LAO
January 01, 2026

Featured News

DeWine Signs Nursing Facility Quality Payment Legislation, Property Tax Reform Bills

Governor Mike DeWine has signed House Bill 184 along with a package of five property tax reform bills, finalizing several measures with significant implications for aging services providers across Ohio.

HB 184: Prospective Change to Nursing Facility Quality Payments

For LeadingAge Ohio members, House Bill 184 carries the most immediate impact. The bill includes budget correction language that makes a prospective change to the nursing facility quality incentive payment formula, allowing the Ohio Department of Medicaid to continue using its existing methodology despite the Ohio Supreme Court’s ruling in State ex rel. LeadingAge Ohio v. Ohio Department of Medicaid.

The statutory change replaces the term “rate” with “cost per case mix unit” and applies only to future payments, taking effect 90 days after the Governor’s signature. The Supreme Court’s interpretation remains in effect for State Fiscal Years 2024 and 2025, as well as the interim period between July 1, 2025, and the bill’s effective date. Lawmakers emphasized that the legislation does not address the underpayments identified by the Court.

LeadingAge Ohio will continue working with the Ohio Department of Medicaid to monitor implementation and pursue clarity and resolution related to past underfunding.

Property Tax Reform Package Enacted

DeWine also signed five bills—HB 124, HB 129, HB 186, HB 309, and HB 335—aimed at limiting sharp property tax increases tied to reappraisals. The reforms cap revenue growth from inside millage, adjust school district millage floor calculations, strengthen county budget commission authority, and expand property tax credits.

While primarily focused on residential property taxes, LeadingAge Ohio is monitoring potential downstream effects for senior housing providers, particularly those operating affordable or mixed-income communities.

LeadingAge Ohio will continue tracking implementation of both HB 184 and the property tax reforms and will keep members informed as additional guidance and agency actions emerge. 

For questions, please contact Eli Faes at efaes@leadingageohio.org.

You Asked... We Answered

You Asked... We Answered

You Asked: Is there a resource for what surveyors look for during their kitchen tour? 

We Answered: Yes, the Centers for Medicare and Medicaid Services provides the Kitchen and Food Service Observation pathway. The form can be found in the surveyor resources zip file on the CMS nursing home webpage. Additionally, the Ohio Department of Health provides a Kitchen Survey Readiness Guide for nursing facilities.

LeadingAge Ohio News

Call for Presentations for 2026 Annual Conference

LeadingAge Ohio welcomes members and partners to submit proposals for the 2026 Annual Conference and Trade Show, August 25–27, at the Hilton Columbus at Easton. This year’s conference celebrates Changemakers—leaders and teams advancing aging services through new ideas, tested approaches, and collaborative practice.

Proposals across all topic areas are welcome, with particular interest in home health and hospice, clinical practice and quality, reimbursement, marketing and communications, philanthropy, leadership development, technology, artificial intelligence, and workforce issues. Sessions should offer clear applicability for provider settings and avoid promotion of proprietary products. 

The submission deadline is Monday, January 26, 2026. Full details and the application portal are available on the Call for Presentations page.

Questions may be directed to Corey Markham, Director of Education and Business Development, at CMarkham@leadingageohio.org.

Maximize Your Membership: New Technology Network to Launch in 2026

The new Technology Network convenes on February 11, 2026, at 9:30 a.m. This virtual network is a platform for CIOs, IT managers and specialists, data analysts and managers, and other technology professionals to connect and share on technology-related hot topics, issues, and decisions facing nonprofit aging services providers. The network will meet every other month on the second Wednesday at 9:30 a.m.

Among other topics, the Network will prioritize discussions on artificial intelligence governance and education, such as organizational expectations for AI use, understanding oversight and risk, and building shared knowledge among leaders, boards, and staff.

Stay Connected Snapshot: Upcoming Meetings & Events

There's always something happening at LeadingAge Ohio, view all upcoming events here and mark your calendar today!

LeadingAge News

Registration Opens for New CEO Fellowship

Registration is now open for the 2026 New CEO Fellowship, a leadership development opportunity designed for new and emerging chief executives in aging services. Participation is limited and available on a first-come, first-served basis, with registration closing June 5, 2026.

The Fellowship offers space for reflection, peer learning, and confidential dialogue focused on leadership identity and future impact. Grounded in narrative leadership theory, the program invites participants to examine the experiences that have shaped them, understand how their current leadership presence supports or limits their effectiveness, and envision the leader they are growing into. More details about the Fellowship’s structure and approach are available through LeadingAge’s New CEO Fellowship Program.

State News

DeWine Announces $200+ Million for Ohio Rural Health Transformation

Governor Mike DeWine announced December 29 that Ohio will receive more than $200 million in federal funding through the Rural Health Transformation Program, supported by the Centers for Medicare & Medicaid Services (CMS) and the U.S. Department of Health and Human Services.

The funding is aimed at improving access, quality, and sustainability of health care in Ohio’s rural communities, where residents face higher rates of chronic disease and limited access to specialty and preventive care.

Ohio’s plan builds on existing state initiatives and will invest in:

  • Expanded school-based health centers in rural areas;
  • Broader access to the OhioSEE child vision care program in rural school districts;
  • Expansion of evidence-based home visiting programs to support maternal and infant health.

The initiative also includes a Rural Healthcare Workforce Pipeline to recruit and retain health care professionals in rural communities, along with the creation of Rural Patient Health Innovation Hubs to support integrated, community-based care models.

The Ohio Department of Health will serve as the lead agency and will coordinate with federal partners as implementation guidance becomes available. LeadingAge Ohio will continue monitoring the program and share updates relevant to aging services providers.

Statewide Phase-In Set for Next Generation MyCare Expansion

The Ohio Department of Medicaid will begin a phased expansion of its redesigned MyCare program in 2026, extending integrated Medicare-Medicaid coverage statewide over the spring and summer. The updated program, part of Ohio’s broader Next Generation managed care redesign, is intended to improve care coordination for Ohioans eligible for both Medicare and Medicaid, with added emphasis on behavioral health, transportation, long-term services, and community-based living.

What You Need To Know

  • The Next Generation MyCare program launches January 2026 in the 29 counties currently served, including Franklin, Cuyahoga, Hamilton, Lucas, Montgomery, and Summit counties.
  • Contracts were awarded to Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare of Ohio, and Buckeye Health Plan. Anthem, CareSource, and Molina will be available statewide as expansion proceeds.
  • Existing Buckeye members in current MyCare counties may remain enrolled, but Buckeye will not be available to new MyCare members outside those areas.

What Happens Next

  • Additional counties will be added between April and August 2026, organized by Area Agency on Aging regions, with rollout dates staggered monthly. Find your county’s rollout here.
  • ODM has indicated the schedule is contingent on results from plan readiness surveys and operational reviews.

What to Do

  • Providers serving dual-eligible Ohioans should review upcoming regional rollout dates and assess potential impacts on contracts, care coordination, and resident or participant choice.
  • Organizations may wish to prepare staff and residents for plan transitions as MyCare becomes available in new counties.

Federal/National News

White House Executive Order Advances Cannabis Research

President Donald Trump issued an executive order on December 18 directing the Department of Justice to reschedule marijuana from Schedule I to Schedule III under the Controlled Substances Act. The order does not decriminalize marijuana, but it acknowledges reported medical benefits and follows earlier actions by the Department of Health and Human Services and the Drug Enforcement Administration to reconsider marijuana’s classification. Moving to Schedule III would reduce regulatory barriers for research while maintaining federal controls.

LeadingAge has supported rescheduling because it would allow more rigorous study of both the benefits and risks of medical marijuana use, particularly for chronic pain and other conditions affecting older adults. LeadingAge has also raised concerns that federal restrictions continue to create unnecessary housing access barriers for individuals using medical marijuana under state law. The executive order also eases restrictions on cannabidiol (CBD) and tetrahydrocannabinol (THC).

Members can follow ongoing developments through LeadingAge’s federal policy developments relating to cannabis serial post.

All 50 States Awarded Rural Health Transformation Funding

The Centers for Medicare and Medicaid Services (CMS) announced December 29 that it will award all 50 states funding from the $50B Rural Health Transformation Program (RHTP). The funds are to be used to “expand access to care in rural communities, strengthen the rural workforce, modernize rural facilities and technology and support innovative models…”.  

Beginning as early as January 2026, Ohio will receive $202,030,262. As previously reported, Ohio’s key transformation priorities include:

  • Preventing chronic disease and improving population health
    Targeting community-based strategies to reduce risk factors and improve health outcomes.
  • Strengthening care delivery in rural Ohio
    Expanding services in rural communities through models that integrate primary, behavioral, and preventive care.
  • Workforce development & retention
    Supporting rural workforce pipelines, recruitment incentives, and training to retain clinicians and support staff.
  • Technology & data infrastructure
    Modernizing systems — including telehealth, electronic health records, and data sharing — to improve rural care coordination.
  • Sustainable models tied to Medicaid and local systems
    Aligning program investments with existing state Medicaid initiatives and long-term sustainability strategies.

Members engaging with Ohio on RHTP initiatives should expect work to begin quickly because of the limited time to use funds and report progress.

ANA-Ohio Leadership Summit Spurs Action on Federal Loan Policy

Following the Fall Ohio Nursing Organizations Leadership Summit, American Nurses Association–Ohio is asking nursing leaders and partners to support a petition urging the U.S. Department of Education to explicitly include nursing in the definition of a “professional degree.” The change would protect nurses’ access to federal loan programs and reflect nursing’s role as a licensed profession requiring advanced education. ANA-Ohio encourages nurses and non-nurses alike to add their names to the petition urging inclusion of nursing as a professional degree, citing the need for a unified voice across health care.

Nursing Facility News

Survey Tip of the Week: Roommate Change Notification

Residents have the right to receive written notice, including the reason for the change, before the resident’s room or roommate is changed. Surveyors frequently cite F559 when facilities move residents without proper notification or without offering opportunities for residents to understand and prepare for the change. Facilities must consider resident preferences, provide time for questions, and allow the resident to see the new room and meet the new roommate whenever possible.

When assigning a new roommate, residents should receive as much advance notice as the situation allows. Facilities should review documentation protocols for roommate changes. If a roommate passes away, staff should provide space and support for the surviving resident to adjust before moving another person into the room. Because room changes and roommate transitions can be emotionally difficult, failure to communicate, prepare, or support the resident may lead to additional concerns under Social Services at F745.

NEW RESOURCE AVAILABLE: Overview of the Data Validation Process for the SNF Assessment-Based Measures

The Centers for Medicare & Medicaid Services (CMS) is offering a recorded presentation which describes new data validation process. This training supports facilities in understanding the purpose and structure of the data validation process including the notification and submission process, required activities for selected SNFs, and where to find key resources.

Access the recorded presentation on YouTube. A copy of the slides and a transcript of this presentation can be found on the Data Validation Process webpage.

If you have questions about accessing training or feedback regarding the training, please email the PAC Training Mailbox. Content-related questions should be submitted to SNF Validation Help Desk at snfvalidation@hcmsllc.com.

Report Portal Updates for Skilled Nursing Facilities

LeadingAge has updated its Report Portal with the latest data from the Centers for Medicare and Medicaid Services for skilled nursing facilities. LeadingAge members can access their updated reports through the LeadingAge Report Portal using their LeadingAge login.

For skilled nursing facility members, Five-Star Reports reflect an early December data refresh that was later corrected by CMS on Dec. 16. The updated reports include assessment-based quality measures and staffing data from 2025 Quarter 2, claims-based data from 2025 Quarter 1, and Skilled Nursing Facility Quality Reporting Program measures based on the applicable individual measure periods. Members with questions about their reports may contact Jodi Eyigor.

Member News

Creativity Has No Age Limit

At the Center for Abundant Aging’s Symposium on Creativity & Aging, hosted by United Church Homes, one message resonated clearly: creative expression remains vital throughout our lives. The event highlighted how curiosity, learning, and self-expression support wellbeing and purpose as people age—and how providers can create environments where those opportunities remain accessible and meaningful.

That message became personal when one attendee helped his 92-year-old father return to the trumpet after seven decades away from the instrument. Inspired by the Symposium, David signed up for lessons and quickly rediscovered the joy of making music. His story is a reminder that it is never too late to reconnect with creativity—and that mission-driven organizations play a critical role in making those moments possible. Read the full story, “The Power of Creativity in Aging: David’s Return to the Trumpet,” on the United Church Homes blog.

Do You Have Exciting News? We Want to Hear About It!

To submit a news item, simply email Laurinda Johnson at ljohnson@leadingageohio.org. We can’t wait to celebrate your success!

Education and Resources

January 13 Webinar Clarifies Restorative Nursing and Therapy Roles

Clear boundaries and collaboration between restorative nursing and therapy matter for resident outcomes and compliance. A free January 13 webinar, Restorative Nursing vs. Therapy: Clarifying Roles and Documentation Requirements, will focus on where responsibilities intersect, how regulations differ, and what documentation surveyors expect. Using a concise case study, presenters will address common misconceptions that put providers at risk and outline approaches that support residents’ highest practicable level of functioning. Registration is available through the My MDS Expert webinars and training page.

Check out the LeadingAge Ohio Education Calendar!

LeadingAge Ohio holds valuable education webinars and in-person events throughout the year. Opportunities are added weekly. See the complete Schedule of Events.

Upcoming Events

January 8, 2026
2:00PM - 3:00PM

Governance Webinar Series

Full Series Registration | Session 1: Recruiting for Mission, Onboarding for Impact

Webinar Series

January 12 (9:00AM) - 30 (5:00PM), 2026

2026 CORE of Knowledge

The Conference Center at OCLC

January 14, 2026
11:00AM - 12:00PM

STAT: Survey Tips and Tactics 2026 – Immediate Jeopardy

Webinar Series