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Relief for Ohio Under the Federal American Rescue Plan Act

Client Alert

On March 11, 2021, President Biden signed the American Rescue Plan Act (the “Act”) — a $1.9 trillion COVID-19 relief package — a significant portion of which will be directed to the State of Ohio to support economic recovery, as outlined below.

Generally, the Act seeks to provide state and local governments with the resources needed to stabilize their economies following the shutdowns and COVID-19-related deficits incurred in 2020. As such, the Act directs these authorities to fund businesses, programs, and support infrastructure projects and related economic development.

Specifically, a total of $11.2 billion has been allocated to Ohio from the Act, half of which will go directly to the state government with the balance to be divided among Ohio’s municipalities.

The five (5) largest benefactors of the funds include the following counties:

  • Franklin County: $255,380,000
  • Cuyahoga County: $239,530,000
  • Hamilton County: $158,540,000
  • Summit County: $104,930,000
  • Montgomery County: $103,120,000

The stimuli do not, however, come without caveats as to collection requirements and spending boundaries.

Each state or territory intending to collect their share of the funds is required to certify to the U.S. Treasury that it will use any payment in compliance with the use of fund restrictions, discussed below, before any distribution is made. Once the U.S. Treasury receives this certification, the department must make payment to the certifying entity within 60 days.

Counties, metropolitan cities and states as agents for non-entitlement units of local government will not, however, be required to complete certifications, and will instead receive funds in tranches, with the first tranche to be paid within 60 days of the American Rescue Plan becoming law, and the second tranche to be paid at least 12 months after the date on which the county, metropolitan city or state as an agent for non-entitlement unit of local government received its first payment.

The Act leaves broad authority to the state and local governments as to how the money may be directed with the main caveat requiring the ultimate support of COVID-19 economic recovery (e.g., vaccine distribution and other public health efforts, support for low-income citizens, small business relief, and aid to public education). Notably, there is a deadline to use the funds by each applicable jurisdiction — December 31, 2024.

For any questions on the American Rescue Plan Act, or for more information on allocations across the State of Ohio, please contact BMD Government Affairs Law Member Victoria Ferrise at 330.374.5184 or vlferrise@bmdllc.com.


USCIS Policy Change Impacting Work Authorization: Advisory for Employers and Human Resources

USCIS has issued a policy memorandum pausing immigration benefit processing for individuals from 19 high-risk countries and requiring a re-review of certain previously approved cases. This change may affect work authorization, employment verification, and workforce stability. Employers and HR teams should review impacted employees and update compliance procedures.

CMS Releases CY 2026 Medicare Physician Fee Schedule Final Rule with Key Payment and Telehealth Updates

CMS issued the CY 2026 Medicare Physician Fee Schedule Final Rule on October 31, 2025, with changes effective January 1, 2026. The Final Rule includes increases to the conversion factor, a new efficiency adjustment, updates to practice expense methodology, permanent telehealth policy changes, revised payment for skin substitutes, expanded rules for Part B drugs and biologicals, enhanced policies for Rural Health Clinics and Federally Qualified Health Centers, and new care management and behavioral health services.

Ohio Department of Medicaid Updates: Key Changes to Physician Reimbursement Rates in Early Parenthood

The Ohio Department of Medicaid has proposed amending Ohio Administrative Code Rule related to covered Medicaid reimbursements for physicians. Beginning on January 1, 2026, they are proposing an increase to rates for prenatal care, childbirth, and infant care and provider visits.

Name, Image, and Likeness Agreements in Healthcare

For example, some healthcare providers have begun to utilize "Name, Image, and Likeness" agreements to promote the brand they have created through their healthcare practice.  We have seen the most healthcare NIL activity with longevity and wellness providers, as well as orthopedics.

Compounding GLP-1 Drugs - Recent Updates

Recent guidance from the Ohio Board of Pharmacy (“BOP”) indicates that providers should generally use the FDA approved GLP-1 drug, rather than a non-FDA approved compounded version of the medication. Importantly, if a GLP-1 drug is commercially available, it cannot be copied through compounding. Currently, compounded copies of Tirzepatide and Semaglutide are not permitted.