Medicaid
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What’s at stake in Ohio? Reimagining the new Medicaid

April 28, 2025
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On April 21, 2025, The Center for Community Solutions released fact sheets and an interactive map describing Medicaid enrollment throughout Ohio and then breaking things down in the fact sheets by County. 

Around the same time as the release of Community Solutions’ facts sheets on Medicaid, the American Hospital Association (AHA) published both an infographic and an in‑depth fact sheet that illustrate the demographic and eligibility impacts on Medicaid enrollment nationwide, highlighting the damaging impacts of potential funding shortfalls on patients and health care systems. Recognizing that each state’s Medicaid program operates with a certain level of nuance, we decided to do a targeted analysis of Ohio’s Medicaid data to see exactly what’s at stake for Ohio’s communities and the community members who use Medicaid as their health insurance provider.

Medicaid in Ohio functions as a cornerstone of the state’s health care system.

Here are a few key takeaways from our examination of the data:

Medicaid in Ohio functions as a cornerstone of the state’s health care system, reaching over 40 percent of all children, a substantial portion of residents living in rural areas, low‑income older adults, and covers nearly 40 percent of all births. High pediatric enrollment helps secure preventive services and developmental screenings, while strong prenatal and postpartum coverage underpins maternal and infant health. It is important to consider that in rural communities in Ohio, where 30 percent of children under age 19 are covered by Medicaid, reducing Medicaid coverage would exacerbate enrollment gaps, further delaying care and increasing out‑of‑pocket financial strain for beneficiaries. For lower income older adults, Medicaid eligibility provides vital access to long‑term services and supports, mitigating out‑of‑pocket costs and preserving independence.

 

Sources: Ohio Department of Medicaid Who We Serve Dashboard for month of March 2025. American Community Survey 2023 5-year estimates; Decennial Census 2020 Urban and Rural population designations by Tract; Ohio Department of Health birth data [These data were provided by the Ohio Department of Health. The Department specifically disclaims responsibility for any analyses, interpretations, or conclusions].
Community Solutions has forthcoming fact sheets that will take an even deeper look at each legislative district.

From our calculations, the impact of decreases in Medicaid funding on Ohio’s communities would be vast, with drastic impacts from urban areas to more rural areas and from our youngest community members to our oldest. The current proposed changes to Medicaid would impact Ohioans along the lifespan and likely for years to come.

As such, Community Solutions has forthcoming fact sheets that will take an even deeper look at each legislative district, illustrating the distinctive impact of Medicaid on Ohioans. Please continue to follow our work for more updates as the Medicaid landscape continues to evolve.

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Ohio Statewide Data

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Wood County

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Wyandot County

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Williams County

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Washington County

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Vinton County

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Wayne County

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Warren County

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Van Wert County

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Union County

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Tuscarawas County

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Stark County

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Summit County

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Trumbull County

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Shelby County

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Seneca County

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Scioto County

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Ross County

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Sandusky County

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Richland County

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Putnam County

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Huron County

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Portage County

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Preble County

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Pike County

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Pickaway County

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Perry County

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Noble County

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Paulding County

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Ottawa County

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Morrow County

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Muskingum County

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Morgan County

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Montgomery County

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Meigs County

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Monroe County

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Miami County

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Mercer County

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Marion County

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Madison County

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Medina County

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Mahoning County

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Lucas County

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Lorain County

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Logan County

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Licking County

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Lawrence County

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Lake County

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Holmes County

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Jackson County

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Knox County

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Jefferson County

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Hocking County

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Henry County

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Highland County

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Harrison County

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Hancock County

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Hardin County

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Greene County

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Geauga County

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Guernsey County

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Hamilton County

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Gallia County

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Fayette County

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Fulton County

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Franklin County

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Fairfield County

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Erie County

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Darke County

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Defiance County

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Coshocton County

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Delaware County

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Cuyahoga County

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Crawford County

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Columbiana County

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Clinton County

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Clermont County

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Clark County

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Champaign County

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Carroll County

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Athens County

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Ashtabula County

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Brown County

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Butler County

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Belmont County

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Auglaize County

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Ashland County

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Allen County

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Adams County

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Lake County

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Geauga County

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Cuyahoga County

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All Municipalities Geauga County

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All Municipalities Lake County

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All Municipalities Cuyahoga County

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Thompson

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South Russell

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Russell

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Parkman

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