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00:00:01>> SUPPORT FOR THE STATEWIDE
BROADCAST FOR THE STATE OF OHIO
00:00:06COMES FROM THE LAW OFFICE OF
PORTER LLP THROUGHOUT OHIO
00:00:12ACROSS THE COUNTRY AND AROUND
THE WORLD ON THE WEB AT PORTER
00:00:17WRIGHT.COM.
AND FROM THE OHIO ASSOCIATION
00:00:21REPRESENTING TEACHERS, SUPPORT
PROFESSIONALS AND FACULTY
00:00:24COMMITTED TO THE SUCCESS OF
EVERY CHILD.
00:00:30>> MEDICAID EXPANSION GETS THE
GO AHEAD, BUT A LAWSUIT SEEKS TO
00:00:31STOP IT.
>> THIS WEEK IN THE STATE OF
00:00:33OHIO.
>> MEDICAID EXPANSION IS A GO,
00:00:45AFTER SOME LAST-MINUTE DRAMA
THAT ENDED IN APPROVAL AND A
00:00:48LAWSUIT.
AND ITS A SCENARIO IN WHICH A
00:00:51REPUBLICAN GOVERNOR WENT
HEAD-TO-HEAD WITH LAWMAKERS IN
00:00:54HIS OWN PARTY, WHO HAD
OVERWHELMINGLY SUPPORTED HIS
00:00:57INITIATIVES BEFORE THIS ONE.
BUT FOR MANY OF THEM, THAT
00:01:00SITUATION HAS IRREVOCABLY
CHANGED.
00:01:03>> IT WAS NO SECRET THAT
GOVERNOR JOHN KASICH HAD BEEN
00:01:06CONSIDERING TAKING TO THE STATE
CONTROLLING BOARD HIS REQUEST TO
00:01:09EXPAND MEDICAID TO PEOPLE MAKING
138 PERCENT OF THE FEDERAL
00:01:12POVERTY LEVEL.
THAT AMOUNTS TO JUST UNDER
00:01:15$27,000 A YEAR FOR A FAMILY OF
THREE.
00:01:18>> ON MONDAY, HIS ADMINISTRATION
DID JUST THAT, ASKING THE
00:01:22CONTROLLING BOARD FOR PERMISSION
TO SPEND $2.5 BILLION IN FEDERAL
00:01:25DOLLARS ON MEDICAID
EXPANSION.
00:01:28THE KASICH TEAM PACKED THE FRONT
ROW OF THE CROWDED NORTH HEARING
00:01:31ROOM AT THE STATEHOUSE, AND
INCLUDED OFFICE OF HEALTH
00:01:34TRANSFORMATION DIRECTOR GREG
MOODY, ADJUTANT GENERAL DEBORAH
00:01:37ASHENHURST, MENTAL HEALTH
DIRECTOR TRACY PLOUCK, AND REP.
00:01:41BARBARA SEARS OF SYLVANIA, THE
ONLY REPUBLICAN REP TO INTRODUCE
00:01:45A BILL IN THE LEGISLATURE TO
EXPAND MEDICAID.
00:01:48THE STANDING ROOM ONLY CROWD
ALSO INCLUDED LEADERS FROM OHIO
00:01:51CONSUMERS FOR HEALTH COVERAGE
AND ADVOCATES FOR OHIOS FUTURE,
00:01:54WHICH SUPPORT EXPANSION, AND THE
BUCKEYE INSTITUTE AND THE 1851
00:01:57CENTER FOR CONSTITUTIONAL LAW,
WHICH DONT.
00:02:01AND THE AUDIENCE ALSO INCLUDED
REP. RON AMSTUTZ OF WOOSTER, THE
00:02:08REPUBLICAN HOUSE BUDGET
COMMITTEE CHAIR WHO WAS REMOVED
00:02:12FROM THE CONTROLLING BOARD JUST
BEFORE THE MEETING AND PROTESTED
00:02:13THAT MOVE.
AMSTUTZ WAS A NO VOTE ON
00:02:15EXPANSION AND WANTED A DELAY IN
THE VOTE.
00:02:17HED BEEN SWAPPED OUT ALONG WITH
REP. CLIFF ROSENBERGER OF
00:02:20CLARKSVILLE IN SOUTHWEST
OHIO.
00:02:22THOUGH OTHER STATE LAWMAKERS DID
POP INTO THE MEETING,
00:02:25ROSENBERGER DID NOT BUT 90
MINUTES BEFORE THE MEETING HE
00:02:29TWEETED OUT A PICTURE FROM A
TOUR OF A DISTRIBUTION FACILITY
00:02:32IN WILMINGTON.
SINCE BOTH AMSTUTZ AND
00:02:35ROSENBERGER ARE IN THE RUNNING
TO BECOME HOUSE SPEAKER WHEN
00:02:38BILL BATCHELDER LEAVES BECAUSE
OF TERM LIMITS, VOTING ON THE
00:02:42MEDICAID EXPANSION REQUEST COULD
HAVE POTENTIALLY PUT THEM IN
00:02:44DIFFICULT POSITIONS.
>> MEDICAID DIRECTOR JOHN
00:02:48MCCARTHY INTRODUCED THE
ARGUMENTS FOR THE KASICH
00:02:50ADMINISTRATION, ANSWERING EASY
QUESTIONS ABOUT WHO BENEFITS
00:02:53FROM DEMOCRATIC SEN.
TOM SAWYER OF AKRON, AND TOUGHER
00:02:56QUESTIONS FROM REPUBLICAN
SEN.
00:02:59BILL COLEY OF CINCINNATI AND
SOMEWHAT SURPRISINGLY REP.
00:03:02CHRIS REDFERN OF PORT
CLINTON.
00:03:04REDFERN IS ALSO THE OHIO
DEMOCRATIC PARTY CHAIR, AND
00:03:07WHILE HE HAD SAID EARLY ON HE
WAS A CONFIRMED YES VOTE, HIS
00:03:11QUESTIONING CENTERED ON SECURING
ASSURANCES THAT FUNDING FOR
00:03:15MEDICAID EXPANSION WOULDNT BE
CUT LATER.
00:03:18AND HE SEEMED TO BE TRYING TO
GET KASICH OFFICIALS TO SAY THAT
00:03:21BY SUPPORTING MEDICAID
EXPANSION, THEY WERE SUPPORTIVE
00:03:23OF THE AFFORDABLE CARE ACT.
TWO HOURS LATER, QUESTIONING
00:03:26FINALLY CONCLUDED WITH SEN.
CHRIS WIDENER OF SPRINGFIELD,
00:03:31WHO WAS PREDICTED TO BE A YES
VOTE.
00:03:32BUT HE WANTED THE ADMINISTRATION
TO CLARIFY THAT THIS WAS A VOTE
00:03:40ON FUNDING MEDICAID EXPANSION,
WHICH HE SAID HAD ALREADY BEEN
00:03:41ENACTED BY THE KASICH
ADMINISTRATION WHEN IT GOT
00:03:42PERMISSION FROM THE FEDERAL
GOVERNMENT ON OCTOBER 10.
00:03:46AND WIDENER ALSO SAID THAT IF
INDEED THE STATE WILL SAVE MORE
00:03:50THAN $400 MILLION WITH MEDICAID
EXPANSION, HE WAS GOING TO
00:03:53INTRODUCE A BILL TO TAKE THAT
MONEY AND USE IT FOR A 4%
00:03:57PERSONAL INCOME TAX CUT.
>> MORE THAN TWO HOURS AFTER THE
00:04:04QUESTIONING STARTED, FIVE
MEMBERS OF THE CONTROLLING BOARD
00:04:05VOTED FOR THE REQUEST: BOARD
PRESIDENT RANDY COLE, WHO WAS
00:04:07APPOINTED BY KASICH, ALONG WITH
THE DEMOCRATS SAWYER AND
00:04:08REDFERN, AND THE REPUBLICANS
WIDENER AND ROSS MCGREGOR OF
00:04:11SPRINGFIELD.
REPUBLICAN REP.
00:04:14JEFF MCCLAIN OF UPPER SANDUSKY,
A LATE ADD AFTER AMSTUTZ AND
00:04:18ROSENBERGER WERE REMOVED, JOINED
COLEY IN VOTING NO.
00:04:21>> SO FOR MANY, THE QUESTION IS
WHAT HAPPENS NEXT? MEDICAID
00:04:24DIRECTOR JOHN MCCARTHY TOLD THE
CONTROLLING BOARD THAT IN AUGUST
00:04:28WHETHER HIS AGENCY WOULD BE
READY IF EXPANSION WOULD
00:04:30HAPPEN.
>> IN WERE READY.
00:04:33WE BUILT INTO THE BUDGET.
THE ABILITY TO DO EXPANSION.
00:04:42MOST OF THE INDIVIDUALS, I
SHOULD SAY ALL OF THE
00:04:44INDIVIDUALS WOULD BE MOVED INTO
OUR MANAGED CARE PROGRAMS.
00:04:48THAT WAS OUR DISCUSSIONS WITH
THEM THEY WOULD BE READY AND
00:04:52HAVE NETWORKS READY TO GO.
>> BUT ONE THING THAT HE MIGHT
00:04:57NOT HAVE BEEN COUNTING ON IS A
LAWSUIT.
00:04:58THE CONSERVATIVE 1851 CENTER FOR
CONSTITUTIONAL LAW HAD SAID IT
00:05:00WOULD FILE A SUIT, AND DID SO
THE DAY AFTER THE EXPANSION
00:05:02VOTE, ON THE GROUNDS THAT TAKING
THE REQUEST TO THE CONTROLLING
00:05:07BOARD WASNT CONSTITUTIONAL.
I TALKED WITH MAURICE THOMPSON
00:05:09ABOUT HIS GROUPS SUIT.
>> THE QUESTION TO THE
00:05:13CONTROLLING BOARD WAS TO SPEND
$2.5 IN FEDERAL MONEY ON
00:05:18MEDICAID EXPANSION.
WHAT MAKES YOU THINK THIS WAS
00:05:22UNCONSTITUTIONAL.
HE SAID IN THE MEETING THAT
00:05:25THEY'VE DONE THESE SORTS OF
REQUESTS 50 TIMES THIS YEAR.
00:05:28>> THAT'S CERTAINLY NOT TRUE.
THIS IS THE LARGEST REQUEST THE
00:05:33CONTROLLING BOARD HAS EVER
FIELDED AND IT'S THE MOST POLICY
00:05:37LAIDEN REQUEST.
HAVING COVERED THE MEDICAID
00:05:39ISSUE, THIS HAS BEEN THE MOST
MAJOR POLICY DISPUTE IN OHIO FOR
00:05:45THIS ENTIRE YEAR AND IT'S NOT
JUST THAT WE KNOW THAT IN OHIO,
00:05:49WHAT THE UNITED STATES SUPREME
COURT ACTUALLY SAID ABOUT THE
00:05:52EXPANSION OF MEDICAID SPENDING
IN THE STATES IS REALLY TELLING.
00:05:55AND THIS IS FROM THE OBAMA CARE
DECISION.
00:06:01THIS MEDICAID TRANSFORMATION
TRANSFORMS THE PROGRAM FROM A
00:06:06PROGRAM TO CARE FOR THE NEEDIEST
TO A COMPREHENSIVE NATIONAL PLAN
00:06:11TO PROVIDE UNIVERSAL HEALTH
INSURANCE COVERAGE AND INCREASES
00:06:15STATE OBLIGATIONS UNDER MEDICAID
AND FORCES AN ENTIRELY NEW
00:06:20HEALTHCARE SYSTEM UPON THE
STATES.
00:06:21WE KNOW IT'S A HUGE POLICY
SHIFT.
00:06:25WE ALSO KNOW THAT THE STATE
CONSTITUTION REQUIRES THE
00:06:28LEGISLATURE TO MAKE THOSE HUGE
POLICY DECISIONS.
00:06:31MORE SO THAN THE FEDERAL
CONSTITUTION REQUIRES THE
00:06:34FEDERAL LEVEL.
SO THE LEGISLATURE CANNOT DO
00:06:38UNDER THE STATE CONSTITUTION
DELEGATE AWAY IT'S AUTHORITY TO
00:06:44A BOARD LIKE THE CONTROLLING
BOARD.
00:06:47IT SAID HA THE ONLY TRN
CONTROLLING BOARD'S DECISIONS
00:06:51ARE CONSTITUTIONAL EVER AND AT
ALL IS BECAUSE THE CONTROLLING
00:06:53BOARD IS REQUIRED TO ACT
CONSISTENT WITH THE OHIO GENERAL
00:06:57ASSEMBLY'S INTENT.
WHAT WE KNOW ABOUT MEDICAID
00:07:01EXPANSION IS THEY TOOK IT OUT OF
THE BUDGET AND THEN PUT IN A
00:07:06PROHIBITION ON NOT ONLY THE
EXPANSION BUTTON APPROPRIATION
00:07:11OF FEDERAL FUNDS PURSUANT TO THE
EXPANSION.
00:07:13THAT'S HOW WE GOT TO WHERE WE
ARE TODAY.
00:07:15>> BUT THIS IDEA OF THE
EXPANSION BEFORE THE CONTROLLING
00:07:18BOARD, YOU HAD SENATOR CHRIS
WIDE NER AND RANDY COLE WAS
00:07:22HINTING AT THIS, THIS WAS JUST A
REQUEST TO SPEND FEDERAL
00:07:26DOLLARS, THAT THE EXPANSION HAD
BEEN DONE BY THE GOVERNOR AND
00:07:30NOT THE CONTROLLING BOARD.
>> THAT'S KIND OF A COPOUT AND
00:07:34NOT SON-IN-LAW IT NOT ACCURATE,
BUT IT'S NOT THE FULL PICTURE.
00:07:38BECAUSE OHIO COUNT EXPAND THE
COVERAGE WITHOUT THE FEDERAL
00:07:42DOLLARS.
THE TWO GO HAND IN HAND
00:07:44TOGETHER.
FROM A LEGAL STANDPOINT THE
00:07:48GENERAL ASSEMBLY DID PROHIBIT
THE APPROPRIATION OF THE FEDERAL
00:07:52FUNDS.
SO THAT'S LEGALLY SIGNIFICANT.
00:07:56HOWEVER THE POPULATION CAN'T BE
COVERED WITHOUT THE FUND.
00:08:00SO THEY CAN SCREAM THAT OHIO
EXPANDED MEDICAID ALREADY BUT WE
00:08:05HAVE UNTIL JANUARY 1 TO MAKE
THAT DECISION AND WITHOUT THE
00:08:09FUNDS WE WON'T HAVE THE
EXPANSION BECAUSE TLT BANKRUPT
00:08:13THE SYSTEM AND THE GOVERNOR
DOESN'T HAVE THE AUTHORITY
00:08:15BECAUSE WE HAVE A BALANCED
BUDGET REQUIREMENT AND WE PASSED
00:08:21A BALANCED BUDGET IN OHIO, THEY
CAN'T BREAK THAT BUDGET WHICH IS
00:08:23WHAT THE THREAT WAS TO DO HERE.
>> LET ME ASK YOU ABOUT THE SIX
00:08:28LAW MAKERS THAT HAVE JOINED IN
THIS LAWSUIT.
00:08:32NOW YOU TALKED ABOUT THAT LINE
IN THE BUDGET THAT THE LAW
00:08:35MAKERS PUT IN THAT PROHIBITED
MEDICAID EXPANSION THAT WAS
00:08:40STRIPPED OUT BY THE GOVERNOR'S
VETO.
00:08:44BUT FOUR VOTED AGAINST THE
BUDGET.
00:08:47HOW CAN THEY BE A PART OF THE
SUIT WHEN YOU ESTABLISH THIS WAS
00:08:50THEIR INTENT WHEN THEY VOTED
AGAINST THE BUDGET.
00:08:53>> IT'S NOT THEIR INTENT, IT'S
THE GENERAL ASSEMBLY'S INTENT.
00:08:58THAT'S A STRICTLY LEGAL ARGUMENT
THAT YOU OR I COULD RAISE.
00:09:05THEY ARE REPRESENTING 600,000
PEOPLE OF OHIO AND THEY STEVE TO
00:09:11BE REPRESENTED.
WHAT HAS HAPPENED IS THE
00:09:15CONTROLLING BOARD'S VOTE
PRECLUDED THE POLICY DEBATE IN
00:09:18THE LEGISLATURE AND PRECLUDED
THE LEGISLATURE FROM VOTING IT
00:09:21UP OR DOWN.
NOW TWO REPRESENTATIVES VOTED ON
00:09:25THAT PROHIBITION.
THE OTHERS WERE ACTIVE IN
00:09:28GETTING THAT PROHIBITION INTO
THE BUDGET BUT ALSO OTHER THINGS
00:09:32IN THE BUMENT THEY DIDN'T LIKE.
>> THE MAKEUP OF THE CONTROLLING
00:09:37BOARD WAS CHANGED RIGHT BEFORE
THE VOTE BECAUSE IT WOULD
00:09:40STREPPINGTEN YOUR CASE.
SOMEHOW IF THE VOTE WERE 4-3,
00:09:44WHICH IT MIGHT HAVE BEEN IF THEY
WERE STILL ON THE BOARD, THE
00:09:48VOTE WAS EVENTUALLY 5-2.
IS THERE ANY TRUTH TO THOSE
00:09:52RUMORS.
>> THAT IT WOULD STRENGTHEN OUR
00:09:55CASE?
I THINK OF IT THE OTHER WAY.
00:09:59IF IT WERE A 4-3 VOTE WITH THE
EXECUTIVE BRANCH BREAKING THE
00:10:04TIE, THAT WOULD BE VERY
CONSTITUTIONALLY PROBLEMATIC.
00:10:11IT DOESN'T STINK AS MUCH AS A
5-2.
00:10:14BUT STILL THE FACT THAT THE DAY
OF YOU CAN PUT NEW PEOPLE ON
00:10:18THIS BOARD TO GET A POLITICALLY
EXPEDITIOUS RESULT WHICH
00:10:29EVERYBODY AGREES IS WHAT
HAPPENED HERE, THE FACT THAT YOU
00:10:30CAN DO THAT SHOWS THE NEED FOR
LEGISLATIVE OVERSIGHT OF THE
00:10:31BOARD AND SHOWS THE NEED FOR
JUDICIAL OVERSIGHT OF THE BOARD
00:10:36F. THE LEGISLATURE IS GOING TO
DELEGATE AWAY ITS AUTHORITY TO
00:10:42THE BOARD AND THEY CAN FLIP
PEOPLE GET A VOTE.
00:10:46THE OHIO CONSTITUTION NEEDS TO
BE ENFORCED AND DON'T IMPORT
00:10:51D.C. STYLE DECISION MAKING BY
THE EXECUTIVE BRANCH GOING IT
00:10:55ALONE.
THIS DEADLINE IS LOOMING AND IF
00:10:58OHIO IS ON THE HOOK WITH THE
FEDERAL GOVERNMENT TO EXPAND
00:11:02COVERAGE AND ULTIMATELY
DETERMINED THAT THE FUND WERE
00:11:05WRONGLY PRORPEYATED, THEN WE'RE
GOING TO HAVE A BUDGETARY CRISIS
00:11:09AND A CONSTITUTIONAL CRISIS ON
OUR HANDS.
00:11:13>> WHY ARE YOU FILING THE CASE
IN THE SUPREME COURT?
00:11:17>> DON'T MOST WORK THEIR WAY
SNUP
00:11:20>> THEY DO.
IT'S THE NEED FOR A FINAL
00:11:22DETERMINATION PRIOR TO JANUARY
1.
00:11:24IF WE FILED IN COMMON COURT, YOU
WOULD HAVE AN APPEAL NO MATTER
00:11:28WHAT HAPPENED AND AN APPEAL
AFTER THAT.
00:11:30THE OHIO SUPREME COURT DOES HAVE
ORIGINAL JURISDICTION OVER CASES
00:11:36LIKE THIS.
THAT'S IN THE OHIO CONSTITUTION.
00:11:38AND WE NEED A FINAL
DETERMINATION BY JANUARY TO
00:11:42AVERT THAT MAJOR CRISIS.
SO WE'VE ALSO FILED A MOTION
00:11:45ASKING THE COURT TO EXPEDITE THE
CALENDAR FOR THE CASE.
00:11:50AND THEY HAVE DONE THAT
PREVIOUSLY DURING ESPECIALLY
00:11:54DURING BUDGET DISSPUTES IN THE
PAST TO HELP FACILITATE THINGS
00:12:01AND MAKE SURE THAT A DECISION IS
MADE IN A MININGFUL TIME FRAME.
00:12:02>> IF THIS IS DRAGGED OUT, THE
BUDGET COULD EXPIRE BEFORE YOUR
00:12:07LAWSUIT COULD BE DECIDED?
>> THAT'S RIGHT.
00:12:09OR PERHAPS MORE PROBLEM
MATICALLY HOE COULD ENROLL AND
00:12:15EXPAND MEDICAID COVERAGE ONLY TO
LATER LEARN THAT IT'S BOUND TO
00:12:19DO SO WITH THE FEDERAL
GOVERNMENT BUT THE FUNDS WERE
00:12:22NOT LAWFULLY APPROPRIATE YATED
SO WE'RE SPENDING MONEY WE NEVER
00:12:28LAWFULLY HAD IN THE FIRST PLACE.
THE TRON DO THIS QUICKLY IS TO
00:12:32ALLOW THE GOVERNOR TO GO BACK TO
THE GENERAL ASEMIPLI AND FIND A
00:12:36LAWFUL WAY TO APPROPRIATE YATE
THESE FUND OR GET A WAIVER FROM
00:12:41THE FEDERAL GOVERNMENT OR GET AN
ALTERNATIVE SOLUTION THAT MAY
00:12:46NOT BE MEDICAID EXPANSION THAT
FASSTATESING SOMETHING THAT
00:12:50EVERYBODY CAN LIVE W. THAT'S
WHAT CHECKS AND BALANCES ARE ALL
00:12:54ABOUT, NOT JUST THE GOVERNOR
GETTING HIS WAY WORK, AROUND THE
00:12:59LEGISLATURE.
>> NO ARGUMENTS HAVE BEEN
00:13:02SCHEDULED BEFORE THE SUPREME
COURT ON THE LAWSUIT.
00:13:08>> TO FOLLOW UP ON SOME OF THE
ISSUES INVOLVED, IM PLEASED TO
00:13:11WELCOME TWO EXPERTS WELL VERSED
IN THE TOPIC OF MEDICAID
00:13:12EXPANSION IN OHIO.
BRIAN ROTHENBERG IS WITH THE
00:13:13PROGRESSIVE COALITION PROGRESS
OHIO, AND MATT MAYER HEADS UP
00:13:15THE CONSERVATIVE RESEARCH
ORGANIZATION OPPORTUNITY
00:13:17OHIO.
>> SO LET'S START WITH HOW MANY
00:13:20PEOPLE MEDICAID EXPANSION, NOW
IT'S GONE THROUGH THE
00:13:23CONTROLLING BOARD WILL EFFECT.
WE'VE HEARD 275,000, WE'VE HEARD
00:13:29366,000 PEOPLE.
LET'S START WITH THOSE TWO
00:13:32NUMBERS THAT WE HEARD AT THE
CONTROLLING BOARD.
00:13:39TELL ME THE DIFFERENCE.
>> IT DEPENDS ON HOW MANY PEOPLE
00:13:40SIGN UP AND SOME PEOPLE WILL
WIND UP GETTING COVERED THROUGH
00:13:42OTHER MEANS, THROUGH A SPOUSE OR
WIND UP GETTING A JOB.
00:13:46THOSE DIFFERENT FACTORS SO NO
ONE IS GOING TO GET THERE 100%
00:13:51AND SOME PEOPLE MIGHT NOT WANT
TO BE COVERED.
00:13:54I USE 275 TO BE CONSERVATIVE
ABOUT THE AMOUNT OF PEOPLE ON
00:13:59THERE.
310EU6 RECOGNIZED BY THE HEALTH
00:14:02POLICY INSTITUTE OF OHIO.
THE NUMBER THAT IS MOST LIKELY.
00:14:05>> AND YOU HAVE A DIFFERENT SET
OF NUMBERS OR HAVE YOU BEEN
00:14:09QUOTING A DIFFERENT SET OF
NUMBERS.
00:14:11>> YEAH AND THEY ARE NOT MY
NUMBERS.
00:14:14THE CASER COMMISSION SAID
900,000.
00:14:22OR 560,000.
HERE IS WHAT WE KNOW THE STATE
00:14:24MEDICAID DIRECTOR SAID WE KNOW
TWO THINGS BASED ON HISTORY.
00:14:27MORE PEOPLE SHOW UP THAN YOU
THINK AND THEY ARE SICKER THAN
00:14:30YOU THINK.
WE SHOULDN'T BE USING
00:14:33CONSERVATIVE NUMBERS.
BUT WE SHOULD USE LIBERAL
00:14:36NUMBERS BECAUSE THAT'S THE WORST
CASE OF HOW MUCH IT'S GOING TO
00:14:40COST TAXPAYERS.
>> ARE YOU TALKING ABOUT OVER
00:14:42TEN YEARS, HOW MANY YEARS ARE
YOU TALKING ABOUT?
00:14:45>> IN THE COURSE OF TIME
EXPANSION IS GOING TO ADD THIS
00:14:49NUMBER AND LET'S USE A TEN-YEAR
WINDOW.
00:14:53AFTER THREE YEARS THE FED PAY
GOES AWAY AND THEY GET HIT.
00:14:59>> HAVE YOU TO GO THROUGH THIS
LONG PERIOD OF TIME AND WE'RE
00:15:04DEALING WHAT HAPPENED THIS WEEK
DEALS WITH 2014 F THEY HADN'T
00:15:09DONE THAT, THESE FOLKS WOULD NOT
HAVE BEEN COVERED AT ALL BECAUSE
00:15:13EVEN IF WE WENT TO THE BALLOT,
IT WOULDN'T HAVE PASSED UNTIL 20
00:15:19146789 THIS WAS THE ONLY
MECHANISM TO GIVE THESE PEOPLE
00:15:21ACCESS TO HEALTHCARE AND THEY
HAVE NO ACCESS RIGHT NOW.
00:15:25THE SECOND THING AS OBAMA CARE
GETS IMPLEMENTED AND PEOPLE GET
00:15:29JOBS, THERE ARE MORE AND MORE
PEOPLE THAT WILL DO BETTER, THEY
00:15:33WILL RISE ABOVE THE INCOME LEVEL
AND BE ELIGIBLE FOR OBAMA CARE
00:15:36AND COME OFF SOME OF THOSE
ROLLS.
00:15:39THIS IS A SMALL SUBSET OF PEOPLE
THAT WOULDN'T HAVE BEEN ELIGIBLE
00:15:43FOR OBAMA CARE BECAUSE THEY MAKE
TOO LITTLE BUT THEY DON'T HAVE
00:15:47CHILDREN AND DON'T HAVE A
SPOUSE.
00:15:48AND SO AS A SUBSET THEY WERE
JUST WITHOUT ANY ACCESS TO
00:15:52HEALTH CARE AT ALL.
>> THIS IS SINGLE, CHILDLESS
00:15:55ADULT MEN WHO HAVE A JOB THAT
WE'RE GIVING INCOME TO.
00:16:01WHAT HISTORY HAS SHOWN US ON
EVERY PROGRAM WE'VE CREATED AN
00:16:06ENTITLEMENT DEPENDENCY FOR IS
MORE PEOPLE GO ON.
00:16:12MORE PEOPLE COME OFF OF OPTIONS
INTO THE FREE MEDICAID PROGRAM
00:16:15OR FOOD STAMPS OR DISABILITY.
THINK ABOUT HOW DISABILITY ROLES
00:16:20HAVE EXPLODE.
NOT GETTING FEWER PEOPLE, WE'RE
00:16:23GETTING MORE YET THE DEFINITIONS
HAVE GOTTEN SOFTER.
00:16:27>> THE VAST MAJORITY OF THESE
FOLKS ARE EMPLOYED SO THEY HAVE
00:16:31A BETTER CHANCE OF GETTING
BETTER.
00:16:35THEY ARE TALKING ABOUT MAKING
SURE THERE IS THIS EMPLOYMENT
00:16:38PART OF IT.
A LOT OF PEOPLE ARE GOING TO
00:16:45GRADUATE OUT OF MEDICAID AND
INTO THE OBAMA CARE PIECE OF IT
00:16:47WHICH IS WHERE THEY SHOULD BE.
THE PEOPLE CHRONICALLY ON THIS
00:16:50WILL BE PEOPLE THAT ARE
DISABLED.
00:16:52BUT I WOULD ADD YOU'RE SICKER AS
YOU GO ON BECAUSE YOU HAVEN'T
00:16:57HAD PREVENTIVE CARE.
OVER TIME IT'S GOING TO GET
00:17:00CHEAPER BECAUSE THESE FOLKS WILL
HAVE BETTER MAINTENANCE OF THEIR
00:17:04CARE AND THE COST WILL GO DOWN.
>> THE PREVENTIVE CARE ISN'T THE
00:17:08SAVINGS EVERYONE THOUGHT IT WAS
GOING TO BE.
00:17:10THE PROBLEM WITH ALL OF THIS AND
MAKES THE GOVERNOR'S MOVE MORE
00:17:15FISCALLY IRRESPONSIBLE.
IN AN IDEAL WORLD THAT'S WHAT WE
00:17:18HOPE FOR, JOBS BEING ADDED, ALL
BOATS RISE.
00:17:23THAT'S NOT BEEN THE CASE.
OHIO HAS LOST GROUND, THE NET
00:17:29INCOME HAS DECLINED.
WE WENT FROM ADDING 100,000
00:17:34PRIVATE SECTOR JOBS TO 40,000
LAST YEAR AND NOW WE'RE AT
00:17:3830,000 WITH FIVE MONTHS TO GO.
IF THE WE DON'T SEE SOMETHING
00:17:41HAPPEN THAT IS A REAL PROBLEM
BECAUSE OUR ECONOMY IS NOT
00:17:47FUNKING.
>> LET'S TALK ABOUT THE COST
00:17:49HERE.
THE STATE SAID $13 BILLION FROM
00:17:52THE FEDERAL GOVERNMENT OVER
SEVEN YEARS.
00:17:54MATT, YOU HAVE BALANCED THE
NUMBERS IN AN INTERESTING WAY.
00:17:57YOU TOOK THIS STUDY THAT WAS
PRESENTED TO THE SENATE PANEL
00:18:02HEARING MEDICAID REFORM PLAN
THAT SAID THE STATE WOULD SAVE
00:18:05$2 BILLION AND THEN I THINK YOU
BUILT IT UP THAT IF THE STATE
00:18:10CAPPED MEDICAID GROWTH AT 5%,
DIDN'T EXPAND, IT WOULD SAVE $48
00:18:15BILLION SO YOU SAY BY THE
REVERSE IT'S GOING TO COST
00:18:20TAXPAYERS $46 BILLION.
ARE THOSE NUMBERS -- SIT FAIR
00:18:25TOE TURN THOSE NUMBERS THAT WAY?
>> I AGREE.
00:18:28WE'RE NOT GOING TO SAVE MONEY IN
THE STATE BUDGET.
00:18:30OUR 10% IS GOING TO BE AN
INCREASING NUMBER.
00:18:34YOU CAN'T ADD PEOPLE AND NOT
HAVE YOUR COST GO UP EVEN IF
00:18:39IT'S 10% IN THREE YEARS.
THAT'S THE LONG TERM PROBLEM.
00:18:43WHAT THE GOVERNOR DID WAS LIT A
BIG BOMB ON THE NEXT GOVERNOR
00:18:49THAT ARE GOING TO HAVE TO DEAL
WITH THIS GROWING 10%.
00:18:53THE PRESIDENT'S BUDGET AND PAUL
RYAN'S BUDGET SAID THAT% WILL
00:18:59NOT STAY THERE.
THE 90% WILL GO DOWN AND THAT
00:19:0310% WE HAVE TO PAY FOR IS GOING
UP.
00:19:06THIS IS GOING TO COST US MORE
MONEY.
00:19:08THE QUESTION IS HOW MUCH AND WE
JUST DON'T KNOW.
00:19:10>> MATT IS A GOOD ADVOCATE.
HE'S ONE OF THE BEST ON THE
00:19:15OTHER SIDE.
BUT HE'S PRESENTING YOU A WORST
00:19:19CASE SCENARIO FIRST OF ALL.
AND IT TALKS ABOUT THE
00:19:23EXPENDITURES.
IT'S NOT TALKING ABOUT THE SAVE
00:19:25THAGS ARE GOING TO COME IN MANY
WAYS.
00:19:28THE INCREASED JOBS THAT COME OUT
OF THIS.
00:19:30ONE IS GOING TO BE CUTTING DOWN
COST OF UNCOMPENSATED CARE, THE
00:19:35HIDDEN TAX THAT COST YOUR TOOTH
BRUSH TO BE $26 ON YOUR HOSPITAL
00:19:40BILL WHEN IT SHOULD BE A DOLLAR.
THAT'S THE DIFFERENCE BETWEEN
00:19:45THESE STUDIES.
THE BOTTOM LINE HERE IS THIS
00:19:48LONG PERIOD OF TIME LOWERS COST
AND LOWERS THE DEFICIT AND
00:19:53THAT'S THE FUNDAMENTAL
DIFFERENCE.
00:19:55>> IT INCREASES THE DEFICIT.
THAT'S NOT LIKE THAT IS EXTRA
00:19:59MONEY SITTING AROUND THAT.
IS ALL DEFICIT SPENDING FOR
00:20:03MEDICAID EXPANSION.
>> ISN'T IT ANYWAY EVE TO SAY
00:20:06WE'RE GOING TO ADD A QUARTER OF
A MILLION PEOPLE TO MEDICAID AND
00:20:10THE COSTS ARE GOING TO BE THE
SAME OR LOWER?
00:20:12>> NO, BECAUSE THOSE PEOPLE
ALREADY GET CARE WHEN THEY GET
00:20:17SICK AND THEY ARE SICKER WHEN
THEY GET SICK.
00:20:20THOSE STUDIES HAVE BEEN DONE.
AND THE UNCOMPENSATED CARE GETS
00:20:24PASSED ON TO ALL OF US WHICH
DRIVES UP COST INCLUDING
00:20:29MEDICAID AND MEDICARE
NATIONALLY.
00:20:31>> IF THE LAWSUIT IS SUCCESSFUL
OR IF SOMETHING HAPPENS WHERE
00:20:37THE SWITCH IS PULLED AND THESE
BENEFITS HAVE TO BE TAKEN BACK
00:20:42SO TO SPEAK, HOW IS THAT GOING
TO HAPPEN.
00:20:45YOU EXTEND THESE BENEFITS, HOW
DO YOU TAKE THEM BACK?
00:20:48>> THE ONLY PEOPLE THAT WILL BE
AFFECTED ARE THE FOLKS LEFT OUT.
00:20:53THEY ARE NOT POOR ENOUGH OR NOT
PART OF THE MEDICAID SYSTEM
00:20:57WHERE THEY HAVE A CHILD OR
PREGNANT SO THEY ARE NOT A PIECE
00:21:01OF THE SYSTEM AND THEY ARE NOT
DOING WELL ENOUGH IN THEIR JOB.
00:21:04WE ARE TAKING POORER PEOPLE
MAKING ABOUT $21,000 A YEAR AND
00:21:09BELOW AND TELLING THEM YOU HAVE
NO ACCESS TO HEALTHCARE LIKE THE
00:21:13REST OF AMERICANS.
AND IF WE DIDN'T DO THIS NOW, WE
00:21:16ARE CONTINUING TO CIRCULATE
PETITIONS.
00:21:19WE BELIEVE THE PEOPLE OF OHIO
ARE GOING TO SAY THIS IS NEEDED
00:21:23AND HAS TO BE DONE AND WE ARE
GOING TO THE BALLOT.
00:21:25>> THAT'S NEXT YEAR.
>> NEXT YEAR.
00:21:28BUT IN THE MEANTIME THIS ONE
GROUP OF PEOPLE IS GOING TO BE
00:21:32UNCOVERED.
>> PEOPLE HAVE ACCESS TO
00:21:34HEALTHCARE.
THEY MAKE A CHOICE NOT TO GET
00:21:36IT.
>> I GRADUATED IN 1993 AND I GOT
00:21:39A JOB AT A LAW FIRM THAT DIDN'T
OFFER HEALTH CARE.
00:21:44>> I CALLED AND BOUGHT A POLICY
WITH MY OWN DIME.
00:21:48I SAID I'M 22 YEARS OLD AND I'M
HEALTH THE.
00:21:53THEY HAVE ACCESS TO DO IT.
NOW WE'RE GOING TO FORCE THEM TO
00:21:57DO IT AND SUBSIDIZE THAT.
ADULT SINGLE CHILDLESS MEN WHO
00:22:01HAVE A JOB.
THERE IS A BETTER WAY TO MAKE
00:22:04SURE WE SAVE THE MONEY FOR THE
POPULATION THAT TRULY NEED OUR
00:22:08HAND DOWN.
EVERYBODY NEEDS A HAND UP EVERY
00:22:11ONCE IN A WHILE.
THE KEY THING WITH THE GOVERNOR
00:22:14AND WHAT HE'S DONE, WITH THE
STROKE OF A PEN HE'S EXPANDED
00:22:19STRAIT GOVERNMENT BUDGET AND
IT'S TIED IN GREATER THAN ANY
00:22:23GOVERNOR IN THE LAST 20 YEARS.
HE DOESN'T WANT TO OWN THAT BUT
00:22:26HE NEEDS TO OWN THAT.
WHEN HE PULLED THOSE PEOPLE OFF
00:22:30THAT CONTROLLING BOARD HE
FACILITATED THAT.
00:22:35HE'S JUST AS COMEABLE FOR
EXPANDING IT AS THE GOVERNOR.
00:22:38>> YOUR ON THE SIDE OF THE
GOVERNOR.
00:22:41>> AND ON THE OTHER SIDE OF
MAURICE THOMPSON.
00:22:45>> LEAKE, I'M NOT GOING TO GET
IN THE MIDDLE OF THE REPUBLICAN
00:22:51PARTY WAR GOING ON.
WE GOT ENOUGH PROBLEMS OF OUR
00:22:54OWN.
BUT WHAT I WILL SAY IS THIS: THE
00:22:58BOTTOM LINE THIS IS ISN'T GOING
TO COST THE PEOPLE OF OHIO MONEY
00:23:01FOR THE NEXT THREE YEARS.
IF IT DOES GO UP, IT'S NOT A
00:23:06PERMANENT ACTIVITY, IT CAN BE
CHANGED.
00:23:08WE CAN ALTER IT.
IT'S ONLY AS LONG AS THE BUDGET
00:23:12LASTST.
AND MORE IMPORTANTLY WE'RE GOING
00:23:14TO LEAVE THIS CLASS OF PEOPLE
BEHIND AND THEY ARE NOT WEALTHY
00:23:18PEOPLE.
I DON'T THINK THIS IS A PENALTY.
00:23:20I THINK IF YOU ARE 22 AND YOU
DECIDE YOU DON'T WANT SOME TYPE
00:23:26OF INSURANCE, THE BRONZE PLAN
BASICALLY, IF YOU DON'T WANT
00:23:29THAT AND YOU HAVE TO PAY A
PENALTY OF $99 OR SOMETHING
00:23:35BELOW, I THINK --
>> YOU'RE NOT MAKING A WHOLE LOT
00:23:38OF MONEY.
>> BUT WHAT I'M SAYING IS IF YOU
00:23:42MAKE THAT DECISION AND YOU'RE
ELIGIBLE FOR HEALTHCARE UNDER
00:23:46OBAMA CARE, YOU SHOULD BE PAYING
SOMETHING BACK TO THE GOVERNMENT
00:23:49WHICH IS COVERING THOSE COSTS
WHEN YOU GET SICK BECAUSE YOU
00:23:52ARE TAKING A CALCULATED RISK WE
PAY FOR.
00:23:57>> I WENT AND PAID FOR THE
DOCTOR AND THE MEDICINE.
00:24:01>> YOU'RE A GOOD CITIZEN.
>> I WAS MAKING DIRT.
00:24:04I WAS MAKING $13,500.
I WOULD HAVE BEEN ONE OF THE
00:24:13POVERTY.
>> LET ME ASK YOU ABOUT THE
00:24:15IDEA OF IT'S NOT GOING TO COST
OHIO TAXPAYERS ANYTHING.
00:24:19AREN'T THEY ALREADY PAYING FOR
THIS.
00:24:21>> WE PUT MORE MONEY INTO
WASHINGTON THAN WE GET BACK AS A
00:24:25STATE.
IT'S NOT AN ADDITIONAL COST.
00:24:28>> OUR STATE BUDGET COST
TAXPAYER WILL GO UP IN THAT
00:24:33THIRD OR FOURTH YEAR.
>> AND SAVE BUT THEY ARE TRYING
00:24:40TO GET IT BACK AS AN INCOME TAX.
>> YEAR FOUR IS WHEN OHIO
00:24:46TAXPAYERS WILL SEE.
>> THE OTHER SIDE THE REPUBLICAN
00:24:49PARTY CAN SAY YOU'RE AGAINST A
TAX INCREASE.
00:24:52>> WE ARE PAYING FOR IT.
THIS IS NOT LIKE WE HAVE THIS
00:24:56MONEY SITTING IN WASHINGTON
THIS.
00:24:57IS DEFICIT SPENDING.
YOUR SON AND MY DAUGHTER AND
00:25:03SONS, THEY ARE GOING TO HAVE TO
PAY THAT OFF AT SOME POINT.
00:25:07WE DON'T GET TO SPEND IS THE
MONEY AND NEVER PAY IT BACK.
00:25:12>> THE THIS IS A DROP IN THE
BUCKET COMPARED TO THE $3
00:25:17TRILLION IN THE UNITED STATES.
THIS WILL DRIVE COST DOWN.
00:25:20>> IT'S NOT A DROP IN THE
BUCKET.
00:25:22IF THE 26 STATES, IF OHIO DIDN'T
MOVE MONDAY LIKE IT DID, IT
00:25:26WOULD HAVE 15EU6ED TAXPAYERS IN
AMERICA $550 BILLION.
00:25:33NOW WE'RE GOING TO HAVE TO PAY
IT BACK.
00:25:37>> OVER TIME THERE ARE HIDDEN
COSTS THAT ARE NOT BEING
00:25:41CALCULATED IN THAT NUMBER.
THIS IS A GOOD THING AND WE
00:25:45CAN'T LEAVE THESE FOLKS BEHIND.
>> THANK YOU VERY>> AND THATS
00:25:48IT FOR THIS
MUCH.
00:25:49WEEK.
FOR MY COLLEAGUES AT OHIO PUBLIC
00:25:50RADIO AND TELEVISION, THANKS FOR
WATCHING.
00:25:51IF YOUD LIKE TO ASK QUESTIONS,
MAKE COMMENTS, OR WATCH THIS
00:25:53WEEKS SHOW OR EARLIER EPISODES,
PLEASE VISIT OUR WEBSITE AT
00:25:56STATENEWS.
ORG.
00:25:58AND YOU CAN FOLLOW JO INGLES,
ANDY CHOW AND ME ON TWITTER.
00:26:01AND PLEASE JOIN US AGAIN NEXT
TIME FOR THE STATE OF
00:26:03OHIO.
>> SUPPORT FOR THE STATEWIDE
00:26:20BROAD COST COMES FROM THE LAW
OFFICES OF PORTER, WRIGHT,
00:26:25MORRIS AND AUTHOR HELPING
INDIVIDUALS AND BUSINESS SOLVE
00:26:30COMPLEX LEGAL PROBLEMS AROUND
OHIO, ACROSS THE COUNTRY AND
00:26:33AROUND THE WORLD.
>> AND FROM THE OHIO EDUCATION
00:26:36ASSOCIATION REPRESENTING 121,000
TEACHERS AND HIGHER EDUCATION
00:26:40FABBLINGTY COMMITTED TO THE
SUCCESS OF EVERY CHILD ONLINE AT
Note : Transcripts are compiled from uncorrected captions