Sub. H.B. No. 466 Summary

• Establishes registration and operational requirements for health care staffing agencies under new Chapter 3724 of the Revised Code, administered by the Director of Health

• Requires annual registration with $2,000 application fee; agencies must verify personnel qualifications, maintain records, carry liability insurance ($1 million per occurrence, $3 million aggregate), and secure workers' compensation coverage and surety bonds

• Caps billing rates for health care personnel at 150% of statewide direct care median hourly wage from Medicaid cost reports, with limited exceptions for infectious disease care (additional 10% allowed)

• Prohibits staffing agencies from restricting employee opportunities, requiring non-compete agreements, paying recruitment bonuses to active employees, or recruiting healthcare provider staff

• Modifies fiscal year 2023 payment rates for intermediate care facilities serving individuals with intellectual disabilities and extends project timelines for certificates of need granted during COVID-19 pandemic (March 9, 2020–June 18, 2021)