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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.


Ohio House Bill 537: Proposed Regulations for Midwives and Birthing Centers

House Bill 537, introduced in the Ohio House of Representatives, proposes a comprehensive regulatory framework for certified nurse-midwives, certified midwives, licensed midwives, and traditional midwives. The legislation would clarify scope of practice, establish licensure standards, and impose new requirements for freestanding birthing centers and home births. Healthcare providers and facilities should be aware of the proposed changes and their potential operational impact.

Proposed Health Information Privacy Reform Act Expands Protections Beyond HIPAA

The Health Information Privacy Reform Act (HIPRA) seeks to extend privacy protections to health data not covered under HIPAA, including data collected by apps and wearables. HIPRA introduces broader definitions of protected health information, strengthens privacy and security requirements, establishes patient notification rights, and sets national de-identification standards. Companies processing health data should monitor developments to ensure compliance.

Medicare Updates on Skin Substitutes: LCDs Withdrawn, Payment Changes Take Effect

Medicare’s planned Final Local Coverage Determinations (LCDs) for skin substitutes were withdrawn in late December 2025, meaning previous coverage rules remain in effect. The 2026 Medicare Physician Fee Schedule introduces a single payment rate of approximately $127.14 for these products. Providers should review implications for diabetic foot and venous leg ulcer treatments.

Understanding the Seven Core Elements of an Effective Healthcare Compliance Program

The Affordable Care Act requires healthcare providers participating in Medicare, Medicaid, and CHIP to maintain an effective compliance program. Guidance from the Department of Health and Human Services and the Office of Inspector General outlines seven core elements that form the foundation of these programs, from written policies and compliance oversight to auditing, training, and corrective action. This alert highlights each element and explains how practices can tailor compliance programs to their size and risk profile while meeting federal expectations.

Preventing a Board Investigation

Healthcare professionals in Ohio are subject to licensing board investigations that can lead to disciplinary action. Staying compliant with regulations, documenting carefully, and operating within your professional scope can help prevent issues. If contacted by a board, working with an attorney is critical to protect your license and rights.