It’s Not Too Late

Last State Budget Update

a statewide coalition of over 475 organizations working together to promote health and human service budget and policy solutions so that all Ohioans live better lives.

Advocates for Ohio’s Future is…

Mark DavisPresident

Ohio Provider Resource Association

Col OwensSenior Attorney

Legal Aid Society of South-westOhio

Bill SundermeyerState Director

Advocates for Ohio’s Future

AOF OVERALL POLICY OBJECTIVES AOF believes all Ohioans should have the opportunity to

participate in the economy, afford the basics, and pursue higher quality of life.

Work should allow workers to lift themselves out of poverty, but not all jobs mean a living.

Health & human services can play a critical role in supporting Ohioans.

BUDGET PROCESS OVERVIEW

Bill Sundermeyer, Advocates for Ohio’s Future

STATE BUDGET PROCESS

House

• Finance Committee (Rep. Ryan Smith)• Health and Human Services

Subcommittee (Rep. Sprague)

Senate

• Finance Committee (Sen. Oelslager)• Others worked in subcommittees

Conference

• 3 members from each chamber• First meeting occurred last last Friday• Budget bill is set to pass no later than

June 30

OHIO’S AVAILABLE RESOURCES

Latest Revenue projections by the Director of Budget and Management show their earlier projections were understated by $340 million.

The state can meet the needs of those in need of assistance and still save for the state’s fiscal future.

JOINT CONFERENCE COMMITTEE MEMBERS

Senate: LEADERSHIP- President Faber, R- Celina, 614-466-7584 or

sd12@ohiosenate.gov Sen. Oelslager, R- N. Canton, 614-466-0626 or oelslager@ohiosenate.gov Sen. Coley, R- Liberty Township, 614-466-8072 or coley@ohiosenate.gov Sen. Skindell, D- Lakewood, 614-466-5123 or sd23@ohiosenate.gov

House: LEADERSHIP- Speaker Rosenberger, R- Clarksville, 614-466-3506 or re91

@ohiohouse.gov Rep. Smith, R- Bidwell, 614-466-1366 or rep93@ohiohouse.gov Rep. Schuring, R- Canton, 614-752-2438 or rep48@ohiohouse.gov Rep. Driehaus, D- Cincinnati, 614-466-5786 or rep31@ohiohouse.gov

AOF’S BUDGET PRIORITIES

Col Owens, Legal Aid Society of Southwest Ohio

PERSON-CENTERED WORK PROGRAMS Governor’s budget proposed intensive case management (ICM)

program for 16-24 year olds required to work.

House took proposal out, separate H.B. 196 introduced, reinstate ICM program with Healthier Buckeye Council counterpart.

Senate reinstated Governor’s proposal with modifications, took out separate Buckeye Council grant program.

AOF supports the Governor’s/Senate’s approach, but will monitor implementation closely.

WORK SUPPORT PROGRAMS Governor’s budget increased entry level child care eligibility

from 125% to 130% FPL; no change in House or Senate versions.

AOF seeks entry level reinstatement to 200% over 4 years, additional $15 million/year increase.

Refundable State earned income tax credit (EITC) not included in any of the three versions of the budget.

AOF seeks refundable EITC at current level (10% of federal), with cap removed.

ADULT PROTECTIVE SERVICES (APS)

2014-2015 state budget included $500,000/year for APS; some counties got <$550/year.

Governor’s budget proposed $3.5 million/year, $2.64 million for counties ($30,000 x 88), balance for state administration; unchanged in House and Senate versions.

AOF Goal: $20million/year, including the Governor’s $3.5 million to more adequately meet the growing need for services.

CHILDREN’S PROTECTIVE SERVICES (CPS)

Ohio is 50th in nation in state share of funding for children’s protective services (CPS).

Over $53 million has been lost to CPS since 2009, and CPS stands to lose another $17 million in 2016-17.

PCSAO and AOF seek an additional. $20 million/year for CPS, $8.8 million base funding for all counties ($100,000 x 88), and $11.2 million to counties via formula, for increased investment in permanency efforts.

OHIO HOUSING TRUST FUND Governor’s budget created Housing Trust Reserve Fund to

capture first additional $15 million in fees over $50 million statutorily granted to the Housing Trust Fund for housing; House left unchanged.

Senate mandated that half of amounts collected must go to County Recorders to be distributed locally; focus on homeless, low income, people with disabilities, elderly, and youth.

COHHIO and AOF seek to restore the previous system, with all money going out at state level; this eliminates inefficiency and unnecessary administrative costs.

AOF’S BUDGET PRIORITIES CONT.

Mark Davis, Ohio Provider Resource Association

MEDICAID Requires additional information to be included in an annual

report that Ohio Department of Medicaid (ODM) must complete under existing law on the effectiveness of the Medicaid program in meeting the health care needs of low-income pregnant women, infants and children.

Replaces the House provision with a provision that requires ODM to establish a Medicaid waiver program under which certain Medicaid recipients must enroll in innovative and value-based health coverage that is modeled on health savings accounts and uses premiums, copayments or both instead of participating in Medicaid's fee-for-service component or Medicaid managed care.

MEDICAID CONT. Enroll children in foster care and children who have been

adopted in managed care.

Elective enrollment of individuals with IDD in managed care.

Community health workers in areas of high infant mortality, paid for by managed care organizations.

By July 1, 2020 at least 50% of aggregate net payments by ODM are value-based.

Hospital provider tax reduced back to 2.66%, resulting in a significant loss in federal revenue ($452.1 million total, $73 million outside of hospitals).

MEDICAID CONT.

Independent providers issue in waivers to be studied by legislature with the intent to resolve the issue by December 31, 2015.

Requires a report by ODM on clinical care and outcomes of Medicaid expansion population to the Ohio General Assembly.

BEHAVIORAL HEALTH

Same as the Executive, but (1) requires ODM to begin to include alcohol, drug

addiction, and mental health services in the care management system not later than January 1, 2018,

(2) requires approval by the Joint Medicaid Oversight Committee (JMOC) before ODM may implement any proposal to include the services in the system before January 1, 2018, and

(3) requires JMOC to monitor ODM’s actions regarding the inclusion of the services in the system.

DIRECT CARE WORKFORCE

Home health aide services for non-independent provider, increased at least 5% in Senate; 10% in House.

Developmental Disabilities (DD) direct care increase funding reduced $10.5 million and added funds availability requirement.

Rates for ambulette services increased at least 10%.

FOOD AND NUTRITION

House’s version – added $2.5 million/year to the Governor’s proposal for a total of $17.25 million/year.

Senate’s version – added $2.75 million/year to the House’s proposal for a total of $19.75 million/year; shift from GRF to TANF as source of funding.

AOF’s goal was met, but we will continue to monitor the source of the funding.

STATE BUDGET WRAP-UP

Bill Sundermeyer, Advocates for Ohio’s Future

JOINT CONFERENCE COMMITTEE MEMBERS

Senate: LEADERSHIP- President Faber, R- Celina, 614-466-7584 or

sd12@ohiosenate.gov Sen. Oelslager, R- N. Canton, 614-466-0626 or oelslager@ohiosenate.gov Sen. Coley, R- Liberty Township, 614-466-8072 or coley@ohiosenate.gov Sen. Skindell, D- Lakewood, 614-466-5123 or sd23@ohiosenate.gov

House: LEADERSHIP- Speaker Rosenberger, R- Clarksville, 614-466-3506 or re91

@ohiohouse.gov Rep. Smith, R- Bidwell, 614-466-1366 or rep93@ohiohouse.gov Rep. Schuring, R- Canton, 614-752-2438 or rep48@ohiohouse.gov Rep. Driehaus, D- Cincinnati, 614-466-5786 or rep31@ohiohouse.gov

YOUR CALLS & EMAILS INFLUENCE POLICY

Join AOF this week in contacting key

legislators to support health and human

services programs.

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