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Current as of January 01, 2024 | Updated by Findlaw Staff
(A) As used in this section:
(1) “Pay in full” means paying for a health service in its entirety without cost-sharing on the part of a third-party payer. “Pay in full” includes payment made under a deductible requirement.
(2) “Third-party payer” and “provider” have the same meanings as in section 3901.38 of the Revised Code.
(B)(1) Subject to division (C) of this section, a provision in a contract entered into between a third-party payer and a provider is void and against public policy if it does either of the following:
(a) Establishes a minimum amount that the provider is required to charge an individual for a health service when that individual pays in full for the service;
(b) Prohibits a provider from advertising the provider's rates for a service.
(2) Division (B)(1)(b) of this section shall not be construed as prohibiting a provision in a contract between a provider and a third-party payer that prohibits a provider from disclosing or advertising contractually agreed upon reimbursement rates for providers.
(C)(1) This section shall apply to all new contracts between a third-party payer and a provider entered into on or after the effective date of this section.
(2) For existing contracts, this section shall apply on the earlier of either of the following:
(a) Three years after the effective date of this section;
(b) The expiration date of the contract or renewal of the contract.
Cite this article: FindLaw.com - Ohio Revised Code Title XXXIX. Insurance § 3902.31 - last updated January 01, 2024 | https://codes.findlaw.com/oh/title-xxxix-insurance/oh-rev-code-sect-3902-31/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
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