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OH HB318

OH HB318
Revise the Medicaid Estate Recovery Program Law


summary

Introduced
06/03/2025
In Committee
Crossed Over
Passed
Dead

Introduced Session

136th General Assembly

Bill Summary

To amend sections 5162.21 and 5162.211 of the Revised Code to make changes to the law governing the Medicaid Estate Recovery Program.

AI Summary

This bill revises Ohio's Medicaid Estate Recovery Program by modifying how the state can seek repayment for Medicaid services from an individual's estate after their death. The bill introduces several key changes, including limiting liens on real property to 75% of the assessed value, expanding waiver options for estate recovery, and clarifying conditions under which estate recovery can occur. Specifically, the bill maintains protections that prevent estate recovery while a spouse, minor child, or disabled child is living, and continues to protect homes where certain family members (like a sibling or caretaker child) reside. The bill also adds new provisions for waiving estate recovery when the Medicaid costs are less than $20,000 or when the administrative costs of recovery would exceed the amount recovered. Additionally, the bill provides more detailed definitions of terms like "permanently institutionalized individual" and specifies circumstances where estate recovery can be reduced or waived, such as in cases of undue hardship. The changes aim to provide more flexibility and compassion in how the state seeks reimbursement for Medicaid expenses while still preserving the state's ability to recover costs from estates when appropriate.

Committee Categories

Health and Social Services

Sponsors (5)

Last Action

House Medicaid Brennan, 2nd Hearing, Proponent Testimony (16:00:00 10/7/2025 Room 116) (on 10/07/2025)

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