SB165

Prohibit denial of health insurance claim for certain factors

Introduced·4/1/25
Introduced Text

Ohio SB165 prohibits insurers from denying health insurance claims based on certain factors.

Ohio SB165 amends the state's insurance laws to prevent insurers from reducing or denying reimbursement for claims based on specific factors. Insurers are prohibited from denying claims based on the absence of an emergency medical condition if a prudent layperson would have reasonably expected such a condition. The bill also mandates that insurers cover emergency services without regard to the time or place they are rendered or whether prior authorization was obtained.

Included in complete analysis

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

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Where it stands

Current
Financial Institutions, Insurance and Technology Committee
Next
Committee decision

Sponsors

0
1
R
Democratic CaucusRepublican Caucus

Calendar

Oct 14, 2025

4:00 PM

Senate Financial Institutions, Insurance and Technology 1st Hearing, Sponsor

History

Apr 2, 2025

Senate

Referred to committee: Financial Institutions, Insurance and Technology

Apr 1, 2025

Senate

Introduced