summary
Introduced
01/27/2025
01/27/2025
In Committee
11/05/2025
11/05/2025
Crossed Over
11/12/2025
11/12/2025
Passed
Dead
Introduced Session
136th General Assembly
Bill Summary
A BILL To amend sections 1716.01 and 5747.01 and to enact sections 1716.22 and 3333.96 of the Revised Code to enact the Health Care Sharing Ministries Freedom to Share Act.
AI Summary
This bill enacts the Health Care Sharing Ministries Freedom to Share Act, which provides legal protections and clarifications for health care sharing ministries (HCSMs) in Ohio. The bill defines an HCSM as a nonprofit organization with specific characteristics, including: limiting membership to those who share common ethical or religious beliefs, retaining members who develop medical conditions, facilitating financial assistance among participants, and providing contributions without assuming risk or promising payment. The bill explicitly states that HCSMs are not considered insurance companies and are not subject to insurance regulations. It also requires HCSMs to conduct annual independent audits, provide annual reports on shared medical needs, and include a specific disclaimer on their application materials explaining that participation is voluntary and not insurance. Additionally, the bill requires state higher education institutions to accept a student's participation in an HCSM as satisfying health coverage requirements, and allows taxpayers to deduct amounts paid for HCSM membership from their Ohio adjusted gross income. The changes are designed to provide legal clarity and support for faith-based health care sharing organizations, ensuring they can operate with greater certainty under Ohio law.
Committee Categories
Business and Industry
Sponsors (14)
Angie King (R)*,
Tim Barhorst (R),
Sean Brennan (D),
Rodney Creech (R),
Jennifer Gross (R),
Marilyn John (R),
Roy Klopfenstein (R),
Beth Lear (R),
Brian Lorenz (R),
Ty Mathews (R),
Melanie Miller (R),
Mark Sigrist (D),
Josh Williams (R),
Bernie Willis (R),
Last Action
Senate Financial Institutions, Insurance and Technology 1st Hearing, Sponsor (16:00:00 2/10/2026 Finance Hearing Room) (on 02/10/2026)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.legislature.ohio.gov/legislation/136/hb21 |
| Analysis - As Passed By House | https://www.legislature.ohio.gov/download?key=26925 |
| Fiscal Note - As Passed By House | https://www.legislature.ohio.gov/download?key=26654 |
| BillText | https://search-prod.lis.state.oh.us/api/v2/general_assembly_136/legislation/hb21/02_PH/pdf/ |
| Analysis - As Reported By House Committee | https://www.legislature.ohio.gov/download?key=26571 |
| Fiscal Note - As Passed By House | https://www.legislature.ohio.gov/download?key=26539 |
| BillText | https://search-prod.lis.state.oh.us/api/v2/general_assembly_136/legislation/hb21/01_RH/pdf/ |
| Fiscal Note - As Introduced | https://www.legislature.ohio.gov/download?key=24713 |
| Analysis - As Introduced | https://www.legislature.ohio.gov/download?key=24492 |
| BillText | https://search-prod.lis.state.oh.us/api/v2/general_assembly_136/legislation/hb21/00_IN/pdf/ |
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