The bill H. B. No. 2025-2026 aims to establish new insurance requirements for certain Medicaid providers in Ohio by enacting sections 5164.40 and 5164.41 of the Revised Code. Under section 5164.40, individuals providing Medicaid transportation services must submit proof of commercial automobile liability insurance annually to the Department of Medicaid, ensuring they meet the financial responsibility standards defined in section 4509.01 of the Revised Code.

Additionally, section 5164.41 outlines that providers of Medicaid in-home care services must also provide annual proof of liability insurance coverage of at least $250,000 for bodily injury or death per occurrence before they can operate. The section further clarifies that "in-home care services" encompass personal care services, home health services covered by Medicaid, services under Medicaid home and community-based waivers, and any other Medicaid services delivered in residential or community settings.