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Read. Follow. Verify.Ohio HB 780 eliminates the Medicaid care management system and transitions to administrative services organizations
Last action · March 25, 2026: Referred to MedicaidSponsor: Karen Brownlee
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What This Bill Would Do
Ohio House Bill 780 eliminates the state's Medicaid and replaces it with a model overseen by non-financial risk-bearing s (ASOs), while reinvesting 100% of resulting cost savings back into the Medicaid program. The bill requires the Medicaid director to convene a regional workgroup within 30 days to establish a transition plan and mandates that financial risk-bearing managed care contracts not be renewed beyond the current biennium.
Medicaid recipients, health care providers, and managed care organizations face a complete overhaul of Ohio's Medicaid delivery and administrative structure, shifting away from capitated managed care plans toward a model managed by ASOs.
- Ohio's Medicaid program has historically utilized both fee-for-service delivery models and capitated managed care plans operated by managed care organizations (MCOs) to provide healthcare services to low-income residents. context
- The Ohio General Assembly introduces legislation during biennial sessions to alter state agency structures, healthcare purchasing, and appropriations. 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.
Medicaid recipients
Medicaid recipients will be transitioned from financial risk-bearing managed care organization plans to the fee-for-service or managed fee-for-service component of Medicaid.
Medicaid providers
Providers will participate in a transition of care coordination responsibilities from managed care organizations to primary care providers and other licensed health care providers under an ASO-based model.
Medicaid managed care organizations
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 to Medicaid managed care organizations under this bill?
Where do the savings from eliminating the care management system go?
Who will oversee the new Medicaid delivery model?
What else do you want to know?
News Coverage
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Votes, people, money & the original sourceWhere This Stands
Currently in committee. The next step in the legislative lifecycle is Floor Vote.
Procedural history
2 actions- Mar 25, 2026HouseCommitteeReferred to Medicaid
- Mar 24, 2026HouseIntroducedIntroduced
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
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Complete Dissolution of Risk-Bearing MCOs
The legislation marks a definitive departure from managed care models by explicitly prohibiting contract renewals for financial risk-bearing MCOs and moving toward non-risk administrative entities.
Connected Entities
Sources
www.legislature.ohio.gov
Analysis Score
0–100- Significance85How much this matters to a regular citizen
- Controversy75Intensity of disagreement among stakeholders
- Entertainment10Compellingness for a non-policy-wonk reader
- Buzz60Current news / social attention level
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