SB 160 — Regards prescription drugs and medication switching

As ReportedPassed by the Senate Financial Institutions, Insurance and Technology Committee 136th General Assembly Regular Session Sub.

160 2025-2026 Senators Liston, Johnson ToCosponsors: enact section 3902.65 of the Revised Code 1 regarding prescription drugs and medication 2 switching under health benefit plans.

Senators Antonio, Blackshear, Cirino, Craig, DeMora, Hicks-Hudson, Patton, Reineke, Reynolds, Schaffer To enact section 3902.65 of the Revised Code 1 regarding prescription drugs and medication 2 switching under health benefit plans.

15 (B) Subject to divisions (C), (D), and (E) of this 16 section, a health plan issuer shall not do any of the following 17 duringSub. a health benefit plan year:

18 Sub.

160 Page 2 As ReportedPassed by the Senate Financialduring Institutions, Insurance and Technology Committee (1) Increase a coveredhealth person'sbenefit costplan sharingyear: with respect 19 to a drug;

18 (1) Increase a covered person's cost sharing with respect 19 to a drug;

44 (2) A health plan issuer permitting a covered person to 45 use the generically equivalent drug or interchangeable 46 Sub.

160 Page 3 As ReportedPassed by the Senate Financial(2) Institutions,A Insurancehealth andplan Technologyissuer Committeepermitting a covered person to 45 use the generically equivalent drug or interchangeable 46 biological product instead of the prescribed drug;

If a health plan issuer seeks to 69 take an action described in division (B) of this section for a 70 drug subject to such a price increase, it shall maintain 71 supporting documentation that justifies the action for a period 72 of three years after the effective date of the price increase 73 andSub. shall provide the supporting documentation to the department 74 of insurance upon the department's request.

75 Sub.

160 Page 4 As ReportedPassed by the Senate Financial Institutions, Insurance and Technology Committee (F) A violation of this section shall beprovide consideredthe ansupporting 76documentation unfairto and deceptive practice in the businessdepartment 74 of insurance forupon 77 purposes of section 3901.21 of the Reviseddepartment's Code.request.

75 (F) A violation of this section shall be considered an 76 unfair and deceptive practice in the business of insurance for 77 purposes of section 3901.21 of the Revised Code.