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 of
The 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 Services
Directors’ Association (OJFSDA)

      jpotts@ojfsda.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 Development
The 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
Teresa Lampl
  Associate Director

www.theohiocouncil.org
Behavioral Health
Mid-Biennium Budget Review
The only state agencies to receive
additional funding in the Mid-
Biennial Budget Review:
• Ohio Department of Alcohol and
  Drug Addiction Services (ODADAS)
• Ohio Department of Mental
  Health (ODMH)
Behavioral Health
Mid-Biennium Budget Review
Capital Bill - $10 million for Housing

Mental Health
• Absorbed 1% budget reduction in
  State Hospital Administration
• $3 Million targeted to regional
  community mental health projects
Behavioral Health
Mid-Biennium Budget Review
ODADAS
•   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 Health
Mid-Biennium Budget Review
Other 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 Treatment
Mid-Biennium Budget Review



ODADAS Addiction Treatment
funding will be CUT $6.2
Million on July 1
Addiction Treatment
Mid-Biennium Budget Review
Impact 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 Treatment
Mid-Biennium Budget Review


Behavioral 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 Solutions

http://www.groundworkohio.org/index.cfm
Early Care and Education
          H.B. 487
Early Care and Education Quality
• All Early Childhood Education (Public
Preschool) programs must be rated in Step Up to
Quality by July 1, 2016.
• Special education programs for preschool
children operated by school districts,
educational service centers, and county DD
boards must be rated by July 1, 2018.
• Part of implementation of Race to the Top-
Early Learning Challenge.
Early Care and Education
          S.B. 316
Early Care and Education Quality
• Renames the voluntary child day-care center
rating program (known as Step Up to Quality)
as the tiered quality rating and improvement
system and extends the system to all child day-
care providers.
• Requires all publicly funded child care
providers participate in the tiered quality
rating and improvement system by July 1,
2020.
• Modifies the requirements that a person must
meet to be a child day-care center
administrator.
Early Care and Education
          S.B. 316
Early Care and Education Quality

The following reforms set to
begin on January 1, 2014
• Requires type B family day-care homes (that
seek public funding) be licensed by the ODJFS
Director rather than certified by the CDJFS
• Eliminates type B family day-care homes with
limited certification and in-home aides with
limited certification.
• Requires that in-home aides undergo a
background check as part of the certification
process.
Early Care and Education
          S.B. 316
Early Care and Education Data
• Requires the director of any state agency that
administers programs for children who are younger than
compulsory school age (i.e., younger than age six and
not in kindergarten) to obtain for each child receiving
those services a student data verification code (also
called a "Statewide Student Identifier" or "SSID") issued
under the Department of Education's "Education
Management Information System" (EMIS).

• Requires the EMIS contractor to submit to the
Department of Education the SSID code of a child
younger than compulsory school age receiving services
from another state agency.
Early Care and Education
          S.B. 316
Early Care and Education Data
•Requires state agencies to submit to the Department of
Education personally identifiable information of children
younger than compulsory school age receiving services
from the agency using their SSID codes.

•Provides that personally identifiable information of
children younger than compulsory school age maintained
in EMIS or an agency's files is not a public record

•Part of Race to the Top- Early Learning Challenge
implementation of new early childhood data and
assessment 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
How Can You
     Get More Involved
• Learn More
• Share Info and Resources
• Endorse Advocates for Ohio’s
  Future
Learn More
• Read our partners testimony:
  http://www.advocatesforohio.org/
  post?s=2012-03-22-advocates-
  testify-on-midbiennium-review
• Read AOF’s 3.28.12 testimony:
  http://advocatesforohio.org/perch
  /resources/AOF.MBR.Talking.Points.
  pdf
Share Information
      and Resources
•    Talking Points for conversations with
     lawmakers (you can also use it as a leave
     behind resource!):
     http://advocatesforohio.org/perch/resou
     rces/AOF.MBR.Talking.Points.pdf
     • Share with colleagues, staff and
        leaders in your community
•    Use this Powerpoint!
     • Share with your colleagues, staff and
        at community meetings
How Organizations
    Can Help
• Talk to your local lawmaker and share
  our recommendations
• Endorse Advocates for Ohio’s Future
• Educate your board, staff,
  volunteers, and clients
• Recruit other agencies and
  organizations to endorse
How Individuals
      Can Help
•   Sign up for emails
•   Find us on Facebook
•   Participate in online Action Alerts
•   Stay informed and gain skills
    through regular webinars and
    trainings
•   Share your stories with us, your
    community, the media, and your
    elected officials!
Contact Us
       Advocates for Ohio’s Future
           www.advocatesforohio.org
          510 East Mound Street, Suite 200
                Columbus, OH 43215
                Fax: (614) 228-5150

       Will Petrik                   Scott Britton
      Outreach Director                  Coordinator
wpetrik@advocatesforohio.org   sbritton@advocatesforohio.org
        614-602-2464                    614-602-2463

Mid-Biennium Review AOF presentation

  • 1.
    Advocates for Ohio’sFuture Political and Field Call Featuring: Joel Potts, Executive Director of Ohio Job and Family Services Directors’ Association (OJFSDA) Teresa Lampl, Associate Director of The 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
  • 2.
    Mid-Biennium Review • TheKasich 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
  • 3.
    Mid-Biennium Review • Thiswebinar 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
  • 4.
    Joel Potts Executive Director Ohio Job and Family Services Directors’ Association (OJFSDA) jpotts@ojfsda.org www.ojfsda.org
  • 5.
    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.
  • 6.
    Workforce Development The 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.
  • 7.
    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
  • 8.
    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.
  • 9.
    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
  • 10.
    Teresa Lampl Associate Director www.theohiocouncil.org
  • 11.
    Behavioral Health Mid-Biennium BudgetReview The only state agencies to receive additional funding in the Mid- Biennial Budget Review: • Ohio Department of Alcohol and Drug Addiction Services (ODADAS) • Ohio Department of Mental Health (ODMH)
  • 12.
    Behavioral Health Mid-Biennium BudgetReview Capital Bill - $10 million for Housing Mental Health • Absorbed 1% budget reduction in State Hospital Administration • $3 Million targeted to regional community mental health projects
  • 13.
    Behavioral Health Mid-Biennium BudgetReview ODADAS • 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
  • 14.
    Behavioral Health Mid-Biennium BudgetReview Other 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
  • 15.
    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
  • 16.
    Addiction Treatment Mid-Biennium BudgetReview ODADAS Addiction Treatment funding will be CUT $6.2 Million on July 1
  • 17.
    Addiction Treatment Mid-Biennium BudgetReview Impact 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
  • 18.
    Addiction Treatment Mid-Biennium BudgetReview Behavioral Health Advocacy Restore $6.2 Million to ODADAS for Addiction Treatment to maintain existing service capacity
  • 19.
    Katie Kelly Executive Director of Ohio GroundWork Campaign Public Policy Fellow at the Center for Community Solutions http://www.groundworkohio.org/index.cfm
  • 20.
    Early Care andEducation H.B. 487 Early Care and Education Quality • All Early Childhood Education (Public Preschool) programs must be rated in Step Up to Quality by July 1, 2016. • Special education programs for preschool children operated by school districts, educational service centers, and county DD boards must be rated by July 1, 2018. • Part of implementation of Race to the Top- Early Learning Challenge.
  • 21.
    Early Care andEducation S.B. 316 Early Care and Education Quality • Renames the voluntary child day-care center rating program (known as Step Up to Quality) as the tiered quality rating and improvement system and extends the system to all child day- care providers. • Requires all publicly funded child care providers participate in the tiered quality rating and improvement system by July 1, 2020. • Modifies the requirements that a person must meet to be a child day-care center administrator.
  • 22.
    Early Care andEducation S.B. 316 Early Care and Education Quality The following reforms set to begin on January 1, 2014 • Requires type B family day-care homes (that seek public funding) be licensed by the ODJFS Director rather than certified by the CDJFS • Eliminates type B family day-care homes with limited certification and in-home aides with limited certification. • Requires that in-home aides undergo a background check as part of the certification process.
  • 23.
    Early Care andEducation S.B. 316 Early Care and Education Data • Requires the director of any state agency that administers programs for children who are younger than compulsory school age (i.e., younger than age six and not in kindergarten) to obtain for each child receiving those services a student data verification code (also called a "Statewide Student Identifier" or "SSID") issued under the Department of Education's "Education Management Information System" (EMIS). • Requires the EMIS contractor to submit to the Department of Education the SSID code of a child younger than compulsory school age receiving services from another state agency.
  • 24.
    Early Care andEducation S.B. 316 Early Care and Education Data •Requires state agencies to submit to the Department of Education personally identifiable information of children younger than compulsory school age receiving services from the agency using their SSID codes. •Provides that personally identifiable information of children younger than compulsory school age maintained in EMIS or an agency's files is not a public record •Part of Race to the Top- Early Learning Challenge implementation of new early childhood data and assessment system.
  • 25.
    Advocates for Ohio’sFuture 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
  • 26.
    How Can You Get More Involved • Learn More • Share Info and Resources • Endorse Advocates for Ohio’s Future
  • 27.
    Learn More • Readour partners testimony: http://www.advocatesforohio.org/ post?s=2012-03-22-advocates- testify-on-midbiennium-review • Read AOF’s 3.28.12 testimony: http://advocatesforohio.org/perch /resources/AOF.MBR.Talking.Points. pdf
  • 28.
    Share Information and Resources • Talking Points for conversations with lawmakers (you can also use it as a leave behind resource!): http://advocatesforohio.org/perch/resou rces/AOF.MBR.Talking.Points.pdf • Share with colleagues, staff and leaders in your community • Use this Powerpoint! • Share with your colleagues, staff and at community meetings
  • 29.
    How Organizations Can Help • Talk to your local lawmaker and share our recommendations • Endorse Advocates for Ohio’s Future • Educate your board, staff, volunteers, and clients • Recruit other agencies and organizations to endorse
  • 30.
    How Individuals Can Help • Sign up for emails • Find us on Facebook • Participate in online Action Alerts • Stay informed and gain skills through regular webinars and trainings • Share your stories with us, your community, the media, and your elected officials!
  • 31.
    Contact Us Advocates for Ohio’s Future www.advocatesforohio.org 510 East Mound Street, Suite 200 Columbus, OH 43215 Fax: (614) 228-5150 Will Petrik Scott Britton Outreach Director Coordinator wpetrik@advocatesforohio.org sbritton@advocatesforohio.org 614-602-2464 614-602-2463

Editor's Notes

  • #2 Need Groundwork picture!!
  • #3 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
  • #4 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.