Bill > HB356

This bill requires the Ohio Department of Medicaid to enter into a data sharing agreement with the Auditor of State to exchange information about Medicaid enrollees in the Aged, Blind, and Disabled (ABD) eligibility group. The Auditor of State will conduct a comprehensive audit to determine if any individuals in this group are ineligible for Medicaid, specifically examining whether participants have countable assets exceeding the federal limit of 42 C.F.R. 416.1205. Following the audit, the Department of Medicaid must develop a corrective action plan aimed at reducing Medicaid spending for the ABD group by $2.4 billion during the two-year budget period. The plan includes disenrolling ineligible individuals, establishing an electronic asset verification system for all ABD applicants and enrollees, and implementing other spending reduction initiatives. The bill also appropriates $5 million in the first fiscal year (2026) from the General Revenue Fund to the Auditor of State specifically for conducting this audit, with no funding allocated for the second fiscal year (2027). The Director of Budget and Management will be responsible for establishing and maintaining the accounts for these appropriations.

Budget and Finance

https://www.legislature.ohio.gov/legislation/136/hb356