HB 21 Ohio House · 136th Legislature (2025-2026)

Enact the Health Care Sharing Ministries Freedom to Share Act

Summary
To amend sections 1716.01 and 5747.01 and to enact sections 1716.22 and 3333.96 of the Revised Code to enact the Health Care Sharing Ministries Freedom to Share Act.
Bill status passed 3 of 5 stages cleared
Introduction
Jan 2025
Committee Review
Nov 2025
House Passage
Nov 2025
Senate Passage
Governor
Introduced Jan 27, 2025 Last action Nov 19, 2025
Maddy AI version diff · 1 comparison

What changed between versions

As Introduced As Passed by the House · 8 edits · Nov 12, 2025
MODERATE
This bill modifies Ohio's tax and charitable solicitation laws to expand definitions of charitable organizations and purposes, add new tax deductions for health care sharing ministry participation, and update adjusted gross income calculations. The changes clarify that charitable organizations include those not limited to tax-deductible contributions and add a specific deduction for health care sharing ministry payments, while also updating various tax-related definitions and calculations for individuals and trusts.
Scope change
The bill expands the scope of what qualifies as a charitable organization and charitable purpose under Ohio law, and adds new tax provisions for health care sharing ministries and various income adjustments.
DEFINITION

Expanded the definition of 'charitable organization' to include persons holding themselves out for benevolent or philanthropic purposes, not limited to tax-deductible contributions, and clarified exclusions for employers and employees incidentally soliciting contributions.

Updated the definition of 'charitable purpose' to include benevolent, philanthropic, and other eleemosynary objectives that benefit law enforcement and public safety personnel.

Added new definition for 'health care sharing ministry' with eight specific criteria including limiting participants to those sharing common ethical or religious beliefs, retaining members with medical conditions, and providing disclaimers that participation is not insurance.

Added numerous new definitions for tax purposes including 'modified business income,' 'qualifying trust amount,' 'modified nonbusiness income,' and various trust-related terms for calculating Ohio taxable income.

ELIGIBILITY

Added a new tax deduction under Section 5747.01(A)(44) allowing taxpayers to deduct amounts paid for participation in health care sharing ministries for themselves, spouses, and dependents.

REQUIREMENT

Added Section 3333.96 requiring state institutions of higher education to accept participation in health care sharing ministries as satisfaction of health care coverage requirements.

Added new deductions and adjustments for various items including organ donation expenses, military pay, education grants, homeownership savings accounts, and venture capital operating company investments.

TECHNICAL

Updated formatting and structure of the bill text from 'As Introduced' to 'As Passed by the House' version, including reorganization of sections and addition of new sections.

Floor votes · House Nov 13, 2025

How they voted

6530
Passed
Total votes 95
Nov 13, 2025
D Democratic32
5 Yea 27 Nay
84% Nay
R Republican63
60 Yea 3 Nay
95% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
7
Key actions
2
Committee
2
Amendments
1
Nov 19, 2025
Committee
Referred to committee
upper
Nov 18, 2025
Introduced
Introduced
upper
Nov 13, 2025
House · Passed
House Vote: pass (65-30)
house
Nov 12, 2025
Lower · Passed
Passed
lower
Nov 5, 2025
Introduced
Reported - Amended
lower
Jan 28, 2025
Committee
Referred to committee
lower
Jan 27, 2025
Introduced
Introduced
lower
1 primary · 8 co-sponsors

Sponsors