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hb922_00_IN
As Introduced
136th
General Assembly
Regular
Session
H. B. No. 922
2025-2026
Representative Tims
To
enact sections 3902.65 and 5164.081 of the Revised Code
to
require insurance and Medicaid coverage of colorectal cancer
screenings for individuals age 21 and older.
BE
IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:
Section
1.
That
sections 3902.65 and 5164.081 of the Revised Code be enacted to read
as follows:
Sec.
3902.65.
(A)
Notwithstanding section 3901.71 of the Revised Code, a health benefit
plan shall provide coverage for colorectal cancer screening tests for
a covered individual twenty-one years of age or older to the same
extent that those screening tests are covered in accordance with
section 2713 of the "Patient Protection and Affordable Care Act
of 2010," 42 U.S.C. 300-gg-13(a)(1), for a covered individual
forty-five years of age or older.
(B)
A health benefit plan shall not impose a cost-sharing requirement for
coverage required under division (A) of this section that exceeds the
cost-sharing requirements that apply to colorectal cancer screening
tests for a covered individual forty-five years of age or older.
Sec.
5164.081.
The
medicaid program shall cover colorectal cancer screening tests for an
individual twenty-one years of age or older to the same extent that
those screening tests would be covered in accordance with section
2713 of the "Patient Protection and Affordable Care Act of
2010," 42 U.S.C. 300-gg-13(a)(1), for an individual forty-five
years of age or older.
Section
2.
The
enactment of section 3902.65 of the Revised Code by this act applies
to health benefit plans, as defined in section 3922.01 of the Revised
Code, that are delivered, issued for delivery, modified, or renewed
on or after the effective date of that section.