HB 356: Require audit, action plan-Aged, Blind, Disabled Medicaid group
The state of Ohio will conduct an audit of its Medicaid program to determine if individuals who are eligible due to being aged, blind, or disabled are actually eligible. The audit will examine if these individuals have countable assets exceeding the allowed limits. Based on the audit findings, the state will implement a corrective action plan to reduce spending in the Medicaid program for these individuals by $2.4 billion over the biennium. The plan will include: - Disenrolling individuals determined to be ineligible - Establishing an electronic asset verification system - Implementing other initiatives to reduce spending The state will use funds from the general revenue fund to conduct the audit and implement the corrective action plan. The plan will be maintained and accounted for in accordance with state budgeting procedures.
| Jun. 18, 2025 | Referred to committee: Finance |
| Jun. 11, 2025 | Introduced |
As Introduced
136th General Assembly
Regular Session
H. B. No. 356
$2025-2026$
Representative Dovilla
To require an audit and corrective action plan for the Aged, Blind, and Disabled Medicaid eligibility group and to make an appropriation.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:
Section 1.
(A) The Department of Medicaid shall enter into a data sharing agreement with the Auditor of State for the exchange of, and the provision of access to, data and other enrollment and eligibility information related to all Medicaid enrollees who are members of the aged, blind, and disabled eligibility group.
(B) Using the information received under division (A) of this section, the Auditor of State shall conduct a full audit of the Medicaid program to determine whether any individuals enrolled in the Medicaid program on the basis of being a member of the aged, blind, and disabled eligibility group are ineligible to participate in the Medicaid program. The audit shall specifically examine whether individuals who are members of the aged, blind, and disabled eligibility group have countable assets that exceed the limits specified in 42 C.F.R. 416.1205.
(C) Upon the conclusion of the audit conducted under this section, the Department of Medicaid shall initiate a corrective action plan, designed to reduce spending in the Medicaid program for individuals in the aged, blind, and disabled eligibility group by $2,400,000,000 during the biennium, that does all of the following:
- Disenrolls individuals who are determined by the audit to be ineligible for continued participation in the Medicaid program;
- Establishes and implements an electronic asset verification system for all applicants and enrollees in the aged, blind, and disabled eligibility group;
- Undertakes other initiatives designed to reduce spending in the Medicaid program for individuals in the aged, blind, and disabled eligibility group.
Section 2.
All items in this act are hereby appropriated as designated out of any moneys in the state treasury to the credit of the designated fund. For all operating appropriations made in this act, those in the first column are for fiscal year 2026 and those in the second column are for fiscal year 2027. The operating appropriations made in this act are in addition to any other operating appropriations made for these fiscal years.
Section 3.
| A | B | C | D | E |
|---|---|---|---|---|
| AUD | AUDITOR OF STATE | General Revenue Fund | GRF 070401 Audit Management and Services | $5,000,000 |
| General Revenue Fund Total | $5,000,000 | $0 | ||
| TOTAL ALL BUDGET FUND GROUPS | $5,000,000 | $0 |
AUDIT MANAGEMENT AND SERVICES
The foregoing appropriation item 070401, Audit Management and Services, shall be used to conduct an audit in accordance with Section 1 of this act.
Section 4.
Within the limits set forth in this act, the Director of Budget and Management shall establish accounts indicating the source and amount of funds for each appropriation made in this act, and shall determine the manner in which appropriation accounts shall be maintained. Expenditures from operating appropriations contained in this act shall be accounted for as though made in, and are subject to all applicable provisions of, the main operating appropriations act of the 136th General Assembly.