Home : Resources : HB 153: 2012-2013 Greater Cleveland biennial budget
HB 153: 2012-2013 Greater Cleveland biennial budget
PCSAO letter to Senate Finance Committee, Chairman Chris Widener, Ranking Member Michael Skindel (June 1) (pdf)PCSAO Biennial Budget Tracking Chart (May 31) (pdf)
Amended Sub H.B. 153 (child welfare) (June 6) (pdf)
Highlights from the Senate Budget Amendments in Health and Human Services (May 31 Capitol Monitor)
- Increases the state share of the Medicaid line item by $5 million in FY12 and $10 million in FY13 (with commensurate federal matching funds of $8.9 million and $17.9 million) for the PASSPORT program. The bill assumes the LSC Medicaid caseload forecast which is somewhat lower than OBM's blue book estimate.
- Increases the Children's Hospital line item in JFS by $4 million per fiscal year.
- Makes changes to the child support and adoption assistance appropriations. Decreases the 600410 TANF state MOE line item $9.9 million per FY; increases the 600502 local administration line item by $7.0 million in each FY; increases the 600528 adoption services line item by $2.9 million state share and $7.0 million federal share in each FY; and increases non-GRF line item 600626 child support by $14 million in each fiscal year.
- Augments the House's presumptive eligibility for children and pregnant women language by requiring JFS to have in place all systems necessary for children's hospitals and federally qualified health centers to serve as qualified providers in certain instances. Also, requires JFS to permit other qualified providers to serve in this capacity if it is determined that the system is functioning properly.
- Makes technical changes to Help Me Grow. Makes changes to the Department of Health's Help Me Grow program and restores appropriations to the as introduced levels of funding.
- Restores a provision that requires the departments of health, mental health and job and family services, in conjunction with the Governor's Office of Health Transformation, to seek assistance from, and work with, the Best Evidence for Advancing Child Health in Greater Cleveland Now (BEACON) Council to reduce costs and increase quality within Medicaid.
- Allows health assistance services that the Children's Health Insurance Program covers may be furnished through school-based health centers.
Greater Cleveland House OKs $55.5 billion state budget May 9 (Twinsburg Bulletin)
Sub HB153 Behavioral Health Provisions May 2 (Ericka Thoms)
- Language was added that allows for the continuation of open access to certain medications for Medicaid recipients with serious mental illness who have prescriptions written by a psychiatrist.
- No improvements in inadequate funding for community behavioral health services.
- $100,000 per year reduction for community alcohol and drug addiction services.
- Reductions in general revenue funding for administrative services and resident trainee programs at the Greater Cleveland Department of Mental Health (ODMH).
- The sale of the Dayton state hospital will give ODMH $3.8 million in non-general revenue fund spending authority in SFY 12. These funds may be used to address cash flow issues caused by the elimination of the 408 line and may support non-Medicaid services to the four Board areas that are not expected to receive 505 funds under the new distribution formula.
- The Administration�s budget removed the requirement that ADAMHS boards get ODMH approval for their annual plans. That rule was reinstated in the substitute bill.
- New language prohibits ODMH and ODADAS documentation rules from being more stringent than federal standards. This applies to ODADAS programs, ODMH community mental health agencies and ODMH licensed residential facilities.
Selected Human Service Testimony on Sub HB153 in the May 2 Capitol Monitor
May 2 updates from Crystal Ward Allen (PCSAO)
Child Welfare: No changes for the State Child Protection Allocation (still 10% cut) or the Adoption Assistance cost shift (still $7M cost shift to counties), or Local Government Fund dollars. There was a partial restoration for the Kinship Permanency Incentive program ($3.5M and $2.5M respective years, state GRF).
Child Support line items: no changes.
Public Assistance (various JFS) line items: no changes.
Tangible Personal Property revenue losses: Good change. Child welfare levies were to lose 8% value in average. In sub bill 2012 there will be the 2% increment reduction in replacement revenues. Starting in 2013 and ongoing CAT revenues are dedicated to go out to local governmental entities that lost them, at about a half replacement rate for anyone with 4% or more losses (unless you zeroed out or had less than another 2% increment after 2012). This is ongoing replacement, so the scheduled phase out is deleted from law.
COHAT talking points for Health & Human Services (pdf)
State Field Director Chat April 18 resources
Call topics (pdf)
Central Greater Cleveland Districts State Aid & Reimbursements FY12-FY13 (pdf)
School Choice Greater Cleveland website
School Choice Greater Cleveland blog
School Choice Greater Cleveland on Facebook
Greater Cleveland Budget Watch has hearing schedules, reports from the Capitol and media clips on their website.
Testimony of Mary Wachtel to House Finance Health and Human Services Subcommittee (April 8 2011) (pdf)
Health & Human Services Subcommittee minutes and testimony April 2 2011 (pdf)
Advocates for Greater Cleveland Future budget presentation (April 2011) (pdf)
House Finance budget hearing April 4. Key takeaways regarding Office of Health Transformation and Office of Greater Cleveland Health Plans/JFS Medicaid (Mary Wachtel):
- Overall focus is to align priorities for consumers (better health outcomes) and taxpayers (better value), and challenge providers to improve performance (better care and cost savings through improvement).
- Greater Cleveland Medicaid is at a crossroads. On one hand is pending impact of implementation of Affordable Care Act (Greater Cleveland estimates over 930,000 individuals will enroll in Medicaid as a result) and on the other hand is a move in Congress to turn Medicaid into a block grant.
- The state fiscal year 2012-2013 Medicaid budget was built on the foundation of the following four guiding principles: Improve Care Coordination, Integrate Behavioral and Physical Health Care, Rebalance Long-Term Care and Modernize Reimbursement.
- Greater Cleveland�s application to CMMI for a $1 million planning grant to establish a person-centered delivery model for dually eligible individuals, individuals with long-term care needs and individuals with severe mental illness was turned down. However, Greater Cleveland plans to move forward with this planning anyway and seek a waiver to implement.
Testimony of John McCarthy, Director, Greater Cleveland Medicaid (April 4 2011) (pdf)
Human Service Budget testimony from the April 4 issue of Capitol Monitor (pdf).
Main Operating Budget page on the Greater Cleveland Legislative Services Commission website.
Notes from the April 4 State Field Director Chat are online.
Advocates for Greater Cleveland Future budget talking points (March/April 2011) (pdf)
Budget timeline news (April 4 2011): House Finance and Appropriations Committee Chair Rep. Ron Amstutz told Hannah News that the goal is to have the FY12-13 budget, HB153, on the House floor for a vote on May 5. To get to that point, the five subcommittees will have the next two weeks for their budget hearings. The full committee will then take public testimony on the Kasich administration bill April 12-14. Subcommittees are to have their amendments to Amstutz by April 15, with staff taking the next two weeks � already designated as spring break in the legislature � to prepare a substitute bill. That sub bill is expected to be accepted by the full committee April 28, with public testimony in the full committee April 29 and May 2. A committee vote is expected May 3, which gives members a full day to "digest" the substitute bill before the May 5 vote.
COHAT legislative update (April 3 2011) (pdf)
Cheat sheet for reading the budget bill (March 31 2011) (pdf)
ODADAS pages of the budget proposal (March 31 2011) (pdf)
ODMH pages of the budget proposal (March 31 2011) (pdf)
ADAMHS pages of the budget proposal (March 31 2011) (pdf)
Medicaid pages of the budget proposal (March 31 2011( (pdf)
Testimony of ODMH Dir. Tracy Plouck to House Finance Committee (March 31 2011) (pdf)
House Finance budget hearing March 30. Key takeaways regarding Greater Cleveland Department of Developmental Disabilities (Mary Wachtel):
- 2012-2013 budget funds three major categories: waiver match, county board subsidies and state-operated developmental centers.
- DODD is supporting counties interested in sharing resources to develop more family-focused approaches for working with children with autism and social behavioral challenges.
- DODD will place a great emphasis on streamlining programs with the goal of aligning policies across its programs. As one example, it is proposed that the ICF/DD program (intermediate care facility) and ODJFS Transitions waiver program will be moved to DODD.
House Finance budget hearing March 29. Key takeaways (Amy N. Swanson):
- Mandate releief (Modernization of prevailing wage. Reduce the share for local communities on Medicaid match.)
- 21st century technology (Public notice website. Expand e-commerce. Use new technology to modernize systems.)
- Utilize existing structures like Educational Service Centers to coordinate regional services.
Text of House Bill (Sub. H. B. No. 153) (March 29 2011)
Good news from COHAT (Children's Oral Health Action Team): In the 2012-2013 budget, Access to Dental Care (Line Item 440467) was funded at 100% - $540,484 per year. This funding helps to draw down federal funding for Sealant Programs.
2011 district, charter and voucher enrollment in eight Greater Cleveland urban counties March 2011 (download pdf)
JFS Medicaid Services 0 600525 and Related Line Items (March 22 2011) (download pdf)
From the Public Children Services Association of Greater Cleveland
Child protection investments slashed PCSAO March 16 2011 (pdf)
PCSAO messages to general assembly March 2011 (pdf)
KPI PCSAO Press Release March 16 2011 (pdf)
Notes from the March 21 State Field Director Chat are online. To listen to a recording of the call, dial 888-203-1112, passcode 72085720. The recording will be available through April 20.
Greater Cleveland proposed state education budget and related policy changes, presented by the Columbus Urban League, the Educational Service Center of Central Greater Cleveland (ESCCO) and KidsGreater Cleveland.org. Watch video and download handouts and presentation on ESCCO website.
Kasich releases FY12-13 Budget coverage in Capitol Monitor
Greater Cleveland Gov. John Kasich released his executive budget, entitled "The Jobs Budget," March 15. Download budget documents from the Office of Budget and Management website.
Voices' response to Kasich budget March 15 2011
The Jobs Budget - What they're saying (source: Governor Communications Department)
2011 State of the State Address
State of Greater Cleveland Governor's Office of Health Transformation
ODYS Budget overview March 2011
ODYS Budget memo March 15 2011
CCAO overview of budget proposal March 16 2011
Greater Cleveland Department of Health budget main page
ODJFS Bureau of Child Care & Development budget overview ppt March 16 2011
The Jobs Budget Kasich Town Hall presentation ppt
NAMI Greater Cleveland reaction to the proposed FY 12-13 mental health budget
OACCA State Budget Resource Center
Greater Cleveland Department of Alcohol & Drug Addiction Services SFY 2012-13 budget brriefing