Ohio legislation · 136th General Assembly
Ohio HB220: Regards health insurance, Medicaid prior authorization
Status: In committee, April 15, 2026
To amend sections 1751.72, 3923.041, and 5160.34 of the Revised Code regarding health insurance and Medicaid program prior authorization requirements.
What the bill says
To amend sections 1751.72, 3923.041, and 5160.34 of the Revised Code regarding health insurance and Medicaid program prior authorization requirements.
From the amended text, March 25, 2026:
To amend sections 1751.72, 3923.041, and 5160.34 of the Revised Code regarding health insurance and Medicaid program prior authorization requirements. BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO: Section 1. That sections 1751.72, 3923.041, and 5160.34 of the Revised Code be amended to read as follows: Sec. 1751.72. (A) As used in this section: (1) "Chronic condition" means a medical condition that has persisted after reasonable efforts have been made to relieve or cure its cause and has continued, either continuously or episodically, for longer than six continuous months. (2) "Clinical peer" means a health care practitioner in the same, or in a similar, specialty that typically manages the medical condition, procedure, or treatment under review. (3) "Covered person" means a person receiving coverage for health services under a policy, contract, or agreement issued by a health insuring corporation. (4) "Emergency services" has the same meaning as in section 1753.28 of the Revised Code. (5) "Fraudulent or materially incorrect information" means any type of intentional deception or misrepresentation made by a person with the knowledge that the deception could result in some unauthorized benefit to the covered person in question. (6) "Health care practitioner" has the same meaning as in section 3701.74 of the Revised Code. (7) "NCPDP SCRIPT standard" means the national council for prescription …
Sponsors
- Heidi Workman (R, 72) · primary sponsor
- Sean Brennan (D, 14)
- Darnell Brewer (D, 22)
- Gary Click (R, 88)
- Christine Cockley (D, 6)
- Jack Daniels (R, 32)
- Chris Glassburn (D, 15)
- Crystal Lett (D, 11)
- Joseph Miller (D, HD-053)
- Kevin Miller (R, 69)
- Ismail Mohamed (D, 3)
- W. Scott Oelslager (R, 48)
Latest actions
- : Referred to committee
- : Introduced
- : Passed
- : Reported - Substitute
- : Referred to committee
- : Introduced
Votes
- Passed (March 25, 2026): 84 yea, 11 nay, passed
- Favorable Passage (March 17, 2026): 11 yea, 0 nay, failed
Subjects: Commerce, Health Care, Medicaid, Health and Human Services, Consumer Protection, Insurance, Public Health
Common questions
- What is HB220?
- HB220 is a bill in the Ohio Legislature (136th General Assembly): Regards health insurance, Medicaid prior authorization.
- What does HB220 do?
- In its own words: To amend sections 1751.72, 3923.041, and 5160.34 of the Revised Code regarding health insurance and Medicaid program prior authorization requirements.
- What is the status of HB220?
- In committee as of April 15, 2026. Latest action: Referred to committee (April 15, 2026).
- Who sponsored HB220?
- Heidi Workman (R, 72), with 11 co-sponsors.
- Where is the official record for HB220?
- On the Ohio Legislature website: https://www.legislature.ohio.gov/legislation/136/hb220
Source: official Ohio record. Tracked by Delilah, AI for legislation across all 50 states and Congress.