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High Impact

Ohio bans health plans from requiring medical providers to collect copays and deductibles starting in 2027

Original title: Prohibit health plans from requiring providers to collect copays

Last action · September 15, 2025: Referred to InsuranceSponsor: Jean Schmidt

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

Starting January 1, 2027, health plan issuers in Ohio are prohibited from requiring or inducing medical providers to collect , such as copayments and deductibles, from patients. Health plans must make all reimbursements directly to the health care provider, and any contracts renewed or amended on or after that date cannot require providers to collect cost sharing or patients to pay it.

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.

Directly affected

health plan issuers

Health plan issuers are barred from requiring or inducing providers to collect cost sharing amounts and must direct all reimbursements straight to health care providers.

Directly affected

health care providers

Directly affected

covered persons

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

When does this restriction on collecting copays take effect?
The prohibition takes effect on January 1, 2027, for health benefit plans entered into, amended, or renewed on or after that date.
Can doctors still collect payments for services not covered by insurance?
Yes, the bill explicitly states that health care providers are not prohibited from collecting amounts owed for uncovered services or accepting cash payments in lieu of health benefit plan reimbursement.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Currently in committee. The next step in the legislative lifecycle is Floor Vote.

Procedural history

2 actions
  1. Sep 15, 2025HouseCommittee
    Referred to Insurance
  2. Jul 1, 2025HouseIntroduced
    Introduced

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

Connected Entities

Jean Schmidt
PersonJean Schmidt“Representative, District 62”Map →

Sources

Open source document

www.legislature.ohio.gov

Analysis Score

0–100
  • Significance75
    How much this matters to a regular citizen
  • Controversy60
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz30
    Current news / social attention level

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