The civic record
Read. Follow. Verify.Ohio HB 318 modifies Medicaid Estate Recovery rules and establishes waivers for claims under $20,000
Last action · June 4, 2025: Referred to MedicaidSponsors: Jason Stephens and 4 others
Track this bill to get notified when it advances a stage. One tap to stop, anytime.
What This Bill Would Do
Ohio House Bill 318 updates the state's by requiring rules to waive recovery when total Medicaid service costs are under $20,000 or do not exceed administrative recovery costs. The measure also expands recovery categories to allow recovery from the estates of other individuals as permitted by federal law and specifies conditions for liens and exemptions.
The measure determines whether estates of deceased Medicaid recipients—or surviving family members residing in recipient homes—face property liens or estate recovery claims by the state, with new exemptions for low-cost care under $20,000.
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
Their estates and real property are subject to rules governing estate recovery claims, liens, and newly established cost-based waivers.
Surviving family members
Spouses, children, and siblings residing in a recipient's home are subject to provisions regarding when liens or estate recovery claims may be enforced or delayed.
Department of Medicaid
The department is required to adopt rules for waiving estate recovery under specific cost thresholds and administer lien placements and dissolutions.
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
When is Medicaid estate recovery waived under this bill?
Can a lien be placed on a Medicaid recipient's home while they are still living in the community?
What happens to a Medicaid real property lien if the recipient returns home?
What else do you want to know?
News Coverage
Follow the record
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- Jun 4, 2025HouseCommitteeReferred to Medicaid
- Jun 3, 2025HouseIntroducedIntroduced
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.
Introduction of Cost-Based Threshold Waivers
The bill establishes explicit statutory direction for the Department of Medicaid to waive recovery for service costs under $20,000 or below administrative expenses.
Connected Entities
Sources
www.legislature.ohio.gov
Analysis Score
0–100- Significance65How much this matters to a regular citizen
- Controversy40Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz25Current news / social attention level
Publisher tools