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H. B. No. 335 As IntroducedAs Introduced
127th General Assembly | Regular Session | 2007-2008 |
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Cosponsors:
Representatives Fende, Stebelton, Ujvagi, Brown, Letson, Yuko, Brady, Yates
A BILL
To enact sections 1751.69, 3923.90, 3923.91, 3923.92,
and 5111.026 of the Revised Code to require
certain health care insurers and plans, including
the state's Medicaid program, to provide benefits
for prostate, colorectal, cervical, and ovarian
cancer screening examinations.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:
Section 1. That sections 1751.69, 3923.90, 3923.91, 3923.92,
and 5111.026 of the Revised Code be enacted to read as follows:
Sec. 1751.69. (A) Notwithstanding section 3901.71 of the
Revised Code, each health insuring corporation providing insurance
for basic health care services in this state shall offer to
provide as a supplemental health care service benefits to its
subscribers for the expenses of examinations and laboratory tests
for the following:
(B) If a health insuring corporation provides benefits under
division (A) of this section, the benefits shall be provided:
(1) To any nonsymptomatic individual for whom the most
recently published American cancer society guidelines recommend
screening based on age, health, and other risk factors;
(2) For examinations and laboratory tests that are
recommended by, and performed in accordance with, the most
recently published American cancer society guidelines;
(3) Subject to the same terms and conditions, including
copayment charges, that apply to similar benefits provided under
the policy, contract, or agreement.
Sec. 3923.90. (A) Notwithstanding section 3901.71 of the
Revised Code, each insurance company authorized to do the business
of sickness and accident insurance in this state shall offer to
provide benefits for the expenses of examinations and laboratory
tests for the following:
(B) If an insurance company authorized to do the business of
sickness and accident insurance in this state provides benefits
under division (A) of this section, the benefits shall be
provided:
(1) To any nonsymptomatic individual for whom the most
recently published American cancer society guidelines recommend
screening based on age, health, and other risk factors;
(2) For examinations and laboratory tests that are
recommended by, and performed in accordance with, the most
recently published American cancer society guidelines;
(3) Subject to the same terms and conditions, including
copayment charges, that apply to similar benefits provided under
the policy, contract, or agreement.
(C) 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 supplemental benefits.
Sec. 3923.91. (A) Notwithstanding section 3901.71 of the
Revised Code, each public employee benefit plan that is
established or modified in this state shall offer to provide
benefits for the expenses of examinations and laboratory tests for
the following:
(B) If a public employee benefit plan in this state provides
benefits under division (A) of this section, the benefits shall be
provided:
(1) To any nonsymptomatic individual for whom the most
recently published American cancer society guidelines recommend
screening based on age, health, and other risk factors;
(2) For examinations and laboratory tests that are
recommended by, and performed in accordance with, the most
recently published American cancer society guidelines;
(3) Subject to the same terms and conditions, including
copayment charges, that apply to similar benefits provided under
the policy, contract, or agreement.
Sec. 3923.92. (A) Notwithstanding section 3901.71 of the
Revised Code, each employer in this state that provides, in whole
or in part, health care benefits for its employees under a public
employee benefit plan, a policy of sickness and accident insurance
issued in accordance with this chapter, or a health insuring
corporation contract issued in accordance with Chapter 1751. of
the Revised Code shall offer to provide benefits for the expenses
of examinations and laboratory tests for the following:
(B) If an employer in this state provides benefits under
division (A) of this section, the benefits shall be provided:
(1) To any nonsymptomatic individual for whom the most
recently published American cancer society guidelines recommend
screening based on age, health, and other risk factors;
(2) For examinations and laboratory tests that are
recommended by, and performed in accordance with, the most
recently published American cancer society guidelines;
(3) Subject to the same terms and conditions, including
copayment charges, that apply to similar benefits provided under
the policy, contract, or agreement.
Sec. 5111.026. (A) The provision of medical assistance under
this chapter shall include an offer of coverage of expenses for
examinations and laboratory tests for the following:
(B) If the medical assistance program provides benefits under
division (A) of this section, the benefits shall be provided:
(1) To any nonsymptomatic individual for whom the most
recently published American cancer society guidelines recommend
screening based on age, health, and other risk factors;
(2) For examinations and laboratory tests that are
recommended by, and performed in accordance with, the most
recently published American cancer society guidelines;
(3) Subject to the same terms and conditions, including
copayment charges, that apply to similar benefits provided under
the policy, contract, or agreement.
Section 2. Section 1751.69 of the Revised Code, as enacted by
this act, shall apply only to policies, contracts, and agreements
that are delivered, issued for delivery, or renewed in this state
on or after the effective date of this act. Sections 3923.90 and
3923.92 of the Revised Code, as enacted by this act, shall apply
to policies of sickness and accident insurance on or after the
effective date of this act in accordance with section 3923.01 of
the Revised Code. Section 3923.91 of the Revised Code, as enacted
by this act, shall apply only to plans that are established or
modified in this state on or after the effective date of this act.
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