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Ohio Bill Mandates Medicaid Managed Care Payment Rates Equal to Fee-for-Service for Medical Equipment and Supplies

Original title: Regards Medicaid managed care organization payment rates

Last action · September 8, 2026: IntroducedSponsor: Marilyn John

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

Ohio HB 1005 requires s, their subcontractors, and third-party administrators to pay 100% of the fee-for-service rate for , complex rehab technology, prosthetics, orthotics, and supplies.

Why it matters

Changes payment standards for medical equipment and supply providers serving Medicaid managed care patients, directly aligning their reimbursement amounts with state fee-for-service schedules.

Background
  • Medicaid managed care organizations in Ohio contract with the state to coordinate healthcare services for eligible individuals. 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

Medicaid managed care organizations

Must set payment rates for medical equipment and supplies to equal 100 percent of the Medicaid fee-for-service rate.

Directly affected

Medical equipment and supply providers

Receive mandated reimbursement rates equal to the fee-for-service component for items such as prosthetics, orthotics, and durable medical equipment.

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 payment rate is required for durable medical equipment under this bill?
The payment rate must equal one hundred percent of the payment rate under the of Medicaid.
Who must follow these new payment rate rules?
s, their subcontractors, and third-party administrators.

What else do you want to know?

News Coverage

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

Where This Stands

Currently filed. The next step in the legislative lifecycle is Committee.

Procedural history

1 action
  1. Sep 8, 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

5167.052, Marilyn John, Ohio
other5167.052“Section of the Revised Code being enacted”Map →
PersonMarilyn John“Representative, District 76”Map →
locationOhio“State of the General Assembly”Map →

Sources

Open source document

www.legislature.ohio.gov

Analysis Score

0–100
  • Significance50
    How much this matters to a regular citizen
  • Controversy20
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz15
    Current news / social attention level

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