Regulatory Affairs


Actively Monitoring the Activities
of State & Federal Regulatory Agencies

OSMA takes a very active role in advocating for physicians not just in the Ohio Legislature, but also in the regulatory arena—specifically at state agencies and state boards. We constantly monitor administrative rules at the Ohio Departments of Health, Medicaid, Insurance, Mental Health, along with state Boards such as Medical, Pharmacy, and Nursing to name a few. When one of these agencies propose changing these regulations, we work directly with our member committees to analyze how these regulations will affect our members, and when appropriate, we advocate to improve and protect the regulatory climate of our member practices. With evolving regulations such as telehealth and cross-state licensing, it is now more important than ever to participate in advocating for the medical profession.

How to get involved in advocating on these regulations
for your profession:

OSMA maintains advocacy subcommittees to review and discuss legislative and regulatory issues facing medicine. We highly value the participation of our members in these subcommittees and we encourage anyone interested in participating to do so.


Get Involved >
Or call OSMA at 614-527-6762.

Latest News:

Find updates below on the activities of relevant state boards and OSMA's active engagements.


OSMA Mid-Year Advocacy Wrap Up

July 18, 2024 – The legislative sessions have been extremely hectic, with both chambers of the Statehouse moving a record number of bills through committee hearings and floor votes. Your OSMA Advocacy team was actively involved as many of our priority advocacy issues were among those experiencing activity.


HHS Releases 2025 Medicare Physician Fee Schedule Proposed Rules—Reductions Continue

July 11, 2024 – On July 10, the U.S. Department of Health and Human Services (HHS) released the 2025 Medicare Physician Fee Schedule Proposed Rules. In the press release, HHS stated the following related to 2025 rates...


Legislative Advocacy Update – June

June 19, 2024 – The OSMA advocacy team has had an action-packed several weeks at the Statehouse in Columbus as legislators prepare to wrap up their sessions for the summer recess before the upcoming fall elections.


Recent Medical Board & Legal News

June 18, 2024 – Get an update on the Supreme Court decision on Mifepristone, what the Ohio Med Board has rejected as qualifying conditions for the recommendation of medical marijuana, and a new HIPAA privacy rule.


Legislation Reintroduced to Reform Medicare Advantage Plans use of Prior Authorization 

June 18, 2024 – A bipartisan bill, Improving Seniors’ Timely Access to Care Act (S. 4532 / H.R. 8702), has been reintroduced at the federal level to reform the use of prior authorization by Medicare Advantage plans. Both Ohio Senators—Brown and Vance—have co-sponsored the bill as well as congressman Balderson, Carey, Latta and Wenstrup. In total there are 135 U.S. House of Representatives and 45 senators signed on as co-sponsors.


Ohio Physician Leaders Attend AMA Annual Meeting

June 13, 2024 – Over the last week, a delegation of Ohio physicians elected by members of the OSMA attended the American Medical Association’s Annual Meeting—joining with colleagues from across the country to review and debate policy. There were also a number of physicians from Ohio elected or appointed to leadership positions.


May Legislative Advocacy Update

May 15, 2024 – Our OSMA Advocacy team is currently facing the additional challenge of limited chances for movement on our priority issues, but thankfully we can report that due to our efforts, progress continues for the OSMA advocacy agenda.


Feds Solicit Complaints for Anti-Competitive Behavior in Healthcare

May 14, 2024 – In late April of this year, the Federal Trade Commission, Justice Department, and Department of Health and Human Services announced a joint online portal to solicit complaints from providers and members of the public to report anti-competitive behavior in the healthcare marketplace.


Ohio Medical Board Receives Expert Reports on Medical Marijuana Conditions

May 14, 2024 – At its May meeting, the State Medical Board received expert third-party reports for the petitions to add two new conditions to the Board’s list of those permissible for a medical marijuana condition.


Planned Parenthood Challenges Additional Ohio Abortion Laws

May 13, 2024 – Last week, Planned Parenthood motioned the court in their case to file an amended complaint to include the recently-passed Constitutional right to abortion as support to their initial claims—which challenged an Ohio law that required any initial dose of medication-induced abortion to be consumed by the patient while physically present in the same location of their physician.


State Medical Board & Regulatory Update

April 24, 2024 – The State Medical Board of Ohio's recent activity has been around topics of adopting the official licensure status of "retired," working on Board rules concerning Medication-Assisted Treatment, and a newly-hosted podcast to inform members and the general public on current Board matters.


Legislative Update: Gender Affirming Care Legislation for Ohio Youth Temporarily Blocked by Judge

April 18, 2024 – This week, a Franklin County judge issued a temporary injunction for the enforcement of House Bill 68, legislation which would prevent transgender youth from receiving gender-affirming care.


OSMA’s Advocacy Results in Directive from the Department of Insurance on Change Healthcare

April 18, 2024 – Last month, OSMA and OHA sent a joint letter to the Ohio Department of Insurance (ODI), requesting a directive be sent to all licensed health insurers in Ohio to create flexibility for physicians' and hospitals' interactions with payers due to the major disruption caused by the Change Healthcare cyberattack. Last week, ODI followed through on this request and sent a notice to all payers outlining the specific requests that we made.


BWC Virtual Provider Forum on Physician’s Report of Work Ability is April 24—Have Your Voice Heard

April 17, 2024 – If your practice sees patients covered by worker’s compensation, you now have a chance to interact with the Bureau’s leadership and medical directors regarding the Physician’s Report of Work Ability. BWC sent out the following notice—don’t miss your chance to connect with key leaders and physicians.


2024 OSMA Annual Meeting Recap

April 11, 2024 – This past weekend, OSMA members from across the state gathered together in Columbus for the OSMA Annual Meeting—an opportunity to network, share ideas, and conduct important policy work on behalf of their profession and their patients. Read on for a full summary of the event's happenings.


Spring Legislative Preview

March 28, 2024 – Now that the March 19 primary elections have passed, the Ohio Legislature is expected to return to the Statehouse for a flurry of activity shortly after the upcoming holiday. The Ohio House and Senate will conduct a series of hearings and sessions from mid-April up until the legislators depart back to their districts for the summer recess and to campaign for the general election this fall.


Are You Being Paid 2024 Rates? Check Your Medicaid Claims

March 26, 2024 – As a result of OSMA advocacy efforts last year, on Jan. 1 Ohio increased the Medicaid fee schedule resulting in the majority of codes increasing by 5% with a cumulative impact of about $400 million in new funding. The implementation of the increase has been challenging and it's essential that practices review their claims payment history since Jan. 1 to ensure you are receiving the appropriate increase.


OSMA Seeks Ohio Department of Insurance Action on Change Healthcare Cyberattack

March 21, 2024 – OSMA and the Ohio Hospital Association (OHA) sent a joint letter to the Ohio Department of Insurance (ODI) to direct commercial health insurance plans in Ohio to provide administrative and financial relief for physician practices and hospitals impacted by the cyberattack on Change Healthcare.


Partial Medicare Fee Schedule Fix Passed and Implemented

March 20, 2024 – While not erasing the entire 3.37 percent cut that went into effect on January 1, recent passage of the Consolidated Appropriation Act created a 1.68 percent update to the Medicare Physician Payment Schedule conversion factor.


February Legislative Update

January 21, 2024 – This month, your OSMA Advocacy team has been working extensively behind the scenes with legislators and other interested parties on several key issues, preparing for upcoming legislative sessions next week and later this spring after the primary election.


Medical Board Update

February 15, 2024 – On February 14, the State Medical Board of Ohio accepted review of two potential additional qualifying conditions for a medical marijuana recommendation. Those conditions are (1) Female Orgasmic Difficulty Disorder and (2) Autism Spectrum Disorder.


HHS Updates Opioid Treatment Program Regulations for First Time in 20 Years

February 12, 2024 – Last week the Department of Health and Human Services (HHS) published new rules related to opioid treatment and issued the following statement.


Recent Override of Two Gubernatorial Vetoes

January 25, 2024 – An update on: Governor DeWine’s veto of House Bill 68, the gender-affirming care legislation, being overridden by a vote in the Ohio House, as well as information about the regulatory process surrounding the development of new administrative rules regarding gender transition care for Ohioans under the age of 21.


Ohio Legislative Update!

January 18, 2024 – Last week, despite strong and consistent advocacy efforts by OSMA and a large coalition of medical organizations, members of the Ohio House of Representatives returned to Columbus in order to vote to overturn Governor DeWine’s veto of House Bill 68. As a reminder, HB 68 would ban gender-affirming care – including use of hormones, puberty blockers, and surgeries – for patients in Ohio under the age of 18. Also, members of the Ohio House have unanimously voted to pass House Bill 179—on vicarious liability in tort actions, and provides that the tolling of the limitations period during the defendant's absence or concealment does not apply to statutes of repose.


Legal Update: Physician Wrongful Death Liability Claim Protections Upheld

January 18, 2024 – The Ohio Supreme Court confirmed limits on physician liability in wrongful death cases late in 2023.


CMS Announces Final Rules Regulation Medicare Advantage Prior Authorization

January 17, 2024 – We are pleased to report that earlier this week, CMS announced its final rule package that will address some of the challenges physicians face with the prior authorization system.


New Year Brings Medicaid Rate Increase for Ohio Physicians

January 3, 2024 – On January 1, the majority of the codes in the Ohio Medicaid fee schedule for non-institutional providers (this includes physicians) increased by 5% or more—thus resulting in $415 million in additional funding this year. Additionally, fee schedules for ambulatory surgery centers, vision services, and others have also increased. Securing the Medicaid rate increase was OSMA’s top legislative priority in 2023!


Thank You for Your Support in 2023!

December 19, 2023 – We're looking forward to 2024... I want to thank every OSMA member for their support and for being a passionate advocate for our profession. During the past year, OSMA staff and leadership were involved in a wide variety of activities that I hope have benefitted every physician in Ohio—and will continue to do so. 2023 highlights include... 


OSMA December Legislative Update

December 15, 2023 – The Ohio Legislature has completed its activities and recessed until the New Year, and the past several weeks at the Statehouse have been a whirlwind of hearings, meetings, and legislative sessions as legislators prepared to wind down for the holidays. Here’s a review of important and recent updates on issues your OSMA advocacy team has been involved in this year, and a brief peek at what these developments mean for our advocacy agenda in 2024.


Take Action Now: New Medicare Payment Fix Bill Introduced

December 14, 2023 – As we have informed OSMA members over the last two months, unless Congress takes action, the 2024 Medicare physician fee schedule includes a 3.37% payment cut for physicians.


State Medical Board and Ohio Legal Update

December 14, 2023 – The State Medical Board of Ohio (SMBO) met on December 13 to finalize the election of Board members, while the Supreme Court of Ohio has ordered the parties in Preterm Cleveland v Yost to submit briefs in the wake of the passage of Issue 2.


Attention Medical Students: 2024 Fellowship Opportunity

December 13, 2023 – Have free time this upcoming summer?  Want to get a hands-on advocacy experience? The Ohio State Medical Association (OSMA) is looking for a driven and personable medical student for a 6-8 week internship in summer 2024!


Advocacy Update: Help Avert the Medicare Payment Cut!

November 28, 2023 – In addition to our direct advocacy efforts, we’re asking members to contact Congress to help fix Medicare now. We need everyone’s help to avert the cut.


OSMA Advocacy Leads to More Than $400 Million in Increased Medicaid Reimbursement

November 28, 2023 – OSMA’s top legislative priority for 2023 was to increase Medicaid reimbursement for physicians. Working with the administration, a provision to increase the Medicaid fee schedule was included in the initial budget proposal and remained in the version passed by both the House and Senate—and ultimately signed by the governor at the end of June.


Medicaid Fee-for-Service Claim Denials & Reprocessing

November 27, 2023 – Ohio Department of Medicaid (ODM) and its Ohio Medicaid Enterprise System vendors are diligently focused on providing transparency and visibility regarding care and services.


No Surprises Act Update & Medical Board Meeting Summary

November 9, 2023 – As Congress enacted the No Surprises Act in 2020 to address the issue of “surprise medical bills” for patients and provider payment issues, the Biden administration has proposed a recent rule specifically addressing the Independent Dispute Resolution (IDR) process. And as a reminder, this summer the Board eliminated the previous One Bite Program addressing physician substance use impairment in favor of a vastly more appropriate program structure.


Election Recap: Ohio Voters Pass Issues 1 & 2

November 9, 2023 – After weeks of early in-person and absentee mail-in voting, the 2023 general election culminated in this week’s Election Day, with many Ohioans heading out to the polls to cast their votes on Tuesday. Numerous local races all over the state were decided by Ohio voters, and in the evening after the polls closed, all eyes were on the incoming results, particularly concerning statewide ballot issues 1 and 2.


Upcoming Trainings: Ohio Medical Board’s New Confidential Monitoring Program

November 8, 2023 – The State Medical Board of Ohio (SMBO) developed a Confidential Monitoring Program in partnership with the Ohio Professionals Health Program (OhioPHP) for all licensees and applicants. This program is a confidential path for individuals to seek help for burnout, mental health, substance use disorders, and a therapeutic alternative to regulatory awareness.


Report from OSMA Delegation to the AMA

October 26, 2023 – The OSMA Delegation to the American Medical Association (AMA) had the privilege of representing our association at the 2023 Annual Meeting of the AMA House of Delegates (HOD), from June 9 to 14 in Chicago, Illinois. The business of this Annual Meeting is robust and diverse in both range and topic. There were several hundred items of business (reports and resolutions) considered at the meeting. The Delegation worked throughout the summer to summarize our activities at the meeting for review by the OSMA Council and membership.


Advocacy Update: OSMA Advocates for Physicians on Numerous Major Issues

October 19, 2023 –Over the past few weeks, the Ohio Statehouse has been bustling with hearings, interested party meetings, and other activity, and your OSMA advocacy team, along with several OSMA physician members, have been busy in downtown Columbus to make physician voices heard.


State Medical Board Confidential Monitoring Program Replaces One-Bite Program – What to Know

October 19, 2023 –The new program provides individual treatment plans and confidential (non-disciplinary) programming, along with the inclusion of physical and mental health related impairment in addition to substance abuse.


GOP Doctors Caucus Releases Draft Reforms to the Medicare Physician Fee Schedule

October 18, 2023 – Earlier this month the GOP Doctors Caucus released a discussion draft of legislation seeking to reform the Medicare Physician Fee Schedule (MPFS).  In the press release, the Caucus outlined three main areas it hoped to address.


Ohio Medicaid Releases 2024 Fee Schedule Draft

October 4, 2023 – Earlier this year, OSMA was successful in advocating for a Medicaid rate increase in the state budget. A top priority for OSMA, in its entirety, for the 18-month period starting in January, estimates are that the increase should result in more than $200 million in new funding for physician professional services.


OSMA Statement on Ohio Issues 1 and 2

September 29, 2023 – Press release: Columbus, Ohio – Ohio State Medical Association (OSMA), the state’s largest and oldest physician-led organization, issues the following statement on Ohio’s November ballot initiatives.


Important Reminders on Ohio Medicaid Claim Submissions

September 26, 2023 – The Ohio Department of Medicaid (ODM) recently provided the following update on claims submissions for all Ohio physician practices.


Ohio Legislature Returns for the Fall: What’s on OSMA’s Agenda?

September 20, 2023 – Along with monitoring dozens of pieces of legislation so far this year, there are several items we will be focusing our advocacy efforts on heading into late September, October, and beyond.


2024 OSMA Annual Meeting – Key Dates & Deadlines

August 24, 2023 – OSMA's Annual Meeting will take place April 5-7, 2024 at the Renaissance Polaris Hotel in Columbus. We look forward to seeing everyone—and in the meantime, here is what to plan for...


CMS Seeking Comments on Quality Payment Program in 2024 Physician Fee Schedule Changes

August 23, 2023 – Provide your feedback on the proposed changes to the Quality Payment Program by September 11. CMS recently sent out the following request to all physicians...


Save these Dates to Connect with OSMA's Leadership Team

August 17, 2023 – Join our live updates on the following dates for a brief audio interaction on how your OSMA team is working to advance important state legislative and regulatory issues that protect you and your patients.


OSMA Collaborates to Reform Medicare’s Payment System

August 17, 2023 – OSMA has joined with the AMA and other state and national medical association to reform Medicare’s broken physician payment system. The AMA sent the below alert to physicians across the country to contact members of congress when their home for the August recess. We encourage all OSMA members to contact congress and stress the importance of fixing Medicare now.


OSMA Advocacy Priorities for Physician & Patient Mental Health Passed in Ohio Budget

August 4, 2023 – During the spring state budget process, OSMA advocated for funding to secure the 988 Suicide & Crisis Lifeline in Ohio, and changes to how to better protect physicians' personal data on the medical board's website.


OSMA Advocacy Delivers: Medicaid Physician Fee Schedule Increase Coming in 2024

August 2, 2023 – During the spring state budget process, OSMA advocated for an increase in the Medicaid physician fee schedule. The final passed and signed version included language for a 5% increase.


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.


Introducing OSMA’s New President: A Q&A with Lisa Egbert, MD

April 23, 2021 – We are thrilled to welcome Dr. Egbert as our new President, and we thank Dr. Anthony Armstrong who skillfully completed his term. Read on to learn more about Dr. Egbert, her medical career, and her vision for leading OSMA.


Health Equity Q&A with OSMA President Anthony Armstrong, MD

February 11, 2021 - The COVID-19 pandemic and elevated conversations about racial justice have brought the issue of healthcare equity to the forefront for healthcare professionals everywhere. As we support members in 2021, we’re pleased to share thoughts from OSMA President Anthony Armstrong, MD on health equity and what this means for Ohio physicians.


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.


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.


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.