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OH HB176
Bill
Status
5/28/2013
Primary Sponsor
Barbara Sears
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AI Summary
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Establishes Medicaid reforms requiring the Medical Assistance Director to improve recipient health and reduce healthcare costs while controlling program expenditures, with enrollment targets of at least 80% of recipients in managed care or alternative coverage models.
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Permits Ohio's Medicaid program to cover individuals described in federal Social Security Act Section 1902(a)(10)(A)(i)(VIII) if federal matching funds are at least the amount specified as of March 30, 2010, and coverage reduces per-recipient expenditures; requires disenrollment if federal matching funds fall below that threshold.
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Restructures the Joint Legislative Committee on Medicaid Technology and Reform to include 10 members (3 majority House, 2 minority House, 3 majority Senate, 2 minority Senate) with co-chairpersons who must convene quarterly and arrange for Medical Assistance Director testimony on reform implementation.
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Requires the Medical Assistance Director to seek federal approval for reforms requiring it and submit annual progress reports by December 31 of each year, with implementation contingent on federal approvals under state and federal law.
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Establishes the Ohio Medicaid Reform Fund to receive and expend federal matching funds for the newly authorized eligibility group, with appropriations for fiscal years 2014 and 2015.
Legislative Description
To require the Medical Assistance Director to implement Medicaid reforms, to permit the Medicaid program to cover an additional group under certain circumstances, to revise the duties of the Joint Legislative Committee on Medicaid Technology and Reform, and to make an appropriation.
Medicaid reform
Last Action
Committee Report - R
10/16/2013