Week of November 17, 2025
Here are Ohio-specific weekly policy updates for the week of November 9, 2025, with direct links to reputable sources—including progressive, independent, and feminist news and policy sites.
Access & Affordability
Affordable Care Act Tax Credit Expiration
Enhanced premium tax credits for the Affordable Care Act marketplace are set to expire at the end of 2025.
If Congress doesn't extend these credits, over 100,000 Ohioans will likely lose health insurance in 2026 due to sharply rising costs.
Currently, these enhanced credits eliminate the "subsidy cliff"(a sharp, abrupt cutoff of health insurance subsidies when income slightly exceeds a specific threshold) at 400% of the federal poverty level, allowing middle-income families to receive financial assistance and capping premium costs at 8.5% of income.
Without extension, average premium payments could more than double—from $888 annually in 2025 to $1,904 in 2026.
Take Action: Calculate Your 2026 Premium and Explore Alternatives
Use the healthcare.gov marketplace calculator to find your 2026 premium without extra tax credits.
Compare it to your current premium to understand the cost difference.
Check if you or your family qualify for Medicaid at medicaid.ohio.gov, considering any recent life changes.
Save this information for your household budget and share it with family members who are affected.
Take Action: Contact Your Elected Representatives
Write to Senators Moreno and Husted and your Representative about how affordable ACA coverage helps your family's health and finances.
Detail dollar amounts, health conditions managed, and sacrifices if subsidies end.
Find your Representative at house.gov.
Then call their offices (numbers at usa.gov) and request a written response on extending premium tax credits.
Take Action: Contact Your Elected Representatives
Share your story by providing a 1-2 page testimony on your ACA marketplace experience and submit it to relevant Congressional committees reviewing healthcare legislation.
Address "Honorable Chair and Members of the Committee," state your support for extending premium tax credits, share your story, and sign with your full name and city. Find contacts at senate.gov and house.gov.
Share your story on social media, in local newspaper letters, and with healthcare advocates to amplify women of color's voices in this policy debate.
Investment in Social Determinants of Health (SDOH)
Ohio Submits Rural Health Transformation Plan
On November 15, 2025, the Ohio Department of Health submitted its proposal for the $50 billion Rural Health Transformation Program (2026-2030).
Ohio’s five-year plan will fund school-based health centers, home visiting, telehealth, and hospital-social service collaboration to tackle social needs like food insecurity and housing.
The program supports evidence-based care, tech solutions, workforce growth, chronic disease management, and infrastructure.
Take Action: Submit Public Comment on Ohio's RHTP Implementation
Visit the Ohio Department of Health website to learn about the Rural Health Transformation Program and public input opportunities.
Email Director@odh.ohio.gov sharing your perspective as a woman of color on needed rural health improvements like school-based health centers, prenatal telehealth, home visits for new mothers, or links between healthcare and food/housing aid.
Explain how these services would help your family and community. Ask the state to prioritize health equity and culturally responsive care in RHTP.
Take Action: Advocate for School-Based Health Centers in Your District
If you have kids in Ohio public schools, attend local school board meetings (check your district’s website) and request school-based health centers during public comments.
Prepare a 3-5 minute talk on how school-based health centers help students of color with vaccinations, preventive care, mental health support, and screening for food insecurity and social needs.
Bring printed comments for board members. Follow up by emailing the superintendent and board, urging them to explore RHTP funding for school-based health centers.
Recruit other parents to join you in this advocacy.
Take Action: Ensure You Have Technology Access for Telehealth
Ohio's RHTP boosts telehealth—see if you qualify for discounted internet via the Affordable Connectivity Program (ACP) at fcc.gov/acp.
Ask your local library or community center about free internet, device lending, or tech training.
If you use Medicaid, ask your plan about telehealth and support for internet or devices.
Practice video call apps (Zoom, FaceTime, Doxy.me) to ease telehealth visits.
Have your medications, allergies, and health conditions ready for virtual visits.
Addressing Bias and Improving Quality of Care
House Bill 370 (Prenatal Equal Protection Act)
House Bill 370, referred to the House Judiciary Committee on September 15, 2025, would enact the "Ohio Prenatal Equal Protection Act".
The bill aims to extend legal protections to "preborn individuals" by criminalizing actions that cause the death of a fetus, with exceptions for ectopic pregnancies and medical emergencies.
While proponents state the bill does not criminalize women who have abortions, it would prohibit "everyone, including pregnant mothers, from engaging in the unlawful act of prenatal homicide".
Critics express concern that the bill could be used to investigate and prosecute women for miscarriages or pregnancy complications, despite language stating it doesn't apply to "accidental or natural deaths".
The bill has not moved beyond committee referral since September.
Know Your Rights During Pregnancy: Educate yourself about your legal rights as a pregnant person. Understand that you have the right to confidential medical care, informed consent for all procedures, and refusal of treatment. You are not legally required to disclose substance use, mental health conditions, or other personal information to law enforcement. If you experience a miscarriage or pregnancy complication, seek medical care immediately—your health and safety come first. If you're questioned by authorities about a pregnancy outcome, you have the right to remain silent and to consult with an attorney before answering questions. Save the phone number for legal aid organizations (find Ohio legal aid at ohiolegalhelp.org) in your phone before you need it.
Submit Opposition Testimony to the House Judiciary Committee: Write a personal letter opposing House Bill 370 and submit it as written testimony to the Ohio House Judiciary Committee. Address it to "Honorable Chair and Members of the House Judiciary Committee." Explain your concerns as a woman of color about how this bill could: discourage seeking prenatal care, lead to investigation of natural pregnancy complications, disproportionately impact women of color who already face surveillance in healthcare, and erode trust between patients and providers. Share relevant personal experiences if comfortable (you can request privacy protections). Mail and email your testimony (find contacts at legislature.ohio.gov/committees). Consider attending a committee hearing to deliver oral testimony if hearings are scheduled.
Build Your Pregnancy Support Network: Whether or not you're currently pregnant, identify supportive resources in your community now. Find: healthcare providers who practice trauma-informed, culturally responsive prenatal care; doula services (especially Black doulas if you're Black—find at blackdoulas.org); home visiting programs; prenatal support groups; mental health services; and substance use treatment programs that welcome pregnant women. Save contact information for domestic violence hotlines (National Domestic Violence Hotline: 1-800-799-7233) and maternal mental health support (Postpartum Support International: 1-800-944-4773). Having trusted resources established before pregnancy provides a safety net and ensures you can access judgment-free care and support when needed.
Take Action: Ensure You Have Technology Access for Telehealth
Ohio's RHTP boosts telehealth—see if you qualify for discounted internet via the Affordable Connectivity Program (ACP) at fcc.gov/acp.
Ask your local library or community center about free internet, device lending, or tech training.
If you use Medicaid, ask your plan about telehealth and support for internet or devices.
Practice video call apps (Zoom, FaceTime, Doxy.me) to ease telehealth visits.
Have your medications, allergies, and health conditions ready for virtual visits.

