The proposed bill aims to mandate health insurance coverage for orthotic and prosthetic devices in Ohio by enacting new sections 3902.65 through 3902.654 of the Revised Code. It defines a "qualifying health benefit plan" and stipulates that such plans must provide coverage for prosthetic and orthotic devices that meets or exceeds federal standards. The coverage includes the purchase, fitting, adjustment, repair, and replacement of these devices, as well as necessary materials, components, and instructions for use. Additionally, the bill prohibits discrimination in coverage based on a person's actual or perceived disability and requires that any denials of coverage be issued in writing.
Furthermore, the bill establishes reporting requirements for health plan issuers regarding their experiences with coverage for prosthetic and orthotic devices, which must be submitted annually to the superintendent of insurance. The superintendent is also tasked with issuing public guidance on the necessary care and devices for individuals with limb loss or mobility impairments. The provisions of this bill will take effect on January 1, 2027, applying to health benefit plans issued, amended, or renewed after that date.