Read the full stored bill text
As Introduced
136th
General Assembly
Regular
Session
H. B. No. 716
2025-2026
Representatives Craig, Deeter
To
enact section 3901.93 of the Revised Code
to
create within the Department of Insurance an all-payer claims
database.
BE
IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:
Section
1.
That
section 3901.93 of the Revised Code be enacted to read as follows:
Sec.
3901.93.
(A)
As used in this section:
(1)
"Health plan issuer" has the same meaning as in section
3922.01 of the Revised Code.
(2)
"Payer" includes a health plan issuer, the medicaid
program, and the medicare program.
(B)
Not later than one year after the effective date of this section, the
superintendent of insurance shall establish and administer an
all-payer claims database. To the extent permitted by federal law,
each payer shall submit its claims to the superintendent for
inclusion in the database. Such claims shall be submitted in the
format and according to the schedule prescribed by the superintendent
in rule. The superintendent shall include in the database each claim
the superintendent receives. Claims information included in the
database may be made available to persons or government entities only
upon a subscription with the department of insurance.
(C)
The superintendent shall adopt rules to implement this section,
including rules establishing standards and procedures for the
following:
(1)
Submitting claims for inclusion in the database, including the
prescribed format and schedule;
(2)
Maintaining the privacy and security of personal and health
information contained in claims;
(3)
Making available to persons or government entities claims information
from the database through subscriptions;
(4)
Imposing penalties when claims are not submitted.
The
superintendent may adopt any other rules the superintendent considers
necessary to implement this section. All rules shall be adopted in
accordance with Chapter 119. of the Revised Code.
(D)
Notwithstanding any provision of section 121.95 of the Revised Code
to the contrary, a regulatory restriction contained in a rule adopted
under division (C) of this section is not subject to sections 121.95
to 121.953 of the Revised Code.