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§ 3902.31 — Ohio Law | CourtGPT
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Ohio Legal Code

§ 3902.31

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Effective: October 17, 2019 Latest Legislation: House Bill 166 - 133rd General Assembly (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.

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.