For the third time, a representative from the federal government yesterday reiterated to Cincinnati officials that if the $132.8 million streetcar project is canceled, the city would lose $40.9 million in federal funds and another $4 million would be left to the discretion of the state government, which could allocate the money anywhere in Ohio. The repeated reminders are necessary as Mayor-elect John Cranley and the incoming City Council prepare to delay or potentially terminate the project once they take office in December. Federal Transit Administration (FTA) Chief Counsel Dorval Carter said even a mere delay could lead to the federal government restricting or outright terminating the federal grant deals. But Cranley, a long-time opponent of the streetcar project, appeared unfazed by the news at a press conference following Carter's thorough explanation. "If we have to, we’ll give the money back," he said.
Cranley yesterday announced his intent to appoint Councilman-elect David Mann as his vice mayor. Cranley said Mann passed the "bus test," an unfortunate hypothetical scenario in which the mayor dies after being hit by a bus. Cranley also cited Mann's numerous accomplishments, ranging from achievements at Harvard University to previous stints as mayor when top vote-getter in the City Council race automatically assumed the position. Mann promised to work with Cranley to make his administration a success and respectfully disagree but move on when the two men differ.
A Cincinnati Health Department report found life expectancy can vary by 20 years from one part of Cincinnati to another. Black men in particular can expect to live nearly 10 years less than white men. The Health Department said in a press release that it wants to find out why there's such a disparity.
A Quinnipiac University poll shows Republican Gov. John Kasich still ahead of Democratic gubernatorial candidate Ed FitzGerald in a 44 to 37 percent match-up, but FitzGerald is gaining ground. About 71 percent of Ohioans in the poll said they don't know enough about FitzGerald to form an opinion about him, so FitzGerald still has time to build positive name recognition while Kasich has an opportunity to paint his opponent in a negative light before the November 2014 election.
Hamilton County Prosecutor Joe Deters might be investigated by the Hamilton County Board of Elections for improperly voting.
Councilwoman Laure Quinlivan asked the Hamilton County Board of Elections to cancel an automatic recount of the Nov. 5 vote, which Quinlivan was entitled to after she placed 10th place in the City Council race by only 859 votes.
The grand jury for the Steubenville, Ohio, rape investigation indicted four people, including a school superintendent.
Four Ohio corrections officers were fired over the escape of an inmate serving a life sentence for rape, officials announced Monday.
The University of Cincinnati is aiming for an attendance record when it hosts Louisville for a Dec. 5 game at Nippert Stadium.
The deadline to select Medicare coverage is Dec. 7 at midnight.
Scientists could be on the verge of learning how to erase and rewrite memories.
Morning News and Stuff will most likely be out of service until Monday, Dec. 2 as CityBeat staff celebrates the Thanksgiving holiday.
Two bills discussed today at a hearing of the Ohio House of Representatives' Judiciary Committee would, if passed, offer greater protections to victims of domestic violence and extend them more legal rights to protect their employment, housing and financial livelihood.
Those bills will join H.B. 243 and H.B. 160, which are still awaiting hearings before the judiciary committee and would, respectively, require individuals served with temporary protection orders to surrender their firearms and offer legal protection to the pets of domestic violence victims — often cited as a reason victims have difficulty leaving a violent situation.
Most significant are the changes that would be implemented by H.B. 297, first introduced to the Ohio House in October by Reps. Ann Gonzales (R-Westerville) and Denise Driehaus (D-Cincinnati). The bill outlines new legal protections for domestic violence victims who need to terminate a rental agreement or take unpaid leave at work in order to deal with domestic violence incidences.
Under the bill, victims of domestic violence would be legally protected against termination at work and have the ability to dissolve a rental lease if the tenant has been a victim of domestic violence. The bill would also prohibit landlords from kicking out tenants because they've been victims of domestic violence at the residence and requires them to comply with requests to change locks when a tenant has been a victim of stalking or menacing.
H.B. 309, also introduced in October, by Reps. Dorothy Pelanda (R-Marysville) and Nickie Antonio (D-Lakewood), would dissolve any charges related to modifications made to a domestic violence, anti-stalking or other type of protection order or consent agreement
In August, CityBeat spoke with domestic violence victim Andrea Metil, who talked about her personal experiences with legal trip-ups that made protecting herself from her attacker difficult. Metil called for stronger legislation to protect victims of domestic violence.
This is the first hearing for both of the bills.
If your medicine cabinet could use a good fall cleaning, think about de-cluttering tomorrow during National Drug Take-Back day so you can properly dispose of the pills and make sure they don't get into the wrong hands.
The local prescription take-back is sponsored by the Hamilton Country Sheriff Department and the Drug Enforcement Administration. Prescription drug abuse is a rampant public safety and health issues, and take-back programs are one of a number of public health measures communities can take to reduce prescription drug abuse in their neighborhoods.
Even flushing the pills down the toilet poses its own risks; the chemicals could make their way into our water supplies. The Environmental Protection Agency (EPA) has found that fish have suffered serious deformities from pharmaceutical-tainted water supplies, and it could affect humans, too, although the research isn't strong enough to draw any solid conclusions yet.
There are three locations around the city where you can bring old prescriptions (all locations are open from 10 a.m.- 2 p.m.):
The National Institute on Drug Abuse estimates that 20 percent of people in the United States have used prescription drugs for reasons other than which they were prescribed. In 2010, 7 million Americans abused a prescription drug; pain relieving medications like Vicodin and Oxycontin are the most commonly abused drugs.
Unintentional drug overdose deaths are the leading cause of injury-related deaths in Ohio. The state has experienced a 440 percent growth rate in accidental overdose deaths from 1999 to 2011.
According to DrugAbuse.gov, teenagers are especially likely to abuse medications because of their easy accessibility and a lack of awareness about the consequences of abuse.
Needles, IV bags and radioactive medicines will not be accepted.
The Ohio House yesterday offered overwhelming support for a
bill that would authorize local health boards across the state to
establish syringe-exchange programs with fewer roadblocks, which could pave the way for Cincinnati to establish myriad programs across its neighborhoods most afflicted by intravenous drug use and bloodborne pathogens.
House Bill 92, sponsored jointly by Rep. Nickie Antonio (D-Lakewood) and Rep. Barbara Sears (R-Sylvania), would remove a restriction that stipulates programs can only be implemented when a local health emergency has been declared and lays out mandates for programs to protect the rights and educate the intravenous drug users who take advantage of the programs.
Syringe exchange programs have been the privy to significant controversy; opposers say that offering addicts the tools they need to fuel drug habits ultimately fuels destructive habits and sends the wrong message to drug abusers.
What’s helped turn the issue non-partisan, however, is overwhelming data supporting claims that the program saves lives. In 2004, the World Health Organization published a study on the effectiveness of syringe programming in reducing HIV/AIDS that found a “compelling case that (needle-exchange programs) substantially and cost effectively reduce the spread of HIV among (injection drug users) and do so without evidence of exacerbating injecting drug use at either the individual or societal level.”
Adam Reilly, who is an HIV project manager for a local
healthcare provider, says that a syringe exchange program is already in
the works for Springdale; the location is expected to open in about a
month. He says that project has been seven years in the making because of how entangled efforts to establish the program become in bureaucracy. Establishing a program is particularly laborious, he explains, because it requires citywide cooperation — including law enforcement — which has proven to be a challenge for programs in other states, where police officers are prone to harass participants entering or leaving an exchange facility.
The current bill would essentially take the issue out of
the political arena, Reilly says, and thrust the responsibility onto
health departments. The city of Cincinnati in 2012 already declared a public health emergency following significant proof of a citywide HIV/Hepatitis C epidemic sourced primarily from heroin abuse.
Cincinnati's now-defunct nonprofit agency STOP AIDS found through focus groups that the majority of intravenous drug users are Caucasian middle-aged males; 145 of 147 study subjects reported using ineffective methods to clean used equipment. Their data estimates that 4,000-6,000 people locally are currently living with HIV/AIDS.
STOP AIDS also estimated that spending $385,000 per year on a syringe exchange program has the potential to save nearly $50 million annually in health costs generated from contracting HIV or HCV infections.
To make the program as effective as possible, Reilly says other exchange programs offer participants assurance in writing that their identities will be protected; the House bill also says that future programs wold be required to encourage drug users to seek medical, mental health or social services, also offer counseling and other educational requirements.
Have any questions for City Council candidates? Submit them here and we may ask your questions at this Saturday’s candidate forum.
Early voting for the 2013 City Council and mayoral elections is now underway. Find your voting location here. Normal voting hours will be 8 a.m. to 4 p.m., although some days will be extended.
The ongoing federal government shutdown is keeping thousands of Ohioans from going to work. The federal government closed its doors yesterday after House Republicans refused to pass a budget that doesn’t weaken Obamacare and Senate Democrats and the White House insisted on keeping President Barack Obama’s signature health care law intact. Without a budget, non-essential federal government services can’t operate.
As part of a broader campaign to reduce Cincinnati’s high infant mortality rate, the city yesterday launched another effort that aims to educate parents in the city’s most afflicted zip codes on proper ways to put their babies to sleep. According to the Cincinnati Health Department, 36 babies died from unsafe sleeping conditions between 2010 and 2011. Cradle Cincinnati plans to help prevent these deaths by reminding parents that babies should always sleep alone, in a crib and on his or her back. The education effort is just one of many to reduce Cincinnati’s infant mortality rates, which in some local zip codes have been worse than rates in third-world countries.
Ohioans who tried to use Obamacare’s online marketplaces on opening day yesterday likely ran into some website errors, but the U.S. Department of Health and Human Services (HHS) is asking participants for patience as they work out the glitches, which appear to be driven by overwhelming demand. The problems weren’t unexpected, given that software launches are often mired in issues that are later patched up. “We’re building a complicated piece of technology, and hopefully you’ll give us the same slack you give Apple,” HHS Secretary Kathleen Sebelius told reporters at a Sept. 30 briefing.
Domestic violence arrests in 2012 were down from the previous year, but law enforcement officials say they need more help from lawmakers to bring down the number, which remained above 41,000, even further. Officials claim a law on teen dating violence, which, among other things, allows protective orders on accused abusers who are under 18 years old, has helped, but advocates argue protections need to be strengthened. CityBeat covered the advocates’ efforts in further detail here.
The Ohio Libertarian Party asked lawmakers at a hearing yesterday to loosen restrictions in a bill that seeks to limit ballot access for minor political parties. The bill, which is sponsored by State Sen. Bill Seitz (R-Cincinnati), requires minor parties to gather an estimated 100,000 signatures every two years to remain on the ballot, which Libertarians say would be difficult and expensive. Instead, Libertarians would like that provision to require the signatures every four years. Libertarians also asked lawmakers to allow voting thresholds, which give minor parties automatic recognition in Ohio if they get 3 percent or more of the vote, to apply to more than the gubernatorial race. Seitz said he’s open to the changes.
Ohio Attorney General Mike DeWine announced yesterday that the Bureau of Criminal Investigation exceeded its goal of testing 1,500 rape kits in the program’s first year. In total, the agency has tested 1,585 out of 4,053 submitted kits. The program allows local and state law enforcement to analyze and match DNA evidence to verify criminal allegations. So far, it has led to 505 DNA matches.
Cincinnati could make an offer by the end of the year for a currently unused section of the Wasson Way railroad line that the city plans to convert into a five-mile bike and hike trail.
Three more downtown buildings will house apartments. Although the buildings aren’t directly on the streetcar route, the developer said that public transportation, along with bicycles, will play an important role in promoting the apartments because they won’t have dedicated parking.
The Greater Cincinnati Green Business Council is offering an energy benchmarking toolkit that allows small and medium-sized businesses to see how they can improve their environmental performance.
Good Samaritan Hospital in Cincinnati is the No. 1 hospital for delivering babies in Ohio.
The number of induced abortions in Ohio rose between 2011 and 2012 but ended up at the second lowest levels since 1976, according to the Ohio Department of Health.
The Ohio Department of Transportation is putting more than $3 million toward purchasing new vehicles and equipment that should help elderly and disabled residents across the state.
The U.S. Food and Drug Administration approved the first “artificial pancreas” to help diabetics better monitor and control their insulin levels.
According to the Cincinnati Health Department, 36 babies died from unsafe sleeping conditions between 2010-2011. The campaign addresses simple "ABCs" of safe baby sleep to stop infant mortality deaths that otherwise could have been prevented. The most important things to remember, according to the campaign, are that infants should always sleep alone, in a crib and on his or her back. The health department provides other helpful tips here.
It's another step forward in addressing a concern that plagues neighborhoods across the city. Some Cincinnati zip codes in the past have held higher infant mortality rates than those of third-world countries.
The campaign is also donating 1,000 onesies to area birth hospitals that read "This Side Up" on the stomach — a friendly safety reminder to new parents. Kroger is also partnering with the campaign by helping to spread the tenets of the campaign in diaper and baby food aisles at local stores.
According to a Cincinnati.com editorial by Noble Maseru, Cincinnati’s health commissioner, the recent efforts have been working. He says the city’s 2013 infant mortality rates are projected at 6.4 deaths per 1,000 live births, a 52 percent reduction in fatalities that brings the city drastically closer to the national average.
Previously, the infant mortality rate in Cincinnati was more than double the national average: 13.3 babies out of 1,000, compared with 6.1 deaths per 1,000 nationally.
In June, the city of Cincinnati announced the community partnership spearheaded by Hamilton County Commissioner Todd Portune to lower infant mortality rates, uniting health experts, political leaders and some nonprofits to share ideas and best practices to better overlap city efforts.
University of Cincinnati Health president and CEO Jim
Kingsbury agreed to offer the new collaboration initial funding from the
county’s sale of Drake Hospital.
Mayor Mark Mallory also entered the city into a contest in February to earn a grant to expand the city's Infant Vitality Surveillance Network, which monitored the pregnancies of new mothers in high-risk areas across the city with an updated database. The city's entry was a finalist, but ultimately didn't win a grant.
Today, the Infant Mortality Surveillance Network still works with both University Hospital and Christ Hospital to collect data on new mothers from zip codes with the worst infant mortality rates and provides them with information, education, depression screening and home care help, if needed.
Limitations imposed by Ohio lawmakers who oppose the Affordable Care Act (“Obamacare”) have forced Cincinnati Children’s Hospital Medical Center to give up a $124,419 federal grant that would have gone toward helping uninsured Ohioans navigate new online marketplaces for health insurance.
Specifically, the state law, which Gov. John Kasich signed on April 30 and went into effect on July 30, excludes any organization that receives payments from a health care payer, such as an insurance company, from being designated as a “navigator.”
The designation is necessary for Cincinnati Children’s Hospital to receive the federal grant, which is part of national outreach efforts to enroll as many Americans, especially young adults, into Obamacare’s online marketplaces when they open for enrollment on Oct. 1.
Without the designation, Cincinnati Children’s Hospital was forced to give up the federal money, Cincinnati Children’s Hospital spokesperson Terry Loftus told CityBeat.
State legislators passed the restrictions to clarify regulations on navigators that avoid potential abuses and conflicts of interest.
But Obamacare’s supporters claim the state law is part of a nationwide effort from state and federal Republicans to make Obamacare more difficult to implement.
The federal government intends to sign up 7 million people into Obamacare’s online marketplaces, but 2.7 million have to be young adults to keep costs low. Otherwise, older, less healthy Americans will fill up the marketplaces, exhaust health services and drive up costs.
Supporters of Obamacare acknowledge that signing up so many young adults will be difficult, so they’ve taken to national and state-by-state education campaigns that tell young adults about the benefits and cost savings made available through the president’s signature health care law. These campaigns are being headed by various organizations that have been dubbed “navigators.”
But opponents, particularly Republicans, are preventing some of the efforts by investigating navigators and passing legislation in state governments that limits what navigators can do and who can be classified as a navigator.
Most recently, Republicans in the U.S. House Energy and Commerce Committee sent a letter to groups participating in the navigator program with a series of accusations and questions.
“This is a blatant and shameful attempt to intimidate groups who will be working to inform Americans about their new health insurance options and help them enroll in coverage, just like Medicare counselors have been doing for years,” Erin Shields Britt, spokesperson for the U.S. Department of Health and Human Services, told The Hill.
For the uninsured, not knowing about the online marketplaces could mean losing out on opportunities to obtain health insurance at lower costs. Recent reports have found that Obamacare’s online marketplaces and tax subsidies will lower costs for Ohioans in the individual health care market.
An Aug. 29 study from the RAND Corporation, a reputable think tank, found health care premiums will rise to an average of $5,312 under Obamacare in 2016. Without the law, premiums would reach an average of $3,973 that year. But when Obamacare’s tax credits are plugged in, the average Ohioan will only pay a premium of $3,131 — $842 less than he or she would pay without the law.
Avik Roy, a conservative health care economist and prominent critic of Obamacare, found even better results for Ohio. His model found premiums will drop by 30 percent in Ohio, although they’ll rise by 24 percent on average for 13 states, including Ohio, and the District of Columbia as a whole. Unlike RAND, Roy’s calculations don’t take subsidies into account, so the final cost for the average Ohioan is likely much lower.
The numbers only apply to Ohioans in the individual health insurance market. Under Obamacare, individuals will be able to enroll for health insurance through an online marketplace. The majority of Americans who get health insurance through their employers or public programs fall under different rules and regulations.
It’s unclear how much Republican opposition will ultimately play into the numbers. But for Cincinnati Children’s Hospital, it means $124,419 less to help its neediest, less knowledgeable patients.
A poll analysis released today suggests more than 1.25 million Ohioans between the ages of 18 and 65 are uninsured, representing about 17 percent of the state’s working-age population.
The poll also found that working-age Ohioans are obtaining health insurance less through employers and more through public insurance programs like Medicare, Medicaid and veteran benefits.
About two in 10 working-age Ohioans use public programs in 2013, up from 12 percent in 2006. At the same time, 52 percent now get insurance through an employer, down from 64 percent in 2006.
The numbers are relatively unchanged from 2012, according to the analysis from the Health Foundation of Greater Cincinnati.
Nearly one in 10 of those who did have insurance also reported losing it in the past 12 months.
“Certain groups are more likely to experience insurance instability,” said Jennifer Chubinski, director of community research at the Health Foundation, in a statement. “Almost half of adults living below 100 percent of the federal poverty level, African-Americans and adults with less than a high school education were uninsured currently or at some point in the past year.”
The analysis also concluded that Ohioans with health insurance are generally healthier than those without it.
The results came from the 2013 Ohio Health Issues Poll, which between May 19 and June 2 interviewed 868 Ohio adults by phone. The poll had a margin of error of 3.3 percent. It was conducted by the University of Cincinnati’s Institute for Policy Research for the Health Foundation.
The poll’s findings could spur efforts to widen Medicaid eligibility in Ohio, which has become a contentious political issue fueled by mostly Republican opposition and Democratic support.
Under the Affordable Care Act (“Obamacare”), states are asked to expand the public insurance program to include everyone at or below 138 percent of the federal poverty level, or roughly $15,856 for a single-person household. If a state agrees, the federal government will pay for the entire expansion for the first three years then phase its support down to 90 percent, where it would indefinitely remain.
The offer presents a great deal for the state, according to the Health Policy Institute of Ohio. The think tank’s analysis found the expansion would insure roughly half a million Ohioans and generate about $1.8 billion in revenue for the state in the next decade.
But the Republican-controlled General Assembly rejected the expansion in the state budget, despite Republican Gov. John Kasich’s pleas to embrace the Obamacare initiative.
Legislators say they’re concerned the federal government won’t be able to uphold its commitment to Medicaid in the future. That, they argue, would leave Ohioans stranded if the state is forced to pare back benefits.
The federal government and states have jointly funded Medicaid programs around the nation since 1965. About 57 percent of the cost is carried by the federal government.
Still, the legislature will in the fall consider a standalone bill that would take up the expansion. But that bill will likely face continued opposition from tea party groups that are historically opposed to increased government spending at any level.
Whatever the case, legislative approval may be politically prudent: Earlier-reported results from the Ohio Health Issues Poll found 63 percent of Ohioans favor the Medicaid expansion.