The Ohio Menopause, Perimenopause, and Hormone Therapy Coverage Act aims to ensure that health insurance and Medicaid programs provide coverage for the diagnosis and treatment of menopause, perimenopause, and related symptoms. The bill introduces new sections 3902.65 and 5164.081 to the Revised Code, which define key terms such as "prescriber" and "menopausal and perimenopausal symptoms." It mandates that health benefit plans cover various services, including clinical evaluations, hormone therapy, and nonhormonal treatments, while prohibiting excessive cost-sharing and restrictive utilization management requirements. Additionally, the act clarifies that these treatments should not be considered elective or cosmetic.

The Medicaid program is also required to cover the same services related to menopause and perimenopause, aligning state coverage with recent federal guidelines on the safety of menopausal hormone therapy. The act emphasizes the importance of providing comprehensive care for women experiencing menopausal symptoms and aims to remove barriers to accessing necessary treatments. Overall, this legislation seeks to improve healthcare access and support for women undergoing menopause in Ohio.