for a screening mammography shall not exceed eighty-five dollars per year
unless a lower amount is established pursuant to a provider
contract one hundred thirty per cent of the medicare reimbursement rate in this state for screening mammography. If there is more than one medicare reimbursement rate in this state for screening mammography or a component of a screening mammography, the reimbursement limit shall be one hundred thirty per cent of the lowest medicare reimbursement rate in this state. (2)(3) The benefit paid in accordance with division
(D)(1) of this section shall
constitute full payment. No institutional or professional provider, hospital, or other
health care provider facility shall seek or receive remuneration in
excess of the payment made in accordance with division
(D)(1) of this section, except
for approved deductibles and copayments.
(E) The benefits
provided under division (B)(1)
of this section shall be provided only for screening
mammographies that are performed in a health care facility or
mobile mammography screening unit that is accredited under the
American college of radiology
mammography accreditation program or in a hospital as defined in
section 3727.01 of the Revised
Code. (F) The benefits
provided under divisions (B)(1)
and (2) of this section shall be provided according to the terms
of the subscriber contract. (G) The benefits
provided under division (B)(2)
of this section shall be provided only for cytologic screenings
that are processed and interpreted in a laboratory certified by
the college of American
pathologists or in a hospital as defined in section 3727.01 of
the Revised
Code.
Sec. 3701.74. (A)
As used in this section and section
3701.741 of the Revised Code: (1)
"Ambulatory care facility" means a facility that
provides
medical, diagnostic, or surgical treatment to patients
who do not
require hospitalization, including a dialysis center,
ambulatory
surgical facility, cardiac catheterization facility,
diagnostic
imaging center, extracorporeal shock wave lithotripsy
center, home
health agency, inpatient hospice, birthing center,
radiation
therapy center, emergency facility, and an urgent care
center.
"Ambulatory care facility" does not include the
private
office of
a physician or dentist, whether the office is
for an
individual or
group practice. (2) "Chiropractor" means an individual licensed
under
Chapter
4734. of the Revised Code to practice chiropractic. (3) "Emergency facility" means a hospital emergency
department or any other facility that provides emergency medical
services. (4)
"Health care practitioner" means all of the following:
(a) A dentist or dental hygienist licensed under Chapter
4715. of the Revised Code; (b) A registered or licensed practical nurse licensed
under
Chapter 4723. of the Revised Code; (c) An optometrist licensed under Chapter 4725. of the
Revised Code; (d) A dispensing optician, spectacle dispensing optician,
contact lens dispensing optician, or spectacle-contact lens
dispensing optician licensed under Chapter 4725. of the Revised
Code; (e) A pharmacist licensed under Chapter 4729. of the
Revised
Code; (f) A physician; (g) A physician assistant authorized under
Chapter 4730. of
the Revised Code to practice as a physician assistant; (h) A practitioner of a limited branch of medicine issued
a
certificate under Chapter 4731. of the Revised Code; (i) A psychologist licensed under Chapter 4732. of the
Revised Code; (j) A chiropractor; (k) A hearing aid dealer or fitter licensed under Chapter
4747. of the Revised Code; (l) A speech-language pathologist or audiologist licensed
under
Chapter 4753. of the Revised Code; (m) An occupational therapist or occupational therapy
assistant licensed under Chapter 4755. of the Revised Code; (n) A physical therapist or physical therapy assistant
licensed under Chapter 4755. of the Revised Code; (o) A professional clinical counselor, professional
counselor,
social worker, or
independent social worker licensed,
or a social
work assistant registered, under Chapter 4757. of the
Revised Code; (p) A dietitian licensed under Chapter 4759. of the
Revised
Code; (q) A respiratory care professional licensed under
Chapter
4761. of the Revised Code; (r) An emergency medical technician-basic, emergency
medical
technician-intermediate, or emergency medical
technician-paramedic
certified under Chapter 4765. of the Revised
Code. (5) "Health care provider"
means a hospital, ambulatory
care facility, long-term
care facility, pharmacy, emergency
facility, or health care
practitioner. (6) "Hospital" has the same meaning as in section 3727.01
of
the Revised Code. (7)
"Long-term care facility" means a nursing home,
residential care facility, or home
for the aging,
as those terms
are defined in section 3721.01 of the Revised Code; an adult care
facility, as defined in section 3722.01
of the Revised Code; a
nursing facility or intermediate care facility for the mentally
retarded, as those terms are defined in section 5111.20 of the
Revised Code; a facility or portion of a facility certified as a
skilled nursing facility under Title XVIII of the
"Social
Security
Act," 49 Stat. 286 (1965), 42 U.S.C.A. 1395, as amended. (8) "Medical record" means data in any form that pertains
to a patient's medical history,
diagnosis, prognosis, or medical
condition and that is generated
and maintained by a health care
provider
in the process of the patient's health care
treatment. (9) "Medical records company" means a person who stores,
locates,
or copies medical records for a health care provider,
or
is compensated for doing so by a health care provider, and
charges
a fee for providing medical records to a
patient or patient's
representative. (10) "Patient" means either of the following: (a) An individual who received health
care treatment from a
health care provider; (b) A guardian, as defined in
section 1337.11 of the Revised
Code, of an individual
described in division (A)(10)(a) of this
section. (11) "Patient's personal representative" means a person to whom a
patient
has given written authorization to act on the patient's
behalf regarding the patient's medical records, except that if the
patient is
deceased, "patient's representative" means the minor patient's parent or other person acting in loco parentis, a court-appointed guardian, or a person with durable power of attorney for health care for a patient, the executor
or administrator of
the patient's estate, or the person responsible
for the patient's estate if it
is not to be probated. "Patient's personal
representative" does not include an insurer
authorized under Title
XXXIX of the Revised Code to do the business of
sickness and
accident insurance in this state or, a health insuring corporation
holding a certificate of authority under Chapter 1751. of the
Revised Code, or any other person not named in this division. (12)
"Pharmacy" has the same meaning as in section 4729.01
of
the Revised Code. (13) "Physician" means a person authorized under Chapter
4731. of the Revised Code to practice medicine and surgery,
osteopathic medicine and surgery,
or
podiatric medicine
and surgery.
(14) "Authorized person" means a person to whom a patient has given written authorization to act on the patient's behalf regarding the patient's medical record. (B) A patient or, a patient's personal representative or an authorized person who wishes to
examine
or obtain a copy of
part or all of a medical record
shall
submit to the
health care provider
a
written request
signed by
the patient, personal representative, or authorized person dated not more
than sixty
days
before the
date on
which it is submitted.
The patient or
patient's
representative
who wishes
to obtain a copy of the record
shall
indicate in the
request shall indicate
whether the copy is to be sent to
the
patient's residence requestor,
physician or chiropractor, or
representative,
or held
for the
patient requestor at the office of the
health care
provider. Within a
reasonable
time after
receiving a request that
meets the
requirements of this
division
and includes sufficient
information
to identify the
record
requested, a health care
provider
that has
the patient's
medical records
shall permit the
patient to
examine
the
record during regular business hours
without charge
or, on
request, shall provide a
copy of
the record
in accordance
with
section 3701.741 of the
Revised Code, except
that if a
physician or chiropractor
who has treated the
patient
determines for
clearly
stated treatment reasons that
disclosure of
the requested record
is likely to have an adverse
effect on the
patient, the
health
care provider
shall provide the record to a
physician or
chiropractor
designated by
the
patient. The health
care provider
shall take
reasonable steps to establish
the
identity of the
person making the request to
examine or obtain a
copy of
the
patient's record. (C) If a health care provider
fails
to
furnish a medical
record as required by division (B) of this
section, the
patient or
patient's, personal representative, or authorized person
who requested the
record may bring a
civil action to enforce the
patient's right of
access to the
record. (D)(1) This section does not apply to medical
records whose
release is covered by section 173.20 or 3721.13 of the Revised
Code, by Chapter 1347.
or 5122. of the Revised Code, by 42 C.F.R.
part 2, "Confidentiality of Alcohol and Drug
Abuse Patient
Records," or by 42
C.F.R.
483.10. (2) Nothing in this section is intended to
supersede the
confidentiality provisions of sections 2305.24, 2305.25,
2305.251, and 2305.252 of the
Revised Code.
Sec. 3701.741. (A) Through December 31, 2004 2008, each
health
care provider and medical records
company shall provide copies of
medical records in accordance with this
section. (B) Except as provided in divisions (C) and (E)
of this
section, a health care provider
or medical records company that
receives a request for a copy of a patient's
medical record may shall
charge not more than the amounts set forth in this section.
Total (1) If the request is made by the patient or the patient's personal representative, total
costs for copies and all services related to those copies shall
not
exceed the sum of the following: (1)(a) With respect to data recorded on paper, the following amounts:
(i) Two dollars and fifty cents per page for the first ten pages;
(ii) Fifty-one cents per page for pages eleven through fifty; (iii) Twenty cents per page for pages fifty-one and higher;
(b) With respect to data recorded other than on paper, one dollar and seventy cents per page;
(c) The actual cost of any related postage incurred by the health care provider or medical records company.
(2) If the request is made other than by the patient or the patient's personal representative, total costs for copies and all services related to those copies shall not exceed the sum of the following: (a) An initial fee of fifteen dollars and thirty-five cents, which shall
compensate for the
records search; (2)(b) With respect to data recorded on paper,
the following
amounts:
(a)(i) One dollar and two cents per page for the first ten pages;
(b)(ii) Fifty-one cents per page for pages eleven through fifty;
(c)(iii) Twenty cents per page for pages fifty-one and higher.
(3)(c) With respect to data recorded other than on paper, the
actual cost of
making the copy one dollar and seventy cents per page;
(4)(d) The actual cost of any related postage incurred by the
health care
provider or medical records company.
(C)(1) A health care provider or medical records company shall
provide one copy without charge to the following: (1)(a) The bureau of workers' compensation, in accordance with
Chapters 4121. and 4123. of the Revised Code and the rules adopted
under those
chapters;
(2)(b) The industrial commission, in accordance with Chapters
4121.
and 4123. of the Revised Code and the rules adopted under
those chapters;
(3)(c) The department of job and family services, in accordance
with
Chapter 5101. of the Revised Code and the rules adopted under
those chapters;
(4)(d) The attorney general, in accordance with sections 2743.51 to 2743.72 of the Revised Code and any rules that may be adopted under those sections;
(5)(e) A patient or patient's personal representative if
the medical
record is necessary to support a claim under Title
II or
Title XVI
of the "Social Security
Act," 49
Stat. 620 (1935), 42 U.S.C.A. 401
and 1381, as amended, and the request
is accompanied by
documentation that a claim has been filed.
(2) Nothing in division (C)(1) of this section requires a health care provider or medical records company to provide a copy without charge to any person or entity not listed in division (C)(1) of this section. (D) Division (C) of this section shall not be construed
to
supersede any rule of the bureau of workers' compensation, the
industrial
commission, or the department of job and family
services. (E) A health care provider or medical
records company may
enter into a contract with a patient, a patient's
representative,
or an insurer either of the following for
the copying of medical records at a fee other
than as provided in division
(B) of this section: (1) A patient, a patient's personal representative, or an authorized person; (2) An insurer authorized under Title XXXIX of the Revised Code to do the business of sickness and accident insurance in this state or health insuring corporations holding a certificate of authority under Chapter 1751. of the Revised Code. (F) This section does not apply to either of the following: (1) Copies of medical records provided to insurers
authorized under
Title XXXIX of the Revised Code to do the
business of sickness and accident
insurance in this state or
health insuring corporations holding a certificate
of authority
under Chapter 1751. of the Revised Code;
(2) Medical medical records the copying of
which is covered by
section 173.20 of the Revised Code or by 42
C.F.R. 483.10.
(G) Nothing in this section requires or
precludes the
distribution of medical records at any particular cost or fee to
insurers
authorized under Title XXXIX of the Revised Code to do
the business of
sickness and accident insurance in this state or
health insuring corporations
holding a certificate of authority
under Chapter 1751. of the Revised Code.
Sec. 3701.742. If the date specified in section 3701.741 of
the Revised Code is amended
to reflect a date that occurs after
December 31, 2004, then not Not later
than January 31, 2005 2006, the
amounts
specified in division (B) of section 3701.741 of the
Revised Code and, not later
than the first day of January of each
year thereafter, any
amounts computed by adjustments made under
this section, shall be increased or
decreased by the average
percentage of increase or decrease in the consumer
price index for
all urban consumers (United States city
average, all items),
prepared by the United States
department of labor, bureau of labor
statistics, for the
twelve-calendar-month period prior to the
immediately preceding first day of
January over the immediately
preceding twelve-calendar-month period,
as reported by the bureau.
The director of health shall make this
determination and adjust
the amounts accordingly. The director shall provide
a list of the
adjusted amounts to any party upon request and the department of health shall make the list available to the public on its internet web site.
Sec. 3923.52. (A) As used in this section and section
3923.53 of the Revised Code, "screening mammography" means a
radiologic examination utilized to detect unsuspected breast
cancer at an early stage in asymptomatic women and includes the
x-ray examination of the breast using equipment that is dedicated
specifically for mammography, including, but not limited to, the x-ray tube, filter,
compression device, screens, film, and cassettes, and that has an
average radiation exposure delivery of less than one rad
mid-breast. "Screening mammography" includes two views for each
breast. The term also includes the
professional interpretation of the film. "Screening mammography" does not include diagnostic
mammography. (B) Every policy of individual or group sickness and
accident insurance that is delivered, issued for delivery, or
renewed in this state shall offer to provide benefits for the
expenses of both of the following: (1) Screening mammography to detect the presence of breast
cancer in adult women; (2) Cytologic screening for the presence of cervical
cancer. (C) The benefits provided under division (B)(1) of this
section shall cover expenses in accordance with all of the
following: (1) If a woman is at least thirty-five years of age but
under forty years of age, one screening mammography; (2) If a woman is at least forty years of age but under
fifty years of age, either of the following: (a) One screening mammography every two years; (b) If a licensed physician has determined that the woman
has risk factors to breast cancer, one screening mammography
every year. (3) If a woman is at least fifty years of age but under
sixty-five years of age, one screening mammography every year. (D)(1) The benefits As used in this division, "medicare reimbursement rate" means the reimbursement rate paid in this state under the medicare program for screening mammography that does not include digitization or computer-aided detection, regardless of whether the actual benefit includes digitization or computer-aided detection. (1) Subject to divisions (D)(2) and (3) of this section, if a provider, hospital, or other health care facility provides a service that is a component of the screening mammography benefit in division (B)(1) of this section and submits a separate claim for that component, a separate payment shall be made to the provider, hospital, or other health care facility in an amount that corresponds to the ratio paid by medicare in this state for that component. (2) Regardless of whether separate payments are made for the benefit provided under division (B)(1) of this
section, the total benefit for a screening mammography shall not exceed eighty-five dollars per year unless a
lower amount is established pursuant to a provider contract one hundred thirty per cent of the medicare reimbursement rate in this state for screening mammography. If there is more than one medicare reimbursement rate in this state for screening mammography or a component of a screening mammography, the reimbursement limit shall be one hundred thirty per cent of the lowest medicare reimbursement rate in this state. (2)(3) The benefit paid in accordance with division (D)(1) of
this section shall constitute full payment. No institutional or
professional provider, hospital, or other health care provider facility shall seek or receive
compensation in excess of the payment made in accordance with
division (D)(1) of this section, except for approved deductibles
and copayments.
(E) The benefits provided under division (B)(1) of this
section shall be provided only for screening mammographies that
are performed in a facility or mobile mammography screening
unit that is accredited under the American
college of radiology mammography accreditation program or in a
hospital as defined in section 3727.01 of the Revised Code. (F) The benefits provided under division (B)(2) of this
section shall be provided only for cytologic screenings that are
processed and interpreted in a laboratory certified by the
college of American pathologists or in a hospital as defined in
section 3727.01 of the Revised Code. (G) This section does not apply to any policy that
provides coverage for specific diseases or accidents only, or to
any hospital indemnity, medicare supplement, or other policy that
offers only supplemental benefits.
Sec. 3923.53. (A) Every public employee benefit plan that
is established or modified in this state shall provide benefits
for the expenses of both of the following: (1) Screening mammography to detect the presence of breast
cancer in adult women; (2) Cytologic screening for the presence of cervical
cancer. (B) The benefits provided under division (A)(1) of this
section shall cover expenses in accordance with all of the
following: (1) If a woman is at least thirty-five years of age but
under forty years of age, one screening mammography; (2) If a woman is at least forty years of age but under
fifty years of age, either of the following: (a) One screening mammography every two years; (b) If a licensed physician has determined that the woman
has risk factors to breast cancer, one screening mammography
every year. (3) If a woman is at least fifty years of age but under
sixty-five years of age, one screening mammography every year. (C)(1) The benefits As used in this division, "medicare reimbursement rate" means the reimbursement rate paid in this state under the medicare program for screening mammography that does not include digitization or computer-aided detection, regardless of whether the actual benefit includes digitization or computer-aided detection. (1) Subject to divisions (C)(2) and (3) of this section, if a provider, hospital, or other health care facility provides a service that is a component of the screening mammography benefit in division (B)(1) of this section and submits a separate claim for that component, a separate payment shall be made to the provider, hospital, or other health care facility in an amount that corresponds to the ratio paid by medicare in this state for that component.
(2) Regardless of whether separate payments are made for the benefit provided under division (A)(1) of this
section, the total benefit for a screening mammography shall not exceed eighty-five dollars per year unless a
lower amount is established pursuant to a provider contract one hundred thirty per cent of the medicare reimbursement rate in this state for screening mammography. If there is more than one medicare reimbursement rate in this state for screening mammography or a component of a screening mammography, the reimbursement limit shall be one hundred thirty per cent of the lowest medicare reimbursement rate in this state. (2)(3) The benefit paid in accordance with division (C)(1) of
this section shall constitute full payment. No institutional or
professional provider, hospital, or other health care provider facility shall seek or receive
compensation in excess of the payment made in accordance with
division (C)(1) of this section, except for approved deductibles
and copayments.
(D) The benefits provided under division (A)(1) of this
section shall be provided only for screening mammographies that
are performed in a facility or mobile mammography screening unit
that is accredited under the American
college of radiology mammography accreditation program or in a
hospital as defined in section 3727.01 of the Revised Code. (E) The benefits provided under division (A)(2) of this
section shall be provided only for cytologic screenings that are
processed and interpreted in a laboratory certified by the
college of American pathologists or in a hospital as defined in
section 3727.01 of the Revised Code.
Sec. 3923.54. (A) As used in this section, "screening
mammography" means a radiologic examination utilized to detect
unsuspected breast cancer at an early stage in asymptomatic women
and includes the x-ray examination of the breast using equipment
that is dedicated specifically for mammography including, but not
limited to, the x-ray tube, filter, compression device, screens,
film, and cassettes, and that has an average radiation exposure
delivery of less than one rad mid-breast. "Screening
mammography" includes two views for each breast.
The term also includes the professional
interpretation of the film. "Screening mammography" does not include diagnostic mammography. (B) Each employer in this state that provides, in whole or
in part, health care benefits for its employees under a policy of
sickness and accident insurance issued in accordance with Chapter
3923. of the Revised Code shall also provide to its employees
benefits for the expenses of both of the following: (1) Screening mammography to detect the presence of breast
cancer in adult women; (2) Cytologic screening for the presence of cervical
cancer. (C) An employer may comply with division (B) of this
section in any of the following ways: (1) By providing the benefits under a health insuring corporation
contract issued in accordance
with Chapter 1751. of
the Revised Code or a policy of sickness and accident insurance
issued in accordance with Chapter 3923. of the Revised Code; (2) By reimbursing the employee for the direct health care
provider charges associated with receipt of the covered service; (3) By making any other arrangement that provides the
benefits described in division (B) of this section. (D) The benefits provided under division (B)(1) of this
section shall cover expenses in accordance with all of the
following: (1) If a woman is at least thirty-five years of age but
under forty years of age, one screening mammography; (2) If a woman is at least forty years of age but under
fifty years of age, either of the following: (a) One screening mammography every two years; (b) If a licensed physician has determined that the woman
has risk factors to breast cancer, one screening mammography
every year. (3) If a woman is at least fifty years of age but under
sixty-five years of age, one screening mammography every year. (E)(1) The benefits As used in this division, "medicare reimbursement rate" means the reimbursement rate paid in this state under the medicare program for screening mammography that does not include digitization or computer-aided detection, regardless of whether the actual benefit includes digitization or computer-aided detection. (1) Subject to divisions (E)(2) and (3) of this section, if a provider, hospital, or other health care facility provides a service that is a component of the screening mammography benefit in division (B)(1) of this section and submits a separate claim for that component, a separate payment shall be made to the provider, hospital, or other health care facility in an amount that corresponds to the ratio paid by medicare in this state for that component. (2) Regardless of whether separate payments are made for the benefit provided under division (B)(1) of this
section, the total benefit for a screening mammography need not exceed eighty-five dollars per year one hundred thirty per cent of the medicare reimbursement rate in this state for screening mammography. If there is more than one medicare reimbursement rate in this state for screening mammography or a component of a screening mammography, the reimbursement limit shall be one hundred thirty per cent of the lowest medicare reimbursement rate in this state. (2)(3) The benefit paid in accordance with division (E)(1) of
this section shall constitute full payment. No institutional or
professional provider, hospital, or other health care provider facility shall seek or receive
compensation in excess of the payment made in accordance with
division (E)(1) of this section, except for approved deductibles
and copayments.
(F) The benefits provided under division (B)(1) of this
section shall be provided only for screening mammographies that
are performed in a facility or mobile mammography screening unit
that is accredited under the American
college of radiology mammography accreditation program or in a
hospital as defined in section 3727.01 of the Revised Code. (G) The benefits provided under division (B)(2) of this
section shall be provided only for cytologic screenings that are
processed and interpreted in a laboratory certified by the
college of American pathologists or in a hospital as defined in
section 3727.01 of the Revised Code.
SECTION 2. That existing sections 1751.62, 3701.74, 3701.741, 3701.742, 3923.52, 3923.53, and 3923.54 of the Revised Code are hereby repealed.
SECTION 3. Sections 1751.62, 3923.52, 3923.53, and 3923.54 of the Revised Code, as amended by this act, shall take effect on the ninety-first day after the effective date of this act.
SECTION 4. This act is hereby declared to be an emergency measure necessary for the immediate preservation of the public peace, health, and safety. The reason for this necessity is that the current fee schedule for copies of medical records ceases to be effective on January 1, 2005, and a new fee schedule is needed to ensure that Ohioans can obtain medical records efficiently. Therefore, this act shall go into immediate effect.
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