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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.


Providers Beware: Court Sides with Insurers in No Surprises Act Arbitration

On June 12, 2025, the Fifth Circuit ruled in favor of Aetna and Kaiser in two lawsuits brought by air ambulance providers challenging how insurers calculated payments under the No Surprises Act’s Independent Dispute Resolution process. The court held that unless there is clear evidence of fraud or serious misconduct, IDR decisions will stand, reinforcing the finality of the arbitration process.

Introducing HB 281: Enforcement of Federal Immigration Laws in Ohio Hospitals

House Bill 281, introduced on May 20, 2025, would require Ohio hospitals to allow law enforcement, including federal immigration agents, to enter facilities and enforce immigration laws. The bill mandates that hospitals comply with information requests and adopt formal policies, raising significant concerns about patient privacy and access to care for immigrant communities.

Parental Consent May Soon Be Required for Minor Mental Health Services in Ohio

HB 172 proposes repealing a provision in Ohio law that allows minors age 14 and older to consent to limited outpatient mental health services without parental involvement. The bill would require parental consent for all such care and remove related language from other sections of the Ohio Revised Code.

Community Behavioral Health Providers - Supervisor Pricing Changes Begin July 1 [Corrected Date]

Effective June 16, community behavioral health providers wishing to receive reimbursement at the supervisor rate must add the HP or HT Modifier to fee-for-service (FFS) claims. Find out about the new guidelines.

CMS Rescinds EMTALA Guidance for Emergency Abortions

On June 3, 2025, CMS withdrew its 2022 guidance on emergency abortion care under EMTALA, eliminating federal protection for providers in states with abortion restrictions. This policy change could significantly impact how hospitals handle emergency care involving pregnancy complications.