A new poll from the Health Foundation of Greater Cincinnati found a clear majority of Ohioans supports the Medicaid expansion.
The poll asked a random sample of 866 Ohioans, "Generally speaking, do you favor or oppose expanding Medicaid to provide health insurance to more low-income uninsured adults?" About 63 percent of respondents said they favor an expansion, with a margin of error of 3.3 percent.
The poll found a partisan divide on the issue: About 82 percent of Democrats support the expansion, while 55 percent of Republicans oppose it.
The question was part of the Ohio Health Issues Poll conducted between May 19 and June 2. The University of Cincinnati's Institute for Policy Research has conducted the poll for the Health Foundation each year since 2005.
"The Health Foundation supports the expansion of Medicaid in Ohio because we believe that it will have a positive impact on the health of uninsured Ohioans who will be newly covered by Medicaid," said Health Foundation CEO Jim Schwab in a statement. "We also believe that expansion of Medicaid will have a positive impact on Ohio’s economy. This positive impact was validated in an economic impact study that the Foundation helped underwrite earlier this year. The OHIP findings show that the majority of Ohioans also support the expansion."
Under the Affordable Care Act ("Obamacare"), states are asked to expand their Medicaid programs to 138 percent of the federal poverty level, or an annual income of about $15,856 for a single-person household and $32,499 for a family of four.
For the first three years, the federal government would pay for the entire expansion. Following that, the federal government would phase down its support for the expansion to 90 percent of the costs, where it would indefinitely remain.
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.
Although Gov. John Kasich supports the expansion, his Republican colleagues, who control the Ohio House and Senate, have so far passed on the expansion in budget plans and legislation.
In an April interview with CityBeat, Michael Dittoe, spokesperson for Ohio House Republicans, said the proposed federal commitment to the Medicaid expansion is unprecedented, which, according to Dittoe, makes Republican legislators skeptical that the federal government can live up to such obligations in the long term.
Bipartisan legislation introduced this week in the Ohio House and Senate would reform the Medicaid program — supposedly in a way that lowers costs without cutting services. But the legislation wouldn't take up the Medicaid expansion.
A budget plan proposed by two council members today would eliminate layoffs at the fire department and reduce the amount of police layoffs to 25, down from 49, by making cuts elsewhere, particularly by forcing city employees to take 10 furlough days in fiscal year 2014.
Council members Roxanne Qualls and Chris Seelbach are co-sponsoring the motion. If it's approved by City Council, the amount of city employee layoffs in the fiscal year 2014 budget would drop to 84, down from the original "Plan B" estimate of 344, by amending Mayor Mark Mallory's budget proposal, which was announced yesterday.
The news is being well received by public safety advocates, but it's also vindication for some of the city's harshest critics. Democratic mayoral candidate John Cranley previously said the city was acting like "the boy who cried wolf" by suggesting it had to lay off 344 city employees, including 80 firefighter and 189 police positions.
"In 2009, 2010, 2011 and 2012 … they threatened to lay off police and firefighters, and it never happened," Cranley previously told CityBeat.
But avoiding the layoffs comes with large cuts and shifted priorities elsewhere: Furlough days for supervisory and leadership personnel would be bumped up from five to 10 ($250,000 in savings), all council members would be asked to take 10 furlough days ($22,700), City Council's office budgets would be reduced ($18,000), the clerk of council's office budget would also be reduced ($46,000), the departments of community development and economic development would be merged ($171,000) and the account for firefighter's protective gear would be reduced ($100,000). In total, the cuts in the motion add up to $607,000.
The motion will be formally introduced at tonight's Budget and Finance Committee meeting, which will also act as a public hearing for budget issues. The hearing will begin at 6:30 p.m. at the Duke Energy Convention Center.
The layoff reductions come after the city manager and mayor spent a bulk of the past six months repeatedly warning that the city would have to carry out significant public safety layoffs if the city didn't lease its parking assets to the Port Authority. That plan would have opened up funds to help balance the budget for two years and pay for economic development projects, including a downtown grocery store ("Parking Stimulus," issue of Feb. 27).
But the parking plan is now held up in court, and the city is apparently able to avoid most of the layoffs despite the repeated warnings.
The city must enact a budget by May 31, which will give the city the required 30 days to implement the plan by fiscal year 2014, which begins July 1.
In a ruling today, Hamilton County Judge Robert Winkler said the city will have to allow for a referendum on the parking plan and imposed a permanent injunction pending the outcome of a referendum.
The ruling means the city may be unable to rely on the parking plan to balance fiscal year 2014’s budget, and the city may be forced to find cuts elsewhere by July 1, when the new budget will kick in.
The ruling may be appealed, but City Solicitor John Curp says he is not aware of any filing yet. He says Mayor Mark Mallory and the city administration plan to hold a press conference later this afternoon to discuss the ruling in further detail.
For opponents of the parking plan, the ruling comes as a big victory that will allow them to put the parking plan on the ballot if they gather enough eligible petition signatures by April 5.
For the city, the ruling potentially leaves a $25.8 million hole in the 2014 budget.
When the restraining order was extended for two weeks on March 20, city spokesperson Meg Olberding told CityBeat the delays were causing the city to approach a “pressure point”: “We respect the court's right to do that (the extension), and know that every day that we cannot make the parking deal happen is a day that we are closer to having to lay people off.”In the past, City Manager Milton Dohoney Jr. said the plan will force the city to lay off 344 employees, including 80 firefighter and 189 police positions.
But opponents argue there are ways to solve the budget without laying people off. As an alternative to the parking plan, Councilman Chris Seelbach proposed Plan S, which would redirect $7.5 million in casino revenue to help balance the deficit, cut $5 million based on the results of the city's priority-driven budgeting process and put two charter amendments on the ballot that, if approved, would include up to a $10-per-month trash fee and increase the city's admissions tax by 2 percent.
City Council approved the parking plan on March 6 to lease the city’s parking assets to the Port of Greater Cincinnati Development Authority to help balance the budget for the next two fiscal years and fund more than $100 million in development projects, including the creation of a downtown grocery store and more than 300 luxury apartments ("Parking Stimulus," issue of Feb. 27).
Opponents of the parking plan say they’re concerned the city will cede too much control over its parking assets and cause parking rates to skyrocket. The city says rate increases are initially capped at 3 percent or inflation — whichever is higher.
But the rates can change with a unanimous vote from a special committee, approval from the city manager and a final nod from the Port Authority. The special committee would comprise of four people appointed by the Port Authority and one appointed by the city manager.
The ruling comes after the city and opponents of the parking plan met in court on March 15 to discuss whether the plan is subject to referendum.
Curt Hartmann, an attorney who represents the Coalition Opposed to Additional Spending and Taxes (COAST) and opponents of the parking plan, said the city charter is vague on its definition of emergency clauses, and legal precedent supports siding with voters’ right to referendum when there is ambiguity.
The city cited state law to argue emergency clauses, which remove a 30-day waiting period on legislation, eliminate the possibility of referendum. Terry Nestor, who represented the city, said legal precedent requires the city to defer to state law as long as state law is not contradicted in the city charter.
With his decision, Winkler sided with opponents of the parking plan. He wrote in the ruling, “If the people of Cincinnati had intended to exempt emergency legislation from their referendum powers, they could have done so when adopting Article II, Section 3 of the City Charter.”
Cincinnati's streetcar project is getting another $5 million in federal funding. But before the money is handed over, the city must first eliminate cost overruns that have recently put the project in danger.
U.S. Secretary of Transportation Ray LaHood unveiled the news in a letter to Mayor Mark Mallory dated June 19. The letter acknowledges the project's recent cost overruns, but goes on to claim the federal government still backs the project.
"The DOT (Department of Transportation) continues to support your bold vision for economic development and enhanced transportation choices for the city of Cincinnati, and we believe that this project is a significant component of that vision. With that in mind, I want to provide up to $5 million in additional assistance from DOT," LaHood wrote.
But the money comes with two conditions: The city must first fix the streetcar project's cost overruns and restore certain aspects of the project, including a passenger information system and a screen or wall that would block power substations from public view.
The $5 million will be on top of the nearly $40 million the federal government has already contributed to the project through various grants and programs.
The funding bump comes just in time for City Council's Monday vote on the streetcar project's cost overruns.
In February, the city received construction bids that were $26 million to $43 million over budget, effectively leading to a $17.4 million budget gap and a $133 million overall cost for the project.
Since then, City Manager Milton Dohoney proposed a few fixes to City Council, including pulling funding from various capital projects and issuing more debt.
At the same time, Dohoney told City Council the city administration was working with federal officials to find opportunities for more federal funding. The new commitment is presumably the result of those discussions.
City Council is expected to vote on the budget fixes Monday. So far, council members Roxanne Qualls, Yvette Simpson, Wendell Young and Laure Quinlivan have vowed support, but Council will need a fifth vote — perhaps from Chris Seelbach or Pam Thomas — to pass the changes.
Read the full letter below:
Republican state legislators today rolled out a major tax overhaul that would cut Ohio income taxes, but the plan would also increase and expand sales and property taxes.
Legislators plan to add the tax changes to the $61.7 billion two-year budget. The final plan is being touted as a merger of the original proposals from the Ohio House and Senate, but none of the proposed tax hikes in the revised plan were included in the original tax proposals from either chamber.
Relative to rates today, the new plan would cut state income taxes across the board by 8.5 percent in the first year of the budget’s implementation, 9 percent in the second year and 10 percent in the third year. That’s a bump up from the House plan, which only included a 7-percent across-the-board income tax cut.
The Senate’s 50-percent tax deduction for business owners
would be reduced to apply to up to $250,000 of annual net
income, down from $750,000 in the original plan. Under the
revised plan, a business owner making a net income of $250,000 a year
would be able to exempt $125,000 from taxes.
The plan would also create an earned income tax credit that would give a tax refund to low- and moderate-income working Ohioans.
To balance the cuts, the plan would hike the sales tax from 5.5 percent to 5.75 percent. Some sales tax exemptions would be eliminated, including exemptions for digital goods such as e-books and iTunes downloads.
The plan would also make two major changes to property taxes: First, the state would not pay a 12.5-percent property tax rollback on new property tax levies, which means future levies for schools, museums and other services would be 12.5 percent more expensive for local homeowners.
Second, the homestead tax exemption, which allows disabled, senior and widowed Ohioans to shield up to $25,000 of property value from taxes, would be graduated over time to be based on need. In other words, lower-income seniors would still qualify for the exemption, while higher-income seniors wouldn’t. Current exemptions would remain untouched, according to House Finance and Appropriations Committee Chairman Ron Amstutz.
The final tax plan is a lot closer to Gov. John Kasich’s original budget proposal, which left-leaning Policy Matters Ohio criticized for disproportionately favoring the wealthy (“Smoke and Mirrors,” issue of Feb. 20).
The budget must now be approved by the conference committee, House, Senate and Gov. John Kasich in time for a June 30 deadline.
Bill Moller is a city retiree who will be eligible to “double dip” into his pension and a city salary ($147,000 a year) when the city rehires him in February to fill an opening for assistant city manager, city spokesperson Meg Olberding confirmed in an email to CityBeat. Whether he does is entirely up to the interim city manager, Olberding wrote.
The possibility could draw criticism from city officials looking to balance Cincinnati’s structurally imbalanced operating budget. Last year, City Council drew opposition for its decision to hire Streetcar Project Executive John Deatrick and allow him to double dip on his pension and a city salary.
Update: Councilman P.G. Sittenfeld said on Twitter that City Council will discuss the personnel changes at Wednesday’s full council meeting, instead of a special session on Thursday as originally planned.
Moller will eventually replace Assistant City Manager David Holmes, who helped oversee efforts for The Banks and 2012 World Choir Games and filed to retire on April 1, Interim City Manager Scott Stiles wrote in a memo to City Council and the mayor.
“At this point in time, Cincinnati needs not only someone who is proficient in all aspects of municipal finance, but in the aspects of the city of Cincinnati’s finances in particular. Mr. Moller has that experience,” Stiles wrote, noting Moller’s budget and finance experience in Cincinnati, Hamilton and Covington.
City Solicitor John Curp will also leave his current position to instead act as chief counsel for the city’s two utilities, the Metropolitan Sewer District and Water Works.
“The utility has been undergoing a merger of back office functions to save ratepayers money, and also has been expanding services and service areas to decrease costs,” Stiles wrote. “John (Curp) has the private sector experience to assist the utilities with a market-oriented approach, and is uniquely positioned to understand both the particulars of MSD and GCWW as well as the areas in which they can expand.”
The move should save ratepayers money by allowing both utilities to rely on Curp instead of outside legal counsel when legal issues arise, according to Stiles.
Although widely praised by city officials, Curp’s move is unsurprising given the politics surrounding Mayor John Cranley’s election. Curp offered legal guidance for the parking privatization plan and streetcar project, both of which Cranley opposes.
Terrence Nestor, currently the city’s chief litigator, will replace Curp as city solicitor until a permanent appointment is made.
Stiles announced other changes as well:
• Markiea Carter, currently a development officer, will move to the city manager’s office to act as assistant to the city manager.
• Karen Alder, currently risk manager for the city, will begin assisting Finance Director Reginald Zeno as the city’s deputy finance director.
Stiles is currently filling as interim city manager while the city conducts a nationwide search for a permanent replacement to former City Manager Milton Dohoney. Stiles could apply for the permanent role, but his application would need City Council support to win out over other potential candidates.
The city expects the city manager search to last through June, at which point further administrative changes could be expected if the city hires a new permanent city manager.
In a party line 23-10 vote today, the Republican-controlled Ohio Senate approved a $61 billion budget plan for fiscal years
2014 and 2015 that takes multiple measures against legal
abortions, aims to cut taxes for small businesses and partly restores education funding cut in the previous 2012-2013 budget.
The budget plan gives a large amount of attention to
social issues, particularly abortion. Most recently, the Ohio Senate added an amendment that could be used by the director of the Ohio Department of Health to close down abortion clinics.
The amendment bans abortion clinics from establishing transfer agreements with public hospitals, forcing the clinics to make such agreements with private hospitals,
which are often religious and could refuse to deal with abortion clinics. Under the amendment, if the clinics can’t reach a transfer agreement, the state health director is given the power to shut them down.
Abortion rights groups claim the amendment will likely be used to shut down abortion clinics or force them to dissolve their abortion services.
The bill also makes changes to family services funding that effectively defund Planned Parenthood, a family planning services provider that is often criticized by conservatives for offering abortion services, even though it does so exclusively through private donations.
The bill also redirects some federal Temporary Assistance for Needy Families funds to crisis pregnancy centers, which effectively act as the anti-abortion alternative to comprehensive family planning service providers like Planned Parenthood.
The changes continue a conservative push on social issues that began in the Ohio House budget (“The Chastity Bunch,” issue of April 24).
Supporters praise the bill for “protecting life” and promoting “chastity” and “abstinence,” but critics are pushing back.
“Today the Ohio Senate turned its back on the health care needs of Ohio’s women and paved the way for family planning centers and abortion clinics to be closed across the state. If Gov. (John) Kasich doesn’t remove these provisions from the budget, the unintended pregnancy rate will rise, cancer will go undetected and women who need abortion care will not have safe, legal facilities to turn to in some communities,” said Kellie Copeland, executive director of NARAL Pro-Choice Ohio, in a statement. “This budget will put the lives of thousands of Ohio women at risk if Gov. Kasich fails to line-item veto these dangerous measures.”The Ohio Senate plan also scraps Ohio House plans to cut income taxes for all Ohioans by 7 percent and instead aims to cut taxes for small businesses by 50 percent.
Republicans claim the tax cut will help small businesses, which they call the state’s “job creators.” But conservative and liberal groups have criticized the plan.
Given that, Zach Schiller, research director at Policy Matters, says the plan will do little for Ohio’s economy.
“The fastest growing small businesses are not making money because they’re investing heavily in their operations — in marketing, research and sales,” Schiller says. “So if they’re making anything, they’re investing it by and large in the business, so they’re not likely to be able to benefit very much from this.”
He adds, “Meanwhile, you’re going to have passive investors who have no role in adding employees and partners in law firms, architecture firms, accounting firms and other kinds of professional organizations who will personally benefit from this in a way that I think is unlikely to generate more employment.”
Instead of focusing on tax cuts, Schiller argues the state should be increasing direct investments, particularly in education and human services.
“This is bad policy, and many supporters are errantly pushing it under the guise of putting more money in the hands of ‘job-creators.’ But this is based on a flawed understanding of what creates jobs,” wrote Scott Drenkard of the Tax Foundation. “The businesses that actually create jobs are not small businesses or big businesses; they are businesses that are growing. And that type of business is virtually impossible to target with a tax incentive.”
The budget plan restores about $717 million in education funding, but that’s not enough to outweigh the $1.8 billion in education funding that was cut in the 2012-2013 budget, which Kasich and the Republican-controlled legislature approved in 2011.
The education funding increases will disproportionately favor the state’s property-wealthiest districts — effectively giving the biggest funding increases to school districts that can already afford to raise more money by leveraging high local property values.
The chart shows only 15 percent of funding increases will go to the property-poorest one-third of school districts, while a vast majority of the increases will go to the property-wealthiest one-third.
Health care advocates were also disappointed to see the Ohio Senate pass on a federally funded Medicaid expansion, which would allow anyone at or below 138 percent of the federal poverty level — $15,856 for a single-person household and $32,499 for a family of four — to enroll in the government-backed health care program.
Kasich proposed expanding Medicaid in his original budget plan (“Smoke and Mirrors,” issue of Feb. 20), but Ohio legislators are skeptical of the expansion’s consequences.
As part of the Affordable Care Act (“Obamacare”), the Medicaid expansion would be fully financed by the federal government for the first three years. After that, federal payments would be phased down to capture 90 percent of the expansion, where federal funding would permanently remain.
Republican legislators, backed by Republican State Treasurer Josh Mandel, are skeptical the federal government can afford the expansion. There’s no historical precedent for the federal government failing to meet its obligations to Medicaid, but Republican legislators argue there’s also no historical precedent for the federal government backing such large Medicaid expansions across the nation.
A Health Policy Institute of Ohio study found the Medicaid expansion would save the state $1.8 billion and insure nearly half a million Ohioans over the next decade.
The budget also fails to restore local government funding cuts that have been carried out during Kasich’s time in office. In comparison to fiscal years 2010 and 2011, local governments are receiving about 50 percent less aid from the state, leading to $22.2 million less funds for Cincinnati on an annual basis (“Enemy of the State,” issue of March 20).
When asked to explain the various cuts to education and local government funding in the 2012-2013 budget, Kasich spokesperson Rob Nichols told CityBeat in September 2012, “The reality is we walked into an $8 billion budget deficit. … We had to fix that.”
The Ohio legislature and Kasich must agree on a budget plan in time for a June 30 deadline.
Democratic gubernatorial candidate Ed FitzGerald is urging a coalition effort to begin a long, complicated petitioning process that could repeal some of the anti-abortion measures in the recently approved two-year state budget.
If the petitioning process is successful, it would force the Ohio General Assembly to consider repealing aspects of the budget that don’t involve appropriations of money. If the General Assembly changes, rejects or ignores the repeal proposal, it could be put on the ballot in November 2014.
FitzGerald is jump-starting the repeal effort through a new website, Ohioans Fight Back.
Speaking at a press conference Thursday, FitzGerald also questioned the constitutionality of some of the anti-abortion measures, particularly those that require doctors give certain medical information regarding abortions and restrict publicly funded rape crisis centers from discussing abortion as a viable option. He said such rules might violate free speech rights.
The state budget effectively defunds contraceptive care and other non-abortion services at various family planning clinics, including Planned Parenthood. It also makes it more difficult for abortion clinics to establish mandatory patient transfer agreements with hospitals.
The budget provides separate federal funding to crisis pregnancy centers, which act as the pro-abstinence, anti-abortion alternatives to comprehensive clinics like Planned Parenthood.
The budget also gives money to rape crisis centers, but centers that take public funding are barred from discussing abortion as a viable option with rape victims.
Days before the budget’s passage, Republican legislators also added an amendment that forces women to get an ultrasound prior to getting an abortion. As part of the amendment, doctors are required to inform the patient if a heartbeat is detected during the ultrasound and provide an estimate of the fetus’s chances of making it to birth.
FitzGerald, who’s currently Cuyahoga County executive,
plans to run against Republican Gov. John Kasich in 2014.
Kasich signed the controversial state budget with the anti-abortion measures on June 30, despite calls for the governor to use his line-item veto powers — a move that would have kept the rest of the budget in place but repealed the anti-abortion provisions.
CityBeat analyzed the state budget in further detail here.
By now, most of you have heard there was another horrible mass shooting, this time in Newtown, Conn., that resulted in the death of 20 children and six adults. While everyone is hoping this is the last time the nation has to deal with an event of unspeakable horror, it is only a possibility if we agree to do something about it. That means remembering the heroes who risked their lives and, in some cases, died that day. That means not letting the media and public drop the issue, as has been the case in the past. That means looking at more than just gun control, including mental health services. The Washington Post analyzed what “meaningful” action on gun control would look like, and the newspaper also disproved the idea Switzerland and Israel are “gun-toting utopias.” President Barack Obama also spoke on the issue at a vigil Sunday, calling for the nation to do more to protect people, particularly children, from violence. The full speech can be watched here.
City Council approved its 2013 budget plan Friday. The budget relies on the privatization of city parking assets to help plug a $34 million deficit and avoid 344 layoffs. The budget also nixed the elimination of a tax reciprocity for people who lived in Cincinnati but worked elsewhere and paid income tax in both cities, and it continued funding the police department’s mounted unit. As a separate issue, City Council voted to increase the property tax by about 24 percent, reversing a move from conservatives in 2011. CityBeat wrote about budgets at all levels of government and how they affect jobs here.
Michelle Dillingham, who was an aide to former city councilman David Crowley, will seek Democratic support in a run for City Council. Dillingham promises to tackle “industry issues of mutual interest" to business and labor and “transportation funding, family-supporting wages and workforce development.”
At a recent public hearing, mayoral candidate John Cranley proposed a “very easy” plan for the city budget. Only problem: His plan doesn’t work. In an email, Cranley said he stands by his ideas, but he added he was working with limited information and his statements were part of a two-minute speech, which “requires brevity.” He also claimed there are cost-cutting measures that can be sought out without privatizing the city’s parking assets and gave modified versions of his ideas regarding casino and parking meter revenue.
Judge Robert Lyons, the Butler County judge who sealed the Miami rape flyer case, is standing by his decision.
The Greater Cincinnati area is near the top for private-sector growth.
Jedson Engineering is moving from Clermont County to downtown Cincinnati, thanks in part to an incentive package from City Council that includes a 45 percent tax credit based on employees earnings taxes over the next five years and a $300,000 grant for capital improvements. The company was a Business Courier Fast 55 finalist in 2008 and 2009 due to its high revenue growth.
Gov. John Kasich’s Ohio Turnpike plan is getting some support from Toledo Mayor Mike Bell, but others are weary. They fear the plan, which leverages the turnpike through bonds for state infrastructure projects, will move turnpike revenues out of northern Ohio. But Kasich vows to keep more than 90 percent of projects in northern Ohio.
Gas prices are still falling in Ohio.
U.S. House Speaker John Boehner is making some concessions in fiscal talks. In his latest budget, he proposed raising taxes on those who make more than $1 million a year.
One beagle can diagnose diseases by sniffing stool samples.
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