10/09/2025

Ohio House Considers Medicaid Estate Recovery Reform

Estate recovery reform has emerged as a key issue for aging services providers and advocates who serve older Ohioans with limited means. Under current state law, Medicaid may recover certain costs from the estates of deceased beneficiaries, a practice that can create hardship for surviving spouses and heirs while discouraging individuals from seeking needed long-term services.

The Ohio House Medicaid Committee held a second hearing October 7 on House Bill 318, legislation that would revise the state’s Medicaid estate recovery program. Sponsored by Representatives Jason Stephens and Sean Brennan, the measure seeks to narrow when the state may recover costs for long-term care and related services.

Proponents from across Ohio’s aging network—including Pro Seniors, the Ohio Association of Area Agencies on Aging, and the Ohio Federation for Health Equity and Social Justice—testified that current practices can deter individuals from obtaining care and place undue financial strain on families after death.

Committee members reviewed the bill’s fiscal analysis and raised questions about how proposed changes would align with federal Medicaid rules. The measure remains under committee review for possible amendments.

LeadingAge Ohio will continue to monitor HB 318 and provide updates as the legislation advances.