Budget & Taxes

HB 8 requires health insurance plans and Ohio Medicaid to cover biomarker testing for diagnosis, treatment, and ongoing disease monitoring when ordered by a provider as medically necessary. The bill mandates coverage only for tests supported by specific evidence, such as FDA-approved uses, clinical guidelines, or peer-reviewed studies showing improved health outcomes, and explicitly excludes screening purposes. It also requires plans to minimize disruptions in care (like multiple biopsies) and ensures an accessible appeal process for coverage denials. This affects patients with conditions requiring these tests and healthcare providers ordering them, but does not change existing coverage for screening.

To amend sections 955.201 and 5747.113 and to enact section 955.202 of the Revised Code to establish an income tax refund designation to assist low-income individuals in spaying and neutering their pets.

Urging Ohio electric utility stakeholders, the Governor, and the Congress of the United States to invest resources into the security, reliability, and resiliency of the state and national interconnected electric grids against natural and man-made threats.

To amend sections 9.239, 9.27, 9.28, 9.312, 9.331, 9.334, 9.47, 9.821, 102.02, 107.71, 113.05, 113.13, 113.40, 113.51, 119.062, 120.06, 120.08, 121.02, 121.03, 121.084, 121.085, 121.22, 121.35, 121.36, 121.37, 122.175, 122.1710, 122.4041, 122.41, 122.42, 122.47, 122.49, 122.53, 122.571, 122.59, 122.66, 122.67, 122.68, 122.681, 122.69, 122.70, 122.701, 122.702, 122.85, 123.10, 123.21, 123.211, 123.28, 123.281, 124.02, 124.07, 124.11, 124.134, 124.135, 124.136, 124.1310, 124.1312, 124.142, 124.15, 124.152, 124.17, 124.181, 124.382, 124.384, 124.385, 124.386, 124.81, 125.01, 125.02, 125.035, 125.036, 125.04, 125.041, 125.05, 125.051, 125.061, 125.07, 125.071, 125.072, 125.073, 125.09, 125.091, 125.11, 125.13, 125.18, 125.183, 125.31, 125.42, 125.58, 125.601, 126.14, 126.141, 126.32, 126.42, 127.16, 128.021, 128.46, 128.99, 131.01, 131.50, 131.51, 135.01, 135.03, 135.18, 135.71, 141.01, 145.01, 145.334, 149.3010, 149.311, 149.38, 149.43, 153.01, 153.013, 153.07, 153.08, 153.09, 153.12, 153.13, 153.14, 153.50, 153.501, 153.502, 153.503, 153.54, 153.63, 153.65, 153.693, 164.01, 164.05, 164.06, 164.08, 164.14, 165.04, 166.03, 166.08, 169.01, 169.05, 169.08, 169.12, 169.99, 173.38, 173.381, 173.391, 173.525, 175.16, 175.17, 307.515, 307.86, 307.985, 340.01, 340.011, 340.02, 340.021, 340.022, 340.03, 340.032, 340.034, 340.036, 340.037, 340.04, 340.041, 340.05, 340.07, 340.08, 340.09, 340.12, 340.13, 340.16, 718.031, 718.85, 718.88, 718.89, 718.90, 731.14, 731.141, 733.40, 901.43, 904.02, 904.04, 905.32, 905.57, 907.13, 907.14, 909.01, 909.02, 909.07, 909.08, 909.09, 909.13, 911.02, 913.23, 915.16, 915.24, 921.01, 921.02, 921.06, 921.09, 921.11, 921.12, 921.13, 921.14, 921.16, 921.23, 921.24, 921.26, 923.42, 923.44, 923.51, 924.51, 927.53, 928.02, 928.03, 928.04, 935.06, 935.07, 935.09, 935.10, 935.16, 935.17, 935.20, 935.24, 943.01, 943.04, 943.16, 943.20, 943.21, 943.22, 943.23, 943.24, 943.25, 943.26, 943.99, 956.07, 956.10, 956.13, 956.16, 956.18, 956.21, 956.22, 956.23, 993.01, 993.04, 1311.252, 1321.21, 1347.08, 1509.03, 1509.221, 1509.36, 1517.11, 1521.16, 1521.23, 1522.12, 1533.11, 1533.131, 1533.32, 1533.71, 1533.721, 1533.731, 1533.77, 1546.01, 1547.531, 1547.54, 1548.06, 1561.13, 1561.16, 1561.46, 1561.48, 1701.04, 1701.07, 1703.041, 1707.36, 1707.37, 1707.46, 1707.47, 1713.03, 2101.16, 2151.27, 2151.311, 2151.316, 2151.356, 2151.3527, 2151.416, 2151.4115, 2151.421, 2151.423, 2151.424, 2151.45, 2151.451, 2151.452, 2151.453, 2152.21, 2152.26, 2909.05, 2915.01, 2921.13, 2921.36, 2925.14, 2927.02, 2927.11, 2945.401, 2953.32, 2967.12, 2967.28, 2969.13, 3101.08, 3107.01, 3107.012, 3107.031, 3107.033, 3107.034, 3107.062, 3107.063, 3107.064, 3107.065, 3107.38, 3107.391, 3109.14, 3109.171, 3109.172, 3109.173, 3109.178, 3115.201, 3119.01, 3121.01, 3121.441, 3123.89, 3123.90, 3301.079, 3301.0711, 3301.0712, 3301.0714, 3301.0715, 3301.0723, 3301.0727, 3301.136, 3301.17, 3301.221, 3301.541, 3301.57, 3302.03, 3302.034, 3302.13, 3302.20, 3310.033, 3312.01, 3312.07, 3312.08, 3312.09, 3312.10, 3312.13, 3313.411, 3313.413, 3313.60, 3313.608, 3313.609, 3313.6013, 3313.6020, 3313.6028, 3313.617, 3313.618, 3313.6113, 3313.6114, 3313.64, 3313.6611, 3313.753, 3313.90, 3314.013, 3314.016, 3314.017, 3314.02, 3314.03, 3314.034, 3314.05, 3314.08, 3314.261, 3314.29, 3314.35, 3314.351, 3314.36, 3314.361, 3314.381, 3314.382, 3317.01, 3317.011, 3317.012, 3317.014, 3317.016, 3317.017, 3317.018, 3317.019, 3317.0110, 3317.02, 3317.021, 3317.022, 3317.024, 3317.026, 3317.0212, 3317.0213, 3317.0215, 3317.0217, 3317.0218, 3317.051, 3317.06, 3317.11, 3317.16, 3317.161, 3317.162, 3317.163, 3317.20, 3317.201, 3317.22, 3317.25, 3317.26, 3318.032, 3318.12, 3318.40, 3319.073, 3319.111, 3319.223, 3319.301, 3320.04, 3321.16, 3321.19, 3321.21, 3321.22, 3323.32, 3325.08, 3325.16, 3325.17, 3326.11, 3326.44, 3327.101, 3328.24, 3333.04, 3333.041, 3333.071, 3333.129, 3333.164, 3333.24, 3334.11, 3334.12, 3345.033, 3345.06, 3345.14, 3345.57, 3345.69, 3345.691, 3345.692, 3345.71, 3345.74, 3345.75, 3354.19, 3501.01, 3513.10, 3701.033, 3701.045, 3701.65, 3701.841, 3704.14, 3705.126, 3705.17, 3706.01, 3706.04, 3706.46, 3714.07, 3714.073, 3715.021, 3719.04, 3721.01, 3721.026, 3721.07, 3721.32, 3722.01, 3722.03, 3722.04, 3722.06, 3722.13, 3728.01, 3734.021, 3734.05, 3734.281, 3734.57, 3734.79, 3734.85, 3734.901, 3734.904, 3734.907, 3738.01, 3738.03, 3738.04, 3738.06, 3738.08, 3738.09, 3742.32, 3742.50, 3743.56, 3745.11, 3748.13, 3750.02, 3769.03, 3769.088, 3769.091, 3770.02, 3770.071, 3770.072, 3770.073, 3770.10, 3770.12, 3770.121, 3770.13, 3770.25, 3772.06, 3775.16, 3776.01, 3780.02, 3780.03, 3780.06, 3780.10, 3780.23, 3780.25, 3780.26, 3780.30, 3781.10, 3781.102, 3901.07, 3902.70, 3905.72, 3951.03, 4111.99, 4115.36, 4141.01, 4141.02, 4141.11, 4141.162, 4141.23, 4141.28, 4141.281, 4141.29, 4141.33, 4141.56, 4141.60, 4301.12, 4301.19, 4301.30, 4303.183, 4303.204, 4303.2011, 4303.233, 4305.13, 4305.131, 4501.027, 4501.11, 4503.10, 4503.102, 4503.20, 4503.29, 4503.41, 4503.91, 4505.09, 4506.01, 4506.05, 4506.07, 4506.13, 4506.14, 4507.05, 4507.061, 4507.071, 4507.08, 4507.09, 4507.40, 4507.53, 4509.101, 4510.01, 4510.022, 4510.13, 4510.17, 4510.46, 4511.043, 4511.202, 4511.81, 4511.991, 4513.263, 4513.35, 4519.59, 4701.03, 4701.13, 4703.11, 4713.07, 4715.08, 4715.42, 4723.28, 4723.483, 4723.4811, 4723.653, 4723.89, 4725.07, 4729.01, 4729.06, 4729.49, 4729.52, 4729.53, 4729.54, 4729.541, 4729.56, 4729.561, 4729.59, 4729.60, 4729.80, 4729.901, 4729.902, 4729.921, 4730.433, 4730.437, 4731.07, 4731.295, 4731.298, 4731.92, 4731.96, 4732.07, 4734.04, 4735.06, 4735.09, 4740.06, 4741.03, 4743.09, 4744.12, 4749.06, 4751.20, 4751.24, 4751.25, 4755.41, 4755.61, 4757.41, 4758.01, 4758.02, 4758.03, 4758.10, 4758.11, 4758.13, 4758.20, 4758.21, 4758.22, 4758.221, 4758.23, 4758.24, 4758.26, 4758.27, 4758.28, 4758.30, 4758.31, 4758.35, 4758.36, 4758.39, 4758.40, 4758.41, 4758.42, 4758.43, 4758.44, 4758.45, 4758.46, 4758.47, 4758.51, 4758.54, 4758.55, 4758.56, 4758.57, 4758.59, 4758.60, 4758.61, 4758.62, 4758.63, 4758.64, 4758.70, 4758.80, 4758.99, 4775.07, 4775.08, 4776.01, 4776.20, 4779.21, 4785.041, 4903.10, 4905.03, 4905.10, 4911.07, 4928.01, 4928.02, 4928.06, 4928.34, 4928.43, 4928.47, 4928.51, 4928.52, 4928.53, 4928.54, 4928.542, 4928.543, 4928.544, 4928.55, 4928.56, 4928.58, 4928.61, 4928.62, 4928.63, 4928.66, 4928.67, 4928.75, 5101.101, 5101.13, 5101.131, 5101.132, 5101.133, 5101.134, 5101.135, 5101.136, 5101.137, 5101.14, 5101.141, 5101.142, 5101.145, 5101.146, 5101.1410, 5101.1411, 5101.1412, 5101.1413, 5101.1414, 5101.1415, 5101.1416, 5101.1417, 5101.1418, 5101.19, 5101.191, 5101.192, 5101.193, 5101.194, 5101.211, 5101.212, 5101.215, 5101.222, 5101.242, 5101.26, 5101.272, 5101.273, 5101.28, 5101.30, 5101.33, 5101.342, 5101.35, 5101.351, 5101.38, 5101.461, 5101.80, 5101.801, 5101.802, 5101.805, 5101.85, 5101.853, 5101.854, 5101.856, 5101.88, 5101.885, 5101.886, 5101.887, 5101.8812, 5101.89, 5101.891, 5101.892, 5101.893, 5101.894, 5101.895, 5101.897, 5101.899, 5101.99, 5103.02, 5103.021, 5103.0329, 5103.15, 5103.155, 5103.18, 5103.30, 5103.32, 5103.41, 5104.01, 5104.12, 5104.29, 5104.30, 5104.32, 5104.34, 5104.37, 5104.38, 5104.39, 5104.41, 5104.50, 5104.99, 5117.07, 5119.01, 5119.011, 5119.04, 5119.05, 5119.051, 5119.06, 5119.07, 5119.08, 5119.091, 5119.10, 5119.11, 5119.14, 5119.141, 5119.15, 5119.161, 5119.17, 5119.18, 5119.181, 5119.182, 5119.184, 5119.185, 5119.186, 5119.187, 5119.188, 5119.19, 5119.20, 5119.201, 5119.21, 5119.22, 5119.221, 5119.23, 5119.24, 5119.25, 5119.27, 5119.28, 5119.29, 5119.30, 5119.31, 5119.311, 5119.32, 5119.33, 5119.331, 5119.332, 5119.333, 5119.334, 5119.34, 5119.342, 5119.343, 5119.35, 5119.36, 5119.362, 5119.363, 5119.364, 5119.365, 5119.366, 5119.367, 5119.368, 5119.37, 5119.371, 5119.38, 5119.39, 5119.391, 5119.392, 5119.393, 5119.394, 5119.395, 5119.397, 5119.40, 5119.41, 5119.42, 5119.421, 5119.43, 5119.431, 5119.44, 5119.45, 5119.46, 5119.47, 5119.48, 5119.49, 5119.50, 5119.51, 5119.52, 5119.54, 5119.55, 5119.56, 5119.60, 5119.61, 5119.71, 5119.82, 5119.89, 5119.90, 5119.99, 5120.16, 5120.21, 5121.30, 5121.32, 5121.33, 5121.34, 5121.41, 5121.43, 5122.01, 5122.03, 5122.10, 5122.15, 5122.20, 5122.21, 5122.23, 5122.26, 5122.27, 5122.31, 5122.32, 5122.33, 5122.341, 5122.36, 5122.44, 5122.45, 5122.46, 5122.47, 5123.081, 5123.16, 5123.166, 5123.168, 5123.169, 5123.19, 5123.191, 5123.36, 5123.38, 5123.41, 5123.42, 5123.451, 5123.47, 5124.15, 5139.05, 5139.08, 5139.34, 5153.10, 5153.122, 5153.16, 5153.163, 5160.37, 5162.133, 5163.03, 5163.091, 5163.093, 5163.094, 5163.098, 5163.30, 5164.38, 5165.192, 5165.26, 5167.01, 5167.03, 5167.123, 5168.08, 5168.11, 5168.22, 5180.14, 5180.21, 5180.22, 5502.05, 5502.14, 5502.30, 5503.04, 5513.01, 5513.02, 5701.11, 5703.059, 5703.19, 5703.21, 5703.261, 5703.262, 5703.263, 5703.37, 5703.70, 5705.14, 5709.212, 5709.93, 5725.01, 5725.23, 5726.03, 5726.20, 5726.21, 5727.08, 5727.25, 5727.26, 5727.38, 5727.42, 5727.47, 5727.48, 5727.60, 5727.82, 5727.83, 5727.89, 5728.09, 5728.10, 5729.10, 5733.022, 5735.062, 5735.12, 5735.121, 5736.05, 5736.09, 5739.027, 5739.032, 5739.07, 5739.102, 5739.12, 5739.122, 5739.124, 5739.13, 5739.133, 5739.31, 5739.99, 5741.121, 5741.122, 5743.01, 5743.02, 5743.025, 5743.05, 5743.051, 5743.081, 5743.082, 5743.32, 5743.51, 5743.52, 5743.56, 5743.62, 5743.63, 5743.99, 5745.03, 5745.04, 5745.041, 5745.08, 5745.09, 5745.12, 5747.01, 5747.021, 5747.05, 5747.062, 5747.063, 5747.064, 5747.07, 5747.071, 5747.072, 5747.08, 5747.082, 5747.09, 5747.10, 5747.13, 5747.15, 5747.40, 5747.42, 5747.43, 5747.44, 5747.98, 5748.01, 5748.02, 5748.021, 5748.03, 5748.04, 5748.08, 5748.081, 5748.09, 5749.02, 5749.06, 5749.07, 5749.15, 5751.02, 5751.06, 5751.07, 5751.09, 5751.53, 5751.98, 5753.021, 5753.031, 5753.05, 5753.07, 5907.11, 5907.17, 6111.01, 6111.02, 6111.022, 6111.023, 6111.024, 6111.025, 6111.027, and 6111.04; to amend, for the purpose of adopting new section numbers as indicated in parentheses, sections 122.66 (5101.311), 122.67 (5101.312), 122.68 (5101.313), 122.681 (5101.314), 122.69 (5101.315), 122.70 (5101.316), 122.701 (5101.317), 122.702 (5101.318), 943.20 (944.03), 943.21 (944.04), 943.22 (944.05), 943.23 (944.06), 943.24 (944.07), 943.25 (944.08), 3701.65 (5180.72), 3738.01 (5180.27), 3738.02 (5180.271), 3738.03 (5180.272), 3738.04 (5180.273), 3738.05 (5180.274), 3738.06 (5180.275), 3738.07 (5180.276), 3738.08 (5180.277), 3738.09 (5180.278), 5101.13 (5180.40), 5101.131 (5180.401), 5101.132 (5180.402), 5101.133 (5180.403), 5101.134 (5180.404), 5101.135 (5180.405), 5101.136 (5180.406), 5101.137 (5180.407), 5101.14 (5180.41), 5101.141 (5180.42), 5101.142 (5180.421), 5101.144 (5180.411), 5101.145 (5180.422), 5101.146 (5180.423), 5101.147 (5180.424), 5101.148 (5180.425), 5101.149 (5180.426), 5101.1410 (5180.427), 5101.1411 (5180.428), 5101.1412 (5180.429), 5101.1413 (5180.4210), 5101.1414 (5180.4211), 5101.1415 (5180.4212), 5101.1416 (5180.4213), 5101.1417 (5180.4214), 5101.1418 (5180.43), 5101.15 (5180.44), 5101.19 (5180.45), 5101.191 (5180.451), 5101.192 (5180.452), 5101.193 (5180.453), 5101.194 (5180.454), 5101.34 (5180.70), 5101.341 (5180.701), 5101.342 (5180.702), 5101.343 (5180.703), 5101.76 (5180.26), 5101.77 (5180.261), 5101.78 (5180.262), 5101.802 (5180.52), 5101.804 (5180.71), 5101.805 (5180.704), 5101.85 (5180.50), 5101.851 (5180.51), 5101.853 (5180.511), 5101.854 (5180.512), 5101.855 (5180.513), 5101.856 (5180.514), 5101.88 (5180.53), 5101.881 (5180.531), 5101.884 (5180.532), 5101.885 (5180.533), 5101.886 (5180.534), 5101.887 (5180.535), 5101.889 (5180.57), 5101.8811 (5180.536), 5101.8812 (5180.56), 5104.50 (5180.04), and 5180.40 (5180.73); to enact new sections 3312.02, 3313.902, 3314.38, 3321.191, 3333.0415, 3345.86, and 3780.22 and sections 109.872, 122.97, 123.282, 126.10, 126.67, 126.70, 149.312, 153.695, 166.36, 166.37, 166.38, 169.061, 169.081, 943.27, 944.01, 944.02, 1501.47, 1513.371, 1546.25, 1546.26, 1713.032, 1713.033, 1713.041, 3301.24, 3301.82, 3313.6031, 3313.6032, 3313.8110, 3314.0311, 3314.0312, 3314.362, 3317.165, 3317.27, 3317.28, 3317.29, 3317.31, 3319.173, 3319.2310, 3319.271, 3326.092, 3326.093, 3333.0420, 3333.074, 3333.96, 3345.601, 3345.721, 3345.79, 3345.83, 3701.842, 3701.843, 3701.844, 3706.042, 3721.073, 3721.074, 3722.031, 3734.283, 3770.074, 3770.075, 3793.01, 3793.02, 3793.03, 3793.04, 3793.05, 3793.06, 3793.20, 3793.21, 3793.22, 3793.23, 3793.24, 3793.25, 3793.30, 3793.40, 3793.41, 3793.42, 3793.43, 3793.44, 3793.45, 3793.46, 3793.47, 3793.90, 3901.3815, 4113.31, 4141.011, 4141.44, 4503.511, 4507.41, 4508.023, 4729.261, 4758.49, 4758.491, 4758.65, 4758.651, 4798.08, 4798.10, 4928.545, 5101.612, 5103.039, 5103.09, 5104.302, 5104.53, 5104.60, 5119.211, 5119.344, 5123.1613, 5123.423, 5123.68, 5123.681, 5123.682, 5123.683, 5123.684, 5123.685, 5123.686, 5162.25, 5180.99, 5703.901, 5747.051, 5747.073, and 5747.761; and to repeal sections 113.06, 122.451, 122.55, 122.56, 122.561, 122.57, 124.183, 125.092, 125.093, 125.10, 125.112, 125.181, 125.36, 125.38, 125.43, 125.49, 125.51, 125.56, 125.60, 125.602, 125.603, 125.604, 125.605, 125.606, 125.607, 125.608, 125.609, 125.6010, 125.6011, 125.6012, 125.65, 125.76, 125.95, 128.412, 135.144, 904.06, 905.56, 935.25, 956.181, 1561.18, 1561.21, 1561.22, 3312.02, 3312.03, 3312.04, 3312.05, 3312.06, 3313.902, 3314.38, 3317.036, 3317.23, 3317.231, 3317.24, 3321.191, 3333.0415, 3345.86, 3354.24, 3780.18, 3780.19, 3780.22, 4729.551, 4758.18, 4758.241, 4758.50, 4758.52, 4928.57, 4928.581, 4928.582, 4928.583, 5104.08, 5123.352, 5163.05, 5180.23, 5180.24, 5180.34, 5503.031, 5745.13, 5902.06, and 5902.20 of the Revised Code and to repeal Sections 125.10 as subsequently amended and 125.11 as subsequently amended of H.B. 59 of the 130th General Assembly to make operating appropriations for the biennium beginning July 1, 2025, and ending June 30, 2027, to levy taxes, and to provide authorization and conditions for the operation of state programs.

To amend sections 154.01, 717.02, 4501.01, 4511.01, 4511.031, 4511.09, 4511.091, 4511.092, 4511.094, 4511.11, 4511.13, 4511.131, 4511.132, 4511.18, 4511.204, 4511.211, 4511.214, 4511.432, 4511.46, 4511.48, 4511.512, 4511.61, 4511.62, 4511.64, 4511.65, 4511.68, 4511.701, 4511.712, 4519.401, 5501.20, 5513.01, 5515.01, 5515.02, 5515.99, 5517.02, 5517.021, 5525.03, 5525.04, 5525.08, 5525.14, and 5571.01; to enact sections 4511.15, 5515.09, 5515.10, 5517.012, 5517.06, and 5525.141; and to repeal sections 4511.351 and 4511.491 of the Revised Code to make appropriations for programs related to transportation for the biennium beginning July 1, 2025, and ending June 30, 2027, and to provide authorization and conditions for the operation of those programs.

To amend sections 4121.12, 4121.121, 4121.13, 4123.44, 4123.52, 4123.54, 4123.57, 4123.66, 4125.07, 4133.10, 4167.01, 4167.10, and 5145.163 and to repeal sections 4167.25, 4167.27, and 4167.28 of the Revised Code to make appropriations for the Bureau of Workers' Compensation for the biennium beginning July 1, 2025, and ending June 30, 2027, to provide authorization and conditions for the operation of the Bureau's programs, and to make changes to the Workers' Compensation Law.

To make appropriations for the Industrial Commission for the biennium beginning July 1, 2025, and ending June 30, 2027, and to provide authorization and conditions for the operation of Commission programs.

To amend section 5747.98 and to enact section 5747.87 of the Revised Code to authorize a nonrefundable income tax credit for small employers that cover their employees with an individual coverage health reimbursement arrangement.

HB 48 modifies Ohio's income tax deductions for contributions to 529 college savings plans and ABLE accounts (for people with disabilities). It changes the deduction limits outlined in the Revised Code, affecting Ohio taxpayers who contribute to these accounts. The bill adjusts how much individuals can deduct from their state taxable income for these specific savings contributions. This directly impacts residents using these accounts for education or disability-related expenses. The change alters the state tax benefit structure for these financial tools without altering federal rules.

To urge the President of the United States to support the Ohio Department of Medicaid's request to implement work requirements for certain Medicaid recipients.