Post-Election Recap

by: Andy Jesson, AOF Policy & Communications Intern

On November 7, Ohio voters approved two statewide initiatives regarding abortion access and legalization of recreational marijuana. Issue One’s passage establishes a right to abortion within the state constitution, while Issue Two legalizes the purchase, possession and consumption of marijuana for adults over the age of 21. In Central Ohio, voters gave Columbus Mayor Andrew Ginther another term in office and approved levies for local schools and public libraries.

3.9 million Ohioans cast their ballots in the November 2023 election, representing a turnout of about 49 percent of registered voters. Considering trends in different election years, 49 percent turnout is significant for a non-presidential or midterm year. In the 2022 midterms, when Ohio voted on a U.S. Senate seat and eight statewide offices, 4.2 million Ohioans cast ballots.

The results of Tuesday’s election represent victories for abortion rights advocates and proponents of marijuana legalization, however; the path forward for each issue varies.

 

What’s Next for Issues One and Two

When Ohio voters approved Issue One on Tuesday, they approved an amendment to the Ohio Constitution, meaning despite opposition by many members in the state legislature, lawmakers are very limited in their authority to pass laws restricting access to abortion. Passage of Issue Two makes Ohio the 24th state in the country to legalize adult recreational cannabis use. Notably, Issue Two was not an amendment to the Ohio Constitution but rather a citizen initiative. Because of this distinction, lawmakers in Columbus now possess the authority to modify the law in the coming weeks. Issue Two is set to go into effect on December 7, 2023.

Ohio House Speaker Jason Stephens and Senate President Matt Huffman have both been outspoken opponents of Issue Two, but it remains unclear how the legislature will approach making changes to the law as it was written. Ohio law is not explicit in allowing or prohibiting the legislature from repealing a law approved by voters, though doing so would undoubtedly result in legal challenges. Legislators in Columbus from both political parties doubt this is a likely path forward. Attention now shifts to how the legislature chooses to change the law prior to its implementation.

 

Impact on 2024

Such high turnout for an off-year election suggests a positive trajectory in voter engagement for future elections. In 2020, Ohio ranked 27th in the nation in voter turnout rate, with significant room for improvement. 2023 turnout figures are an encouraging sign in efforts to increase voter participation.

With the 2024 presidential election less than a year away, the results of Tuesday’s election signify a divide between top-level elected officials in the state and some of the views held by citizens. Despite Republican victories in all statewide races in 2022, voters approved Issue One and Issue Two, initiatives opposed by Republican leaders. With important races including a U.S. Senate seat and candidates for president on the ballot next year, it will be noteworthy to watch how candidates opposed to abortion and recreational marijuana approach the topics, and how voters respond.

Farm Bill and Government Shutdown: Impact on SNAP and WIC Programs

by: Andy Jesson, AOF Policy & Communications Intern

Over 40 million Americans, equal to about 12.5 percent of the population, receive food assistance through the Supplemental Nutrition Assistance Program (SNAP). SNAP possesses a key role in the fight against food insecurity in the United States and is the largest anti-hunger initiative in the country, both in terms of budget and number of individuals impacted. In Ohio, nearly 1.5 million individuals receive SNAP benefits.

Two upcoming deadlines for Congress present potential challenges to the immediate and long-term future of SNAP in its ability to reduce food insecurity in Ohio and nationally. On September 30, 2023, the 2018 farm bill expired, but most programs are still funded through the 2023 calendar year. On January 1, 2024, this funding will expire, meaning a new farm bill is needed by the end of the year.

Meanwhile, the November 17th deadline for a government shutdown is fast-approaching, and unless Congress passes a continuing resolution or the 12 annual appropriations bills by then, the federal government will shut down. A shutdown threatens SNAP and numerous other public programs, including WIC.

2023 Farm Bill

Long passed is the original September 30th deadline for passage of the 2023 farm bill by lawmakers in Washington.

As the end of the calendar year approaches, Congress faces three options:

1.     Temporarily extend the existing farm bill

2.     Pass a new farm bill for the next five years

3.     Allow the farm bill to remain expired

Every five years Congress passes a new farm bill which includes provisions for important social services including SNAP. The farm bill also encompasses crop insurance, commodity support, and conservation. The general consensus among D.C. insiders is the passage of a new farm bill before January 1, 2024, is highly unlikely, and the most likely outcome will be a temporary extension of the 2018 bill while negotiations continue. Allowing the farm bill to remain expired, while possible, is an unlikely outcome due to the political and policy consequences inaction would have. Temporary extension of the farm bill has historical precedence, having been done most recently in 2007 and 2012.

Disagreement over the direction of a new farm bill stems from proposed changes to the “nutrition title” of the bill. The nutrition title is the largest portion of the 2018 farm bill, which comprises around 80 percent of spending and includes operating language for programs including SNAP. In the House of Representatives, differing views regarding SNAP between Democrats, Moderate Republicans, and the more hardline Freedom Caucus presents a major roadblock in passing an updated bill. The farm bill plays a large role in determining how SNAP runs and the qualifications individuals must meet to obtain benefits, a factor to which there is widespread disagreement in Washington. All three proceeding options for Congress surrounding the farm bill impact the future direction of SNAP and accessibility for individuals on the margins of meeting program eligibility.

Government Shutdown

Since SNAP is funded through the appropriations process, the looming government shutdown poses a major threat for families receiving food assistance, despite existing contingency plans. In the event of a government shutdown later this month, funding temporarily continues for SNAP, meaning enrolled individuals still receive their benefits for the month of December. A shutdown lasting beyond December creates deep uncertainty for the short-term future of SNAP, as states may be asked to pay for SNAP without a guarantee of any federal reimbursement once the government shutdown ends. If a state is unwilling to foot the bill, residents lose SNAP benefits for as long as the government remains in a shutdown.

When a government shutdown appeared possible in September, U.S. Department of Agriculture Secretary Tom Vilsack noted the immediate consequences for another nutrition and healthcare program, WIC. WIC (Special Supplemental Nutrition Program for Women, Infants, and Children) provides healthcare and nutrition services for over six million low-income mothers and children under the age of five. In September, Secretary Vilsack warned “The vast majority of WIC participants would see an immediate reduction and elimination of those benefits, which means the nutrition assistance that's provided would not be available”.

Both a potential government shutdown and failure to pass a new farm bill impact the SNAP program and its beneficiaries, albeit in different ways. A new farm bill, depending on its language, will affect the reach of SNAP and its associated guidelines, while avoiding a government shutdown is the only way to ensure families continue receiving monthly benefits through SNAP. Additionally, a government shutdown immediately impacts the millions of women and young children who benefit from WIC. As the November 17th and December 31st deadlines approach, Congressional action is needed to ensure SNAP and WIC remain effective anti-hunger programs for families in Ohio and across the country.

AOF and OPLC Release New ARPA Report

For Immediate Release: A Couple Billion Here, A Couple Billion There, Where Have All of Ohio's COVID Relief Dollars Gone?

(Columbus) Today, Advocates for Ohio’s Future (AOF) and Ohio Poverty Law Center (OPLC) released an overview of American Rescue Plan Act spending based on updates to their ARPA tracker website detailing state and local expenditures through August 2023.

Through a combination of state legislation and actions by the Controlling Board, Ohio has appropriated its $5.4 billion in American Rescue Plan Act (ARPA) State Fiscal Recovery Funds (SFRF). The last $445 million was appropriated in the state’s two-year budget, House Bill 33. The budget sent more resources to water and sewer projects and pediatric behavioral health care, and an investment in career technical facility expansions.

More than one-fourth of Ohio’s Funds was sent to the Unemployment Compensation Trust Fund to pay down the debt accrued to keep unemployment solvent during the pandemic. It was Ohio’s first and largest single appropriation. A close second in terms of total spending includes the nearly $1.2 billion appropriated for water and sewer infrastructure grants.

The APRA tracker not only details appropriations but also the spending of these funds. ARPA funds need to be appropriated by December 31, 2024 and spent by the end of 2026.

“While all of the funds have been appropriated, just half of the money has been granted, distributed, or spent,” said Sarah Hudacek, Interim Director of AOF. “Ohio still has a lot of work to do to get these dollars out the door.”

Counties, municipalities, and townships that received Local Fiscal Recovery Funds (LFRF) have the same deadlines to appropriate and spend the money. The ARPA tracker details how counties and cities in eight of Ohio’s major metropolitan areas have spent their money.

“Our tracking of local expenditures shows that funds were used to stabilize budgets and invest in community nonprofits serving residents in their communities,” said Susan Jagers, Director of OPLC.

The full report can be found here:  A Couple Billion Here, A Couple Billion There. AOF and OPLC will continue monitoring expenditures and updating OhioARPATracker.org.

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Advocates for Ohio’s Future is a coalition of health and human service organizations seeking to protect Ohio’s most vulnerable citizens through a responsible state budget that adequately funds vital services.

The Ohio Poverty Law Center’s mission is to reduce poverty and increase justice by protecting and expanding the legal rights of all Ohioans living, working, and raising their families in poverty. 

AOF Hiring Fall 2023 Intern!

Deadline Extended!

Advocates for Ohio’s Future is seeking a Policy and Communications Intern this fall! This intern will assist the Interim Director with social media, website management, weekly newsletters, tracking legislation, creating public resources, organizing legislative meetings, and more.

All interested applicants should submit a cover letter, resume, work availability, and a 1-2 page writing sample via e-mail with subject “Policy and Communications Intern” to: shudacek@communitysolutions.com by Monday, September 25th.

Check out the full position description here!

The Skimmed SNAP Benefit Replacement Deadline is September 14th!

Nationwide, scams targeting Supplemental Nutrition Assistance Program (SNAP) benefits have been more and more common. For a time, there was no recourse for SNAP recipients whose benefits were stolen. Now, you might qualify for replacement benefits.

Congress recently approved issuing replacement funds for SNAP benefits that were electronically stolen from October 1, 2022, through September 30, 2024. Types of electronic theft include card skimming devices (when devices installed on card reader machines or point-of-sale terminals illegally capture card data), card cloning (when criminals create fake EBT cards to shop with skimmed benefits), and other criminal methods, such as scams and phishing. Unfortunately, EBT cards are more likely to be targets for these types of theft, as they are less secure than other forms of payment, like chip-enabled credit cards or payment methods with two-factor verification.

If your SNAP benefits have been stolen, you can complete the JFS Form 07011 to request replacement benefits. You will need to print, sign, and mail or hand-deliver your form to your local county Job and Family Services (JFS) office. You can find your county office here.

Ohio SNAP recipients whose benefits were stolen before June 16, 2023 must submit the new JFS Form 07011 by September 14, 2023. This form requires an ink signature.

If you would like assistance completing this form, please contact your local Legal Aid or reach out to a SNAP outreach assister at these foodbanks:

Southwest Ohio:

Freestore Foodbank: 513-381-7627, Shared Harvest Foodbank: 513-881-9024

Northeast Ohio:

Greater Cleveland Food Bank: 216-738-2067

Central and Eastern Ohio:

Mid-Ohio Food Collective: 614-782-5503, Second Harvest Food Bank of Clark, Champaign, and Logan: 937-325-8715 ext. 103

Northwest Ohio:

Toledo Northwestern Ohio Food Bank: 419-242-5000 ext. 221

Southeast Ohio:

SE Ohio Foodbank/HAPCAP: 740-270-3247

Help us spread the word about the upcoming deadline for replacement benefits!

AOF Requests DeWine Veto of Medicaid Administrative Barriers

Dear Governor DeWine,

Advocates for Ohio’s Future (AOF) is a nonprofit, nonpartisan coalition of over 500 state and local health and human services policy, advocacy and provider organizations that strive to strengthen families and communities through public funding for health, human services, and early care & education. We work to empower and support nonprofit organizations in the critical work they do, especially as it relates to lifting up the most vulnerable among us.

As a coalition of a broad range of health and human service organizations, we unite to identify and prioritize the greatest needs of people and families across the state.

We are pleased by actions taken by the legislature through the Conference Committee process to remove a number of provisions that would have made it more challenging for Ohioans to access support for basic needs including food, housing and healthcare.

We write to draw your attention to a provision added by the Senate and passed in the Am. Sub. House Bill 33 Conference Report that seeks to add costly and administratively burdensome barriers to healthcare for low-income Ohioans. We ask you to exercise your veto power to remove this provision from the final version of the state budget.

MCDCD74: Medicaid work requirements (R.C. 5166.37)

This provision requires the Medicaid Director to apply for a new Medicaid work requirement waiver in early 2025. Instituting mandatory work requirements for Medicaid would undermine people’s health and create more barriers toward AOF’s mission for stronger, healthier people and communities. It would also increase the complexity of using Medicaid for patients, health care providers, and county agencies which in turn would increase the expense of implementation.

In addition, the current federal administration has concluded that these provisions reduce coverage and do not promote the objectives of the Medicaid program. They have withdrawn approved work requirement waivers from a number of states.

Good health is critical for maintaining a job, earning an education, parenting, and participating in community life. Health must come first on the path to self-sufficiency. Advocates for Ohio’s Future asks for the path to Medicaid work requirements be vetoed in the state budget bill.

Thank you for your attention and consideration. We look forward to continuing to work with you and members of your Administration on policies that create opportunity, care for and invest in people and vulnerable populations.

Sincerely,

Kelsey Bergfeld, Director

AOF Sends Letter to Conference Committee: Invest in Ohioans

Download a PDF of our letter HERE.

Dear Governor DeWine, Senate President Huffman, House Speaker Stephens, Minority Leader Russo, Minority Leader Antonio, and members of the Conference Committee,

Advocates for Ohio’s Future (AOF) is a nonprofit, nonpartisan coalition of over 500 state and local health and human services policy, advocacy and provider organizations that strive to strengthen families and communities through public funding for health, human services, and early care & education. We work to empower and support nonprofit organizations and the health and human services workforce in the critical work they do, especially as it relates to lifting up and caring for all Ohioans.

As a coalition of a broad range of health and human service organizations, we unite to identify and prioritize the greatest needs of people and families across the state.

Over the past few months hundreds of organizations, advocates, and citizens testified to the real needs of Ohioans. They asked our elected leaders to create a state operating budget that truly prioritizes and supports families, children, and older adults with the goal of making Ohio the best state to live, work, raise a family, and age.

AOF commends Governor DeWine and the House of Representatives for their significant investments in programs that provide economic security, access to healthcare, help people get to work, and empower Ohio residents.

Unfortunately, the budget bill passed by Senate strips away many of the most transformative policies and investments proposed by the Governor and passed by the House of Representatives and moves Ohio further from that shared goal.

In your efforts to align House, Senate and Executive priorities in Conference Committee, we ask that you include or remove the following provisions to create a budget bill that invests in the health and future of our state’s greatest resource—our people.

  • MCDCD43: Continuous Medicaid enrollment for children from birth through age three HOUSE

  • MCDCD34: Grants Medicaid coverage to both pregnant women and children under age 19 with incomes up to 300 percent FPL HOUSE

  • MCDCD52: Establishes a five-year program in ODM to cover doula services HOUSE

  • JFSCD36: $15 million per FY increase for the Ohio Association of Food Banks HOUSE

  • JFSCD64: ARPA Childcare: Establishes a child care scholarship for critical occupations and other direct service professionals EXECUTIVE

  • JFSCD95: Photo identification for SNAP EBT cards HOUSE

  • JFSCD84: SNAP able-bodied adults without dependents work requirement HOUSE

    • This provision restricts the Executive Branch from exercising its best judgement about whether it is appropriate to waive time limits (which limits SNAP participation to 3 months out of every 3 years) on SNAP benefits when economic conditions warrant doing so. If a new recession leads to spiking unemployment rates, this would leave the Governor without tools to aid those who lose their jobs through no fault of their own and cannot afford food.

    • Ohio already uses its time limit waiver flexibility prudently. Currently, only 8 counties (mostly in Appalachia) receive waivers due to economic conditions. Banning future use short-sighted policymaking and would leave Ohio unprepared for the next recession.

  • AGECD14: Healthy Aging Grants: Provides $40M I one-time grants to local partners to foster improved quality of life for seniors so they can remain in their homes and connected to their communities, delay entry into Medicaid, preserve their personal assets, and promote a healthy, independent, active lifestyle HOUSE

  • AGECD11: Senior Community Services funds to provide grants to community organizations to support and expand older adult programming. Requires service priority to be given to low income, high need persons and/or persons with a cognitive impairment who are 60 years of age or over. EXECUTIVE

  • KIDCD2: Earmarks up to $15,000,000 in FY 2024 for Healthy Beginnings at Home, to support stable housing initiatives for pregnant mothers and to improve maternal and infant health outcomes EXECUTIVE

  • KIDCD16: Increases eligibility for publicly funded child care to 160% of the federal poverty line (from 142%) for initial eligibility and 300% for continued eligibility. HOUSE

  • EDUCD105: Reimbursements to make reduced-price school meals free HOUSE

  • EDUCD137: Transfer of state K-12 education governance HOUSE

  • DOHCD32: Prohibit sale of flavored tobacco products EXECUTIVE

This budget is an opportunity to invest in improving the quality of life of all Ohioans. AOF and our partner organizations support policies that build an Ohio where all people and families live healthy lives in quality communities with pathways to prosperity for all. Thank you for your consideration of the aforementioned provisions.

Sincerely,

Kelsey Bergfeld
Director, Advocates for Ohio’s Future

Download a PDF of our letter HERE.

Rally for Ohio’s Future

Rally for Ohio’s Future: Ohioans call for a final state budget that invests in their future

WHEN: Wednesday, June 21st 12:00pm-1:00pm

WHERE: West Lawn of the Ohio Statehouse, Columbus, Ohio

Graphics & Resources

RSVP on our Facebook Event here!

Rally Flyer & Invitation

Why We're Here & Where We Go From Here

Rally Social Media Toolkit

Social Media Graphics

Want to ride a bus to Columbus with other advocates from your area? Sign up to reserve a bus seat here!

Over the past few months hundreds of organizations, advocates, and citizens testified to the real needs of Ohioans. They asked our elected leaders to create a state operating budget that truly prioritizes and supports families, children, and older adults with the goal of making Ohio the best state to live, work, raise a family, and age.

Until last week, decisionmakers were brave and bold enough to truly listen. Governor DeWine and the House of Representatives made significant investments in programs that provide economic security, promote access to healthcare, help people get to work, and empower Ohio residents.

By eliminating proposed improvements in health care coverage for kids and pregnant women, cutting increased access to publicly funded childcare, removing pro-housing provisions, eroding funding for public K-12 education, underfunding foodbanks and adding red tape to make it harder for Ohioans to keep their families healthy and fed, the Senate proves their priorities do not align with the people of Ohio.

Ohioans from across the state will convene for a large public rally to summon our collective strength and show unified support for prioritizing investments in the real needs of Ohio’s citizens, families, and communities as final state budget (HB 33) deliberations continue among legislative leaders.

We invite all Ohioans to join us to:

  • Elevate the impact of the current proposed state budget on individual Ohioans, their families, and their communities through the amplification of their stories.

  • Hold state leaders accountable to the impact of the Ohio Senate’s state budget proposal.

  • Lend your voice when it matters most—as final budget decisions are being made—and demand state policymakers restore a budget that prioritizes the people of Ohio, aligned with Governor DeWine’s and the Ohio House’s budget proposals.

AOF Sends Letter to U.S. Senators Sherrod Brown and JD Vance: Protect Public Benefits

Dear Senator Brown and Senator Vance, 

Advocates for Ohio’s Future (AOF) is a nonprofit, nonpartisan coalition of over 500 state and local health and human services policy, advocacy and provider organizations that strive to strengthen families and communities through public funding for health, human services, and early care & education. We work to empower and support nonprofit organizations and the health and human services workforce in the critical work they do, especially as it relates to lifting up and caring for all Ohioans. 

As a coalition of a broad range of health and human service organizations, we unite to identify and prioritize the greatest needs of people and families across the state. Though we’d like to think the challenges of the public health and economic crises are far behind us, the impacts are still being felt across our state. Today, hundreds of thousands of children, adults, and families struggle to afford food, rent, utilities, and other basic necessities. Currently, Ohio’s hunger relief network provides take-home groceries, meals, and personal care items to 1 million Ohioans each month, 1 in 4 Ohio renter households spend more than half their income on rent and utilities, 30 percent of Ohioans are enrolled in Medicaid and nearly 17 percent of Ohio’s children live in poverty. 

AOF is also concerned that thousands of Ohioans who are already struggling to make ends meet will lose resources to keep food on the table and lose healthcare coverage as COVID era flexibilities and enhanced supports unwind. 

In Ohio’s state biennial budget debates, our coalition is currently fighting to help older adults keep food on the table by supplementing SNAP benefits, improving the SNAP Employment & Training (E&T) program and restoring the employment incentive programs for critical jobs administered by counties to help address the benefit cliff and fill gaps between programs. We are also fighting to ensure workers in crucial and growing industries like direct care workers, behavioral health care workers and childcare workers are paid fair wages that not only reflect the importance of their work, but also allow them to provide for themselves and their families without the help of public assistance.  

Most of all we want to help all Ohioans and families in times of crisis, ensure their basic needs are met to help them stabilize, then support their path to self-sufficiency with resources, guidance and opportunity.  

We were discouraged to hear that potential solutions to decrease the federal debt have included discussions around imposing “tougher aid programs” including new work requirements for public programs like SNAP, cash assistance (Ohio Works First, OWF) and Medicaid.  

Most people receiving food, health, and income assistance are working or between jobs – and if they aren’t, they are in school, have serious disabilities or health conditions, or have caregiving responsibilities. These proposals will cause many working people to lose assistance because of things beyond their control like red tape or the nature of low-wage work, which has fluctuating hours and does not offer paid leave.  

According to Ohio Department of Medicaid Director Maureen Corcoran, “In the 2021 Ohio Medicaid Assessment Survey (OMAS), 41.6% of the Medicaid population ages 19-64 were working. These workers were more likely to have been at their job for a shorter duration than higher income workers, suggesting elevated levels of job insecurity among low-income workers, particularly if there is an economic slowdown…In 2020, 52.9% of American workers with private insurance had a high-deductible health plan (HDHP). This is significantly higher than in 2015, when that percentage was 39.4%. HDHPs allow workers to pay less in advance on their premiums for a health insurance product they may not use, giving them more control over their healthcare spending. However, while they may be useful tools for individuals who are higher income and overall healthier, they are often more expensive and burdensome for less healthy workers with lower incomes.” 

We urge you to protect the most vulnerable people in our society—workers earning low wages, families with children, older adults and disabled Americans—from threats that reduce SNAP and OWF benefits and risk Medicaid coverage resulting in worsening health outcomes, higher health care costs, increased housing instability and homelessness and rising rates of hunger.  

Instead, AOF—with its depth and breadth of its membership and partners—stands ready to assist you and your office in fighting for policies that support work and help people thrive: more affordable child and family care, paid sick leave, and high-quality job training. We ask that you elevate our state’s greatest resource—our people—in federal budget negotiations and support public programs that provide economic security, help people get to work, support a strong recovery, and empower Ohio residents. 

Sincerely, 

Advocates for Ohio’s Future 

AOF Submits Budget Testimony to Senate Medicaid Commitee

On Thursday, May 11th, AOF Director Kelsey Bergfeld submitted written testimony to the Senate Medicaid Committee on our budget priorities in the Senate. Check out our full testimony below:

Chairman Romanchuk, Ranking Member Ingram, and members of the Senate Medicaid Committee, my name is Kelsey Bergfeld and I am the Director of Advocates for Ohio’s Future. Advocates for Ohio’s Future (AOF) is a nonprofit, nonpartisan coalition of over 500 state and local health and human services policy, advocacy and provider organizations that strive to strengthen families and communities through public funding for health, human services, and early care & education. We work to empower and support nonprofit organizations and the health and human services workforce in the critical work they do, especially as it relates to lifting up and caring for all Ohioans. A full list of AOF Steering Committee members is included at the end of my testimony and also available at www.advocatesforohio.org. Thank you for the opportunity to submit written comments on Substitute House Bill 33.

As a coalition of a broad range of health and human service organizations, we unite to identify and prioritize the greatest needs of people and families across the state. We couldn’t agree more with Governor DeWine’s goal of making Ohio the best state to live, work and raise a family. This is why we support public programs that provide economic security, help people get to work, support a strong recovery, and empower Ohio residents.

Ohio’s Medicaid program delivers healthcare access and related community support services to more than 3.4 million Ohioans, including children, pregnant women, adults, seniors, and individuals with disabilities, across the life spectrum. The following statistics highlight this significant role in serving Ohioans:

  • More than 1.3 million children are served by Medicaid.

  • Over half of Ohio births are covered by Medicaid.

  • More than 16,500 children are enrolled and receiving specialized services through OhioRISE.

We appreciate your investments in the last budget to expand coverage to new mothers for 12 months postpartum and to fund initiatives including OhioRISE which seek to improve care and prevent custody relinquishments for children with complex health care needs.

The budget bill as passed by the House before you today includes policies and investments that will help move Ohio towards the goal of supporting Ohioans to meet their fullest potential. Advocates for Ohio’s Future is pleased to support several initiatives included in Substitute House Bill 33 including:

  • MCDCD43: Continuous Medicaid enrollment for children from birth through age three. With continuous coverage, once young children are eligible for Medicaid, their parents would not have to worry about re-enrolling them until they start elementary school making it more likely that these young children will get their regular doctor visits, health screenings and developmental checks.

  • MCDCD34: Grants Medicaid coverage to both pregnant women and children under age nineteen with incomes up to 300% of FPL and privately adopted children. This change will cover an additional 30,000 children and an estimated 3,500 pregnant women.

  • MCDCD68: Rate increase for FQHCs and FQHC look-alikes that deliver affordable, high quality and comprehensive primary care to medically underserved populations, regardless of insurance status.

  • MCDCD57: Provider rate increase for vision and eye care.

  • MCDCD55: Dental service provider rate increase.

  • MCMCD52: Establish a five-year program in ODM to cover doula services to strengthen maternal and infant health outcomes.

  • MCDCD70: Requires the Medicaid program to cover the optional eligibility group consisting of certain workers with disabilities. (Medicaid Buy-In for Workers with Disabilities program)

These provisions will provide a strong foundation for the future of Ohio—our children—and help increase access to vital services and care around the state.

Any discussion of supporting the health and recovery of Ohioans cannot be complete without addressing the direct care workforce crisis faced by every sector of the home and community-based services spectrum. Different rates and requirements for similar work result in competition for a small number of workers and an imbalance in the system. Although we were encouraged to see an increase in the hourly wage for direct care workers up to $17 per hour in FY24 and $18 in FY25, AOF supports our member organizations, disabled Ohioans, and older adults in respectfully requesting an increase up to a minimum wage of $20 per hour for all direct care workers across the Departments of Aging, Medicaid, and Developmental Disabilities. Direct care work has been undervalued and under compensated for so long that our care systems are hitting a breaking point. Unless Ohio recognizes and rewards direct care workers for the valuable work they provide in communities across Ohio, our care systems will continue to see high turnover, high vacancy rates, long wait lists, and more agency closures.

Equity should be an explicit consideration in constructing the budget. Laws and policies have institutionalized racism and bias against marginalized groups. Ohio should allocate resources and services to at-risk populations to ensure an individual’s well-being and success are not predictable by race, class, geography, language, gender, or other relevant social factors. Governor Mike DeWine formed the COVID-19 Minority Health Strike Force on April 20, 2020, in response to the disproportionate impact of COVID-19 on minorities in Ohio. The strike force contracted with the Health Policy Institute of Ohio (HPIO) to develop the “COVID-19 Ohio Minority Health Strike Force Blueprint” which contains actionable recommendations to improve health outcomes and overall well-being for communities of color in Ohio. We recommend that this committee and the full general assembly consider these recommendations and commit to promoting equity and better health outcomes for all Ohioans.

Though we’d like to think the challenges of the public health and economic crises are far behind us, the impacts are still being felt across our state. Today, hundreds of thousands of children, adults, and families struggle to afford food, rent, utilities, and other basic necessities.

AOF is also concerned that thousands of Ohioans who are already struggling to make ends meet will lose resources to keep food on the table and lose healthcare coverage as COVID era flexibilities and enhanced supports unwind. We are thankful for past investments made by the previous general assembly to help support basic needs like food and housing, while also supporting our county jobs and family services agencies who connect people to the help and supports they need to get back on their feet. We encourage this committee and the full general assembly to continue to support our county jobs and family service agencies in their work to ensure their redetermination work is accurate and efficient while adhering to the rights of those enrolled in the program.

This budget is an opportunity to invest in improving the quality of life of all Ohioans. AOF and our partner organizations support policies that build an Ohio where all people and families live healthy lives in quality communities with pathways to prosperity for all.

Download a PDF of our testimony HERE.

AOF Testifies on the Budget Before Senate Health Committee

On Wednesday, May 10th, AOF Director Kelsey Bergfeld testified before the Senate Health Committee on our budget priorities in the Senate. Check out our full testimony below:

Chairman Huffman, Ranking Member Antonio, and members of the Senate Health Committee, my name is Kelsey Bergfeld and I am the Director of Advocates for Ohio’s Future. Advocates for Ohio’s Future (AOF) is a nonprofit, nonpartisan coalition of over 500 state and local health and human services policy, advocacy and provider organizations that strive to strengthen families and communities through public funding for health, human services, and early care & education. We work to empower and support nonprofit organizations and the health and human services workforce in the critical work they do, especially as it relates to lifting up and caring for all Ohioans. A full list of AOF Steering Committee members is included at the end of my testimony and also available at www.advocatesforohio.org.

As a coalition of a broad range of health and human service organizations, we unite to identify and prioritize the greatest needs of people and families across the state. We couldn’t agree more with Governor DeWine’s goal of making Ohio the best state to live, work and raise a family. The budget bill as passed by the House before you today includes policies and investments that will help move Ohio towards that goal. Particularly, we are encouraged to see an increase in funding for nutrition support, increased eligibility for publicly funded childcare, and an investment in A HAND UP Act-a benefits bridge pilot program.

Though we’d like to think the challenges of the public health and economic crises are far behind us, the impacts are still being felt across our state. Today, hundreds of thousands of children, adults, and families struggle to afford food, rent, utilities, and other basic necessities. Currently, Ohio’s hunger relief network provides take-home groceries, meals, and personal care items to 1 million Ohioans each month, 1 in 4 Ohio renter households spend more than half their income on rent and utilities, and nearly 17 percent of Ohio’s children live in poverty. Growing up hungry or in an unstable family situation have been identified as adverse childhood experiences, or ACEs, by the CDC and Kaiser Permanente that can have lasting, negative effects on health, well-being, as well as life opportunities such as education and job potential.

AOF is also concerned that thousands of Ohioans who are already struggling to make ends meet will lose resources to keep food on the table and lose healthcare coverage as COVID era flexibilities and enhanced supports unwind. We are thankful for past investments made by the previous general assembly to help support basic needs like food and housing, while also supporting our county jobs and family services agencies who connect people to the help and supports they need to get back on their feet.

This is why we support public programs that provide economic security, help people get to work, support a strong recovery, and empower Ohio residents.

Our coalition asks for your consideration of the following amendments that would strengthen families and help all Ohioans reach their fullest potential:

  • We are grateful for the additional funding provided to the Ohio Association of Foodbanks by the House, However, with the end of SNAP emergency allotments last month, all SNAP recipients saw an immediate loss of at least $90 per person, per month in fully federally-funded food assistance benefits. Ohio’s network of foodbanks cannot support the increased demand following this loss without additional investment. We respectfully request an additional $10 million per year to help the Ohio Association of Foodbanks meet the increased need at food banks and pantries across the state.

  • $2.5 million per year for in-person health insurance enrollment assisters, who will continue to provide free help to Ohioans navigating the Medicaid eligibility renewal process over the next 15 months of unwinding and to assist in connecting former Medicaid members to the federal Marketplace for health coverage.

  • $21 million per year to provide a $50 per month state-supplemented minimum SNAP benefit to all Ohioans age 60 and up. With the end of SNAP Emergency Allotments, older adult households will see a loss of $250 per month in federally funded assistance, or more. Approximately 70,000 of these older adults will return to the SNAP minimum benefit of just $23 per month. A state SNAP supplement would go a long way to ensure Ohio’s older adults don’t have to solely rely on the charitable food network to eat.

  • The creation of a dedicated SNAP Employment & Training line-item and an investment of $10 million per year to support county Job and Family Services offices in helping unemployed and under-employed SNAP recipients find and retain employment. This investment will draw down a federal 50/50 match.

  • The restoration of the Employment Incentive Program for Critical Jobs line item at $5 million per year in flexible funding to counties to help address the benefit cliff and fill gaps between programs, such as helping with health insurance costs if an individual is no longer eligible for Medicaid, or assisting with informal child care arrangements before or after school.

  • Continue to invest in Ohio’s Future by increasing eligibility for publicly funded child care to 200% of the federal poverty level and restore the as-introduced $150 million in American Rescue Plan Act State Fiscal Recovery funds for child care scholarships for critical occupations.

  • Restore cuts made by the House to the lead abatement fund at the Ohio Department of Health (line item 440527) to $10.8 million in FY24 and $11.7 million in FY25 to support lead prevention programs that provide grants to local communities, ensure lead safe work protocols during renovations and repairs, and provide education and resources for parents.

Any discussion of supporting the health and recovery of Ohioans cannot be complete without addressing the direct care workforce crisis faced by every sector of the home and community-based services spectrum. Different rates and requirements for similar work result in competition for a small number of workers and an imbalance in the system. Although we were encouraged to see an increase in the hourly wage for direct care workers up to $17 per hour in FY24 and $18 in FY25, AOF supports our member organizations, disabled Ohioans, and older adults in respectfully requesting an increase up to a minimum wage of $20 per hour for all direct care workers across the Departments of Aging, Medicaid, and Developmental Disabilities. Direct care work has been undervalued and under compensated for so long that our care systems are hitting a breaking point. Unless Ohio recognizes and rewards direct care workers for the valuable work they provide in communities across Ohio, our care systems will continue to see high turnover, high vacancy rates, long wait lists, and more agency closures.

Equity should be an explicit consideration in constructing the budget. Laws and policies have institutionalized racism and bias against marginalized groups. Ohio should allocate resources and services to at-risk populations to ensure an individual’s well-being and success are not predictable by race, class, geography, language, gender, or other relevant social factors. Governor Mike DeWine formed the COVID-19 Minority Health Strike Force on April 20, 2020, in response to the disproportionate impact of COVID-19 on minorities in Ohio. The strike force contracted with the Health Policy Institute of Ohio (HPIO) to develop the “COVID-19 Ohio Minority Health Strike Force Blueprint” which contains actionable recommendations to improve health outcomes and overall well-being for communities of color in Ohio. We recommend that this committee and the full general assembly consider these recommendations and commit to promoting equity and better health outcomes for all Ohioans.

This budget is an opportunity to invest in improving the quality of life of all Ohioans. AOF and our partner organizations support policies that build an Ohio where all people and families live healthy lives in quality communities with pathways to prosperity for all.

Thank you for the opportunity to testify before you today. I am happy to answer any questions.

Download a PDF of our testimony here!

Reviewing the House’s First Budget Changes

Compiled by Director Kelsey Bergfeld and Policy Associate Sarah Hudacek

On Monday evening, the House Finance Committee released Substitute House Bill 33, which includes the first round of the House’s amendments and changes to the Governor’s Executive Budget. These changes are the culmination of more than two months of testimony before House Finance subcommittees from hundreds of witnesses.

AOF and our members have poured over these changes all week, and even though we’ll see another round of changes early next week in the omnibus amendment, we’re sharing all the good, the bad and the missing from the Sub-Bill.

Broadband: In the Department of Development, a new Broadband Pole Replacement and Undergrounding program was added to bury fibers and replace poles in unserved areas, defined as areas with less than 25 Mbps download and 3 Mbps upload speed access. This funding was infused with $10 million in American Rescue Plan Act (ARPA) State Fiscal Recovery Funds (SFRF) in fiscal year 2024. The definition of unserved areas as having less than 25/3 Mbps access, along with the goal of access to 100 Mbps symmetrical service is a first for Ohio, and a transformative step in recognition of the need for the highest-speed internet in order to work, attend school, access telehealth, connect with family and friends, and more.

Taxes: An income tax cut was expected to be included in the House’s changes, so we weren’t surprised to see the elimination of a tax bracket, which will cost the state upwards of $400 million in lost revenue each fiscal year.

Children and Youth: Advocates were uncertain how the House would respond to the Governor’s proposal to create a new cabinet-level department, the Department of Children and Youth (ODCY). However, ODCY was maintained in the House Sub-bill, along with the expansion of initial eligibility for Publicly Funded Child Care (PFCC) from 142 percent of the poverty level to 160 percent, and the $114 million per fiscal year allocated for early childhood education. Unfortunately, $150 million in ARPA SFRF funding was removed from the Department of Job and Family Services budget, and early childhood mental health and Help Me Grow saw cuts, as well. Join Groundwork Ohio’s action alert HERE.

Ohio Works First: Eligibility for Ohio’s Temporary Assistance for Needy Families (TANF) cash assistance program, Ohio Works First (OWF) was expanded in a rare but welcome move in the House changes. If implemented, any pregnant person would be eligible for OWF benefits, whereas now, Ohioans are only OWF-eligible once they pass 6 months of pregnancy.

School Meals: AOF is a member of the Hunger Free Schools Ohio coalition, which advocates for free, healthy school breakfast and lunch for all Ohio students. In a great first step towards decreasing hunger in Ohio’s schools, the House included a provision in the budget for the state to reimburse schools for the cost difference between reduced-price and free meals. This would mean that any student who is eligible for reduced-price meals would automatically receive free meals instead. AOF continues to support the Hunger Free Schools coalition in pushing for free school meals for all, but we celebrate this initial win.

Direct Care Workers: After an incredible, months-long advocacy effort by advocates, direct care workers, providers, and Ohioans eligible for services, the House included a further increase in wages for home and community-based services direct care workers to an average $17 per hour in FY24 and $18 per hour in FY25. We are celebrating this historic increase with our partners, but continuing to advocate for the requested $20 per hour minimum wage for direct care workers and a 20 percent wage increase for behavioral health workers.

Doula Coverage: Our partners at the Center for Community Solutions and Children’s Defense Fund Ohio have been advocating for Medicaid coverage for doula services for years over the last three general assemblies. Finally, Medicaid coverage for doulas was included in the House changes.

Continuous Medicaid Coverage: As part of the his Bold Beginnings Initiative, Governor DeWine has supported the addition of continuous Medicaid coverage for kids up to age 6. The House, however, included continuous coverage for eligible children from birth until their 4th birthday. Although not the six years we were hoping for, this is a huge step forward that will help Ohio children access needed care and services during their most formative years. And, the expansion of Medicaid eligibility for pregnant mothers and children up to 300 percent of the poverty level was left in.

Medicaid Rate Increases: We also saw Medicaid provider rate increases for ambulance transportation, dental and vision care - all long overdue!

Lead Abatement: Funding for lead abatement, which includes the state lead safe home fund, was cut by $6.5 million each fiscal year, cutting lead abatement funds almost in half.

School Resource Officers: Governor DeWine’s as-introduced budget included $400 million for school resource officers (SROs), who are police officers with limited additional training in order to be posted in schools. Our partners at Ohio Poverty Law Center, Policy Matters Ohio, Juvenile Justice Coalition, and Children’s Defense Fund Ohio held a powerful press conference earlier this month on why SROs are not a viable solution and how the presence of SROs has a disparate impact on students of color. Thankfully, the SRO provision was removed by the House!

Child Tax Deduction: The House also removed the Governor’s $2,500 per child tax deduction. Although AOF wishes that this would have been replaced with a Thriving Families Tax Credit or a refundable Earned Income Tax Credit, we’re supportive of this deduction’s removal, which would have had miniscule impacts on low-income families.

Children’s Services Cuts: The sub-bill included cuts of $28 million in FY24 and $25 million in FY25 to critical programs and services for foster children, youth, families, and public children services agencies. These cuts will impact the Ohio Kinship and Adoption Navigator Program, the Kinship Support Program, the Bridges program for foster youth transitioning into adulthood, the Ohio START program, Tiered Foster Care, the Triple P prevention program, and more.

Housing: The House changes included a more robust state affordable housing tax credit proposal, but also added a requirement that the Ohio Housing Finance Agency secure approval from county commissioners before financing any affordable housing projects. Communities are already bogged down by Not In My Back Yard attitudes that hinder the development of affordable housing in communities that desperately need it. The Coalition on Homelessness and Housing in Ohio is urging this provision be removed.

What’s Missing: AOF and our partners advocated for a number of investments that have not yet been included in the budget, including:

Utilizing the Sub-Bill Comp Doc

Tips from AOF Policy Associate Sarah Hudacek

Keeping track of the many changes over the course of the budget cycle is easier said than done. Thankfully, the Legislative Service Commission (LSC) creates an invaluable resource to make advocates’ lives easier. The comparison document, or comp doc, tracks each budget provision throughout each revision stage. Here’s everything you need to know to make the most of it.

The comp doc is posted on the LSC website after each round of changes, but may not be available until the day after changes are announced.

The comp doc lists budget provisions by department or agency, not necessarily in the order they are listed in the budget document itself, and assigns each provision a unique comp doc number. This comp doc number is not the same as the line item or fund code, and can only be used to find a provision in the comp doc, not the full budget bill.

In the picture below, for example, KIDCD4 is the comp doc number for Infant Health Grants within the Department of Children and Youth, which is Section 423.20 of the budget. These Infant Health Grants were included in the Governor’s Budget and unchanged in the House’s first version.

Below is a different example from the comp doc, JFSCD69, in which this provision was not included in the Governor’s budget but added by the House.

The comp doc does not include appropriations numbers for all provisions. To track appropriations changes across versions, you can reference the Appropriations Spreadsheet on the LSC budget page.

As we move through the budget process, additional columns will be added to the comp doc to show changes between versions. Although new comp doc numbers will be assigned to new provisions, existing comp doc numbers won’t change between versions, which makes it easier to keep an eye on certain items overtime.

The comp doc is a great tool to support your budget advocacy - we hope this short tutorial helps!

Remembering Gayle Channing Tenenbaum

Gayle Channing Tenenbaum

We are deeply saddened by the news that revolutionary advocate Gayle Channing Tenenbaum passed away earlier this week. Gayle was an unstoppable force in the world of child advocacy for more than 50 years.

Without Gayle, AOF would not exist. One of AOF’s founders, John Corlett, now President and Executive Director of the Center for Community Solutions, recounted the story of how Gayle assembled a team that became AOF’s predecessor coalition:

“In 2003, Gayle was the leading force in bringing together a group of Have a Heart Ohio members to being an Emergency Campaign to Protect Ohio’s Future in order to persuade the Ohio General Assembly that tax increases were needed to forestall painful budget cuts. The initial committee consisted of AARP Ohio, the Children’s Defense Fund of Ohio, the Center for Community Solutions (called the Federation for Community Planning back then), and the Public Children’s Services Agencies of Ohio and raised somewhere around $200,000. Gayle and I co-chaired the Emergency Campaign. The campaign did voter research through focus groups and statewide polling, media outreach, legislative outreach, and a statewide lobby day and rally that attracted over 5,000 people to the statehouse. “

In 2010, the Campaign to Protect Ohio’s Future became Advocates for Ohio’s Future. Twenty years later, Gayle’s strong focus on lifting up children and families is a central tenet of our advocacy, and will continue to be for many years to come.

AOF joins our fellow advocates in mourning this loss of a once-in-a-lifetime advocate, leader, and friend. Gayle leaves a legacy of thousands of families and children touched, advocates mentored, and lives changed.

AOF Testifies Before the Public Assistance Benefits Accountability Task Force

Chair Schaffer, Chair Wiggam, and members of the Public Assistance Benefits Accountability Task Force, my name is Kelsey Bergfeld and I am the Director of Advocates for Ohio’s Future. Advocates for Ohio’s Future (AOF) is a nonprofit, nonpartisan coalition of over 500 state and local health and human services policy, advocacy and provider organizations that strive to strengthen families and communities through public funding for health, human services, and early care & education. Our coalition believes in investing in our state’s most valuable resource—our people—to ensure that they are safe, healthy, and can access pathways to prosperity for themselves and their families. A full list of AOF Steering Committee members is included at the end of our testimony and also available at www.advocatesforohio.org. Thank you for the opportunity to provide testimony today on the important work of this task force.

AOF Director Kelsey Bergfeld testifying before the PABA Task Force

As a coalition of a broad range of health and human service organizations, we unite to identify and prioritize the greatest needs of people and families across the state. We support public programs that provide economic security, help people get to work and empower Ohio residents.

AOF and our member organizations agree with and support a number of the objectives of the task force and are encouraged by the time taken by this body to study these systems, assess what is working well and what needs to be strengthened.

We can agree that we want the system to work better and more efficiently for people who need these programs as well as caseworkers and program administrators. We want to support our county jobs and family services agencies who connect people to the help and supports they need to get back on their feet and reframe the experience between client and caseworker from transactional to transformational. We want to reduce errors. We want to support investments in programs that remove barriers to work and incentivize paths to critical occupations. Most of all we want to help people and families in times of crisis, ensure their basic needs are met to help them stabilize, then support their path to self sufficiency with resources, guidance and opportunity.

We were encouraged to hear the many steps already taken or in progress by state and county agencies to reduce inefficiencies, encourage individual programs and systems to work better together when appropriate and efforts to review and reform the language and frequency of system notices. We’ve all learned the process of applying for and retaining assistance when eligible, especially across multiple programs is incredibly complex and can be difficult to understand and follow. An endeavor made even more difficult during times of crisis.

We’ve also learned that any changes to a client’s case, from updating an address to adding a new document to their file creates an upsurge of often duplicative alerts that must be individually cleared by caseworkers, leaving little time to truly assess the circumstances and needs of a client in order to best steer them towards the most appropriate resources and programs.

We were very encouraged to hear that the Department of Jobs and Family Services, the Department of Medicaid and the Department of Administrative Services plan to perform customer experience reviews with both caseworkers and clients. While we look forward to the implementation and reports from those studies, our partners at the Center for Community Solutions, in collaboration with a number of other organizations, conducted an Ohio Benefits User Experience Study in late 2020. They published a number of findings and recommendations that remain applicable to today’s challenges-we encourage this body to review these findings while considering your final recommendations.

Public programs can also be improved to better support working families by addressing the benefit cliff. The cliff is the sudden and often unexpected decrease in public benefits like SNAP that can occur with a small increase in income. The benefit cliff is a hurdle for families and businesses when wage increases result in a net loss of income for a family. This often results in people and families cycling on and off public programs and in the long term, generational poverty.

Included at the end of our testimony is a graph that illustrates eligibility for public programs as it relates to hourly wages and annual gross income for a single parent with two children. As the graph shows, small increases in wages, sometimes as little as one dollar per hour, can mean the loss of both nutrition support and Medicaid access. It is also important to note that a single parent with two children working full time at minimum wage qualifies for all public programs with the exception of Ohio Works First.

This task force heard from a number of counties currently implementing Benefit Bridge pilot programs across the state. We hope these efforts produce evidence-based strategies and wraparound work supports that help people and families on their path to supporting themselves and out of the cycle of poverty. We encourage the elected members of this body to invest in the statewide implementation of these strategies and in accessible work and emergency supports like those supported by the Prevention, Retention and Contingency (PRC) program to create a truly transformational bridge to able to support themselves and their family.

We encourage this task force’s recommendations to be based on the needs of Ohioans and the experience of consumers, program administrators, and workers. Recommendations should center around supporting people and families on the path to supporting themselves without creating additional barriers to help or administrative burden for caseworkers that further limit their capabilities. We also encourage and welcome continued opportunity for public input and ongoing discussion regarding any recommendations put forth.

AOF—with its depth and breadth of its membership and partners—stands ready to assist this task force and the General Assembly to make sure the safety net is strong for those who need it. As stated earlier, our priorities are in alignment with those of this body—to protect those who need these programs, ensure the safety net is available, focus on eliminating the cycle of poverty by taking a two generational approach to independence by providing opportunity and maintain the integrity of public programs.

Thank you again for the opportunity to testify this morning. I am happy to answer any questions you may have.

Read a PDF of our testimony HERE!

Possible Cabinet Shake-Up: New Department of Children and Youth

By Sarah Hudacek, AOF Policy Associate

In Governor DeWine’s Executive budget, many advocates were surprised by the proposal of a new cabinet-level department, the Ohio Department of Children and Youth. The creation of this new department would cement the Governor’s legacy of investing in kids following his creation of the Governor’s Office of Children’s Initiatives in January 2019.

The creation of a new cabinet department is a major undertaking by the administration, so we’re diving into what the current cabinet looks like, the last time a cabinet department was created, and what role the new department would play.

The Current Cabinet

Governor DeWine’s current Cabinet is made up of 26 departments and offices:

  • Department of Administrative Services

  • Department of Aging

  • Office of Budget and Management

  • Bureau of Worker’s Compensation

  • Governor’s Office of Children’s Initiatives

  • Department of Commerce

  • Department of Development

  • Department of Agriculture

  • Department of Taxation

  • Department of Developmental Disabilities

  • Ohio Environmental Protection Agency

  • Department of Health

  • Department of Higher Education

  • Department of Insurance

  • Department of Job and Family Services

  • Ohio Lottery

  • Department of Medicaid

  • Department of Mental Health and Addiction Services

  • Department of Natural Resources

  • Opportunities for Ohioans with Disabilities

  • Department of Public Safety

  • RecoveryOhio

  • Department of Rehabilitation and Corrections

  • Department of Transportation

  • Department of Veterans Services

  • Department of Youth Services

Recent Cabinet Changes

Name changes for existing cabinet agencies are fairly common, such as the renaming of the Board of Regents to the Department of Higher Education in 2015, the change from the Rehabilitation Services Commission to Opportunities for Ohioans with Disabilities in 2013, and the long, long overdue renaming of the Ohio Department of Developmental Disabilities in 2009 away from the previously named department that included extremely outdated and derogatory language.

The creation of new cabinet agencies occurs less frequently. The majority of the governor’s cabinet agencies are more than 50 years old. The most recent cabinet creations are as recent as the Governor’s Office of Children’s Initiatives and RecoveryOhio in 2019, but both of these offices are distinct from the other cabinet agencies because they are much smaller and are contained within the Governor’s office and its 33 employees.

The last time a new department was created was when the Department of Medicaid split from the Department of Job and Family Services in 2013. Also in 2013, the Department of Mental Health and Addiction Services was created by the merger of the Department of Mental Health and the Department of Alcohol and Drug Addiction Services. Before that, the Ohio Department of Job and Family Services was created by the merger of the Department of Human Services and the Bureau of Employment Services in 2000. The most recent case of a governor’s office expanding into a department was in 2008 when the Governor’s Office of Veterans Affairs became the Department of Veterans Services.

It’s interesting to note that each of the three previous Ohio governors - John Kasich, Ted Strickland, and Bob Taft - all oversaw the creation of at least one new cabinet department.

The New Department

The new Ohio Department of Children and Youth (ODCY) would incorporate programs from six other Cabinet agencies: the Departments of Job and Family Services, Health, Developmental Disabilities, Education, Mental Health and Addiction Services, and Development.

The programs that would be consolidated under ODCY include:

  • Help Me Grow: Provides maternal health and wellness screenings, child health and development screenings, parenting education, referral to social supports and more for families under 200% FPL.

  • Healthy Beginnings at Home: Currently in pilot phases, supports stable housing initiatives for pregnant mothers to improve maternal and infant health outcomes.

  • Infant Vitality Programs: Funds maternal health programs, services and supports to pregnant mothers, including safe sleep programs, group prenatal care, preconception education, patient navigators, community health workers, newborn screening, safe birth spacing, gestational diabetes support, smoking cessation for pregnant women, breastfeeding support, and care coordination.

  • Early Intervention: Programs and funding for kids ages three and under with disabilities or at risk of developmental delays.

  • Strong Families Strong Communities: Assists families in avoiding crisis and in crisis intervention.

  • Dolly Parton Imagination Library: Program that provides free books to children

  • Early Care and Education: Publicly Funded Child Care program, including tiered Step Up To Quality incentive payments that recognize and promote quality child care programs.

  • Early Childhood Education: Funds to increase the number of low-income children, children with disabilities, and children with limited English proficiency in quality early learning programs. Provide incentives to help programs implement continuous quality improvement.

  • Kinship Permanency Incentive Program: Time-limited incentive payments to kinship caregivers who have been awarded legal custody or guardianship of a child by a court. Gross income cannot exceed 300%. Provides a maximum of 8 payments - initial payment of $525 per child, then $300 every six months.

  • Adoption Services: Adoption payments and adoption subsidies for families who adopt children with disabilities, behavioral health needs, older children, a group of siblings, or children with medical needs.

  • Infant Health Grants: Funds to continue and expand the pathways community HUB model to reduce infant mortality.

  • Early Childhood Mental Health: Identification and intervention for early childhood mental health to reduce preschool through 3rd grade classroom expulsions.

  • Family and Children First: Funds to state level and local governments to enhance community capacity, coordinate services and engage families

  • Children’s Trust Fund: Ohio’s primary funding agent for programs to prevent child abuse and neglect.

  • Preschool Special Ed: Special education and services to children with disabilities ages 3-5.

  • Foster Care: Funds monthly foster care payments to foster parents or institutions to support an out-of-home placement for a child. Currently, payments vary by county and by the needs of the child. This line item would create a new tiered foster care payment structure to establish consistent foster care payment rates and incentivize caring for higher needs children and youth. Also funds Independent Living services for youth 14 years or older who are in substitute care to help with the transition into adulthood and self-sufficiency.

  • Maternal and Child Health Block Grant: Funds to reduce maternal and infant mortality, improve nutrition of children, reduce adolescent and young adult suicide, prevent and mitigate adverse childhood experiences, and more.

  • Child Welfare: Programs preventing child abuse and neglect, providing services to abused and neglected children, licensing foster homes, investigating abuse and neglect, and some family preservation and reunification services. Administered by county public children services agencies.

  • Family and Children Services: Includes Kinship Care Navigator Program, Kinship Supports Program, Kinship Guardianship Assistance Program, Multi-System Youth funds, State Child Protection funds. Also funds Wendy’s Wonderful Kids Program for professional recruiters who find permanent homes for Ohio foster care children.

It’s also notable that the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) would remain under the Ohio Department of Health, and that programs funded through the Temporary Assistance for Needy Families (TANF) grant would be split between ODJFS and ODCY, with the Ohio Commission on Fatherhood, Ohio Works First cash assistance, and the Prevention, Retention and Contingency emergency supports program all remaining under ODJFS. TANF funds must be used for families with children, and Ohio continues to struggle with getting TANF funds out to families in need, as evidenced by our growing TANF underspend balance, so it will be interesting to see how ODCY and ODJFS are able to tackle this administrative challenge.

The current Director of the Governor’s Office of Children’s Initiatives, Kara Wente, is widely expected to become the first Director of the Department of Children and Youth. If approved in this year’s operating budget, ODCY would begin operations on January 1, 2025.

Budget Priority Deep-Dive: Tax Credits

by: Sarah Hudacek, AOF Policy Associate

Budget priority: Reward work and make a difference for low-income families by making the state Earned Income Tax Credit (EITC) fully refundable and creating a state-level family tax credit

In 2021, the national child poverty rate fell to a record low of 5.2 percent, a drop of almost 30 percent. This decrease is largely attributed to the temporarily expanded federal Child Tax Credit (CTC), which benefited more than 2.1 million Ohio children across 1.2 million Ohio families. The CTC expansion ended in December 2021, and millions of children fell back into poverty. Although the Governor’s proposed state budget includes a $2,500 per child tax deduction, a deduction won’t result in a cash benefit for families each tax season. Instead, the child tax deduction would subtract $2,500 from a family’s taxable income and for a single mother of one making $40,000, would reduce her tax liability by only $69. The deduction would also not benefit the lowest income families who earn less than $26,050 in taxable income and therefore do not pay income taxes.

There are other, more substantial ways to reward work and support low-income families. Our partners at Policy Matters Ohio have developed two separate proposals for a state Thriving Families Tax Credit, which would provide a refundable credit to 1.8 million children across 985,000 households that make less than $85,000 per year. One proposal suggests a $700 annual tax credit per child, while the other proposes a $1,000 annual credit for children under 6 and a $500 annual credit for children age 6-17. AOF supports Policy Matters Ohio’s proposals to put more cash in families’ pockets and support Ohio children.

AOF has also long advocated for a refundable Earned Income Tax Credit (EITC). With Ohio’s nonrefundable EITC, the credit amount can only be applied towards a low-income Ohio worker’s outstanding tax liability, but doesn’t result in an increased cash return. A refundable EITC would allow low-income Ohio workers to receive a cash refund for the amount of the credit not applied towards any outstanding tax liability. The federal EITC is refundable.

Ohio adopted a state EITC in 2013 and increased the value of the credit in 2019. Thirty-one states have a state EITC, but only six states, including Ohio, have a nonrefundable credit. A bill pending in the Ohio legislature would make the state EITC refundable at 10 percent of the federal EITC amount. This partially refundable EITC would take an important first step towards rewarding work and supporting low-income Ohioans, but would still leave Ohio with one of the weakest EITC programs in the nation.

Budget Priority Deep-Dive: Medicaid Double Edition

by: Sarah Hudacek, AOF Policy Associate

Budget priorities: Expand general Medicaid eligibility up to 300% FPL for families and children AND Allow for continuous Medicaid coverage for children up to six years old

Medicaid eligibility is incredibly complex. There are almost a dozen different pathways into Medicaid coverage, each with their own eligibility requirements. Currently, eligibility for pregnant women is capped at 200 percent of the federal poverty level and eligibility for children up to age 19 is capped at 206 percent of the federal poverty level.

Last September, Governor DeWine announced the Bold Beginning Initiative, which included the priority to expand eligibility for pregnant moms and children under age 19 up to 300% of the federal poverty level - a priority that was included in the Governor’s Executive Budget proposal. AOF supports this provision, which will expand access to important health care services for an additional 30,000 children and an estimated 3,500 pregnant people in Ohio.

Continuous Medicaid coverage for children means that once a child enters the Medicaid program, they can remain on the program even if their family’s eligibility situation changes. Families receiving Medicaid coverage and earning close to the eligibility limit often experience fluctuations in their incomes that could result in them entering, leaving, and re-entering the Medicaid program on an endless cycle. Allowing children under age 6 to remain on the Medicaid program even if their family’s income fluctuates above the eligibility limit would ensure that Ohio’s youngest children have continued access to health screenings, developmental checks, and doctor’s visits needed to ensure their health and well-being for the rest of their lives.

We know that children who fall behind in vital benchmarks tend to stay behind. Including continuous coverage for children up to age 6 is a vital piece of a family-focused budget.

Budget Priority Deep-Dive: The End of the COVID-Era

by: Sarah Hudacek, AOF Policy Associate

Budget Priority: Ensure coverage protections and strengthen supportive services as enhanced COVID-era benefits and program flexibilities expire

As we’ve shared in many newsletters and blogs over the past 18 months, AOF has kept a close eye on temporary pandemic-related program expansions and flexibilities, especially Medicaid continuous coverage and SNAP Emergency Allotments. With the final SNAP Emergency Allotment issued at the end of February and Medicaid terminations beginning next month, Ohioans and their families will be faced with an average SNAP benefit loss of $90 per person per month, and with finding new health insurance if they are no longer eligible for Medicaid.

AOF has long been advocating for investments in a number of areas to prepare for the COVID Cliff - when these temporary pandemic programs end in short succession. It’s not too late to bolster services to support Ohioans facing these cliffs.

Among the proposals that AOF supports adding to this budget are:

  • $50 million per fiscal year to help the Ohio Association of Foodbanks meet the increased need at food banks and pantries across the state with the end of SNAP emergency allotments

  • $5 million for Get Covered Ohio’s in-person health insurance enrollment assisters, who will continue to provide free help to Ohioans navigating the Medicaid eligibility renewal process over the next 15 months of unwinding

  • $21 million per fiscal year to provide a $50 state-supplemented minimum SNAP benefit to all Ohioans age 60 and up, as proposed by the Ohio Association of Foodbanks. The current federally-funded SNAP minimum benefit is just $23 per month.

  • Up to $350 million per fiscal year to provide free school breakfast and lunches to all students in Ohio, an initiative led by the Hunger Free Schools Ohio Coalition. School meals were free during the height of the pandemic, and school meal debts have accumulated to record numbers in many school districts and school meal participation is down across the board.

Each of these proposals would support vital local services across the state and help Ohioans survive the changes that are quickly coming down the pike.

Budget Priority Deep-Dive: SNAP Older Adult Minimum Benefit

by: Sarah Hudacek, AOF Policy Associate

Budget priority: Increase the minimum benefit for SNAP for older adults without earned income to $50 per month

In the Supplemental Nutrition Assistance Program (SNAP), a household’s monthly benefit amount depends on that household’s earned income, the number of people in the household, and any deductions the household is eligible for, like costs for child and dependent care, out of pocket medical costs, rent and utility deductions, and more.

In Ohio, only 50 percent of eligible older adults participate in SNAP. Of older adults who do participate in SNAP, some receive the minimum benefit amount of just $23 per month. Ohio has recently taken steps to increase participation among older adults, including implementing the Elderly and Disabled Simplified Application Project (EDSAP), which allows Ohioans 60 and older with no earned income to undergo the SNAP eligibility recertification process every three years, rather than every six months.

Supplementing the federally funded $23 per month minimum SNAP benefit with a state-funded boost to bring older adults up to at least $50 per month would remove another barrier to participation - the belief that the eligibility process isn’t worth the time and hassle for such a low benefit.

Early calculations indicate that the cost of a state-supplemented $50 minimum SNAP benefit for Ohioans aged 60 and older would be $21.4 million each fiscal year - a small price tag that could go a long way towards addressing food insecurity among Ohio’s older adults.

Other states are taking similar actions. In response to the end of SNAP Emergency Allotments, New Jersey is implementing a $95/month state-funded minimum benefit for all SNAP recipients, and Maryland has a $40/month state-funded minimum benefit for adults aged 65 and up, which was first implemented as a $30 state-funded minimum back in 2015.