HF2127X1 Sub. H.B. 59 As Reported by H.

Finance & Appropriations

________________________________ moved to amend as follows: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Between lines 131812 and 131813, insert: "Section 323.____. PROPOSAL TO REFORM MEDICAID AND OHIO'S HEALTH CARE DELIVERY SYSTEM (A) Legislation shall be introduced in the House of

Representatives to reform the Medicaid program and Ohio's health care delivery system. The Director of the Governor's Office of Health Transformation and the Medicaid Director shall provide assistance in developing the legislation. The legislation shall include, but not be limited to, all of the following: (1) A focus on individuals who have the greatest potential to obtain the income and resources that would enable them to cease enrollment through in Medicaid and instead health obtain health or care the

coverage

employer-sponsored

insurance

health insurance marketplace; (2) Strategies to lower Medicaid caseloads by promoting

employment-related services available under Medicaid, including Medicaid managed care, and promoting other programs that offer workforce readiness, educational, and wellness services; (3) Provisions that seek to do both of the following:

Legislative Service Commission

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HF2127X1 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 (a) Lower net state and federal costs for the Medicaid program; (b) Reduce the number of individuals who enroll in Medicaid over time. (B) The legislation may call for amending the state

Medicaid plan, obtaining a waiver under the "Social Security Act," section 1115, 42 U.S.C. 1315, or a combination of the two. Subject to division (c) of this section, the Medicaid Director may submit to the United States Department of Health and Human Services a state Medicaid plan amendment, a request for a

section 1115 waiver, or a combination of the two. (C) Not sooner than September 15, 2013, and not later than October 1, 2013, the Directors shall submit to the General

Assembly the terms of any federal approval obtained for the reform. reform The Directors the shall not begin Assembly the General implementation enacts of the

unless

General If or

legislation does 2013, not the

authorizing enact such

implementation. legislation shall cease a on any

Assembly 31,

before

December regarding amendment,

Directors including

activity plan

this

reform, 1115

pursuing

Medicaid

section

waiver, or combination of the two."

41

The motion was ________ agreed to.

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HF2127X1 42 43 44 45 46 47 48 Legislation Delivery System to Reform SYNOPSIS Medicaid and Ohio's Health Care

Section 323.____ Requires that legislation be introduced in the House of Representatives to reform Medicaid and Ohio's health care delivery system.

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