Amendment No. am_136_1787-2

H. B. No. 220

As Introduced

__________________________ moved to amend as follows:

In line 172, after "policies" insert "delivered,"; after "issued" insert "for delivery, or renewed"; delete "the first day of"

In line 173, delete "January following"

In line 264, after "policies" insert "delivered,"; after "issued" insert "for delivery, or renewed"; delete "the first day of"

In line 265, delete "January following"

In line 274, after "policies" insert "delivered,"; after "issued" insert "for delivery, or renewed"; delete "the first day of"

In line 275, delete "January following"

In line 282, after "policies" insert "delivered,"; after "issued" insert "for delivery, or renewed"

In line 283, delete "the first day of January following"

In line 284, delete "section" and insert "amendment"

In line 296, after "policies" insert "delivered,"; after "issued" insert "for delivery, or renewed"; delete "the first day of"

In line 297, delete "January following"

In line 518, after "policies" insert "delivered,"; after "issued" insert "for delivery, or renewed"; delete "the first day of"

In line 519, delete "January following"

In line 608, after "policies" insert "delivered,"; after "issued" insert "for delivery, or renewed"; delete "the first day of"

In line 609, delete "January following"; delete "section" and insert "amendment"

In line 617, after "policies" insert "delivered,"; after "issued" insert "for delivery, or renewed"; delete "the first day of"

In line 618, delete "January following"

In line 625, after "policies" insert "delivered,"; after "issued" insert "for delivery, or renewed"; delete "the first day of"

In line 626, delete "January following"

In line 638, delete "issued" and insert "delivered, issued for delivery, or renewed"; delete "the first day of"

In line 639, delete "January following"

After line 985, insert:

"Section 3. Sections 1 and 2 of this act take effect January 1, 2028."

The motion was __________ agreed to.

SYNOPSIS

Effective date

R.C. 1751.72, 3923.041, 5160.34, and Section 3

Specifies that the bill's changes to existing private insurer prior authorization requirements apply to policies delivered, issued for delivery, or renewed on or after January 1, 2028, as opposed to policies issued on or after the first day of January following the bill's effective date.

Specifies that the criteria for prohibiting a retroactive denial of a prior authorization related to the health care service, drug, or device meeting the health plan issuer's standards for medical necessity and prior authorization only applies to health benefit plans delivered, issued for delivery, or renewed before January 1, 2028, as opposed to health benefit plans issued before the first day of January following the effective date of the bill.

Specifies that the bill's changes to the medical assistance program's prior authorization requirements apply on and after January 1, 2028.