[{"_1":2,"_112":-5,"_113":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,76,88,100],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},"mediaId",6257853,"mediaKeyId","3152002-43029e253e16667a0a4994739b095fce","parentId",3152002,"title","Ohio Medicaid hospital financing package would expand hospital fees, tighten 340B eligibility","audioSeconds",3204,"startMs",5491000,"endMs",8695000,"viewUrl","/Search/View?dp=1&key=3152002-43029e253e16667a0a4994739b095fce&start=5491&end=8695","thumbnailUrl","https://assets.pipeline.soar.com/3152002-43029e253e16667a0a4994739b095fce/thumbnail_5491000.jpg","articleUrl","/articles/6257853/Ohio/Ohio-Medicaid-hospital-financing-package-would-expand-hospital-fees-tighten-340B-eligibility","mediaUrl","https://secure.pipeline.soar.com/6257853-990791e6ce27842d26b1547465198074/orig.mp4?Expires=1770445705&Signature=R3XXyXKZvHIr8TszPRpVgLKDvyBJa5yt11EQmWQdMHINcFQCYXCGdRCpMPKhPV2S7Ski6hxOGcRLkoDaIEE0YmmVKSgY3NDc7-Ou4CpV2noe2mQglyYEtoF9OA3YWVGHLQGWrPVip8g1OYW-PZ3INniPL-6ijOjW5ysMN7eMGvq22DSTmCV2jQaFgEyoPxVjIJG1PaPXWi-M3ZxV6oj5~KGOF1NJv8~wOaC6VF7iunhF-CvLWTYOETRx2Yn4qisK1HfAMxDJN6PQDCPM33O8QXBtE~GNY3F24JBbqmS~u8uFgkPT-bEh~Qmd0278cYyfJv5a6QJ9v-LlqcByvc~X3A__&Key-Pair-Id=KUT5TJCACFTXG","author","Ohio Legislature","date","2025-04-29T00:00:00Z","article","The Ohio Department of Medicaid outlined a hospital financing package that would raise the states hospital franchise fee and create a standardized set of state-directed payments for hospitals, while limiting some hospital participation in the 340B drug discount program.

The package, presented by Medicaid Director Maureen Corcoran, would increase the franchise fee to generate roughly $900 million in new revenue in the first year and about $1 billion in the second year, the department said. That revenue would be matched with federal funds and split between state priorities and targeted hospital payments, with the administration proposing a 60/40 split between state-directed uses and hospital-directed funds.

Corcoran said the proposal also seeks to curb rapid growth in non-rebatable drug spending tied to hospital participation in the 340B program. \"Our projections are that in 02/1927, we would be up to about $500,000,000 per quarter of non rebatable spend or a loss of $250,000,000 per quarter,\" Corcoran said, describing the potential annual erosion of manufacturer rebate revenue if participation patterns continue.

The administration proposes limiting contract pharmacy participation for certain hospital-based covered entities while allowing federally qualified health centers and similar traditional 340B entities to keep their contract pharmacy arrangements. Corcoran said that change would try to preserve federal rebate capture the state relies on to offset General Revenue Fund pressure.

Under the package, hospitals that seek state-directed payments would submit proposals that use a common set of metrics and standardized timeframes. Corcoran said the administration and hospitals agreed to group projects into three \"buckets\" (physician services, inpatient/outpatient services and childrens outcomes) to streamline audits and monitoring. The department said roughly 47 hospitals had expressed interest in participating, and hospitals have asked that the money be targeted to priorities such as rural hospital support, obstetric care and behavioral health.

The proposal also includes a local-tax pilot for some rural counties seeking additional, locally raised intergovernmental transfers to leverage federal match; the department said that pilot would likely take longer to implement and might not start during this biennium.

Senators on the committee pressed Medicaid staff about program fairness and durability. \"If there is not tax money, local tax money, public tax generated money, then there is no opportunity for this additional state directed payment option,\" Deputy Director Nick Strawn said, noting that hospitals must provide an intergovernmental transfer or other public funding to participate.

Corcoran and staff said the package is designed to be revenue-neutral for the states General Revenue Fund because the franchise fee dollars are matched; they also argued standardized metrics and conditions would protect the long-term viability of the payments and improve measurable quality outcomes.

The administration officials provided spreadsheets showing net impacts by hospital and said they would correct and publish a version that includes hospitals in some other existing programs. No committee vote occurred during the hearing.

The hearing did not produce a final policy change; the department said the package requires federal approval and further legislative action.

The administration asked legislators to weigh the tradeoffs of increasing fee-based revenues to shore up hospital finances while preserving federal rebate revenue that funds Medicaid services.","mediaType","Video","parentTitle","Ohio Senate Medicaid Committee - 4-29-2025","oneSentenceSummary","The Ohio Department of Medicaid outlined a hospital financing package that would raise the hospital franchise fee and create standardized state-directed payments for hospitals while seeking to curb growth in non-rebatable drug spending tied to 340B participation.","taxTitle","Medicaid, Senate, Committees, Legislative, Ohio","taxId",37396,"location","Ohio","headline","","shortSummary",{"_33":77,"_35":36,"_37":38,"_39":78,"_41":79,"_43":80,"_45":81,"_47":82,"_49":83,"_51":84,"_53":85,"_55":56,"_57":58,"_59":86,"_61":62,"_63":64,"_65":87,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6257838,"Opportunities for Ohioans with Disabilities highlights employment gains, college-to-careers expansion",471,681000,1152000,"/Search/View?dp=1&key=3152002-43029e253e16667a0a4994739b095fce&start=681&end=1152","https://assets.pipeline.soar.com/3152002-43029e253e16667a0a4994739b095fce/thumbnail_681000.jpg","/articles/6257838/Ohio/Opportunities-for-Ohioans-with-Disabilities-highlights-employment-gains-college-to-careers-expansion","https://secure.pipeline.soar.com/6257838-72ae5bcf39b43e6b85f82c82d8499c2f/orig.mp4?Expires=1770445705&Signature=CgmnaODcQnswBgacUxEPc9Al3GwuqTF4QbKodMEPKj5JMnOCKvtoE8hifgVMNLumMu7G7NOesulSWzrSys1qRZYj63n6uWs1dASKQSTvUW3MWAw7etK~sz5RKIrZQSdrVn~0~afroL68RMpmsnqv7pNw9-Zmjor77DJzN8YFO~AzpxFlU9Xy8X2XkkBfnrn3V1VEll8ZMXdNdaBMu9ya8YscXmsTRaem90BG-ncRBnwfhwPXtfC5RCiBgw7lQG5KQmvNqB4XjDyKswJoskqKCvY-SoZQmAEmnDdbuw5ehX3RQPp-AzagWGonf~QIkeu5-QT1uXcpDtnWa5uybcpYdw__&Key-Pair-Id=KUT5TJCACFTXG","Kevin Miller, director of Opportunities for Ohioans with Disabilities, told the Senate Medicaid Committee that OODs budget for fiscal 2026-27 focuses on expanding employment supports, postsecondary education aid and outreach to underserved areas.

Miller said OOD provided services to more than 42,000 Ohioans in federal fiscal year 2024, 5,444 more than the prior year. He said Ohio ranks highly on several vocational rehabilitation metrics: 59.4% of individuals who exited OOD services remained employed one year later, ranking Ohio ninth nationwide; 49.2% of trainees earned a credential and about 73.8% of individuals in training made measurable skill gains.

Miller described the Ohio college-to-careers program and a new mobile unit launched in 2023 to bring services to rural and underserved communities. OOD also reported spending roughly $14 million on postsecondary educational expenses for students with disabilities in the last year and said partnerships with public colleges, employers and community organizations expanded access.

Senators questioned how OODs SSA disability determination workload and federal funding uncertainties affect the agency. Miller said his division continues to complete disability determinations in under 100 days and that the agency is communicating with the federal regional liaison to monitor the impact of federal staffing and funding changes.

Miller requested legislative support for the governors proposed budget investments, which the testimony said represent $43.9 million in GRF for OOD in the biennium, with substantial federal matching funds for services.

Committee members thanked OOD for performance improvements and asked staff to provide additional detail about federal funding and referral mechanisms between Social Security determinations and OOD services; Miller said some referral pathways remain restricted by federal rules but OOD provides informational packets and local supports to link people to vocational rehabilitation services.

No committee votes were taken during the presentation.","OOD Director Kevin Miller presented the agencys biennial budget and cited improvements in vocational rehabilitation outcomes, growth in postsecondary supports and the launch of a mobile unit to reach rural communities; he reported the agency served about 42,000 Ohioans in FY2024 and requested state budget support to sustain programs.",{"_33":89,"_35":36,"_37":38,"_39":90,"_41":91,"_43":92,"_45":93,"_47":94,"_49":95,"_51":96,"_53":97,"_55":56,"_57":58,"_59":98,"_61":62,"_63":64,"_65":99,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6257843,"Department of Developmental Disabilities seeks to sustain DSP wage gains, expand technology and crisis supports",928,1784000,2712000,"/Search/View?dp=1&key=3152002-43029e253e16667a0a4994739b095fce&start=1784&end=2712","https://assets.pipeline.soar.com/3152002-43029e253e16667a0a4994739b095fce/thumbnail_1784000.jpg","/articles/6257843/Ohio/Department-of-Developmental-Disabilities-seeks-to-sustain-DSP-wage-gains-expand-technology-and-crisis-supports","https://secure.pipeline.soar.com/6257843-20cee007e36ed3bd6611ded8590df779/orig.mp4?Expires=1770445705&Signature=bkNUj~ch2ZAfebWaGzdcBXdMm1-qTBs0QOmW4XIaPScBzqdE1UOyNmOsZA~OfEW5KV8jSZIkcpBhmmJsmFkdGvmJZ6oSKjLV5iqcPk2FOzrta1SKYnCCBtgPdwPBzJbyRbV76KzGzyg4kAqLX1pN2gEaC~tviP~se~HEgWIILWe3WLe~tUPOh7Cx3Mh1lFvd~5KhJzCJEduKpaGz91JnNh~CaGo~0K9f5P28~8jmzciI64XuyE8VpT1Pa-h3SOVUU~Uqsx7YgGiKaqVhaCePTQ4rE6982cqAzCm-OJWvsFldilCj6hwgUn4AL81T9IxXJhuurzjlA9Ns-sWpKAMBmw__&Key-Pair-Id=KUT5TJCACFTXG","Kimberly Houck, director of the Ohio Department of Developmental Disabilities, told the Senate Medicaid Committee the governors biennial budget would preserve recent rate increases aimed at improving direct support professional (DSP) wages, continue investments in waivers and expand technology and crisis supports for people with developmental disabilities.

Houck said the department supports more than 100,000 Ohioans with developmental disabilities and requested $5.51 billion in all funds and $1.18 billion in state GRF for fiscal year 2026, with $5.75 billion all funds and $1.19 billion GRF in fiscal year 2027. The department said the requested funds would maintain provider rate increases and meet projected demand for Medicaid services.

Houck described several budget priorities: sustaining rate increases to maintain DSP wages after prior one-time and timing-based funding; funding technology initiatives (a $3.2 million per year line to support assistive and remote supports); continuing funding for short-term stabilization and supports for youth with complex needs (the MCAT multidisciplinary assessment team); and maintaining supports for intermediate care facilities (ICFs) and waiver providers.

She told senators the average starting DSP wage rose to about $16.04 after prior investments and that the department expects an average state DSP wage of at least $18 an hour when full data are available. Houck said the department used one-time federal and state funds in the prior budget and needs additional GRF in fiscal 2026 to sustain wages long-term because of timing differences and the mix of one-time funding used previously.

Houck also described statewide supports including county board partnerships, the expansion of universal changing tables and plans to keep family voices on county boards, and investments in regional technology support teams that help people test assistive devices.

Senators asked about the electronic visit verification (EVV) system and pilot language for innovative projects; Houck deferred EVV details to the Department of Medicaid and said DODD had requested less prescriptive stakeholder lists for pilot consultations to avoid exhaustive enumerations.

The testimony concluded with the director thanking the committee and reiterating the departments workforce and community-inclusion priorities.

No committee votes were taken during the hearing.","Director Kimberly Houck presented the DODD budget request, citing continued state investments to sustain direct support professional wages, maintain waiver enrollments, expand technology pilots and fund multidisciplinary assessments for youth with complex needs.",{"_33":101,"_35":36,"_37":38,"_39":102,"_41":103,"_43":104,"_45":105,"_47":106,"_49":107,"_51":108,"_53":109,"_55":56,"_57":58,"_59":110,"_61":62,"_63":64,"_65":111,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6257848,"Medicaid director cites drug costs, aging population and PBM changes as primary budget drivers",2398,3877000,6275000,"/Search/View?dp=1&key=3152002-43029e253e16667a0a4994739b095fce&start=3877&end=6275","https://assets.pipeline.soar.com/3152002-43029e253e16667a0a4994739b095fce/thumbnail_3877000.jpg","/articles/6257848/Ohio/Medicaid-director-cites-drug-costs-aging-population-and-PBM-changes-as-primary-budget-drivers","https://secure.pipeline.soar.com/6257848-1906f515ad28af3261f1d267c01c666a/orig.mp4?Expires=1770445705&Signature=kUcn3v6t5JVifZG4M1gvbgkiL6Qp6qQ9NruxFcLyV9~f65xyT1gZLjqcH-ZAHfvr8DyS0GBCtbOGFGN~uNKCZHTPsoZpBFZf8o0-eaP7b9F0rILC4vUfSrqIYJoxrTvL8i~I~8sPpewMwWkqoR1hS~~N7CwuRyF77UNqDm5J~GOcvdGQaXnOD8R8i3HvFfl0LvLA-raAPe6m9GZiNY4aqE-s4AVTjhvjyvuTN64DN~Sz9ShrlLsa7LLm1D5W29WX952S8WBRejSh4g71OvbnXPwccsjS-hgv1MfnISYUkOJGChCukZoZaL3~RC1ns032pZxj5~aJFiKkT5AQUmzrXA__&Key-Pair-Id=KUT5TJCACFTXG","Ohio Department of Medicaid Director Maureen Corcoran told the Senate Medicaid Committee that rising prescription drug costs, an aging population and higher per-member-per-month health care costs are the primary drivers of Medicaid spending increases in the next biennium.

Corcoran said the departments executive budget for fiscal 2026 totals about $42.3 billion in all funds with a state GRF share of about $6.5 billion; the department projects further increases in fiscal 2027. She asked lawmakers to weigh programmatic priorities, cost-containment proposals and potential federal changes when reviewing the budget.

Corcoran identified prescription drugs as an outsized driver: she told senators that drug costs accounted for about 6.2% of the PMPM increase in one year and 12.2% in the next year in department projections. The testimony singled out both very high-cost biologic/biosimilar drugs and newer obesity and weight-loss medications (GLP-1 class) as major contributors to trends in drug spending.

The director defended the administrations single pharmacy benefit manager (PBM) model, saying it reduced administrative spending by $333 million across managed care plans and the department, increased dispensing fees to Ohio pharmacies by nearly $625 million and improved pharmacy participation to over 99% of Ohio pharmacies. \"The single PBM has reduced administrative spending overall by $333,000,000 all total of managed care plans and the department,\" Corcoran said.

Corcoran also highlighted OhioRISE, the specialized managed-care carve-out for children with complex behavioral health needs. She said early data show reductions in emergency room visits and psychiatric stays for OhioRISE enrollees compared with traditional managed care plans and cited metrics including a 41% reduction in ER visits and a 28% drop in psychiatric stays for that population.

On program integrity and eligibility, Corcoran described expanded data-sharing and use of multiple data sources to manage enrollment and post-pandemic unwinding procedures; she noted the department is implementing electronic visit verification (EVV) denials after training and phased implementation.

Senators asked about the executive budgets trigger language protecting the state from changes to federal match for the Medicaid expansion population and about the departments public reporting and auditing of managed care plans. Corcoran said the department makes substantial fiscal and quality data publicly available and that full fiscal audits of managed care plans would be impractical for the state to duplicate.

The committee requested corrected hospital impact spreadsheets and additional detail on several Medicaid cost items; Medicaid staff said they would provide updated documents.

Corcoran concluded by stressing the departments emphasis on transparency, program integrity and targeted investments in behavioral health and childrens services.

No final legislative action was taken during the hearing.","Ohio Department of Medicaid Director Maureen Corcoran told the Senate Medicaid Committee that prescription drug cost growth, demographic aging and per-member cost increases are the main drivers of a Medicaid budget rise, and highlighted gains from a single pharmacy benefit manager and OhioRISE children's behavioral-health outcomes.","actionData","errors"]

Article not found

Ohio Medicaid hospital financing package would expand hospital fees, tighten 340B eligibility

Opportunities for Ohioans with Disabilities highlights employment gains, college-to-careers expansion

Department of Developmental Disabilities seeks to sustain DSP wage gains, expand technology and crisis supports

Medicaid director cites drug costs, aging population and PBM changes as primary budget drivers