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home : opinion : opinion July 29, 2010

2/18/2008 8:11:00 AM Email this articlePrint this article 
Medicaid spending is one source of budget woes

SEN. JOHN CAREY
Politcal column

It is clear that Ohio, like many other states, is facing uncertain economic times. Rising energy prices, record home foreclosures and statewide job losses brought on by factory and small business closings in recent months have left many Ohio families concerned about the future. It is also important to point out that our economy is going through a transition, as we work to position ourselves to compete in the expanding global marketplace and prepare our workforce to succeed in the jobs of tomorrow.

Citing this period of flux in our economy as the cause of a projected decline in state revenues over the coming year, earlier this month, Governor Strickland laid-out a plan to absorb what his administration predicts will be a $733 million shortfall in the current biennial state budget cycle. The proposal includes cuts in spending for many state agencies, thousands of state government job reductions through early retirement, attrition and layoffs and the introduction of Keno to Ohio’s lottery system to help bring in more revenue. While I don’t agree with every decision, I commend the Governor for being proactive to ensure that we keep Ohio’s budget balanced. Unlike the federal government, the Ohio Constitution requires that the state budget is balanced every two years.

Since the announcement, the Governor has received criticism from some Ohioans about what his administration plans to cut and why, while others question whether the move is even necessary. To the casual observer, this numbers game may seem complex, but it is important to understand where we stand.

Currently, more than seven months into the two-year budget cycle, revenues are coming in almost completely on target with less than a one percent deficit. In fact, January revenues came in slightly above state estimates. So, in the short term, the state appears to be in good shape. However, the Governor was given information that projects a decline in revenues over the next few months that will create a significant hole in the state’s coffers. Therefore, he has called for budget cuts and a budget reprioritization in anticipation of this shortfall. While it is a different strategy and one that has definitely created some backlash, it has to be appreciated to a certain extent.

Certainly, Ohio’s economy is going through an uncertain period right now, and I respect the Governor’s willingness to make tough decisions so the state’s budget remains stable. However, there are other sources that are contributing to Ohio’s budget woes that we must not overlook. Medicaid — a state-federal entitlement program designed to provide health care for low-income and medically vulnerable individuals — has been growing at an alarming rate. In fact, between 2006 and 2007, almost 38 percent of Ohio’s two-year budget was dedicated to the program. While it is hard to deny the important role Medicaid plays in caring for Ohioans in need, we must work to rein in costs or be forced to reduce or cut other needed services. Unfortunately, the cost of the program is already having an impact on other areas of the budget.

Right now, Medicaid loads are higher than anticipated, contributing to Ohio’s tight fiscal situation. As a result, the Governor has proposed cuts to other programs, such as PASSPORT and state parks, to help cover these unexpected Medicaid costs. The Governor has also had to halt proposed expansions to some areas of Medicaid to keep the problem from worsening.

Through the passage of House Bill 66 in the 126th General Assembly, the Legislature enacted several reforms to Medicaid in an effort to slow the growth of the program, while maintaining essential services. This effort must continue.

At the same time the state faces budget cuts, there is a consensus between the Legislature and the Governor that there will be no new taxes proposed and the state’s rainy day fund will go untouched. I believe that the rainy day fund should only be used when there is a serious recession in revenues, which has yet to happen. Also, the Governor has preserved the two-year freeze on tuition that we approved during the last budget bill.

While it may be tempting to tap into funding for these programs during tough economic times, the General Assembly’s efforts to lower taxes on businesses and Ohio families, on top of investing in higher education are key to our long-term economic success. These investments are slowly paying-off in some sectors of our economy, and we must be patient to allow them to take hold.

I would also like to add that I am not in favor of the Governor’s plan to bring Keno to Ohio. Over the years, I have consistently sided with Ohio voters in rejecting the expansion of gambling in the state. It does not seem fair to the millions of Ohioans who have voted down casino gambling to now allow Keno, which I understand has a drawing every six minutes. I am also concerned that if Keno is allowed, it will threaten arguments against casino gambling in Clinton County. The horse track owners have been asking to expand gambling in Ohio for years, so at the same time we are telling them no, the state is doing it.

Gambling is not a good public policy strategy for sustainable revenue because it has to keep growing in order to raise money. I know Ohioans go to other states to gamble, but I do not support the idea of Ohio endorsing it.

The state faces many tough economic decisions ahead. While I don’t support the Governor’s proposal entirely, I applaud his efforts to keep Ohio’s budget balanced. As Chair of the Senate Finance Committee, I will continue to work with my colleagues in the Legislature and the Strickland Administration to spend Ohio’s taxpayer dollars as carefully and responsibly as I can.

As always, I welcome your views on state issues. If you have any questions, thoughts or concerns, or if you need assistance working with a state government agency, please write to me: Senator John A. Carey, Ohio Senate, Statehouse, Columbus, Ohio 43215, or call my office at 614-466-8156.

EDITOR’S NOTE — John A. Carey is a Ohio state senator.





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