summary
Introduced
02/15/2023
02/15/2023
In Committee
06/17/2024
06/17/2024
Crossed Over
06/26/2024
06/26/2024
Passed
Dead
12/31/2024
12/31/2024
Introduced Session
135th General Assembly (2023-2024)
Bill Summary
To enact sections 3902.63 and 5164.13 of the Revised Code to require health benefit plan and Medicaid program coverage of biomarker testing.
AI Summary
This bill requires health benefit plans and the Medicaid program in Ohio to cover biomarker testing for the purposes of diagnosis, treatment, and ongoing management of diseases and conditions, as long as the testing is supported by medical or scientific evidence. Biomarkers are defined as characteristics that can be objectively measured as indicators of normal or pathogenic processes, and biomarker testing includes the analysis of tissue, blood, or other biospecimens for the presence of biomarkers like gene mutations or protein expression. The bill also establishes an appeals process for coverage determinations and specifies that the coverage requirements do not apply to biomarker testing for screening purposes.
Committee Categories
Business and Industry
Sponsors (38)
Andrea White (R)*,
Munira Abdullahi (D),
Cindy Abrams (R),
Rachel Baker (D),
Willis Blackshear (D),
Sean Brennan (D),
Juanita Brent (D),
Darnell Brewer (D),
Richard Brown (D),
Beryl Brown Piccolantonio (D),
Sara Carruthers (R),
Rick Dell'Aquila (D),
Dave Dobos (R),
Elliot Forhan (D),
Michele Grim (D),
Darrell Kick (R),
Scott Lipps (R),
Beth Liston (D),
Brian Lorenz (R),
Susan Manchester (R),
Gayle Manning (R),
Adam Miller (D),
Ismail Mohamed (D),
Thomas Patton (R),
Phil Plummer (R),
Tracy Richardson (R),
Phil Robinson (D),
Allison Russo (D),
Jean Schmidt (R),
Veronica Sims (D),
Anita Somani (D),
Brian Stewart (R),
Bride Sweeney (D),
Cecil Thomas (D),
Dan Troy (D),
Terrence Upchurch (D),
Jodi Whitted (D),
Tom Young (R),
Last Action
Senate Rules and Reference 3rd Hearing, Opponent/Interested Party (11:30:00 12/4/2024 Senate Chamber) (on 12/04/2024)
Official Document
bill text
bill summary
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bill summary
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bill summary
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