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Ohio establishes temporary payment program for rural hospitals serving low-population counties

Original title: Enact the Healthier Rural Hospitals Act

Last action · February 18, 2026: Referred to FinanceSponsors: Jason Stephens and 1 other

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

The Ohio Department of Medicaid must establish a temporary two-year program requiring managed care organizations to pay increased rates to hospitals located in the twenty lowest-population counties with the highest health and poverty ranking scores. Eligible hospitals in counties ranked one through ten must receive at least 150 percent of the statewide average payment rate, while those in counties ranked eleven through twenty must receive at least 125 percent.

Why it matters

Rural healthcare providers in designated low-population counties receive higher reimbursement rates for services rendered to Medicaid recipients, while non-participating hospitals are legally protected from having their payment rates reduced to fund the program.

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

hospitals

Hospitals located in eligible rural counties receive increased payment rates from Medicaid managed care organizations.

Directly affected

Medicaid managed care organizations

Managed care organizations must pay specified elevated payment rates to hospitals in eligible counties without reducing rates for non-participating facilities.

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

Which counties are eligible for the increased hospital payments?
Counties with populations under one hundred thousand residents that rank in the lowest twenty when scored across cancer deaths, poverty levels, chronic lower respiratory disease deaths, stroke deaths, and drug overdose deaths are eligible.
How long does the temporary program last?
The Department of Medicaid is required to terminate the program two years after the effective date of the section.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

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

Procedural history

2 actions
  1. Feb 18, 2026HouseCommittee
    Referred to Finance
  2. Feb 3, 2026HouseIntroduced
    Introduced

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

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

Connected Entities

Department of Medicaid
OrganizationDepartment of Medicaid“State agency responsible for establishing and administering the hospital payment”Map →

Sources

Open source document

www.legislature.ohio.gov

Analysis Score

0–100
  • Significance65
    How much this matters to a regular citizen
  • Controversy25
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz30
    Current news / social attention level

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