State Budget

 
How Senate-Passed Version of State Budget Alters House HOPES Plan to Address the Opioid Crisis
By Adam White
Graduate Assistant
June 23, 2017 

When the Ohio House of Representatives passed its version of the state budget (H.B. 49) in early May, the bill featured a $170.6 million investment toward combatting Ohio’s opioid crisis through a plan titled Ohio HOPES (Heroin, Opioids, Prevention, Education, and Safety). The House’s HOPES plan targeted funding toward four broad areas: $9 million for workforce development, $12.2 million for prevention, $19.4 million for mental health, and $130 million for treatment and child services. In a previous blog post, The Center for Community Solutions broke down the allocations to specific programs within each of the four HOPES focus areas.

Having passed the Ohio Senate on Wednesday, June 21, H.B. 49 now includes nearly $180 million, depending on how it is counted, in funding for combatting substance abuse. However, a close examination of the details of the Senate-passed funding package shows significant changes were made to the House’s HOPES plan to reach this higher total. Among these changes were the funding reductions and elimination of numerous House proposals, greater utilization of federal funds, and the shifting of funding from the General Revenue Fund (GRF) to dedicated purpose funds (DPFs), drawing from the Local Government Fund (LGF) to cover some of the costs. The Senate also added several new proposals of its own.



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House-Passed Version of State Budget Includes $170 Million to Address Opiate Crisis and Behavioral Health Needs in the State
Tara Britton
Director of Public Policy
May 17, 2017

The Ohio House of Representatives passed its version of the state budget in early May and, as had been discussed for weeks, included a significant investment in behavioral health-related services to address the growing needs around the state’s opiate crisis and individuals living with mental illness. The funding totals $170.6 million over the biennium, spread across multiple agencies and initiatives. The funding is referred to as Ohio HOPES (Heroin, Opioids, Prevention, Education, Safety). The House shared that the funding is spread across four main areas: workforce, prevention, mental health, and treatment. More details around what is included in each of these categories is the focus of this blog.

Workforce
In order to draw down federal dollars for Supplemental Nutrition Assistance Program (SNAP) employment and training programs (SNAP E&T), the House budget commits $2 million per year of state resources through the Job and Family Services (JFS) budget. SNAP E&T programs help SNAP recipients gain skills, training, and job experience. The House budget specifically directs the money to be used for programs that produce short-term non-degree certificates. In addition, the budget commits $5 million in 2019 to the Department of Higher Education. This money will also be used for short-term certificate programs associated with in-demand jobs. JFS and the Department of Higher Education are tasked with establishing a committee to develop a plan to draw down additional federal resources to support similar initiatives in the future.






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Ohio House Rolls Back Additional DODD Funding for Community Services
By Rose Frech
Guest Author
May 10, 2017

The Ohio House recently approved its version of the two-year state budget (H.B. 49), taking aim at key provisions in the budget introduced by Governor Kasich. This newest version of the spending bill includes significant alterations in proposed funding for the Ohio Department of Developmental Disabilities (DODD), and axed many, though not all, of the new investments introduced by the administration.

The executive budget, released in February, was ambitious in its funding of the Department, through a proposed commitment of $122 million in additional state and federal dollars. In large part, these funds were intended to support the administration’s efforts to decrease the state’s over reliance on institutional care for individuals with developmental disabilities. The developmental disabilities system has struggled to keep up with waiting lists for home and community-based service (HCBS) services, which allow individuals with disabilities to receive the services necessary to stay in their homes, and avoid institutionalization. Cash-strapped counties are often unable to meet the demand with local funds. The waiting list exceeds 40,000 individuals, including some individuals currently residing in institutions who want to leave. Efforts to date aimed at “rebalancing,” or better supporting community-based services in lieu of institutions, have been met with a mixture of praise and cynicism, as some view the administration’s efforts as inadequate to address the need.




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State Budget Update: Medicaid Changes in House Substitute Bill
By Loren Anthes
Public Policy Fellow
April 26, 2017 

With the budget in full swing, the Ohio House has offered its first amendments to the governor’s proposed budget. This action is the first in a multi-step process that will soon include another round of consolidated amendments (Omnibus) before it is voted on by the full House and sent to the Senate. Even though we are early in the process, there have been a number of dramatic changes proposed. To assist policy analysts and advocates with learning more about each of these initiatives, the Legislative Service Commission’s Comparison Document (“Comp Doc”) code will be cited to make the information on the changes easier to find.


Deviating from the Administration
CPC Eliminated – MCDCD60
Since the beginning of the Kasich Administration, the Office of Health Transformation (OHT) has focused on value-based payment as a key element of its reform efforts. These policies have included two main activities in the construction of episodic-based payments and the proliferation of patient-centered medical homes (PCMH) through the Comprehensive Primary Care Initiative (CPC). With CPC, OHT is working to enroll primary care practices into a system built on the clinical coordination of care, with the transparency of cost and quality being a mechanism through which enhanced reimbursement would be attached and incented. Now, the Medicaid director, and by proxy OHT, would no longer be permitted to implement this system, but would also lose authority in establishing PCMH services for the developmentally disabled.








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Budget Update: Senate Finance Committee 
Hears Testimony on Tax Proposals
By Adam White
Graduate Assistant
April 26, 2017

On Tuesday, April 25, 2017, hours after members of the House Finance Committee accepted a substitute version of the budget bill (HB 49), their colleagues on the Senate Finance Committee began hearing the tax reforms put forth in Governor Kasich’s original budget proposal. Ohio Tax Commissioner Joe Testa testified in support of the administration’s tax proposals, many of which have now been eliminated or diminished in the House version of the budget.

Headlining the governor’s tax proposals is the reduction of personal income tax rates and consolidation in the number of income tax brackets from nine to five. Together these proposals result in an estimated 17 percent reduction of personal income tax liability, phased in over two years. Additionally, the governor’s budget would increase the personal exemption for those earning less than $80,000 per year and raise the income threshold for the low-income tax credit from $10,000 to $15,000, effectively eliminating state income taxes for more than 350,000 low- and middle-income Ohioans.




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Governor’s Last Budget Introduced, Heads to Ohio House

By: Tara Britton
Director of Public Policy and Advocacy | Edward D. and Dorothy E. Lynde Fellow
&
Loren Anthes
Public Policy Fellow, Medicaid Policy Center




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Preparing for the 2018-2019 State Operating Budget
The Ohio Office of Budget Management Releases Guidance
By Brie Lusheck
Public Policy Associate
August 16, 2016

 

On July 20, 2016, the Ohio Office of Budget and Management (OBM) released guidance for the Fiscal Years 2018-2019 Operating Budget.



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