Top Legislative Issues


 

OSMA's Government Relations team serves as the voice of Ohio’s physicians—advising state departments and influencing state policy on health issues. Through leadership and education, we support and advance the physician profession in the state of Ohio.


We continue to monitor the major issues affecting the practice of medicine at the state and federal level. The top priority issues impacting the practice of medicine in Ohio are detailed below.

View OSMA's Position on Bills

Current advocacy priorities include the following:

Download PDF flyer of priorities >

Insurance Issues

Vaccines

Other Public Health Issues

Scope of Practice

2022 Election


Legislative Advocacy News

06/23/2022

AMA Celebrates 175 Years

June 22, 2022 – Our national partner contributing to OSMA's success, the American Medical Association (AMA), marked their 175th anniversary of its founding in May 2022.


06/14/2022

OSMA's Ohio Legislature Update

June 14, 2022 – The Ohio Legislature has recessed for the summer, but the last several weeks of hearings and session were quite busy for OSMA’s Advocacy team. OSMA has been actively advocating on behalf of Ohio physicians in ongoing deliberations regarding several issues, most recently including the following...


06/14/2022

June's Medical Board Meeting Recap

June 14, 2022 – Get the updates from the regularly scheduled Board meeting on June 8, including issues concerning proposed telehealth rules and the Medical Marijuana Expert Review's recent recommendation.


06/13/2022

Amicus Brief Filed on Federal PREP Act

June 13, 2022 – OSMA, along with the U.S. Chamber of Commerce and the American Medical Association (AMA), is participating in an amicus brief in the federal Sixth Circuit Court of Appeals on the question of whether the federal Public Readiness and Emergency Preparedness Act (the PREP Act) provides immunity from liability in a wrongful death claim against an assisted living facility for failing to take appropriate countermeasures during the early days of the COVID-19 pandemic.


06/02/2022

OSMA Joins National Coalition to Develop Characteristics of a Rational Medicare Physician Payment System

June 2, 2022 – More than 120 other medical organizations have also endorsed a framework for Medicare payment reform. This is an early step in the efforts to develop consensus on policy recommendations that will reshape the payment system to work better for patients and physicians—and hopefully end the annual advocacy exercise of stopping impending payment cuts.


05/19/2022

Federal Advocacy Update

May 19, 2022 – OSMA continues to monitor and advocate at the federal level this month. Recent updates include details about Medicare Advantage Plans wrongly denying prior authorization requests, and momentum continuing for the federal Improving Seniors’ Timely Access to Care Act.


05/19/2022

OSMA's State Legislative Update

May 19, 2022 – As the summer recess approaches, the Ohio Legislature is bustling with activity. OSMA’s advocacy team has been on-hand to work with elected officials regarding several major topics in the past few weeks, including the following items...


05/19/2022

May's Medical Board Meeting Recap

May 19, 2022 – Rules and issues to watch from the May 11th meeting include Interstate Medical License Compact, Telehealth Rules, and Medical Marijuana.


04/28/2022

Ohio Medicaid Revises Schedule on Implementation of Major Program Changes

April 28, 2022 – Rather than launch several new programs and administrative changes on July 1, Ohio Medicaid will start OhioRISE as previously scheduled, but stagger the remaining updates to “to ensure smooth member and provider transitions.” Medicaid provided the following details regarding the timeline.


04/26/2022

Introducing OSMA’s New President: A Q&A with Brian Santin, MD

April 26, 2022 – We are thrilled to welcome Dr. Santin as our new President, and we thank Dr. Lisa B. Egbert who tactfully completed her term. Read on to learn more about Dr. Santin, his medical career, and his vision for leading OSMA.


04/21/2022

Federal Surprise Billing Independent Dispute Resolution (IDR) Portal Now Active

April 21, 2022 – The Centers for Medicare and Medicaid Services (CMS) announced that the Independent Dispute Resolution (IDR) portal, which allows providers to initiate the IDR process under the No Surprises Act, is now active. Read on to learn more here and get the Ohio specifics as well.


04/21/2022

OSMA Gives Annual Awards

April 21, 2022 – The following individuals were honored at this year’s OSMA Annual Meeting for being the OSMA Physician Advocate of the Year, OSMAPAC Donor of the Year, and Voice of Medicine.


04/21/2022

April's Medical Board Meeting Recap

April 21, 2022 – See summaries from the April 13th meeting, including an interstate medical license compact update, the weight loss prescribing rule, and other rules to watch.


03/24/2022

Ohio Department of Insurance Activates Surprise Billing Arbitration Portal

March 24, 2022 – In partnership with an outside vendor Maximus Federal, the Ohio Department of Insurance (ODI) has now activated the portal where physicians can arbitrate certain out-of-network payments should they not receive an agreeable reimbursement from the insurer.


03/17/2022

Ohio Legislative Update: OSMA Government Relations Snapshot

March 17, 2022 – The OSMA advocacy team has been making the rounds lately, spending the past several weeks in and out of a variety of meetings with legislators and other interested parties on a number of issues that OSMA is tracking in the legislature.


03/17/2022

Federal Advocacy Updates

March 17, 2022 – OSMA continues to work with the American Medical Association (AMA) on a number of different advocacy efforts at the federal level. Last week, the AMA provided the following update on some important initiatives.


03/17/2022

Overview of Masking Guidance in Healthcare Facilities

March 17, 2022 – Since the CDC released updated guidance on wearing masks indoors at the end of February, OSMA has received some inquiries from members about recommendations for mask wearing in healthcare settings.


03/17/2022

Medical Board Meeting Recap for March

March 17, 2022 – See summaries from the March 9th meeting, including a medical marijuana update and other rules to watch.


02/23/2022

OSMA Assembles Physician Telehealth Experts to Offer Medical Board a Real-Life Perspective

February 23, 2022 – Once House Bill 122 passed in December 2021, and the Medical Board was charged with drafting rules to support the new law, OSMA quickly reached out to physician practices, health systems, and specialty medical associations to find physician telehealth experts who could offer insights and guidance to the Medical Board throughout the rule drafting process.


02/17/2022

Medical Board Recap: Comments on Proposed Rules Due March 1st

February 17, 2022 – At the February 9th meeting, the board approved an initial draft of the telehealth rules that were drafted to support the recently passed telemedicine legislation. The the board also approved an initial draft of a rule that would allow for the prescribing of weight loss medication beyond 12 weeks with provisions that would prevent overprescribing, abuse, and diversion of the medication.


02/16/2022

Physician Advocate of the Year Award: Nominations Open!

February 16, 2022 – OSMA's “Physician Advocate Award" recognizes extraordinary efforts of an OSMA physician leader who goes beyond their primary role of providing clinical treatment to their patients by advocating for the well-being of their profession, patients, and the communities they serve.


01/27/2022

Telehealth for Allergy, Asthma, and Immunology

January 27, 2022 – As part of AMA's Telehealth Immersion Program, a clinical case study and an overview of techniques for delivering allergy and immunology care via Telehealth will be presented on February 18, 2022 at 11a.m. EST.


01/24/2022

OSMAPAC Gears Up for 2022; Upcoming Fall Election

January 24, 2022 – The Ohio State Medical Association Political Action Committee (OSMAPAC) advocates as the political voice for Ohio physicians by helping to elect state and federal candidates based on their commitment to physician and patient issues. And 2022 will be another big election year, and the OSMAPAC is prepping for all that elections bring. One of the first steps is to launch this year’s giving campaign!


01/21/2022

Vaccine Mandate Update & Guidance

January 21, 2022 – After the U.S. Supreme Court lifted the ban against the vaccine mandate for health care workers in CMS funded facilities, CMS issued state survey guidance for the providers in the 24 that were affected by the decision, including Ohio.


01/20/2022

Ohio's 2021 Legislative Wrap Up & 2022 Preview

January 20, 2022 – It was another hectic year for OSMA's Advocacy team with the ongoing COVID-19 pandemic and with many major legislative issues in the spotlight. As usual, OSMA was on-hand to discuss topics impacting the practice of medicine with legislators and testify in committee hearings. Here is our summary and preview of what's in store for 2022...


01/18/2022

Medical Board's January Recap

January 18, 2022 – The medical board is busy drafting rules to support the recently passed telemedicine legislation. Learn notable provisions of the new telehealth law, as well as the details about nine petitions for potential new qualifying conditions for medical marijuana.


01/14/2022

Federal Vaccine Mandate Update

January 14, 2022 – Based on recent U.S. Supreme Court rulings, physicians and all health care workers at facilities that are subject to the Medicare and Medicaid Conditions of Participation must be vaccinated unless a medical or religious exemption applies. Physician offices are not subject to this mandate.


01/05/2022

New Surprise Billing Rule in Ohio—What to know!

January 5, 2022 – The Ohio Department of Insurance’s new rule, Ohio Administrative Code 3901-8-17, Reimbursement for Unanticipated Out-of-Network Care, is effective as of January 1, 2022. OSMA was an active participant throughout the rule drafting process.


01/04/2022

Federal Vaccine Mandates Update – How is your practice impacted?

January 4, 2022 – The US Supreme Court has announced it will hear arguments on Friday, January 7, on whether two separately-issued vaccine mandates may go into effect. One is the CMS mandate that applies to staff working at CMS-certified facilities such as hospitals, and the other is the OSHA vaccine and testing mandate that applies to all employers with more than 100 employees.


12/19/2021

OSMA Joins Amicus Brief in E-cigarettes Case

December 19, 2021 – Breeze Smoke v FDA: We're urging the court to uphold the FDA’s Final Marketing Denial Order because their decision was supported by evidence showing that the harm to the public, especially youth, was greater than the evidence provided by the company that their flavored nicotine product assisted smoking cessation more than unflavored products.


12/16/2021

Telehealth Legislation Passes Ohio Legislature

December 16, 2021 – Telehealth rules relaxed by the state Medical Board during the pandemic are becoming permanent. Governor DeWine is expected to sign House Bill 122 into law later this month, and the legislation will become effective 90 days after it is signed.


12/15/2021

Legislation Passes to Avert Most Medicare Cuts in 2022

December 15, 2021 – Due in part to the advocacy efforts of OSMA and Ohio physicians and with the leadership of the AMA and national specialty societies, congress passed legislation late last week to avert most of the scheduled Medicare physician cuts scheduled to start on January 1. We are thankful for all the calls and emails from Ohio physicians that helped make a difference, and we thank both Senators Brown and Portman for their votes.


12/15/2021

Ohio Anti-Vaccine Mandate Legislation Update

December 15, 2021 – OSMA last updated members on HB 218 when it passed in the House in November. Since that point, your OSMA advocacy team has continued to help lead the coalition against the bill, which is comprised of over 100 organizations in business, manufacturing, education and health care, representing over a million Ohioans. 


12/14/2021

Medical Board's December 2021 Meeting Highlights

December 14, 2021 – The State Medical Board of Ohio met on December 8, 2021. Here are highlights from the meeting, including leadership election updates and the physician assistant consult agreement rules effective December 31.


12/13/2021

Provider Relief Fund Reporting—Deadline Extended

December 13, 2021 – The Department of Health and Human Services issued the following statement at the end of last week extended the Provider Relief Funding Reporting one additional time until December 20.


11/21/2021

OSMA Signs Letter Asking for Revisions to the "No Surprises Act"

November 21, 2021 – The letter asks for revisions to the requirements in the most recent Interim Final Rule (IFR) implementing the No Surprises Act (NSA) that require an Independent Dispute Resolution (IDR) entity to assume the Qualified Payment Amount (QPA) is a reasonable out-of-network rate, unless credible information submitted by the parties clearly demonstrates that the QPA is materially different from the appropriate out-of-network rate.


11/19/2021

Ohio House Passes Legislation Restricting Vaccine Mandates

November 19, 2021 - Lawmakers in the Ohio House have stripped language out of House Bill 218, and inserted anti-vaccine mandate provisions actively opposed by OSMA from House Bill 435.


11/16/2021

Medical Board Takes Action on Podiatry Scope Issue

November 16, 2021 - After the Board issued its determination on whether five specific procedures were within the scope of practice of a podiatrist, concerns were raised with respect to two of the specific procedures.


10/21/2021

OSMA Supports Introduction of Federal Prior Authorization Legislation

October 21, 2021 - This week, the bipartisan Improving Seniors’ Timely Access to Care Act  was introduced in the U.S. Senate. The legislation aims to significantly reform the prior authorization process with Medicare Advantage Plans. OSMA and numerous other physician organizations support this important piece of legislation.


10/21/2021

Ohio's Vaccination Legislation Summary

October 21, 2021 - OSMA has been on the front lines of the ongoing deliberations at the Statehouse regarding vaccines and employer requirements for vaccinations. Several legislative proposals have been in the spotlight recently that would limit how employers could require vaccinations, both COVID-19-specific and other vaccines.


10/20/2021

Medical Board October Updates

October 20, 2021 - Get updates from the Medical Board's October 2021 meeting—including weight loss prescribing rules, and an update on the soon-to-expire Telemedicine moratorium.


10/07/2021

Recent Updates from Ohio Medicaid for Physician Practices

The Ohio Department of Medicaid provided updates to the OSMA to share with members on several different topics.


09/28/2021

Take Action: Support the Prevention of Medicare Physician Payment Cuts!

September 28, 2021 - There is much work to be done to avert looming cuts in the Medicare physician payment system. In what amounts to a “perfect storm” of payment reductions going into effect in 2022, several Medicare spending cuts will result in a combined 9.75% payment cut for physician practices on Jan. 1.


08/24/2021

Combatting COVID-19 & Vaccine Misinformation

August 24, 2021 - Physician efforts to keep patients properly informed about developments in the pandemic are especially critical now with the ongoing spread of the Delta variant.


08/17/2021

OSMA Gears Up for New Insurance Reform Initiative

August 17, 2021 - Your OSMA advocacy team has been exploring and researching the issues that insurer policies and processes create in preparation for pursuit of further legislative and regulatory reform in Ohio.


08/17/2021

Medical Board Updates

August 16, 2021 - Get updates from the August 11th meeting—including Telemedicine guidance and the extension of enforcement moratorium, as well as discussions on resurrecting a Medical Board Quality Assurance Committee.


08/16/2021

Ohio Medicare & Medicaid Undergoing Many Policy Changes

August 16, 2021 - The good news is, these changes are focused on simplifying the process. The Ohio Department of Medicaid, through its next generation managed care program targeted to launch in January 2022, will feature significant components.


08/15/2021

Summary of 2022 Medicare Physician Fee Schedule & Quality Payment Program Proposed Rule

August 15, 2021 - On July 13, 2021, the Centers for Medicare and Medicaid Services (CMS) released the Calendar Year (CY) 2022 Revisions to Payment Policies under the Physician Fee Schedule (PFS) and Other Changes to Part B Payment Policies proposed rule.


08/15/2021

OSMA Signs Letter Against Department of VA's Efforts for National Standards of Practice

August 15, 2021 - The effort is referred to as the Federal Supremacy Project, to develop National Standards of Practice for 48 healthcare occupations. As the name implies, the VA is invoking the Supremacy Clause of the Constitution to preempt state and local scope of practice laws.


08/02/2021

Open Notes in Healthcare: The Good, the Bad, and the Ugly of the Cures Act

August 2, 2021 - On April 5, 2021, a requirement of the 21st Century Cures Act went into effect: Patients must be able to access information in their EHRs “without delay.” (This requirement does not apply to paper records.) The Cures Act prohibition against information blocking, often referred to as an “open notes” provision, provides patients with transparency in the outcomes of their healthcare via convenient access to information in their EHR, which can positively or negatively impact the patient-doctor relationship.


07/22/2021

Medical Board Clarifies Telemedicine Rules with State Emergency Expiring

July 22, 2021 - Since many of the medical board’s telemedicine rules were halted in early 2020 due to COVID-19, allowing much more leeway in treating patients remotely, OSMA has received many questions from physician offices about the current status of the rules and how the board will handle telemedicine once the pandemic has subsided.


07/21/2021

Help OSMAPAC Come Back Strong in 2021

July 21, 2021 - As Ohio works to recover from the impact of the pandemic, the Ohio State Medical Association Political Action Committee (OSMAPAC) is critical now more than ever. Your OSMA advocacy team is on-hand on a day-to-day basis and needs your support.


07/21/2021

Federal Advocacy Update

July 21, 2021 - CMS releases 2022 proposed Medicare Physician Fee Schedule, updates on state scope of practice activity, and President Biden signs Executive Order aimed at limiting anti-competitive behavior.


07/20/2021

Medical Board Updates

July 20, 2021 - Learn about the Interstate Medical License Compact (SB 6), and the recently reappointed Medical Board Member—Mark A. Bechtel, MD.


07/13/2021

Ohio to Enter into the Interstate Medical Licensure Compact

July 13, 2021 - Senate Bill 6, signed into law by Governor DeWine on June 29, 2021, authorizes the State Medical Board of Ohio to enter into the Interstate Medical Licensure Compact. Ohio becomes the 35th state to become a member of the Compact. Physicians from any state with Compact membership, including Ohio, who meet the qualifications will be eligible for licensure in any other participating state. The following was sent by the Medical Board this afternoon to all physicians in the state.


07/01/2021

House Bill 244

July 1, 2021 - In a late-night and last-minute move the day before the legislature went on break for the summer, elected officials swiftly passed legislation that would prohibit Ohio public schools and colleges from mandating COVID-19 vaccinations..


07/01/2021

Amended Senate Bill 111

July 1, 2021 - Last week, legislators considering an unrelated spending bill added an anti-vaccine amendment to the bill and hurriedly passed it in a floor vote.


07/01/2021

State Budget Update: Governor DeWine Signs 2-Year Budget Bill into Law, Issues Line-Item Vetoes

July 1, 2021 - The Conference Committee finalized the state budget plan based on the contents of the bills passed in each legislative chamber, and the legislature approved the bill just short of their June 30 deadline. Late Monday night, the final version of HB 110 passed in the Senate (by a vote of 32-1), and House (by a vote of 82-13).


07/16/2020

Mid-Year Advocacy Update

July 17, 2020 – It is an understatement to say that 2020 has brought us all many unexpected challenges. Together, we continue to be a strong collective force, and OSMA is pleased to have made progress with many of the year’s advocacy goals despite the disruptions caused by COVID-19.


08/01/2019

Ohio Physicians Give Feedback on Medicaid Managed Care Program

Many of our members provide daily patient care to Ohio’s Medicaid population and thus are uniquely qualified to provide meaningful information to assist the Ohio Department of Medicaid in its upcoming competitive Medicaid managed care procurement process. The comments we received from our members generally centered on areas where improvement is most desired, including plan accountability, grievances and appeals, provider support, benefits and delivery, and care coordination and management.


07/23/2019

Wrap Up: Ohio Delegation to the American Medical Association

Your OSMA Delegation to the AMA worked diligently on behalf of Ohio physicians during the recent 2019 Annual Meeting in Chicago. Ohio resolutions were carried forward and either adopted as new policy or committed the AMA to continue existing policy for another ten years.


07/18/2019

Ohio Budget Process Complete

The OSMA Government Relations team has been engaging with legislators on health care-related budget items since the governor’s initial proposal was released, and has been following and participating in the ongoing debates about a number of health policy decisions.


03/28/2019

Dollars & Sense: The State Budget

Earlier this week, the state budget became a bill on Capitol Hill—or at least on Capitol Square in Columbus, Ohio. The OSMA has completed an initial review of the bill language...


02/28/2019

OSMA Goes to Washington

Earlier this month, several OSMA members along with the OSMA Government Relations staff traveled to Washington DC to meet with members of Congress to discuss how existing laws are affecting patients and practices.


02/14/2019

What is the OSMA Doing for You?

With a new governor in office and Ohio legislators back at the Statehouse, the OSMA is putting our advocacy agenda—based on the priorities of our members—in motion.


01/08/2019

Ohio’s Lame Duck Legislative Session 2018 – What Happened & What You Should Know

The final months of 2018 were a whirlwind beyond the usual frenzied legislative activity of “lame duck” – with Ohio’s legislators staying in session until just days before the Christmas holiday, and returning for more action just days after. This scenario is extremely rare and hasn’t happened in Ohio’s legislature to this extent in decades.