Ohio House Republicans are poised to reject the Medicaid expansion and the $500 million per year in federal funding that would come with it for the next two years — a move that has united Republican Gov. John Kasich, Ohio Democrats, mental health advocates and other health groups in opposition.
The Medicaid expansion is part of a measure in the Affordable Care Act (“Obamacare”) that encourages states to expand their Medicaid programs to include anyone at or below 138 percent of the federal poverty level with the use of federal funds. For the first three years, the federal government would pick up the entire tab for the expansion. After that, payments would be phased down over time so the federal government would be paying 90 percent of costs.
Ohio House Republicans oppose the measure because they say they’re worried federal funding will dry up in the future, even though there is no historical precedent of the federal government failing to pay its commitment to Medicaid.
Kasich’s proposal for the Medicaid expansion includes an automatic trigger that would immediately stop and retract the expansion if federal funding falls through, but Ohio Republicans previously voiced concerns in hearings that the trigger would hurt Ohioans who have become accustomed to government-provided health insurance without any plan to make up for the lost coverage.
A report from the Health Policy Institute of Ohio found the expansion would help insure 456,000 Ohioans by 2022 and save the state money in the next decade by producing economic growth and shifting health-care expenses from the state to the federal government.
For advocates of mental health and addiction treatments, Ohio House Republicans’ rejection of the Medicaid expansion and other budget items means mental health and addiction services will miss out on $627 million per year, according to a report from the Office of Health Transformation.
Ohio House Republicans’ budget plan would include $50 million more annual funding for mental health and addiction services, but that’s also not enough to make up for the $140 million in annual funds cut around the state since 2002 and the $17 million being cut over two years through the dissolution of the tangible personal property tax replacement funds.
Cheri Walter, chief executive officer of the Ohio Association of County Behavioral Health Authorities (OACBHA), says the Medicaid expansion is a great opportunity to emphasize mental health services around the state.“On the mental health side, ... sometimes it can take two or more years for someone to get a disability determination that makes them Medicaid eligible,” she says. “In addition to making more people Medicaid-eligible, it will speed up the process for many others.”
Walter says for addiction patients in particular, getting access to health services can be difficult because alcoholism and other forms of addiction are not technically disabilities. By including more income levels in the Medicaid program, less people will fall through the cracks, she says.
OACBHA was one of the many groups that rallied at the Ohio Statehouse Thursday in support of the Medicaid expansion. The crowd, which received support from Ohio Democrats and Kasich, was estimated to reach 2,500.
Until the U.S. Supreme Court ruling on Obamacare, the Medicaid expansion was required, but the court ruled that states must be allowed to opt in and out.
The Medicaid expansion was one of the few parts of Kasich’s budget plan that Democrats and progressives approved, while the two other major proposals in Kasich’s plan — school funding and a tax cut proposal — were criticized for disproportionately benefiting wealthy Ohioans (“Smoke and Mirrors,” issue of Feb. 20).
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An Ohio House bill introduced June 11 would impose harsher restrictions on legal abortions, and some of the requirements may coerce doctors into giving medically inaccurate information. Among other requirements, the bill would force doctors to explain fetal development and supposed risks to inducing an abortion, while pregnant patients would be forced to undergo an ultrasound 48 hours before the procedure. But research has found that, barring rare complications, the medical risks listed in the bill are not linked to abortion.
Local leaders are beginning a collaborative effort to combat Cincinnati's alarmingly high rate of infant mortality. The effort is bringing together local politicians from both sides of the aisle, nonprofit groups and local hospitals. Infant mortality rates are measured by the number of deaths of babies less than one year old per 1,000 live births. In Cincinnati, infant mortality rates are at 13.6, while the national average is six. In previous comments, Mayor Mark Mallory explained his moral justification for increased efforts against infant mortality: "In Cincinnati, we have had more infant deaths in recent years than victims of homicide. Our community, justifiably, invests millions of dollars, immense political capital and large amounts of media attention in reducing our homicide rate. It's time to start doing the same for our infant mortality rate."
State Rep. Alicia Reece, who heads the Ohio Legislative Black Caucus, sent a letter to Ohio Secretary of State Jon Husted yesterday criticizing recent efforts to investigate 39 voter fraud cases in Hamilton County. "It is unfortunate that during the past few years, the focus has been on voter suppression instead of voter access and education," Reece said in a statement. "Many of these voters come from African-American and low-income neighborhoods, and they would benefit from a comprehensive voter education program." CityBeat previously covered the 39 "double voter" cases, which mostly involved voters sending an absentee ballot prior to Election Day then voting through a provisional ballot on Election Day, here.
Mayoral candidates Roxanne Qualls, John Cranley, Jim Berns and Stacy Smith squared off at a mayoral forum yesterday. Democrats Qualls and Cranley, who are widely seen as the top contenders, debated the parking plan and streetcar project — both of which Qualls supports and Cranley opposes. CityBeat previously covered the streetcar project and how it could relate to the mayor's race here.
An audit of the Ohio Department of Job and Family Services (ODJFS) found Ohio's Medicaid program could save $30 million by avoiding fraudulent billing. State officials responded to the audit by highlighting changes in budget plans that supposedly take steps to reduce Medicaid fraud, including Gov. John Kasich's proposal to add five full-time Medicaid auditors to perform additional on-site monitoring in an effort to reduce overpayments.
Ohio lawmakers seem unlikely to approve a federally funded Medicaid expansion, but bipartisan bills introduced in the Ohio House and Senate make sweeping changes to the Medicaid program that aim to lower costs and make the government health care program more efficient. Legislators claim the goal is to bring down costs without reducing services, all while providing avenues for Medicaid participants to move out of poverty. Hearings for the bill will begin next week.
After giving a speech celebrating the resurfacing of a high-speed test track, Gov. Kasich rode a car at 130 miles per hour in a more literal "victory lap."
Scientists are apparently making advancements in helping people regrow limbs.
On New Year’s Day, a fire broke out in a residential home near the University of Cincinnati that led to the deaths of UC students Chad Kohls and Ellen Garner, and their friends and family say the deaths could have been prevented by a better fire ordinance code. Now, Councilwoman Laure Quinlivan is heeding their call.
Speaking in front of the Livable Communities Committee
today, friends and family of Kohls and Garner asked City Council to pass changes to the fire ordinance, including more required fire exits, annual inspections, a mandatory fire drill at the beginning of each school semester and the removal of all exceptions in the code. They’re also asking the new ordinance be named in honor of Kohls and Garner.
Quinlivan says her office will work with the city administration to find possible changes that would help avert fire deaths, including a measure that would prevent air conditioning units from being placed on windows that are supposed to act as exits.
Quinlivan is also encouraging UC to restart a certified list of preferred rental locations around campus, which would only include housing properties that pass fire safety inspections.
“I am touched that those close to Ellen and Chad contacted me, so that we can work with our city administration to prevent similar tragedies in the future,” Quinlivan said in a statement.
Two weeks ago, City Council unanimously approved an ordinance that requires all rental properties be equipped with photoelectric smoke detectors that are better at detecting slow, smoldering fires, which have been linked to more fatalities than the flaming, fast-moving fires picked up by the more traditional ionization smoke detectors, according to the vice mayor’s office. CityBeat covered that legislation here.
Following CityBeat’s blog post yesterday, the city released the official documents for the city manager’s parking plan. So far, no one has reported anything outrageous or unexpected. If you see anything, feel free to email email@example.com.
Of the two dozen people who spoke at a public hearing for the parking plan yesterday, all but two opposed the plan. Much of the opposition came from people who said they were worried parking will be expensive, but the city manager’s office says it will take three years for parking rates to go up in Downtown and six years for rates to go up in neighborhoods after an initial hike to 75 cents. CityBeat covered the parking plan in detail here.
Cincinnati officials are now saying that a freestanding restroom could cost as low as $35,000. Officials say the public restroom is needed to accommodate growing activity and population in Over-the-Rhine and Downtown. Some critics were initially worried that the facility would cost $100,000.
Cincinnati’s Horseshoe Casino will partner up with the Cincinnati Police Department to keep out cheats and prevent theft. The casino will also have advanced surveillance equipment, allowing them to detect anyone around the casino before they even get into the building. It may seem like a lot, but casinos do tend to attract cheaters and other troublemakers, according to Ohio Casino Control Commission Director of Enforcement Karen Huey. The Horseshoe Casino is set to open March 4.
A report from the Governors Highway Safety Association found more teen drivers died in crashes this year than the last two, and some officials fear wireless devices may be a leading cause. In Ohio, the six-month grace period for the teen wireless ban expires Friday, which will allow police officers to issue tickets instead of warnings to teenagers using any wireless devices while driving.
Gov. John Kasich’s budget proposal would cut back a state-funded college internship program, which awarded $11 million to universities around the state.
Ohio Democrats are asking Kasich to put his Ohio Turnpike funding promises in writing after they found out the governor’s budget proposal doesn’t actually say that 90 percent of leveraged funds will remain in northern Ohio, which Kasich originally promised.
Barry Horstman, investigative reporter at The Cincinnati Enquirer, collapsed and died in the newsroom yesterday. CityBeat offers its condolences to Horstman’s co-workers, family and friends.
The University of Cincinnati got a $2.3 million grant from the National Cancer Institute to train cancer researchers. “Our emphasis is on training the next generation of cancer researchers to translate basic science discoveries into improved patient care,” Susan Waltz, co-principal investigator of the grant and professor of cancer biology at the UC College of Medicine, said in a statement.
A homemade jetpack can reach altitudes up to 25,000 feet, but it might have some trouble landing.
Council members Roxanne Qualls and Chris Seelbach proposed a motion yesterday that would reduce the amount of police layoffs to 25 and eliminate all firefighter layoffs previously proposed in budget plans for fiscal year 2014. The huge layoff reduction comes despite months of warning from the city administration that the city would have to carry out big public safety layoffs without the parking plan, which is currently stalled in court. But it’s come with large cuts and shifted priorities in other areas of the budget, such as reduced funding to parks, health, human services, parades and outside agencies. (For example, the Health Department warned that cuts to its services could lead to more rats and bedbugs.) The motion from Qualls and Seelbach came just in time for last night’s public hearing, which mostly focused on the cuts to parks and public safety.
Ohio’s unemployment rate was 7.0 percent in April, down from 7.1 percent the month before, thanks to increases in the amount of people employed and decreases in the amount of people unemployed. The gains coincided with decent job growth throughout the rest of the nation in April, which dropped nationwide unemployment from 7.6 percent to 7.5 percent. But the state gains were fairly mixed, and the amount of construction, professional and business services and federal and local government jobs actually dropped. The mixed, slow growth helps explain why conservative and liberal think tanks seemingly disagree with Gov. John Kasich that Ohio is undergoing an “economic miracle.”
The Hamilton County Public Health’s (HCPH) food protection program is apparently the best in the United States and Canada. The Conference for Food Protection awarded the program the 2013 Samuel J. Crumbine Consumer Protection Award, which “recognizes unsurpassed achievement in providing outstanding food protection services to communities,” according to a statement from HCPH.
Homophobic Boy Scouts supporters are rallying nationwide today to support the continuation of the Boy Scouts’ homophobic rules.
The Taste of Cincinnati and the the Cubs-Reds series may have helped downtown Cincinnati earn the No. 42 spot in Priceline.com’s top 50 Memorial Day destinations.
The Ohio Department of Natural Resources confirmed Ohio has been undergoing a boom in oil and gas production in the past two years thanks to developments in a drilling process known as fracking, which CityBeat previously covered in further detail here.
Duke Energy hired a new contractor — Southern Cross Co. — to carry out gas and line inspections.
Cincinnati-based Kroger developed a new system that will convert food that can’t be sold or donated into clean energy to power one of its distribution centers.
Convergys is selling is downtown Cincinnati headquarters as the company goes through big changes. So far the buyer is unknown.
Jim Kingsbury, CEO of UC Health since 2010, is retiring.
Using an optical illusion to make white people look darker can diminish racial biases, according to a new study.
Earth’s super-dense core is weak.
Cincinnati and Hamilton County’s infant mortality rates dropped to record lows in 2013, but the city and county’s rates of infant deaths remain far above the national average. Over the past five years, the city’s infant mortality rate hit 12.4 deaths per 1,000 live births and the county’s rate reached 9.9 deaths per 1,000 live births. In comparison, the national average in 2011 was 6.1 deaths per 1,000 live births. Cradle Cincinnati, a collaborative initiative formed in 2013, pointed to three possible factors to explain the troubling rates: short time between pregnancies, maternal smoking during pregnancy and poor sleeping habits, including deaths that could be easily prevented by ensuring a baby sleeps alone, on his or her back and in a crib.
Councilman Christopher Smitherman yesterday proposed fixes for Cincinnati’s ailing pension system, and the proposal includes a hit to city retirees’ benefits. Unique to Smitherman’s plan is a new $100 million commitment to help shore up the city’s unfunded liability of $870 million, but Smitherman could not say where council would get that much money. Otherwise, the proposal would freeze cost of living increases in the system for three years and reduce future cost of living increases from a 3 percent compounded rate to a 2 percent fixed rate, among other changes. Smitherman hopes to get up-or-down votes on his plan within the next two weeks, even if it requires splitting the plan into multiple parts.
State Sen. Bill Seitz plans to renew his efforts in the Ohio legislature to dismantle the state’s renewable energy and efficiency mandates. Seitz says “devastating testimony” in support of his bill should invigorate a push for his plan. But the testimony will apparently be based off a flawed industry-financed report released yesterday. A separate study, based on an economic model from the Ohio State University, found Ohio’s energy standards will save Ohioans $3.65 billion on their electricity bills between 2014 and 2025.
Cincinnati plans to begin marketing an 18-acre plot of land in Lower Price Hill to bring 400 jobs to the struggling neighborhood. After the city finishes environmental remediation this month, it hopes to put the property on the market. CityBeat previously covered some of Lower Price Hill’s struggles with poverty in further detail here.
The gubernatorial race between Republican Gov. John Kasich and Democratic challenger Ed FitzGerald tightened from seven points in November to five points this month, according to a new Quinnipiac University poll. But the survey did not include Libertarian candidate Charlie Earl as a choice — an omission that could work to Kasich’s favor in the polling results.
Gay families are being excluded from Obamacare benefits in Ohio and other states in which same-sex marriage is not recognized. That means Ohio’s gay families can’t get financial benefits going to traditional families to help them get covered. President Barack Obama’s administration says it’s aware of the issue, but it doesn’t plan a fix until next year.
Some Ohio lawmakers want an investigation into Kasich’s administration after documents showed his administration planning to work with oil and gas companies to promote fracking in state parks and forests. Fracking is a drilling technique in which millions of gallons of water, sand and chemicals are pumped underground to unlock oil and gas reserves. CityBeat covered fracking and the controversy surrounding it in further detail here.
Bad news: A Chinese firm won’t bring an $80 million project to the Cincinnati area after all.
An Ohio driver rescued a kitten found frozen on the road.
A parasite commonly found in cats can now be found in arctic beluga whales. Scientists say melting ice barriers — a symptom of climate change — explains the pathogen’s increased firstname.lastname@example.org.
State Sen. Eric Kearney, a Cincinnati Democrat, introduced a bill in the Ohio Senate yesterday that would allow opened alcoholic beverages in “entertainment districts,” which must have populations of more than 50,000 within one-half mile by one-half mile. Kearney said Over-the-Rhine would be an ideal benefactor of the new bill. “Senate Bill 116 will promote tourism and business development across the state,” Kearney said in a statement. “By modifying Ohio’s law, this will provide an opportunity for developments such as the Over-the-Rhine Gateway in Cincinnati and The Flats in Cleveland to create an entertainment experience and attract more customers.”
Supporters of the Medicaid expansion say they may attempt to put the issue on the November ballot if the Ohio General Assembly fails to take action by fall. Republicans in the Ohio House and Ohio Senate have so far rejected Gov. John Kasich’s pleas for an expansion, instead moving toward asking the federal government for a Medicaid waiver that would allow the state to make broader reforms. At least 90 percent of the expansion would be funded by the federal government. CityBeat covered the Medicaid expansion and other aspects of the Ohio House budget bill in further detail here.
The Greater Cincinnati region and Hamilton County ranked among the worst in the nation in the American Lung Association’s annual “State of the Air” report. The report, which used 2009-2011 U.S. EPA data, found Greater Cincinnati to be No. 10 worst for year-round particle pollution and No. 14 for ozone pollution. Still, the report did find overall improvement around the nation, with Greater Cincinnati making some advances in pollution reduction in the past few decades.
A new Ohio law going into effect today will require school coaches to acquire additional concussion awareness training. State Superintendent of Public Instruction Richard Ross says the training will make it easier for coaches to identify symptoms of concussions and get help for students.
A University of Cincinnati study found it could be cost-effective to screen at-risk populations for hepatitis C.
A vegetarian lifestyle may fit some of CityBeat’s most beautiful employees, but Cincinnati-based Procter & Gamble says pets need a more expansive diet.
Not only do they have multiple cultural traditions, but humpback whales also learn new tricks by watching their friends.
The federal government reported slightly better numbers in January for Obamacare’s once-troubled online marketplaces, but Ohio and the nation still fall far short of key demographic goals.
For the first time since HealthCare.gov’s glitch-ridden rollout, the U.S. Department of Health and Human Services’ (HHS) numbers show the amount of new enrollees actually beat projections. About 1,146,100 signed up for Obamacare in January, slightly higher than the 1,059,900 previously projected by the Centers for Medicare and Medicaid Services.
More importantly, a small boost in young adults means 25 percent of 3.3 million enrollees across the nation and 21 percent of 60,000 Ohio enrollees were aged 18 to 34. That’s up 1 percentage point for the nation and 2 percentage points for Ohio.
The White House previously said 39 percent of enrollees need to be young adults, who tend to be healthier, to avoid driving up health care costs by filling the insurance pool with older, sicker people who typically use more resources.
HHS’ numbers only reflect people who signed up for a health plan, not people who paid for their first premium, which is widely considered the final crucial step to getting covered.
Nearly nine in 10 single, uninsured young adults could qualify for financial assistance through the health care law or free Medicaid, which expanded eligibility in Ohio through Obamacare, according to HHS.
In Cincinnati, an ankle MRI can range in price from $367.46 to $2,865.42, but weak transparency laws make it difficult for consumers to compare prices. But to make up for the lack of transparency, some companies are providing compiled price and quality data to paying employers. A previous report from Catalyst for Payment Reform and the Health Care Incentives Improvement Institute gave 29 states an “F” for health-care price transparency, Ohio and six other states a “D” and only New Hampshire and Massachusetts an “A.”
Ohio House Republicans killed Gov. John Kasich’s Medicaid expansion plan, but Ohio Democrats are planning to introduce the expansion as a standalone bill. The expansion, which was one of the few aspects of Kasich's budget that Democrats supported, would have saved the state money and insured 456,000 Ohioans by 2022, according to the Health Policy Institute of Ohio. CityBeat covered the Medicaid expansion and other aspects of Kasich’s budget proposal here.
In two 5-4 votes yesterday, City Council approved the executive director position for the streetcar project and a repeal on a “double dipping” ban. The city says it needs the measures to hire John Deatrick, the current manager of The Banks project, to head the streetcar project, but critics argue the city should not be making hires when it’s threatening to lay off 189 cops and 80 firefighters to balance the budget — even though the hire is through the capital budget used for the streetcar project, not the general fund that is used to employ cops and firefighters. CityBeat wrote more about the new position and the double dipping ban here.
This week’s commentary from CityBeat: “Religious Birth Control Exemptions Are a Double Standard.”
City Council also approved the Music Hall lease, which will enable extensive renovations. CityBeat covered some of the original details of the renovation plan when it was first announced here.
StateImpact Ohio has some information on how Ohio House Republicans’ plan for school funding differs from Kasich’s proposal. The big difference is Kasich’s plan was based on property taxes, which ended up being regressive, while the House plan is based on the average cost to educate each student, which makes it so less schools, particularly poor and rural schools that fell under Kasich’s plan, have their funding reduced. The House plan also expands performance-based pay and school choice, which Policy Matters previously found may hurt students and teachers. CityBeat covered Kasich’s proposal in further detail here.
Policy Matters Ohio posted an interactive map showing the county-by-county benefits of a state earned income tax credit. The credit, which mostly benefits low- and middle-income earners with children, is already used by the federal government and some states to progressively reward employment.
Freedom Ohio and Equality Ohio will debate the Family Research Council today over whether Ohio should legalize same-sex marriage. The debate will be streamed here. CityBeat covered Freedom Ohio’s same-sex marriage legalization efforts here.
The U.S. Postal Service will drop its threats to stop delivering on Saturdays after Congress denied the action.
A new study found humans tend to think strangers are staring at them.
Headline: “Why Are Monkey Butts So Colorful?”