Despite strong backing from Republican Gov. John Kasich, the Medicaid expansion didn’t make it into the final version of the two-year state budget passed by the Republican-controlled General Assembly on Thursday.
Col Owens, co-convener of the Southwest Ohio Medicaid Expansion Coalition, calls the expansion’s failure a disappointment, but he says he remains optimistic the expansion will be taken up in future legislation.
Under the Affordable Care Act (“Obamacare”), the federal government is asking states to expand their Medicaid programs to 138 percent of the federal poverty level, or an annual income of $32,499 for a family of four.
States are given a powerful financial incentive for doing so: For the
first three years, the expansion is entirely paid for by the federal
government. Afterward, the federal commitment is dropped to 90
percent, where it will indefinitely remain.
The federal government on average pays about 57 percent of Medicaid costs, while states pay for the rest. So the 90-percent match for the expansion is a uniquely lucrative deal.
But Republican legislators say they’re skeptical the federal government can afford such a large commitment to Medicaid, often calling the size of the expansion unprecedented.
Owens claims there is a precedent for the Medicaid expansion: Medicaid. He says the federal government has historically upheld its commitment to Medicaid, which insures 2.2 million Ohioans. There’s no sign that will stop any time soon, according to Owens.
To support his claim, Owens cites scoring from the
Congressional Budget Office (CBO), a nonpartisan organization that
scores federal policy proposals to gauge their fiscal and economic
impact. In July 2012, the CBO found repealing Obamacare, which includes the
Medicaid expansion, would actually increase the federal deficit by $109 billion
over 10 years, which means the health reform law is an overall fiscal gain for the federal government.
At the same time, analysts have found the Medicaid expansion would be fiscally beneficial for Ohio. 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.
Instead of being concerned about fiscal problems, Owens concludes opponents of the Medicaid expansion simply dislike the president, Obamacare and Medicaid.
Michael Dittoe, spokesperson for Ohio House Republicans, pushes back at that notion. He points out the state budget will increase funding for Medicaid by $1 billion, allowing 231,000 more Ohioans to enter the system.
“When people say that we’re not doing anything for Medicaid, obviously that’s not true,” he says. “Certainly, we could have gone down the road of not funding that particular provision.”
The increased funding is going to people who are already eligible for Medicaid but, for whatever reason, aren’t currently enrolled. The federal government expects the new enrollees to sign up as a result of Obamacare raising awareness and education about health coverage.
In other words, the federal government already expects Ohio to pay for these Medicaid enrollees. Failing to do so would have likely violated the state’s Medicaid agreement with the federal government and, as Dittoe acknowledges when asked, resulted in penalties.
Although the Medicaid expansion is out of the state budget, there is a bill currently sitting in the House that would take up the expansion. Dittoe says that bill will likely be looked at in the early fall.
For legislators, that might be politically prudent: A poll released June 14 by the Health Foundation of Greater Cincinnati found 63 percent of Ohioans support the Medicaid expansion, with a margin of error of 3.3 percent. The University of Cincinnati's Institute for Policy Research conducted the poll for the Health Foundation between May 19 and June 2.
The $62 billion state budget for fiscal years 2014 and 2015 passed the Republican-controlled General Assembly on Thursday. It’s expected Kasich will sign it into law this weekend.
Check out all of CityBeat’s state budget coverage:
• Report: State Budget Tax Plan Favors Wealthy
• State Budget's Education Increases Fall Short of Past Funding
• State Budget to Limit Access to Abortion
Got questions for CityBeat about anything related to Cincinnati? Submit your questions here and we’ll try to get back to you in our first Answers Issue.
CityBeat is looking to talk to convicted drug offenders from Ohio for an upcoming cover story. If you’d like to participate or know anyone willing to participate, email firstname.lastname@example.org.
A new poll from the Health Foundation of Greater Cincinnati found a majority of Ohioans support expanding Medicaid coverage, but state legislators have passed on a federally funded expansion in their latest budget bills and other legislation. About 63 percent of 866 Ohioans asked between May 19 and June 2 supported the expansion, with a margin of error of 3.3 percent. The question was part of the Ohio Health Issues Poll, which the University of Cincinnati’s Institute for Policy Research has conducted for the Health Foundation each year since 2005.
An Ohio bill would ease restrictions on semi-automatic magazines, making it so gun owners can more easily purchase high-round clips for their semi-automatic weapons. Supporters of the bill say the change helps differentiate between automatic and semi-automatic weapons — a differentiation that doesn’t currently occur under state law. Critics argue the bill makes it easier for offenders to carry out violent shootings, such as the recent massacre in Sandy Hook Elementary School.
Councilman Chris Smitherman is stepping down
as president of the local branch of the NAACP while he runs for
re-election. If he wins the election, Smitherman will then offer his resignation, which the NAACP's local executive committee can accept or reject. James Clingman, a vice president of the NAACP and founder
of the Greater Cincinnati African-American Chamber of Commerce, will
take Smitherman's spot for the time being. Before the move, Smitherman was criticized for engaging in
partisan political activity as he ran for re-election, which is
generally looked down upon by the NAACP and federal rules regarding
501(c)(3) organization like the federal branch of the NAACP.
The world’s most advanced solar plane touched down in Cincinnati Friday before continuing its record-breaking journey across the nation to Washington, D.C.
The Columbus Dispatch says Internet cafes make gambling more convenient and accessible to problematic gamblers. As a result of recently passed legislation, Internet cafes are being effectively shut down around the state.
Ohio gas prices are coming back down.
If someone wants to get away from the U.S. government, Popular Science has a few suggestions.
The Massachusetts Institute of Technology built a robot that helps people be less awkward.
Cincinnati’s Horseshoe Casino topped state casino revenues last month, translating to $1.4 million in casino tax revenue for the city in March. If the trend holds — a huge if, considering March was opening month for the Horseshoe Casino — the city would get $16.8 million a year, which would be above previous estimates from the state and city but below estimates presented in mayoral candidate John Cranley’s budget plan. Cranley and other city officials say casino revenue could be used to avoid laying off cops and firefighters to balance the budget, but the city manager’s office says it wouldn’t be enough.
Two City Council decisions yesterday will allow the current project manager for The Banks to take over the streetcar project. The two 5-4 decisions from City Council came in the middle of a tense budget debate that could end with the layoff of 344 city employees, including 189 cops and 80 firefighters. But John Deatrick, who could be hired as executive director of the streetcar project as a result of the measures, says his salary would come from the capital budget, which is separate from the general fund that needs to be balanced in light of structural deficit problems.House Republicans are poised to reject Gov. John Kasich’s proposed Medicaid expansion. The expansion, which was part of Kasich’s 2014-2015 budget proposal, would have saved the state money and insured 456,000 Ohioans by 2022, according to the Health Policy Institute of Ohio. But it would have done so mostly with federal funds, which state legislators worry will not be there years down the line. The Medicaid expansion was one of the few aspects of Kasich’s budget that state Democrats supported. CityBeat covered Kasich’s budget in further detail here.
PolitiFact Ohio gave Kasich a “Pants on Fire” rating for his claim that his transportation budget and Ohio Turnpike plan “would make sure we have lower tolls than we’ve had through the history of the turnpike.” PolitiFact explains: “Yes, the bill aims to keep tolls from rising faster than the pace of inflation -- a practice that would stand in contrast to KPMG’s findings from the past 20 years. And, yes, the bill freezes tolls for 10 years on a small, targeted cross-section of turnpike users. But not only are higher tolls a part of Kasich’s plan, they are integral to the concept. The increased revenue will allow the state to issue bonds to finance other projects. Furthermore, the inflation cap is not written into the law, and the state has an out from the local EZ-Pass freeze.”
Melissa Wegman will be the third Republican to enter the City Council race. Wegman is a first-time candidate and businesswoman from East Price Hill. She will be joining fellow Republicans Amy Murray and incumbent Charlie Winburn.
The struggling Kenwood Towne Place will be renamed Kenwood Collection as part of a broader redesign.
One program in President Barack Obama’s budget plan would task NASA with pulling asteroids to our moon’s orbit, where the asteroids could then be studied and mined. The Obama administration says the program will only involve small asteroids, so big, killer asteroids will not be purposely hurled towards Earth.
New evidence suggests some two-legged dinosaurs were strong swimmers, further proving that unless we have extra asteroids to cause an extinction event, we might want to leave them dead.
Vice Mayor Roxanne Qualls is asking the city administration to complete construction of the streetcar in time for the 2015 Major League Baseball All-Star Game, which will be hosted in Cincinnati. A letter from Qualls to City Manager Milton Dohoney and Mayor Mark Mallory explains her reasoning: “This may present a challenge, but it is one I am sure the administration is capable of meeting. The streetcar will serve a critical role in efficiently and effectively moving visitors to and from Great American Ballpark and allowing them to conveniently visit other venues such as Fountain Square, Horseshoe Casino, Over-the-Rhine, Washington Park, etc.” CityBeat covered the streetcar’s delays and how the project relates to the 2013 mayor’s race here.
Gov. John Kasich will reveal his plan for funding Ohio schools today. The plan is expected to include a $300 million “innovation fund” to support school initiatives that improve teaching and learning. In a previous interview, Rob Nichols, Kasich’s spokesperson, explained the troubles of establishing a plan: “Many governors have tried before. Many states have been sued over their formulas. It’s something we have to take our time with and get it done right.”
City Council passed a resolution urging Kasich to expand Medicaid. Qualls explained the need for the resolution: “Expanding Medicaid will create a net savings to the state over time, allow the City’s health department to improve access to health services at lower costs, and most importantly, provide health care coverage for thousands of Cincinnati residents who need it most.” A study from the Health Policy Institute of Ohio found a Medicaid expansion would save the state money for the first few years. Previous studies also found correlations between improved health results in states and a Medicaid expansion, and a study from the Arkansas Department of Human Services claimed Arkansas would save $378 million by 2025 with the Medicaid expansion.
A new report found poverty is increasing in Ohio. About one in six Ohioans are below the federal poverty line, according to the Ohio Association of Community Action Agencies report.
About $100 million in development downtown is kicking off today. City officials and business leaders are gathering for the groundbreaking this morning of a lot at Fifth and Race streets that has idled for nearly 30 years. The lot will host the new four-story headquarters for DunnhumbyUSA.
Kasich says Ohio will continue taking Ky. jobs in the future. The rough words are Kasich's interesting approach to encouraging Ky. legislators to support the Brent Spence Bridge project.
Ohio Attorney General Mike DeWine issued a scam alert telling businesses to be wary of emails claiming to be from the Federal Trade Commission or FTC.
Miami University broke its application record.
A Wright State professor saved Cincinnati-based Kroger more than $170 million with his work on more accurate pharmaceutical predictions. The professor, Xinhui Zhang, is now one of the six finalists worldwide for the Franz Edelman Award.
Ohioans now have a phone number to report cases of child abuse or neglect: 855-O-H-CHILD, or 855-642-4453. Reports can be anonymous.
Humanity is one step closer to the inevitable robot apocalypse. GE's hospital robot can sort scalpels, sterilize tools and prepare operating rooms for surgery.
The study from the National Institute for Occupational Safety and Health (NIOSH) found salaried workers fared much better than hourly workers, and all-cause mortality was below expectations for them despite increased malignancies in blood, bone marrow, spleen, lymph nodes and thymus cells.
Hourly workers weren’t so lucky, according to the study. They had above-average cancer mortality rates in comparison to the rest of the U.S. population, but tests only provided evidence for a connection between hourly workers and intestinal cancer.
Previous studies also found a link between non-malignant respiratory disease and exposure to radiation, but the NIOSH study found no such connection. The discrepancy could be due to “improved exposure assessment, different outcome groupings and extended follow-up” in the NIOSH study, according to the study’s abstract.
The NIOSH study followed 6,409 workers who were employed at Fernald for at least 30 days between 1951 and 1985, following them through 2004.
Fernald was initially surrounded by controversy in 1984 when it was revealed that it was releasing millions of pounds of uranium dust into the atmosphere, causing radioactive contamination in surrounding areas. The controversy was elevated when Dave Bocks, an employee at the factory, mysteriously disappeared and was later found dead at a uranium processing furnace. Some suspected Bocks was murdered for allegedly being a whistleblower, but no evidence of foul play was ever officially recorded.
City Council wants to do more research before it proceeds with freestanding public restrooms in downtown and Over-the-Rhine. The vote has been delayed. Critics say the restrooms are too expensive at $130,000, but supporters, particularly Councilman Chris Seelbach, insist the restrooms will not be that expensive. A majority of City Council argues the restrooms are necessary because increasing populations and growth in downtown have made 24-hour facilities necessary.
A new report found Ohio’s budget would benefit from a Medicaid expansion. The expansion would mostly save money by letting the federal government pick up a much larger share of the cost for Ohio’s population, particularly prison inmates. A previous study found Medicaid expansions were correlated with better health results, including decreased mortality rates, in some states. Another study from the Arkansas Department of Human Services found the state would save $378 million by 2025 with the Medicaid expansion. Most of the savings from the Arkansas study would come from uncompensated care — costs that are placed on health institutions and state and local governments when uninsured patients that can’t and don’t pay use medical services.
The Dayton Daily News has a wonderful example of how not to do journalism. In an article on the supposed “climate debate,” the newspaper ignored the near-unanimous scientific consensus on global warming and decided to give credence to people who deny all scientific reasoning. To be clear, there is no climate debate. There’s the overwhelming majority of scientists, climatologists and data on one side, and there’s the pro-oil, pro-coal lobby and stubborn, irrational conservatives who will deny anything that hurts their interests on the other side.
The Ohio Board of Education approved policies for seclusion rooms. The non-binding policy requires parents to be notified if their children are placed in a seclusion room, and the Ohio Department of Education can also request data, even though it won’t be made public. More stringent policies may come in the spring. Seclusion rooms are supposed to be used to hold out-of-control kids, but an investigation from The Columbus Dispatch and StateImpact Ohio found the rooms were being abused by teachers and school staff for their convenience.
If the city wants to buy Tower Place, the mall will have to be cleared out, according to City Manager Milton Dohoney. Last week, the remaining businesses at Tower Place were evicted, and Dohoney said the city did not sign off on the eviction orders. Apparently, the city really didn’t agree to or enforce eviction orders, but the city’s buyout requires evictions. Dohoney said the eviction notices should signify the deal to buy Tower Place is moving forward.
Dohoney appointed Captain Paul Humphries to the assistant chief position for the Cincinnati Police Department. Humphries has been on the force for 26 years, and he currently serves as the chief of staff to Chief James Craig.
Cincinnati’s Neighborhood Enhancement Program (NEP) is targeting Mt. Airy and Carthage. Starting March 1, police, businesses and civic groups will begin putting together accelerated revitalization and reinvestment plans for the communities. NEP emphasizes building code enforcement, crime, neighborhood cleanup and beautification.
Good news, everyone. Cincinnati is no longer the bedbug capital.
Bob Castellini, owner of the Reds, was named the region’s master entrepreneur by Northern Kentucky University.
The Ohio Department of Transportation released a website that has real-time traffic information.
Some people really suck at political slogans.
Oh, science. Apparently, particle physics could improve Netflix’s suggestions.
An annual human trafficking report released by Attorney General Mike DeWine gave Ohio a C. The grade, which comes from Shared Hope International, was a step up from D's in the previous two years. But DeWine says it’s not enough, and further action will be taken. Ohio has made some strides on the human trafficking issue, including passage of a new “Safe Harbor” law for sex-trafficking victims, new details for minor trafficking victims and the training of 24,000 law-enforcement officers to better detect and help trafficking victims.
Gov. John Kasich is giving $5 million to mental health services to help curb and prevent violence. The news comes in the wake of school shootings at Sandy Hook Elementary School on Dec. 14 and a California high school yesterday. Mental health services are important, but so is gun control, as CityBeat pointed out here. Vice President Joe Biden is currently heading an investigation to make suggestions on gun control to President Barack Obama.
The remaining businesses in Tower Place Mall were told to get out. Cassidy Turley, the court-appointed receiver of the mall, apparently filed eviction notices telling businesses to leave by March. The mall has been struggling for some time now, and the city of Cincinnati is currently in the process of trying to buy it. City Manager Milton Dohoney says the city had no part in the evictions.
The city of Mason is apparently becoming a technology corridor. Since 2011, the city has brought in $110 million in investments and created 1,400 jobs. The new jobs are related to technology, robotics, automation, innovation and health care.
Warren and Butler counties are apparently seeing a surge in sales tax revenue. The budgetary boost is being seen by some as a sign of further economic expansion.
Surrounded by dogs, Gov. Kasich signed legislation effectively banning puppy mills. Previously, animal advocates claimed lax rules and regulations had made Ohio a breeding ground for abusive practices. The lack of oversight also helped enable Ohio’s dog auctions, which CityBeat covered here. The new law will go into effect within 30 days.
An Ohio school is apparently arming janitors. Previously, Hamilton County Prosecutor Joe Deters made a suggestion to arm school staff, but research shows it doesn’t help deter or stop acts of violence.
Natural gas is being slightly deregulated in Ohio. The Public Utilities Commission of Ohio (PUCO) is allowing two companies — Columbia Gas of Ohio and Dominion East Ohio Gas — to eliminate regulated pricing for businesses, with some conditions. Supporters say the move will create more competition and lower prices, but the deregulation gives a substantial advantage to two big energy companies.
Congress is apparently less popular than head lice, but it’s more popular than Lindsay Lohan. Damn. Does that mean people prefer head lice to Lindsay Lohan? Even Nickelback and Ghengis Khan beat Congress. Poor Lindsay.
Science has now found that animal grunts can act similarly to Morse code. Is this yet another warning of the impending animal takeover?
City Council’s Livable Communities committee is expected to hear about and likely vote tonight on the city’s first master plan in more than 30 years. The plan, which CityBeat previously covered, seeks a renewed emphasis on Cincinnati’s urban core through new infrastructure and transportation options. It was put together largely based on public feedback.
The “fiscal cliff,” which is really more of a self-induced austerity crisis from the federal government, could seriously hurt Ohio schools. Educators around the state, including Cincinnati schools, are expecting a cut of about 8 percent in federal funding. A Cincinnati Public Schools levy was recently renewed after a decade of cuts and problems at the school district.
Gov. John Kasich has finally made a decision for Obamacare: The state will not run the health exchanges that are a big part of the plan. With the governor’s decision, managing the health exchanges now falls to the federal government. Rob Nichols, Kasich’s spokesperson, defended the governor’s decision by pointing out that even if the state managed the exchanges, the federal government would always have the final say, creating an arrangement “just doesn’t make sense for the state.” 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.
Cincinnati’s economy is being carried largely by manufacturing, and that looks likely to continue.
Business schools at the University of Cincinnati, Miami University, Xavier University and Northern Kentucky University were found to be among the nation’s best, according to the Princeton Review. Still, none of the schools made the top 10 rankings for the review’s 11 categories.
City Council is holding a public hearing today to find out what the city should do with casino revenue. Some of the council members already have plans, but City Council wants public feedback to shape the final decision.
In other council news, the Human Services Advisory committee recommended funding for 56 out of 58 programs. The two programs left out are the Over-The-Rhine Kitchen and a social education program offered by the Starfire Council of Greater Cincinnati.
Cincinnati’s Metro bus service will be getting a revamp in the next few years. The company released a comprehensive plan with short-term and long-term goals that focus on increasing travel speed and reach.
Charter schools are where a large amount of Ohio kids are getting their education. This is despite the fact that, in general, traditional public schools perform better than charter schools, according to state standards.
Food stamps for Ohio families are getting reduced by about $25 a month. The good news is the cut is lower than expected.
The Ohio Department of Rehabilitation and Correction released a “re-inspection report” for the Lake Erie prison owned by Corrections Corporation of America. According to the new report, CCA has come a long way and corrected many of the violations the state originally found in the private prison. The last report found the prison, which CCA bought in 2011, was riddled with problems. CityBeat looked at private prisons, their problems and the shady connections between state officials and CCA in an in-depth report.
A report found more Ohioans are taking advantage of a national settlement that lets households refinance their mortgages. In total, more than 4,500 Ohioans have refinanced for $165 million in consumer relief. Still, many eligible Ohioans are not taking advantage of the opportunity.
Here are pictures of a tiny octopus, fighting female robots and an orange-powered battery.
The 1st Ohio District Court of Appeals released its decision this morning, just a few hours after one of the three judges who ruled against the retirees was reelected. Judge Pat Fischer, a Republican, was on the ballot Tuesday — and now there is no way to know whether the ruling could have had any adverse impact on his reelection bid.
The retirees, a group that included former City Clerk Sandy Sherman, contended their benefits could be increased, but that they were not subject to reduction. The appeals court scuttled the argument:
“At issue in this case is an ordinance enacted by the city council in 2009. The ordinance amended sections of the code pertaining to the retirement system. … After the 2009 ordinance, the plaintiff-appellants would have a deductible to $200 and out-of-pocket caps for healthcare and prescriptions of $2,000. The ordinance provided that the revisions to the retirement system would become effective on January 1, 2010.”
The appeals court said hospital and medical benefits were in addition to retirement pension payments and were not subject to vesting, which meant they could be changed by ordinance.
“The distinction between the retirement allowances and the healthcare benefits has been maintained throughout the existence of the retirement system. The distinction is significant,” the appeals court ruled.
The case could still be taken to the Ohio Supreme Court.
The following table shows the fund's assets, and the funding ratio, through 2010:
Just two days before the general election, President Barack Obama made his case to 13,500 people packed into the University of Cincinnati’s Fifth Third Arena and 2,000 in an overflow room.
Obama cast the race in comparisons to the previous two presidents, comparing his policies with those of Bill Clinton and equating Republican challenger Mitt Romney’s plans with those of George W. Bush.
“So stay with me then,” Obama said. “We’ve got ideas that work, and we’ve got ideas that don’t work, so the choice should be pretty clear.”
With less than 48 hours before polls open on Election Day, a Reuters/Ipsos daily tracking poll had Obama and his Republican challenger locked in a statistical dead heat. However the same poll showed Obama with a slight edge in Ohio, up 48 percent to Romney’s 44 percent.
Obama touted his first-term accomplishments, including ending the war in Iraq; ending Don’t Ask Don’t Tell, the policy preventing homosexuals from serving openly in the military; and overhauling the country’s health care system.
“It’s not just about policy, it’s about trust. Who do you trust?” the president asked, flanked by a sea of supporters waving blue “Forward” signs.
“Look, Ohio, you know me by now. You may not agree with every decision I’ve made, Michelle doesn’t always agree with me. You may be frustrated with the pace of change … but I say what I mean and I mean what I say.”
Nonpartisan political fact-checker PolitiFact on Nov. 3 took a look at Obama’s record on keeping his campaign promises from 2008. The group rated 38 percent as Kept, 16 percent Compromised and 17 percent Broken.
Twice during his speech the president was interrupted by audience members shouting from the stands.
The first was a man on the balcony level of the arena interrupted, shouting anti-abortion slogans and waving a sign showing mutilated fetuses before being dragged out by about five law enforcement officers. Both were drowned out by supporters.
Music legend Stevie Wonder opened the rally for Obama, playing a number of his hits, opening up “Superstition” with a refrain of “on the right track, can’t go back.”
Wonder discussed abortion policy between songs and urged Ohioans who had not already voted to do so either early on Monday or Election Day.
So far, 28 percent of Ohio voters have already cast their ballots. CNN reports that those votes favor Obama 63/35, according to public polling.
Meanwhile on Sunday, Romney campaigned before an estimated crowd of 25,000 in Pennsylvania, according to the Secret Service.
Political rallies always draw a number of the loyal opposition, and this late-evening appearance was no different. Only five people protested near the line to the arena, but what they lacked in number they attempted to make up for in message.
One large sign read “Obama: 666” and another “Obama is the Beast,” alluding to a character in the Christian Biblical book of Revelation.
A man who only identified himself as Brooks carried a large anti-abortion sign that showed pieces of a dismembered fetus.
“I’m here to stand up for the innocent blood that has been shed in this land to the tune of 56 million,” Brooks said. He said he was opposed to the politics of both major party presidential candidates.
“I pray for Barack Obama because his beliefs are of the Antichrist, just like Romney,” Brooks said.
Brooks said his message for those in line was for them to vote for Jesus — not on the ballot, but through their actions and through candidates that espoused Christian beliefs.
“Obama is not going to change things, Romney is not going to change things,” Brooks said. “In the last days there are many Christs, but not the Christ of the Bible. The Christ of the Bible is not for killing children, is not for homosexual marriage.”