1. (A) If the federal medical assistance percentage for medical assistance provided to members of the expansion eligibility group is set below ninety per cent, the department of medicaid shall do both of the following:

   1. (1) Immediately discontinue all medical assistance for members of the group.
   2. (2) Not later than fifteen business days after the change to the federal medical assistance percentage, certify to the director of budget and management, legislative service commission, the president of the senate, and the speaker of the house of representatives the state and federal shares of total actual expenditure for the expansion eligibility group for the most recently completed month prior to the change.

2. (B)

   1. (1) Except as provided in division (B)(2) of this section, the state share amount certified under division (A)(2) of this section shall be multiplied by the number of months remaining in the fiscal year. The amount calculated under this division shall remain in the general revenue fund until the end of the fiscal year, at which time the funds shall be transferred in accordance with section 131.44 of the Revised Code.
   2. (2) If the change to the federal medical assistance percentage described in division (A) of this section occurs during the first year of a fiscal biennium, the state share amount certified under division (A)(2) of this section shall be multiplied by twelve for the second year of the fiscal biennium. The amount calculated under this division shall remain in the general revenue fund until the end of the fiscal biennium, at which time the funds shall be transferred in accordance with section 131.44 of the Revised Code.

Last updated August 26, 2025 at 5:36 PM