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HB 373: Health Insurance Coverage

GENERAL BILL by Massullo ; (CO-INTRODUCERS) Polsky

Health Insurance Coverage; Prohibits certain health insurance policies & health maintenance contracts from requiring that insured & subscriber undergo step-therapy protocol & step-therapy override determination; prohibits such policies & contracts from excluding coverage for certain drugs; requires certain health coverage plans to provide process for requests for step-therapy protocol override determination; requires health coverage plans to grant requests to override step-therapy protocols under certain circumstances; prohibits health insurers & HMOs from retroactively denying certain claims because of insured & subscriber ineligibility; prohibits health insurers & HMOs from imposing additional prior authorization requirements for specified procedures & items.

Effective Date: 1/1/2021
Last Action: 3/14/2020 House - Died in Health Market Reform Subcommittee
Bill Text: PDF

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  • Bill History

    Date Chamber Action
    10/16/2019 House • Filed
    10/23/2019 House • Referred to Health Market Reform Subcommittee; Appropriations Committee; Health and Human Services Committee -HJ 33
    1/14/2020 House • Introduced -HJ 33
    3/14/2020 House • Indefinitely postponed and withdrawn from consideration
    • Died in Health Market Reform Subcommittee

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  • HB 373, Original Filed Version (Current Bill Version) Posted 10/16/2019 at 2:40 PM

    Bill Text:   PDF
    Analyses:   None

    Related Bills (3)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    H 261 Coverage for Cancer and Associated Conditions Drug Treatment Brown, Toledo Compare Last Action: 3/14/2020 H Died in Health Market Reform Subcommittee
    S 672 Coverage for Cancer and Associated Conditions Drug Treatment Mayfield Compare Last Action: 3/14/2020 S Died in Banking and Insurance
    S 820 Health Insurance Prior Authorization Harrell Compare Last Action: 3/14/2020 S Died in Banking and Insurance

    Citations - Statutes (6)

    Citation Catchline Location in Bill Location In Bill Help
    627.4239 Coverage for use of drugs in treatment of cancer. Page 2 (pdf)
    627.42393 Step-therapy protocol. Page 6 (pdf)
    627.6131 Payment of claims. Page 10 (pdf)
    641.31 Health maintenance contracts. Page 11 (pdf)
    641.3155 Prompt payment of claims. Page 15 (pdf)
    641.3156 Treatment authorization; payment of claims. Page 15 (pdf)

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