Ohio State University agreed to a $100 million payout to resolve sexual abuse claims involving 279 former students, according to the settlement announcement. The deal is the latest step in a long-running case tied to abuse by an athletics department doctor. The resolution reflects a broader scale of settlements: nearly 600 people who alleged abuse connected to the athletics department doctor have reached agreements. For universities, the settlement underscores how institutional liability and risk management remain shaped by athletic department oversight, reporting systems, and the adequacy of safeguards. The settlement also raises near-term reputational and compliance pressure for athletics programs nationwide, particularly around student protections, mandatory reporting, and internal review mechanisms. Boards and senior administrators will likely face renewed scrutiny of how historical claims were handled and how preventive controls were established.