Ohio General Assembly Update

There has not been any legislative activity since lawmakers adjourned in December. Ohio House Members are not scheduled to return to the statehouse until mid-February and Ohio Senate committees were cancelled due to weather conditions this week. When lawmakers do return for the 2026 legislative session, they are expected to focus on a Capital Budget and/or Medicaid funding shortfall, fraud waste and abuse oversight activities, additional property tax reforms, and possibly another corrections bill to adjust spending and minor policy issues. Because this year is an election year, lawmakers will be away from the statehouse for significant periods of time for both the primary and general election campaign periods. Of course, 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 and monitoring.

Bill

Bill Sponsor and Description

Current Status

HB 28

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

  • Concerned about impact on local levies
  • Included in Budget Bill
  • House and Senate voted to override Gov’s veto

4/8/25 – Passed House, Pending in Senate Committee

*Included in HB 96

10/2/25 veto overridden and now law.

HB 58

 

(Changed from opposition to IP)

RECOVERY HOUSING Reform (PIZZULLI J, JARRELLS D) To reform regulatory system of recovery housing residences.

  • Sub Bill accepted with positive changes – removes the following measures: certificate of need; bed fees; and ADAMHS board investigations of recovery residences.
  • We are continuing to work with ORH and OARP to improve the bill

11/18/25 – House Community Revitalization Committee (5th Hearing)

*Accepted Sub Bill

HB 96

Operating Budget for SFY 26-27 (Stewart) to make appropriations for the biennium, levy taxes, and provide authorization for state programs.

  • Passed GA 6/25; Gov Signed 6/30 – appropriations effective immediately; other provisions 9/30.
  • Awaiting guidance on federal Medicaid changes (work requirements and redetermination process; MHAS block grants.
  • Items not included Peers to CDPB; QMH credential; Tax increase on Marijuana and Sports Gaming

6/25/25–Enacted by General Assembly; 6/30/25-- Signed by Governor with 67 vetoes. Eff 9/30/25

10/2/25—GA voted to override one veto item (repeal of replacement levy)

HB 160

 

Consolidated into SB 56 conference committee report

11/19/25

 REVISE LIQUOR CONTROL, HEMP, MARIJUANA LAWS (STEWART B) To revise specified provisions of the liquor control, hemp, and adult-use marijuana laws and to levy taxes on marijuana.

  • Combines regulations and oversight responsibilities of recreational and medical marijuana into the Division of Marijuana Control (DMC).
  • Reduces THC levels; imposes marketing, advertising and informational safeguards; prohibits use in public.
  • Modifies how revenue from the 10% tax on adult-use marijuana is credited by dedicating 20% of the revenue to make temporary payments to municipalities and townships and redirecting the rest to the GRF.

Lawmakers to address in fall legislative session

5/7/2025 - House Judiciary, (Third Hearing)

HB 162

Regarding Minors’ Medical Records (Click)Related to medical records of minors and parental consent.

  • Requires a health care provider to ensure a minor’s parent or guardian has access to the minor’s EHR to the fullest extent permitted under HIPAA; and offer opportunities and reminders about consent.

10/15/2025 -PASSED HOUSE; 10/22/25 -referred to Senate Health committee

HB 172

 

(Oppose)

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

  • Would repeal section 5122.04 (temporary emergency counseling authority)
  • Teresa testified in opposition in committee along with a host of other advocates

11/19/2025 - House Health (Third hearing)

HB 184

Budget Corrections bill (NF reimbursement payment recalculation) (Stewart B) – originally a bill to address collegiate NIL contracts, the bill was used as the vehicle for a budget corrections bill. 

See LSC summary

11/19/25 – Passed House and Senate. Sent to Governor for signature.

HB 189

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

  • Monitoring for significant changes and added requirements for providers working in schools

4/29/2025 - House Education (1st hearing)

HB 190

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

  • Monitoring for new requirements and possible penalties for providers operating in schools and working with students.

4/29/2025 - House Education (1st hearing)

HB 219

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

*LSC Analysis

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

HB 220

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

*LSC Analysis

10/28/2025 - House Insurance, (Third Hearing)

HB 309

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

11/19/2025 - Consideration of Senate Amendments; House Does Concur, Vote 64-25; Pending Gov’s signature.

HB 335

LIMIT INSIDE MILLAGE REVENUE INCREASES – (Thomas) To limit revenue increases from inside millage levies occurring due to a reappraisal or update, to allow a reduction of inside millage to accompany a school district income tax levy, to allow a reduction of inside millage to accompany a municipal income tax levy, and to require county budget commission approval of inside millage reductions to accompany a county sales tax levy.

*Monitoring for impact on local human services levies

*Governor has established Task Force to study property tax   reform and submit report

*LSC Analysis and *Comp Doc analysis

11/19/2025 – House Concurs with Senate amendments, Pending Gov’s signature

HB 346

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

*Working with other stakeholders to express concerns about duplication and educating lawmakers on reporting process.

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

HB 393

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.

11/19/2025 – Passed by House (89-0)

HB 455

Elimination Obsolete Educational Provisions (Manning / Bird)

Regarding the operation of public schools and elimination of obsolete provisions of education law.

  • Revises the procedures for public schools’ parental notification of several issues, including (2) services related to a student’s mental, emotional, or physical health or well-being

11/19/2025 – Passed by House (87-0)

HB 508

 

(Support)

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.

  • Grants an APRN the option to practice without a
  • standard care arrangement and collaborating practitioner if the APRN has practiced in a clinical setting for 5,000 hours.
  • Submitted proponent testimony

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

HB 515

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

  • Requires political affiliation to be considered for Board appointment;
  • Includes new language regarding a Boards’ contracting authority: “No board shall deny a contract to or refuse to contract with a for-profit entity or nonprofit entity, including a faith-based entity, based solely on the entity's for-profit or nonprofit status.”

10/15/2025 – Referred Committee House Children and Human Services

SB 1

ADVANCE OHIO HIGHER EDUCATION ACT (CIRINO J) To enact the Advance Ohio Higher Education Act regarding the operation of state institutions of higher education

  • Similar to SB 83 from last GA (Companion to HB 6)

Allows waiver for professional licensure requirements for social work; counseling; and other healthcare classes.

3/28/25 – Enacted.

Signed by Governor DeWine.  Effective June 30, 2025

SB 7

 

(Support)

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

  • Reaching out to sponsor to discuss prevention generally and express support; Senator Johnson is also sponsor of SB 105 (ADAMHS board bill) from last GA

4/30/2025 – Passed by the Senate; 9/30/25 – First Hearing in House Ed Committee

SB 56

*Vehicle used to consolidate marijuana rules along with Intoxicating Hemp regulations

LAW CHANGES-MARIJUANA, LIQUOR, HEMP – (Huffman) To revise specified provisions of the liquor control, hemp, and adult-use marijuana laws, to levy taxes on certain hemp products, and to make an appropriation.

*10% tax on marijuana sales; distributes revenue to (36%) to local governments and remaining (64%) to state GRF

*Modifies regulations of Intoxicating Hemp products, including THC beverages to be compliant with new federal rules.

*See LSC Summary of Conference Committee Report

House Accepts Conference Committee Report, (Vote 52-34); Pending Senate passes Conference Report 12/9/25. Sent to Governor for signature – effective in 90 days once signed.

SB 86

Consolidated into SB 56 conference report.

REGULATE HEMP, CANNABINOID PRODUCTS (HUFFMAN S, WILKIN S) To generally prohibit the sale of intoxicating hemp products, except for sales at licensed dispensaries; and to levy taxes

  • Many provisions of this bill have been included in SB 56

5/7/25 – Passed Senate; Pending in House General Govt Committee (5th hearing)

SB 138

 

(Support)

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.

  • Compromise language approved by the OC Board
  • OC, OACBHA and OARP support
  • Added criminal penalties for recovery residence violations

7/1/25 – Signed by Governor; effective 9/30/25.

SB 160

REGARDING PRESCRIPTION DRUGS-MEDICATION SWITCHING (LISTON B, JOHNSON T) Regarding prescription drugs and medication switching.

  • Prohibits insurers from making mid-year drug formulary changes that disrupt physician’s ability to exercise medical expertise to help their patients.

10/21/2025 -- Senate Financial Institutions and Insurance (third hearing.

SB 162

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

  • Changes 24-month takeback timeframe, decreasing it to the same timeframe given to a provider to submit a claim, and also prohibit insurers from changing these timeframes during a contract period.
  • Would prohibit insurers from charging a provider for appealing a determination of overpayment.

10/21/2025 - Senate Financial Institutions and Insurance (First Hearing)

SB 164

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

  • Requires transparency by insurers on the use of AI tools in prior authorization determinations and ensures that determinations are made through review of individual merits of claims by licensed clinical professionals.

10/28/2025 – First hearing Senate Financial Institutions and Insurance

SB 165

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

  • Contains prohibitions on down-coding for all providers, including prohibitions on limitations on reimbursement for time spent with patients.

10/14/2025 - Senate Financial Institutions and Insurance (First hearing

SB 166

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

  • Would prohibit insurers from imposing a charge or fee, (including through withholding from payment), on any provider for electronic fund transfers or remittance advice transactions.

4/2/2025 - Referred to Committee Senate Medicaid

SB 197

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.

  • Authorizes three new types of online gambling: internet gambling, lottery gaming, and online horse racing.
  • Consolidates the regulation of gambling in Ohio under the authority of the Ohio Casino Control
  • These provisions were not included in the budget bill

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

SB 258

 

(Support)

BETTER ACCESS TO HEALTH CARE ACT (LANG G, ROMANCHUK M) To modify the laws governing the practice of advanced practice registered nurses

*Companion bill to HB 508

*Requires 2000 hours of practice in a clinical setting to practice without a SCA (most likely gets amended to 5000 hours)

*Sen. Romanchuk stated that bill is pending action on HB 508.

 

10/1/2025 - Referred to Committee Senate Health

SB 274

(Oppose)

Had positive discussion with Sen. Brenner. Bill not on fast-track.  IP meetings expected in new year.

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

*Companion bill to HB 172

*Removes 5122.04

10/1/2025 - Referred to Committee Senate Health

SB 276

INTERSTATE COMPACT-SCHOOL PSYCHOLOGISTS (ROEGNER K) To ratify the Interstate Compact for School Psychologists.

11/12/2025 – Passed Senate; 11/19/21 – Referred to House Education

SB 295

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

  • Increases the time during which a criminal defendant may be held for purposes of restoring the defendant’s competency – up to 5 years in some instances;
  • Tolls or restarts the time limit for restoration of competency under certain circumstances.
  • Retroactive to any criminal defendant found incompetent to stand trial prior to the effective date of the bill and whose restoration to competency is ongoing or whose case remains pending.

11/12/25 – Passed Senate (31-0); 11/19/2025 - Referred to House Judiciary Committee