Enact the Enhanced Cybersecurity for SNAP Act

Added a new title designating the bill as the 'Ohio Medicaid Program Integrity and Fraud Prevention Act' alongside the existing SNAP cybersecurity title.

Established a new requirement for the Auditor of State to audit Medicaid providers and expanded the Auditor's authority to issue subpoenas for Medicaid-related audits.

Created a new all-payer claims database to be administered by the Superintendent of Insurance, requiring health plans and Medicaid/Medicare payers to submit claims data starting in 2028.

Mandated the use of automated algorithmic analysis to check for alternative insurance coverage before issuing Medicaid payments.

Required that any automated review tools or AI used by Medicaid must have human review before any action is taken based on their findings.

Required the Medicaid Director to submit an annual public report on Electronic Visit Verification (EVV) utilization and compliance rates.

Added a requirement for the Medicaid Director to maintain a public performance dashboard tracking EVV compliance and fraud prevention metrics.

Mandated prior authorization for all therapeutic behavioral services provided under Medicaid.

Restricted eligibility for the Medicaid program to only those individuals who are federally eligible under the Social Security Act.

Amended Medicaid fraud penalties to include specific fine amounts and felony degrees based on the value of fraudulent claims, ranging from misdemeanors to first-degree felonies.

Added detailed definitions for terms like 'tracking device,' 'corrupt activity,' 'organized retail theft,' and 'animal or ecological terrorism' to expand criminal liability.

Removed the specific appropriation table and text detailing the $3 million funding for SNAP EBT modernization, likely because the funding mechanism was handled differently in the House version.

Added a new section appropriating $2.25 million for FY 2026 and $750,000 for FY 2027 to fund the transition to chip-enabled EBT cards.

Added a provision allowing the reappropriation of any unspent funds from the 2027 budget to fiscal year 2028.

Established a deadline of July 1, 2027, for the Department of Job and Family Services to complete the transition to chip-enabled cards.

Added seven new cosponsors to the list of legislators supporting the bill.