Amendment No. am_136_1014

H. B. No. 8

As Introduced

__________________________ moved to amend as follows:

In line 38, after "(D)" insert "If there are multiple available biomarker tests that offer comparable information, include all needed biomarkers, and are supported by medical or scientific evidence as required by division (C) of this section, a health benefit plan required to provide coverage under division (B) of this section shall cover at least one such test at the appropriate scope, duration, and frequency for the purposes described in that division. A provider ordering the biomarker test may request a coverage exception for any reason, including time necessary to analyze a sample.

(E)"

In line 42, delete "(E)" and insert "(F)"

In line 48, delete "(F)" and insert "(G)"

In line 98, after "(D)" insert "If there are multiple available biomarker tests that offer comparable information, include all needed biomarkers, and are supported by medical or scientific evidence as required by division (C) of this section, the medicaid program shall cover at least one such test at the appropriate scope, duration, and frequency for the purposes described in division (B) of this section. A provider ordering the test may request a coverage exception for any reason, including time necessary to analyze a sample.

(E)"

In line 102, delete "(E)" and insert "(F)"

In line 107, delete "(F)" and insert "(G)"

The motion was __________ agreed to.

SYNOPSIS

Biomarker testing coverage

R.C. 3902.63 and 5164.13

Requires health plan issuers and Medicaid to cover at least one biomarker test if multiple different tests offer comparable information and include all necessary biomarkers, instead of requiring coverage for all such tests.