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H. B. No. 136 As IntroducedAs Introduced
128th General Assembly | Regular Session | 2009-2010 |
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Representatives DeBose, Fende
Cosponsors:
Representatives Domenick, Heard, Luckie, Okey, Letson, Chandler, Skindell, Williams, S., Brown, Pillich, Harris, Ujvagi, Hagan
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 ovarian 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 ovarian 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 ovarian 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 ovarian 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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