Medicaid
Public testimony

HB 96 Public Testimony: Medicaid expansion provision

February 27, 2025
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The Governor’s budget overall continues to strengthen Ohio families and while there is more to be done, our view is that this is a solid starting point to move through the budget process. While the budget is positive in many ways, there is one particularly worrisome provision included in the state budget related to Medicaid expansion.  

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The Governor’s budget overall continues to strengthen Ohio families and while there is more to be done, our view is that this is a solid starting point to move through the budget process. While the budget is positive in many ways, there is one particularly worrisome provision included in the state budget related to Medicaid expansion.

Under the as-introduced budget language, if the federal government lowers its matching funds for the expansion eligibility category, it would “trigger” the immediate end of Group VIII coverage in Ohio. This would effectively cancel health coverage for over 770,000 Ohioans who have insurance through Medicaid expansion.

While we recognize that this policy is outside the jurisdiction of this committee, so much of what is addressed here will be undermined by pulling the rug out from under 770,000 people covered by Medicaid.

Our complete state budget policy priorities

Improve coordination, efficiency, and access across public benefits, including Medicaid, SNAP, TANF and WIC.

Advocate for solutions to health and human services issues that address the needs of Ohioans of every age.

Improve data collection and sharing and implement strategies to improve maternal health, with a focus on those most impacted by severe outcomes and death.

Support the continuum of care for children and youth with behavioral health needs.

Ensure adequate funding and infrastructure for Summer EBT (SunBUCKS).

Advocate for additional funding for harm reduction.

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Medicaid in Ohio by County

More than 25 percent of Ohio's population receives health care coverage from Medicaid. These fact sheets explore those covered populations, work requirements, and the potential for coverage loss if policy or funding changes are made to the program. Data released 2025.

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