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State Budget & Mid-biennium Review

Ohio's state budget negotiations and mid-biennium reviews are key opportunities to promote hospitals and health systems as policymakers evaluate and decide on how best to allocate state resources and policy for health care.

2018-2019 State Budget

Gov. John Kasich has released the executive version of the 2018-2019 state budget. The following resources highlight the major priorities addressed in the budget and the related policy details.  

  • Ohio Department of Medicaid 5 Percent Hospital Rate Cut Rule
    • Public notice - Rule filed Oct. 17
    • The deadline for written comments and the date of the public hearing is Nov. 17.

Member Resources

State Budget Approximate Timeline
Each biennium, the executive and legislative branches deliberate the state’s operating budget. Constitutionally, Ohio’s budget must be balanced, passed by both chambers and signed by the governor prior to July 1 – the beginning of the new biennium.

State Budget Timeline



About the Mid-biennium Review

After signing his first biennial operating budget in 2011, and again after completing his second state budget in 2013, Governor Kasich asked the Office of Budget and Management to conduct a top-to-bottom review of state government agencies and programs one-year before Ohio's budget-setting process would traditionally begin. This effort became known as the Mid-biennium Review, or MBR. 

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