Ohio HB219 establishes network adequacy standards for health insurers.

Ohio HB219 mandates that health insurers maintain networks ensuring covered persons have access to in-network providers without unreasonable travel or delay. Insurers must monitor provider availability, clinical capacity, and legal authority. The superintendent of insurance sets criteria for evaluating network adequacy, including provider ratios, geographic accessibility, and waiting times. Insurers must provide clear provider directories and ensure continuity of care.

Ohio HB219 establishes network adequacy standards for health insurers.

Ohio HB219 mandates that health insurers maintain networks ensuring covered persons have access to in-network providers without unreasonable travel or delay. Insurers must monitor provider availability, clinical capacity, and legal authority. The superintendent of insurance sets criteria for evaluating network adequacy, including provider ratios, geographic accessibility, and waiting times. Insurers must provide clear provider directories and ensure continuity of care.