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00:00:01>> SUPPORT FOR THE STATEWIDE
BROADCAST OF THE "STATE OF OHIO"
00:00:02COMES FROM THE LAW FIRM OF
PORTER, WRIGHT, MORRIS AND
00:00:04ARTHUR, LLP.
HELPING BUSINESSES AND
00:00:07INDIVIDUALS SOLVE COMPLEX LEGAL
PROBLEMS THROUGHOUT OHIO, ACROSS
00:00:09THE COUNTRY AND AROUND THE
WORLD.
00:00:12ON THE WEB AT PORTERWRIGHT.COM.
AND FROM THE OHIO EDUCATION
00:00:16ASSOCIATION, REPRESENTING
120,000 MEMBERS, WHO WORK TO
00:00:20INSPIRE THEIR STUDENTS TO THINK
CREATIVELY AND EXPERIENCE THE
00:00:23JOY OF LEARNING.
ONLINE AT OHEA.ORG.
00:00:30KAREN: A FORMER STATE LAWMAKER
IS OFF TO PRISON.
00:00:32JUST DAYS AFTER MARIJUANA
LEGALIZATION MADE THE FALL
00:00:35BALLOT, THE FIGHT FOR AND
AGAINST IT IS WELL UNDERWAY.
00:00:38AND OHIO'S MEDICAID NUMBERS ARE
SURPRISING PEOPLE WHO SUPPORTED
00:00:41MEDICAID EXPANSION AND THOSE WHO
OPPOSED IT.
00:00:44A CONVERSATION WITH PEOPLE ON
BOTH OF THOSE SIDES.
00:00:47ALL THIS WEEK IN "THE STATE OF
OHIO."
00:00:58KAREN: A FORMER REPUBLICAN STATE
REPRESENTATIVES WHO WAS ONCE ONE
00:01:02OF THE MOST POWERFUL LEGISLATORS
IN OHIO, WAS LED OUT OF A
00:01:05HAMILTON COUNTY COMMON PLEAS
COURTROOM THURSDAY MORNING IN
00:01:08HANDCUFFS AFTER BEING SENTENCED
TO FOUR YEARS IN PRISON.
00:01:11PETER BECK OF MASON NEAR
CINCINNATI WAS FOUND GUILTY BY A
00:01:13JUDGE IN JUNE ON FRAUD AND THEFT
CHARGES AND SECURITIES
00:01:17VIOLATIONS FOR BILKING INVESTORS
IN A COMPUTER SOFTWARE COMPANIES
00:01:22OUT OF MILLIONS OF DOLLARS.
BECK, WHO HAD BEEN INDICTED IN
00:01:252013, RESIGNED FROM THE HOUSE IN
DECEMBER AFTER LOSING IN A THREE
00:01:28WAY REPUBLICAN PRIMARY EARLIER
LAST YEAR.
00:01:32THE CAMPAIGN FOR THIS FALL
BALLOT IS WELL UNDERWAY, AND
00:01:34IT'S ALREADY HEATING UP.
THE GROUP RESPONSIBLEOHIO, WHICH
00:01:38QUALIFIED FOR THE BALLOT LAST
WEEK, STARTED ITS WORK TOWARD A
00:01:41YES VOTE ON MONDAY, EVEN BEFORE
ITS CONSTITUTIONAL AMENDMENT TO
00:01:44LEGALIZE MARIJUANA WAS ASSIGNED
AN ISSUE NUMBER.
00:01:47RESPONSIBLEOHIO PLANS A
GRASSROOTS CAMPAIGN THAT STARTED
00:01:51TUESDAY, FEATURING A SMALL RV
TRAVELING THROUGHOUT THE STATE.
00:01:55BUT THERE WILL ALSO BE A $20
MILLION AD CAMPAIGN FINANCED BY
00:01:58THE BACKERS OF THE AMENDMENT,
INCLUDING THE INVESTORS IN THE
00:02:0010 OFFICIAL GROWING SITES THAT
WOULD BE SET UP IF VOTERS
00:02:04APPROVE IT.
FAITH OLTMAN SPEAKS FOR
00:02:07RESPONSIBLEOHIO.
FAITH: WE CANNOT WAIT TO SHOW
00:02:13WITH VOTERS THAT RESPONSIBLE
OHIO'S PROPOSAL WILL BRING TENS
00:02:17OF THOUSANDS OF JOBS TO OUR
STATE AND A WIDE VARIETY OF
00:02:20ENTREPRENEURIAL OPPORTUNITIES.
LEGALIZATION WILL OFFER A SICK
00:02:26OF OHIO WINS A COMPASSION AND
CARE THAT MEDICAL MARIJUANA CAN
00:02:27PROVIDE AND PROVIDE MILLIONS OF
TAX DOLLARS 12 COMMUNITIES EACH
00:02:33YEAR AND ESTABLISH A BRAND-NEW
INDUSTRY WITH LIMITLESS ECONOMIC
00:02:37INVESTMENT OPPORTUNITIES.
KAREN: AND OLTMAN SAYS THIS PLAN
00:02:40WILL FINALLY ALLOW LOCAL
COMMUNITIES TO BENEFIT FROM THE
00:02:42SALE AND USE OF POT.
SHE SAYS THE SALE AND REGULATION
00:02:44OF MARIJUANA WOULD MAKE IT SAFER
FOR OHIO'S CHILDREN BECAUSE
00:02:46UNLIKE DRUG DEALERS, RETAILERS
WOULD CARD PEOPLE WHO PURCHASE
00:02:49THE PLANT TO MAKE SURE THEY ARE
21 YEARS OLD.
00:02:55SHE SAYS THOSE WHO OPPOSE THE
PLAN ARE NOT TAKING ALL OF THESE
00:02:57HIGH POINTS INTO CONSIDERATION.
FAITH: ARE OPPONENTS ARE ALL
00:03:04ABOUT THE STATUS QUO WHILE
RESPONSIBLE OHIO IS COMING UP
00:03:09WITH CONSTRUCTIVE SOLUTIONS TO
FAILED MARIJUANA PROHIBITION.
00:03:11THEIR STANCE MEANS THEY ARE
PROTECTING DRUG DEALERS WHO
00:03:16DON'T PAY TAXES OR CARE ABOUT
SICK PEOPLE AND CREATE LIMITED
00:03:20THAT LEGITIMATE JOBS.
KAREN: BUT JUST A FEW HOURS
00:03:26LATER, A HUGE COALITION OF
OPPONENTS OF THE RESPONSIBLEOHIO
00:03:27PLAN KICKED OFF THEIR CAMPAIGN
TO DEFEAT WHAT THEY CALL AN
00:03:29EXTREME, RADICAL PROPOSAL.
THE GROUP OF HEALTH AND SAFETY
00:03:31ADVOCATES AND POLITICIANS
GATHERED AT NATIONWIDE
00:03:34CHILDREN'S HOSPITAL IN COLUMBUS
TO SPEAK ABOUT THEIR CONCERNS.
00:03:38AMONG THEM, THAT COMMUNITIES
WOULD BE FORCED TO APPROVE
00:03:41RETAIL MARIJUANA STORES, AND IF
THERE ARE 1150 STORES AS ALLOWED
00:03:47FOR IN THE RESPONSIBLEOHIO PLAN,
THAT WOULD BE MORE THAN THE
00:03:51NUMBER OF STARBUCKS OR
MCDONALDS, AND NEARLY THREE
00:03:53TIMES THE NUMBER OF STATE LIQUOR
STORES.
00:03:56AND SPOKESMAN CURT STEINER SAID
THE PROPOSAL WON'T DO ANYTHING
00:03:59ABOUT MARIJUANA-RELATED CRIME.
CURT: EVERY OHIO COUPLE WOULD
00:04:09HAVE A POUND OF DOPE IN THEIR
HOUSE LEGALLY -- SOME OF THAT
00:04:12WILL BE SOLD TO PEOPLE ON THE
BLACK MARKET.
00:04:14THIS WAS NOT DONE TO IMPACT THE
BLACK MARKET.
00:04:21THIS WAS TO LINE THE POCKETS OF
RICH INVESTORS WHO PUT THIS
00:04:24TOGETHER.
KAREN: AND STEINER SAID THERE'S
00:04:26A WIDE ARRAY OF OPPOSITION TO
RESPONSIBLEOHIO'S
00:04:28INVESTOR-BACKED PLAN, INCLUDING
AMONG FROM PRO-POT PEOPLE.
00:04:32WHAT WE ARE FINDING, NUMBER OF
FLAT-OUT DEDICATED PAROL
00:04:39MARIJUANA GROUPS THAT ARE
AGAINST ISSUE THREE BECAUSE OF
00:04:45THE WAY IT IS HAD APPEARED THEY
WILL VOTE AGAINST ISSUE THREE.
00:04:48WE HAVE SEEN VIDEOS OF
RESPONSIBLE OHIO POSSE EVENTS
00:04:58PICKETED.
WE WILL GET A FEW OF THE BOATS.
00:05:04-- VOTES.
KAREN: AND STEINER SAID THE
00:05:08ANTI-ISSUE 3 COALITION WILL
SOLICIT CONTRIBUTIONS FOR ITS
00:05:11VOTE NO CAMPAIGN, BUT RIGHT NOW
STEINER SAID HE CAN ONLY DREAM
00:05:13OF HAVING TV ADS.
STEINER'S COALITION IS ALSO
00:05:14CONCERNED ABOUT THE COMPLEXITY
OF THE RESPONSIBLEOHIO
00:05:16AMENDMENT.
HE SAYS IT WOULD ADD 6500 WORDS
00:05:19TO THE CONSTITUTION AND INCREASE
THE LENGTH OF THE CONSTITUTION
00:05:22BY 12%.
THE NEXT DAY, THAT COMPLEX ISSUE
00:05:26WENT TO THE STATE BALLOT BOARD
TO DETERMINE WHAT LANGUAGE WOULD
00:05:29VOTERS READ WHEN THEY MAKE THE
DECISIONS.
00:05:32THE BIPARTISAN BALLOT BOARD,
WHICH OFFICIALLY DECIDED THE
00:05:35MARIJUANA LEGALIZATION PLAN
WOULD BE ISSUE 3, CAME UP WITH A
00:05:38LENGTHY DESCRIPTION THAT
INCLUDES NINE BULLET POINTS.
00:05:42THAT INFURIATED
RESPONSIBLEOHIO'S LAWYER DON
00:05:45MCTIGUE, WHO PLANS TO TAKE IT TO
THE OHIO SUPREME COURT.
00:05:52>> THERE ARE SOME SERIOUS
FLAWS, INCLUDING WHAT WAS
00:06:02LEFT OUT.
WE BELIEVE THAT THE LANGUAGE
00:06:08DOES NOT FAIRLY INFORMED THE
VOTERS OF WHAT THEY ARE BEING
00:06:10ASKED TO VOTE UPON.
THE SUPREME COURT HAS STATED
00:06:13CLEARLY THAT THAT IS WHAT THAT
LINK WHICH DO, IT HAS TO BE
00:06:17ACCURATE AND FAIRLY INFORMED.
THAT'S WHY WE WILL ASK THE COURT
00:06:23TO LOOK AT THIS.
KAREN: BUT REPUBLICAN SECRETARY
00:06:27OF STATE JON HUSTED, WHO IS
AMONG THE ELECTED OFFICIALS WHO
00:06:29HAVE SPOKEN OUT AGAINST THE
REPONSIBLEOHIO ISSUE, HEADS UP
00:06:30THE BALLOT BOARD.
HE SAYS HE REALIZES THOSE
00:06:32BACKING THE RESPONSIBLEOHIO
ISSUE MIGHT NOT BE HAPPY, BUT HE
00:06:34SAYS THE PROCESS WAS FAIR.
>> THEY ARE NOT THE ONLY SIDE
00:06:38THAT MATTERS.
THERE ARE THOSE ON THE OTHER
00:06:41SIDE OF THIS ISSUE -- WE TOOK
AMENDMENT'S FROM BOTH SIDES.
00:06:46I'M SURE THEY WOULD LIKE TO HAVE
-- WE ARE TRYING TO GIVE THE
00:06:56VOTERS THE FACTS SO THEY CAN
MAKE THE DECISION.
00:06:59KAREN: THE BALLOT BOARD ALSO
DETERMINED THAT THE
00:07:06LAWMAKER-BACKED AMENDMENT THAT
WOULD BLOCK THE RESPONSIBLEOHIO
00:07:08AMENDMENT WOULD APPEAR ABOVE IT
ON THE BALLOT, AS ISSUE 2.
00:07:12THAT MEASURE WOULD KEEP ECONOMIC
INTERESTS FROM BEING SPECIFIED
00:07:15IN THE STATE CONSTITUTION, AND
BACKERS ARE CALLING IT AN
00:07:18ANTI-MONOPOLY AMENDMENT.
IF BOTH ISSUES 2 AND 3 PASS,
00:07:22ISSUE 2 WOULD KNOCK OUT ISSUE 3,
BECAUSE IT WOULD TAKE EFFECT
00:07:25FIRST.
THE BALLOT BOARD ALSO APPROVED
00:07:28LANGUAGE FOR ISSUE 1, THE
AMENDMENT THAT WOULD SET UP A
00:07:31SEVEN MEMBER BIPARTISAN PANEL TO
REDRAW STATE LAWMAKERS' DISTRICT
00:07:34BOUNDARIES.
BUT THE DEMOCRATS ON THE BALLOT
00:07:38BOARD VOTED AGAINST IT.
FOR MONTHS NOW, THE OHIO
00:07:41REPUBLICAN PARTY AND SOME GROUPS
THAT BILL THEMSELVES AS
00:07:44GOVERNMENT WATCHDOGS HAVE BEEN
ON RECORD AS SUPPORTING THE
00:07:47PLAN.
BUT ON THIS SHOW LAST MONTH,
00:07:49OHIO DEMOCRATIC PARTY CHAIR
DAVID PEPPER SAID THE PARTY HAS
00:07:52IMPORTANT THINGS TO CONSIDER.
>> THE CURRENT MAP IS THE MOST
00:08:02GERRYMANDERED MAP IN THE STATE
OF OHIO.
00:08:03FORGIVE US IF WE ARE GOING TO
TAKE A LITTLE TIME TO DO THE
00:08:10HOMEWORK TO MAKE SURE THAT THIS
REFORM AND THE VERY SPECIFIC
00:08:15CRITERIA -- THIS IS THE
CONSTITUTION OF THE STATE THAT
00:08:16WE WOULD BE CHANGING FOREVER.
KAREN: THE OHIO DEMOCRATIC
00:08:18PARTY'S SCREENING COMMITTEE THIS
WEEK VOTED TO SUPPORT ISSUE 1.
00:08:20NOW IT'S UP TO THE PARTY'S
EXECUTIVE COMMITTEE TO VOTE ON
00:08:22WHETHER TO OFFICIALLY BACK IT,
WHICH WILL HAPPEN WHEN IT MEETS
00:08:24NEXT MONTH.
ABOUT A QUARTER OF ALL OHIOANS,
00:08:27ALMOST THREE MILLION PEOPLE, ARE
ON MEDICAID NOW, WITH MEDICAID
00:08:30EXPANSION HAVING BEEN IN
OPERATION IN OHIO FOR MORE THAN
00:08:33A YEAR AND A HALF.
41 STATES HAVE EXPANDED MEDICAID
00:08:39UNDER THE AFFORDABLE CARE ACT,
WHICH MEANS THE FEDERAL
00:08:41GOVERNMENT WILL PAY 100% OF
COSTS UNTIL NEXT YEAR, AND THEN
00:08:47THE FEDS WILL PAY 90% OF THE
MEDICAID EXPANSION COSTS.
00:08:48A NEW STUDY SHOWS THAT THE
NUMBER OF OHIOANS WHO ARE
00:08:50UNINSURED HAS BEEN CUT IN HALF
SINCE 2012.
00:08:52AND WHILE THERE HAVE BEEN MORE
OHIOANS THAN EXPECTED WHO HAVE
00:08:55SIGNED UP FOR MEDICAID NOW THAT
THEY'RE ELIGIBLE, THE STATE
00:08:58REPORTS SPENDING ON MEDICAID IS
LOWER THAN ESTIMATED, NEARLY 8%
00:09:02LOWER, WHICH MEANS NEARLY $2
BILLION BELOW EXPECTATIONS.
00:09:08AND WHILE MOST STATE LAWMAKERS
SAID DURING THIS YEAR'S BUDGET
00:09:11PROCESS THAT THEY ACCEPTED THAT
MEDICAID EXPANSION WOULD STAY IN
00:09:14THE SPENDING PLAN, THAT DOESN'T
MEAN THEY'RE ALL OK WITH IT.
00:09:19HERE TO TALK ABOUT MEDICAID AND
MEDICAID EXPANSION IN OHIO ARE
00:09:21TWO EXPERTS WHO'VE STUDIED THE
TOPIC.
00:09:24JOHN CORLETT WAS THE STATE'S
MEDICAID DIRECTOR, AND IS NOW
00:09:26THE PRESIDENT AND EXECUTIVE
DIRECTOR OF THE CENTER FOR
00:09:29COMMUNITY SOLUTIONS, A PUBLIC
POLICY RESEARCH GROUP
00:09:32HEADQUARTERED IN CLEVELAND, AND
HE'S JOINING US THROUGH THE
00:09:35STUDIOS OF WVIZ/IDEASTREAM
THERE.
00:09:37GREG LAWSON HAS WRITTEN
EXTENSIVELY ABOUT MEDICAID AS
00:09:40THE STATEHOUSE LIAISON AND
POLICY ANALYST WITH THE BUCKEYE
00:09:42INSTITUTE, WHICH CALLS ITSELF A
FREE-MARKET THINK TANK.
00:09:48THANK YOU BOTH FOR BEING HERE.
JOHN, YOU HAVE TO BE THRILLED TO
00:09:54SEE NUMBERS OF PEOPLE WHO SIGNED
UP FOR MEDICAID HAS GONE UP BUT
00:10:00SPENDING HAS GONE DOWN.
THE STATE HAS SAID ALTHOUGH ONE
00:10:04HEARD 50,000 MORE PEOPLE
ENROLLED IN EXPANSION COME UP
00:10:09FEWER ARE SIGNING UP FOR
TRADITIONAL MEDICAID.
00:10:12ARE WE JUST MOVING SHELVES
ABOUT?
00:10:14JOHN: I DON'T THINK SO.
IT IS REALLY GOOD NEWS IN TERMS
00:10:19OF THE AMOUNT OF PEOPLE WHO ARE
NO LONGER UNINSURED IN THIS
00:10:21ESTATE.
I'M NOT SURPRISED BY THE
00:10:25SAVINGS.
WE EXPANDED MEDICAID ALMOST A
00:10:29YEAR EARLIER THROUGH A PROGRAM
WITH THE MENTAL HEALTH SYSTEM.
00:10:33THAT WAS MY EXPERIENCE WHEN I
WORKED AT MENTAL HEALTH.
00:10:36WE EXPANDED MEDICAID COVERAGE TO
36,000 UNINSURED RESIDENTS, OUR
00:10:43COSTS WERE LOWER THAN WHAT WE
PROJECTED.
00:10:44ALMOST 29% LOWER.
IT IS NOT SURPRISING TO ME.
00:10:47WHAT THE MEDICAID EXPANSION
SHOWS IS YOU BRING PEOPLE INTO
00:10:54CARE COMING TO THE SYSTEM AND
DELIVER PRIMARY CARE AND LESS
00:10:58CARE AND EMERGENCY DEPARTMENTS
AND YOU APPROVE -- IMPROVE
00:11:03PEOPLE'S HEALTH AND DO IT AT
LOWER COSTS.
00:11:04IT'S INSTINCTIVE.
IF YOU TREAT THINGS AT THE FRONT
00:11:07END, YOU AVOID WERE EXPENSIVE
COSTS AT THE BACKEND.
00:11:10KAREN: JOHN DID WORK AT
METROHEALTH AS THE MEDICAID
00:11:17DIRECTOR.
GREG, THAT WHOLE IDEA THAT MORE
00:11:25PEOPLE HAVE SIGNED UP AT THE
NUMBERS ARE LOWER, THE YOU FIND
00:11:26THAT BELIEVABLE?
GREG: WE HAVE TO LOOK AT THAT
00:11:33THERE WAS A GROSS
UNDERESTIMATION IN TERMS OF WHAT
00:11:35THE STATE EXPECTED TO SEE COME
IN THROUGH THE EXPANDED PROGRAM.
00:11:37WE HAVE SEEN AN UNDERESTIMATION
IN TERMS OF THE GROUPS.
00:11:40AN ISSUE OF PEOPLE WHO
PREVIOUSLY WERE ELIGIBLE FOR
00:11:48MEDICAID BUT WERE NOT ELIGIBLE
FOR THE ENHANCED -- THAT IS A
00:11:56BIT LOWER.
LOOK AT THE ABD POPULATION WHICH
00:12:02IS HISTORICALLY BEEN THE LARGEST
CHUNK -- HOME CARE, NURSING
00:12:08HOMES, THINGS OF THAT NATURE.
THAT NUMBER IS ALSO SOMEWHAT
00:12:11LOWER THAN WAS INITIALLY
PROJECTED.
00:12:12IT IS VERY GOOD.
THE STATE IS DOING A GOOD JOB OF
00:12:17MANAGING A LOT OF DIFFERENT
POPULATIONS.
00:12:18THE COMBINATION OF THE MANAGED
CARE IS WORKING WELL A LOT OF
00:12:23THINGS ARE GOING ON IN THE ABD
POPULATION.
00:12:25THAT ALL FITS INTO IT.
EXPANSION POPULATION WAS -- THAT
00:12:34IS OVER WHAT WAS INITIALLY
BUDGETED.
00:12:37IT IS RIGHT NOW -- THE NET
PROGRAM IS DOWN, BUT THIS WILL
00:12:44ALSO BECOME A PROBLEM WITH THAT
LARGER NUMBER OF THE EXPANSION
00:12:48POPULATION WHEN THE FEDERAL
GOVERNMENT STARTS PULLING BACK
00:12:50THE DOLLARS THEY ARE SPENDING.
IT IS 100% FEDERAL DOLLARS, NOT
00:12:52FREE MONEY.
RIGHT NOW, THE STATE IS NOT ON
00:12:59THE HOOK.
IT WILL START COMING ON THE HOOK
00:13:03AS TIME GOES ON.
IT REMAINS A CRITICAL CONCERN
00:13:07FOR US IN TERMS OF LONG PAINTS
TERM STABILITY.
00:13:13KAREN: MORE PEOPLE SIGN UP FOR
MEDICAID THAN ORIGINALLY
00:13:17EXPECTED IN TERMS OF EXPANSION.
GREG'S CONCERNS ABOUT WHAT
00:13:22HAPPENS WHEN STATE HAS TO START
PICKING UP THOSE COSTS.
00:13:25JOHN: THAT IS A VALID CONCERN.
ONE OF THE REASONS MORE PEOPLE
00:13:30ARE ENROLLED IN THE EXPANSION
GROUP WAS THAT THE STATE WAS
00:13:33ABLE TO MOVE SOME FOLKS WHO WERE
NEWLY ELIGIBLE UNDER THIS NEW
00:13:37CATEGORY.
THE OTHER THING THAT THE STATE
00:13:43MEDICAID PROGRAM IS TURNED TO DO
IS TRYING TO MOVE LESS FROM
00:13:50PAYING FOR INDIVIDUAL SERVICES
TOWARDS PAYING FOR OUTCOMES.
00:13:51THAT'S WHERE WE CAN SAVE MONEY
IN THIS SYSTEM.
00:13:53WE KNOW THAT BY DELIVERING
HIGHER-QUALITY CARE AND HAVING
00:14:01PROVIDERS DELIVER HIGHER QUALITY
CARE WITH BETTER OUTCOMES, IT
00:14:04SAVES MONEY.
IT JUST DOES.
00:14:05THE STATE HAS BEEN DOING A LOT
OF WORK ON TRYING TO RESHAPE THE
00:14:10WAY IN WHICH THEY PAY HOSPITALS.
I'M HOPING THAT AT SOME POINT WE
00:14:17CAN MOVE BEYOND THE MEDICAID
DEBATE INTO MORE OF A HEALTH
00:14:20DEBATE BECAUSE THAT'S WHERE
MEDICAID SHOULD MOVE.
00:14:21IT SHOULD BE MORE OF A
POPULATION HEALTH PROGRAM,
00:14:26LOOKING AT THOSE THINGS THAT
CONTRIBUTE A LOT TO POOR HEALTH
00:14:31OUTCOMES.
WHAT CAN WE DO -- ONE OF THE
00:14:34EXAMPLES THAT WE CAME ACROSS
OFTEN WAS THE ISSUE WHERE WE HAD
00:14:38CHILDREN COMING INTO ED'S
REPEATEDLY WITH ASTHMA ISSUES,
00:14:43WITH ASTHMA ATTACKS.
THE ONE THING WE COULD NOT GET
00:14:48PAID FOR UNDER MEDICAID WAS
RELIEVED BEATING THE POOR
00:14:51HOUSING CONDITIONS --
ALLEVIATING THE POOR HOUSING
00:14:55CONDITIONS.
WHERE VENTILATION, ISSUES IN THE
00:14:59HOME -- WE CANNOT ADDRESS THOSE
THINGS.
00:15:02WE COULD TREAT THEM IN OUR
EMERGENCY DEPARTMENT AND PROVIDE
00:15:07THEM WITH MEDICATION, BUT WE
CANNOT DEAL WITH THE SOCIAL
00:15:09DETERMINANTS OF HEALTH.
KAREN: I WANT TO ASK YOU BOTH
00:15:14ABOUT THIS ASSESSMENT SURVEY
THIS WEEK THAT SHOWED THAT THE
00:15:21NUMBER HAS BEEN CUT IN HALF.
8.7 ADULTS IN OHIO -- A .7%
00:15:31ADULTS IN OHIO THIS 2% OF KIDS
WERE UNINSURED, DOWN FROM 4.7%.
00:15:37IS OUR HUGE DROPS.
MEDICAID EXPANSION IS A BIG
00:15:43REASON FOR WHY THESE NUMBERS
HAVE FALLEN.
00:15:45GREG: THERE IS A COUPLE OF
THINGS TO POINT OUT.
00:15:47SOME OF THE FOLKS CURRENTLY ON
MEDICAID WOULD HAVE STILL BEEN
00:15:51ABLE TO A GOTTEN COVERAGE.
HALF OF THE INDIVIDUALS ARE
00:15:55WORKING.
YOU HAVE THE POOR PEOPLE NOT
00:15:57WORKING.
OF THOSE THAT ARE WORKING, WHAT
00:16:03WE DON'T KNOW IS HOW MANY OF
THEM WERE AT THE POVERTY LEVEL,
00:16:06THE CUTOFF FOR BEING ABLE TO GET
SUBSIDIES IN THE EXCHANGE.
00:16:12I'M VERY CURIOUS TO SEE WHAT --
WITHOUT THE EXPANSION STILL
00:16:21WOULD HAVE BEEN ABLE FOR
COVERAGE THIS -- SOME OF THIS
00:16:29NUMBER COULD HAVE STILL BEEN
ACHIEVED WITH THE RESPECT TO
00:16:32OTHER ASPECTS OF THE AFFORDABLE
CARE ACT.
00:16:33GETTING MORE PEOPLE COVERED IS
VERY IMPORTANT.
00:16:36THERE'S OTHER MORE MARKET-BASED
WAYS.
00:16:39ANOTHER THING WE NEED TO BE
MINDFUL OF, THE ONGOING ISSUE OF
00:16:45ACCESS TO CARE.
JUST BECAUSE WE HAVE HEALTH CARE
00:16:48INSURANCE, YOU HAVE COVERAGE --
THAT DOESN'T NECESSARILY MEAN
00:16:52YOU WILL GET DISTURBANCES.
THERE'S ALWAYS ISSUES WITH
00:16:59ACCESS.
WE'VE SEEN DOCTORS THAT HAVE
00:17:00BEEN A BIG DEBATE -- HOW MUCH
DOCTORS ARE REIMBURSED.
00:17:01WE HAVE TO DEAL WITH THE ACCESS
ISSUE BECAUSE YOU MAKE GETTING
00:17:10MEDICAID CARD, BUT YOU MAY NOT
BE ABLE TO GO SEE A POSITION.
00:17:11-- PHYSICIAN.
WE'VE SEEN IN OTHER STATES,
00:17:19NUMBERS ARE SOMEWHAT BETTER IN
OHIO, BUT WE HAVE SEEN THE
00:17:22EMERGENCY ROOM UTILIZATION AND
OTHER AREAS HAVE NOT GONE DOWN
00:17:24QUITE AS MUCH IN OTHER STATES.
KAREN: LET ME ASK YOU ABOUT
00:17:32THAT, JOHN.
HAS ACCESS IMPROVED?
00:17:33JOHN: I THINK THAT IS TRUE.
ONE OF THE THINGS THE STATE JUST
00:17:43ANNOUNCED THIS WEEK THAT THEY
ARE DOING IS AROUND DEVELOPING
00:17:45REPORT CARDS FOR THE MEDICAID
MANAGED CARE PLANS.
00:17:46THAT'S ONE OF THE THINGS THEY
LOOK AT.
00:17:49HOW THESE DIFFERENT PLANS DO IN
TERMS OF PROVIDING ACCESS SO
00:17:54THAT MEDICAID CONSUMERS CAN LOOK
AT THOSE RESULTS COME OF THIS
00:17:57REPORT CARDS AND MAKE CHOICES
ABOUT A PLAN THAT BEST FITS
00:17:59THEIR NEEDS.
THE OHIO MEDICAID PROGRAM HAS
00:18:04ALWAYS HAD A PRETTY GOOD TRACK
RECORD OF BEING ABLE TO ATTRACT
00:18:06PROVIDERS.
THERE ARE THOUSANDS OF MEDICAID
00:18:10PROVIDERS IN THE STATE.
THERE IS GOOD ACCESS.
00:18:13NOT TO SAY THAT IT COULDN'T BE
IMPROVED, BUT WITH AIRTRAN TO DO
00:18:19IS PUT MORE INFORMATION IN THE
HANDS OF MEDICAID CONSUMERS --
00:18:23PUT MORE INFORMATION.
TO IMPROVE ACCESS AND IMPROVE
00:18:27SERVICE.
KAREN: THIS WHOLE IDEA OF THE
00:18:34SURVEY THAT SHOWED HALF OF
PEOPLE WHO WERE GETTING MEDICAID
00:18:36IN OHIO ARE WORKING.
30% DISABLED, 20% ARE NOT
00:18:40WORKING.
HALF THE PEOPLE IN OHIO WERE
00:18:43GETTING MEDICARE WERE WORKING.
WHAT DOES THAT SAY ABOUT THE
00:18:48KINDS OF JOBS BEEN OFFERED AND
THE LEVEL OF PAY THESE PEOPLE
00:18:51ARE GETTING?
GREG: I THINK THAT IS A VERY
00:18:57LEGITIMATE POINT.
THIS GETS INTO A LOT OF ECONOMIC
00:19:01GROWTH AND DEVELOPMENT ISSUES.
WE NEED TO CREATE JOBS THAT HAVE
00:19:05THE ABILITY TO MOVE UP THE
LADDER AND BE PAID MORE.
00:19:08WE'VE SEEN MEDIAN INCOME GO UP
SLIGHTLY FROM A BUT WE STILL
00:19:13HAVE TAKEN A BIG DIP -- THIS IS
A MASSIVE PROBLEM, NO QUESTION
00:19:18ABOUT THAT.
WE DON'T WANT PEOPLE ON
00:19:24MEDICAID, WE WANT TO MOVE PEOPLE
INTO THE PRIVATE INSURANCE
00:19:25MARKET.
THE ONLY WAY YOU ARE GOING TO DO
00:19:27THAT IS THROUGH GETTING PEOPLE
PAID ENOUGH.
00:19:28THAT OPENS UP A BIT OF A
PANDORA'S BOX BECAUSE THAT GETS
00:19:33INTO REGULATORY POLICY.
WE ARE STRONG ON THE RECORD IN
00:19:39TERMS OF WHERE WE THINGS ARE --
WE HAVE TO DO WHAT'S RIGHT FOR
00:19:44PEOPLE AND FOR THE STATE.
I DO THINK IT'S IMPORTANT TO
00:19:45NOTE -- 23.9% OF THOSE FOLKS ARE
NOT WORKING.
00:19:50I DO NEED TO POINT OUT THAT WE
DON'T -- I'M NOT SURE WHAT THE
00:19:58BREAKDOWN IS OF THE PEOPLE THAT
ARE WORKING THAT ARE -- THERE
00:20:06WAS ALWAYS A SUBSET OF THIS
POPULATION THAT WAS ALWAYS GOING
00:20:10TO BE ELIGIBLE FOR INSURANCE
COVERAGE ABSENT THE MEDICAID
00:20:15EXPANSION.
WE NEED TO UNDERSTAND THERE WERE
00:20:19OTHER THINGS OUT THERE AND IF
THIS HAD NOT OCCURRED, IT'S NOT
00:20:22LIKE THOSE ENTIRE -- THE ENTIRE
SKY WOULD HAVE FALLEN.
00:20:27THERE WAS A LOT OF OTHER
PATHWAYS AVAILABLE.
00:20:29WE NEED TO KEEP THAT IN MIND AS
WELL.
00:20:33KAREN: THERE IS A CONSERVATIVE
GROUP OPPOSED TO MEDICAID
00:20:38EXPANSION THAT LOOKED IN OHIO
AND DECLARED OHIO WAS THE MOST
00:20:44DEPENDENT ON MEDICAID EXPANSION
OF ANY OF THE STATES IN THE
00:20:47MIDWEST.
25% ON MEDICAID.
00:20:49A HUGE NUMBER OF PEOPLE.
THAT HAS TO BE A HUGE CONCERN
00:20:55FOR YOU AND THE IDEA OF HIS OHIO
DEPENDENT ON MEDICAID?
00:20:58JOHN: I DON'T VIEW IT THAT WAY.
AS GREG REFERENCE BEFORE, THE
00:21:05FACT OF HOW THE LABOR MARKET
PERFORMS AND THE JOBS THAT ARE
00:21:09AVAILABLE TO INDIVIDUALS AND THE
MOVEMENT OF EMPLOYERS TO DROP
00:21:12COVERAGE -- I'VE ALWAYS THOUGHT
OF MEDICAID AS A WORK SUPPORT
00:21:19PROGRAM.
IT PROVIDES SUPPORT TO LOW-WAGE
00:21:22WORKERS, KEEPS THEM HEALTHY SO
THEY CAN KEEP WORKING.
00:21:25I'VE ALWAYS SEEN IT THAT WAY.
NOW, WITH THE EXCHANGES COMBINED
00:21:31WITH MEDICAID, WE HAVE A CLEAR
PATH THAT PEOPLE CAN MOVE UP.
00:21:33BEFORE THE AFFORDABLE CARE ACT,
WHEN PEOPLE MOVED OFF OF
00:21:38MEDICAID, THEY LOST COVERAGE
ALTOGETHER BECAUSE THEY CANNOT
00:21:43AFFORD PRIVATE COVERAGE.
NOW, WE HAVE A PATH FOR PEOPLE
00:21:48THAT CAN ENCOURAGE PEOPLE TO
WORK AND IMPROVE THEIR EARNINGS.
00:21:52THE OTHER THING THAT IS
IMPORTANT TO REMEMBER, OHIO IS A
00:21:56PRIVATE MEDICAID SYSTEM -- MOST
OF OUR CARE IS DELIVERED VIA
00:22:02PRIVATE INSURANCE PLANS.
MEDICAID AND PRIVATE INSURANCE
00:22:10LOOK A LOT MORE ALIKE.
KAREN: THE STORIES THAT PEOPLE
00:22:16ARE TELLING ABOUT HOW MEDICAID
EXPANSION HAS HELPED THEM BECOME
00:22:20MORE PRODUCTIVE AND BE
CONTRIBUTE MEMBERS OF SOCIETY,
00:22:25HOW CAN PEOPLE WHO ARE AGAINST
MEDICAID EXPANSION IGNORE THOSE
00:22:27STORIES?
GREG: WE DON'T IGNORE THIS
00:22:30STORIES.
WHAT IS THE RIGHT MECHANISM FOR
00:22:35GIVING PEOPLE SOMETHING
COMPARABLE TO THAT?
00:22:36YOU WANT A MORE MARKET-BASED
APPROACH, WHICH MEANS YOU WANT A
00:22:40LOT MORE COMPETITION.
THERE'S ONLY FIVE OR SIX
00:22:47MANAGED-CARE COMPANIES.
IF YOU HAVE DIFFERENT INSURANCE
00:22:51PLANS THAT DON'T HAVE A LOT OF
MANDATES ON THEM, THEN YOU CAN
00:23:00HAVE A MUCH DIFFERENT VENUE OF
OPTIONS FOR INSURANCE AND
00:23:05CHEAPER PLANS AND YOU CAN DO A
LOT OF THINGS WITH THE TAX CODE
00:23:10WITH PEOPLE COMING OUT OF
DIFFERENT HEALTH CARE PLANS AND
00:23:12STUFF AND THOSE ARE THE KINDS OF
THINGS WE NEED TO BE ABLE TO
00:23:14SEE.
WE ARE NOT SING PEOPLE SHOULD
00:23:17NOT GET COVERAGE AND BE ABLE TO
THEN GET THE ACCESS, BUT THE
00:23:23MECHANISM FOR WHICH WE ARE DOING
IT -- THE MEDICAID IS FUNDED BY
00:23:29THE FEDERAL GOVERNMENT.
THAT IS NOT FREE MONEY.
00:23:31IT'S EVERYBODY'S TAX MONEY AND
DEBT.
00:23:35THERE IS GOING TO BE AN ISSUE
HERE.
00:23:39THINGS CHANGE AND THAT GETS CUT
-- YOU HEAR ABOUT MEDICAID BEING
00:23:47BLOCKED GRANTED, THAT WILL
CHANGE THE RESOURCES THAT THE
00:23:51STATE HAS AND WE WILL HAVE TO
REJIGGER THE SYSTEM.
00:23:57IT'S ABOUT HOW WE DO IT.
NOBODY WANTS TO SEE PEOPLE
00:24:04WITHOUT IT.
THERE IS STILL A DISAGREEMENT
00:24:08WITH THAT COMING EXCLUSIVELY
FROM THE FEDERAL GOVERNMENT.
00:24:10KAREN: WE WILL BREAK HERE AND
PICK THIS UP NEXT WEEK WITH A
00:24:16CONVERSATION ABOUT THE RULE
CHANGES.
00:24:18THANK YOU FOR BEING HERE THIS
WEEK.
00:24:21AND THAT'S IT FOR THIS WEEK.
FOR MY COLLEAGUES AT OHIO PUBLIC
00:24:24RADIO AND TELEVISION, THANKS FOR
WATCHING.
00:24:26IF YOU'D LIKE TO ASK QUESTIONS,
MAKE COMMENTS, OR WATCH THIS
00:24:27WEEK'S SHOW OR EARLIER EPISODES,
PLEASE VISIT OUR WEBSITE AT
00:24:30STATENEWS.ORG, OR WATCH ON THE
OHIO CHANNEL'S WEBSITE OR AT
00:24:32IDEASTREAM.ORG/OHIO.
AND YOU CAN FOLLOW JO INGLES,
00:24:37ANDY CHOW AND ME ON TWITTER.
AND PLEASE JOIN US AGAIN NEXT
00:24:40TIME FOR "THE STATE OF OHIO."
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00:24:43?
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