REPRESENTATIVES Skindell, D. Stewart, Miller, Mason, Woodard, Yates, Otterman, S. Smith, Barrett, Cirelli, Chandler, Strahorn, Hartnett, Jerse, Allen, Koziura, DeGeeter, Price, Key, Ujvagi, Perry

To amend section 5111.013 and to enact sections

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5101.56 and 5101.561 of the Revised Code to

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require applicants for CHIP, Disability Medical

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Assistance, and Medicaid to provide information

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about their employers and to require an annual

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report identifying the employers.

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BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:

Section 1. That section 5111.013 be amended and sections	7
5101.56 and 5101.561 of the Revised Code be enacted to read as	8
follows:	9

Sec. 5101.56. (A) As used in this section and section	10
5101.561 of the Revised Code:	11

(1) "CHIP" means the children's health insurance program	12
parts I and II provided for by sections 5101.50 to 5101.5110 of	13
the Revised Code.	14

(2) "Disability medical assistance" means the program	15
established under section 5115.10 of the Revised Code.	16

(3) "Medicaid" means the program provided for under Title XIX	17
of the "Social Security Act," 79 Stat. 286 (1965), 42 U.S.C. 1396,	18
as amended.	19

(B) Application forms for the CHIP, disability medical	20
assistance, and medicaid programs shall provide for the applicant	21
to specify the name and address of each of the applicant's	22
employers and the name and address of each of the employers of all	23
individuals whose income is counted in determining the applicant's	24
eligibility for CHIP, disability medical assistance, or medicaid.	25

Sec. 5101.561.  Not later than the first day of each	26
February, the director of job and family services shall complete a	27
report on the employers of all recipients of CHIP, disability	28
medical assistance, and medicaid and the employers of all	29
individuals whose income is counted in determining the recipients'	30
eligibility. The report shall include the name and address of each	31
employer included in the report and the total number of each of	32
the employers' employees who are recipients of CHIP, disability	33
medical assistance, or medicaid or whose income is counted in	34
determining the eligibility of CHIP, disability medical	35
assistance, and medicaid recipients. The report shall not include	36
any identifying information about CHIP, disability medical	37
assistance, or medicaid recipients. The director shall provide a	38
copy of the report to the governor and each member of the general	39
assembly.	40

Sec. 5111.013.  (A) The provision of medical assistance to	41
pregnant women and young children who are eligible for medical	42
assistance under division (A)(3) of section 5111.01 of the Revised	43
Code, but who are not otherwise eligible for medical assistance	44
under that section, shall be known as the healthy start program.	45

(B) The department of job and family services shall do all of	46
the following with regard to the application procedures for the	47
healthy start program:	48

(1) Establish a short application form for the program that	49
requires the applicant to provide no more information than is	50
necessary for making determinations of eligibility for the healthy	51
start program, except that the form may require applicants to	52
provide their social security numbers and shall comply with	53
section 5101.56 of the Revised Code. The form shall include a	54
statement, which must be signed by the applicant, indicating that	55
she does not choose at the time of making application for the	56
program to apply for assistance provided under any other program	57
administered by the department and that she understands that she	58
is permitted at any other time to apply at the county department	59
of job and family services of the county in which she resides for	60
any other assistance administered by the department.	61

(2) To the extent permitted by federal law, do one or both of	62
the following:	63

(a) Distribute the application form for the program to each	64
public or private entity that serves as a women, infants, and	65
children clinic or as a child and family health clinic and to each	66
administrative body for such clinics and train employees of each	67
such agency or entity to provide applicants assistance in	68
completing the form;	69

(b) In cooperation with the department of health, develop	70
arrangements under which employees of county departments of job	71
and family services are stationed at public or private agencies or	72
entities selected by the department of job and family services	73
that serve as women, infants, and children clinics; child and	74
family health clinics; or administrative bodies for such clinics	75
for the purpose both of assisting applicants for the program in	76
completing the application form and of making determinations at	77
that location of eligibility for the program.	78

(3) Establish performance standards by which a county	79
department of job and family services' level of enrollment of	80
persons potentially eligible for the program can be measured, and	81
establish acceptable levels of enrollment for each county	82
department.	83

(4) Direct any county department of job and family services	84
whose rate of enrollment of potentially eligible enrollees in the	85
program is below acceptable levels established under division	86
(B)(3) of this section to implement corrective action. Corrective	87
action may include but is not limited to any one or more of the	88
following to the extent permitted by federal law:	89

(a) Establishing formal referral and outreach methods with	90
local health departments and local entities receiving funding	91
through the bureau of maternal and child health;	92

(b) Designating a specialized intake unit within the county	93
department for healthy start applicants;	94

(c) Establishing abbreviated timeliness requirements to	95
shorten the time between receipt of an application and the	96
scheduling of an initial application interview;	97

(d) Establishing a system for telephone scheduling of intake	98
interviews for applicants;	99

(e) Establishing procedures to minimize the time an applicant	100
must spend in completing the application and eligibility	101
determination process, including permitting applicants to complete	102
the process at times other than the regular business hours of the	103
county department and at locations other than the offices of the	104
county department.	105

(C) To the extent permitted by federal law, local funds,	106
whether from public or private sources, expended by a county	107
department for administration of the healthy start program shall	108
be considered to have been expended by the state for the purpose	109
of determining the extent to which the state has complied with any	110
federal requirement that the state provide funds to match federal	111
funds for medical assistance, except that this division shall not	112
affect the amount of funds the county is entitled to receive under	113
section 5101.16, 5101.161, or 5111.012 of the Revised Code.	114

(D) The director of job and family services shall do one or	115
both of the following:	116

(1) To the extent that federal funds are provided for such	117
assistance, adopt a plan for granting presumptive eligibility for	118
pregnant women applying for healthy start;	119

(2) To the extent permitted by federal medicaid regulations,	120
adopt a plan for making same-day determinations of eligibility for	121
pregnant women applying for healthy start.	122

(E) A county department of job and family services that	123
maintains offices at more than one location shall accept	124
applications for the healthy start program at all of those	125
locations.	126

(F) The director of job and family services shall adopt rules	127
in accordance with section 111.15 of the Revised Code as necessary	128
to implement this section.	129

Section 2. That existing section 5111.013 of the Revised Code	130
is hereby repealed.	131