A seven-member legislative board on Monday accepted federal funding to expand Ohio’s Medicaid program to cover more low-income Ohioans for the next two years.
Republican Gov. John Kasich originally attempted to get the Medicaid expansion through the General Assembly, but he ultimately bypassed the legislature after months of unsuccessfully wrangling with members of his own political party to embrace the expansion.
Kasich instead opted to go through the Controlling Board, an obscure panel that typically handles less contentious budget issues that keep with legislative intent.
Most Republican state representatives, including local Reps. Lou Terhar, Louis Blessing and Peter Stautberg, signed a letter in protest of the tactic. The letter invokes legal arguments against the governor’s decision and could be the basis for a lawsuit in the future.
“Our protest is not about the merits or lack of merit in expanding Medicaid,” the letter states. “Our protest goes to the fundamental form of government upon which our country was founded — a Republic of checks and balances and separation of powers.”
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. They argue it would be better to pursue Medicaid reforms instead of expanding the program.
On the other side, Democrats, in a rare alliance with a Republican governor, applauded Kasich for embracing a cornerstone of President Barack Obama’s signature health care law.
Under Obamacare, the federal government asked states to expand their Medicaid programs to cover anyone at or below 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 pays for the full expansion through fiscal year 2016, and then gradually phases down its payments to an indefinite 90 percent of the expansion’s costs.
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 is necessary to fill a so-called “coverage gap” under Obamacare and Ohio law. Without the expansion, 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 Health Policy Institute of Ohio previously found the expansion would insure between 300,000 and 400,000 Ohioans through fiscal year 2015. If legislators approve the expansion beyond that, the institute says it would generate $1.8 billion for Ohio and insure nearly half a million Ohioans over the next decade.
The federally funded expansion is set to begin in 2014. It will cost the federal government nearly $2.6 billion, according to the Ohio Department of Medicaid.
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.
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.
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.
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.
In-person early voting is underway in Ohio. Find your nearest polling booth here.
The final presidential debate between President Barack Obama and Mitt Romney was last night. The general consensus from media pundits is Obama won by a substantial margin. But political scientists say debates typically have negligible electoral impact. In aggregate polling, Obama is up in Ohio by 1.9 points and Romney is up nationally by 0.6 points. Ohio is looking like a must-win state for both campaigns, so Obama’s advantage there is a very bad sign for Romney. FiveThirtyEight, The New York Times’ election forecast blog, has an explanation of how and why the current electoral landscape favors Obama.
In a follow-up to the debate, Romney will be visiting Greater Cincinnati Thursday.
A new motion by City Councilwoman Laure Quinlivan could encourage more people and businesses to make use of the city’s LEED program. The program uses special tax exemptions to encourage buildings to be cleaner and greener.
Cincinnati’s City Planning Commission approved Plan Cincinnati Friday. With the approval, the plan’s only hurdle is City Council. If passed, the plan will reform city policies to put a new emphasis on the city’s urban core. That means a cleaner, greener city with more transportation options, ranging from walking and biking to the streetcar and rail. CityBeat wrote about Plan Cincinnati here. The full plan can be found here.
Three Republicans in the state legislature, including Cincinnati’s Sen. Bill Seitz and Rep. Louis Tehrar, introduced a bill that would require health insurance providers to cover autism. Critics say the move could cost small businesses too much during an economic downturn, but supporters say it’s necessary to Ohio’s mental health coverage requirement, which was passed in 2007. Seitz says the bill could also save money by bringing down special education costs.
In a sign of Ohio's education funding problems, one report found two of three Ohio school levies are asking for
additional funding. But Cincinnati Public Schools’ (CPS) levy will only
not ask for extra funding or higher taxes; instead, it asks for funding
and taxes to remain the same. CityBeat covered Issue 42, the CPS levy, in-depth here.
A new report found Ohio students graduate with more debt than most of the nation. The report named the state a “high debt state” with an average of $28,683 in student loans — above the national average of $26,600.
Despite what a recent conflict between Commissioner Greg
Hartmann and Mayor Mark Mallory implies, Cincinnati and Hamilton County
are working together. The city and county are cooperating on the Banks
project, funding the Port Authority and operating the Metropolitan Sewer
Cincinnati is working harder to enforce a chronic nuisance
disorder. A property is classified as a chronic nuisance when it
surpasses a certain amount of crimes and violations. The law is meant to
hold property owners accountable for what happens in their buildings.
There are more signs that Ohio’s fracking boom may not be
sustainable. Natural gas producers are not seeing the profits they
expected from the boom. For many, the boom is quickly turning into a
bust. Still, natural gas prices have massively dropped, and an analysis
at The Washington Post suggests natural gas could play an important role in reducing carbon emissions. CityBeat wrote in-depth about the fracking boom in Ohio and the faulty regulations on the industry here.
The Ohio Board of Regents is using a grant to award 1,300 associate degrees to transfer students over two years.
Fourteen recreational trails in Ohio will get $1.6 million in federal funding, according to the Ohio Department of Natural Resources. However, none of the trails are in Hamilton County.
The key to humanity: cooked food.
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.
By the time a new mayor and City Council candidates take office in December, the city will have laid out roughly half a mile of track and spent or contractually obligated at least $117 million for the streetcar project. The contractual obligations mean it could cost more to cancel the project than to finish it, which will cost the city an estimated total of $88 million after deducting $45 million in federal grants. Still, mayoral candidate John Cranley and several council candidates insist they will try to cancel the project upon taking office. Check out CityBeat’s full in-depth story here.
The parking plan’s upfront payment has been reduced to $85 million, down from $92 million, and the city, as opposed to the Greater Cincinnati Port Authority, could be on the hook for $14 million to $15 million to build a garage at Seventh and Sycamore streets, according to an Oct. 9 memo from City Manager Milton Dohoney. The city manager claims the lump sum payment dropped as a result of rising interest rates and the Port Authority’s decision to relax parking meter hours outside Over-the-Rhine and the Cincinnati Business District. The parking plan leases Cincinnati’s parking meters, lots and garages to the Port Authority, which plans to hire private companies to operate the assets. CityBeat covered the plan in greater detail here and the controversy surrounding it here.
Gov. John Kasich is considering using an executive order to expand the state’s Medicaid program with federal funds. The executive order would expand eligibility for the government-run health insurance program so it includes anyone up to 138 percent of the federal poverty level, or nearly $15,900 in annual income for an individual. Kasich would then on Oct. 21 ask Ohio’s seven-member legislative-spending oversight panel to approve federal funds for the expansion. Kasich, a Republican, has aggressively pursued the Medicaid expansion, which the federal government promises under Obamacare to completely fund through 2016 then phase down and indefinitely hold its payments at 90 percent of the expansion’s total costs. But Republican legislators claim the federal government might not be able sustain the payments, even though the federal government has met its payments for the much larger overall Medicaid program since it was created in 1965.
At its final full session before the November election, City Council approved nearly $854,000 in tax credits for Pure Romance to bring the company to downtown Cincinnati for at least 20 years. Councilman Charlie Winburn, the lone Republican on council, was the only one to vote against the tax incentives. The city administration estimates the deal will lead to at least 126 new high-paying jobs in downtown Cincinnati over three years and nearly $2.6 million in net tax revenue over two decades. Gov. John Kasich’s administration was originally supposed to provide some tax incentives to the company, but it ultimately reneged after supposedly deciding that the company isn’t part of an industry the state typically supports. Critics say Kasich’s administration is just too “prudish” to support a company that includes sex toys in its product lineup.
The American Civil Liberties Union (ACLU) of Ohio yesterday announced it’s suing Ohio over anti-abortion restrictions passed in the 2014-2015 state budget. The ACLU claims the restrictions are unrelated to the budget and therefore violate the Ohio Constitution’s “single subject” rule, which requires each individual law keep to a single subject to avoid complexity and hidden language. CityBeat covered the state budget in further detail here.
Hamilton County Administrator Christian Sigman says he’s monitoring the impact of the federal government shutdown with some concerns. “I’m more concerned if this goes more than four weeks or so, when we start talking about reimbursement programs for our larger social programs such as food stamps and cash assistance to the needy and those types of things. We just don’t have the money to front that type of thing,” he said. CityBeat covered the shutdown in further detail here.
Hamilton County’s government shrunk by more than one-third in the past decade.
City Council yesterday passed a resolution condemning State Sen. Bill Seitz’s attempts to weaken Ohio’s renewable energy and efficiency mandates. A study from Ohio State University and Ohio Advanced Energy Economy found Ohioans will spend $3.65 billion more on their electricity bills over the next 12 years if the mandates are repealed. CityBeat covered the attempts to repeal the mandates in further detail here and the national conservative groups behind the calls to repeal here.
Early voting turnout is so far “anemic,” according to The Cincinnati Enquirer.
Ohio has the No. 12 worst tax environment among states, according to a report from the Tax Foundation. The rank is unchanged from the previous year’s report.
A central Ohio school might ban Halloween.
Bill Nye explains Jupiter’s big red spot:
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.
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.