HB214

Require Medicaid, health insurers report on prior authorization

Introduced·4/1/25
Introduced Text

Ohio HB214 mandates Medicaid and health insurers to report prior authorization data and requires certain exemptions.

Ohio HB214 amends the state's insurance laws to require health insurers and Medicaid to report data about prior authorization requirements. It mandates that insurers provide exemptions to prior authorization for certain providers and services. The bill also sets timelines for responding to prior authorization requests and outlines conditions for exemptions. It includes provisions for electronic submission of prior authorization requests and establishes a streamlined appeal process for adverse determinations. The bill repeals existing sections related to prior authorization requirements.

Included in complete analysis

  • Overview
  • Core Provisions
  • Implementation
  • Impact
  • Legal Framework
  • Critical Issues

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Where it stands

Current
Insurance Committee
Next
Committee decision

Sponsors

0
1
R
Democratic CaucusRepublican Caucus

Calendar

May 20, 2025

9:30 AM

House Insurance K., 1st Hearing, Sponsor Testimony

History

Apr 9, 2025

House

Referred to committee: Insurance

Apr 1, 2025

House

Introduced