Medicaid Monitor
Policy Intelligence
Medicaid Monitor
Policy Intelligence
Updated 1:02 PM MT
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State Policy·OH·July 21, 2026

Ohio Legislature Debates Bill to End Medicaid Managed Care for 3 Million Enrollees

Ohio lawmakers are considering Senate Bill 386 and a House companion bill, the Medicaid Savings Act, which would dismantle the state's Medicaid managed care system currently serving approximately three million enrollees. The bipartisan legislation would shift Ohio away from its managed care delivery model. The bill is under active debate in Statehouse committee rooms. If enacted, this would represent one of the largest managed care program terminations in recent state Medicaid history, affecting every MCO operating in Ohio.

Why it matters

Passage would terminate all Ohio Medicaid MCO contracts and force health plans to exit the state's $30+ billion program, requiring operational wind-down and member transition planning.

Managed Care · Finance

Read the full article at ohiocapitaljournal.com

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