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00:00:00>> SUPPORT FOR THE STATEWIDE
BROADCAST OF THE "STATE OF OHIO"
00:00:04COMES FROM THE LAW FIRM OF
PORTER, WRIGHT, MORRIS AND
00:00:05ARTHUR, LLP.
HELPING BUSINESSES AND
00:00:07INDIVIDUALS SOLVE COMPLEX LEGAL
PROBLEMS THROUGHOUT OHIO, ACROSS
00:00:09THE COUNTRY AND AROUND THE
WORLD.
00:00:14ON THE WEB AT PORTERWRIGHT.COM.
AND FROM THE OHIO EDUCATION
00:00:16ASSOCIATION, REPRESENTING
120,000 MEMBERS, WHO WORK TO
00:00:21INSPIRE THEIR STUDENTS TO THINK
CREATIVELY AND EXPERIENCE THE
00:00:23JOY OF LEARNING.
ONLINE AT OHEA.ORG.
00:00:28KAREN: THE STATE'S TOP ELECTIONS
OFFICIAL DEFENDS THE DECISION TO
00:00:31PUT A CERTAIN WORD ON THE MOST
CONTROVERSIAL ISSUE ON THE FALL
00:00:34BALLOT.
AND MORE ON MEDICAID, THIS TIME
00:00:37FROM TWO LAWMAKERS FROM OPPOSITE
VIEWPOINTS WHO HELP DECIDE
00:00:41FUNDING FOR THE PROGRAM THAT
AFFECTS A QUARTER OF ALL
00:00:43OHIOANS.
ALL THIS WEEK IN "THE STATE OF
00:00:46OHIO."
THE ELECTED OFFICIAL AT THE
00:00:57CENTER OF THE BATTLE OVER THE
MOST CONTROVERSIAL ISSUE FACING
00:01:00VOTERS THIS FALL SPOKE OUT ABOUT
THAT ISSUE AND THE OTHER TWO ON
00:01:04THE NOVEMBER BALLOT.
SECRETARY OF STATE JON HUSTED
00:01:08SAID ALL THREE OF THE ISSUES
HAVE ONE THING IN COMMON -- THEY
00:01:10ALL HAVE TO DO WITH MONOPOLIES.
SECRETARY HUSTED: THE FIRST ONE,
00:01:14ISSUE 1, IS ABOUT ENDING A
POLITICAL MONOPOLY.
00:01:18ISSUE 2 IS ABOUT ENDING PRIVATE
MONOPOLIES AND ISSUE 3 IS ABOUT
00:01:22GRANTING A NEW MONOPOLY.
KAREN: HUSTED TOLD THE COLUMBUS
00:01:28METROPOLITAN CLUB THAT HE BACKS
ISSUE 1, WHICH WOULD PUT IN
00:01:30PLACE A SEVEN MEMBER BIPARTISAN
COMMISSION TO DRAW OHIO'S STATE
00:01:33LEGISLATIVE DISTRICTS.
HE ALSO SUPPORTS ISSUE 2, WHICH
00:01:38IS THE LAWMAKER-BACKED AMENDMENT
THAT WOULD BAN ECONOMIC
00:01:42INTERESTS FROM PUTTING INTO THE
CONSTITUTION LANGUAGE THAT
00:01:45BENEFITS ONLY THEM AND NOT ALL
OHIOANS.
00:01:49AND THEN THERE'S ISSUE 3, THE
RESPONSIBLEOHIO PLAN, WHICH
00:01:52WOULD LEGALIZE MARIJUANA WITH 10
OFFICIAL GROWING SITES AND A
00:01:55SYSTEM OF REGULATION AND TAXES.
RESPONSIBLEOHIO SUED OVER THE
00:01:59BALLOT BOARD'S DECISION TO PUT
THE WORD "MONOPOLY" IN THE TITLE
00:02:03OF THE ISSUE THAT VOTERS WILL
READ ON THE BALLOT.
00:02:06HUSTED, WHO CHAIRS THE BALLOT
BOARD, DEFENDED THAT DECISION.
00:02:09SECRETARY HUSTED: IF THEY DIDN'T
WANT IT CALLED A MONOPOLY THEN
00:02:17THEY SHOULDN'T HAVE CREATED A
MONOPOLY THAT'S WHAT IT IS.
00:02:19I MEAN YOU LOOK AT THE
DICTIONARY AND THAT'S THE
00:02:20DEFINITION OF A MONOPOLY WHEN A
SMALL GROUP OF PEOPLE HAVE
00:02:22CONTROL OVER A COMMODITY AND
THEY HAVE PRICING POWER AND HOW
00:02:24IT'S BOTH PRODUCED AND SOLD AND
THAT'S EXACTLY WHAT THIS DOES.
00:02:26KAREN: BUT RESPONSIBLEOHIO'S IAN
JAMES SAID THE WORD "MONOPOLY"
00:02:29IS NOT A FAIR DESCRIPTION OF THE
ISSUE.
00:02:33IAN: IT'S SIMPLY MISLEADING,
IT'S SIMPLY DECEPTIVE AND IT'S
00:02:35SIMPLY DEFRAUDING THE VOTERS ON
WHAT EXACTLY THEY'RE GOING TO BE
00:02:41VOTING ON, ON ISSUE 3.
KAREN: AND JAMES SAID HUSTED HAS
00:02:45PUT HIMSELF IN A CONFLICT OF
INTEREST SINCE HE'S BEEN A VOCAL
00:02:48OPPONENT OF THE MEASURE.
THE OHIO SUPREME COURT IS
00:02:51EXPECTED TO HEAR
RESPONSIBLEOHIO'S LAWSUIT OVER
00:02:53THE BALLOT BOARD LANGUAGE IN THE
COMING DAYS.
00:02:56IT'S NOT JUST THE THREE BALLOT
ISSUES FACING OHIO VOTERS THIS
00:02:58FALL.
THEY'LL ALSO DECIDE DOZENS OF
00:03:01JUDICIAL RACES ALL ACROSS THE
STATE.
00:03:04AND MOST VOTERS FIND IT
DIFFICULT TO GET INFORMATION
00:03:06ABOUT THOSE RACES AND WHO'S
RUNNING.
00:03:09THE OHIO SUPREME COURT WANTS TO
FIX THAT WITH A NEW WEBSITE,
00:03:17JUDICIALVOTESCOUNT.ORG.
THE SITE PULLS TOGETHER BASIC
00:03:19INFORMATION ABOUT THE CANDIDATES
ALONG WITH EXPLANATIONS ABOUT
00:03:21THE COURT SYSTEM AND LINKS TO
VOTING WEBSITES.
00:03:22IT WENT LIVE THIS WEEK.
I'LL TALK TO CHIEF JUSTICE
00:03:25MAUREEN O'CONNOR ABOUT THAT AND
MORE NEXT WEEK.
00:03:28IN AND HUNDREDS RALLIED AT THE
STATEHOUSE THIS WEEK TO
00:03:30CELEBRATE THEIR SOBRIETY AND
ENCOURAGE OTHERS WHO ARE
00:03:32STRUGGLING WITH DRUG AND ALCOHOL
ADDICTIONS.
00:03:35NEARLY 100,000 OHIOANS WERE
INVOLVED IN PUBLICLY FUNDED
00:03:39ADDICTION TREATMENT PROGRAMS
LAST YEAR, AND NEARLY 4 IN TEN
00:03:43OF THEM WERE SEEKING HELP TOúóó
KICK OPIATE ADDICTIONS.xóxóx
00:03:47MEDICAID IS A HUGE CHUNK OF
STATE SPENDING AND ITS GROWTH
00:03:50HAS BEEN A CONCERN SINCE THE
1990'S, WHEN GOVERNOR GEORGE
00:03:53VOINOVICH CALLED IT "THE PAC-MAN
OF THE BUDGET."
00:03:55IT'S ALSO BEEN A TOPIC ON THIS
SHOW FOR THE LAST TWO WEEKS.
00:03:59I'VE BEEN DISCUSSING MEDICAID,
MEDICAID EXPANSION AND THE
00:04:02CHANGES TO MEDICAID IN THE
CURRENT BUDGET WITH TWO EXPERTS.
00:04:06GREG LAWSON WITH THE BUCKEYE
INSTITUTE AND FORMER STATE
00:04:11MEDICAID DIRECTOR JOHN CORLETT,
NOW AT THE CENTER FOR COMMUNITY
00:04:14SOLUTIONS.
YOU CAN CHECK OUT THOSE
00:04:16CONVERSATIONS IN OUR ARCHIVES.
THIS WEEK, TWO PEOPLE ON THE
00:04:18FRONT LINES IN THE BATTLE OVER
MEDICAID WEIGH IN.
00:04:22THEY ARE STATE LAWMAKERS ON
OPPOSE SIDES OF THE AISLE, AND
00:04:24ALSO HAVE DIVERGENT VIEWPOINTS
ON MEDICAID.
00:04:26I SAT DOWN FIRST WITH
REPRESENTATIVE JIM BUTLER, A
00:04:29REPUBLICAN OF DAYTON WHO WAS SO
CONCERNED ABOUT GOVERNOR JOHN
00:04:32KASICH'S MEDICAID EXPANSION THAT
HE HAD CONSIDERING TRYING TO
00:04:36-- HAD CONSIDERED TRYING TO
FORCE A VOTE ON AN
00:04:45ANTI-EXPANSION AMENDMENT DURING
THE BUDGET DEBATE.
00:04:46I ASKED BUTLER ABOUT MEDICAID
ENROLLMENTS, WHICH ARE GOING UP,
00:04:48AND MEDICAID SPENDING, WHICH IS
BELOW ESTIMATES BUT HE SAYS IT'S
00:04:50STILL GROWING.
AND HE SAYS PER PERSON MEDICAID
00:04:52COSTS ARE GOING UP, TOO.
REPRESENTATIVE BUTLER: THE
00:04:56OVERALL COSTS HAVE GONE UP 15%.
THAT IS STATE ONLY DOLLARS,
00:05:06NOT EVEN INCLUDING EXPANSION.
THE PERCENTAGE OF THE BUDGET
00:05:09THAT MEDICATED TAKES UP HAS GONE
UP FROM 15% TO 29%.
00:05:14THIS IS IN GOOD TIMES WHERE YOU
WOULD EXPECT PEOPLE TO BE COMING
00:05:21OFF BECAUSE THE ECONOMY IS
IMPROVING.
00:05:25WITH THE STATE NUMBER, THE
NUMBER OF PEOPLE GOING TO THE
00:05:30EXPANSION POPULATION, YOU SHOULD
BE SAYING THE COSTS DOWN, BUT
00:05:35THEY ARE GOING UP OVER 50%.
KAREN: LET'S TALK ABOUT THE
00:05:40REFORM TO HAVE.APPE
MORE PEOPLE ARE INSURED NOW.
00:05:47THE NUMBER OF UNINSURED OHIOANS
HAS DROPPED BY HALF.
00:05:51THAT IS A GOOD THING, RIGHT?
REPRESENTATIVE BUTLER:
00:05:55ABSOLUTELY WE SHOULD MAKE SURE
HEALTH CARE IS SUCCESSFUL TO
00:06:03EVERYBODY.
EXPANDING A PROGRAM THAT HAS AN
00:06:04UNSUSTAINABLE COST -- WE NEED TO
REFORM THE PROGRAM INSTEAD OF
00:06:12JUST THROWING GASOLINE ON THE
FIRE.
00:06:13KAREN: WHAT REFORMS WOULD YOU
PROJECT AND WHAT WOULD YOU LIKE
00:06:16TO SEE?
WE HAD THIS ONE REFORM LAST WEEK
00:06:20WITH REGARD TO PEOPLE PUTTING
MONEY INTO SAVINGS ACCOUNTS.
00:06:23THAT MAY BE A ZERO-SUM GAME.
REPRESENTATIVE BUTLER: THIS IS
00:06:28ACTUALLY BASED ON AN INDIANA,
PROVEN PROGRAM FROM INDIANA THE
00:06:33STARTED AND FASCINATE.
-- THAT WAS STARTED BY THE
00:06:48STATE.
IT'S A SIMPLE PLAN AND WORKS
00:06:51REALLY WELL.
YOU HAVE HAD SKIN IN THE GAME TO
00:06:55GET PATIENT ENGAGEMENT.
THE OVERALL COST OF THE PROGRAM,
00:07:00WHICH I MENTIONED -- INDIANA
SHOWED THE MR. BURDEN WAS VERY
00:07:07NOMINAL -- ADMINISTRATIVE BURDEN
WAS VERY NOMINAL.
00:07:13THEY SAVED 16% AND COSTS.
-- IN COSTS.
00:07:206-8% FOR NON-PARENTS.
EVEN IF WE SAVE 2-4% OFF THE
00:07:32ENTIRE MEDICAID BUDGET, THAT IS
$500 MILLION IN SAVINGS EVERY
00:07:34ARE.
-- EVERY YEAR.
00:07:36IMAGINE WHAT THAT MEANS FOR
SCHOOL FUNDING AND
00:07:41INFRASTRUCTURE.
THAT IS THE REASON WE NEED
00:07:43REFORM.
IT IS A PROVEN PROGRAM THAT WE
00:07:45KNOW WORKS.
KAREN: THE DESCRIPTION OF THIS
00:07:48IS POSSIBLY A BUREAUCRATS
NIGHTMARE.
00:07:51ISN'T THERE GOING TO BE --
REPRESENTATIVE BUTLER: ANTHEM
00:08:02RUNS THE PROGRAM.
THEY SAY IT IS NOT DIFFICULT AT
00:08:06ALL.
YOU GET THE DEBIT CARD.
00:08:10THE INCENTIVES ARE ALL THERE.
THAT IS NOT TRUE AT ALL.
00:08:16KAREN: WE WOULD HAVE TO GET A
FEDERAL WAIVER.
00:08:19THE GOVERNMENT HAS NOT GRANTED
ANY WAIVERS.
00:08:23THE INDIANA PROGRAM IS
DIFFERENT.
00:08:25REPRESENTATIVE BUTLER: THEY ARE
VERY SIMILAR.
00:08:27THE PROGRAM WAS APPROVED IN 2008
UNDER THE BUSH MINISTRATION AND
00:08:33THEN REAPPROVED IN 2013 UNDER
THE OBAMA AND MINISTRATION
00:08:35-- ADMINISTRATION.AND TERRY
THE FEDERAL GOVERNMENT DOES
00:08:45GRANT THE WAIVER.
THIS IS WHAT THE STATUS.
00:08:51IF YOU HAVE THAT PATIENT
ENGAGEMENT, YOU HAVE MORE
00:08:54PREVENTATIVE CARE COME ALMOST
DOUBLE, EVEN HIGHER THAN THE
00:08:58COMMERCIAL RATES.
MORE PRIMARY CARE, LESS IN THE
00:09:03ER.
ALL THOSE STATISTICS ARE CLEAR
00:09:07AND PROVEN.
YOU HAVE TO HAVE BETTER CARE AND
00:09:11YOU HAVE TO SAVE MONEY.
INDIANA HAS PROVEN THAT AND HAS
00:09:17BEEN GRANTED THE WAIVER FROM THE
FEDERAL GOVERNMENT.
00:09:19KAREN: WHAT ELSE CAN THE STATE
DO BEYOND THIS PROGRAM?
00:09:21REPRESENTATIVE BUTLER: I WANT TO
TOUCH ON ONE THING THAT WAS
00:09:27ENACTED IN THE BUDGET.
THIS PRICE THAT -- TRANSPARENCY.
00:09:32WE NEVER KNOW WHAT WE ARE
SPENDING.
00:09:36WE GO TO THE DOCTOR AND GET OUR
LABS AND 60 DAYS LATER YOU GET
00:09:40THE BILL AND YOUR JAW DROPS.
THAT WILL END IN OHIO FOR
00:09:46NONEMERGENCIES STARTING IN 2017.
ANYTIME YOU GO IN FOR A
00:09:50NONEMERGENCY SERVICE, YOU WILL
GET THAT UP FRONT.
00:09:54YOU WILL KNOW EXACTLY WHAT THEY
ARE CHARGING, WHAT THEIR
00:09:57INSURANCE IS PAYING AND WHAT
YOUR OUT-OF-POCKET WILL BE.
00:10:00THAT WILL BE IMPORTANT TO START
CHANGING THE CULTURE.
00:10:06BACK TO THE INDIANA PLAN, WITH
JUST THAT NOMINAL AMOUNT OF
00:10:10CONTRIBUTION, ONE IN THREE
PATIENTS THAT WERE IN RELEASE --
00:10:19AND ROLE HE'S ASKED THE PROVIDER
WHAT THE COST FOR SERVICES WOULD
00:10:21BE.
-- ENROLLEES ASKED THE PROVIDER
00:10:30WHAT THE COST FOR SERVICES WOULD
BE.
00:10:31THIS WILL GO A LONG WAY FOR
HAVING BETTER HEALTH OUTCOMES.
00:10:35KAREN: WHAT ELSE WOULD YOU LIKE
TO SEE?
00:10:37REPRESENTATIVE BUTLER: HOUSE
BILL 157, I WANT TO THANK JOHN
00:10:45ADAMS -- ALL WHO WORKED ON THIS
BILL WITH ME.
00:10:52DIFFERENT PARTS OF THAT HAVE TO
DO WITH PROVIDING THE RIGHT
00:10:56INCENTIVES SO POSITIONS DON'T
HAVE TO ORDER A BUNCH OF TESTS
00:11:03OUT OF FEAR OF BEING SUED.
MAKING SURE WE ARE LOWERING THE
00:11:08MEDICAL ERRORS OUT THERE, WHICH
IS A HORRIBLE PROBLEM.
00:11:13THIS WILL GO A LONG WAY.
HAVING A POOL FOR
00:11:19PHARMACEUTICALS -- A DRUG COSTS
ARE OUT OF CONTROL.
00:11:22THE COST OF MEDICAL EQUIPMENT.
ALL OF US WILL HAVE LOWER HEALTH
00:11:28CARE COSTS.
HAVING HOSPITALS BE INCENTIVIZED
00:11:34FOR GOOD HEALTH OUTCOMES.
NOT JUST THAT THEY HAVE MARBLE
00:11:41AND A GRAND PIANO IN THE LOBBY.
THEY NEED TO BE REWARDED WHEN
00:11:44THEY HAVE GOOD RESULTS.
THE RECIPIENT'S AND IS TWO
00:11:50THINGS THAT HAVE PASSED THIS --
THE ENGAGEMENT, THAT
00:12:02TRANSPARENCY IS ACTUALLY VITAL.
YOU HAVE TO HAVE THE PROVIDER
00:12:05AND PATIENT ENGAGEMENT,
EMPOWERING PATIENTS TO MAKE HER
00:12:09OWN DECISIONS.
KAREN: ON THE RECIPIENTS AND,
00:12:13THE IDEA OF THEM HAVING SKIN IN
THE GAME.
00:12:17THESE ARE SOME OF THE POOREST
PEOPLE IN OHIO, WORKING HARD,
00:12:21NOT MAKING MUCH MONEY.
IS IT FAIR TO ASK THEM, THESE
00:12:29PEOPLE WHO NEED SO MUCH, TO
CONTRIBUTE?
00:12:30REPRESENTATIVE BUTLER:
ABSOLUTELY.
00:12:32YOU ARE TAKING PEOPLE AND MAKING
THEM PARTICIPANTS INSTEAD OF
00:12:36RECIPIENTS.
THAT IS VITAL.
00:12:38IN INDIANA, WE HAVE DATA SHOWING
95% OR 97% OF PARTICIPANTS SAID
00:12:49THEY WERE VERY SATISFIED OR
SOMEWHAT SATISFIED WITH BEING
00:12:52PART OF THE PROGRAM.
70% SAID IT WAS JUST THE RIGHT
00:12:54AMOUNT.
OUR AMOUNT IS A LOT LOWER.
00:12:57THE AMOUNT, HEAVEN THAT
ENGAGEMENT IS REALLY VITAL.
00:13:05IT'S ONE OF THE MOST IMPORTANT
THINGS THAT INDIANA DISCOVERED.
00:13:0920% OF THE PEOPLE IN THE HEALTHY
INDIANA PLAN DID NOT PAY A
00:13:17PREMIUM BECAUSE OF THE WAY THE
INCOME WAS CALCULATED.
00:13:18THEY WERE ABLE TO MEASURE THE
BEHAVIOR IF YOU DON'T HAVE SKIN
00:13:21IN THE GAME.
IT WAS ABSOLUTELY AMAZING.
00:13:26THE DIFFERENCE BETWEEN THE TWO
COME ALMOST DOUBLE THE AMOUNT OF
00:13:35NONEMERGENCY ER VISITS MADE BY
THE NONCONTRIBUTORY.
00:13:3825% MORE PRIMARY CARE VISITS,
16% LESS NON-YOUR VISITS
00:13:44OVERALL.
-- NON-ER VISITS OVERALL.
00:13:48KAREN: DO YOU FEEL THE
LEGISLATURE HAS A COMPASSIONATE
00:13:54APPROACH TO MEDICAID?
REPRESENTATIVE BUTLER: I
00:13:57ABSOLUTELY DO WITH WHAT WE'VE
PASSED.
00:13:58I DON'T THINK ARBITRARILY
CHARGING A PREMIUM EQUALS SKIN
00:14:05IN THE GAME.
ONE OF THE MOST IMPORTANT PARTS
00:14:08COME IF YOU HAVE MONEY IN YOUR
ACCOUNT AT THE END OF THE ARE
00:14:11COMMITTEE YOU CAN USE IT TO PAY
OUR PREMIUMS.
00:14:13YOU HAVE TO HAVE THE INCENTIVES.
IT'S NOT A MATTER OF SAYING THAT
00:14:17SOME BUT HE HAS TO PAY MONEY.
THAT IS NOT THE RIGHT APPROACH.
00:14:21IT'S ALL ABOUT INCENTIVES.
WE KNOW FROM DATA -- NOT
00:14:29REINVENTING THE WHEEL, LOOKING
AT WHAT IS WORKING IN OTHER
00:14:35STATES AND GOING ON DATA AS
METRICS.
00:14:36WE HAVE THE DATA AND METRICS AS
A RESULT OF THE INDIANA PLAN.
00:14:39KAREN: ON THE OTHER SIDE,
REPRESENTATIVE HEARCEL CRAIG, A
00:14:43DEMOCRAT OF COLUMBUS.
I STARTED OUR CONVERSATION BY
00:14:45ASKING HIM IF HE IS CONCERNED
ABOUT MEDICAID ENROLLMENTS GOING
00:14:47UP AND MEDICAID COSTS, WHICH
WERE BELOW ESTIMATES BUT BUTLER
00:14:49SAYS ARE STILL GOING UP AT AN
UNSUSTAINABLE LEVEL.
00:14:58REPRESENTATIVE CRAIG: I'M NOT.
IT ALWAYS GETS TO THE POINT OF
00:15:03FAIRNESS.
AS WE LOOK AT MEDICAID, THIS IS
00:15:07NOT NEW.
MEDICAID HAS BEEN AROUND SINCE
00:15:101955.
A PART OF THE SOCIAL SECURITY
00:15:14ACT.
-- 1965.
00:15:18IT HAS HELPED SO MANY THOUSANDS
OF WORKING POOR, THOSE THAT ARE
00:15:23CHALLENGED TO MAKE SURE THAT WE
HAVE ACCESS TO AFFORDABLE HEALTH
00:15:29CARE.
IN MY MIND, IT IS A MORAL
00:15:31IMPERATIVE.
IT IS A MATTER OF PRIORITIES.
00:15:36THE GOVERNOR MADE THE RIGHT
DECISION REGARDING THIS.
00:15:40IT IS IMPORTANT FOR ALL OF OUR
CITIZENS TO HAVE ACCESS TO
00:15:46HEALTH CARE.
FOR THAT REASON, I CERTAINLY
00:15:51SUPPORT OUR CONTINUED SUPPORT OF
THIS EFFORT.
00:15:55KAREN: ARE YOU WORRIED IF COSTS
GO UP THAT YOU WON'T HAVE ENOUGH
00:16:00MONEY TO SPEND ON OTHER
PRIORITIES?
00:16:02EDUCATION, INFRASTRUCTURE?
REPRESENTATIVE CRAIG: THEY ARE
00:16:08CERTAINLY PRIORITIES.
IF WE HAVE HEALTHY OHIOANS, WE
00:16:14HAVE LESS CHILDREN THAT MISS
SCHOOL, LESS ADULTS MISSING
00:16:20WORK.
THAT CERTAINLY CONTRIBUTES TO
00:16:24OUR ECONOMY.
THEY ARE TAXPAYERS.
00:16:28THEY DESERVE THE RIGHT TO HAVE
ACCESS TO QUALITY HEALTH CARE.
00:16:32THEY ARE CONTRIBUTING TO OUR
ECONOMY.
00:16:36THAT IS NOT A PARTICULAR
CONCERN.
00:16:41IN MY MIND, IT IS A QUESTION OF
PRIORITIES.
00:16:50I'M DEEPLY INTERESTED IN THE
EDUCATION OF ALL OF OUR
00:16:56CHILDREN.
I WANT TO MAKE SURE OUR
00:16:57INFRASTRUCTURE IS ADDRESSED.
THIS ISSUE IS SO VITAL -- WITH
00:17:06MEDICAID EXPANSION, WE HAVE
SERVED 500,000 NEW ENROLLEES
00:17:16THAT WILL CONTRIBUTE TO OUR
ECONOMY IN A SIGNIFICANT WAY.
00:17:17THAT WILL IMPROVE THEIR LIVES
AND THEIR FAMILIES LIVES.
00:17:22IT CERTAINLY MAKES SENSE TO
CONTINUE WITH MEDICAID
00:17:28EXPANSION.
KAREN: A PROVISION BASED ON A
00:17:35PLANE FROM INDIANA WOULD REQUIRE
ONE MILLION MEDICAID RECIPIENTS
00:17:39TO PAY SOME MONEY INTO A HOUSE
SAVINGS ACCOUNT.
00:17:40A NOMINAL AMOUNT OF MONEY.
THESE ARE SOME PRETTY POOR
00:17:46OHIOANS.
THESE WOULD BE USED TO PAY
00:17:49PREMIUMS.
REPUBLICANS HAVE TALKED ABOUT
00:17:52THIS AS HAVING SKIN IN THE GAME.
WHEN THEY ARE OFF MEDICAID, THEY
00:18:00WILL BE USED TO PAY FOR HEALTH
INSURANCE.
00:18:01WHAT ARE YOUR THOUGHTS ON THAT?
HAVING PEOPLE PUT THIS MONEY
00:18:06INTO SOME SORT OF FUNDS TO PAY
BACK, TO HAVE SKIN IN THE GAME?
00:18:10REPRESENTATIVE CRAIG: THANK YOU
FOR RAISING THAT ISSUE.
00:18:13HERE IS WHAT I BELIEVE.
WHY WOULD WE HAVE ADDITIONAL
00:18:18BARRIERS TO FAMILIES THAT
ARE STRUGGLING?
00:18:23FOR THAT REASON, I'M NOT WILLING
TO SUPPORT INITIATIVES THAT
00:18:36WOULD CREATE ADDITIONAL BARRIERS
OR ROADBLOCKS TO THEIR SUCCESS.
00:18:39THERE IS DATA THAT MIGHT SUGGEST
THIS WOULD TAKE THEM OUT OF THE
00:18:47GAME.
EVERY DOLLAR MATTERS.
00:18:49WHEN MY MOTHER CAME TO OHIO -- I
BEEN HERE 60 YEARS.
00:18:57SHE CAME HERE, WAS VERY POOR.
TRYING TO MAKE A BETTER LIFE FOR
00:19:08HER THREE CHILDREN.
MY MOTHER CAME HERE AS A MAID.
00:19:10I DON'T KNOW IF ANYBODY THAT
WORKED HARDER.
00:19:15SHE NEVER MISSED A DAY OF WORK.
SHE WENT ON TO DO CONSIDERABLE
00:19:18WORK FOR THE COLUMBUS PUBLIC
SCHOOL SYSTEM AND HER LAST JOB,
00:19:24SHE RETIRED THREE TIMES, WAS
WORKING WITH SENIORS.
00:19:27AS A YOUNG PERSON, WE DID NOT
HAVE ACCESS TO HEALTH CARE.
00:19:33I CAN RECALL AS A YOUNG PERSON,
HAVING TO GO TO OHIO STATE
00:19:39UNIVERSITY FOR DENTAL CARE.
I UNDERSTAND ABOUT WHAT IT MEANS
00:19:53FOR THOSE WORKING TWO OR THREE
JOBS TO PROVIDE FOR THEIR
00:19:55FAMILY.
I SERVED ON THE COLUMBUS CITY
00:19:58COUNCIL.
WE ARE LOOKING AT THE DROP IN
00:20:04UNEMPLOYMENT AND THAT IS A GREAT
THING.
00:20:07WHAT I HAVE ALSO OBSERVED, THIS
UPTICK IN POVERTY.
00:20:11IT DEEPLY CONCERNS ME.
FROM MY PERSPECTIVE, WE WANT TO
00:20:16MAKE SURE THAT ALL OF OUR
CITIZENS COME ALL THE CITIZENS
00:20:18OF OHIO HAVE ACCESS TO QUALITY
HEALTH CARE.
00:20:23AND THAT THEY ARE NOT
OVERBURDENED.
00:20:26IT STILL IS A QUESTION OF
FAIRNESS.
00:20:29KAREN: EVEN IF THE STATE
COULD SAVE MONEY BY REQUIRING
00:20:35THIS?
REPRESENTATIVE CRAIG: WE ARE
00:20:38ALWAYS CONCERNED ABOUT WHAT IT
IS, WHAT IT MEANS FOR THE STATE.
00:20:41WE ARE DOING THINGS IN A
FISCALLY RESPONSIBLE WAY.
00:20:48THAT PROVISION, THAT PARTICULAR
PROVISION PUTS AN ADDITIONAL
00:20:53BURDEN ON THOSE ALREADY
STRUGGLING TO MAKE ENDS MEET.
00:20:57KAREN: LET ME ASK YOU ABOUT
GOING FORWARD, IS THERE ANYTHING
00:21:05YOU WANT TO SEE HAPPEN THAT YOU
WOULD SUPPORT?
00:21:06INCREASING TRANSPARENCY FOR
PROVIDERS, REQUIRING PROVIDERS
00:21:14TO BE MORE FORTHCOMING ABOUT THE
COST OF CERTAIN TREATMENTS.
00:21:16A BILL THAT WOULD ENSURE THAT
PHYSICIANS DON'T HAVE TO ORDER A
00:21:22LOT OF TESTS TO PROTECT THEM
FROM GETTING SUED.
00:21:25REPRESENTATIVE CRAIG:
TRANSPARENCY IN GOVERNMENT IS
00:21:30CRITICALLY IMPORTANT.
BUT WHAT TESTS WOULD YOU NOT
00:21:35HAVE A DOCTOR TAKE?
MY WIFE HAS HAD CANCER, A HEART
00:21:40CONDITION.
THERE ARE SERIOUS THINGS -- THE
00:21:42QUESTION BECOMES, WHO MAKES THE
DECISION ON WHAT THOSE TESTS ARE
00:21:47THAT YOU DON'T HAVE?
I'M ALWAYS LOOKING AT WAYS WE
00:21:52CAN BE MORE EFFICIENT.
THE BOTTOM LINE TO ME AS I'M I'M
00:21:57SERVING 11 MILLION OHIOANS.
THE AREA I REPRESENT IS A VERY
00:22:05DIVERSE AREA.
I AM NOT THE ONLY ONE.
00:22:10WE ALL NEED TO BE CONCERNED
ABOUT THOSE THAT ARE MOST
00:22:16VULNERABLE.
THOSE ON THE MARGINS.
00:22:19WHILE I AM LOOKING FOR THE
EFFICIENCIES COME I WANT TO MAKE
00:22:23SURE THAT WE ARE DOING
EVERYTHING WE CAN TO SUPPORT
00:22:25FAMILIES.
KAREN: A REPORT SAID HALF OF
00:22:28OHIOANS ON MEDICAID ARE WORKING.
DOES THAT CONCERN YOU AT ALL?
00:22:33THEY ARE ACTUALLY WORKING JOBS
AS WELL.
00:22:36REPRESENTATIVE CRAIG: IT
CONCERNED ME TO THE EXTENT THAT
00:22:40THE JOB THAT WE BRING INTO OHIO
ARE JOBS THAT CAN PROVIDE FOR
00:22:44YOUR FAMILY.
NET HAVE GOOD BENEFITS THAT
00:22:53ALLOW FAMILIES TO CONTINUE THIS
THE GREAT AMERICAN DREAM IS
00:22:57CONTINUE TO GROW AND UPWARD
MOBILITY.
00:23:01MY MOTHER WANTED HER CHILDREN TO
HAVE MORE OPPORTUNITY THAN SHE
00:23:05HAD.
MICHAEL -- MY GOAL IS MAKING
00:23:10SURE ALL FAMILIES AND CHILDREN
HAVE THE OPPORTUNITY FOR
00:23:17CONTINUED SUCCESS AND QUALITY OF
LIFE.
00:23:18KAREN: YOU MENTIONED THE
DIVERSITY OF YOUR COMMUNITY, THE
00:23:25DIVERSITY OF THE STATE.
DO YOU FEEL THE LEGISLATURE AND
00:23:32REPUBLICANS ARE BEING
COMPASSIONATE IN SERVING THE
00:23:37DIVERSE POPULATION OF OHIO WHEN
THEY TALK ABOUT MEDICAID AND
00:23:40AWAY MEDICAID HAS BEEN DEALT
WITH?
00:23:41REPRESENTATIVE CRAIG: I WANT TO
WORK WITH ANYBODY AND THOSE
00:23:46ACROSS THE AISLE THAT ARE
INTERESTED IN SERVING ALL OF OUR
00:23:51CONSTITUENTS.
I WILL CONTINUE TO DO SO.
00:23:52THAT HAS BEEN MY APPROACH ON
COLUMBUS CITY COUNCIL.
00:23:55I DID NOT ASK THEM ABOUT THEIR
BLOOD TYPE OR POLITICAL
00:24:00PERSUASION.
THESE ARE SERIOUS ISSUES AND
00:24:04WILL HAVE LONG-TERM
IMPLICATIONS.
00:24:05FOR HOW IT IS WE TREAT OUR
FAMILIES AND OUR CHILDREN.
00:24:10IT IS A QUESTION OF FAIRNESS AND
I WOULD CERTAINLY WORK WITH
00:24:15THOSE ACROSS THE AISLE, WHEN WE
GET TO THAT ISSUE, HOW WE GET
00:24:18THERE, BEING FISCALLY
RESPONSIBLE.
00:24:22AT THE END OF THE DAY, IT'S A
MATTER OF PRIORITY AND MAKING
00:24:26SURE ALL OF OUR FAMILIES HAVE
THE NECESSITIES TO MAKE HER
00:24:32THEIR FAMILIES HAVE
QUALITY-OF-LIFE.
00:24:33KAREN: SOME SAY OHIO IS
DEPENDENT ON MEDICAID.
00:24:37REPRESENTATIVE CRAIG: THAT IS A
GOOD QUESTION.
00:24:43THERE IS A REASON WHY WE ARE
HAVING A MEDICAID EXPANSION.
00:24:48WE DON'T WANT ANYBODY LEFT OUT.
THAT IS MY POSITION.
00:24:53IT IS PRACTICAL SENSE.
IT IS GOOD FOR OUR STATE AND
00:25:00CERTAINLY GOOD FOR THE CITIZENS
OF THE STATE OF OHIO.
00:25:04KAREN: BY THE WAY, WHEN THE
ISSUE OF MEDICAID SPENDING BEING
00:25:088% UNDER ESTIMATES WAS DISCUSSED
AT THE JOINT MEDICAID OVERSIGHT
00:25:10COMMITTEE, STATE MEDICAID
DIRECTOR JOHN MCCARTHY WAS ASKED
00:25:13ABOUT THE ACCURACY OF THE MODELS
THAT MISSED.
00:25:16MCCARTHY SAID THOSE MODELS ARE
CONSTANTLY UPDATED, BUT THAT THE
00:25:18AGENCY IS BEING CAUTIOUS, AND
SUGGESTED THAT LAWMAKERS SHOULD
00:25:23DO THE SAME AND COUNT ON
MEDICAID SPENDING DROPPING BELOW
00:25:24ESTIMATES AND PLANNING TO USE
-- NOT COUNT ON MEDICAID
00:25:37SPENDING DROPPING BELOW
ESTIMATES AND PLANNING TO USE
00:25:39THAT MONEY ELSEWHERE.
AND THAT'S IT FOR THIS WEEK.
00:25:40FOR MY COLLEAGUES AT OHIO PUBLIC
RADIO AND TELEVISION, THANKS FOR
00:25:42WATCHING.
IF YOU'D LIKE TO ASK QUESTIONS,
00:25:43MAKE COMMENTS, OR WATCH THIS
WEEK'S SHOW OR EARLIER EPISODES,
00:25:45PLEASE VISIT OUR WEBSITE AT
STATENEWS.ORG, OR WATCH ON THE
00:25:47OHIO CHANNEL'S WEBSITE OR AT
IDEASTREAM.ORG/OHIO.
00:25:49AND YOU CAN FOLLOW JO INGLES,
ANDY CHOW AND ME ON TWITTER.
00:25:51AND PLEASE JOIN US AGAIN NEXT
TIME FOR "THE STATE OF OHIO."
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NATIONAL CAPTIONING INSTITUTE,
00:26:03WHICH IS RESPONSIBLE FOR ITS
CAPTION CONTENT AND ACCURACY.
00:26:06VISIT NCICAP.ORG]
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00:26:19COMES FROM THE LAW FIRM OF
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PROBLEMS THROUGHOUT OHIO, ACROSS
00:26:26THE COUNTRY AND AROUND THE
WORLD.
00:26:31ON THE WEB AT PORTERWRIGHT.COM.
AND FROM THE OHIO EDUCATION
00:26:33ASSOCIATION, REPRESENTING
120,000 MEMBERS, WHO WORK TO
00:26:36INSPIRE THEIR STUDENTS TO THINK
CREATIVELY AND EXPERIENCE THE
00:26:38JOY OF LEARNING.
Note : Transcripts are compiled from uncorrected captions