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.
|
S. B. No. 257 As IntroducedAs Introduced
130th General Assembly | Regular Session | 2013-2014 |
| |
Cosponsors:
Senators Schiavoni, Kearney, Smith, Turner
A BILL
To amend section 1739.05 and to enact sections
1751.68 and 3923.84 of the Revised Code to require
health insurers to offer coverage for hearing
aids.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:
Section 1. That section 1739.05 be amended and sections
1751.68 and 3923.84 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,
3923.24, 3923.282, 3923.30, 3923.301, 3923.38, 3923.581, 3923.63,
3923.80, 3923.84, 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. 1751.68. (A) As used in this section, "hearing aid"
means any wearable instrument or device designed or offered for
the purpose of aiding or compensating for impaired human hearing,
including all attachments, accessories, and parts thereof, except
batteries and cords, that is distributed by a hearing aid dealer
licensed under Chapter 4747. of the Revised Code.
(B) Notwithstanding section 3901.71 of the Revised Code, a
health insuring corporation that offers coverage for basic health
care services shall also offer coverage for hearing aids as a
rider to any policy, contract, or agreement providing coverage for
basic health care services.
(C) Coverage for hearing aids shall be subject to all of the
following:
(1) The benefit provided shall be not less than one thousand
five hundred dollars per ear over the course of three years.
(2) The coverage shall be provided to persons of all ages.
(3) The benefit shall not be subject to any deductible or
copayment requirements. The coverage may be subject to coinsurance
requirements.
(4) The coverage required under this section shall include
the purchase of related services and supplies including the
initial assessment, fitting, adjustments, and auditory training
that is provided according to accepted professional standards.
Sec. 3923.84. (A) As used in this section:
(1) "Basic health care services" has the same meaning as
under section 1751.01 of the Revised Code.
(2) "Hearing aid" means any wearable instrument or device
designed or offered for the purpose of aiding or compensating for
impaired human hearing, including all attachments, accessories,
and parts thereof, except batteries and cords, that is distributed
by a hearing aid dealer licensed under Chapter 4747. of the
Revised Code.
(B) Notwithstanding section 3901.71 of the Revised Code, a
sickness and accident insurer that offers coverage for basic
health care services shall also offer coverage for hearing aids as
a rider to any individual or group policy providing coverage for
basic health care services.
(C) Coverage for hearing aids shall be subject to all of the
following:
(1) The benefit provided shall be not less than one thousand
five hundred dollars per ear over the course of three years.
(2) The coverage shall be provided to persons of all ages.
(3) The benefit shall not be subject to any deductible or
copayment requirements. The coverage may be subject to coinsurance
requirements.
(4) The coverage required under this section shall include
the purchase of related services and supplies including the
initial assessment, fitting, adjustments, and auditory training
that is provided according to accepted professional standards.
(D) This section does not apply to any sickness and accident
insurer that does not offer coverage for basic health care
services.
Section 2. That existing section 1739.05 of the Revised Code
is hereby repealed.
|
|