House BillIntroduced
HB 429: Ban health care reimbursement reduction based on certain factors
What HB 429 does, verified October 20, 2025
To amend section 3901.385 of the Revised Code to prohibit third-party payers from reducing reimbursement to health care providers based on certain factors.
Bill journey
1IntroducedCurrent
2In CommitteePending
3First Chamber FloorPending
4Second ChamberPending
5GovernorPending
6ChapteredPending
Last action: Referred to committee: Insurance (2025-09-15)Alert me
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| Sep. 15, 2025 | Referred to committee: Insurance |
| Aug. 28, 2025 | Introduced |
Latest bill textIntroduced version, August 28, 2025 · 470 words
As Introduced
136th General Assembly
Regular Session
H. B. No. 429
2025-2026
Representative Hoops
To amend section 3901.385 of the Revised Code to prohibit third-party payers from reducing reimbursement to health care providers based on certain factors.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:
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Section 1. That section 3901.385 of the Revised Code be
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amended to read as follows:
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Sec. 3901.385. A third-party payer shall not do either-any
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of the following:
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(A) Engage in any business practice that unfairly or
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unnecessarily delays the processing of a claim or the payment of
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any amount due for health care services rendered by a provider
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to a beneficiary;
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(B) Refuse to process or pay within the time periods
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specified in section 3901.381 of the Revised Code a claim
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submitted by a provider on the grounds the beneficiary has not
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been discharged from the hospital or the treatment has not been
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completed, if the submitted claim covers services actually
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rendered and charges actually incurred over at least a thirty-
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day period:
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(C) Reduce the reimbursement made to a provider for the
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provision of a covered health care service based on any of the
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following:
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(1) The third-party payer's own description of what is
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included in that service outside of the most current CPT code in
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effect, as published by the American medical association, the
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most current ICD-10 code in effect, as published by the United
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States department of health and human services, the most current
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CDT code in effect, as published by the American dental
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association, or the most current HCPCS code in effect, as
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published by the United States centers for medicare and medicaid
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services:
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(2) The third-party payer's own description of what is
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included in the diagnosis code submitted on the claim outside of
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guidelines established by entities responsible for the code set,
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including the centers for disease control and prevention's
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national center for health statistics:
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(3) That the provider billed for additional health
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services, including outpatient surgery, on the same date as the
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covered service.
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Section 2. That existing section 3901.385 of the Revised
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Code is hereby repealed.
Text of HB 429 as introduced, from the official record. Connect Plus keeps every version and highlights what changed.Compare versions