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.
The Cincinnati USA Regional Chamber embraced the YP concept several years ago in the wake of Richard Florida’s “creative class” discussion, which really hit home here because it crystallized the problem Cincinnati and other “uncool” cities face in stemming the brain drain of talented young people leaving to advance their careers elsewhere.
The Chamber created an array of programs to support local young professionals, an effort that certainly came at the behest of Procter & Gamble, Kroger, Macy’s and other corporate giants here that must recruit and retain the best and the brightest talent available. Bold Fusion has emerged as one of the Chamber’s highest profile efforts.
The sixth annual Bold Fusion conference was held Thursday afternoon at the Westin Hotel downtown, packing the ballroom to its 400-person capacity. It was one of the most interesting and inspiring afternoons I’d spent in a while.
The bill was the topic of discussion at a Senate Insurance, Commerce and Labor Committee hearing on Nov. 27. At the hearing, supporters argued the bill would stop compensating illegal workers who aren’t supposed to be in Ohio to begin with. But opponents argue that the details in the bill add too many extra problems.
In fact, the bill might be going after a problem that doesn’t even exist. At an earlier hearing, Seitz, a Republican, said the state does not collect data on the immigration status of workers receiving compensation. To Brian Hoffman of Innovation Ohio, this means there’s no way to know if the Ohio Bureau of Workers’ Compensation (BWC) has ever compensated a single undocumented worker. “It just seems curious that this bill is being introduced and has gotten three hearings when there’s no proof that it’s actually even an issue,” he says.
Hoffman is also worried that the bill is imposing a new regulatory burden on BWC without providing additional funds. In his view, the state agency is essentially being told to do more without additional resources to prepare or train regulators. Considering how complicated the immigration issue can get, this makes Hoffman doubt the agency will be able to properly carry out the new regulations.
From a broader perspective, the bill imposes regulatory hurdles on all injured workers just so they can get compensation they're entitled to under state law. “Talk about kicking someone when they’re down,” Hoffman says.
But the burden could hit Hispanics even harder and lead to more discrimination in the workplace. After all, when employers are clearing legal statuses, who are they more likely to question, someone with a name like “Dexter Morgan” or someone with a name like “Angel Batista”?
In Hoffman’s view, the state should leave immigration issues to the federal government and worry about more pressing issues: “Why is the state legislature even wasting its time on the issue? There are plenty of really good ideas to bring jobs back to Ohio. Why aren’t they focused on those?”
The bill is still in committee, but it’s been the subject of multiple hearings. It’s unlikely the Ohio Senate will take it up in what’s left of the lame-duck session, but it could come back in the next year.
CityBeat was unable to reach Seitz for comment despite repeated attempts through phone and email, in addition to a scheduled interview that was canceled. This story will be updated if comment becomes available.
Last week, CityBeat's April 4 cover story, "Losing Fight," discussed Cincinnati's legislation that's outlawed ownership of pit bulls within city limits since 2003. Seelbach reveals to CityBeat that he made a pledge to work to repeal the city's ban on pit bulls when he was first elected to office in December 2011, and has met in with stakeholders in the past to discuss reform strategies. "I've always believed that entire breeds should not be punished — we need to punish bad owners," he says.
This week’s ruling by the Ohio Civil Rights Commission that a Greater Cincinnati landlady violated a girl’s civil rights by posting a “whites only” sign at an apartment complex’s swimming pool is a decision that most rational people would say is just.
The Jan. 12 ruling means the commission, if it cannot reach a settlement with landlady Jamie Hein, could issue a complaint against her with the Ohio Attorney General’s Office. The AG’s Office would then represent the complainant, Michael Gunn, before an administrative law judge, who could impose penalties and punitive damages.
A prominent, nonpartisan group today announced its opposition to Issue 48, the proposed amendment to Cincinnati's charter that would block the creation of a streetcar system for at least a decade.
The League of Women Voters of the Cincinnati Area issued a press release today stating it opposes the amendment because the wording is so broadly written that it would prevent the development of any passenger rail system including light rail or commuter rail.
(UPDATE AT BOTTOM) Fox News commentator Sean Hannity’s participation in a Cincinnati Tea Party event today is drawing sharp criticism from experts on journalism ethics.
Hannity will be taping his TV show tonight during the local Tea Party’s second annual Tax Day rally, which is being held at the University of Cincinnati’s Fifth Third Arena.
such indecency by individuals who are likely afflicted by mental health and
substance abuse problems is obviously of intense public interest (if anyone
poops anywhere near CityBeat, we
goddam sure want to know about it), this stellar roundup of arrests nearly took
a backseat to the drama that unfolded in Indian Hill the night before — Robert
S. Castellini, the 46-year-old son of Reds owner Bob Castellini, and his wife
Deanna were arrested and charged with domestic violence for fighting in front
of their children.
Crime reporter Kimball Perry was all over the story, as he
has a long history of detailing the crayest of the cray in Hamilton County
courtrooms, reporting on Monday that both Robert and Deanna went in front of a
judge that morning and how court documents described "visible scratch
marks around the neck of Ms. Castellini” and Robert having "visible
scratches around his neck and shoulder.
Despite such drama and intrigue — three Castellinis work in the Reds front office and Robert’s lawyer is Hamilton County GOP chairman Alex Triantafilou — The Enquirer appears to have pulled the story from its website as of Tuesday afternoon. Here’s what comes up when you go through Google and click on Perry’s story, titled “Reds' owners' son, daughter-in-law arrested”:Fortunately for those who for so long have turned to The Enquirer for awesome stories about (mostly poor) people's problems, you can still find the cached page:
As Fairness and Accuracy In Reporting (FAIR) wrote in 2001: “The Idaho Statesman has a curious definition of 'fact checking.' The business editor of the Gannett-owned daily, Jim Bartimo, resigned when he was told that a story he had worked on about Micron Technologies, the area's largest employer, had to be sent for pre-publication 'review'... to Micron Technologies.”
Previously The Statesman's business news practices were examined by The Washington Post's Howard Kurtz, in articles from January and February 2000. Kurtz's article revealed that The Statesman reporter covering the Micron beat was married to a Micron employee.
When Kurtz asked Washburn about the paper's Micron coverage and whether it was afraid to be too critical, she replied, “It's not that it has anything to do with their being the biggest employer. What we write can affect a lot of people in this community. It can affect the stock price.”
WKRC Local 12 also reported the arrests on Monday, and its video and online version are still live here.
Robert S. Castellini is due back in court Aug. 18, and
Deanna’s case is scheduled to continue Aug. 21, not that anyone really gives a
shit. If Perry’s article miraculously reappears this story will be updated.