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Mid-Biennium Review AOF presentation
1. 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
2. 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
3. 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
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 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)
12. 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
13. 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
14. 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
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
17. 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
18. Addiction Treatment
Mid-Biennium Budget Review
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 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.
21. 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.
22. 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.
23. 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.
24. 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.
25. 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
26. How Can You
Get More Involved
• Learn More
• Share Info and Resources
• Endorse Advocates for Ohio’s
Future
27. 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
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
Notas do Editor
Need Groundwork picture!!
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.