The bill amends sections 3963.01 and 3963.04 of the Revised Code to clarify the definitions and processes related to health care contracts between insurers and providers. Notably, it introduces the term "material amendment" to include changes to any program, policy, or procedure applicable to participating providers that may affect their payment or administrative procedures. The bill specifies that a material amendment does not include certain anticipated decreases in payment or administrative changes that are clearly identified in the contract.

Additionally, the bill outlines the notification process for material amendments, requiring contracting entities to provide written notice of proposed amendments at least ninety days prior to their effective date. If a participating provider objects to the proposed amendment, the contracting entity must confer with the provider to resolve the objection within thirty days. The proposed amendment will only take effect if both parties agree in writing. The bill also includes exceptions to the notification requirements in cases of imminent harm to enrollees or compliance with state or federal laws.

Statutes affected:
As Introduced: 3963.01, 3963.04