H.B. No. 292 Summary

• Establishes the Ohio Health Care Plan to provide universal, affordable health care coverage to all Ohio residents and individuals employed in the state, including homeless and migrant workers

• Creates the Ohio Health Care Agency (administered by an executive director) and Ohio Health Care Board (15 voting members) with seven regional health advisory committees to govern and oversee the plan

• Mandates a comprehensive single health benefits package covering inpatient/outpatient care, emergency services, prescription drugs, mental health services, dental care, vision care, hearing care, and other services with no copayments or deductibles for participants

• Establishes funding mechanisms through employer payroll taxes (up to 3.85%), business gross receipts taxes (up to 3%), and individual income taxes (6.2% on wages above Social Security threshold and 5% on adjusted gross income above $200,000)

• Requires the plan to operate as a single-payer system with centralized claims processing, provider budgets (fee-for-service and capitated), capital investment oversight, and pursuit of federal financial participation through Medicare, Medicaid, and CHIP waivers