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Surprise Billing

Surprise Billing

Governor DeWine signed House Bill 388 into law on January 7, 2021. This law protects patients from receiving surprise medical bills for emergency care or, in certain circumstances, unexpected out-of-network care. Primarily, the law prohibits the practice of balance billing in these instances, leaving any price negotiation to be handled between the health provider and the health plan. The Ohio Department of Insurance (ODI) is responsible for administering and enforcing many provisions of this law beginning in January 2022.

Stakeholder Engagement Process

The department intends to conduct a robust stakeholder engagement process to solicit ideas on the development of rules associated with implementation of House Bill 388. The stakeholder feedback process will begin March 2021. ODI will then formally submit rules to the Common Sense Initiative (CSI) and the Joint Committee on Agency Rule Review (JCARR). During the formal rule making process, members of the public will also have opportunities to provide input on the proposed rules through formal public comment periods with CSI and JCARR.

Your Feedback is Requested!

At this time, the department is seeking comments related to rules and implementation of the law within the state. Please email comments to surprisebilling@insurance.ohio.gov by COB on Friday, May 28.