Budget focuses on programmatic changeControversialSeverance Tax on Oil and Gas that was taken outThe Income Tax Cut that went with it was also taken outThe Financial Institutions tax may also be taken out of the MBR and introduced in a separate bill
The package of bills also include the Capital Bill; House Bill 482—for Capital AppropriationsAnd Senate Bill 315 refered by the Kasich Administration as “Ohio’s 21st Century Energy Policy” began having hearings this weekThere will not be Committee hearing over the next 2 weeks as it is spring break. I talked to Gayle Channing Tenenbaum this morning about process and she said the legislature and the administration hope to have both bills signed and delivered before the Memorial Day break at the end of MaySo the bills are moving quickly.
Mid-Biennium Review AOF presentation
Advocates for Ohio’s Future Political and Field Call Featuring: Joel Potts, Executive Director of Ohio Job and Family Services Directors’ Association (OJFSDA) Teresa Lampl, Associate Director ofThe Ohio Council of Behavioral Health & Family Service Providers Katie Kelly, Director of the groundWork Campaign and Public Policy Fellow with the Center for Community Solutions
Mid-Biennium Review• The Kasich Administration had a News Conference on the MBR just over 2 weeks ago: March 14.• HB 487 (The Mid-Biennium Review) Language introduced on Friday, Mar 16.• Hearings began the week of Mar 19
Mid-Biennium Review• This webinar will focus on fiscal and policy changes in two separate bills: • House Bill 487 – The Mid-Biennium Review • Senate Bill 216 – Ohio’s 21st Century Education and Worforce Plan
Joel Potts Executive Director Ohio Job and Family ServicesDirectors’ Association (OJFSDA) firstname.lastname@example.org www.ojfsda.org
Workforce Development• Governor Kasich top priorities for 2012: • Job training • Private sector job growth• To that end, the MBR proposes to codify a recent executive order creating the Office of Workforce Transformation and the Governor’s Executive Workforce Board.
Workforce DevelopmentThe goal:• Streamline and coordinate the State’s 77 work and training programs, which are currently spread between 13 government entities, into just two: • One for employers seeking workers • One for individuals to improve their employment opportunities.
County JFS cost savings consolidation• Since 2006, county job and family service agencies have experienced decreased funding of over 40% while serving record caseloads, with most programs experiencing growth in excess of 50%• To meet the need in the community with the limited resources, county agencies have embarked on numerous modernization strategies to maximize resources and improve service delivery• The most aggressive consolidation project currently underway is a pilot project in Hocking, Ross and Vinton Counties to consolidate agencies and share administrative functions while maintaining direct services in each of the local areas
County JFS cost savings consolidation• The MBR removes the designation of the three county program as a “pilot” currently in statute and makes the consolidation of agencies an option statewide for local governments to consider• By allowing JFS agencies the option to pursue shared services across county lines, local agencies will be empowered to pursue additional strategies to share resources and identify greater efficiencies, better utilize existing expertise in the system and ensure that critical services continue to be available at the local level.
Simplified Eligibility Determination• Building on last year’s budget (HB 153) initiative to simplify healthcare eligibility policy, the MBR proposes to further streamline and simplify eligibility for all public assistance programs• County agencies currently administer dozens of programs with multiple eligibility criteria being applied to each• The MBR would provide a mechanism to streamline and standardize eligibility criteria for multiple programs, greatly reducing bureaucratic processes which will save time, cut costs, speed up eligibility determination, reduce errors and avoid potential federal penalties
Behavioral HealthMid-Biennium Budget ReviewThe only state agencies to receiveadditional funding in the Mid-Biennial Budget Review:• Ohio Department of Alcohol and Drug Addiction Services (ODADAS)• Ohio Department of Mental Health (ODMH)
Behavioral HealthMid-Biennium Budget ReviewCapital Bill - $10 million for HousingMental Health• Absorbed 1% budget reduction in State Hospital Administration• $3 Million targeted to regional community mental health projects
Behavioral HealthMid-Biennium Budget ReviewODADAS• Exempted from 1% budget reduction• Seek Medicaid coverage for Medication Assisted Treatment (MAT) for opiate addiction.• $5 Million investment for Medicaid match for MAT• $1.05 Million for targeted community addiction treatment for opiate addiction
Behavioral HealthMid-Biennium Budget ReviewOther Policy Changes:• Aligns licensure of adult care facilities with mental health residential licensure• Expands definition of addiction to include gambling addiction.• Privacy and confidentiality law changes that will facilitate exchange of health information, including mental health records
Behavioral Health Medicaid Reforms• Health Homes for Individuals with Serious and Persistent Mental Illness• Integrated Care Delivery System for “Dual Eligible” Medicare/Medicaid recipients• Disabled Children and Pediatric Accountable Care Organizations• Enhanced Care Management for High Cost Medicaid Managed Care Enrollees
Addiction TreatmentMid-Biennium Budget ReviewODADAS Addiction Treatmentfunding will be CUT $6.2Million on July 1
Addiction TreatmentMid-Biennium Budget ReviewImpact of Addiction Treatment funding CUT:• 3,800 people will not have access to addiction treatment• Lost lives – 1 Ohioan dies every 6 hours from accidental drug overdose• Employers unable to find workers due to high failure of drug screens• Sentencing reform efforts will be ineffective without access to addiction treatment
Addiction TreatmentMid-Biennium Budget ReviewBehavioral Health Advocacy Restore $6.2 Million to ODADAS for Addiction Treatment to maintain existing service capacity
Katie Kelly Executive Director of Ohio GroundWork Campaign Public Policy Fellow at the Center for Community Solutionshttp://www.groundworkohio.org/index.cfm
Early Care and Education H.B. 487Early Care and Education Quality• All Early Childhood Education (PublicPreschool) programs must be rated in Step Up toQuality by July 1, 2016.• Special education programs for preschoolchildren operated by school districts,educational service centers, and county DDboards must be rated by July 1, 2018.• Part of implementation of Race to the Top-Early Learning Challenge.
Early Care and Education S.B. 316Early Care and Education Quality• Renames the voluntary child day-care centerrating program (known as Step Up to Quality)as the tiered quality rating and improvementsystem and extends the system to all child day-care providers.• Requires all publicly funded child careproviders participate in the tiered qualityrating and improvement system by July 1,2020.• Modifies the requirements that a person mustmeet to be a child day-care centeradministrator.
Early Care and Education S.B. 316Early Care and Education QualityThe following reforms set tobegin on January 1, 2014• Requires type B family day-care homes (thatseek public funding) be licensed by the ODJFSDirector rather than certified by the CDJFS• Eliminates type B family day-care homes withlimited certification and in-home aides withlimited certification.• Requires that in-home aides undergo abackground check as part of the certificationprocess.
Early Care and Education S.B. 316Early Care and Education Data• Requires the director of any state agency thatadministers programs for children who are younger thancompulsory school age (i.e., younger than age six andnot in kindergarten) to obtain for each child receivingthose services a student data verification code (alsocalled a "Statewide Student Identifier" or "SSID") issuedunder the Department of Educations "EducationManagement Information System" (EMIS).• Requires the EMIS contractor to submit to theDepartment of Education the SSID code of a childyounger than compulsory school age receiving servicesfrom another state agency.
Early Care and Education S.B. 316Early Care and Education Data•Requires state agencies to submit to the Department ofEducation personally identifiable information of childrenyounger than compulsory school age receiving servicesfrom the agency using their SSID codes.•Provides that personally identifiable information ofchildren younger than compulsory school age maintainedin EMIS or an agencys files is not a public record•Part of Race to the Top- Early Learning Challengeimplementation of new early childhood data andassessment system.
Advocates for Ohio’s Future MBR Recommendations• Support workforce development• Keep family at home and in our communities• Enhance community behavioral health• Support quality early care & education• Deliver community services effectively• Develop effective prescribing practices
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