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HB 214

Require Medicaid, health insurers report on prior authorization

136th Legislature (2025-2026) Introduced by Kevin Miller

Ohio bill HB 214 mandates Medicaid and private insurers publicly report prior authorization approval rates, denials, and processing times to increase healthcare transparency and accountability.

Referred to committee
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Bill Summary · HB 214

Legislative bill overview

HB 214 requires Medicaid programs and private health insurers operating in Ohio to report data on their prior authorization practices, including approval rates, denial rates, and processing times. The bill aims to increase transparency around a process that insurers use to determine whether they will cover specific medical treatments before they are provided.

Why is this important

Prior authorization is a significant pain point in healthcare delivery—doctors report it delays necessary care, and patients sometimes forgo treatment while waiting for approval. Requiring public reporting could reveal systemic bottlenecks, reduce inappropriate denials, and give policymakers data to regulate the practice more effectively. It also allows patients and providers to compare insurers' practices and hold them accountable.

Potential points of contention

  • Administrative burden on insurers: Collecting and reporting detailed prior authorization data requires new systems and staff time, which insurers may argue increases costs passed to consumers
  • Competitive sensitivity: Insurers may resist public disclosure of approval/denial rates, arguing it reveals proprietary decision-making and could disadvantage them competitively
  • Defining meaningful metrics: Disagreement over which data points matter most (approval speed? denial rates? appeal success?) and how to fairly compare insurers with different patient populations and risk profiles

Compiled from official sources — confirm details with the bill’s official record.

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