To enact sections 3701.68, 5162.135, and 5167.15 of the Revised Code to require that case management services for postpartum care be included in the Medicaid managed care system, to require the Director of Health to award grants for community-based services that are not covered by Medicaid and are intended to reduce infant mortality rates among at-risk populations, and to make an appropriation.

Section 1. That sections 3701.68, 5162.135, and 5167.15 of the Revised Code be enacted to read as follows:

Sec. 3701.68. (A) There is hereby created in the state treasury the infant vitality grant fund. The fund shall consist of money appropriated to the fund by the general assembly and be used to award grants under this section.

(B) In accordance with the process the director of health specifies under division (C) of this section, the director shall award grants to private, nonprofit entities that provide community-based services meeting both of the following criteria:

(1) Are intended to reduce infant mortality rates among populations, identified by the director, that have historically experienced high infant mortality rates or are at risk of experiencing them;

(2) Are not covered by the medicaid program.

(C) The director shall create a grant application and develop a process for receiving and evaluating completed grant applications on a competitive basis. In the grant application, the director shall specify that a grant applicant must demonstrate how it will use grant money only to supplement, and not supplant, public and private funds that the applicant has procured in the years recently preceding submission of the application to pay for expenses associated with the provision of community-based services meeting the criteria in division (B) of this section. In evaluating completed grant applications, the director shall consider the applicant's efforts to date to procure public and private funds to pay for such expenses.

(D) The director's decision on a submitted grant application is final.

Sec. 5162.135. Not less than once each year, the medicaid director shall complete a report about the optimal pregnancy spacing counseling that medicaid managed care organizations are to include in case management services for postpartum care under section 5167.15 of the Revised Code. The report shall include information about the counseling's effectiveness in promoting healthy pregnancies, reducing the risk of infant mortality, and achieving other positive health outcomes. The director shall provide a copy of the report to the governor, general assembly, and joint medicaid oversight committee. The copy to the general assembly shall be provided in accordance with section 101.68 of the Revised Code. The director also shall make the report available to the public.

Sec. 5167.15.  Each contract the department of medicaid enters into under section 5167.10 of the Revised Code with a managed care organization that is a health insuring corporation shall provide for the payment the organization receives under the contract to be reduced if the organization fails to provide, or arrange for the provision of, case management services for the postpartum care available to each medicaid recipient who is enrolled in the organization, is covered by the medicaid program under division (B) of section 5163.06 of the Revised Code on the basis of the recipient's pregnancy, and has a high risk of suffering poor health outcomes related to the pregnancy as determined in accordance with rules the medicaid director shall adopt under section 5167.02 of the Revised Code. The director shall determine the amount of the payment reduction. The case management services for the postpartum care shall include counseling regarding the optimal intervals at which an individual's pregnancies may be spaced in order to promote healthy pregnancies, reduce the risk of infant mortality, and achieve other positive health outcomes.

Section 2. Of the unexpended and unencumbered portion of the state share appropriation made to GRF appropriation item 651525, Medicaid/Health Care Services, in Am. Sub. H.B. 59 of the 130th General Assembly, at the end of fiscal year 2014, $25,000,000 is hereby reappropriated for fiscal year 2015 to the credit of the Infant Vitality Grant Fund created under section 3701.68 of the Revised Code.