Bill Text: OH HB136 | 2009-2010 | 128th General Assembly | Introduced

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Bill Title: To require certain health care insurers and plans, including the state's Medicaid program, to offer to provide benefits for ovarian cancer screening examinations.

Spectrum: Strong Partisan Bill (Democrat 14-1)

Status: (Introduced - Dead) 2009-04-16 - To Healthcare Access & Affordability [HB136 Detail]

Download: Ohio-2009-HB136-Introduced.html

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As Introduced

128th General Assembly Regular Session 2009-2010

H. B. No. 136

Representatives DeBose, Fende 

Cosponsors: Representatives Domenick, Heard, Luckie, Okey, Letson, Chandler, Skindell, Williams, S., Brown, Pillich, Harris, Ujvagi, Hagan 

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A BILL

To enact sections 1751.69, 3923.90, and 5111.026 of

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the Revised Code to require certain health care

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insurers and plans, including the state's

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Medicaid program, to offer to provide benefits

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for ovarian cancer screening examinations.

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BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:

Section 1.  That sections 1751.69, 3923.90, and 5111.026 of	6
the Revised Code be enacted to read as follows:	7

Sec. 1751.69.  (A) Notwithstanding section 3901.71 of the	8
Revised Code, each health insuring corporation providing insurance	9
for basic health care services in this state shall offer to	10
provide as a supplemental health care service benefits to its	11
subscribers for the expenses of examinations and laboratory tests	12
for ovarian cancer.	13

(B) If a health insuring corporation provides benefits under	14
division (A) of this section, the benefits shall be provided:	15

(1) To any nonsymptomatic individual for whom the most	16
recently published American cancer society guidelines recommend	17
screening based on age, health, and other risk factors;	18

(2) For examinations and laboratory tests that are	19
recommended by, and performed in accordance with, the most	20
recently published American cancer society guidelines;	21

(3) Subject to the same terms and conditions, including	22
copayment charges, that apply to similar benefits provided under	23
the policy, contract, or agreement.	24

Sec. 3923.90. (A) Notwithstanding section 3901.71 of the	25
Revised Code, each insurance company authorized to do the business	26
of sickness and accident insurance in this state and each public	27
employee benefit plan that is established or modified in this	28
state shall offer to provide benefits for the expenses of	29
examinations and laboratory tests for ovarian cancer.	30

(B) If an insurance company authorized to do the business of	31
sickness and accident insurance in this state or public employee	32
benefit plan provides benefits under division (A) of this	33
section, the benefits shall be provided:	34

(1) To any nonsymptomatic individual for whom the most	35
recently published American cancer society guidelines recommend	36
screening based on age, health, and other risk factors;	37

(2) For examinations and laboratory tests that are	38
recommended by, and performed in accordance with, the most	39
recently published American cancer society guidelines;	40

(3) Subject to the same terms and conditions, including	41
copayment charges, that apply to similar benefits provided under	42
the policy or plan.	43

(C) This section does not apply to any policy that provides	44
coverage for specific diseases or accidents only, or to any	45
hospital indemnity, medicare supplement, or other policy that	46
offers supplemental benefits.	47

Sec. 5111.026.  (A) The provision of medical assistance under	48
this chapter shall include an offer of coverage of expenses for	49
examinations and laboratory tests for ovarian cancer.	50

(B) If the medical assistance program provides benefits under	51
division (A) of this section, the benefits shall be provided:	52

(1) To any nonsymptomatic individual for whom the most	53
recently published American cancer society guidelines recommend	54
screening based on age, health, and other risk factors;	55

(2) For examinations and laboratory tests that are	56
recommended by, and performed in accordance with, the most	57
recently published American cancer society guidelines;	58

(3) Subject to the same terms and conditions, including	59
copayment charges, that apply to similar benefits provided under	60
the policy, contract, or agreement.	61

Section 2. Section 1751.69 of the Revised Code, as enacted by	62
this act, shall apply only to policies, contracts, and agreements	63
that are delivered, issued for delivery, or renewed in this state	64
on or after the effective date of this act. Section 3923.90 of the	65
Revised Code, as enacted by this act, shall apply to policies of	66
sickness and accident insurance on or after the effective date of	67
this act in accordance with section 3923.01 of the Revised Code	68
and to public employee benefit plans that are established or	69
modified in this state on or after the effective date of this act.	70