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Ohio Senate Bill 222 Requires Medicaid Audit and Asset Verification System to Reduce Spending

Original title: Require audit, action plan-Aged, Blind, Disabled Medicaid group

Last action · June 18, 2025: Referred to FinanceSponsor: Kristina Roegner

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

Ohio Senate Bill 222 requires the Department of Medicaid and the Auditor of State to conduct an eligibility audit of the Aged, Blind, and Disabled Medicaid group, implement an electronic , and enact a corrective action plan designed to reduce program spending by $2.4 billion during the . The bill also appropriates $5,000,000 for 2026 to the Auditor of State for audit management and services.

Why it matters

Enrollees in the face potential disenrollment and new asset verification requirements, while the state allocates $5,000,000 in 2026 to conduct the audit and targets a $2,400,000,000 reduction in Medicaid spending.

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

Aged, Blind, and Disabled Medicaid enrollees and applicants

Enrollees and applicants are subject to eligibility audits, asset verification systems, and potential disenrollment from the Medicaid program.

Directly affected

Auditor of State

The office is required to conduct a full audit of the Medicaid program and receives a $5,000,000 appropriation for fiscal year 2026.

Directly affected

Department of Medicaid

The department must enter into a data sharing agreement and initiate a corrective action plan to reduce program spending.

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

Who is subject to the audit required by Senate Bill 222?
Individuals enrolled in the Medicaid program who are members of the aged, blind, and disabled eligibility group are subject to the audit.
What is the funding amount appropriated for the audit in fiscal year 2026?
The bill appropriates $5,000,000 from the General Revenue Fund to the Auditor of State for 2026 under item 070401, Audit Management and Services.
What is the spending reduction goal for the Medicaid program under the corrective action plan?
The corrective action plan is designed to reduce spending in the Medicaid program for individuals in the aged, blind, and disabled eligibility group by $2,400,000,000 during the .

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. Jun 18, 2025SenateCommittee
    Referred to Finance
  2. Jun 17, 2025SenateIntroduced
    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

Discoveries

1 pattern noticed across the record

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

financial connection95% confidence

Dedicated Audit Appropriation

The bill pairs a massive $2.4 billion biennial spending reduction target with a targeted $5 million upfront appropriation in fiscal year 2026 to fund the Auditor of State's compliance review.

Connected Entities

Auditor of State, General Revenue Fund, Director of Budget and Management and 1 more
OrganizationAuditor of State“State office required to conduct a full audit of the Medicaid program and receiv”Map →
OrganizationGeneral Revenue Fund“State fund source for the $5,000,000 appropriation.”Map →
PersonDirector of Budget and Management“State official responsible for establishing accounts and determining the manner ”Map →
OrganizationDepartment of Medicaid“State agency required to enter into a data sharing agreement and initiate a corr”Map →

Sources

Open source document

www.legislature.ohio.gov

Analysis Score

0–100
  • Significance85
    How much this matters to a regular citizen
  • Controversy60
    Intensity of disagreement among stakeholders
  • Entertainment10
    Compellingness for a non-policy-wonk reader
  • Buzz40
    Current news / social attention level

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