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S. B. No. 145 As IntroducedAs Introduced
130th General Assembly | Regular Session | 2013-2014 |
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A BILL
To amend section 119.03, to enact sections 103.41,
103.411, 103.412, 5162.70, and 6301.15, and to
repeal sections 101.39 and 101.391 of the Revised
Code to require the Medicaid Director to implement
certain reforms to the Medicaid program, to
require the Director of Job and Family Services to
implement certain reforms to workforce development
activities, to create the Joint Medicaid Oversight
Committee to review proposed rules regarding the
Medicaid and workforce development activity
reforms, to require the Joint Medicaid Oversight
Committee to issue reports recommending certain
changes to the Medicaid program, and to abolish
the Joint Legislative Committee on Health Care
Oversight and the Joint Legislative Committee on
Medicaid Technology and Reform.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:
Section 1. That section 119.03 be amended and sections
103.41, 103.411, 103.412, 5162.70, and 6301.15 of the Revised Code
be enacted to read as follows:
Sec. 103.41. (A) In this section, "rule" includes a new rule
or the amendment or rescission of an existing rule. If a state
agency revises a rule that has been approved by the joint medicaid
oversight committee and filed under division (D) of section 111.15
or division (H) of section 119.03 of the Revised Code, the revised
rule is a "rule" for purposes of this section.
(B) When a state agency has completed the conceptualization
and drafting of a rule for the purpose of implementing a reform
under section 5162.70 or 6301.15 of the Revised Code, the state
agency shall file a copy of the rule with the joint medicaid
oversight committee.
(C) The joint medicaid oversight committee, not later than
thirty days after it receives a rule, shall review the rule and
may advise the joint committee on agency rule review on whether
the rule is consistent with the intent of section 5162.70 or
6301.15 of the Revised Code. The committee may give notice of and
conduct a public hearing in the course of its review of a rule.
Sec. 103.411. There is a joint medicaid oversight committee.
The committee is comprised of ten members. The president of the
senate and the speaker of the house of representatives each shall
appoint five members to the committee from their respective
houses, three of whom are members of the majority party and two of
whom are members of the minority party. Vacancies on the committee
shall be filled in the same manner as the original appointment.
In odd-numbered years, the president shall designate the
chairperson of the committee from among the senate members of the
committee. In even-numbered years, the speaker shall designate the
chairperson of the committee from among the house members of the
committee. In odd-numbered years, the speaker shall designate one
of the minority members from the house as ranking minority member.
In even-numbered years, the president shall designate one of the
minority members from the senate as ranking minority member.
In appointing members from the minority, and in designating
ranking minority members, the president and speaker shall consult
with the minority leader of their respective houses.
The committee shall meet at the call of the chairperson, but
not less often than once each calendar month.
The committee shall employ professional, technical, and
clerical employees as are necessary for the committee to be able
successfully and efficiently to perform its duties. The employees
are in the unclassified service and serve at the pleasure of the
committee.
The committee may contract for the services of persons who
are qualified by education and experience to advise, consult with,
or otherwise assist the committee in the performance of its
duties.
The chairperson of the committee, when authorized by the
committee and by the president and speaker, may issue subpoenas
and subpoenas duces tecum in aid of the committee's performance of
its duties. A subpoena may require a witness in any part of the
state to appear before the committee at a time and place
designated in the subpoena to testify. A subpoena duces tecum may
require witnesses or other persons in any part of the state to
produce books, papers, records, and other tangible evidence before
the committee at a time and place designated in the subpoena duces
tecum. A subpoena or subpoena duces tecum shall be issued, served,
and returned, and has consequences, as specified in sections
101.41 to 101.45 of the Revised Code.
The chairperson of the committee may administer oaths to
witnesses appearing before the committee.
Sec. 103.412. The joint medicaid oversight committee shall
conduct a continuing study of the reforms required to be
implemented under sections 5162.70 and 6301.15 of the Revised
Code.
The committee may plan, advertise, organize, and conduct
forums, conferences, and other meetings at which representatives
of state agencies and other individuals having expertise in the
medicaid program and workforce development activities may
participate to increase knowledge and understanding of, and to
develop and propose improvements in, the medicaid program and
workforce development activities. The director of job and family
services shall submit to the committee relevant statistics on
workforce development activities to assist the committee.
The committee may prepare and issue reports on its continuing
study of the reforms. The committee may solicit written comments
on, and may conduct public hearings at which persons may offer
verbal comments on, drafts of its reports.
The committee may recommend improvements in rules affecting
the reforms, and may recommend legislation for improvement of
statutes regarding the reforms.
Sec. 119.03. In the adoption, amendment, or rescission of
any rule, an agency shall comply with the following procedure:
(A) Reasonable public notice shall be given in the register
of Ohio at least thirty days prior to the date set for a hearing,
in the form the agency determines. The agency shall file copies of
the public notice under division (B) of this section. (The agency
gives public notice in the register of Ohio when the public notice
is published in the register under that division.)
The public notice shall include:
(1) A statement of the agency's intention to consider
adopting, amending, or rescinding a rule;
(2) A synopsis of the proposed rule, amendment, or rule to be
rescinded or a general statement of the subject matter to which
the proposed rule, amendment, or rescission relates;
(3) A statement of the reason or purpose for adopting,
amending, or rescinding the rule;
(4) The date, time, and place of a hearing on the proposed
action, which shall be not earlier than the thirty-first nor later
than the fortieth day after the proposed rule, amendment, or
rescission is filed under division (B) of this section.
In addition to public notice given in the register of Ohio,
the agency may give whatever other notice it reasonably considers
necessary to ensure notice constructively is given to all persons
who are subject to or affected by the proposed rule, amendment, or
rescission.
The agency shall provide a copy of the public notice required
under division (A) of this section to any person who requests it
and pays a reasonable fee, not to exceed the cost of copying and
mailing.
(B) The full text of the proposed rule, amendment, or rule to
be rescinded, accompanied by the public notice required under
division (A) of this section, shall be filed in electronic form
with the secretary of state and with the director of the
legislative service commission. (If in compliance with this
division an agency files more than one proposed rule, amendment,
or rescission at the same time, and has prepared a public notice
under division (A) of this section that applies to more than one
of the proposed rules, amendments, or rescissions, the agency
shall file only one notice with the secretary of state and with
the director for all of the proposed rules, amendments, or
rescissions to which the notice applies.) The proposed rule,
amendment, or rescission and public notice shall be filed as
required by this division at least sixty-five days prior to the
date on which the agency, in accordance with division (D) of this
section, issues an order adopting the proposed rule, amendment, or
rescission.
If the proposed rule, amendment, or rescission incorporates a
text or other material by reference, the agency shall comply with
sections 121.71 to 121.76 of the Revised Code.
The proposed rule, amendment, or rescission shall be
available for at least thirty days prior to the date of the
hearing at the office of the agency in printed or other legible
form without charge to any person affected by the proposal.
Failure to furnish such text to any person requesting it shall not
invalidate any action of the agency in connection therewith.
If the agency files a substantive revision in the text of the
proposed rule, amendment, or rescission under division (H) of this
section, it shall also promptly file the full text of the proposed
rule, amendment, or rescission in its revised form in electronic
form with the secretary of state and with the director of the
legislative service commission.
The agency shall file the rule summary and fiscal analysis
prepared under section 127.18 of the Revised Code in electronic
form along with a proposed rule, amendment, or rescission or
proposed rule, amendment, or rescission in revised form that is
filed with the secretary of state or the director of the
legislative service commission.
The director of the legislative service commission shall
publish in the register of Ohio the full text of the original and
each revised version of a proposed rule, amendment, or rescission;
the full text of a public notice; and the full text of a rule
summary and fiscal analysis that is filed with the director under
this division.
(C) On the date and at the time and place designated in the
notice, the agency shall conduct a public hearing at which any
person affected by the proposed action of the agency may appear
and be heard in person, by the person's attorney, or both, may
present the person's position, arguments, or contentions, orally
or in writing, offer and examine witnesses, and present evidence
tending to show that the proposed rule, amendment, or rescission,
if adopted or effectuated, will be unreasonable or unlawful. An
agency may permit persons affected by the proposed rule,
amendment, or rescission to present their positions, arguments, or
contentions in writing, not only at the hearing, but also for a
reasonable period before, after, or both before and after the
hearing. A person who presents a position or arguments or
contentions in writing before or after the hearing is not required
to appear at the hearing.
At the hearing, the testimony shall be recorded. Such record
shall be made at the expense of the agency. The agency is required
to transcribe a record that is not sight readable only if a person
requests transcription of all or part of the record and agrees to
reimburse the agency for the costs of the transcription. An agency
may require the person to pay in advance all or part of the cost
of the transcription.
In any hearing under this section the agency may administer
oaths or affirmations.
(D) After complying with divisions (A), (B), (C), and (H) of
this section, and when the time for legislative review and
invalidation under division (I) of this section has expired, the
agency may issue an order adopting the proposed rule or the
proposed amendment or rescission of the rule, consistent with the
synopsis or general statement included in the public notice. At
that time the agency shall designate the effective date of the
rule, amendment, or rescission, which shall not be earlier than
the tenth day after the rule, amendment, or rescission has been
filed in its final form as provided in section 119.04 of the
Revised Code.
(E) Prior to the effective date of a rule, amendment, or
rescission, the agency shall make a reasonable effort to inform
those affected by the rule, amendment, or rescission and to have
available for distribution to those requesting it the full text of
the rule as adopted or as amended.
(F) If the governor, upon the request of an agency,
determines that an emergency requires the immediate adoption,
amendment, or rescission of a rule, the governor shall issue an
order, the text of which shall be filed in electronic form with
the agency, the secretary of state, the director of the
legislative service commission, and the joint committee on agency
rule review, that the procedure prescribed by this section with
respect to the adoption, amendment, or rescission of a specified
rule is suspended. The agency may then adopt immediately the
emergency rule, amendment, or rescission and it becomes effective
on the date the rule, amendment, or rescission, in final form and
in compliance with division (A)(2) of section 119.04 of the
Revised Code, is filed in electronic form with the secretary of
state, the director of the legislative service commission, and the
joint committee on agency rule review. If all filings are not
completed on the same day, the emergency rule, amendment, or
rescission shall be effective on the day on which the latest
filing is completed. The director shall publish the full text of
the emergency rule, amendment, or rescission in the register of
Ohio.
The emergency rule, amendment, or rescission shall become
invalid at the end of the ninetieth day it is in effect. Prior to
that date the agency may adopt the emergency rule, amendment, or
rescission as a nonemergency rule, amendment, or rescission by
complying with the procedure prescribed by this section for the
adoption, amendment, and rescission of nonemergency rules. The
agency shall not use the procedure of this division to readopt the
emergency rule, amendment, or rescission so that, upon the
emergency rule, amendment, or rescission becoming invalid under
this division, the emergency rule, amendment, or rescission will
continue in effect without interruption for another ninety-day
period, except when division (I)(2)(a) of this section prevents
the agency from adopting the emergency rule, amendment, or
rescission as a nonemergency rule, amendment, or rescission within
the ninety-day period.
This division does not apply to the adoption of any emergency
rule, amendment, or rescission by the tax commissioner under
division (C)(2) of section 5117.02 of the Revised Code.
(G) Rules adopted by an authority within the department of
job and family services for the administration or enforcement of
Chapter 4141. of the Revised Code or of the department of taxation
shall be effective without a hearing as provided by this section
if the statutes pertaining to such agency specifically give a
right of appeal to the board of tax appeals or to a higher
authority within the agency or to a court, and also give the
appellant a right to a hearing on such appeal. This division does
not apply to the adoption of any rule, amendment, or rescission by
the tax commissioner under division (C)(1) or (2) of section
5117.02 of the Revised Code, or deny the right to file an action
for declaratory judgment as provided in Chapter 2721. of the
Revised Code from the decision of the board of tax appeals or of
the higher authority within such agency.
(H) When any agency files a proposed rule, amendment, or
rescission under division (B) of this section, it shall also file
in electronic form with the joint committee on agency rule review
the full text of the proposed rule, amendment, or rule to be
rescinded in the same form and the public notice required under
division (A) of this section. (If in compliance with this division
an agency files more than one proposed rule, amendment, or
rescission at the same time, and has given a public notice under
division (A) of this section that applies to more than one of the
proposed rules, amendments, or rescissions, the agency shall file
only one notice with the joint committee for all of the proposed
rules, amendments, or rescissions to which the notice applies.) If
the agency makes a substantive revision in a proposed rule,
amendment, or rescission after it is filed with the joint
committee, the agency shall promptly file the full text of the
proposed rule, amendment, or rescission in its revised form in
electronic form with the joint committee. The latest version of a
proposed rule, amendment, or rescission as filed with the joint
committee supersedes each earlier version of the text of the same
proposed rule, amendment, or rescission. An agency shall file the
rule summary and fiscal analysis prepared under section 127.18 of
the Revised Code in electronic form along with a proposed rule,
amendment, or rescission, and along with a proposed rule,
amendment, or rescission in revised form, that is filed under this
division. If a proposed rule, amendment, or rescission has an
adverse impact on businesses, the agency also shall file the
business impact analysis, any recommendations received from the
common sense initiative office, and the agency's memorandum of
response, if any, in electronic form along with the proposed rule,
amendment, or rescission, or along with the proposed rule,
amendment, or rescission in revised form, that is filed under this
division.
This division does not apply to:
(1) An emergency rule, amendment, or rescission;
(2) Any proposed rule, amendment, or rescission that must be
adopted verbatim by an agency pursuant to federal law or rule, to
become effective within sixty days of adoption, in order to
continue the operation of a federally reimbursed program in this
state, so long as the proposed rule contains both of the
following:
(a) A statement that it is proposed for the purpose of
complying with a federal law or rule;
(b) A citation to the federal law or rule that requires
verbatim compliance.
If a rule or amendment is exempt from legislative review
under division (H)(2) of this section, and if the federal law or
rule pursuant to which the rule or amendment was adopted expires,
is repealed or rescinded, or otherwise terminates, the rule or
amendment, or its rescission, is thereafter subject to legislative
review under division (H) of this section.
(I)(1) The joint committee on agency rule review may
recommend the adoption of a concurrent resolution invalidating a
proposed rule, amendment, rescission, or part thereof if it finds
any of the following:
(a) That the rule-making agency has exceeded the scope of its
statutory authority in proposing the rule, amendment, or
rescission;
(b) That the proposed rule, amendment, or rescission
conflicts with another rule, amendment, or rescission adopted by
the same or a different rule-making agency;
(c) That the proposed rule, amendment, or rescission
conflicts with the legislative intent in enacting the statute
under which the rule-making agency proposed the rule, amendment,
or rescission;
(d) That the rule-making agency has failed to prepare a
complete and accurate rule summary and fiscal analysis of the
proposed rule, amendment, or rescission as required by section
127.18 of the Revised Code;
(e) That the proposed rule, amendment, or rescission
incorporates a text or other material by reference and either the
rule-making agency has failed to file the text or other material
incorporated by reference as required by section 121.73 of the
Revised Code or, in the case of a proposed rule or amendment, the
incorporation by reference fails to meet the standards stated in
section 121.72, 121.75, or 121.76 of the Revised Code;
(f) That the rule-making agency has failed to demonstrate
through the business impact analysis, recommendations from the
common sense initiative office, and the memorandum of response the
agency has filed under division (H) of this section that the
regulatory intent of the proposed rule, amendment, or rescission
justifies its adverse impact on businesses in this state;
(g) That the proposed rule, amendment, or rescission is to
implement a reform under section 5162.70 or 6301.15 of the Revised
Code but is unlikely to achieve the results intended in enacting
those sections.
The joint committee shall not hold its public hearing on a
proposed rule, amendment, or rescission earlier than the
forty-first day after the original version of the proposed rule,
amendment, or rescission was filed with the joint committee.
The house of representatives and senate may adopt a
concurrent resolution invalidating a proposed rule, amendment,
rescission, or part thereof. The concurrent resolution shall state
which of the specific rules, amendments, rescissions, or parts
thereof are invalidated. A concurrent resolution invalidating a
proposed rule, amendment, or rescission shall be adopted not later
than the sixty-fifth day after the original version of the text of
the proposed rule, amendment, or rescission is filed with the
joint committee, except that if more than thirty-five days after
the original version is filed the rule-making agency either files
a revised version of the text of the proposed rule, amendment, or
rescission, or revises the rule summary and fiscal analysis in
accordance with division (I)(4) of this section, a concurrent
resolution invalidating the proposed rule, amendment, or
rescission shall be adopted not later than the thirtieth day after
the revised version of the proposed rule or rule summary and
fiscal analysis is filed. If, after the joint committee on agency
rule review recommends the adoption of a concurrent resolution
invalidating a proposed rule, amendment, rescission, or part
thereof, the house of representatives or senate does not, within
the time remaining for adoption of the concurrent resolution, hold
five floor sessions at which its journal records a roll call vote
disclosing a sufficient number of members in attendance to pass a
bill, the time within which that house may adopt the concurrent
resolution is extended until it has held five such floor sessions.
Within five days after the adoption of a concurrent
resolution invalidating a proposed rule, amendment, rescission, or
part thereof, the clerk of the senate shall send the rule-making
agency, the secretary of state, and the director of the
legislative service commission in electronic form a certified text
of the resolution together with a certification stating the date
on which the resolution takes effect. The secretary of state and
the director of the legislative service commission shall each note
the invalidity of the proposed rule, amendment, rescission, or
part thereof, and shall each remove the invalid proposed rule,
amendment, rescission, or part thereof from the file of proposed
rules. The rule-making agency shall not proceed to adopt in
accordance with division (D) of this section, or to file in
accordance with division (B)(1) of section 111.15 of the Revised
Code, any version of a proposed rule, amendment, rescission, or
part thereof that has been invalidated by concurrent resolution.
Unless the house of representatives and senate adopt a
concurrent resolution invalidating a proposed rule, amendment,
rescission, or part thereof within the time specified by this
division, the rule-making agency may proceed to adopt in
accordance with division (D) of this section, or to file in
accordance with division (B)(1) of section 111.15 of the Revised
Code, the latest version of the proposed rule, amendment, or
rescission as filed with the joint committee. If by concurrent
resolution certain of the rules, amendments, rescissions, or parts
thereof are specifically invalidated, the rule-making agency may
proceed to adopt, in accordance with division (D) of this section,
or to file in accordance with division (B)(1) of section 111.15 of
the Revised Code, the latest version of the proposed rules,
amendments, rescissions, or parts thereof as filed with the joint
committee that are not specifically invalidated. The rule-making
agency may not revise or amend any proposed rule, amendment,
rescission, or part thereof that has not been invalidated except
as provided in this chapter or in section 111.15 of the Revised
Code.
(2)(a) A proposed rule, amendment, or rescission that is
filed with the joint committee under division (H) of this section
or division (D) of section 111.15 of the Revised Code shall be
carried over for legislative review to the next succeeding regular
session of the general assembly if the original or any revised
version of the proposed rule, amendment, or rescission is filed
with the joint committee on or after the first day of December of
any year.
(b) The latest version of any proposed rule, amendment, or
rescission that is subject to division (I)(2)(a) of this section,
as filed with the joint committee, is subject to legislative
review and invalidation in the next succeeding regular session of
the general assembly in the same manner as if it were the original
version of a proposed rule, amendment, or rescission that had been
filed with the joint committee for the first time on the first day
of the session. A rule-making agency shall not adopt in accordance
with division (D) of this section, or file in accordance with
division (B)(1) of section 111.15 of the Revised Code, any version
of a proposed rule, amendment, or rescission that is subject to
division (I)(2)(a) of this section until the time for legislative
review and invalidation, as contemplated by division (I)(2)(b) of
this section, has expired.
(3) Invalidation of any version of a proposed rule,
amendment, rescission, or part thereof by concurrent resolution
shall prevent the rule-making agency from instituting or
continuing proceedings to adopt any version of the same proposed
rule, amendment, rescission, or part thereof for the duration of
the general assembly that invalidated the proposed rule,
amendment, rescission, or part thereof unless the same general
assembly adopts a concurrent resolution permitting the rule-making
agency to institute or continue such proceedings.
The failure of the general assembly to invalidate a proposed
rule, amendment, rescission, or part thereof under this section
shall not be construed as a ratification of the lawfulness or
reasonableness of the proposed rule, amendment, rescission, or any
part thereof or of the validity of the procedure by which the
proposed rule, amendment, rescission, or any part thereof was
proposed or adopted.
(4) In lieu of recommending a concurrent resolution to
invalidate a proposed rule, amendment, rescission, or part thereof
because the rule-making agency has failed to prepare a complete
and accurate fiscal analysis, the joint committee on agency rule
review may issue, on a one-time basis, for rules, amendments,
rescissions, or parts thereof that have a fiscal effect on school
districts, counties, townships, or municipal corporations, a
finding that the rule summary and fiscal analysis is incomplete or
inaccurate and order the rule-making agency to revise the rule
summary and fiscal analysis and refile it with the proposed rule,
amendment, rescission, or part thereof. If an emergency rule is
filed as a nonemergency rule before the end of the ninetieth day
of the emergency rule's effectiveness, and the joint committee
issues a finding and orders the rule-making agency to refile under
division (I)(4) of this section, the governor may also issue an
order stating that the emergency rule shall remain in effect for
an additional sixty days after the ninetieth day of the emergency
rule's effectiveness. The governor's orders shall be filed in
accordance with division (F) of this section. The joint committee
shall send in electronic form to the rule-making agency, the
secretary of state, and the director of the legislative service
commission a certified text of the finding and order to revise the
rule summary and fiscal analysis, which shall take immediate
effect.
An order issued under division (I)(4) of this section shall
prevent the rule-making agency from instituting or continuing
proceedings to adopt any version of the proposed rule, amendment,
rescission, or part thereof until the rule-making agency revises
the rule summary and fiscal analysis and refiles it in electronic
form with the joint committee along with the proposed rule,
amendment, rescission, or part thereof. If the joint committee
finds the rule summary and fiscal analysis to be complete and
accurate, the joint committee shall issue a new order noting that
the rule-making agency has revised and refiled a complete and
accurate rule summary and fiscal analysis. The joint committee
shall send in electronic form to the rule-making agency, the
secretary of state, and the director of the legislative service
commission a certified text of this new order. The secretary of
state and the director of the legislative service commission shall
each link this order to the proposed rule, amendment, rescission,
or part thereof. The rule-making agency may then proceed to adopt
in accordance with division (D) of this section, or to file in
accordance with division (B)(1) of section 111.15 of the Revised
Code, the proposed rule, amendment, rescission, or part thereof
that was subject to the finding and order under division (I)(4) of
this section. If the joint committee determines that the revised
rule summary and fiscal analysis is still inaccurate or
incomplete, the joint committee shall recommend the adoption of a
concurrent resolution in accordance with division (I)(1) of this
section.
Sec. 5162.70. (A) As used in this section, "CPI inflation
rate" means the inflation rate as specified in the consumer price
index for all urban consumers as published by the United States
bureau of labor statistics.
(B) The medicaid director shall implement reforms to the
medicaid program that do all of the following:
(1) Provide for the growth in the per member per month cost
of the medicaid program, as determined on an aggregate basis for
all eligibility groups, for the six-month period immediately
preceding the first day of each January and the six-month period
immediately preceding the first day of each July to be not more
than the average annual increase in the CPI inflation rate for
medical care for the most recent three-year period for which the
necessary data is available as of that first day of January or
July;
(2) Achieve the limit in the growth of the per member per
month cost of the medicaid program required by division (B)(1) of
this section in a manner that does all of the following:
(a) Improves the physical and mental health of medicaid
recipients;
(b) Provides for medicaid recipients to receive medicaid
services in the most cost-effective and sustainable manner;
(c) Removes barriers that impede medicaid recipients' ability
to transfer to lower cost, and more appropriate, medicaid
services.
(3) Reduce the relative number of individuals who need
medicaid that is achieved in a manner that utilizes both of the
following:
(a) Programs that have been demonstrated to be effective and
have one or more of the following features:
(iii) Utilize incentives;
(b) The identification and elimination of medicaid
eligibility requirements that are barriers to achieving greater
financial independence.
(4) Reduce the number of times that medicaid recipients are
readmitted to hospitals or utilize emergency department services
when the readmissions or utilizations are avoidable;
(5) Provide medicaid recipients with information about the
actual costs of medicaid services and the amounts the medicaid
program pays for the services so that recipients are able to use
this information when choosing medicaid providers.
(C) The reforms implemented under this section shall, without
changing the medicaid program's eligibility requirements, reduce
the relative number of individuals enrolled in the medicaid
program who have the greatest potential to obtain the income and
resources that would enable them to cease enrollment in medicaid
and instead obtain health care coverage through employer-sponsored
health insurance or the health insurance marketplace.
Sec. 6301.15. The director of job and family services shall
implement reforms to workforce development activities that do both
of the following:
(A) Reduce the relative number of individuals who need
medicaid that is achieved in a manner that utilizes all of the
following:
(1) Programs that have been demonstrated to be effective and
have one or more of the following features:
(2) Educational and training opportunities;
(3) Employment opportunities;
(4) Other initiatives the director considers appropriate.
(B) Enhance the relationship between educational facilities,
workforce development activities, and employers.
Section 2. That existing section 119.03 of the Revised Code
is hereby repealed.
Section 3. That sections 101.39 and 101.391 of the Revised
Code are repealed.
Section 4. The Joint Medicaid Oversight Committee shall
prepare a report with recommendations for legislation regarding
Medicaid payment rates for Medicaid services. The goal of the
recommendations shall be to provide the Medicaid Director
statutory authority to implement innovative methodologies for
setting Medicaid payment rates that limit the growth in Medicaid
costs and protect, and establish guiding principles for, Medicaid
providers and recipients. The Medicaid Director shall assist the
Committee with the report. The Committee shall submit the report
to the General Assembly in accordance with section 101.68 of the
Revised Code not later than January 1, 2014.
Section 5. (A) As used in this section:
(1) "Federal poverty line" has the same meaning as in section
5162.01 of the Revised Code.
(2) "Medicaid transition population" means both of the
following:
(a) Medicaid recipients whose countable family incomes are
within the top twenty-five percentage points of the income
eligibility limit for the eligibility group under which they
qualify for Medicaid;
(b) Medicaid recipients whose countable family incomes are
not less than the federal poverty line.
(B) The Joint Medicaid Oversight Committee shall prepare a
report with recommendations for creating a comprehensive pilot
program under which peer mentors assist Medicaid recipients who
are part of the Medicaid transition population, and the families
of such recipients, develop and implement plans for overcoming
barriers to achieving greater financial independence and
successfully accessing employment opportunities. The Committee
shall submit the report to the General Assembly in accordance with
section 101.68 of the Revised Code and the Medicaid Director and
Director of Job and Family Services not later than June 30, 2014.
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