Bill > HB589

This bill amends sections 3963.01 and 3963.04 of the Ohio Revised Code regarding contracts between health insurers (referred to as "contracting entities") and health care providers. The key changes expand the definition of a "material amendment" to include amendments to programs, policies, or procedures applicable to participating providers, and modify the process for handling such amendments. Specifically, the bill requires contracting entities to provide written notice of proposed material amendments at least 90 days before their effective date, and introduces a new requirement for the contracting entity and participating provider to confer within 30 days if the provider objects to the amendment. The proposed material amendment will only become effective if both parties agree in writing. The bill also extends the period for providers to object from 15 to 30 days and maintains existing exceptions for amendments that could prevent imminent harm to patients, are required by law, or relate to routine code or pricing updates. The changes aim to provide more transparency and negotiation opportunities for health care providers when contracting entities seek to make significant changes to their agreements.

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https://www.legislature.ohio.gov/legislation/136/hb589