Sarah Hudacek

AOF Releases 2022 Resources: Poverty Scorecard and Eligibility Infographic

This week, AOF is releasing our 2022 Poverty Level Scorecard and Public Benefits Eligibility Infographic! At a time when the COVID-19 pandemic is raging at its worst and families continue to struggle to meet their basic needs, we hope these resources will help spread the word about these crucial public programs and center conversations around strengthening these safety net programs that have supported more Ohioans than ever during these challenging times.

Download our Eligibility Infographic HERE and our Poverty Scorecard HERE!

 
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AOF Releases Winter Checklist for Families

This year will be a year of big changes to public benefits for many families after we see increased benefits and flexibilities across public programs like Medicaid and SNAP begin to unwind as the coronavirus pandemic (hopefully) eases up. To help families prepare for the end of these temporary COVID-19 flexibilities and enhanced benefits, AOF is releasing our winter checklist for families to ensure they continue to receive the benefits and tax credits they’re eligible for. We’re encouraging families to:

  1. File your 2021 tax return-Even if you aren’t required or don’t normally fi­le your taxes, be sure to ­file your 2021 tax return so you can claim the rest of your expanded Child Tax Credit and other funds like the Earned Income Tax Credit.

  2. Update your household info- Many people have been displaced or experienced changes in their lives during the pandemic. Update your Medicaid and SNAP cases to make sure you keep your benefi­ts and know when deadlines are coming up. Call 1-844-640-6446 or go to jfs.ohio.gov and click County Directory.

  3. Keep your child’s school informed-Schools need to keep your info up-to-date so your child(ren) receive available free or reduced-price school meals and Pandemic EBT (P-EBT) funds. Learn more at ohiopebt.org.

    • If your child is out of school because of a COVID-19 related reason, make sure to report the reason for their absence to your child’s school so that they may receive P-EBT funds for qualifying absences.

    • Even if your child is receiving free school meals during the COVID-19 pandemic, submit a new National School Meals Program application to your school so that they do not lose access if they are still eligible after the pandemic.

  4. Check on other benefi­ts & programs- Go to ohiofoodbanks.org/get-help to fi­nd out more

Find our full winter checklist HERE and
use this social media graphic to help us share with Ohio families!

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Announcing AOF’s 2022 Steering Committee

AOF is excited to announce our 2022 Steering Committee! Each of these 30 organizations bring a unique and important voice to the AOF table and give incredible amounts of time to the leadership and governance of AOF.

AOF Co-Chairs:

  • Tara Britton, The Center for Community Solutions

  • Darold Johnson, Ohio Federation of Teachers

Executive Committee:

  • Teresa Lampl, Ohio Council of Behavioral Health & Family Service Providers

  • Lisa Hamler-Fugitt, Ohio Association of Foodbanks

  • Susan Jagers, Ohio Poverty Law Center

  • Gina Wilt, Coalition on Homelessness and Housing in Ohio

  • Will Petrik, Policy Matters Ohio

  • Tracy Najerá, Children’s Defense Fund-Ohio

Steering Committee:

  • Scott Neely, Children’s Hunger Alliance

  • Megan Riddlebarger, Corporation for Ohio Appalachian Development

  • Jordan Ballinger, Disability Rights Ohio

  • Michael Corey, Human Service Chamber of Franklin County

  • Juvenile Justice Coalition

  • Megan Burke, Mental Health & Addiction Advocacy Coalition

  • Beth Kowalczyk, Ohio Association of Area Agencies on Aging

  • Phil Cole, Ohio Association of Community Action Agencies

  • Julie DiRossi-King, Ohio Association of Community Health Centers

  • Liz Henrich, Ohio Association of County Behavioral Health Authorities

  • Mark Trew, Ohio Association of Goodwill Industries

  • Kate Rossman, Ohio Children’s Alliance

  • Joe Russell, Ohio Council for Home Care and Hospice

  • Gretchen Behimer, Ohio Family & Children First Coordinators Association

  • Joel Potts, Ohio Job and Family Services Directors’ Association

  • Christine Touvelle, Ohio Provider Resource Association

  • Michael Ranney, Ohio Psychological Association

  • Jeremy Morris, Ohio Statewide Independent Living Council

  • Rebecca Kusner, Ohio Workforce Coalition

  • Nick Bates, One Ohio Now

  • Scott Britton, Public Children Services Association of Ohio

  • Steve Wagner, Universal Health Care Action Network-Ohio

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Advocates for Ohio’s Future: A Look Back at 2021

Advocates for Ohio’s Future (AOF) is a nonprofit, nonpartisan coalition of over 500 state and local health and human services policy, advocacy and provider organizations that strive to strengthen families and communities through public funding for health, human services, and early care & education. We work to empower and support nonprofit organizations in the critical work they do, especially as it relates to lifting up the most vulnerable among us.

When planning for 2021, we knew it would take many months, if not years, for Ohio’s families and businesses to recover from the coronavirus pandemic.

When planning for 2021, we knew it would take many months, if not years, for Ohio’s families and businesses to recover from the coronavirus pandemic. The need to protect and increase basic needs assistance and invest in work supports for Ohioans and their families that would last the duration of the economic fallout—not just the public health crisis—united our member organizations and framed our policy priorities for the year.

Medicaid, broadband and supporting low-income families through TANF

In collaboration with partner organizations, AOF focused our advocacy efforts to:

  • Maintain Medicaid eligibility without barriers or cuts so that Ohioans seeking health care and mental health and addiction treatment can continue to access vital services during these multiple public health and economic crises;

  • Increase access to broadband to help all low-income families afford high-speed internet access and incentivize internet service providers to update and improve their networks in low-income areas so all Ohio families and businesses have the ability to participate in education, telehealth and Ohio’s economy; and

  • Support the immediate, emergency needs of low-income children and families by investing in the core components of the TANF program including emergency assistance, work supports (PRC), food, housing, income-support, and child care and ensure unspent TANF dollars are reinvested into sustainable core programs to increase the security of low-income families and expand job training and work opportunities.

AOF-led education and media efforts resulted in budget and policy wins

Throughout the introduction and initial hearings of the state biennial budget bill, House Bill 110, AOF and our partner organizations went to work analyzing proposed appropriations and massive policy pieces included in the bill. We formed our initial advocacy strategy to meet with elected officials, testify in committee and educate our supporters about what was included in the budget in all its forms.

Given the success of our COVID-19 Health and Human Service Policy Response webinar series in 2020, we endeavored to launch a series of webinars every other week during the budget process to feature our partner organizations reviewing their health and human services section of expertise in the state budget, talk about their priorities and offer ways for our viewers to take action and advocate on issues important to them. We planned and coordinated 10 free webinars over the budget process with over 1,000 viewers and 40 featured speakers. You can revisit AOF’s budget webinars here.

Unfortunately, the content and impact of the state budget bill took a turn for the worse in the final weeks of deliberations. By adding provisions that derailed the Medicaid procurement process, passed on funding for critical broadband infrastructure, jeopardized quality child care and diverted critical funding for public programs and community services to pay for tax cuts, Ohio Senate leaders confirmed their budget was not for the benefit of Ohio’s children, families and communities. AOF and our partner organizations mobilized quickly to coordinate two in-person press conferences, social media storms, direct contact campaigns, print media and broadcast interviews along with direct advocacy to lawmakers to consider the ramifications of the damaging provisions on their constituents who continue to struggle and are the most at risk before passing the final state biennial budget.

Due to the efforts of many of our partners, stakeholders and supporters over a short period of time, the final version of HB 110 did not include many of malevolent provisions added in the final weeks and included a number of positive policies, including historic investments in broadband access and adult protective services, and the extension of Medicaid coverage for postpartum mothers up to 12 months.

Over 90 organizations mobilized against SB 17, aimed at SNAP and Medicaid

In addition to our proactive budget agenda, AOF and our partners responded to the most comprehensive legislative threat to public programs introduced in years; Senate Bill 17. SB 17 was introduced in late January and sought to make changes in eligibility for the Supplemental Nutrition Assistance Program and Medicaid, work and education requirements for certain Medicaid recipients, requirements for Supplemental Nutrition Assistance Program electronic benefit transfer cards, and eligibility for and overpayments of unemployment compensation.

All people need safety and security, especially in the middle of a pandemic and a recession.

Though the bill sponsor Senator Tim Schaffer claimed these reforms would “repair our safety net so that it’s strong enough to catch the needy, the folks eligible to receive–and need–public assistance,” AOF and our partner organizations disagreed SB 17 does not protect the safety net and exposes vulnerable Ohioans to loss of critical, earned support in challenging times. It punishes workers and creates more barriers for children, families, working adults and seniors to get the help they need. All people need safety and security, especially in the middle of a pandemic and a recession. Public programs like SNAP, Medicaid, and unemployment insurance are the strongest lifelines to ensure our neighbors have the supports they need during these challenging times.

Unlike any issue we have worked on, more of our members and partners raised concerns about the provisions of Senate Bill 17. In just a week, we had more than 90 local, state and national organizations join a sign-on letter to the Senate Government Oversight and Accountability Committee and Senate leadership in opposition, as well as organized over 50 opponents to submit testimony in person or in writing against the bill. AOF coordinated weekly stakeholder meetings, organized a social media toolkit for our members and partners to spread the word and helped concerned individuals and organizations take direct action against the bill with their elected officials.

After four hearings and a sub-bill, SB 17 sits stalled in committee but we continue monitor chatter for any intention to continue hearings on the bill.

AOF highlights equity with new digital resources

In addition to our budget policy work AOF has four issue-specific work groups: Temporary Assistance for Needy Families (TANF), Broadband Access, Work and Wages, and Equity. These groups are chaired by members of AOF and convene regularly to discuss current events under these topics and plan advocacy initiatives.

Stemming from an idea in AOF’s Equity work group, we released an Equity Resources page on our website this year. Equity is a priority in all of AOF’s policy work, and we’re proud to be a resource for members, partners and supporters to engage with equity.

Minority Health Strike Force 1-Year Anniversary, continues strategic communications into 2022

In 2020, when Ohio’s Minority Health Strike Force report was being written, AOF stepped up to host town halls across the state for Ohioans to provide input on the strategic plan being created to address health disparities in Ohio. In August 2021, on the one-year anniversary of the release of the report, AOF asked for a comprehensive report on the status of implementation. We issued a letter to Governor DeWine and his administration asking for an update and launched a social media storm to raise awareness that the administration has done very little to achieve and report on the goals laid out by the Task Force. AOF will continue to monitor implementation into 2022 and beyond.

Ohio American Rescue Plan funding totals $5.4 billion

The American Rescue Plan Act (ARP) will bring unprecedented funding into the State of Ohio and local governments. AOF has been keeping a close eye on funds coming into Ohio, particularly the State Fiscal Recovery Funds (SFRF), the largest single pot of funding coming into the state at $5.4 billion. These funds are incredibly flexible, which has allowed the state to so far use the funds in ways that don’t prioritize immediate health and human services needs and that don’t focus on an equitable recovery from COVID-19.

In May, AOF hosted a roundtable webinar reviewing what ARP funding was coming into Ohio for Medicaid, education, food access, behavioral health, home and community-based services, older adults, and more. In October, we hosted a second ARP webinar for AOF members to present their proposals on how the remainder of Ohio’s SFRF allocation should be spent. Governor DeWine and his administration have not hosted any public hearings or created any opportunities for public comment on how this historic funding should be allocated so we held a hearing of our own and created a report based on AOF members’ webinar presentations to send to the administration continuing to push for an open, transparent state allocation process with public input.

Ohio COVID-19 Recovery Coalition will continue to meet to protect benefits into 2022

Once the federal Public Health Emergency (PHE) declaration was put in place in January 2020, program requirement waivers started to be tied to the end of the PHE as a bellwether for the end of the pandemic and a time to reinstate requirements. As a result, at the end of the PHE, Ohioans will be facing the redetermination of their Medicaid benefits, the return of TANF cash assistance and Supplemental Nutrition Assistance Program (SNAP) work requirements, re-starting student loan payments, loosening Medicaid telehealth allowances, reduced SNAP payments once Emergency Allotments end, and more – all at once.

Recognizing this upcoming challenge faced by state and local institutions and Ohioans, AOF formed the Ohio COVID-19 Recovery Coalition. With three workgroups – Healthcare, Nutrition and Family Stability – the Coalition meets weekly to discuss updates, meet with the state administration, and plan advocacy initiatives. Our groups have so far met with two state departments and sent two letters to the administration. This Coalition will continue to meet through the anticipated end of the federal PHE in April 2022.

New member organizations and expanded membership options

AOF is proud to announce that, stemming from all of our successes and engagement in 2021, we’re launching a new membership structure in 2022 that will expand membership access and engagement options. We will also welcome one new member organization to our Steering Committee, further expanding the depth and breadth of health and human service voices at our table. Keep an eye out for more information in our newsletter!

AOF is Advocate of the Year, honored by the Ohio Association of Area Agencies

All of AOF’s hard work and forward-thinking has been recognized by our partners. In October, AOF was honored by the Ohio Association of Area Agencies on Aging as the 2021 Advocate of the Year. AOF’s accomplishments are only possible because of the support and commitment of our member organizations.

We’re so grateful to all of our partners, members and supporters for a successful 2021.

Follow our plans in 2022

We’re so grateful to all of our partners, members and supporters for a successful 2021. We’ve seen firsthand what can be accomplished when we focus the combined power of our coalition organizations and supporters towards our common goal—to protect Ohio’s most vulnerable citizens and ensure all Ohioans live healthy lives in strong communities. We have big plans for 2022, including continuing the Ohio COVID-19 Recovery Coalition’s work, monitoring the upcoming Capital Budget, and more. Keep in touch by following us on TwitterFacebook, and signing up for our weekly newsletter on our website.

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Marketplace Health Insurance: Open Enrollment Begins on Monday

Open enrollment for health insurance through the state marketplace begins on November 1st! Although open enrollment will continue through January 15, 2022, individuals are encouraged to sign up by December 15th in order to have health care coverage starting on January 1st. Because of the American Rescue Plan, additional financial help is available this year. Help with premiums is available up to 400 percent of the Federal Poverty Level (FPL) - $87,840 for a family of 3 and $106,000 for a family of 4 - and help with copays and coinsurance is available up to 250 percent FPL - $54,900 for a family of 3 and $66,250 for a family of 4.

You can preview 2022 health plans here, and beginning Monday, you can enroll at HealthCare.gov or CuidadoDeSalud.gov.

If you’re looking for assistance enrolling, have questions about available Marketplace plans, Medicaid enrollment, or are unsure what you might qualify for, visit GetCoveredOhio.org to schedule a free appointment with application assisters near you.

by: Sarah Hudacek, AOF Policy Assistant

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AOF Releases New Public Benefits Infographic

AOF created a brand new public benefits infographic that we’re proud to release today! This infographic, which you can download here, outlines the income eligibility guidelines for Ohio’s social safety net programs, such as cash assistance, food assistance, Medicaid, nutrition, and child care subsidies.

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The back of our new resource includes AOF’s annually updated Poverty Scorecard, with Federal Poverty Guidelines, and the ten most common Ohio jobs and the median wages earned for those jobs.

AOF will use this resource in legislative meetings, outreach, and education. We hope you’ll find this resource as helpful as we do!

by: Sarah Hudacek, AOF Policy Assistant

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Don't Miss Out on the Expanded Child Tax Credit!

As part of the American Rescue Plan Act (ARP), Congress expanded the Child Tax Credit (CTC) to allow families to receive a total of $3,600 per child up to age 5 and $3,000 per child age 6 to 17. Most families don’t have to do anything to receive the expanded CTC, but if you haven’t filed taxes recently and your 2020 income is below $12,400 for a single parent, $24,800 for a married couple, or $18,650 for head of household, be sure to sign up as soon as possible with the Non-Filer Sign-Up Tool before it closes on November 15th!

Be sure to also share these two flyers from Children’s Defense Fund-Ohio to spread the word and make sure every eligible family receives the assistance they deserve! Download the flyers here and here.

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by: Sarah Hudacek, AOF Policy Assistant

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AOF's Letter to Governor DeWine on the 1-Year Anniversary of the Minority Health Strike Force Blueprint

Today, AOF sent a letter to Governor Mike DeWine on the 1-Year anniversary of the release of the Minority Health Strike Force Blueprint asking for transparency, accountability and robust community involvement. Read our letter below:


Governor DeWine:

Around this time last year, our coalition sent you a letter thank you for the tremendous work done by the Minority Health Task Force and your administration in laying a foundation for the deeply meaningful work of moving Ohio to a place of racial equity.  The COVID-19 Minority Health Strike Force Blueprint and Ohio’s Executive Response: A Plan of Action to Advance Equity are significant documents and represent a meaningful opportunity for racial equity and antiracist initiatives. 

We are a year and a half into this pandemic and minority communities continue to experience disparate impacts of the health and economic crisis as well as poorer overall health outcomes.

Implementing the Blueprint recommendations and your Executive Action Plan would create a profound change in the lives of black and brown people across Ohio. Though we recognize and applaud a number of funding initiatives and programs included in the recently passed state budget bill, our member organizations and others who have pledged to work with black and brown community members, along with you and Ohio’s leaders to dismantle racism to advance health equity, have not received any meaningful update or report on progress made toward Blueprint recommendations or your Executive Action Plan.

Specifically, three commitments from your Executive Action Plan are critical for long term change and addressing racial inequities and disparities that existed long before the Coronavirus crisis.

  • Commitment #6: Approach equity holistically. Ohio must use a deliberate and comprehensive lens through which social determinants of health are analyzed for change. #6 from the Executive Response is a powerful frame and will well serve all of Ohio’s residents. A tool for analyzing the impact of rules on health and equity was developed under the leadership of the Ohio Public Health Association and is another excellent place to start applying an equity lens.

  • Commitments #8 and #10 (Measure progress against widely accepted benchmarks and standards and ensure all Ohioans have the ability to connect with and understand state content, programs, policy and data, respectively) are important corollaries to Commitment #6. We believe transparency and public accountability are critically necessary components that cannot be meaningful or effective without state-level data and information stratified by race, ethnicity, and language.

We urge two additions to your approach moving forward. First, the community impacted, black and brown people, must be fully engaged and empowered in the initiatives to dismantle racism and create equity. This should be reflected in the Governor’s Equity Advisory Board AND in the work of Ohio agency’s through regular, ongoing engagement of affected members of the community. Second, hold monthly public meetings updating your progress on equity; annual tracking and reporting as identified in the Blueprint is wholly inadequate for an issue that is Ohio’s second pandemic. The people of Ohio have suffered the consequences of racism for too long, action can’t wait.

We were encouraged by the release of your Executive Response and your Cabinet’s commitment to each day take swift and continual actions that result in an Ohio that we can be proud of—one that every Ohioan deserves. A year later, there has been little public progress towards these combined 44 goals. Advocates for Ohio’s Future (AOF) and our member organizations are asking for transparency, accountability and robust community involvement moving forward.

We endeavor to be partners in your racial equity and antiracist initiatives and stand ready to support you in whatever way we can.

Sincerely,

Kelsey Bergfeld

Director

 

Cc: Director Ursel McElroy, Ohio Department of Aging

Director Alisha Nelson, RecoveryOhio

Director Angela Dawson, Ohio Commission on Minority Health

Jamie Carmichael, Ohio Department of Health

Jennifer Adair, Ohio Department of Administrative Services

Ohio House of Representatives Majority and Minority Leadership

Ohio Senate Majority and Minority Leadership

Access a PDF of our letter HERE.

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A Case of Conscience: Fighting the Medical Conscience Clause

by: Sarah Hudacek, AOF Policy Assistant

A small medical conscience clause with a big impact was added at the last minute by the Senate to the state budget bill without any public hearings or opportunities for comment. The provision allows clinicians, institutions, and insurers to decline to perform or pay for health care services if those services do not align with their moral, ethical or religious beliefs.

Federal law already allows a provider to decline to provide a medical service due to objections of conscience, but compels doctors to find another physician to perform the service. This provision removes that requirement, and prevents a practitioner, institution or insurance company from facing any liability for declining to do so.

The provision casts a wide net. Doctors and nurses can decline to perform necessary procedures, lab techs can refuse to analyze test results or perform screening procedures, insurance companies can refuse to cover a procedure already performed by a doctor, a pharmacist can refuse to dispense birth control even if a patient has a valid prescription, and more.

Advocates across the state have warned that this provision would legalize discrimination against LGBTQ patients, minorities, marginalized groups such as those with substance use disorders or a sexually transmitted disease and could prevent women from accessing birth control and other family planning and reproductive health care services.

It also carries implications for Ohioans in rural communities with limited access to medical providers, or those residing in long-term care, where finding an alternate provider is easier said than done.

Despite opposition from AOF and many of our partner organizations to Governor DeWine and state legislators, the medical conscience clause survived the General Assembly’s conference committee proceedings and was not included in Governor DeWine’s 14 vetoes. This provision was enacted when the state budget bull was signed in the early hours of July 2 and is current law.

Arkansas, South Dakota and Montana have enacted similar medical conscience clause laws. In 2019, a U.S. Department of Health and Human Services medical conscience clause was struck down by a U.S. District Court.

AOF will be closely monitoring any legal challenges to this harmful law and will continue advocating against it.

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AOF Review of House Bill 110, the State Operating Budget

AOF has compiled a run-down of the major health and human services provisions in the final version of the state operating budget. Check out our review below:

Tax Cuts 

  • $1.7 billion income tax cut over the next two years 

  • Across the board 3% income tax cut for most Ohioans  

  • Eliminates the top two tax brackets and replaces them with a 3.99% tax rate 

    • This means that the wealthiest 1% of Ohioans will receive more than a 16% cut in taxes while most Ohioans only have a 3% cut 

Medicaid 

  • Requires Medicaid coverage for pregnant women for the maximum postpartum period permitted under federal law, instead of for 60 days after giving birth 

  • Redeterminations: Sets the amount of time in which ODM must conduct and act on any redetermination of a Medicaid recipient at 90 days after receiving approval from the U.S. Centers for Medicare and Medicaid Services to conduct such redeterminations. 

    • Authorizes a county department of job and family services assisting ODM with conducting and acting on redeterminations to request from ODJFS, in consultation with the Department of Medicaid, up to 30 additional days to act on redeterminations 

    • Delays the effective date of this provision until January 1, 2022 

    • Removes requirement that ODM suspend its current procurement process and, during FY 2022, complete a new procurement process. 

  • DeWine Veto: Removes following requirements from current and future procurements: 

    • Requires ODM to, to the extent permitted by federal law, when contracting with Medicaid MCOs, include contracts with organizations that: 

      • (1) Are domiciled in Ohio, including their parent entities; 

      • (2) Are currently Medicaid MCOs; and  

      • (3) Have a proven history of quality and customer satisfaction, as reported by ODM's Medicaid Managed Care Plans Report Card and NCQA Medicaid health insurance plan ratings. 

    • Requires the contracted organizations to participate, at minimum, in the areas of Ohio where they are providing services as of the bill's effective date. 

    • Exempts from the reprocurement requirements a behavioral health managed care plan selected to assist with implementing the Ohio Resilience through Integrated Systems and Excellence (OhioRISE) Program. 

SNAP Eligibility 

  • Requires the ODJFS Director to submit an application to the U.S. Department of Agriculture for participation in the Elderly Simplified Application Project within the Supplemental Nutrition Assistance Program (SNAP) 

  • All Removed (SB17 Provisions) 

    • Prohibits SNAP income and asset limits from exceeding the types and allowable amounts permitted by the Secretary of the U.S. Department of Agriculture.  

    • Requires ODJFS to conduct an asset test for each SNAP recipient 

    • 30 Day Change Reporting up to $500 

    • Requires ODJFS to prepare and submit baseline and subsequent quarterly reports detailing certain information regarding SNAP.  

    • Requires SNAP recipients to cooperate with the child support enforcement program 

Public Assistance Programs 

  • Creates the Public Assistance Benefits Accountability Task Force 

    • Establishes the Public Assistance Benefits Accountability Task Force consisting of 15 members 

    • Requires the Task Force to review all of the following  

      • (1) The State Auditor's report of Ohio's Medicaid Eligibility Determination Process to determine to what extent the recommendations have been adopted. 

      • (2) Past and present welfare to work county programs and their effectiveness on assisting individuals in achieving employment. 

      • (3) Existing fraud prevention efforts at the state and county levels to determine best practices for fraud prevention in the SNAP, Medicaid, Ohio Works First, and publicly funded child care programs. 

      • (4) Best practices on how overpayments in the SNAP, Medicaid, and publicly funded child care programs can be prevented at the state and county level. 

      • (5) Best practices in public assistance case processing that create efficiencies and reduce errors through the use of technology. 

      • (6) The length of time that individuals receive public assistance benefits in the state and ways to return individuals to the workforce. 

      • (7) Existing efforts to ensure compliance with child support enforcement across public assistance benefit programs and recommend additional ways compliance could be improved. 

      • (8) The costs and benefits associated with implementing a requirement that each SNAP debit card include a color photograph of at least one adult member of the household. 

    • Requires the task force to prepare and submit a report to the General Assembly  

Broadband 

  • Removes Senate-added provision to restrict government-owned broadband networks  

  • Provides $250 million cash from the GRF for Ohio Residential Broadband Expansion Grant Program 

    • Provides $230.0 million in FY 2022 and $20.0 million in FY 2023 for the program under Fund 5GTO line item 195550, Broadband Development Grants. 

TANF 

  • Kinship Caregiver Program: Restores $10 million in each fiscal year from FED Fund 3V60 line item 600689, TANF Block Grant, to support kinship care. 

    • Requires funds to be allocated via formula and requires PCSAs to use funds to provide reasonable and necessary relief of child caring functions so kinship caregivers can provide and maintain a home for a child 

K-12 School Funding 

  • “Almost entirely” restores the House’s Fair School Funding Plan  

    • Intent language speaking to how the House plan would go into effect beyond this coming biennium was deleted.

    • Proposed and previously authorized cost studies on various elements of the formula were also removed 

  • Grants Senate-proposed increases to funding for school choice programs 

  • Maintains the policy of direct state funding of choice programs that was included in both the House and Senate versions. 

Housing 

  • Removed proposal that jeopardized the continued viability of one-third of Ohio’s affordable housing properties 

    • Instead of increasing taxes on affordable housing developments, the final state budget would create a 16-member study committee charged with making recommendations about the valuation process of federally subsidized rental properties 

Child Care & Step Up to Quality 

  • PFCC eligibility increased to 142% FPL for SFY22-23 (150%FPL for families of children with special needs) 

  • Step Up to Quality (SUTQ) mandate for PFCC providers to be one-star rated is restored; requirement for PFCC providers to be highly rated by 2025 is eliminated 

  • Further defines scope of the child care & SUTQ legislative study committee (first included in House, required to report by 12/31/21) is required to evaluate access, eligibility, administrative requirements, rate setting, funding and sustainability, as well as consideration of an alternative pathway to obtaining a one-star rating for programs “with a low census of children receiving PFCC” 

  • Requires ODJFS to use any additional federal resources (specifies the December 2020 CRSA) for stabilizing and sustaining the child care system, improve workforce recruitment and retention, and increase access for families. 

Home & Community Based Services 

  • DeWine Veto Removes the 6% (4% in 2022 and 2% in 2023) increase in provider rates for PASSPORT/MyCare/Ohio Home Care personal care and assisted living and other home care rates. 

**Rate increases intended to be enacted via rule rather than statue ASAP 

Older Adults 

  • An increase of $1 million per year in the Senior Community Services line item, not earmarked.   

  • Adult Protective Services – the House added $1.5 million per year increase ($65,000 per county per year) was maintained- $5.7 million appropriated per year is the largest amount of state funding for APS ever 

Additional Items of Interest-AOF Veto Request Items 

  • Establishes a new joint legislative committee appointed every two years to examine if a new entity should be designated as the state’s Protection and Advocacy system (P&A) charged with investigating instances of abuse and neglect and protecting the rights of people with disabilities. 

  • Allows medical practitioners or health care institutions to decline to perform any health care service that violates their conscience as informed by their moral, ethical, or religious beliefs or principles.  

**Veto attempts sadly failed 

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AOF Responds to Finalized State Budget

On behalf of our more than 500 member organizations in the field of health and human services, Advocates for Ohio’s Future would like to thank the Ohio General Assembly for recognizing the importance of providing for the safety, health, and well-being of all those they represent.

Actions taken through the Conference Committee process and affirmed by Governor DeWine removed provisions that would have terminated the Medicaid managed care procurement process and derailed crucial efforts to refocus, improve, and personalize Medicaid services for Ohioans. The removal of asset testing and other changes targeting the Supplemental Nutrition Assistance Program (SNAP) has ensured that low-income Ohioans will not be forced to choose between having food and owning a car to get to work or saving for an emergency. In addition, this final budget reinstates $250 million in funding for broadband expansion and allows municipal governments to participate in the all-hands-on-deck approach necessary to give every Ohioan the ability to effectively do their job, finish their school assignments, or receive health care when they need it the most.

Unfortunately, the provision that would allow medical practitioners or health care institutions to decline to perform any health care service that violates their conscience as informed by their moral, ethical, or religious beliefs or principles remains in the bill and is signed into law. We are critically concerned about the impact the clause will have on medically underserved Ohioans. LGBTQ+ Ohioans and other members of communities who already don’t seek health care due to perceived or actual bias against them could be denied care under this added language and many will stay home rather than seek needed care. This provision will widen disparities we already have in our health care system.

While there is always room for improvement, the legislature made the decision to remove budget provisions that could have been devastating for many of Ohio’s most vulnerable populations. As a coalition of health and human services organizations, many of our members see daily how these programs have held families together and supported their most basic needs.

We’d like to thank Governor DeWine, Senate President Huffman, Speaker Cupp, Chairman Dolan, Chairman Oelslager and the other members of Conference Committee and the General Assembly for their hard work to finalize the state budget and for investing in our state’s most valuable resource—our people.

We asked you to do better, and you have done so for your constituents. We look forward to continuing our work with you to improve the health and livelihoods of Ohioans into the future.

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More than 90 advocates sign onto letter opposing Medicaid procurement changes

This week, 93 organizations, health care providers, and concerned constituents from across the state united with Advocates for Ohio’s Future in releasing a letter calling on Ohio legislators to remove a last-minute budget amendment that would terminate the Medicaid managed care procurement process and derail crucial efforts to refocus, improve, and personalize the delivery of Medicaid services to Ohioans.

Over the past two years, the Ohio Department of Medicaid underwent a transformative and transparent process to overhaul managed care contracts with the goal of improving and streamlining the care delivery experience for managed care companies, providers, and most importantly, Medicaid patients.

Now, following the completion of this process, a Senate-inserted amendment would terminate the Ohio managed care procurement, leaving behind rural Ohioans and dismantling the years-long legislative work to stop pharmacy middle-manning, improve care and coordination for patients including nearly 60,000 multi-system youth, end custody relinquishment and save significant dollars in reduced overhead.

“The status quo is not working, as shown by Ohio’s ranking of 47th nationally for health value,” said Kelsey Bergfeld, Director, Advocates for Ohio’s Future. “The managed care procurement process represents an opportunity to improve quality of care and health outcomes for families and communities across the state. Ohioans cannot afford to wait another two years for better care. They deserve the best care now.”

The state budget conference committee began meeting this week to compare the Governor’s initial version of the budget with those bills passed by the House and Senate. They must meet a June 30th deadline for passage of a single bill by both chambers.

Read our opposition letter HERE.

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Press Release: Ohioans Cannot Afford to Stay Disconnected

Advocates call on Conference Committee to restore funding and municipal authority to offer broadband.

(Columbus, OH)—As the budget conference committee continues its hearings on the state’s biennial budget bill, advocates are sounding the alarm over the need to restore both funding for high-speed broadband expansion in Ohio and the authority for municipalities to provide broadband services to their residents.

“For the more than one million Ohioans who lack internet access, the provisions quickly and quietly inserted into the Senate-passed version of the budget will result in a continued lack of connectivity and an even deeper disadvantage,” said Kelsey Bergfeld, Director of Advocates for Ohio’s Future. “We need an all-hands-on-deck approach to make sure every Ohioan has the ability to effectively do their job, finish their school assignment, or receive health care when they need it the most.”

The Senate-passed version of the budget removed $190 million from the Ohio Residential Broadband Expansion Grant Program and inserted language that restricts political subdivisions’ ability to provide broadband service to their residents.

“The best entity to expand service may be a government entity, and there are models across Ohio where a municipality has been providing reliable, high speed broadband service to residents at a competitive cost,” said Bergfeld. “Research has shown that municipal broadband access is a predictor of low-priced broadband ability, and residents without service cannot afford to have another option stripped away or cost-reducing competition squashed.”

Baiju Shah, President and CEO of Greater Cleveland Partnership, described the need for equitable digital access in Northeast Ohio. “This amendment severely limits efforts in the Cleveland area to end the digital divide and help low-income residents access broadband internet. Public-private partnerships helped our community respond to urgent broadband needs throughout the pandemic when so many students and people have been forced to shelter in place,” said Shah. “This amendment would restrict such partnerships, expanding rather than ending the divide for so many low-income students, adults, and elders.”

The conference committee will continue wrapping up their work on harmonizing different versions of the budget bill over the next two weeks, with floor action from both chambers required by June 30th.

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SNAP Pandemic Emergency Allotments Are Vital for Ohio

At the beginning of the COVID-19 pandemic in March 2020, the Families First Coronavirus Response Act (FFCRA) allowed the Food and Nutrition Service (FNS) through the U.S. Department of Agriculture (USDA) to expand the Supplemental Nutrition Assistance Program (SNAP), formerly known as food stamps, through Emergency Allotments (EA). EAs ensure each SNAP household receives the maximum benefit amount for their household size.

To receive SNAP EAs, a state must apply for an extension every month and meet certain requirements. Every state has chosen to use EAs to expand SNAP benefits to recipients in their state throughout the pandemic, including Ohio.

Under the FFCRA, recipients not already receiving the maximum SNAP benefit for their household size would receive an EA supplement. This meant that households already receiving the maximum benefit amount, and therefore the most in need, received no additional SNAP support. To correct this, the Consolidated Appropriations Act of 2021 increased all SNAP benefits by 15%, an average of $28 per Ohioan per month.

SNAP Maximum Allotments, used to determine how much EA an enrollee should receive.Source: https://emanuals.jfs.ohio.gov/CashFoodAssist/FACM/FACT/FACT-80.stm

SNAP Maximum Allotments, used to determine how much EA an enrollee should receive.

Source: https://emanuals.jfs.ohio.gov/CashFoodAssist/FACM/FACT/FACT-80.stm

Later, in April 2021, FNS released new guidance bringing all SNAP Emergency Allotments up to at least $95 per month, regardless of if the individual was already receiving the maximum benefit. As a result, in May 2021, 741,494 Ohio households received Emergency Allotments, totaling $122.5 million in 100% federally funded benefits flowing into the state.

SNAP EAs have brought $1.2 billion in federal funds into the state since March 2020. In order for Ohio to continue to receive SNAP EAs from FNS, both the federal public health emergency and the state emergency declaration must be in place.

If the state’s emergency declaration were to end, the Ohio National Guard’s deployment to 14 Ohio food bank locations to assist with the staggering need for food assistance across the state would also end.

To accommodate the ending of many states’ emergency declarations, FNS has announced that a state can apply to receive a SNAP EA extension for one month after the month in which that state’s emergency declaration ends, but one month is not enough to prevent the enormous cliff SNAP recipients will face once EAs end.

None of the COVID-19 assistance programs will last forever, but policy makers need to craft a plan to address food insecurity in Ohio. The pandemic is not over, and the pandemic’s effects on Ohioans will linger for years to come. It’s vital that the COVID-19 disaster declaration remains in-tact until Ohio’s economy has recovered so families continuing to struggle from the pandemic can continue to receive necessary support to stabilize and get back on their feet.

by: Sarah Hudacek, AOF Policy Assistant

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FCC Announces Start of Emergency Broadband Benefit

Throughout the COVID-19 pandemic, access to high-speed internet has been a critical lifeline to jobs, healthcare, school, friends and family, and much more. Broadband access and affordability has been a central tenet of Advocates for Ohio’s Future’s budget advocacy, which is why AOF is excited to share this update on a program to help achieve this goal.

Last week, the Federal Communications Commission announced that the Emergency Broadband Benefit application will go live on May 12, 2021. The Emergency Broadband Benefit is an FCC program that will help families and households who struggle to afford internet service.

Eligible households can receive a discount of up to $50 per month for broadband service, and up to $75 per month for households on qualifying Tribal lands. The program also provides a one-time discount of up to $100 for a laptop, desktop, or tablet from participating providers.

For many Ohioans, the main barrier to broadband access is not geography, but cost.
— AOF's Testimony on the Ohio Residential Broadband Expansion Grant Program

A household is eligible if a member of the household meets one of the criteria below:

  • Has an income that is at or below 135% of the Federal Poverty Level, or already participates in SNAP, Medicaid, or Lifeline

  • Is approved to receive free and reduced-price school lunches or the school breakfast program in the 2019-2020 or 2020-2021 school year

  • Received a Federal Pell Grant during the current award year

  • Experienced a substantial loss of income due to job loss or furlough since February 29, 2020

  • Meets the eligibility criteria for a participating provider's existing low-income or COVID-19 program

Beginning on May 12 households can apply in three ways:

  • Contact your preferred participating broadband provider directly to learn about their application process. A full list of Ohio participating providers is available here.

  • Go to GetEmergencyBroadband.org to apply online and to find participating providers near you. 

  • Call 833-511-0311 for a mail-in application, and return it along with proof of eligibility to: Emergency Broadband Support Center, P.O. Box 7081, London, KY 40742 

The FCC hosted a webinar on the Emergency Broadband Benefit that can be viewed here. Share this program with your community using the outreach toolkit provided by the FCC here.

by: Sarah Hudacek, AOF Policy Assistant

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Report: Ohio Ranks 47th in Health Value

Last week, the Health Policy Institute of Ohio released their 2021 Health Value Dashboard, which showed that Ohio now ranks 47th out of the 50 states and Washington, D.C. on health value, down from 46th in 2020. The report attributes Ohio’s poor rank to lack of attention and action in treating childhood adversity and trauma, inequities and systemic disadvantages, and a lack of investment in public health infrastructure leading to missed opportunities for prevention.

Infographic from HPIO’s report.

Infographic from HPIO’s report.

Ohioans are living less healthy lives and spending
more on health care than people in most other states.
— HPIO

The HPIO report also highlights inequities faced by Black Ohioans, Hispanic/Latino(a) Ohioans, Ohioans with Disabilities, and Ohioans with less education and lower income, both among health outcomes and access, and among socio-economic outcomes.

The Equity Profiles in the report are stark, and show that Ohio has far to go to combat racism, discrimination, ableism, and widespread lack of access. To name just a few of these startling numbers, infant mortality is 2.8 times worse for Black Ohioans, and the rate of uninsured adults is 2.8 times worse for Hispanic Ohioans. Adult depression is 3.6 times worse for Ohioans with disabilities, and an inability to seek care due to cost is 2.6 times worse for Ohioans with disabilities. Uninsured rates are 6.6 times worse, and prenatal care is 3.7 times worse for Ohioans with less than a high school education.

Infographic from HPIO report.

Infographic from HPIO report.

According to the HPIO report, it’s also estimated that life expectancy in the U.S. dropped by 1.1 years in 2020, which amounts to the largest decline in a single year in more than 40 years. The decline in life expectancy for Latino and Black Ohioans, however, declined much more drastically, down 3.1 years for Latino Ohioans and down 2.1 years for Black Ohioans.

Read HPIO’s report HERE to learn more about the very real impact of racism on the health and well-being of Ohioans.

by: Sarah Hudacek, AOF Policy Assistant

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AOF Testifies on State Budget Changes and HB 145 This Week

After the House Finance Committee released Substitute House Bill 110 on Tuesday, which includes the first round of amendments to the Operating Budget for FY2022-2023, Advocates for Ohio’s Future submitted written testimony to the House Finance Committee applauding several proposals, while cautioning that more can be done to support Ohioans.

AOF was pleased to see an increase in funding available for counties to administer Adult Protective Services, and an additional $5 million awarded to the Ohio Association of Foodbanks.

While AOF is celebrating partial wins with increased investments in broadband access and new reporting requirements for TANF spending, we urged the House to consider broadband affordability in addition to access, and asked for additional reviews and reporting on how TANF earmarked dollars are spent.

Read AOF’s testimony on Sub-HB 110 HERE.

This week, AOF also submitted written testimony in support of HB 145, which would expand eligibility for publicly funded child care to 200% of the federal poverty level. Ohio’s publicly funded child care system currently sets initial eligibility at 130%, meaning that families above the 130% FPL income level, or who make more than $13.75 per hour, are unable to enter the publicly funded child care system.

Ohio ranks near the bottom, among all 50 states, when it comes to helping parents afford high-quality child care...Only two states make it harder to qualify for support to afford child care.
— AOF's Testimony

HB 145 would make it so that families earning up to 200% FPL would be eligible to enter the publicly funded child care system. In 2021, 200% of the federal poverty level amounts to $34,840 annually for a single parent and child, and $43,920 for a family of three.

Read AOF’s testimony on HB 145 HERE.

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Ohio Medicaid Announces Managed Care Contract Winners

Last week, the Ohio Department of Medicaid announced the six health care companies that were selected as part of an overhaul of Ohio’s $20 billion managed care system, in the culmination of a procurement process that has lasted more than two years and has been touted as the largest contract in Ohio state history.

UnitedHealthcare Community Plan, Humana, Molina Healthcare, AmeriHealth Caritas, Anthem Blue Cross and Blue Shield, and CareSource will be part of Ohio’s sweeping Medicaid managed care reform, which will work to re-focus the managed care system on the 3 million Ohioans with Medicaid coverage, rather than on the business of managed care.

ODM scoring of the six awarded contracts

ODM scoring of the six awarded contracts

Medicaid enrollees will continue to have coverage through their current plan until the 2021 open enrollment period this summer, when members can select a new plan to begin coverage in early 2022.

Buckeye Community Health Plan’s bid decision has been deferred, and Aetna Better Health of Ohio and Paramount Advantage, both of which are current Ohio Medicaid managed care organizations, were not awarded contracts.

ODM Procurement.png

Ohio Medicaid’s next generation program will also include program coordination with OhioRISE (Resilience through Integrated Systems and Excellence), a managed care program designed to serve Ohio youth with complex behavioral health and multi-system needs. Earlier this month, ODM announced that Aetna Better Health of Ohio would serve as the managed care organization for the OhioRISE program.

OhioRISE.png

Ohio’s current health care system leaves gaps in care for youth with complex needs. It’s estimated that each day, 140 Ohio kids live out of state to access needed behavioral health care, at a cost to the state of $1,100 per day. Some families of youth with complex needs voluntarily relinquish custody of their child as a last resort for their child to receive the expensive, multi-system care needed.

Through OhioRISE, Aetna Better Health will create coordinated services across multiple state agencies, and will expand access to in-home and community-based services to prevent the need for voluntary custody relinquishment and better support Ohio’s children. Ohio will aim to enroll between 55,000 and 60,000 Medicaid-eligible children, up to age 21, in OhioRISE.

by: Sarah Hudacek, AOF Policy Assistant

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New Report: SNAP Has Exceptional Program Integrity

A new report shows that despite public perception of fraud in many safety net programs, there is no evidence of widespread fraud in the Supplemental Nutrition Assistance Program (SNAP), either in Ohio or nationwide.

Our friends at The Center for Community Solutions (CCS) released a report on Monday detailing SNAP’s strong anti-fraud protections. Written by CCS Consultant Rachel Cahill, the report details the SNAP eligibility determination process, which includes information submitted by the applicant, an interview by a county caseworker, and confirmation through 19 different electronic data sources before an applicant is approved for benefits.

According to the report, only a small fraction of SNAP participants each year are disqualified from benefits due to intentional program violations, and fewer than 1 percent of SNAP benefits are “trafficked,” defined as “the buying, selling, stealing, or otherwise effecting an exchange of SNAP benefits…for cash or consideration other than eligible food.” Ohio’s payment error rate, a measure calculated by including both underpayments and overpayments, was also low and in-line with national averages in fiscal year 2019.

SNAP is a highly effective, efficient, and accurate program that delivers critically-important nutrition assistance to the lowest-income Ohioans every month.
— Rachel Cahill

Cahill writes that “SNAP eligibility determinations are so thorough and reliable, in fact, that many other assistance programs use SNAP enrollment as a proxy for their own eligibility (such as the WIC Program, Free and Reduced-Price School Meals, and the Lifeline Program).”

With recently proposed legislation, most notably Senate Bill 17 sponsored by Senator Tim Schaffer (R-Lancaster), seeking to make changes to eligibility requirements for SNAP recipients and other safety net programs, Cahill’s report makes it clear that additional administrative barriers to accessing SNAP benefits are redundant and excessive. SNAP is a strong program that is vital for 1.5 million Ohioans, and lawmakers should create more opportunities to expand access to benefits so Ohioans can get the help they need.


Join the Fight Against SB 17

  • Sign on to AOF’s letter that will be delivered to all members of the Senate Government Oversight & Reform Committee and Senate Majority Leadership opposing SB 17. Sign on HERE.

  • Share CCS’s report in your community and with your state legislators.

  • When speaking with others about SNAP, emphasize that SNAP is a strong, important program free of widespread fraud.

by: Sarah Hudacek, AOF Policy Assistant

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AOF Testifies on H.B. 55

Susan Jagers, Director of the Ohio Poverty Law Center, testified as a proponent of H.B. 55 on behalf of Advocates for Ohio’s Future, in front of the Ohio House Government Oversight Committee today. H.B. 55, sponsored by Representative Brigid Kelly (D-Cincinnati), would allow the General Assembly to conduct session and committee hearings, including accepting virtual witness testimony, during a period of emergency declared by the Governor.

In the second hearing for H.B. 55 on Thursday, five witnesses testified in person in support of the bill, and an additional 49 witnesses submitted written proponent testimony to the committee. In addition to AOF’s testimony, a number of AOF member organizations submitted testimony, including the Children’s Defense Fund-Ohio, The Center for Community Solutions, the Ohio Association of Area Agencies on Aging, the Coalition on Homelessness and Housing in Ohio, and the Ohio Poverty Law Center. View all H.B. 55 testimony HERE.

In our testimony to the committee, AOF outlined the barriers most Ohioans face to appearing in person at committee hearings, such as taking time off work, finding child care or dependent care, securing transportation, and being exposed to COVID-19 by leaving their homes. While written testimony submission remains an option for any interested party or individual, written testimony does not allow committee members to engage with the witness or ask questions, and does not carry the same weight as live testimony from witnesses.

As you consider Ohio’s path forward towards an equitable recovery, we ask that you elevate our state’s
greatest resource — our people — in the decision-making process.
— AOF's Testimony

AOF also urged legislators to make virtual committee testimony a permanent option for Ohioans to participate in the legislative process, which would also open new pathways for older Ohioans or Ohioans with disabilities to engage more deeply with legislation that impacts their lives.

Read AOF’s full proponent testimony HERE.

Susan 2 HB 55.jpg

Susan Jagers, Director of the Ohio Poverty Law Center, testifies on behalf of AOF.

Tracy Nájera, Executive Director of Children's Defense Fund-Ohio, testifies in support of H.B. 55.

Tracy 1 HB 55.jpg

by: Sarah Hudacek, AOF Policy Assistant

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