OH SB60

Establishes the Medicaid Personal Responsibility Initiative, a new waiver component requiring all adult Medicaid expansion eligibility group members to participate.

Imposes premium requirements on a sliding scale basis as a condition of Medicaid enrollment or continued coverage.

Requires participants to pay copayments for specialist services without referrals, emergency department services, and out-of-network care.

Mandates participants seek employment or occupational training through OhioMeansJobs unless they qualify for exemptions including age 50+, employment, school enrollment, pregnancy, disability, caregiving responsibilities, or participation in other public assistance programs.

Abolishes the Healthy Ohio Program and repeals related sections while implementing health promotion programs including preventative medicine, health risk assessments, biometric screenings, and wellness initiatives.