Prohibit health plan, Medicaid denying dental claim based on age

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

Prohibit health plan, Medicaid denying dental claim based on age

To enact sections 3902.65 and 5164.18 of the Revised Code to prohibit a health benefit plan and the Medicaid program from denying a claim for dental services on the basis of the age of the patient.

What This Bill Does

• To enact sections 3902.65 and 5164.18 of the Revised Code to prohibit a health benefit plan and the Medicaid program from denying a claim for dental services on the basis of the age of the patient.

Limits and Unknowns

• This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Official Summary Text

To enact sections 3902.65 and 5164.18 of the Revised Code to prohibit a health benefit plan and the Medicaid program from denying a claim for dental services on the basis of the age of the patient.

Current Bill Text

hb861_00_IN

As Introduced

136th
General Assembly

Regular
Session
H. B. No. 861

2025-2026

Representatives Troy, Schmidt

Cosponsors: Representatives Brennan,
Brewer, Piccolantonio, Glassburn, Grim, McNally, Miller, J., Rader,
Russo, Sims, Somani, Synenberg, Upchurch, White, E.

To
enact sections
3902.65

and 5164.18 of the Revised Code
to
prohibit a health benefit plan and the Medicaid program from denying
a claim for dental services on the basis of the age of the patient.

BE
IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:

Section
1.
That
sections
3902.65

and 5164.18 of the Revised Code be enacted to read as follows:

Sec.
3902.65.
A
health benefit plan shall not deny a claim of reimbursement for
dental services on the sole basis of the age of the recipient of
those services.

Sec.
5164.18.
The
department of medicaid shall not deny a claim for reimbursement for
dental services provided under the medicaid program by a medicaid
provider on the sole basis of the age of the recipient of those
services.