130th Ohio General Assembly
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H. B. No. 135  As Introduced
As Introduced

128th General Assembly
Regular Session
2009-2010
H. B. No. 135


Representative DeBose 

Cosponsors: Representatives Weddington, Williams, B., Domenick, Slesnick, Heard, Luckie, Chandler, Skindell, Williams, S., Brown 



A BILL
To enact sections 1751.69, 3923.90, and 5111.026 of the Revised Code to require certain health care insurers and plans, including the state's Medicaid program, to offer to provide benefits for prostate cancer screening examinations.

BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:
Section 1.  That sections 1751.69, 3923.90, 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 prostate cancer.
(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 and 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 prostate cancer.
(B) If an insurance company authorized to do the business of sickness and accident insurance in this state or public employee benefit plan 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 or plan.
(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. 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 prostate cancer.
(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. Section 3923.90 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 and to public employee benefit plans that are established or modified in this state on or after the effective date of this act.
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