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Bill > HB438


OH HB438

OH HB438
Enact the FAMILY Act


summary

Introduced
09/09/2025
In Committee
Crossed Over
Passed
Dead

Introduced Session

136th General Assembly

Bill Summary

To amend sections 1731.04, 1751.01, 1751.06, 1751.12, 1751.18, 1751.58, 1751.69, 3902.50, 3922.01, 3923.57, 3923.571, 3923.85, 3924.01, 3924.02, 3924.03, 3924.033, 3924.51, and 4125.041 and to enact sections 3902.55, 3902.56, 3902.57, and 3902.58 of the Revised Code regarding health insurance premiums and benefits and to name this act the Fair Access to Medical Insurance for Local Youth and Families (FAMILY) Act.

AI Summary

This bill enacts the Fair Access to Medical Insurance for Local Youth and Families (FAMILY) Act, which makes significant changes to health insurance regulations in Ohio. The bill modifies existing laws to eliminate pre-existing condition exclusions, establish new rules for premium rate calculations, and define essential health benefits. Key provisions include requiring health insurance carriers to accept all individuals regardless of health status, prohibiting lifetime or annual limits on essential health benefits, and mandating coverage for preventive services without cost-sharing. The bill introduces new requirements for health benefit plans in the individual and small group markets, such as limiting premium rate variations based on factors like age and tobacco use, and ensuring that plans cover a comprehensive set of health services including ambulatory care, emergency services, hospitalization, mental health treatment, prescription drugs, and preventive care. The legislation aims to make health insurance more accessible and affordable by standardizing coverage requirements and protecting consumers from discriminatory insurance practices.

Committee Categories

Business and Industry

Sponsors (19)

Last Action

House Insurance Brownlee, 1st Hearing, Sponsor Testimony (09:30:00 11/4/2025 Room 122) (on 11/04/2025)

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