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As Introduced
136th
General Assembly
Regular
Session
H. B. No. 552
2025-2026
Representatives Pizzulli, Lett
Cosponsors: Representatives Brennan,
Ritter, Rogers, Baker, Brewer, Upchurch
To
amend section 5164.16 of the Revised Code
to
make changes to the law regarding Medicaid reimbursement for hospice
providers.
BE
IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:
Section
1.
That
section 5164.16 of the Revised Code be amended to read as follows:
Sec.
5164.16.
(A)
The
medicaid program may cover one or more state plan home and
community-based services that the department of medicaid selects for
coverage. A medicaid recipient of any age may receive a state plan
home and community-based service if the recipient has countable
income not exceeding two hundred twenty-five per cent of the federal
poverty line, has a medical need for the service, and meets all other
eligibility requirements for the service specified in rules adopted
under section 5164.02 of the Revised Code. The rules may not require
a medicaid recipient to undergo a level of care determination to be
eligible for a state plan home and community-based service
.
(B)
Effective not later than January 1, 2028, the director shall adopt
rules specifying that a medicaid hospice provider shall be reimbursed
for room and board for a hospice patient who is a resident of a
nursing facility or an ICF/IID at an amount equal to one hundred per
cent of the rate established for the nursing facility or ICF/IID for
days when the patient receives routine home care or continuous home
care
.
Section
2.
That
existing section 5164.16 of the Revised Code is hereby repealed.