❌ HB219
Establish network adequacy standards for health insurers
Summary
The bill establishes network adequacy standards for health insurers in Ohio, requiring them to maintain a sufficient network of providers to ensure access to covered benefits without unreasonable travel or delay. It mandates the superintendent of insurance to set criteria for evaluating network adequacy, including provider ratios, geographic accessibility, and waiting times. Health plan issuers must also provide processes for covered persons to obtain benefits from out-of-network providers under certain conditions.
Rationale
The bill imposes government regulations on health insurers, which conflicts with the Libertarian principles of minimal government intervention and free market operations. It establishes mandatory standards that restrict the autonomy of health plan issuers and may lead to increased government control over healthcare services.
Risks and Concerns
- Increased government control over healthcare
- Potential for reduced competition among health insurers
- Higher costs for consumers due to regulatory compliance