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Ohio creates health reinsurance program and imposes 1% gross-premium assessment on health insuring corporations

Original title: Establish a reinsurance program

Last action · May 20, 2026: Referred to InsuranceSponsors: Anita Somani and 6 others

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

Ohio establishes a state program managed by the superintendent of insurance to lower health plan rates by covering high-risk individual claims, funded by a 1% annual assessment on health insuring corporations and federal pass-through funds.

Why it matters

Health insuring corporations face a new annual tax of 1% on gross premiums, while health plan issuers become eligible for state payouts for individual medical claims exceeding $30,000 up to $250,000.

Background
  • State reinsurance programs are established under Section 1332 of the Affordable Care Act to help stabilize individual health insurance markets by lowering premiums for consumers with high medical costs. 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

health plan issuers

Health plan issuers are eligible to receive reinsurance payments from the program based on funds available in the Ohio reinsurance fund.

Directly affected

health insuring corporations

Health insuring corporations are subject to an annual assessment equal to one per cent of their gross premiums from the previous calendar year.

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 will the reinsurance program be funded?
The program is funded by federal pass-through funds from a Section 1332 , any additional federal funds, and an annual assessment of 1% of gross premiums imposed on health insuring corporations.
What are the payment parameters of the reinsurance program?
The program has an of $30,000, an 80% , and a coinsurance cap of $250,000, subject to annual adjustments by the superintendent of insurance.

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. May 20, 2026HouseCommittee
    Referred to Insurance
  2. May 13, 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

Discoveries

1 pattern noticed across the record

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

financial connection95% confidence

Dual Funding Mechanism

The newly created Ohio reinsurance fund explicitly combines federal pass-through waiver money with state-levied health insuring corporation assessment fees.

Connected Entities

United States department of health and human services, Ohio reinsurance fund, Ohio
OrganizationUnited States department of health and human services“federal department whose secretary approves innovation waivers”Map →
OrganizationOhio reinsurance fund“fund created in the state treasury to hold moneys for the reinsurance program”Map →
locationOhio“state where the reinsurance program is established”Map →

Sources

Open source document

www.legislature.ohio.gov

Analysis Score

0–100
  • Significance65
    How much this matters to a regular citizen
  • Controversy40
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz25
    Current news / social attention level

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