On July 10, 2009, the Ohio state legislature and Governor Ted Strickland reached a compromise agreement regarding a balanced 2010-2011 operating budget. Prior to this agreement, the two-year budget had a $1.2 billion hole that had many hospitals, nursing homes, medical service providers, insurers and other healthcare agencies fearing deep cuts and hoping to maintain the status quo. The Ohio budget, however, still includes several healthcare provisions that will have an adverse effect on hospitals. One of these provisions is an assessment that will be based on a percentage of a hospital's total facility costs, a significant portion of which will not be reimbursed. It is estimated that this provision in the budget will cost Ohio hospitals about $145 million. A summary of this and other healthcare-related provisions contained in Ohio's budget is available on the Baker Hostetler website