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Ohio HB 581 exempts $20,000 of income and family health insurance payments from Medicaid disability program eligibility limits

Original title: Regards specified Medicaid disability, Ohio WorkAbility Programs

Last action · November 12, 2025: Referred to MedicaidSponsors: Crystal Lett and 1 other

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

Ohio House Bill 581 excludes the first $20,000 of an individual's earned or and employer-paid family health insurance premiums when calculating income limits for the Medicaid Buy-In For Workers With Disabilities Program and the Ohio WorkAbility Program.

Why it matters

Changes financial eligibility criteria for state disability employment programs, allowing individuals with higher total compensation to retain Medicaid coverage while maintaining employment.

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

Workers with disabilities

Individuals participating in the Medicaid Buy-In For Workers With Disabilities Program have $20,000 of income and employer-paid family health insurance excluded from eligibility calculations.

Directly affected

Employers of individuals with disabilities

Employer-provided health insurance payments for workers' families are explicitly excluded from being counted as the employee's personal income for Medicaid eligibility.

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

How much income is ignored when calculating Medicaid eligibility under this bill?
The first $20,000 of an individual's , , or combination of both is .
Does employer-provided health insurance count toward the income limit?
No amount that an individual's employer pays for family health insurance is treated as the individual's income under the bill.

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. Nov 12, 2025HouseCommittee
    Referred to Medicaid
  2. Nov 10, 2025HouseIntroduced
    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

General Assembly of the State of Ohio, Ohio WorkAbility Program, Mike Odioso and 2 more
OrganizationGeneral Assembly of the State of Ohio“State legislative body enacting the bill”Map →
OrganizationOhio WorkAbility Program“State program connected to disability employment and Medicaid eligibility”Map →
PersonMike Odioso“Representative, District 30”Map →
OrganizationMedicaid Buy-In For Workers With Disabilities Program“State program providing Medicaid coverage to working individuals with disabiliti”Map →
PersonCrystal Lett“Representative, District 11”Map →

Sources

Open source document

www.legislature.ohio.gov

Analysis Score

0–100
  • Significance50
    How much this matters to a regular citizen
  • Controversy10
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz15
    Current news / social attention level

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