On Jul. 8, 2026, OH LEG reported bill was approved by governor, effective Oct. 7, 2026
On Jun. 10, OH LEG passed a health insurer recoupment bill.
OH LEG passed SB 162 to amend OH INS 3901.388 on health insurer recoupment from health care providers by shortening timeframe for payment and overpayment recovery.
Bill Provision
Provides that payments made by a third-party payer to a provider become final a year after payment is made, instead of two years, and may not be adjusted after that date.
Requires third-party payer to start overpayment recovery process within one year after payment was made to provider, before seeking to recover the alleged overpayment.
Payer must give the provider written notice explaining the overpayment determination, including the beneficiary name, service dates, amount, claim number, basis, payment.
Providers must also be allowed to appeal without a fee and have 60 days to respond.
If the provider does not respond, does not appeal, or the appeal is denied, the payer may recover overpayment through deductions from other payments owed to the provider.
Allows electronic overpayment notices when the payer and provider use an agreed electronic notification system and makes conflicting contract provision unenforceable.
Legislative History
On Apr. 1, 2025, bill introduced into Senate; on Apr. 15, 2026, bill passed Senate.
On Apr. 21, 2026, bill introduced into House; on Jun. 10, 2026, bill passed the House.
Effectiveness
Bills without effective dates specified in the bill text become effective on the 91st day following the bill's filing with the Secretary of State for final enrollment.
Jul. 2026 OH LEG Governor Approval
On Jul. 8, 2026, OH LEG reported bill was approved by governor, effective Oct. 7, 2026
Regulators
OH LEG
Entity Types
Ins
Reference
PR, 7/8/2026; Bill SB162, 6/10/2026; Citation: OH INS 3901.388;
