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Sports Betting Legal in Ohio

Client Alert

Ohio has made sports betting legal with Governor DeWine signing House Bill 29 into law on December 22, 2021. The Casino Control Commission will regulate sports betting in Ohio and estimates that the launch date for sports betting will be January 1, 2023.

The new law allows for bars, restaurants, casinos, stadiums and sports teams to apply for sports gambling licenses. The Ohio Legislative Service Commission estimated that sports betting will yield more than $3.35 billion in revenue per year by the end of the decade. A 10 percent tax on net revenue will be put in place with approximately 98 percent of the tax proceeds going towards school funding and the remaining 2 percent problem gambling assistance.

There are three different types of sports gaming licenses: Types A, B and C. Type A licenses are for online sports betting. Type A license holders must also hold a Type B license or have a place of operation in Ohio. Type B licenses are brick and mortar sportsbooks. Type C licenses are for sports gaming lottery self-service or clerk staffed terminals. 

Applications will be drafted alongside the rulemaking process which will be commencing shortly. The Casino Control Commission estimates that the application process will take place in Summer/Fall of 2022. 

Please contact Victoria L. Ferrise (VLFerrise@bmdllc.com, (330) 374-5184) for additional information and assistance.


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.

Top Compliance Risks for Ohio Med-Spas in 2025

The Ohio Board of Pharmacy has increased inspections of med-spas holding Terminal Distributor of Dangerous Drugs (TDDD) licenses, with many facing enforcement actions in 2025. Common issues include purchasing from unlicensed distributors, improper drug storage, inadequate recordkeeping, and insufficient prescriber oversight. Understanding these risks and maintaining compliance can help protect your practice from penalties and license suspension.