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HB 750OHIOSession 136State Billin committee

Ohio House Bill 750 accelerates elder care expansion and presumptive eligibility for PACE

Original title: Regards PACE program site expansion

Last action · June 10, 2026: Reported - Amended (Health)Sponsors: Bill Roemer and 2 others

Bill progressHistory & official text ↓
Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

The Ohio Department of Aging is required to implement a component for the , allowing applicants to receive temporary services immediately upon application while full eligibility is determined. Additionally, the department must issue a request for proposals by December 31, 2026, to expand PACE into unserved Ohio counties, and PACE organizations are permitted to enroll individuals prior to Medicaid approval under specific financial conditions.

Why it matters

Older adults applying for PACE can receive immediate temporary care before final eligibility is confirmed, and new service providers will be solicited for unserved counties by the end of 2026, shifting financial responsibility risks onto PACE organizations if applicants are ultimately denied coverage.

Background
  • The Program of All-Inclusive Care for the Elderly (PACE) provides comprehensive medical and social services to certain frail, elderly community-dwelling people, most of whom are dually eligible for Medicare and Medicaid. context
  • House Health Committee reviewed and reported an amended version of House Bill 750 during the 136th General Assembly regular session. context

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

PACE organizations

PACE organizations face financial liability if presumptive eligibility applicants are denied coverage and must adhere to new expansion rates and operational standards.

Directly affected

Department of Aging

The department must design and implement a presumptive eligibility component, issue requests for proposals for unserved counties by December 31, 2026, and support qualified entities in applying to CMS.

Directly affected

Department of Medicaid

The department is required to reimburse PACE organizations for services provided to individuals who are successfully determined to be Medicaid eligible starting from their enrollment date.

Directly affected

PACE applicants and participants

Applicants gain the ability to receive temporary services immediately upon application and a finding of presumptive eligibility before full determinations are finalized.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

What happens if a PACE applicant is later found ineligible for Medicaid?
The PACE organization assumes financial responsibility for the length of the individual's enrollment, may request that the individual pay the private pay rate, or may follow involuntary disenrollment requirements.
When must the Department of Aging issue requests for proposals for new PACE organizations in unserved counties?
Not later than December 31, 2026.
Who pays for services if a person receives temporary PACE services under presumptive eligibility but is ultimately denied PACE?
The PACE organization that found the individual presumptively eligible is responsible for the costs of services provided during that period.

What else do you want to know?

News Coverage

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Where This Stands

Currently in committee. The next step in the legislative lifecycle is Floor Vote.

Procedural history

3 actions
  1. Jun 10, 2026HouseCommittee
    Reported - Amended (Health)
  2. Mar 18, 2026HouseCommittee
    Referred to Health
  3. Mar 10, 2026HouseIntroduced
    Introduced

Version history & redline

2 versions on file
Comparing As Introduced → As Reported by the House Health Committee
removed addedOfficial text
removed: hb750_00_IN added: hb750_01_RH As removed: Introduced added: Reported by the House Health Committee 136th General Assembly Regular Session added: Am. H. B. No. 750 2025-2026 Representatives Roemer, White, A. removed: Regarding added: Cosponsor: Representative Schmidt To amend section 173.503 and to repeal section 173.502 of the Revised Code regarding site expansion added: and timely enrollment for the Program of All-Inclusive Care for the Elderly (PACE). BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO: Section 1. added: That section 173.503 of the Revised Code be amended to read as follows: Sec. 173.503. The department of aging shall seek to implement a presumptive eligibility component to the PACE program, under which applicants for PACE may receive services under the program during a temporary period, to begin immediately upon application and a finding of presumptive eligibility, while a PACE organization conducts a full eligibility determination on behalf of the individual. If the individual is determined to be ineligible for PACE, the PACE organization that found the individual presumptively eligible shall be responsible for the costs of PACE services provided to the individual during the presumptive eligibility period.A PACE organization may enroll an individual in PACE on the first day of the month following the date the individual applied for PACE and begin providing PACE services to the individual before the individual's medicaid application has been approved, if the department of aging has determined that the individual meets all other PACE eligibility requirements. If the individual is found to be medicaid eligible, the department of medicaid shall reimburse the PACE organization for PACE services provided to the individual by the organization, beginning on the date the individual was enrolled in PACE under this section. If the individual is determined to be ineligible for medicaid, the PACE organization shall assume financial responsibility for the length of the individual's enrollment in PACE. The PACE organization may request the individual pay the private pay rate for PACE services. If the participant chooses not to pay the private pay rate, the PACE organization may follow the department of aging's involuntary disenrollment requirements to disenroll the individual. Section 2. That existing section 173.503 of the Revised Code is hereby repealed. Section 3. That section 173.502 of the Revised Code is hereby repealed. Section 4. (A) As used in this section: (1) "CMS" means the United States Centers for Medicare and Medicaid Services. (2) "Entity" has the same meaning […]
Redline computed from the official version text (record lane).View this version →

Voting Record

Motion succeededHouse6/10/2026Ohio LegislatureOfficial roll call ↗

Favorable Passage

Total

13

Yes
13
No
0
Present
0
Not voting
0
Abstain
0
Full roll-call analysis →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Bill RoemerHouse · District 31RepublicanPrimary sponsor
Andrea WhiteHouse · District 36RepublicanPrimary sponsor
Jean SchmidtHouse · District 62RepublicanCosponsor

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift95% confidence

Shift to Presumptive Eligibility for Elder Care

The legislation introduces a temporary presumptive eligibility pathway for PACE, shifting immediate financial risks onto providers while expanding access before full reviews conclude.

Department of AgingDepartment of Medicaid

Connected Entities

Andrea White, Bill Roemer, Department of Aging and 3 more
PersonAndrea White“Representative, District 36”Map →
PersonBill Roemer“Representative, District 31”Map →
OrganizationDepartment of Aging“State department tasked with implementing PACE changes”Map →
OrganizationDepartment of Medicaid“State department responsible for Medicaid reimbursements”Map →
PersonJean Schmidt“Representative, District 62”Map →
OrganizationCMS“United States Centers for Medicare and Medicaid Services”Map →

Sources

Open source document

www.legislature.ohio.gov

Analysis Score

0–100
  • Significance65
    How much this matters to a regular citizen
  • Controversy15
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz25
    Current news / social attention level

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