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OH HB795
Bill
Status
3/25/2026
Primary Sponsor
Josh Williams
Click for details
AI Summary
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Requires the Ohio Department of Medicaid to establish electronic verification systems using GPS tracking and "breadcrumb" location data to verify nonemergency medical transportation and in-home personal care services provided to Medicaid recipients
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Mandates transportation providers use ride dispatch systems with GPS verification to track pickup/drop-off locations, routes, timestamps, and distances; personal care providers must clock in/out with GPS verification at service locations
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Sets phased implementation timeline: technical standards plan within 6 months, pilot program within 12 months, mandatory use for transportation providers within 18 months, and mandatory use for personal care providers within 24 months
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Requires automated fraud-detection tools to flag irregular patterns such as repeated exemption requests, anomalous routes, and data-claim discrepancies, with credible fraud allegations referred to the Attorney General
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Mandates annual reporting to the General Assembly on claims submitted, denials, fraud referrals, provider sanctions, cost savings, and impacts on recipient access to services
Legislative Description
Enact SHIELD Act
Health and Human Services : Medicaid
Last Action
Introduced
3/25/2026