In one paragraph
Ohio's SB 315 (the Enhanced Cybersecurity for SNAP Act and the Ohio Medicaid Program Integrity and Fraud Prevention Act) adds a human-in-the-loop rule for automated Medicaid decisions. When the Department of Medicaid uses automated review tools, including AI, automated fraud detection or algorithmic analysis, in the program-integrity and eligibility work listed in new R.C. 5162.90 and 5164.11, no action may be taken automatically from the tool's determination; the responsible employee must review and confirm the finding. It took effect Oct. 6, 2026.
Plain-English summary, written with AI assistance. The official text controls.
What it means for business
Vendors supplying fraud-detection or AI review tools to Ohio Medicaid must support human review of every finding; providers and enrollees cannot be acted against on an automated result alone.
Key provisions
- R.C. 5162.90 and 5164.11 define artificial intelligence, generative AI and automated review tools (AI, automated fraud detection, automated algorithmic analysis or other automated review)
- No action may be taken automatically, without human review, as a result of an automated review tool's determination or decision
- The responsible Department of Medicaid employee must review the tool's findings to confirm the determination was correct
- Applies to the coverage-discovery and program-integrity duties in R.C. 5162.17 to 5162.19 and the listed sections of Chapter 5164
- Other parts of the act cover Medicaid program integrity and chip-enabled SNAP EBT cards
Latest legislative action
Jul 7, 2026. Signed by the Governor
Topics and industries
Related topics
Affected industries
This page is general information, not legal advice. Summaries are AI-assisted and may contain errors; read the statute for the controlling text and talk to a lawyer about your situation. Full disclaimer · Report an error