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Friday, November 13, 2026 · Updated Thu 5:36 PM MT · 46 stories on Thursday, November 12
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State Policy · OHNovember 9, 2026

Commentator: Acton Win Sets Up Medicaid, Tax Policy Shifts in Ohio

In an Ohio Capital Journal commentary, the author argues that Amy Acton's gubernatorial win, defeating Vivek Ramaswamy by nearly 8 points, returns Ohio to divided government and opens the door to policy change across education, taxation, health care and energy. The author notes Acton has proposed medical debt relief, reducing administrative barriers to Medicaid enrollment, and using state purchasing power to lower prescription drug costs, with some changes possible through executive action and others requiring budget negotiations. The piece also cites a state budget clause that would immediately end Medicaid expansion coverage if federal matching funds are reduced, and suggests new federal waiver options could emerge if Democrats win the White House in 2028.

Why it mattersOhio Medicaid agencies, managed care plans, and enrollees could see changes to enrollment processes and drug cost strategies depending on how Acton's administration and the legislature resolve budget negotiations.

Pharmacy · Managed Care · Finance

Read the full article at ohiocapitaljournal.com →
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