Ohio Lawmakers Weighed PACE Program Expansion

State legislators examined senior care models that could soon reach more counties across Ohio.

Updated on Oct. 10, 2026 in Eldercare

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Ohio state officials are evaluating an expansion of the Program of All-Inclusive Care for the Elderly to provide home-based services in 78 counties. AI Illustration. Upload story photo >

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Ohio officials are considering an expansion of the Program of All-Inclusive Care for the Elderly (PACE) to address a coverage gap in 78 counties. The program aims to provide seniors with essential care services as an alternative to traditional institutional settings.

Why it matters

Expanding PACE is intended to reduce taxpayer costs and improve mental health outcomes by allowing seniors to age in their homes. Evidence suggests the model serves as a cost-effective alternative to more expensive institutional care options.

PACE programs currently serve seniors in Mahoning and Trumbull counties, which gained access in 2025. Most participants in these programs incur no out-of-pocket costs for services.

The players

Ohio State Legislature

This is the state legislative body responsible for considering and passing laws related to public programs and funding.

The details

PACE provides comprehensive meals, transportation, and medical support at home or at specialized community centers. Data from Cuyahoga, Lorain, and Summit counties shows that the program has successfully generated millions of dollars in taxpayer savings.

Timeline

  1. PACE programs launched in Mahoning and Trumbull counties in 2025.

  2. State lawmakers conducted an observation of PACE center operations on October 9, 2026.

  3. Legislators may begin formal consideration of the expansion in the fall of 2026.

Culture Shift

The potential expansion of PACE marks a shift in how the state addresses the needs of its aging population by moving away from institutionalized living. This transition reflects a broader societal movement toward sustainable, community-centered eldercare that lowers costs while improving quality of life.

For seniors residing in the 78 counties currently lacking PACE access, this expansion could provide new, low-cost options for receiving medical and daily living support at home. Families may eventually see reduced financial burdens compared to traditional nursing home models if the program is implemented in their area.

The takeaway

PACE offers a proven model for reducing public expenditure while simultaneously supporting the desire of many seniors to age in place. Proactive evaluation of these programs could help Ohio address the growing demands of its aging population more effectively.

What happens next

Ohio lawmakers are expected to begin formal deliberations regarding the potential expansion of the PACE program during the fall of 2026.

Further reading

Learn more about support services for older adults on the Eldercare page.

Source note: This article includes information reported by WKBN.

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Should your state expand public funding for senior care programs like PACE?