One Big Beautiful Bill (OBBB) Summary

The National Council for Mental Wellbeing shared a couple of resources that provide a high level overview of the provisions that impact behavioral health providers in the One Big Beautiful Bill Act (OBBB).  Additionally, they shared a side-by-side comparison summary between the House and Senate versions of the OBBB that offer more detail.  The Senate version is what was passed by Congress and signed by the President on July 4th.  We are also sharing this National Academy for State Health Policy summary, which includes a table that defines when each healthcare provision in the OBBB takes effect.

It’s important to note that the OBBB did NOT include a change to the FMAP for the Medicaid expansion population (Group VIII).  So, while Ohio added the Medicaid expansion trigger language to end the expansion group coverage in the state budget (HR 96), it does not have any immediate impact as the federal law maintains the 90% FMAP for the expansion group.  In other words, the Medicaid expansion group remains intact.  Under the OBBB, the expansion group will be subject to Medicaid redetermination every six months and “community engagement requirements” (aka work requirements) beginning in January 2027.

Additionally, it’s critically important to understand many of the healthcare policy changes, particularly those impacting Medicaid, have delayed implementation dates.  These delays were part of the negotiation tactics to pass the bill and move the impact of these policies beyond the next general election cycle.  As healthcare payers and providers work through the potential impacts both in Medicaid and the Health Insurance Marketplace, we can anticipate policy decisions will begin to prepare for those changes which may reduce coverage options particularly in the Marketplace Plans. 

We understand ODM and the state agencies are evaluating the impact of the OBBB on the recently enacted HB 96 to understand the impact and any policy or funding adjustments that may be necessary.  As more information becomes available, we will keep you informed. 

OhioGuidestone Expands Use of Greenspace Health’s Measurement-Based Care Platform to Strengthen Mental Health Outcomes

New approach tracks real-time client progress, enhances clinician decision-making and improves outcomes for more than 15,000 Ohio clients.

Cleveland, Ohio – July 7, 2025 – OhioGuidestone, announced today the expansion of its partnership with Greenspace Health, extending the use of its Measurement-Based Care (MBC) technology across the organization’s mental health services to further improve their quality of care, client outcomes and clinician engagement.

The organization first introduced Greenspace’s MBC platform in February 2025 through a limited four month pilot across 50 clinicians. Following strong clinical adoption and positive client engagement, OhioGuidestone has now scaled their MBC implementation organization-wide starting June 30, to include over 700 clinicians and supervisors across seven regions supporting over 15,000 additional clients.

“Measurement-Based Care is allowing us to fundamentally strengthen how we deliver care across every level of our organization,” said Kathleen Kern, PhD, Chief Clinical Officer at OhioGuidestone. “With Greenspace, we can monitor real-time client progress, identify when additional support is needed and proactively intervene, and empower our clinicians with actionable data to guide treatment. Greenspace’s MBC platform is helping us deliver meaningful, person-centered care, while also equipping our teams with the tools and confidence they need to support complex cases and achieve better outcomes.”

Greenspace’s platform integrates directly into OhioGuidestone’s existing clinical workflows, streamlining data collection and generating real-time insights that inform treatment plans and identify clients in need of additional support, including early warnings for suicidality and at-risk clients.

The platform has already demonstrated strong results in early implementation:

• 92% of therapists have active clients completing assessments
• Over 5,000 assessments completed across nearly 1,000 clients
• 41% recovery rate in pediatric clients and 31% recovery rate for general clients experiencing depression, which is in line with median benchmarks of organizations adopting MBC.

OhioGuidestone has paired effective MBC technology with extensive clinician training to ensure measures are fully integrated into practice, supported by individualized coaching and ongoing leadership support.

“OhioGuidestone’s commitment to both clinical excellence and operational leadership has been a driving force behind the success of this implementation,” said Simon Weisz, President of Greenspace Health. “They have built an environment where new technology is leveraged to directly support client care, staff workflows, and long-term organizational growth. This initiative clearly demonstrates how Measurement-Based Care can transform the way mental health services are delivered, and OhioGuidestone is setting a strong example for the broader behavioral health community.”

OhioGuidestone’s expansion signals a growing trend as community behavioral health providers seek scalable, technology-enabled care models that support quality improvement and ensure they are prepared for accreditation requirements and value-based care funding models. To learn more about Measurement-Based Care, please visit greenspacehealth.com.

For more information, please contact:

Jo-Anne Stayner
Fresh Public Relations
[email protected]
604.603.0657

Eileen McShea
Communication Specialist, OhioGuidestone
[email protected]
440.477.8869 

About OhioGuidestone

With compassion and respect, OhioGuidestone helps people across the lifespan navigate the most difficult times of their lives. As the state’s leader in community mental health care, we focus on the needs of the whole person, empowering them to take steps towards a healthier future. OhioGuidestone provides a complete continuum of prevention services and mental health and substance use treatment, focusing on responsive person-centered care delivered through telehealth and locations across the state. For more information about our services, visit ohioguidestone.org or call 1-844-622-5584.

About Greenspace Health

Greenspace transforms mental health services by improving the way that mental healthcare is accessed, measured and delivered. Their Measurement-Based Care Platform enables mental health providers and organizations to implement consistent, evidence-based measurement (often referred to as routine patient-reported outcome measures or PROMs) into their practice. This model is proven to significantly improve patient results while generating valuable data for organizations to enhance their quality of care. Greenspace’s MBC solutions have been implemented across over 500 community and private clinics, hospitals, payors, insurers and healthcare systems, improving the patient experience and driving better-coordinated care and outcomes. To learn more about MBC, please visit greenspacehealth.com.

View the Press Release.

Ohio Lawmakers Plan Session to Override Three of DeWine's Budget Vetoes Later This Month

Republican lawmakers frustrated at Gov. Mike DeWine’s 67 line-item vetoes in the new state budget have planned to come back later this month to override some of those.

A notice to members obtained by the Statehouse News Bureau shows GOP House leaders have told members to report back to work on Monday, July 21. Lawmakers were expected to be on break until the fall.

The notice specifically references three property tax related vetoes. DeWine struck provisions allowing county budget commissions to reduce voter approved levies, requiring emergency and other levies to be used when calculating the 20-mill floor that is the effective tax rate, and limiting districts’ power to ask for emergency levies.

Register for Gambling Disorder Training Series!

The Gambling Disorder Stages Training Series includes three expert-led courses on Ohio’s gambling service support system and treatment strategies. Completing all three provides the 30 hours needed to become qualified in treating gambling disorder through a Gambling endorsement for those licensed through the OCDP Board, or adding it to a clinician's scope of competency for those licensed through the CSWMFT board.

To learn more & register, click the links below!

Stage I: Wednesday, July 30th - Friday, August 1st

Stage II: Wednesday, August 27th - Friday, August 29th

Stage III: Thursday, October 2nd - Friday, October 3rd