OH HB318

Eliminates estate recovery for Medicaid costs under $20,000 (adjusted annually for inflation) and waives recovery when costs don't exceed administrative collection expenses

Caps property liens at 75% of assessed value for real property of permanently institutionalized Medicaid recipients and their spouses

Removes the state's authority to seek estate recovery from "other individuals as permitted by federal law," limiting recovery to permanently institutionalized individuals and those age 55+ receiving specific services

Maintains existing protections prohibiting recovery while a surviving spouse, minor child, or blind/disabled child is alive, and protects homes where qualifying siblings or caregiver children reside