The online versions of legislation provided on this website are not official. Enrolled bills are the final version passed by the Ohio General Assembly and presented to the Governor for signature. The official version of acts signed by the Governor are available from the Secretary of State's Office in the Continental Plaza, 180 East Broad St., Columbus.
|
H. B. No. 56 As IntroducedAs Introduced
128th General Assembly | Regular Session | 2009-2010 |
| |
Cosponsors:
Representatives Williams, S., Pillich, Ujvagi, Fende, Okey, Yuko, Boyd, Chandler, Dyer, Koziura, Hall, Winburn, DeBose, Letson
A BILL
To amend section 1739.05 and to enact sections
1751.69, 3923.651, and 5111.017 of
the Revised
Code to
require certain
health care plans to
provide
benefits for colorectal
examinations and
laboratory tests for cancer.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:
Section 1. That section 1739.05 be amended and sections
1751.69, 3923.651, and 5111.017 of
the
Revised Code be enacted to
read as
follows:
Sec. 1739.05. (A) A multiple employer welfare arrangement
that is created pursuant to sections 1739.01 to 1739.22 of the
Revised Code and that operates a group self-insurance program may
be established only if any of the following applies:
(1) The arrangement has and maintains a minimum enrollment
of
three hundred employees of two or more employers.
(2) The arrangement has and maintains a minimum enrollment
of
three hundred self-employed individuals.
(3) The arrangement has and maintains a minimum enrollment
of
three hundred employees or self-employed individuals in any
combination of divisions (A)(1) and (2) of this section.
(B) A multiple employer welfare arrangement that is
created
pursuant to sections 1739.01 to 1739.22 of the Revised
Code and
that operates a group self-insurance program shall
comply with all
laws applicable to self-funded programs in this
state, including
sections 3901.04, 3901.041, 3901.19 to 3901.26,
3901.38, 3901.381
to
3901.3814, 3901.40, 3901.45, 3901.46, 3902.01 to
3902.14,
3923.282,
3923.30,
3923.301, 3923.38,
3923.581, 3923.63, 3923.651,
3923.80,
3924.031,
3924.032,
and
3924.27
of the Revised Code.
(C) A multiple employer welfare arrangement created
pursuant
to sections 1739.01 to 1739.22 of the Revised Code shall
solicit
enrollments only through agents or solicitors licensed
pursuant to
Chapter 3905. of the Revised Code to sell or solicit
sickness and
accident insurance.
(D) A multiple employer welfare arrangement created
pursuant
to sections 1739.01 to 1739.22 of the Revised Code shall
provide
benefits only to individuals who are members, employees
of
members, or the dependents of members or employees, or are
eligible for continuation of coverage under section 1751.53 or
3923.38 of the Revised Code or under Title X of the "Consolidated
Omnibus Budget Reconciliation Act of 1985," 100 Stat. 227, 29
U.S.C.A. 1161, as amended.
Sec. 1751.69. (A) Notwithstanding section 3901.71 of the
Revised Code, each 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 colorectal
cancer examinations and laboratory tests for
colorectal cancer for
any symptomatic individual and any
nonsymptomatic individual who
is either of the
following:
(1) Fifty years of age or older;
(2) Less than fifty years of age and at high risk for
colorectal cancer according to the most recently published
colorectal cancer screening guidelines of the American cancer
society.
(B) The benefits provided under division (A) of this section
shall be provided for examinations and laboratory tests that are
performed in accordance with the most recently published
colorectal cancer
screening guidelines of the American cancer
society.
(C) The benefits provided under division (A) of this section
shall be subject to the same terms and conditions, including
copayment charges, that apply to similar benefits provided under
the policy, contract, or agreement.
Sec. 3923.651. (A) Notwithstanding section 3901.71 of the
Revised Code, each individual or group policy of sickness and
accident insurance that is delivered, issued for delivery, or
renewed in this state and each public employee benefit plan that
is established or modified in this state shall
provide benefits
for the expenses of colorectal cancer
examinations and laboratory
tests for
colorectal cancer for any symptomatic individual and any
nonsymptomatic individual who is either of the
following:
(1) Fifty years of age or older;
(2) Less than fifty years of age and at high risk for
colorectal cancer according to the most recently published
colorectal cancer screening guidelines of the American cancer
society.
(B) The benefits provided under division (A) of this section
shall be provided for examinations and laboratory tests that are
performed in accordance with the most recently published
colorectal cancer
screening guidelines of the American cancer
society.
(C) The benefits provided under division (A) of this section
shall be subject to the same terms and conditions, including
copayments and deductibles, that apply to similar benefits
provided under the policy or plan.
(D) This section does not apply to any policy that provides
coverage for specific diseases or accidents only, or to any
hospital indemnity, medicare supplement, medicare, tricare,
long-term care, disability income, one-time limited duration
policy of not longer than six months, or other policy that
offers
only supplemental benefits.
Sec. 5111.017. (A) The provision of
medical assistance
under
this chapter shall include coverage of
colorectal cancer
examinations and laboratory tests for
cancer for any
nonsymptomatic individual who is either of the
following:
(1)
Fifty years of age or older;
(2) Less than fifty years of age
and at high risk for
colorectal cancer according to the most
recently published
colorectal cancer screening guidelines of the
American cancer
society.
(B) The coverage provided under
division (A) of this section
shall be provided for examinations
and laboratory tests that are
performed in accordance with the
most recently published cancer
screening guidelines of the
American cancer society.
Section 2. That existing section 1739.05 of the Revised Code
is hereby repealed.
|
|