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00:00:00Support
00:00:00for the Statehouse News Bureau
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00:00:12More at Med mutual.com.
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00:00:38A new candidate enters
00:00:38next year's Republican race
00:00:41for governor
00:00:41and votes to the top.
00:00:43Lawmakers roll forward
00:00:43on the transportation budget
00:00:46and changes on
00:00:46Ohio's weed law.
00:00:48And advocates for food bank
00:00:49customers and Ohioans
00:00:49with disabilities say
00:00:52the state budget is falling
00:00:52short of some big needs.
00:00:55That's this
00:00:55week in the state of Ohio.
00:01:14Just.
00:01:15Welcome to the state of Ohio.
00:01:17I'm Karen Kasler.
00:01:18It's no surprise
00:01:19that Republican former
00:01:19presidential candidate
00:01:21Vivek Ramaswamy
00:01:21is running for governor.
00:01:23As he officially kicked off
00:01:23his campaign this week.
00:01:26But there was a surprise
00:01:27in how quickly President Trump
00:01:27weighed in on that race.
00:01:31Ramaswamy
00:01:31launched his campaign
00:01:33for the Republican nomination
00:01:33for governor
00:01:34next year with a two day tour
00:01:36that started in Cincinnati
00:01:36and then moved to New Albany.
00:01:39Romney Swamy had been building
00:01:41to this launch
00:01:41for several weeks.
00:01:42As Attorney General Dave
00:01:43Yost had done before
00:01:44officially announcing
00:01:44his campaign in January,
00:01:48while many term limited
00:01:48statewide office holders
00:01:50had been lining up
00:01:51behind Ramaswamy
00:01:51as they were announcing
00:01:53their moves for next year.
00:01:55The question was
00:01:56when or whether President
00:01:56Trump would weigh in.
00:01:59He endorsed Yost in his
00:01:59reelection campaign in 2022.
00:02:03Though Yost had initially
00:02:03opposed Trump in 2016,
00:02:07but shortly after Ramaswamy
00:02:07ended his New Albany event,
00:02:10Trump
00:02:10posted
00:02:10on his social media network
00:02:12that he was endorsing
00:02:12Ramaswamy,
00:02:14who on Inauguration Day left
00:02:16the Department
00:02:16of Government Efficiency
00:02:18that Trump had appointed him
00:02:18to head up with Elon Musk.
00:02:21We'll have more on next year's
00:02:21campaign
00:02:23for governor, with the primary
00:02:23still 14 months away.
00:02:26On next week's show.
00:02:27House Republicans
00:02:27and Democrats voted
00:02:29unanimously
00:02:29to give a green light
00:02:31to the two year
00:02:31transportation budget,
00:02:33which primarily funds state
00:02:33highway route and bridge
00:02:36construction projects
00:02:36through the gas tax,
00:02:38but also dictates
00:02:38policy around public transit.
00:02:41This budget puts
00:02:41$25,000 toward Ohio, rejoining
00:02:45a commission
00:02:45of Midwestern states
00:02:46seeking to expand passenger
00:02:46rail.
00:02:4915 years after Republican
00:02:49former governor John Kasich
00:02:52rejected $400 million
00:02:54in federal funds to establish
00:02:54passenger rail service,
00:02:57the transportation budget
00:02:57also bans deputy registrars
00:03:00at Bureau of Motor
00:03:00Vehicle Offices
00:03:02from asking non-citizens
00:03:03who aren't eligible to vote
00:03:03if they want to register.
00:03:06An earlier version
00:03:06would have required
00:03:08all residents
00:03:08to present citizenship proof
00:03:11to register to vote
00:03:11at those offices.
00:03:13The transportation budget
00:03:13must pass
00:03:14the Senate
00:03:14and be signed by governor
00:03:16Mike DeWine
00:03:16by the end of March.
00:03:18But it was a party line
00:03:18vote in the Senate
00:03:20to change the state's
00:03:20recreational marijuana law,
00:03:23approved by voters in 2023.
00:03:25Republicans approve the bill,
00:03:25which bans public pot smoking
00:03:29caps home, grow from a dozen
00:03:29plants to six or fewer
00:03:33and limits
00:03:33the THC concentration
00:03:35for dispensaries
00:03:35to 35% for plant products
00:03:38and 70% for concentrates
00:03:38and extracts.
00:03:41Plans to change the tax rate
00:03:41and where those taxes will go,
00:03:45or an earlier
00:03:46version of the bill,
00:03:46but are now likely
00:03:48to be included
00:03:48in the state budget.
00:03:50As winters
00:03:50low temperatures have dragged
00:03:53on, high costs have continued
00:03:53for food,
00:03:55housing and utilities,
00:03:57and that's been keeping
00:03:57the traffic up at Ohio's 12
00:03:59food banks and 3600 hunger
00:03:59relief agencies.
00:04:03But funding to fight food
00:04:03insecurity is down,
00:04:06and governor
00:04:06Mike DeWine proposed budget
00:04:08$15 million lower
00:04:08than the current budget, as
00:04:11there has been an average year
00:04:11over year
00:04:12increase and utilization
00:04:14of food banks of about 10%
00:04:14from 2020 to 2023.
00:04:18I asked the executive director
00:04:19of the Ohio
00:04:19Association of Food Banks
00:04:21what she's been told
00:04:21about why.
00:04:23I think we've heard that
00:04:23this is a time
00:04:25when the state is looking
00:04:25at balancing a budget
00:04:28without some of the one time
00:04:28federal
00:04:30funding that they had access
00:04:30to for several years running.
00:04:33So we recognize that,
00:04:33I what I've been told by
00:04:37governor DeWine
00:04:37and the team at Ohio
00:04:38Department of Job
00:04:38and Family Services
00:04:40is that the increase
00:04:41that we received in the 2425
00:04:41biennium of $7.5
00:04:45million
00:04:45per year was considered
00:04:46from their point of view,
00:04:46one time funding.
00:04:48And I've just talked
00:04:48with them about, you know,
00:04:50the reality is,
00:04:50I would love to tell you
00:04:52that things are normal
00:04:52for people,
00:04:54but it doesn't look anything
00:04:54like normal
00:04:56right now
00:04:56in our food pantry lines.
00:04:58And, you know,
00:04:58we can't possibly
00:05:00go back to the levels,
00:05:00that, are
00:05:03that reduced right now
00:05:03and keep up
00:05:05an adequate response to need.
00:05:07So you're asking for the
00:05:09restoration of that funding,
00:05:09but also
00:05:10some additional funding
00:05:10as well to deal with
00:05:13more people actually
00:05:13showing up for food banks.
00:05:15Yeah, we've been trying
00:05:15to listen with our partners
00:05:17because we do want to be good
00:05:17stewards.
00:05:18We want to listen to folks on
00:05:18both sides
00:05:20of the aisle in the House
00:05:20and the Senate about
00:05:22what's reasonable,
00:05:22what's achievable right now
00:05:24in the budgetary environment
00:05:24that we're in
00:05:26and the revenue environment
00:05:26that we're in.
00:05:28So we are asking
00:05:29for an additional $4.93
00:05:29million for the restoration
00:05:32of the cuts
00:05:32and then an additional $4.93
00:05:34million per year.
00:05:35That's just simply based
00:05:35on inflationary projections
00:05:38by the CBO
00:05:38for the next couple of years
00:05:41and then modest increases
00:05:41in need.
00:05:43We're looking
00:05:43at the past couple of years
00:05:45and going, gosh,
00:05:45we hope that we don't continue
00:05:47to see
00:05:47need accelerate that quickly.
00:05:50So let's hope that we get
00:05:50to resolve some of that.
00:05:53We see some
00:05:53leveling out in need.
00:05:56And so just give us enough
00:05:56to make sure
00:05:58that we can give
00:05:58adequate service
00:05:59to the people
00:05:59who are coming to us.
00:06:01And the money that you get
00:06:01when you are providing food
00:06:03for people in food banks,
00:06:05I mean, this is money
00:06:05that you're getting
00:06:06from the state
00:06:06that you use to buy food.
00:06:08That's right.
00:06:08This is donated food.
00:06:09This is people
00:06:09who personally donate.
00:06:12I mean, it's not just one
00:06:12source, it's multiple sources.
00:06:16That's right.
00:06:16We blend as many sources
00:06:16as we can,
00:06:18and we're really about
00:06:19rescuing food
00:06:19in as many places as we can.
00:06:21Our state funded food
00:06:22programs are rooted
00:06:22in the idea,
00:06:24first of all, that we're
00:06:24an agriculture state.
00:06:27Agriculture remains
00:06:27our number one industry.
00:06:29Our food supply chain
00:06:29is a hugely important part
00:06:32of our state's economy.
00:06:33And how each of us,
00:06:34access food every day when
00:06:34we go to our grocery store.
00:06:37And we can be part
00:06:37of maintaining that strong
00:06:40agricultural supply chain
00:06:40so we can rescue those
00:06:44maybe slightly bruised apples
00:06:46or those strangely shaped
00:06:46carrots.
00:06:47Before the horrible days
00:06:47of the current avian
00:06:51influenza, we're able to,
00:06:51bring in small and medium eggs
00:06:54when new layers are coming on.
00:06:55And we do that at pennies
00:06:55on the pound.
00:06:57We're making sure
00:06:57that food doesn't go wasted,
00:06:59and that farmers can still put
00:07:00folks out to pick the food,
00:07:00pack it and get it to us.
00:07:04And we also source
00:07:04food in bulk.
00:07:05So those state funds
00:07:05go straight to purchasing food
00:07:08that goes out throughout food
00:07:08pantries,
00:07:10in all 88 counties
00:07:10in that in Ohio.
00:07:12And yes, we're also leveraging
00:07:15100 million pounds or more of
00:07:15donated food every year,
00:07:18working with our retailers
00:07:19and our manufacturers
00:07:19to, again, make sure
00:07:22we're not seeing that food
00:07:22go to waste.
00:07:24The people
00:07:24who are at your food banks,
00:07:27the people who are
00:07:27in those lines
00:07:29and who are utilizing food
00:07:29banks,
00:07:30Ohioans with incomes below
00:07:30200% of the federal poverty
00:07:34level are eligible.
00:07:35We're talking about $31,300
00:07:35a year for a single person,
00:07:40$42,300
00:07:40a year for a household,
00:07:42to $53,300 a year
00:07:42for a household of three,
00:07:4564,300
00:07:45for a household of four.
00:07:48These these are people
00:07:48all around the state.
00:07:52Yeah.
00:07:53We have about 3.4
00:07:53million Ohioans
00:07:56that live in households
00:07:57at or below 200%
00:07:57of the federal poverty level.
00:07:59It's almost a third
00:07:59of the entire population.
00:08:02lot of the folks that you are
00:08:04come to food
00:08:04banks are also receiving
00:08:06Supplemental Nutrition
00:08:06Assistance Program
00:08:08Snap benefits as well.
00:08:10And there's
00:08:10some real uncertainty
00:08:11about what's going to happen
00:08:11with Snap
00:08:12benefits on the federal level.
00:08:14Yeah,
00:08:14we are mired in uncertainty
00:08:14at the federal level
00:08:16in a lot of ways,
00:08:16including with Snap and,
00:08:19just quickly, about 1.5
00:08:19million or so Ohioans
00:08:22currently are poor enough
00:08:22to qualify.
00:08:24And our participating in Snap.
00:08:25So it's less than half
00:08:25of all of those Ohioans
00:08:28that are income eligible
00:08:29for our services
00:08:29at the food banks.
00:08:32So not only are we serving
00:08:32another 1.9 million or so
00:08:36Ohioans potentially,
00:08:36that aren't poor enough
00:08:38to qualify for Snap,
00:08:38but we're also trying to help
00:08:42fill gaps in those Snap
00:08:42benefits are inadequate.
00:08:44So yeah, obviously
00:08:45Snap benefits
00:08:46haven't gone up as quickly
00:08:46as the cost of food
00:08:50has gone up as quickly
00:08:50as rent has gone up.
00:08:53And so folks, again,
00:08:53don't have as much
00:08:55purchasing power
00:08:55with those dollars.
00:08:56They're also often
00:08:56being scammed.
00:08:58Right now they're being
00:08:58victimized by organized crime.
00:09:01We have known as 30,000
00:09:01or so individuals in Ohio
00:09:06that were victimized
00:09:07by organized criminals
00:09:07that are skimming
00:09:09their benefits
00:09:09at point of sale devices.
00:09:11And so that's another problem
00:09:11we're trying to absorb.
00:09:13But yeah, broadly,
00:09:13at the federal level,
00:09:15we have a lot of concerns
00:09:15about long term
00:09:18funding and integrity
00:09:18for Snap.
00:09:19In budget
00:09:19reconciliation talks.
00:09:22You know,
00:09:22there's been direction,
00:09:23given that they're looking
00:09:23to come up with hundreds
00:09:25of billions of dollars
00:09:25in savings in the U.S.
00:09:28Department
00:09:28of Agriculture budget,
00:09:29which ultimately is going
00:09:29to erode access
00:09:31to that first line of defense
00:09:31against hunger.
00:09:33And we can't possibly make up
00:09:33for that on our own.
00:09:35One of the things
00:09:35that's been talked
00:09:36about to potentially
00:09:36give people
00:09:39who are using those cards more
00:09:39purchasing power is to limit
00:09:42the things that they can buy
00:09:42limit.
00:09:44For instance, the Trump
00:09:44administration has proposed
00:09:46banning purchases of junk
00:09:46food.
00:09:48Is that a proposal
00:09:48that you'd be supportive of?
00:09:52We never
00:09:52support something that would
00:09:52limit access to Snap and why?
00:09:56I think about that
00:09:57as a as a mechanism
00:09:58that would ultimately
00:09:59limit access to Snap,
00:10:00is that if I live in a rural
00:10:00community where I already
00:10:03may be struggling to access
00:10:03healthy food,
00:10:05there's food
00:10:05deserts in general.
00:10:08If my retailer now has this
00:10:08extra level of bureaucracy
00:10:11that they have to implement,
00:10:13where they have to somehow
00:10:13what label
00:10:14all of the food
00:10:15that's
00:10:15inventoried in their system,
00:10:17and then their cashiers
00:10:17have to be trained
00:10:19on what can and can't
00:10:19be purchased
00:10:20with their Snap dollars.
00:10:22You know,
00:10:22that retailer might just say,
00:10:23hey, I'm not going to accept
00:10:23EBT anymore.
00:10:25And then we're in a situation
00:10:25where
00:10:26we've actually worsened access
00:10:26to healthy foods.
00:10:29I really think it's about
00:10:29focusing on benefit adequacy
00:10:32and on improving access
00:10:33to outlets
00:10:33for healthy food themselves.
00:10:35In the communities,
00:10:36you often hear
00:10:36people who are concerned
00:10:38about the spending
00:10:39in these programs
00:10:39in general, saying, hey,
00:10:41there is a workforce shortage
00:10:41right now.
00:10:43There are plenty of jobs
00:10:43available.
00:10:45There's a
00:10:45there's a war on work.
00:10:46People are people
00:10:46just don't want to work.
00:10:49How do you push back on that?
00:10:52How do you push back on that
00:10:52narrative?
00:10:53Well, we did a survey
00:10:53in spring of 2024
00:10:57of about 2300 unique
00:10:57verified food pantry visitors
00:11:01who responded anonymously
00:11:01to an extensive survey.
00:11:04We asked them why
00:11:04they were coming
00:11:04to us for help,
00:11:06and we also asked them
00:11:06about some of
00:11:07their demographic information,
00:11:08because we're asked that
00:11:08very often, right.
00:11:10That's a misconception
00:11:10that a lot of people
00:11:12unfortunately have,
00:11:15many of them are retirees.
00:11:17They're seniors that now
00:11:17can't get into the workforce.
00:11:20They're physically unable to.
00:11:22And, they're they're looking
00:11:22to enjoy their golden years
00:11:26and are struggling.
00:11:27Too many of them are families
00:11:27with children
00:11:29who certainly, you know,
00:11:29I understand that there's,
00:11:33important conversation
00:11:33happening,
00:11:35an important investment
00:11:36that are being considered
00:11:36around access to childcare,
00:11:38access to quality
00:11:38public education so kids can,
00:11:42you know, both grow and learn
00:11:42safely in their community.
00:11:46And so
00:11:47their parents and caregivers
00:11:47can also go
00:11:49and earn wages
00:11:49to support their household
00:11:51so that, you know, open
00:11:51a conversation there.
00:11:53But the vast majority
00:11:53of what the data tells us
00:11:56is that most of our households
00:11:56are either older adults,
00:11:59families with kids,
00:11:59or people who are working.
00:12:03Right.
00:12:03We have, the majority of
00:12:03folks, are working now.
00:12:08They are often in contingent,
00:12:08temporary jobs.
00:12:12They're going week to week
00:12:13waiting to hear
00:12:14what their schedule
00:12:14is going to be like,
00:12:15how many hours they're going
00:12:15to get this week.
00:12:17And they maybe
00:12:17don't have benefits.
00:12:19They don't have paid time off.
00:12:20So if their kid was hit
00:12:21with the horrible
00:12:22flu season
00:12:23and had to stay home
00:12:23from school,
00:12:24how are they
00:12:24making up those wages? Right.
00:12:27I think it's
00:12:27a real conversation
00:12:28about the quality of work,
00:12:30how we maintain,
00:12:30a real sense of pride
00:12:33in the type of work
00:12:33that we're empowering people
00:12:36to be able to maintain
00:12:36and making that work pay
00:12:39making sure that people
00:12:39can afford their basic needs
00:12:41with the wages
00:12:41that they're earning.
00:12:43And as I said,
00:12:43live with households
00:12:43a third of people in our state
00:12:46and live in households
00:12:47with incomes under 200%
00:12:47of the federal poverty level,
00:12:50they're working. They're
00:12:50just not earning enough.
00:12:52these are tough times too.
00:12:53For those who advocate
00:12:53for people with disabilities
00:12:56who are looking at both
00:12:57uncertainty
00:12:57at the federal level
00:12:59as well as funding in DeWine's
00:12:59budget,
00:13:01especially for mental health
00:13:01services.
00:13:03I talked to the president
00:13:03and CEO of the state's
00:13:05official protection
00:13:05and advocacy organization
00:13:08for people with disabilities
00:13:08about those issues.
00:13:10with disability rights Ohio,
00:13:11you speak out for people
00:13:11with disabilities.
00:13:13That includes
00:13:13people who need mental
00:13:15health services and support.
00:13:17So in your testimony
00:13:17about the budget, governor
00:13:20Mike DeWine proposed budget,
00:13:21you talk about
00:13:21how the budget's
00:13:22putting money
00:13:22toward mobile crisis services
00:13:25for adults and mobile
00:13:26response stabilization
00:13:26services for people under 21.
00:13:29And I want to ask you,
00:13:29is that related to concerns
00:13:31about interactions
00:13:31with law enforcement?
00:13:33Because
00:13:34people with disabilities,
00:13:34according to your website,
00:13:36are only 20%
00:13:36of the population,
00:13:37but make up 30 to 50% of the
00:13:37people who have interactions
00:13:42with law enforcement.
00:13:42Is that where
00:13:42some of that comes from?
00:13:44So, yes, definitely,
00:13:44we want to make sure
00:13:46that we're building up
00:13:47a community crisis
00:13:47response system
00:13:49that doesn't
00:13:49rely on law enforcement.
00:13:51We have that
00:13:51for medical crises, right?
00:13:53We have trained paramedics,
00:13:53and they know what to do
00:13:55and how to help people
00:13:56and get them to
00:13:56where they need to go.
00:13:58We need something
00:13:58like comparable
00:13:59like that
00:13:59for behavioral health crises.
00:14:01The law enforcement,
00:14:01if that's really not
00:14:03their job,
00:14:03their job is for safety.
00:14:05And if there's a safety issue,
00:14:05they should come out.
00:14:07But if it's a behavioral
00:14:07health crisis,
00:14:08we want people who are trained
00:14:10for a behavioral health crisis
00:14:10to be the responders.
00:14:12So the support by the
00:14:15by the governor's
00:14:15budget for expanding
00:14:17some of that statewide mobile
00:14:18crisis services
00:14:18across to every county
00:14:21and and increasing
00:14:21the supports
00:14:23for the mobile responses
00:14:23for youth under 21
00:14:26is an amazing investment
00:14:26to help improve access
00:14:29to those types of crisis
00:14:29services in our community.
00:14:31And there's a difference
00:14:31between what
00:14:32you would provide for adults
00:14:33and what you provide
00:14:33for people under 21.
00:14:35There could be certainly
00:14:35the programs might have
00:14:38a lot of similar services,
00:14:39but certainly with youth,
00:14:39you know, one of the focuses
00:14:41is going to be trying
00:14:41to keep them in their home.
00:14:43Right?
00:14:44With wraparound services,
00:14:45you might have to think about
00:14:45education access,
00:14:47which might
00:14:48look a little bit different
00:14:48for an adult,
00:14:49where it may be more
00:14:49about employment, for example.
00:14:52So yeah, so the services
00:14:52could look differently.
00:14:54But they're all going to be
00:14:54hopefully individualized
00:14:54to the person and their needs.
00:14:57So it's important
00:14:58to have a kind of array
00:15:00or continuum of crisis
00:15:00response services available.
00:15:03You also are watching
00:15:03the budget for what it does
00:15:05for community based
00:15:06comprehensive behavioral
00:15:06health clinic crisis centers.
00:15:10There was a working group
00:15:10that was established to look
00:15:10into Ohio's six state operated
00:15:14psychiatric hospitals,
00:15:15which are nearly full
00:15:15almost all the time. Right.
00:15:18And the concerns
00:15:18about how a person
00:15:19basically needs to interact
00:15:19with the criminal
00:15:21justice system
00:15:21to get these services.
00:15:23Is this all kind of
00:15:23wrapped into that?
00:15:25It could be compared to that.
00:15:26Certainly
00:15:26having more crisis services,
00:15:29whether it's in the community
00:15:29or at a center
00:15:32like these new centers
00:15:32that they're investing
00:15:33in, can certainly divert
00:15:33individuals
00:15:35from a having involvement,
00:15:37criminal justice
00:15:37when they shouldn't,
00:15:39or needing to maybe go
00:15:39into a psychiatric hospital,
00:15:41whether that's a private or
00:15:41a state psychiatric hospital.
00:15:44And unless you have, you know,
00:15:44applicable insurance,
00:15:46you're not going to get in a
00:15:46private psychiatric hospital.
00:15:48Right.
00:15:48And we know a lot of people
00:15:48don't have that,
00:15:51which does then leave state
00:15:51service systems or county
00:15:53Board of Mental Health
00:15:53funded service systems.
00:15:56And you're really interested
00:15:56in the whole idea
00:15:57of community
00:15:57based behavioral centers
00:16:01that that keeps people
00:16:01in their community
00:16:04close to their family
00:16:04and friends
00:16:05and other support systems.
00:16:05Absolutely.
00:16:07Having services in
00:16:07the community is the best way
00:16:10to receive any kind of
00:16:12supportive services,
00:16:12even medical services.
00:16:14You know, when we can
00:16:15we try to keep people
00:16:15in their homes, right?
00:16:16We don't hospitalized them
00:16:16unnecessarily,
00:16:19so we want to provide
00:16:19those services.
00:16:20It's less disruptive
00:16:20so they can
00:16:22maintain employment,
00:16:22maintain relationships
00:16:24with friends and family,
00:16:25stay in their homes
00:16:25and maintain housing,
00:16:28which can also be an issue,
00:16:29right,
00:16:29of insecurity of housing.
00:16:31So having those supports
00:16:31in the community, whether it's
00:16:34while
00:16:34they're in their apartment
00:16:35or in a sort of short term
00:16:35community center
00:16:37that's nearby, and it's
00:16:37going to get them back
00:16:39to their regular life
00:16:39as quickly as possible.
00:16:42You also know that
00:16:42the budget would move
00:16:42recreational marijuana revenue
00:16:46to funding the 988
00:16:46Suicide Intervention
00:16:49Prevention hotline,
00:16:49along with funding
00:16:50county jails
00:16:50and police training.
00:16:52Is that the funding source
00:16:54that you would like to see
00:16:54for the 988 hotline?
00:16:56You know, we are not,
00:16:56don't have an opinion
00:16:58about what
00:16:58the funding source of.
00:16:59We were just glad that there's
00:17:00going to be additional
00:17:00funding for nine and eight.
00:17:02I think it's a good use of
00:17:02that additional state revenue.
00:17:05I'm glad to see
00:17:05it being invested
00:17:06back into a community need
00:17:06that we know is is out there
00:17:09on these issues in general.
00:17:10Is there is the funding
00:17:10adequate?
00:17:12Do you feel like
00:17:13or is that kind of
00:17:13is it ever going to be enough?
00:17:17It's not adequate.
00:17:18You know, we back in the 1980s
00:17:18just short history lesson
00:17:22when there was
00:17:22the Mental Health Act,
00:17:24and we made the intentional
00:17:25decision as a nation
00:17:25to move away from long term
00:17:28institutionalization of people
00:17:30that had psychiatric diagnoses
00:17:30or behavioral health needs.
00:17:33There was a promise
00:17:33that was never kept
00:17:36of providing those services
00:17:37in the community
00:17:37and funding the community.
00:17:39That didn't happen.
00:17:40And so we've ended up
00:17:40with this very inadequate.
00:17:43It fragmented.
00:17:45I'm not even sure it's
00:17:45called a system that ends up
00:17:49relying on law enforcement,
00:17:49jails, prisons, nursing homes.
00:17:52People don't realize,
00:17:53but a lot of people
00:17:53with behavioral
00:17:54health
00:17:54needs end up in nursing homes,
00:17:56which makes absolutely
00:17:56no sense for most of them.
00:17:58And in our system,
00:18:00the actual behavioral health
00:18:01system, particularly
00:18:01the parts that are in
00:18:02the community,
00:18:02were never fully invested.
00:18:05So while we are pleased
00:18:07that there are going
00:18:07to be further investments
00:18:07in this budget
00:18:09in crisis response,
00:18:10and that's
00:18:10absolutely necessary,
00:18:11more investments
00:18:11will be needed
00:18:13in order
00:18:13to fully build up that system
00:18:15to where it needs to be.
00:18:16And you have investments
00:18:16at the state level,
00:18:18but also at the federal level.
00:18:19That's caused some uncertainty
00:18:19in the last couple of weeks.
00:18:22President
00:18:22Trump had an executive order
00:18:24to pause federal grant
00:18:24and loan funding.
00:18:27And you write on your website
00:18:27that that was confusing
00:18:30and chaotic
00:18:30for a period there.
00:18:32What's happened since then?
00:18:33And are you concerned
00:18:34that there are more changes
00:18:34in this area coming?
00:18:36So I think the thing is,
00:18:37since then, of course,
00:18:37there's been court challenges
00:18:39that have stopped
00:18:39those initial funding freezes.
00:18:42But I think what what
00:18:43we're really concerned about
00:18:43is what's going to happen
00:18:45at the federal appropriations
00:18:45level. Right?
00:18:47They just
00:18:48voted a day or two ago,
00:18:48right on the top line numbers.
00:18:51And they want to save, like,
00:18:51I think, over 800 billion
00:18:55in the House bill to do that.
00:18:57Well, they're saying it's not
00:18:57necessarily about Medicaid.
00:18:59It has to be about Medicaid.
00:19:01That's like the one of the
00:19:02biggest discretionary items
00:19:02in the federal budget.
00:19:05And we're concerned
00:19:06that changes to Medicaid
00:19:06are going to,
00:19:08you know, impact people
00:19:08obviously,
00:19:10accessing mental health
00:19:10services, for example,
00:19:12I think it's about
00:19:1247% of Ohioans
00:19:15get mental health services
00:19:15through some form of Medicaid.
00:19:17And many of them are likely
00:19:17through things
00:19:19like the Group
00:19:19eight expansion,
00:19:21which if they reduced
00:19:22federal match
00:19:22for that, the state budget
00:19:25then has a trigger
00:19:25to just get rid of it.
00:19:27And that could impact
00:19:28700,000 Ohioans
00:19:28for coverage in general.
00:19:31But Medicaid is also
00:19:33the only way, really,
00:19:33for people with disabilities
00:19:35to get long term services
00:19:35and supports,
00:19:38whether in the community
00:19:39or in a nursing facility type
00:19:39setting, for example.
00:19:42You can't get that through
00:19:42private
00:19:43health insurance,
00:19:43not even through Medicare.
00:19:45short term in-home services,
00:19:45Beyond a short term stay or
00:19:49you have to,
00:19:49unfortunately, access
00:19:51Medicaid to get things like
00:19:51personal care, homemaker care,
00:19:55those activities with daily
00:19:55living that
00:19:56people with disabilities
00:19:56need help with transportation,
00:19:59employment supports nursing
00:19:59care in the home,
00:20:02all of those types
00:20:02of services,
00:20:04and any sort of changes
00:20:04to Medicaid, whether it's per
00:20:07capita cuts or block grants,
00:20:09they're going to have
00:20:09a disproportionate impact
00:20:11on the people
00:20:11with the highest needs.
00:20:12People with significant needs
00:20:12because of their disability.
00:20:16Medicaid is about 18%.
00:20:18Is, is that population
00:20:18the aging, blind and disabled
00:20:21population of eligibility?
00:20:23But there are about
00:20:2347% of the cost
00:20:25because of
00:20:25the increased needs.
00:20:27And they're going to
00:20:27get hit the hardest
00:20:28because a lot of those
00:20:28long term
00:20:30services,
00:20:30the supports in the community
00:20:31are optional services.
00:20:33And guess where the state's
00:20:33going to have to make cuts
00:20:35that they have to make hard
00:20:35choices.
00:20:36I also want to ask you
00:20:36about a constant target
00:20:39by Republicans
00:20:39at the federal level
00:20:41for elimination of this
00:20:41Department of Education.
00:20:44There
00:20:44would be a serious impact
00:20:46on people
00:20:46and kids
00:20:46with disabilities in Ohio
00:20:48if the Department of Education
00:20:48were eliminated.
00:20:50Is that right? Absolutely.
00:20:52So there's a couple concerns
00:20:52there.
00:20:54One is what's going to happen
00:20:54to the actual funding that
00:20:57we get through, like idea
00:20:57which idea
00:21:00which is not necessarily
00:21:00directly
00:21:02tied to whether the Department
00:21:02of Education
00:21:03exists, but is of concern
00:21:05if they're talking
00:21:05about trying to reduce support
00:21:07for education
00:21:07at the federal level
00:21:09or divert
00:21:09those supports into things
00:21:12like vouchers, which in Ohio
00:21:12at least require students
00:21:16and parents to waive
00:21:16their rights under the Ada
00:21:18to a fair and appropriate
00:21:18public education
00:21:20in order to access access
00:21:20that type of funding.
00:21:23There's also the concern
00:21:23that not only would
00:21:26would funding directly
00:21:26for student services
00:21:28potentially be impacted,
00:21:29but funding for teacher
00:21:29training,
00:21:31which currently goes through
00:21:31the Department of Education,
00:21:34the expertise and standards
00:21:34that are set by the Department
00:21:38of Education that help states
00:21:38make sure that they are
00:21:40providing
00:21:40appropriate services,
00:21:42standards that make sure
00:21:42that there's a certain
00:21:45level of services provided
00:21:45to students with disabilities.
00:21:48Before the Ida,
00:21:48many students didn't
00:21:49get educated in public schools
00:21:49at all, and even today,
00:21:52we still have
00:21:52a pretty big achievement gap
00:21:55for students with disabilities
00:21:56on things like math
00:21:56and reading and graduation.
00:22:00And that doesn't need to be
00:22:00the case unless, you know,
00:22:02there's only a couple percent
00:22:02of students with disabilities
00:22:05that might not be able
00:22:05to learn the curriculum
00:22:07that all students learn,
00:22:08but we still have
00:22:08this achievement gap.
00:22:11Any cuts to funding,
00:22:11any cuts to that oversight
00:22:13sort of standards
00:22:14and support is going to impact
00:22:14and worsen that.
00:22:18And ultimately that has
00:22:18an impact on all of us, right?
00:22:20People are going to be less
00:22:20prepared to work.
00:22:22We're going to be less
00:22:22competitive in the labor force
00:22:25in Ohio, nationwide
00:22:25and internationally.
00:22:27So the idea that special needs
00:22:27students and students
00:22:30with disabilities
00:22:30can be educated differently,
00:22:33they don't need to be
00:22:33in the mainstream population.
00:22:35How does that help them?
00:22:35It many of these students
00:22:35can actually learn
00:22:39alongside other
00:22:41differently abled students.
00:22:42Absolutely.
00:22:43And one of the standards
00:22:43that the Department
00:22:44of Education
00:22:44currently tracks data on.
00:22:46And make sure that, you know,
00:22:46certain standards are met,
00:22:49is that concept of least
00:22:49restrictive environment
00:22:51and making sure
00:22:52they're getting access
00:22:52to that general education
00:22:52curriculum
00:22:54that all other students
00:22:54are getting access to.
00:22:57I want to ask you about, drew
00:22:59and your advocacy in general.
00:23:01You are.
00:23:01Ohio's protection and advocacy
00:23:03organization is required
00:23:03by federal law.
00:23:05States all have these.
00:23:06Your organization
00:23:06has gotten some criticism
00:23:08from family members
00:23:08of severely disabled people
00:23:11for legal actions
00:23:11that you've taken.
00:23:13There was also an effort
00:23:13a couple years ago to reassign
00:23:16drew as the state's and
00:23:16a system that did not happen.
00:23:20There's been this long
00:23:20standing debate over
00:23:23what is the best
00:23:23housing option.
00:23:25Is it, independent living
00:23:25or is it in the
00:23:28intermediate care facilities?
00:23:30And there was a
00:23:30joint committee
00:23:31that was formed in 2021
00:23:31to review all this
00:23:33and everything it was supposed
00:23:33to meet every two years.
00:23:36It has what's going on
00:23:36with all of this?
00:23:39So as you said,
00:23:39the joint committee
00:23:40hasn't met since its initial
00:23:40hearing in 2022.
00:23:43We were very disappointed
00:23:43that even though
00:23:45there were many individuals
00:23:45with disabilities
00:23:47and family members
00:23:47that came in and spoke
00:23:49about the importance
00:23:50of having access
00:23:50and further investments
00:23:52in home
00:23:52and community based services,
00:23:54and why they thought
00:23:54that advocacy by Dr.
00:23:56Ro to try to expand
00:23:56access was important.
00:24:00That wasn't even considered.
00:24:01It wasn't included
00:24:01in any of the committee
00:24:03reports or recommendations.
00:24:05So that was very disappointing
00:24:05to us.
00:24:07But,
00:24:07you know,
00:24:08today we're you know,
00:24:08we're as you said,
00:24:10we're still the protection
00:24:10and advocacy system.
00:24:12We're still here.
00:24:13We've
00:24:13always been led by people
00:24:14with disabilities
00:24:14at our board level,
00:24:16at the individual client level
00:24:16and at our systemic level,
00:24:19whether that's, you know,
00:24:19advocacy at a legal, you know,
00:24:22class action kind of level
00:24:22or in the policy world.
00:24:25And we're going to continue
00:24:25to do that.
00:24:26We don't tell people
00:24:26what the best option is.
00:24:29We give them information
00:24:29about those options.
00:24:32And we provide advocacy
00:24:32based on what
00:24:34people with disabilities
00:24:34say is most important.
00:24:37And what they have
00:24:37consistently told us is
00:24:39we need more access to home
00:24:39and community based services.
00:24:41That's where we see
00:24:41the most significant barriers
00:24:43and limitations to access,
00:24:43and we're trying to fix that.
00:24:46State lawmakers had called
00:24:46for a joint committee
00:24:49to review concerns raised
00:24:50by some family members
00:24:50about disability rights.
00:24:52Ohio's advocacy in 2022.
00:24:55After two meetings,
00:24:56a series of recommendations
00:24:56were issued that drew says
00:25:00were disappointing
00:25:00because they didn't
00:25:01take into account the support
00:25:01the organization
00:25:03has gotten from other family
00:25:03members.
00:25:05The joint committee
00:25:06was supposed to meet
00:25:06every two years,
00:25:08but is not convened
00:25:09since those recommendations
00:25:09were issued.
00:25:12And that is it for this week
00:25:12for my colleagues
00:25:13at the Statehouse News
00:25:13Bureau of Ohio Public Media.
00:25:15Thanks for watching.
00:25:16Please check out our website
00:25:16at State news.org
00:25:18or find us online by searching
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00:25:37from my colleagues
00:25:39Joe Ingles and Sarah Donaldson
00:25:40and me on our podcast,
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Note : Transcripts are compiled from uncorrected captions