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State Budget & Mid-biennium Review

Ohio's state budget negotiations and mid-biennium reviews are key opportunities to promote hospitals and health systems as policymakers evaluate and decide on how best to allocate state resources and policy for health care.

2018-2019 State Budget

Gov. John Kasich has released the executive version of the 2018-2019 state budget. The following resources highlight the major priorities addressed in the budget and the related policy details.  

The executive version of the of the budget includes the reauthorization of Medicaid expansion and replaces the state’s Medicaid managed care organization tax with an alternative tax to be paid by all managed care companies.

However, the executive version of the budget also includes $588 million in hospital cuts, which OHA strongly opposes.

Member Resources

State Budget Approximate Timeline
Each biennium, the executive and legislative branches deliberate the state’s operating budget. Constitutionally, Ohio’s budget must be balanced, passed by both chambers and sent to the governor’s desk prior to July 1 – the beginning of the next fiscal year.

State Budget Timeline


About the Mid-biennium Review

After signing his first biennial operating budget in 2011, and again after completing his second state budget in 2013, Governor Kasich asked the Office of Budget and Management to conduct a top-to-bottom review of state government agencies and programs one-year before Ohio's budget-setting process would traditionally begin. This effort became known as the Mid-biennium Review, or MBR. 

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