To enact section 3333.89 of the Revised Code to enact the Clinical Teaching Subsidy Reform Act regarding the state university clinical teaching subsidy.
Summary
HB319 would create a new section of the Revised Code establishing the Clinical Teaching Subsidy Reform Act, which directs the Chancellor of Higher Education to distribute annual state funds to Ohio’s public medical schools for clinical instruction and physician education. The bill defines the eligible schools as the six public medical schools in Ohio and requires the subsidy to be allocated using a formula that is mostly enrollment-based: 90% would be distributed proportionally by the number of full-time equivalent students in clinical training years, while 10% would be tied to performance metrics related to training and retaining physicians in Ohio.
The performance-based portion could consider measures such as the share of students who are Ohio residents, the share of graduates entering residency programs in Ohio, and the share of graduates practicing in Ohio three years after graduation. The bill also requires annual public reporting by the Chancellor on enrollment counts, performance metrics, and final subsidy amounts, and it requires each medical school to report how it used the funds, where students trained, residency match outcomes, and workforce retention data. The Chancellor would also be required to adopt administrative rules to define key terms and establish data submission and enforcement procedures, with the new section taking effect July 1, 2026.
Impact
HB319 would add a new statutory framework governing how the state’s clinical teaching subsidy is distributed to public medical schools, shifting the program from a general appropriation to a formula-driven system with transparency and accountability requirements. It would affect the Ohio Department of Higher Education, the Chancellor of Higher Education, and the six public medical schools by imposing reporting obligations, performance measurement, and rulemaking duties. The bill is aimed at linking state support more directly to physician workforce outcomes in Ohio, especially residency placement and long-term in-state practice.
Sentiment
Because the bill has only been introduced and has no recorded votes or committee testimony in the provided materials, there is no formal legislative sentiment available from the record. The bill’s structure suggests a generally reform-oriented and accountability-focused approach, emphasizing measurable outcomes and public reporting. Its stated purpose of supporting physician education and retention in Ohio indicates an intent to strengthen the state medical workforce, which may appeal to higher education and health workforce stakeholders.
Contention
The main potential points of contention are likely to be the use of performance metrics in allocating state funding and the administrative burden of reporting and compliance. Medical schools may differ on whether residency placement and in-state practice are appropriate measures of institutional performance, especially because those outcomes can be influenced by factors outside a school’s control. There may also be debate over the 90/10 split between enrollment-based and performance-based funding, the selection of authorized metrics and data sources, and whether the new reporting requirements create additional bureaucracy for schools and the Chancellor.
To amend sections 3517.12, 3517.13, and 3517.155 of the Revised Code to modify the Campaign Finance Law regarding foreign nationals and statewide initiatives and referenda and to declare an emergency.
To amend sections 3517.12, 3517.13, and 3517.155 of the Revised Code to modify the Campaign Finance Law regarding foreign nationals and statewide initiatives and referenda and to declare an emergency.
To amend sections 3505.01 and 3505.10 of the Revised Code to modify the deadline for a political party to certify its nominees for President and Vice-President to the Secretary of State.
To delay the deadline for a major political party to certify its presidential and vice presidential candidates to the Secretary of State for the 2024 general election.