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Read. Follow. Verify.Ohio prohibits health insurers and Medicaid from charging providers electronic claim and payment fees
Last action · April 2, 2025: Referred to MedicaidSponsor: Nathan H. Manning
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What This Bill Would Do
Ohio Senate Bill 166 prohibits health insurers, the state Medicaid program, and associated entities from charging health care providers any fees or withholding payments for electronic claims submissions, electronic fund transfers, or transactions.
Who It Would Affect
Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.
health care providers
Health care providers are exempt from facing fees, charges, or payment withholds when conducting electronic transactions with insurers and Medicaid.
third-party payers
Third-party payers are barred from assessing fees or payment withholds on providers for electronic fund transfers and remittance advice.
Department of Medicaid
The department and its designees are prohibited from imposing charges or fee deductions on Medicaid providers for electronic claims.
Key Facts
You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.
Frequently Asked Questions
Can private health insurers charge doctors a fee for electronic fund transfers under this bill?
Does this fee prohibition apply to the state Medicaid program?
What else do you want to know?
News Coverage
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Votes, people, money & the original sourceWhere This Stands
Currently in committee. The next step in the legislative lifecycle is Floor Vote.
Procedural history
2 actions- Apr 2, 2025SenateCommitteeReferred to Medicaid
- Apr 1, 2025SenateIntroducedIntroduced
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →Lobbying Activity
No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.
Full breakdown
Who this bill affects and the strongest case for and against it, written only from the bill’s own text.
Sponsors
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Expansion of Fee Protections to Electronic Transfers
The bill extends existing electronic claim submission rules by explicitly banning administrative fees on electronic fund transfers and remittance advice.
Connected Entities
Sources
www.legislature.ohio.gov
Analysis Score
0–100- Significance60How much this matters to a regular citizen
- Controversy15Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz25Current news / social attention level
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