A national organization is looking at Ohio’s LGBT community as a potential target for a nationwide campaign that will raise awareness about the Affordable Care Act’s (“Obamacare”) enacted changes and benefits.
Kellan Baker, founder of Out 2 Enroll and associate director of LGBT Health Policy at the Center for American Progress, explains the campaign is crucial for Ohio and other parts of the country because gay, lesbian, bisexual and particularly transgendered groups are often uninsured at greater levels than the rest of the population — both because of poorly targeted outreach efforts and outright discrimination.
“We’re hoping to provide the tools that these systems need to see where LGBT people are and include them in these efforts so LGBT community members can get the benefits that they need,” Baker says.
To accomplish that, Baker’s team is using data collected through focus groups and other research to establish messages that will resonate with LGBT communities and land in hotspots in which the groups are active.
Some of the messaging is as simple as putting pictures of gay couples on brochures. Other times, it will involve reaching deep into specific LGBT circles and social media — perhaps even Grindr, the popular phone application that gay men use to arrange dates and other sexual activities.
In its messaging, Out 2 Enroll will tout the potential benefits of Obamacare: tax subsidies, online marketplaces that will allow participants to compare insurance plans and new regulations that protect LGBT groups from discrimination in the health care and insurance industries.
Baker says the efforts could be particularly critical for transgendered individuals. According to focus groups conducted by PerryUndem Research & Communication, the transgendered population has generally felt misunderstood and discriminated against when trying to obtain health insurance. Complaints about intrusive, inappropriate questions and being misgendered were fairly common.
In some cases, the discrimination wasn’t subtle. Until new regulations were enacted through Obamacare, insurance companies were able to withhold some medical services and refuse coverage altogether by treating gender identity issues as a pre-existing condition.
Gays, lesbians and bisexuals have faced their own discrimination as well: The focus groups found one in three respondents in a same-sex relationship tried to get partner coverage through an employer plan; of those, 50 percent had trouble getting partner coverage and 72 percent felt discriminated against during the process.
Baker explains that helping with many of these cases could be as simple as raising awareness about Obamacare’s LGBT benefits. Although 64 percent of respondents in the focus groups knew about Obamacare’s mandate to obtain health insurance, 71 percent had not heard about new coverage options made available through the federal law.
To reverse the statistical trend and ensure Obamacare’s success, Baker says Out 2 Enroll and other groups partnering with Enroll America will have to target critical enrollment areas with large uninsured populations, including Ohio.
A recent analysis from the Health Foundation of Greater Cincinnati put Ohio’s population of uninsured working-age Ohioans at 1.25 million.
The outreach campaign will mostly play out in the next six months, as online marketplaces open for enrollment on Oct. 1 and remain open until April.
Ohio Attorney General Mike DeWine certified a petition effort
that, if approved by voters, would require the state to expand its
Medicaid program. The effort
now must gather roughly 116,000 signatures to be approved by the Ohio
Ballot Board and eventually end up on the 2014 ballot. Under Obamacare, states are asked to expand their Medicaid programs; if
they accept, the federal government will pay for the full expansion
through 2016 then indefinitely phase down its payments to 90 percent
after that. The Health Policy Institute of Ohio previously found
the expansion would insure nearly half a million Ohioans and generate $1.8
billion in extra revenue. But the expansion has been so far rejected by
Republican legislators, who tend to be opposed to government-run health care
programs and say they’re concerned the federal government won’t be able
to uphold its commitment to Medicaid as it has for nearly four decades. CityBeat covered the expansion in greater detail here.
In another example of rising secrecy surrounding JobsOhio, state tax credit estimates are now exempt from public records law, which means the public will no longer be able to see the value of tax credits granted to new and expanding businesses. The estimate is used by JobsOhio to gauge whether it should propose granting a tax break to a certain business, but the Ohio Development Services Agency says it’s concerned the numbers aren’t accurate in the long term. In the past few months, JobsOhio has been mired in controversy because of its lack of transparency. Republicans argue that JobsOhio’s secretive nature allow the privatized development agency to move more quickly with job-creating development deals, but Democrats argue tax dollars are being used with little accountability.
The final results of Cincinnati’s disparity study for city contracts aren’t expected until 2015. The city is pursuing the study, which is estimated to cost between $500,000 and $1.5 million, to gauge whether Cincinnati should change its contracting policies to favorably target minority- and women-owned businesses. The study is necessary before making such changes because of a U.S. Supreme Court ruling that requires governments to empirically prove there is a racial or gender-based disparity before favorably targeting such groups.
Meet Cincinnati’s new police chief: Jeffrey Blackwell. He’s currently deputy chief at the Columbus Division of Police, where he’s been for 26 years. Blackwell was picked over three other finalists: Paul Humphries, who’s been acting Cincinnati Police chief since June; Michael Dvorak, deputy chief of the Mesa, Ariz., Police Department; and Jerry Speziale, deputy superintendent of the Port Authority of New York and New Jersey Police.
The American Civil Liberties Union of Ohio criticized Debe Terhar, president of the State Board of Education, for calling Toni Morrison’s The Bluest Eye “pornographic” and demanding it be removed from the state’s teaching guidelines. Terhar and others have criticized the book because it contains a scene in which a father rapes his daughter. The Common Core standards adopted by Ohio suggest The Bluest Eye as an example of reading text complexity, quality and range for high school juniors who are typically 16 or 17 years old, but it’s ultimately up to school districts to decide whether the novel belongs in the curriculum. Removing mention of the book from the state’s guidelines wouldn’t explicitly ban the book in Ohio schools, but it would weaken the novel’s prominence as a teaching tool.
The University of Cincinnati Medical Center is part of an international effort involving clinical trials to cure Alzheimer’s, the neurodegenerative disease with no known cure that causes long-term memory loss, confusion, mood swings and other symptoms typical of dementia.
Police are searching for an active shooter on the grounds of the Washington Navy Yard in the District of Columbia. The shooter has barricaded himself in a room after allegedly shooting at least three people.
Ohio gas prices are back down.
An unarmed drone club for children with autism might teach the children to view things from different perspectives.
Ohio charter school have largely failed to live up to their promises, according to The Columbus Dispatch. Charter schools were originally pursued by Ohio lawmakers to help find a suitable alternative to the state’s struggling urban public schools. But in the latest school report cards, charter schools performed just as poorly as urban public schools. Charter schools are allowed to run a profit and skip on certain state rules and regulations, which was supposed to give them some leniency in implementing successful academic models.
Obamacare will lower average health care costs in Ohio’s individual market, according to a study from RAND Corporation, a reputable think tank. Although premiums will rise as a result of the law, the tax credits offered in Obamacare will be more than enough to offset the increases. The numbers only apply to the individual marketplaces; anyone who gets insurance through an employer or public program falls under different rules and regulation. Still, the findings are good news for Obamacare as the federal government aims to insure 7 million people — and 2.7 million young, healthy adults among those — to make the individual marketplaces work. As part of Obamacare, states and the federal government will open online enrollment for new, subsidized individual insurance plans on Oct. 1, and the plans will go into effect at the start of next year.
The Medicaid expansion could insure more than 42,000 people in Hamilton County, according to the Ohio Poverty Law Center. As part of Obamacare, states are asked to expand their Medicaid programs to include anyone at or below 138 percent of the federal poverty level ($15,856 for a single-person household). If states accept, the federal government will pay for the entire expansion for the first three years then phase down its payments indefinitely to 90 percent of the expansion’s total cost. Earlier this year, the Health Policy Institute of Ohio released an analysis that found the Medicaid expansion would insure nearly half a million Ohioans and save the state about $1.8 billion in the next decade.Gov. John Kasich says he wants to slow down Attorney General Mike DeWine’s facial recognition program and work with the Ohio legislature to review if changes are necessary. Kasich compared the program to federal surveillance programs like the NSA and FISA, which have come under scrutiny in the past few months after leaks unveiled broader snooping and data collection of Americans’ private communications than previously expected. The facial recognition program allows police officers and civilian employees to use a photo to search databases for names and contact information; previously, law enforcement officials needed a name or address to search such databases. The program was criticized by the American Civil Liberties Union because knowledge of the program’s existence was withheld from the public for two-plus months and an independent group never reviewed the program’s privacy-protecting protocols.
Democratic City Council candidate Greg Landsman backed the second phase of the streetcar in a column Friday. The endorsement could be vital to the project’s future because Landsman is widely considered a favorite in this year’s City Council race.
JobsOhio’s leaders plan to launch a public relations offensive to repair the agency’s image. The privatized development agency has been criticized for its lack of transparency after media outlets uncovered that it was handing out tax credits to companies with direct financial ties to JobsOhio board members. Democrats argue the agency needs more transparency and checks on its recommendations, while Republicans, who created the agency to replace the Ohio Department of Development, claim the agency’s privatized, secretive nature allows it to move more quickly with job-creating development deals.
The University of Cincinnati was named public university of the year by The Washington Center. The award recognizes UC for supporting experiential education through its partnership with The Washington Center, an independent academic organization that serves hundreds of colleges and universities by providing internships and other opportunities in Washington, D.C., for school credit.
Police busted a $1 million shoplifting ring in Ohio that targeted discount retail stores along the Interstate 75 corridor, such as Walmart, Meijer, CVS and Family Dollar.
State law will soon require vaccine immunizations against several diseases for children attending school.
Cincinnati-based Kroger is cutting health care benefits for employees’ spouses on Jan. 1, but the plan will also increase pay, stabilize the company’s pension fund and provide more benefits for part-time employees. Obamacare apparently played a role in the decision to cut spousal benefits, but Kroger says the most influential factor was rising health care costs all around the nation — a trend that has been ongoing for decades.
Here is a visualization of the urban heat island effect, which will make cities warm up much faster as global warming continues.
Could you survive the end of the universe? io9 tackles the question here.
The Medicaid expansion could provide health insurance to more than 42,000 people living in Hamilton County, according to a county-by-county breakdown released on Aug. 28 by the Ohio Poverty Law Center (OPLC).
In Hamilton County, OPLC reports nearly 89,000 people are currently uninsured and roughly 155,000 use Medicaid.
OPLC found Hamilton County also includes the two hospitals that spent the most on uncompensated care in Ohio last year: Cincinnati Children’s Hospital and University Hospital. Much of that cost is incurred when low-income patients use services and can’t afford to pay for them — an issue that would be in part resolved if the same patients could pay for care through Medicaid.
Under the Affordable Care Act (“Obamacare”), states are
asked to expand Medicaid eligibility so the public health insurance
program covers anyone at or below 138 percent of the federal poverty
level, or an annual income of about $15,856 for a single-person
household. If states accept, the federal government will carry the
entire cost of the expansion for the first three years then phase down
its burden to indefinitely pay for 90 percent of the expansion’s cost. That’s much higher than the 73-percent share the federal government paid for Ohio’s Medicaid program in 2010.
Earlier this year, the Health Policy Institute of Ohio released an analysis that found the Medicaid expansion would insure nearly half a million Ohioans and save the state about $1.8 billion in the next decade.
Gov. John Kasich, a Republican, and Democratic legislators support the Medicaid expansion, but Republican lawmakers, who control the Ohio legislature, have so far resisted it.
Republican legislators say they’re concerned the U.S. government won’t be able to afford its future Medicaid payments, even though the federal government has done so since the program was first established in 1965. Many tea party Republicans also oppose Medicaid and other public health programs from a philosophical perspective that calls for smaller government.
Ohio Health Issues Poll results released in June found 63 percent of Ohioans support the Medicaid expansion, with a margin of error of 3.3 percent.
Legislative leaders have said they will vote on a Medicaid
overhaul bill and perhaps a separate bill including the Medicaid
expansion when they reconvene in October.
The Affordable Care Act (“Obamacare”) will lead to an increase in Ohio’s raw health care premiums, but the increase will be more than offset by the law’s tax credits, according to an Aug. 29 study from the RAND Corporation, a reputable think tank.
Specifically, 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 Ohio individual will only pay a premium of $3,131 — $842 less than an individual Ohioan would pay without the law.
The tax credits will be available to individuals between 100 percent ($11,490 in annual income) and 400 percent of the federal poverty level ($45,960 in annual income). The subsidies will be smaller for higher income levels, and the raw premium will vary depending on the insurance plan, so the premium and subsidy numbers don’t apply perfectly across the board.
The numbers also 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.
Obamacare will help more non-elderly Ohioans get health insurance. Without the law, 14.9 percent of non-elderly individuals would lack insurance. With the law, only 6.2 percent will go without insurance.
RAND attributes the difference in insurance rates to tax credits, which make health insurance more affordable, and the individual
mandate, which requires certain Americans buy health insurance or pay a fine.
The numbers are good news for Obamacare, which needs a certain amount of young adults to enroll to avoid causing health care costs to skyrocket. Federal officials say they expect to enroll 7 million people through individual marketplaces, but 2.7 million must be young adults. That’s because young adults tend to be healthier, which will help balance out sicker, older people flowing into health care plans.
The online marketplaces are supposed to open enrollment on Oct. 1. The actual plans will go into effect on Jan. 1.
Republican lawmakers say they won’t hold any votes on the Medicaid expansion until October or later, even though state officials say the expansion must be approved by October to have it in place by 2014. Implementing the expansion at the start of 2014 would coincide with the implementation of other major programs in Obamacare. Gov. John Kasich supports the expansion, but he’s had trouble convincing his fellow Republicans to join him. The expansion would be mostly funded by the federal government, which would pay for the entire policy for the first three years then phase down to indefinitely paying for 90 percent of the cost. Earlier this year, the Health Policy Institute of Ohio released an analysis that found the Medicaid expansion would insure nearly half a million Ohioans and save the state about $1.8 billion in the next decade. Michigan, which is also dominated by Republicans, on Tuesday approved its own Medicaid expansion.
An internal audit found the city of Cincinnati has lost hundreds of thousands of dollars that could have gone toward improving the city-owned Lunken Airport through poor management and technology problems. In response, Councilman Chris Seelbach wrote on Twitter, “Lunken oversights completely unacceptable. Meeting w/ City & Lunken Mngr to work on detailed correction plan later this week.” The city is planning on making changes that should avoid losing revenue in the future.
Streetcar supporters plan to hold a fundraiser today for mayoral candidate Roxanne Qualls and City Council candidate Wendell Young. The fundraiser shows the extra steps now being taken by streetcar supporters, who have been proudly flaunting their support every month through “streetcar socials,” the latest of which Mayor Mark Mallory attended. Ever since its inception, the streetcar has been mired in controversy and misrepresentations, which CityBeat covered in further detail here.
A central Ohio lawmaker is renewing a legislative push for attaching drug tests to welfare benefits. The measure is meant to lower costs and ensure welfare money isn’t going to drug dealers. As CityBeat previously covered, the testing requirement can actually increase the cost of welfare programs: In Florida, the state government’s program had a net loss of $45,780 after it reimbursed all falsely accused welfare recipients of their drug tests. Only 108 people out of the 4,086 accused, or 2.9 percent, tested positive, and most tested positive for marijuana, according to The Miami Herald.
Heavy construction and improvements that will modernize and widen Interstate 75 are expected to continue for the next decade.
Much of the work is being funded by Kasich’s Ohio Turnpike plan, which
sells bonds that will be repaid with excess Turnpike polls.
Jeff Ruby yesterday responded to a lawsuit filed on Monday against his restaurant chain. Ruby says his servers “are highly compensated — averaging $65,000 a year, with shifts that average seven hours a day.” The lawsuit alleges that management at Ruby’s restaurants took tips from three employees, which supposedly left them earning less than minimum wage.
Google Glass could be used to improve surgeries in the future.
Ohio Treasurer Josh Mandel was involved in two car crashes and reported neither, and one of the crashes may have violated federal campaign finance law. During a March accident, Mandel, a Republican, was riding in a vehicle owned by his 2012 U.S. Senate campaign months after he lost to Democratic incumbent Sherrod Brown. Federal law states Senate campaign property can't be used for personal use or to campaign for a different office, such as state treasurer. Mandel’s state treasurer campaign says it rented out the car from the Senate campaign, but The Associated Press found the check didn’t clear out until June 30 — seven months after the Senate campaign and four months after the crash — and the rent wasn’t fully paid for until reporters started asking questions.
Republican state legislators are drafting a bill that would overhaul Ohio’s Medicaid program. The legislation isn’t the Medicaid expansion, which Ohio House Speaker William Batchelder now says isn’t a good idea. Instead, the upcoming bill would make changes to attempt to control Medicaid’s rising costs, which have put an increasing strain on the state budget in the past few years. Batchelder says the bill will be introduced in the fall and likely voted out of the House by the end of the year.Mayoral candidates John Cranley and Roxanne Qualls are rolling out their latest endorsements. Yesterday, State Rep. Alicia Reece said she’s backing Cranley. On Friday, Qualls touted support from Equality Ohio, the Miami Group of the Sierra Club, the National Organization of Women Cincinnati, Plumbers and Pipefitters Local 392 and the Ohio-Kentucky Administrative District Council of Bricklayers and Allied Craftsworkers. Endorsements rarely influence the outcome of elections.
The Ohio Parole Board rejected a killer’s plea for mercy.
Harry Mitts Jr. is scheduled to die by injection on Sept. 25 for
killing two men, including a police officer, at an apartment. Court
records claim Mitts uttered racial slurs before killing his first
victim, who was black. Mitts’ defense says he was blacked out from
alcohol the night of the slayings and didn’t know what he was doing.
With the board’s rejection, Mitts’ fate is now up to Gov. John Kasich,
who could commute the sentence to life in prison.
Susan Castellini, wife of the Cincinnati Reds CEO, will join the Cincinnati Parks Board after being appointed earlier in August by Mayor Mark Mallory and City Council.
Hospice of Cincinnati obtained a $2.3 million grant from from Bethesda Inc. and Catholic Health Initiatives to launch an initiative that will encourage doctors, terminally ill patients and their families to discuss end-of-life planning.
Three former employees are suing Cincinnati-based Jeff Ruby eateries for allegedly taking tips from staff, which supposedly caused employees to earn less than minimum wage.
Between Sept. 19 and Sept. 30, Cincinnati’s Horseshoe Casino will become the first venue in Ohio to host a World Series of Poker circuit event.
Popular Science claims it met the world’s smartest dog.
A federal judge ruled that a state death certificate must recognize the marriage of a newlywed same-sex couple, but the order only applies to James Obergefell and John Arthur. It’s the first time a same-sex marriage is recognized in Ohio. The two men had the case expedited because Arthur is suffering from amyotrophic lateral sclerosis, a deadly neurological disease with no known cure. Al Gerhardstein, the attorney for the two husbands, says the ruling could be the beginning of legal challenges from gay couples inspired by the Supreme Court’s ruling against the federal Defense of Marriage Act (DOMA), which could put further pressure on Ohio to legalize same-sex marriage. CityBeat covered ongoing efforts to legalize gay marriage in the state here, although the group in charge of the movement is now aiming to put the issue on the ballot in 2014, not 2013 as originally planned.
Vice Mayor Roxanne Qualls in a statement called the tea party-backed charter amendment that would revamp the city’s pension system “a wolf in sheep's clothing.” She is also requesting the city administration study the amendment’s consequences and report back to City Council’s Budget and Finance Committee on Aug. 5. The amendment would funnel new hires into a private retirement plan similar to what’s typically found in the private sector — except, unlike private-sector workers, city employees don’t pay into Social Security and don’t collect Social Security benefits from their years with the city. The amendment was announced less than a week after Moody’s, a credit ratings agency, downgraded Cincinnati’s bond rating in part because of the city’s increasing pension liability.
A poll analysis from the Health Foundation of Greater Cincinnati suggests more than 1.25 million Ohioans are uninsured, with about 17 percent of the working-age population lacking insurance. It also found that Ohioans are increasingly reliant on public programs to obtain health benefits. The analysis looked at the Health Foundation’s 2013 Ohio Health Issues Poll. The results could spur further efforts to expand Medicaid eligibility in the state, which the Health Policy Institute of Ohio previously found would save the state money and insure nearly half a million Ohioans over the next decade. Republican legislators rejected the Medicaid expansion in the state budget, citing concerns that the federal government wouldn’t be able to uphold its 90-percent funding commitment.
Gov. John Kasich wants to fast track the I-71/MLK Interchange in part by using revenue from the Ohio Turnpike’s tolls. Kasich’s recommendations, which must be approved by the state’s Transportation Review Advisory Council, add up to $107.7 million in state funds.
State Rep. Peter Beck, a Mason Republican who’s facing 16 felony charges of fraud, won’t resign his seat.
Twenty-eight people have applied to become Cincinnati’s next police chief. With a recent uptick in violence, many have called on the city to expedite the process of replacing James Craig, the former police chief who left for Detroit earlier in the year.
Despite rising interest rates, Cincinnati-area home sales in June continued their strong trend up.
For-profit entities are opening more online schools in Ohio, with the process set by state legislators to shut out public educators. A previous investigation by CityBeat found online schools tend to do worse and cost more than their peers.
The city administration and social media network Nextdoor are partnering up to better link Cincinnati’s neighborhoods with the local government. The network will provide a free website for each of the city’s neighborhoods, which the city says will allow residents to “to get to know their neighbors, ask questions and exchange local advice and recommendations.” City officials plan to use the websites to regularly reach out to local citizens.
Computer software from the Massachusetts Institute of Technology could make the Internet three times faster.
Following approval from the Republican-controlled General Assembly earlier in the week, Gov. John Kasich last night signed a $62 billion two-year state budget that makes sweeping changes to taxes and takes numerous anti-abortion measures. On the tax front, Policy Matters Ohio previously criticized the mix of income tax cuts and property and sales tax hikes for favoring the wealthy. Meanwhile, abortion-rights advocates say the budget will hurt women by limiting access to abortion, while Republicans say they’re trying to protect the “sanctity of human life.”
The budget also makes changes to the school funding formula that increases funding to schools by $700 million, but the funding is still $515 million less than Ohio schools got in 2009. Stephen Dyer, former Democratic state representative and education policy fellow at left-leaning think tank Innovation Ohio, says Republican legislators should have spent less time on tax reform and more on education. Although Dyer acknowledges the final education plan is more equitable than Kasich’s original proposal, he argues equity doesn’t matter much when schools are still underfunded.
One policy that didn’t make it into the final state budget: the Medicaid expansion. Kasich strongly backed the expansion throughout the budget process, but Republican concerns about federal funding ultimately won out and kept the Medicaid expansion from the final version of the budget. Col Owens, co-convener of the Southwest Ohio Medicaid Expansion Coalition, says the expansion’s absence is irresponsible, but he’s optimistic it will be passed in a stand-alone bill later on. Owens and other supporters of the expansion argue it will help insure hundreds of thousands of Ohioans and save the state money by placing more of the funding burden on the federal government.
One beneficiary of the state budget: low-rated charter schools.
Democratic State Sen. Nina Turner today announced her candidacy for Ohio secretary of state — a position she will attempt to take from Republican Jon Husted. Turner is a vocal critic of Republicans’ voting policies, which she says suppress voters, particularly minorities and low-income Ohioans.
Ohio Attorney General Mike DeWine on Friday released the first Human Trafficking Statistics Report, which his office plans to release on an annual basis to continue spotlighting Ohio’s trafficking problem. Law enforcement identified 38 human trafficking victims in the last year, but that’s only a fraction of the estimated thousands of Ohioans, particularly youth and those “at risk,” who are reportedly trafficked and abused each year.
The Cincinnati Park Board won the National/Facility Park Design Award for Smale Riverfront Park. The award from the National Recreation and Park Association recognizes the park’s design, the inclusiveness of the design process and how the board met the local community’s needs for the park. This is just another major national award for The Banks; earlier in the year, the project won the American Planning Association’s 2013 National Planning Excellence Award for Implementation.
Some Republicans are not taking last week’s U.S. Supreme Court decision on same-sex marriage well: State Rep. John Becker, a Republican from Clermont County, now says polygamy is inevitable.
Cincinnati is currently looking for a new police chief, and it already has 13 applications.
Ohio gas prices are down again this week.
Kasich says he’s not interested in running for president in 2016.
Apparently, the unmanned Voyager 1 spacecraft entered a scientifically funky region last summer.
Here is an explanation of what happens when stars collide.