Gov. John Kasich is refusing to work with Obamacare. In a letter to the U.S. Department of Health and Human Services, the governor today declined to have the state government run its health insurance exchange. With the move, the federal government will be put in charge of managing Ohio’s exchange.
Exchanges are subsidized, heavily regulated insurance markets that will go into effect in 2014 as part of Obamacare. They are supposed to bring down costs by offering more transparent, open competition through a fair, regulated marketplace. As part of Obamacare, states have to decide by Dec. 14 whether they’ll manage the exchanges or let the federal government do it.
Conservatives were quick to praise Kasich's decision. Americans for Prosperity applauded the choice in a statement. The Buckeye Institute put up a blog post calling the move “the right decision for Ohio.” The Coalition Opposed to Additional Taxes and Spending (COAST) called the move the right choice.
At first, the choice seems like a contradiction for conservatives. After all, they’re the group that normally rails against a big federal government. Why let the federal government take over a new, major part of the health-care system? Rob Nichols, Kasich’s spokesperson, justified the decision in a statement: “Ohio would have no flexibility to shape an exchange to our needs and its costs will be so high that it just doesn’t make sense for the state to operate a health exchange under Obamacare.” In other words, even if the state managed the exchanges, it would still have to answer to the federal government.
In his letter, Kasich also stated Ohio will not give up its right to regulate the insurance market. So the federal government will have the final say on exchanges, but Kasich wants to keep the rest of the market under state regulatory control. The state will also keep control over deciding Medicaid and Children’s Health Insurance Plan (CHIP) eligibility.
Ohio is not alone in declining to supervise exchanges. Other states have signed off on letting the federal government manage them, including Florida and Texas.
Still, Republicans may want to proceed cautiously. Recent polling has shown that support for repealing Obamacare has massively dropped. That shift could reflect reality catching up to public opinion. Republicans tend to rail against Obamacare by saying it’s too expensive, but a Congressional Budget Office report found repealing Obamacare would increase the deficit by $109 billion between 2013 and 2022.
A "phone-a-thon" is seeking to address one of the main issues public officials have faced when trying to provide health coverage to low-income Americans: awareness. The event could help reach some of the estimated 15,000 children in southwest Ohio who are uninsured but qualify for Medicaid.
The event, which is being hosted by WCPO and the Legal Aid Society of Greater Cincinnati on May 29, will reach out to families with uninsured children who qualify for Medicaid. It's part of the Centers for Medicare and Medicaid Services (CMS) Connecting Kids to Coverage National Campaign, a nationwide effort to enroll more children into free and low-cost health insurance programs.
"Medicaid provides eligible children the coverage they need to address asthma and allergies, as well other benefits to keep children healthy," the event's release said. "Children in a family of four earning up to $47,100 a year may qualify for free or low-cost health insurance. Medicaid not only covers allergy and asthma treatment, but also regular check-ups, immunizations, doctor and dentist visits, hospital care, mental health services, prescriptions and more."
For public officials, raising awareness has been one of the biggest hurdles to ensuring widespread health coverage. As the Affordable Care Act ("Obamacare") kicks in, the problem is becoming even more pronounced as state and federal governments attempt to inform Americans of new insurance options, including health exchanges and expanded Medicaid programs.
"There's a segment of the population that hasn't interacted with these programs in the past," says Trey Daly, senior attorney at the Legal Aid Society of Greater Cincinnati. "Those folks don't typically know they're eligible."
Daly says there's also a segment of the population that has used Medicaid services but stopped after "bad experiences." For those situations, the Legal Aid Society of Greater Cincinnati explains the benefits of Medicaid coverage, but it also files forms and applications for participants to help them avoid the bureaucracy and paperwork required for enrolling into Medicaid.
The Legal Aid Society of Greater Cincinnati's efforts are funded by a federal grant. Since the program began in 2009, the seven counties in southwest Ohio covered by the Legal Aid Society of Greater Cincinnati — Hamilton, Butler, Warren, Clermont, Clinton, Brown and Highland — have increased their Medicaid enrollment of children by 12 percent. The rest of the state has increased enrollment by 4 percent.
At the legislative level, there is currently a bill in the Ohio House that would expand the state's Medicaid program with federal funds provided through Obamacare. Republican Gov. John Kasich originally proposed the expansion in his budget plan, but Republican legislators opposed the measure and took it out of their own budget bill.
Still, Kasich has continued pushing the expansion, along with Democratic support. A March report from the Health Policy Institute of Ohio found the expansion would save the state money and insure half a million Ohioans in the next decade.
To participate in the "phone-a-thon," call 513-749-9400. The event will be on Wednesday, May 29, between 11 a.m. and 8 p.m.
State Rep. Connie Pillich announced today that she will run for state treasurer, putting the Greater Cincinnati Democrat on a collision course with current Ohio Treasurer Josh Mandel, a Republican who ran for U.S. Senate last year. Before becoming state representative, Pillich was in the Air Force, a lawyer and a small business owner. “Whether as a captain in the Air Force, a lawyer and owner of a small business, or a representative in the legislature, I’ve dedicated my career to listening to concerns, creating a plan of action, and working hard to deliver real results,” she said in a statement.
Attorney General Mike DeWine certified the ballot language for an amendment that would legalize medical marijuana in Ohio, opening the possibility that the issue will be on the ballot in 2013 or 2014. CityBeat wrote more about the amendment and the group behind it here.
Supporters of the Medicaid expansion are hosting a public meeting and presentation today at 10 a.m. at the Red Cross headquarters at 2111 Dana Ave. CityBeat previously covered the Medicaid expansion, which supporters claim will save the state money and insure half a million Ohioans in the next decade, here.
Ohio is one of many states preparing to adopt Common Core standards and other reforms in schools, but a recent survey by the Thomas B. Fordham Institute of the state’s superintendents declared that the state is not ready for all the changes being proposed. Terry Ryan of the Thomas B. Fordham Institute says Ohio should consider slowing down to give legislators and educators more time to work through the new requirements.
A new Ohio bill would require only one license plate per vehicle, potentially saving the state $1 million a year. But critics say the bill would limit the amount of tools available to law enforcement to fight and prevent crime.
Nearly two-thirds more suburban residents live below the poverty line in comparison to 2000, according to “Confronting Suburban Poverty in America,” a book by two Brookings Institution fellows. The book uses U.S. Census Bureau data to form a clearer picture on U.S. poverty trends. Previous analyses have correlated the U.S. rise in poverty with welfare reform, which former President Bill Clinton signed in 1996.
Ohio and U.S. gas prices are spiking this week.
It’s going to be hot today.
A study found a correlation between fiscal conservatives and big biceps.
The first American mission to sample an asteroid is moving forward.
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.
Cincinnati yesterday laid down the first two streetcar tracks, putting the project on a clear path to completion after years of financial and political hurdles. The $133 million project is now expected to continue its construction phase over the next three years, with a goal of opening to the public on Sept. 15, 2016. City officials, including Mayor Mark Mallory and City Manager Milton Dohoney, celebrated the milestone and thanked supporters for remaining committed to the project. Meanwhile, former Councilman John Cranley, a streetcar opponent who’s running for mayor against streetcar supporter Vice Mayor Roxanne Qualls, criticized the city for laying down the tracks instead of delaying the project until a new mayor takes office in December. Cranley insists that he’ll cancel the project if he takes office, even though roughly half a mile of track will be laid out by then and, because of contractual obligations and federal money tied to the project, canceling the project at this point could cost millions more than completing it.
The Greater Cincinnati Homeless Coalition yesterday announced it’s suing the Hamilton County Sheriff’s Department over a new policy that attempts to remove homeless people from courthouse steps with the threat of arrest. The sheriff’s office says it still intends to redirect homeless people to housing and other services, but it told WVXU that clearing out the courthouse is necessary to invoke a “type of immediacy” to encourage homeless residents “to seek housing and a better situation.” Advocates call the policy dangerous and unfair. A press conference will be held later today to discuss the lawsuit.
State Senate President Keith Faber says he expects Gov. John Kasich’s proposal for a two-year, federally funded Medicaid expansion to gain approval from a seven-member legislative oversight panel known as the Controlling Board. Faber, a Republican who opposes the expansion, says it’s now time for the legislature to consider broader reforms for Medicaid, which provides health insurance to low-income and disabled Ohioans. After months of wrangling with legislators in his own political party to approve the expansion, Kasich, a Republican, on Friday announced he would bypass the legislature and instead ask the Controlling Board to approve federal funds to expand Medicaid eligibility to more low-income Ohioans for two years. The Health Policy Institute of Ohio previously found the expansion would generate $1.8 billion for Ohio and insure nearly half a million Ohioans over the next decade.
Mayor Mallory says the Millenium Hotel’s owners agreed to conduct a feasibility study to see what kind of renovations the market will support for the hotel. Mallory told The Cincinnati Enquirer that the agreement is the first sign of progress since discussions about overhauling the shabby hotel began.
To tackle concerns about second-hand smoking, one state senator proposed a bill that would ban smoking in a car when a young child is present. It’s the second time in two years State Sen. Charleta Tavares (D-Columbus) introduced the bill.
Allegiant Air will offer low fares to fly to Florida from Cincinnati/Northern Kentucky International Airport (CVG), ending months of speculation over whether the airline would pick CVG or Lunken Airport.
A state audit released on Tuesday found a local water worker was paid $437 in 2001 for work that wasn’t done.
Cincinnati’s 21c Museum Hotel was named the No. 1 hotel in the country and tied for No. 11 in the world in Conde Nast Traveler’s Readers’ Choice Awards.
Scientists found a way to block the dopamine rush associated with THC and make marijuana un-fun to help people with a psychological dependence on the drug.
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.
Public service announcement: There will be no Morning News and Stuff Thursday and Friday due to Thanksgiving break. Happy Thanksgiving, and CityBeat will see you again on Monday!
With gains in the civilian labor force, Cincinnati’s seasonally unadjusted unemployment rate dropped to 6.8 percent. The city’s unadjusted unemployment rate is below the nation’s rate of 7.5 percent, but it’s above Hamilton County’s 6.2 percent rate and Ohio’s 6.3 percent rate.
The Ohio Graduation Tests will soon be no more. As part of broader reform, state education leaders have agreed to establish new standardized tests with a focus on college and career readiness. But the reform faces some concerns from Democrats, who worry the new standards, particularly the school report cards that evaluate schools and districts, may be unreasonably tough. An early simulation of the new school report cards in May showed Cincinnati Public Schools (CPS) dropping from the second-best rating of “Effective” under the current system to a D- under the new system, with 23 CPS schools flunking.
Gas prices in southwest Ohio appear to be on the rise. Since Monday, they have moved up 10 to 20 cents.
The Horseshoe Casino is hiring again. This time, the casino is looking for people experienced in restaurant management, hosting, banquet, finance, marketing and guest services.
One problem Ohio must consider in its decision to expand Medicaid or not: a doctor shortage. Still, one study found states that expanded Medicaid had notable health gains. Contrary to the fiscal reasons normally cited by Republican Gov. John Kasich’s office, another report from the Arkansas Department of Human Services found expanding Medicaid would actually save the state money by lowering the amount of uncompensated care.
Thirteen people are going for the Ohio Supreme Court. The vacant slot needs to be filled after Justice Evelyn Stratton announced she was stepping down earlier in the year. Her replacement, who will be picked by Gov. Kasich, will finish the two years of her six-year term. Some of the candidates are from the Cincinnati area, including Pat Fischer and Pat DeWine, the newly elected First District appellate judge. Surprisingly, Republican Justice Robert Cupp did not submit an application despite recently losing re-election.
A ban on internet sweepstakes cafes is on its way. The cafes are allegedly susceptible to illegal activities such as money laundering, racketeering and sex trafficking.
Marc Dann, the Democrat formerly in charge of the Ohio attorney general’s office, lost his law license for six months. Dann resigned from the role of attorney general in 2008 after 17 months of scandal-ridden service.
Three staffers at Gov. Kasich’s office were cleared by the Ohio inspector general’s office of engaging in political activity during work hours.
With Thanksgiving around the corner, here is some science on weight gain.
A new way to give drugs to patients: injectable sponges that expand inside the body.
After months of wrangling with legislators from his own political party to support the federally funded Medicaid expansion, Republican Gov. John Kasich decided to bypass the legislature and instead ask a seven-member legislative oversight panel to consider expanding Medicaid eligibility to more low-income Ohioans.
Kasich’s decision to go through the Controlling Board means he no longer requires a vote in the Ohio House and Senate to take on the expansion. The choice is instead left to the seven members of the panel: one Kasich appointee, four Republican legislators and two Democratic legislators.
For most of the year, Kasich has been lobbying Republican legislators, who control both chambers of the General Assembly, to approve the expansion. But Republican legislators refused, citing concerns about the federal government’s involvement in the health care system and fears that the federal government can’t afford the expansion.Meanwhile, Democrats, in a rare alliance with a Republican governor, applauded Kasich for taking up a cornerstone of President Barack Obama’s signature health care law.
Kasich’s administration initiated the alternative route to expansion on Sept. 26, when Ohio’s Medicaid director submitted a plan to the federal government to expand Medicaid eligibility. The U.S. Centers for Medicare and Medicaid Services on Thursday approved the plan.
Following federal approval, Ohio’s
Medicaid director on Friday submitted a request to the Controlling Board
to take up the expansion for two years. The board will make its decision on Oct. 21.
The expansion is necessary to fill what officials call a “coverage gap.” Currently, parents with incomes between 90 percent and 100 percent of the federal poverty level and childless adults with incomes below 100 percent of the federal poverty level don’t qualify for either Obamacare’s tax credits or Medicaid.
The expansion would be financed with mostly federal funds. Under Obamacare, the federal government pays for the entire expansion through 2016. Afterward, the federal contribution is phased down and indefinitely held at 90 percent of the expansion’s total costs.
In comparison, the federal government’s 2013 contribution to Ohio’s Medicaid program was nearly 64 percent, according to the Kaiser Family Foundation.
The Health Policy Institute of Ohio previously found the expansion would generate $1.8 billion for Ohio and insure nearly half a million Ohioans throughout the next decade.
This story was updated with more information.
The Ohio Supreme Court on Thursday expedited the 1851 Center for Constitutional Law’s challenge against the federally funded Medicaid expansion, which Republican Gov. John Kasich pushed through the Controlling Board, a seven-member legislative panel, despite resistance from the Ohio legislature.
The case will decide whether Kasich was constitutionally allowed to bypass the legislature to expand Medicaid eligibility to more low-income Ohioans. The 1851 Center says the Controlling Board isn’t allowed to go against the will of the legislature. The Kasich administration argues the Controlling Board can unilaterally accept federal funds.
With the case now expedited, both sides will submit their arguments on the merits of the case to the state’s highest court by Dec. 1.
Kasich tried for most of 2013 to get the expansion approved by the Ohio House and Senate, but he couldn’t convince Republican legislators, who control both chambers, to approve the plan.
But instead of accepting defeat, Kasich asked the Controlling Board to take up federal funds for the expansion. The board approved the funds on Oct. 21.
The legal complaint was filed on Oct. 22 on behalf of Republican State Reps. Matt Lynch, Ron Young, Andy Thompson, Ron Maag, John Becker and Ron Hood, Cleveland Right to Life and Right to Life of Greater Cincinnati.
Kasich, in a rare alliance with Democrats, says the Medicaid expansion is necessary to insure more low-income Ohioans and obtain federal Obamacare dollars that would go to other states if Ohio declined the expansion.
But Republican legislators say they’re concerned about the government’s involvement in the health care system and whether the federal government can afford to pay for the Medicaid expansion.
Under Obamacare, states are asked to expand Medicaid eligibility to reach anyone up to 138 percent of the federal poverty level, or individuals with an annual income of $15,856.20 or less. If states accept, the federal government will pay for the entire expansion through fiscal year 2016 then gradually phase down its payments to 90 percent of the expansion. In comparison, the Kaiser Family Foundation found the federal government paid for nearly 64 percent of Ohio’s Medicaid program in fiscal year 2013.
The expansion would fill a so-called “coverage gap” under Obamacare and Ohio law. Without it, parents with incomes between 90 percent and 100 percent of the federal poverty level and childless adults with incomes below 100 percent of the federal poverty level won’t qualify for either Obamacare’s tax credits or Medicaid.
The Health Policy Institute of Ohio (HPIO) previously found the expansion would insure between 300,000 and 400,000 Ohioans through fiscal year 2015. If the expansion is approved beyond that, HPIO says it would generate $1.8 billion for Ohio and insure nearly half a million Ohioans over the next decade.
If the Ohio Supreme Court upholds the Controlling Board’s decision, the Medicaid expansion will go into effect in 2014 and cost the federal government nearly $2.6 billion, according to the Ohio Department of Medicaid.
With a set of initiatives unanimously approved last week, City Council is looking to join the state in combating Cincinnati’s human trafficking problem. The initiatives would evaluate local courts’ practices in human trafficking and prostitution cases and study the need for more surveillance cameras and streetlights at West McMicken Avenue, a notorious prostitution hotspot. Councilwoman Yvette Simpson, who spearheaded the initiatives, says the West McMicken Avenue study will serve as a pilot program that could eventually branch out to other prostitution hotspots in Cincinnati, including Lower Price Hill and Camp Washington.
Medicare data released yesterday revealed charges and payments can vary by thousands of dollars depending on the hospital, including in Cincinnati. Health care advocates and experts attribute the price disparity to the lack of transparency in the health care system, which allows hospitals to set prices without worrying about typical market checks. CityBeat previously covered the lack of health care price transparency in Ohio here.Duke Energy is the No. 1 utility company polluter in the nation, according to new rankings from Pear Energy. The rankings looked at carbon dioxide emissions, which directly contribute to global warming. Pear Energy is a solar and wind energy company that competes with utility companies like Duke Energy, but the methodology behind the rankings was fairly transparent and based on U.S. Environmental Protection Agency data.
City Council approved form-based code yesterday, which Vice Mayor Roxanne Qualls has been working on for years. In a statement, Qualls’ office called form-based code an “innovative alternative to conventional zoning” that will spur development. “Cincinnati now joins hundreds of cities that are using form-based code to build and reinforce walkable places that create value, preserve character and are the bedrock of Cincinnati neighborhoods’ competitive advantage,” Qualls said in the statement.
State Sen. Peggy Lehner is looking to amend the Ohio budget bill to add a $100 million voucher program that would cover preschool for three- and four-year-olds. The details of the program are so far unclear, but Lehner said she might put most of the funding on the second year of the biennium budget to give the state time to prepare proper preschool programs. If the amendment proceeded, it would join recent efforts in Cincinnati to open up early education programs to low- and middle-income families. CityBeat covered the local efforts and many benefits of quality preschool here.
Gov. John Kasich says he would back a ballot initiative for a mostly federally funded Medicaid expansion, which the Health Policy Institute of Ohio says would insure nearly half a million Ohioans and save the state hundreds of thousands of dollars in the next decade. CityBeat covered the Medicaid expansion in further detail here.
Policy Matters Ohio released a lengthy report yesterday detailing how the state could move towards clean energy and electric cars and calling for more state incentives for clean energy. The report praises Cincinnati in particular for using municipal policies to build local clean energy and keep energy jobs in the city.
The last tenant at Tower Place Mall is moving out.
Scientists are working on a microchip that could be implanted into the brain to restore memories.
They also found proof that seafloor bacteria ate radioactive supernova dust.