The bill H. B. No. 2025-2026, introduced by Representative John, aims to establish a new section, 5167.052, in the Revised Code concerning payment rates for durable medical equipment, complex rehab technology, prosthetics, orthotics, and supplies under Medicaid managed care organizations. The proposed legislation mandates that these organizations, along with their subcontractors and third-party administrators, must set payment rates for the specified items at one hundred percent of the rates established under the fee-for-service component of Medicaid.

This legislative change is intended to ensure that individuals relying on Medicaid for durable medical equipment and related supplies receive equitable payment rates, aligning managed care organization payments with those of the fee-for-service model. By doing so, the bill seeks to enhance access to necessary medical equipment and support for Medicaid beneficiaries.