Enact the Clinical Teaching Subsidy Reform Act

hb319_02_PH

As Passed by the House

136th
General Assembly

Regular
Session
Am. H. B. No. 319

2025-2026

Representative Young

Cosponsors: Representatives Brennan,
Fischer, Robb Blasdel, Santucci

To
enact section 3333.89 of the Revised Code
to
enact the Clinical Teaching Subsidy Reform Act regarding the state
university clinical teaching subsidy.

BE
IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:

Section
1.
That
section 3333.89 of the Revised Code be enacted to read as follows:

Sec.
3333.89.
The
chancellor of higher education and each public medical college shall
begin performing their duties under this section in the first full
fiscal year that next begins after the effective date of this
section.

(A)
As used in this section, "public medical school" means all
of the following:

(1)
The Ohio state university college of medicine;

(2)
The university of Cincinnati college of medicine;

(3)
The Ohio university heritage college of osteopathic medicine;

(4)
The Wright state university Boonshoft school of medicine;

(5)
Northeast Ohio medical university;

(6)
The university of Toledo college of medicine and life sciences.

(B)

Beginning
with the first full fiscal year that next begins after the effective
date of this section, the
chancellor
of higher education annually shall use funds appropriated by the
general assembly to distribute a clinical teaching subsidy to public
medical schools to support clinical instruction and the education of
physicians in this state. The chancellor shall distribute the subsidy
to public medical schools using a formula that does both of the
following:

(1)
Allocates ninety per cent of the subsidy proportionally among the
schools based on the number of full-time equivalent students enrolled
in clinical training years;

(2)
Allocates ten per cent of the subsidy among the schools based on
whether a school met performance metrics that reflect the school's
contribution to the development and retention of physicians in this
state, which may include the following:

(a)
The percentage of students who are residents of this state;

(b)
The percentage of graduates entering medical residency programs in
this state;

(c)
The percentage of graduates practicing medicine in this state three
years after graduating.

(C)
The chancellor annually shall publish all of the following:

(1)
The number of qualifying full-time equivalent students enrolled in
each public medical school;

(2)
The performance metrics included in the formula to distribute the
clinical teaching subsidy, and the performance of each public medical
school on those metrics;

(3)
The final subsidy allocation to each public medical school.

(D)(1)
Each public medical school annually shall report to the chancellor,
in a form and manner prescribed by the chancellor, all of the
following:

(a)
How the public medical school used its clinical teaching subsidy
funds;

(b)
Clinical training sites and rotation placements;

(c)
Student residency match outcomes;

(d)
Workforce retention statistics.

(2)
The chancellor shall review reports submitted under division (D) of
this section to ensure that each public medical school is using its
portion of the clinical teaching subsidy to provide clinical
instruction and educate physicians.

(E)
The chancellor shall adopt rules in accordance with Chapter 119. of
the Revised Code to administer and enforce this section. The
chancellor shall include all of the following in the rules:

(1)
A definition of clinical year that is consistent with the definition
used when determining the state share of instruction appropriation
for professional-level medical students in the main operating
appropriations act;

(2)
A definition of qualifying full-time equivalent student;

(3)
Data submission procedures;

(4)
Authorized performance metrics and data sources.

Section
2.
This
act shall be known as the Clinical Teaching Subsidy Reform Act.