Ohio has been relatively inactive during the 2017-2018 legislation on healthcare price transparency, cost, or markets. Ohio introduced bills that aimed at lowering prescription drug costs, increasing insurance plan transparency and providing universal healthcare coverage. However, none of these bills had bipartisan support and all failed in committee.
On the price transparency front, in 2015, Ohio enacted the Healthcare Price Transparency Law (HB 52). This law mandates providers to provide patients, before beginning treatment, with a “good faith” estimate of how much non-emergency, elective health care services would cost after accounting for health insurance. However, Ohio has not enforced this law because of an ongoing legal challenge from health care providers. Providers argued that the law’s requirements are too broad and would delay patient care by requiring physicians to make cost estimates before beginning treatment. As of August 2018, the case is waiting on a ruling from the Sixth District Court of Appeals on a procedural matter. Once the Court of Appeals has decided the procedural issue, the trial court will reschedule a hearing to decide the merits of the case.
Ohio’s Office of Health Transformation has also redesigned its state health care payment system. Its system shows providers how the cost and quality of their care compares to others’ in the state, generating cost savings and improving public health. It analyzes how much it costs a provider to treat an episode of care and to provide high-quality comprehensive primary care.
The State Database
The Source tracks state activities impacting healthcare price and competition in both legislation and litigation in a searchable database to help stakeholders at the state level understand their legal and regulatory environment as they make efforts to improve access, quality, and efficiency, and reduce costs in healthcare.
LEGISLATION: The Database of State Laws Impacting Healthcare Cost and Quality (SLIHCQ), created by The Source on Healthcare Price & Competition and Catalyst for Payment Reform, catalogues state legislation governing price transparency, provider market power, provider payment, provider networks, and benefit design. The database also includes pharmaceutical legislation beginning in the 2017-2018 legislative session. *Note: Current legislative session bill updates are ongoing. Check back weekly for updates.
LITIGATION: The Source tracks major litigation and antitrust enforcement action by federal entities (FTC or DOJ), state attorney generals, and private parties in the main provider and insurer markets, particularly legal challenges of healthcare consolidation and anticompetitive contract provisions. Additionally, the database contains major pharmaceutical cases including legislation challenges and significant appellate cases.
Search the database across all jurisdictions on the State Overview page, or view and filter existing legislation or litigation on individual state pages. The database allows customized search and filter by keyword, status, and/or key issue category. *Multiple filter/selections enabled. Click here for User Guide.