Ohio General Assembly

Lawmakers have fully returned to action for the 2026 legislative session.  Both the Ohio House and Senate chambers are holding various committee hearings and voting on bills.  They will most likely break for the month of April to engage in primary election campaign activities but return to legislative work in May and June when they will again break for the summer and early fall for the general election campaign. As far as priorities go, lawmakers are expected to work on producing a Capital Budget, passing a Corrections Budget to adjust spending and policy technicalities, reviewing additional property tax reforms, monitoring the Medicaid funding shortfall, and continuing to focus on fraud waste and abuse oversight activities. As this legislative session advances, the Ohio Council staff will continue to review and monitor legislative activity, engage lawmakers and key staff, and advocate with DeWine administration officials on policy issues that affect the community behavioral health system.  Accordingly, below are legislative measures that we have identified for further review or advocacy, and implementation monitoring.

HB28

ELIMINATE REPLACEMENT PROPERTY TAX LEVY AUTHORITY (MATHEWS A, HALL T) To eliminate the authority to levy replacement property tax levies.

 

Current Status:   

4/8/2025 - Senate Ways and Means, (First Hearing)

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-HB-28

HB57

OVERDOSE REVERSAL DRUGS, SCHOOL RELEASED TIME (JARRELLS D, WILLIAMS J) Regarding school policies on the administration of overdose reversal drugs and limits on student attendance in released time courses in religious instruction.

 

Current Status:   

10/20/2025 - SIGNED BY GOVERNOR; eff. 90 days

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-HB-57

HB58

RECOVERY HOUSING, ADDICTION SERVICES (PIZZULLI J, JARRELLS D) To require state certification of recovery housing residences, to establish additional duties regarding services offered by community addiction services providers, and to create the Ohio Recovery Housing Task Force.

 

Current Status:   

2/25/2026 - PASSED BY HOUSE; Vote 92-0

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-HB-58

HB144

COMMUNICATION DISABILITY DATABASE EXPANSIONS (CLICK G) To expand the communication disability database to include any person with a disability, to expand access to that database through countywide 9-1-1 systems, and to name this act "Keith's Law".

 

Current Status:   

10/20/2025 - SIGNED BY GOVERNOR; eff. 90 days

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-HB-144

HB172

REQUIRE PARENTAL CONSENT-MINORS' MENTAL HEALTH SERVICE (NEWMAN J) To prohibit the provision of mental health services to minors without parental consent.

 

Current Status:   

11/19/2025 - House Health, (Third Hearing)

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-HB-172

HB186

REDUCE SCHOOL DISTRICT PROPERTY TAXES (HOOPS J, THOMAS D) To authorize a reduction in school district property taxes affected by a millage floor that would limit increases in such taxes according to inflation, to modify the process for certifying property tax abstracts, and to make an appropriation.

 

Current Status:   

12/19/2025 - SIGNED BY GOVERNOR; eff. immediately

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-HB-186

HB189

REGARDING SCHOOL BEHAVIORAL THREAT MANAGEMENT (HALL T, GHANBARI H) Regarding a statewide behavioral threat management operational process for public and chartered nonpublic schools.

 

Current Status:   

2/4/2026 - House Education, (Second Hearing)

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-HB-189

HB190

PUBLIC SCHOOLS-GENDER PRONOUN USE (NEWMAN J, WILLIAMS J) To enact the Given Name Act regarding the use of gender pronouns in public schools.

 

Current Status:   

4/29/2025 - House Education, (First Hearing)

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-HB-190

HB219

ESTABLISH INSURER NETWORK ADEQUACY STANDARDS (DEETER K) To establish network adequacy standards for health insurers.

 

Current Status:   

10/7/2025 - BILL AMENDED, House Insurance, (Second Hearing)

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-HB-219

HB220

REGARDING PRIOR AUTHORIZATION REQUIREMENTS (WORKMAN H) Regarding health insurance and Medicaid program prior authorization requirements.

 

Current Status:   

2/17/2026 - House Insurance, (Fourth Hearing)

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-HB-220

HB298

LEGALIZE, REGULATE INTERNET GAMBLING (STEWART B, JOHN M) To legalize and regulate internet gambling in this state, to levy a tax on businesses that provide internet gambling, and to prohibit online sweepstakes games.

 

Current Status:   

6/3/2025 - House Finance, (Second Hearing)

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-HB-298

HB309

LAW CHANGES-COUNTY BUDGET COMMISSIONS (THOMAS D) To modify the law governing county budget commissions and property taxation.

 

Current Status:   

12/19/2025 - SIGNED BY GOVERNOR; eff. 3/18/26

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-HB-309

HB324

PRESCRIPTION DRUG CONDITIONS-SEVERE ADVERSE EFFECTS (MATHEWS A, CRAIG M) To establish conditions on the prescribing of prescription drugs causing severe adverse effects and to name this act the Patient Protection Act.

 

Current Status:   

2/11/2026 - Referred to Committee Senate Health

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-HB-324

HB335

LIMIT INSIDE MILLAGE REVENUE INCREASES (THOMAS D) To limit revenue increases from inside millage levies occurring due to a reappraisal or update.

 

Current Status:   

12/19/2025 - SIGNED BY GOVERNOR; eff. 3/18/26

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-HB-335

HB346

CHILD ABUSE MANDATORY REPORTING (KISHMAN M, WILLIAMS J) To enact V.J.'s Law to require mandatory reporters of child abuse or neglect to report to both a peace officer and the public children services agency.

 

Current Status:   

11/12/2025 - House Public Safety, (Second Hearing)

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-HB-346

HB393

COMMUNITY CORRECTIONS-OBTAINING ID CARDS (CLICK G, BREWER D) To require that community-based correctional facilities and programs assist inmates in obtaining state identification cards prior to release.

 

Current Status:   

2/17/2026 - Senate Addiction and Community Revitalization, (First Hearing)

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-HB-393

HB453

REGARDING COVERAGE, PRACTICE-APPLIED BEHAVIOR ANALYSIS (LORENZ B) Regarding insurance and Medicaid coverage of applied behavior analysis therapy for autism treatment and to permit exam-eligible technicians to engage in the practice of applied behavior analysis.

 

Current Status:   

2/17/2026 - House Insurance, (Second Hearing)

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-HB-453

HB508

LAW CHANGES-APRN PRACTICE (GROSS J, BAKER R) To modify the laws governing the practice of advanced practice registered nurses and to name this act the Better Access to Health Care Act.

 

Current Status:   

11/18/2025 - House Medicaid, (Third Hearing)

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-HB-508

HB515

ADAMH BOARD COMPOSITIONS, CONTRACTS (WILLIAMS J) Regarding the composition of boards of alcohol, drug addiction, and mental health services and regarding board contracts.

 

Current Status:   

10/15/2025 - Referred to Committee House Children and Human Services

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-HB-515

HB525

REGARDING AI-THERAPY (COCKLEY C, MATHEWS T) Regarding the use of artificial intelligence in therapy services.

 

Current Status:   

10/22/2025 - Referred to Committee House Health

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-HB-525

HB579

REGULATE AI USE-HEALTH INSURERS (SCHMIDT J) To regulate the use of artificial intelligence by health insurers.

 

Current Status:   

11/12/2025 - Referred to Committee House Insurance

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-HB-579

HB587

REGARDING KRATOM PRODUCT SALES (ODIOSO M, LORENZ B) Regarding sales of kratom products.

 

Current Status:   

2/25/2026 - House Agriculture, (First Hearing)

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-HB-587

HB622

MENTAL HEALTH, SUBSTANCE ABUSE PILOT PROGRAM CREATION (WILLIAMS J, ROBB BLASDEL M) To enact the Mental Health and Community Wellness Act to amend the competency to stand trial law, to create the mental health and substance abuse community-based correctional facility pilot program, to require a prosecutor to file for civil confinement of a defendant who is found incompetent to stand trial and who is charged with a felony or a misdemeanor offense of violence, and to make an appropriation.

 

Current Status:   

2/4/2026 - Referred to Committee House Judiciary

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-HB-622

HB675

ESTABLISH MEDICAID MCO PAYMENT PROGRAM (STEPHENS J, DEETER K) To establish a temporary program for hospital payments made by Medicaid managed care organizations and to name this act the Healthier Rural Hospitals Act.

 

Current Status:   

2/18/2026 - Referred to Committee Senate Finance

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-HB-675

HB680

REGARDING SUBSTANCE USE, MENTAL HEALTH TREATMENT-DEFENDANTS (WILLIAMS J) Regarding substance use disorder and mental health treatment for criminal defendants.

 

Current Status:   

2/24/2026 - House Community Revitalization, (First Hearing)

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-HB-680

HB693

AFFIRMATION PROTECTION-MINOR'S SEX (CLICK G, WILLIAMS J) To enact the Affirming Families First Act and protect the right to affirm a minor child's sex.

 

Current Status:   

2/18/2026 - Referred to Committee House Judiciary

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-HB-693

HB709

MENTAL TELEHEATH COVERAGE REQUIREMENTS (BROWNLEE K, CRAIG M) To require private insurers to cover telehealth services for mental health services the same as for in-person mental health services.

 

Current Status:   

2/25/2026 - Referred to Committee House Insurance

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-HB-709

HB716

CREATE ALL-PAYER CLAIMS DATABASE (CRAIG M, DEETER K) To create within the Department of Insurance an all-payer claims database.

 

Current Status:   

2/24/2026 - Introduced

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-HB-716

HB718

BEHAVIORAL HEALTH PROFESSIONALS REGULATION (BROWNLEE K, SALVO J) To change the name of the Chemical Dependency Professionals Board to the Behavioral Health Professionals Board, to require the Board to certify peer supporters and qualified mental health professionals, and to make other changes to the laws governing the Board and the professionals it regulates.

 

Current Status:   

2/25/2026 - Introduced

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-HB-718

SB7

REGARDING INSTRUCTION-SUBSTANCE USE (JOHNSON T) Regarding instruction for public and chartered nonpublic school students in the harmful effects of substance use.

 

Current Status:   

9/30/2025 - House Education, (First Hearing)

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-SB-7

SB56

LAW CHANGES-MARIJUANA, LIQUOR, HEMP (HUFFMAN S) To revise specified provisions of the liquor control, hemp, and adult-use marijuana laws, and to make an appropriation, and to amend section 4506.01 of the Revised Code effective December 31, 2026, to revise the law governing commercial driver's licenses.

 

Current Status:   

12/19/2025 - SIGNED BY GOVERNOR; eff. immediately

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-SB-56

SB137

REQUIRE HOSPITALS-PROVIDE OVERDOSE REVERSAL DRUGS (JOHNSON T) To require hospitals to provide overdose reversal drugs under certain circumstances.

 

Current Status:   

2/25/2026 - PASSED BY HOUSE; Vote 80-11

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-SB-137

SB138

MODIFY ADAMH SERVICES LAWS (JOHNSON T) To modify various laws regarding boards of alcohol, drug addiction, and mental health services and to impose penalties for not registering recovery housing residences.

 

Current Status:   

7/1/2025 - SIGNED BY GOVERNOR; eff. 9/30/25

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-SB-138

SB162

REGARDING HEALTH INSURANCE RECOUPMENT (BLESSING III L) Regarding the timeframe for health insurer recoupment from health care providers.

 

Current Status:   

10/21/2025 - Senate Financial Institutions, Insurance and Technology, (Second Hearing)

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-SB-162

SB164

REGULATE ARTIFICIAL INTELLIGENCE-HEALTH INSURERS (CUTRONA A) Regulate the use of artificial intelligence by health insurers.

 

Current Status:   

10/28/2025 - Senate Financial Institutions, Insurance and Technology, (First Hearing)

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-SB-164

SB165

PROHIBIT HEALTH INSURERS-CERTAIN CLAIM DENIALS (MANCHESTER S) To prohibit a health insuring corporation or sickness and accident insurer from reducing or denying a claim based on certain factors.

 

Current Status:   

10/14/2025 - Senate Financial Institutions, Insurance and Technology, (First Hearing)

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-SB-165

SB166

PROHIBIT FEES-HEALTH INSURER, MEDICAID ELECTRONIC CLAIMS (MANNING N) To prohibit fees for electronic claims submission by health insurer and the Medicaid program.

 

Current Status:   

4/2/2025 - Referred to Committee Senate Medicaid

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-SB-166

SB197

VARIOUS CHANGES-INTERNET GAMBLING (MANNING N) To legalize internet gambling and levy a tax on businesses that provide internet gambling, to permit internet lottery gaming and online wagering on horse racing, to make other changes to the Gambling Law, and to make an appropriation.

 

Current Status:   

5/28/2025 - Senate Select Committee on Gaming, (Third Hearing)

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-SB-197

SB207

PROHIBIT COST SHARING PRACTICES-CERTAIN HEALTH INSURANCE (MANCHESTER S, LISTON B) To prohibit certain health insurance cost-sharing practices.

 

Current Status:   

11/4/2025 - Senate Financial Institutions, Insurance and Technology, (Third Hearing)

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-SB-207

SB258

BETTER ACCESS TO HEALTH CARE ACT (LANG G, ROMANCHUK M) To modify the laws governing the practice of advanced practice registered nurses and to name this act the Better Access to Health Care Act.

 

Current Status:   

10/1/2025 - Referred to Committee Senate Health

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-SB-258

SB274

PROHIBIT MENTAL HEALTH SERVICES WITHOUT PARENTAL CONSENT (CIRINO J, BRENNER A) To prohibit the provision of mental health services to minors without parental consent.

 

Current Status:   

10/1/2025 - Referred to Committee Senate Health

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-SB-274

SB295

RESTORATION OF COMPETENCY-CRIMINAL CASES (MANNING N, PATTON T) Relative to the timeline for restoration of competency in criminal cases and to declare an emergency.

 

Current Status:   

2/20/2026 - SIGNED BY GOVERNOR; eff. 2/20/26

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-SB-295

SB299

REGARDING KRATOM PRODUCT SALES (BLESSING III L) Regarding sales of kratom products.

 

Current Status:   

11/18/2025 - Senate General Government, (First Hearing)

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-SB-299

SB352

REGARDING BEHAVIORAL HEALTH SCREENINGS-PERINATAL PERIOD (WEINSTEIN C, TIMKEN J) Regarding behavioral health screenings in the perinatal period and to make an appropriation.

 

Current Status:   

2/11/2026 - Referred to Committee Senate Finance

 

State Bill Page:   

https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA136-SB-352