Speaker 1: Five the fifty five carc detalk station.
Speaker 2: Coming up.
Speaker 1: Bottom of the hour, we'll hear from Donovan and Neil
Speaker 1: from Americans for Prosperity. I got that event coming up
Speaker 1: at the farm Restored Liberty dot Us is going to
Speaker 1: be there as well. George Brenneman and Americans for Prosperity
Speaker 1: will be paying for your meal at the farm. So
Speaker 1: we'll get the details from Donovan at the bottom of
Speaker 1: the hour. Without further ado, Welcome back to the fifty
Speaker 1: five Carscy Morning Show. High State Representative Jennifer Gross. Jennifer,
Speaker 1: it's always a pleasure talking with you. Thanks for being
Speaker 1: on the program this morning.
Speaker 2: Thank you, Ryan, Good morning.
Speaker 1: So the elected officials in Columbus, I always refer to
Speaker 1: them as like hurting cats. It seems to me that Republicans,
Speaker 1: you think Republicans would play nicer and cooperate more together,
Speaker 1: but sadly, we don't see a whole lot of that.
Speaker 1: It always just seems to be a mystery to me.
Speaker 1: But moving away from that, and I don't want to
Speaker 1: put opinions or conclusions into your head or mouth, but
Speaker 1: there are the lawmakers are considering repealing the Medicaid expansion,
Speaker 1: a Medicaid expansion, which I suppose occurred back in twenty fourteen,
Speaker 1: and they're saying they need to do that. We don't
Speaker 1: have the money here in the state of Ohio unless
Speaker 1: the federal money that comes in in support of the
Speaker 1: medicaid program covers ninety percent of those that were at
Speaker 1: that enter the system under the expansion. Do I have
Speaker 1: that accurate?
Speaker 3: Well, that we want to get rid of it, maybe
Speaker 3: not accurate. The fact that the federal government pays ninety
Speaker 3: cents of every.
Speaker 2: Dollar for it.
Speaker 3: Absolutely That's why it was so attractive when Kasik pressured
Speaker 3: the people who buy and large did not want medicaid expansions.
Speaker 2: So, yes, you got that correct.
Speaker 1: Isn't is it medicaid or Medicare. That is one of
Speaker 1: the biggest line items in the state.
Speaker 2: Budget, Medicaid.
Speaker 3: So remember that Medicare is a federal program that we're
Speaker 3: required to go on, and then Medicaid is an entitlement program,
Speaker 3: and that's what we call them because you are entitled
Speaker 3: to receive these benefits under traditional medicaid, you are entitled.
Speaker 3: So if you're blind, disabled, elderly, pregnant mom who is
Speaker 3: low income, pregnant mom and a low income child that
Speaker 3: was traditional medicaid, And in fact, I'm the chair of
Speaker 3: the Medicaid Committee, So we're trying to like protect our
Speaker 3: traditional medicaid group because I think as a society that's
Speaker 3: the part that we pretty much as Ohioans, we believe
Speaker 3: those people need to be protected, and so we're looking
Speaker 3: at that group to be sure that we try to
Speaker 3: maintain it's, you know, we need to have like Civic
Speaker 3: Conda Civic Medicaid and not Cadillact Medicaid because what I
Speaker 3: see and what I'm noting is in some cases and
Speaker 3: those people on Medicaid may not always agree, but you and.
Speaker 2: Your private insurance.
Speaker 3: Probably are dealing with things that you that you do
Speaker 3: and wouldn't have to face on Medicaid. For instance, a
Speaker 3: child on Medicaid gets mental care and vision, so we
Speaker 3: don't offer that on a traditional medical plan through your
Speaker 3: traditional insurance, so and mental health through our medicaid. A
Speaker 3: lot of mental health providers try to get Medicaid because
Speaker 3: we reimburse higher than traditional medicine, and sometimes traditional medicine
Speaker 3: makes you pay cash for your psychiatric health or mental
Speaker 3: health care. So there's there are some good things about
Speaker 3: our Medicaid system. The challenge, like any program, is you know,
Speaker 3: our number one expense on our snap which is our
Speaker 3: food stamp program, is soda pop. So the challenge is
Speaker 3: what's required, right, like what is compassionate?
Speaker 2: What is loving?
Speaker 3: What is and what's compassionate to the taxpayer. Also, we
Speaker 3: have to not throw out compassion to the medicaid population
Speaker 3: and then be uncompassionate or dispassionate to the person paying
Speaker 3: the bill, which is a middle class.
Speaker 2: I mean, you're earning eighty eight thousand family.
Speaker 3: Of four, which which is not high on the hog.
Speaker 3: You don't qualify for Medicaid, but you're paying all these benefits.
Speaker 3: So yeah, finding a balance is important.
Speaker 2: Now.
Speaker 1: Prior to the expansion, I mean, what this group, the
Speaker 1: expanded group? In what way was it expanded? Were the
Speaker 1: income levels done away with? Or how do we end
Speaker 1: up with this many people getting on the program? I
Speaker 1: think what it jumped a sizeable percentage after the expansion
Speaker 1: went in.
Speaker 3: Well, it's a challenge because you either do it all
Speaker 3: or none. You can't do partial expansions. So the agreement
Speaker 3: was you spand and so the states said, well, gosh,
Speaker 3: we only have to pay ten cents and the federal
Speaker 3: government's going to pay ninety cents, which you and I
Speaker 3: can have a long discussion about autonomy and sovereignty and
Speaker 3: why would we take, you know, those golden handcuffs from
Speaker 3: the federal government. Right but it was even under a
Speaker 3: Republican governor caseiic and in many cases the states that yeah,
Speaker 3: and the people that are expanding are under government right
Speaker 3: now Republican governors. So but anyway, so they said they
Speaker 3: kind of lured us in with that. Then the population
Speaker 3: qualification is if you're earning one hundred and thirty three
Speaker 3: percent or less of poverty level, and you know, and
Speaker 3: so people got on the challenges. There are some and
Speaker 3: there aren't tall There are a lot of people that
Speaker 3: are working that are making under the minimum, but there
Speaker 3: are a lot of really good jobs out there right now.
Speaker 3: And some people, not all I don't want to you know,
Speaker 3: have a lot of hate mail to my box. But
Speaker 3: there are some people who purposely don't work above a
Speaker 3: limit because they don't want to lose their Medicaid benefits.
Speaker 3: And so we're looking at that. And right now you
Speaker 3: may have seen yesterday that the federal government is talking
Speaker 3: about cutting eight hundred and eighty billion dollars of Medicaid
Speaker 3: benefits from the Fed.
Speaker 2: They're not going to.
Speaker 3: Tell the states they have to, but what that means
Speaker 3: is you, Brian, get to pay the difference. So if
Speaker 3: the federal government stops spending ninety cents of the dollar,
Speaker 3: then ohilends will pick up another ten twenty thirty forty cents,
Speaker 3: which is a lot of money.
Speaker 2: That we call the people that.
Speaker 3: Were the expansion Group eight. These are people that are
Speaker 3: not making enough money right now to qualify for healthcare.
Speaker 3: I mean to to not to not they're not making
Speaker 3: they're making as little money as possible to be able
Speaker 3: to qualify, and or they're working really hard and they
Speaker 3: can't make enough money to qualify for insurance.
Speaker 1: Okay, and I understand that component. But you know, if
Speaker 1: you add up all the government benefits that are available
Speaker 1: to someone, I think you have to make at least
Speaker 1: like forty thousand dollars a year to cover what the
Speaker 1: government will give you for free. So there's a real
Speaker 1: disincentive to work there. But we used to have at
Speaker 1: least I thought we had in place work requirements that
Speaker 1: you had to show some initiative and some effort to
Speaker 1: gain employment. Or go to continuing education classes or education
Speaker 1: classes so you could obtain employment. Is there anything remotely
Speaker 1: close to that now and are they considering something along
Speaker 1: those lines?
Speaker 3: Great question, Brian. We had one that we had submitted
Speaker 3: right before Biden was chosen to be president, and what
Speaker 3: happened was the Biden administration stopped that.
Speaker 2: So we have not had.
Speaker 3: Work requirements for the last four years. The legislature as
Speaker 3: well as the Medicaid the Ohio Department of Medicaid through
Speaker 3: buy a requirement of the legislature will.
Speaker 2: Filed for a waiver.
Speaker 3: So that's the other thing that's really I think that
Speaker 3: I really want your listeners and you to hear, is
Speaker 3: that most of the changes we make to our medicaid system,
Speaker 3: a lot of them, we have to go back to
Speaker 3: the federal government because we've taken this money and asked
Speaker 3: their permission to do it. So those golden handcuffs came
Speaker 3: with you have to provide this, this and this, you
Speaker 3: must do this, this and this, and if we want
Speaker 3: to change anything, we have to go back to the
Speaker 3: federal government and say, pretty please, pretty please, can we.
Speaker 2: Change our program?
Speaker 3: And so that's what I've been asking, you know, my
Speaker 3: Congressman and Warren Davidson, as well as our Senator Bernie Marino,
Speaker 3: and I haven't had the conversation with the newest Senator Houston,
Speaker 3: but that we need more flexibility at the state level
Speaker 3: to be able to manage our program locally. So out
Speaker 3: for work requirements in December, we said we are, we
Speaker 3: had the intent to file and then when medicate. Oh
Speaker 3: and here's the beautiful thing. Think about this. So the
Speaker 3: legislature says we want a waiver, I the legislature have
Speaker 3: to go through the department chair and in that case
Speaker 3: it's the Ohio Department of Medicaid director have her right
Speaker 3: the waiver and she negotiates with the federal government. So
Speaker 3: I have an unelected bureaucrat negotiating with the federal government
Speaker 3: for what the legislature is saying needs to be done. Now,
Speaker 3: there's typically a fairly good back and forth in relationship there.
Speaker 3: But why we have to go through bureaucrats to get
Speaker 3: what we want right? And that's in everything. So if
Speaker 3: we change, for instance, we take soda out of the
Speaker 3: SNAP program, we have to go back to the federal government.
Speaker 3: We have to ask them we would like to remove
Speaker 3: this from our food program.
Speaker 2: You know.
Speaker 3: And I think people need to understand it's not just
Speaker 3: Jennifer Gross, chair of the first Ohio House Medicaid Committee
Speaker 3: in our history, she can do all this. No, I mean,
Speaker 3: we can come up with ideas for that. But let
Speaker 3: me get back to you had asked me about some
Speaker 3: of these people the group aid are healthy, able bodied
Speaker 3: people that can work. These are not people that have disability.
Speaker 3: They're not blind, they're not elderly, they're not developmentally delayed teenagers.
Speaker 3: These are all people that are able bodied. So we
Speaker 3: have now submitted a work requirement for that group that
Speaker 3: is and it's changing right now. It's in a more state.
Speaker 3: But you have to work a minimum of twenty hours
Speaker 3: a week, or go to school twenty hours a week,
Speaker 3: or be taking care of an elderly parent twenty hours
Speaker 3: a week, and that has to be you know confirmed.
Speaker 3: And then I believe we also have a drug rehab
Speaker 3: component in there as well. A lot of our group
Speaker 3: bates do have you know.
Speaker 2: Addiction issues.
Speaker 3: So those people we won't be able to, you know,
Speaker 3: really work with as much.
Speaker 1: But you can get them into a program that might
Speaker 1: ultimately help them by helping them kick the addiction. It's
Speaker 1: a vehicle to get them clean. But Jennifer, I want
Speaker 1: to hold you over. I got more questions, and I'm
Speaker 1: sure my listener are curiosity is quite piqued about this.
Speaker 1: So let's keep Jennifer Gross on the line and let
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Speaker 4: King ramon fifty five KRCD talk station.
Speaker 1: Seven twenty fifty five krc DE talk station by Thomas
Speaker 1: talking with the highest state representative, Jennifer Gross, member of
Speaker 1: the Ohio Medicaid Committee. Reaching out through the cecuitus process.
Speaker 1: You got to go through to ask the federal government
Speaker 1: for a waiver for a work requirement. That seems just preposterous,
Speaker 1: but you explained it. It's there. You got to live
Speaker 1: with it. But at least you have an administration that's
Speaker 1: probably going to grant you the waiver that we're looking for, Jennifer,
Speaker 1: is that your expectation from the Trump administration.
Speaker 3: Absolutely, And in my third term in a term limited
Speaker 3: Ohio Legislature, let me tell you something, having lived under
Speaker 3: the Biden administration, I'm still getting used to this.
Speaker 2: Winning.
Speaker 3: They're like, what like, they're probably not. I mean Biden
Speaker 3: rejected it this time. We expect they'll accept it. So
Speaker 3: our job is to make it strong as strong as possible.
Speaker 3: We can always amend it if we go, oh, we
Speaker 3: should have done that, or we see Florida did this
Speaker 3: and we need to do that. But Brian, do you
Speaker 3: mind if I talk to you. I want the people
Speaker 3: to understand that are listening the cost of this program
Speaker 3: to them, the taxpayer.
Speaker 2: It's one thing to have people come to me. You
Speaker 2: can't take these people and let's talk.
Speaker 3: About how much of our budget goes to this program.
Speaker 2: Do you mind?
Speaker 3: No? Yeah, so in state spending alone, when we don't
Speaker 3: add the thirty percent hear me, Well, approximately thirty percent
Speaker 3: of the Ohio budget comes from the federal government. So
Speaker 3: when people tell me our whole entire budget, okay, When
Speaker 3: people tell me, oh, well, you know we need to
Speaker 3: go to the federal government, I'm like, okay, you in
Speaker 3: order for Ohio to be sovereign, your legislature needs to
Speaker 3: stop having our handout saying we'll take the money from
Speaker 3: the federal government. Well, Jen, you know California, I'll get
Speaker 3: it if we I don't care. I think we're Ohio
Speaker 3: and we should extract ourselves from dependence on the federal government.
Speaker 3: Having said that, when without our federal government spend, meaning
Speaker 3: without the part that the federal government puts into our budget,
Speaker 3: medicaid is twenty approximately don't quote me on all this,
Speaker 3: twenty about twenty seven percent of our entire budget when
Speaker 3: it's just our house, when.
Speaker 2: It's just our state.
Speaker 3: Education is the number one cost in our state. Our
Speaker 3: constitution says we will educate children. State that actually has
Speaker 3: that in our constitution, but it is the number one
Speaker 3: spend in the billions. Okay, So then if you add
Speaker 3: the federal part into medicaid, the expense of medicaid in
Speaker 3: our whole entire operating budget is fifty point three percent.
Speaker 2: I have to ask yes, So I have.
Speaker 3: To ask the listener. You know you're paying those taxes too,
Speaker 3: They're just coming from the federal government. Remember, the government
Speaker 3: makes how much nothing? We make nothing. Our job is
Speaker 3: to spend your money wisely, which is why I don't
Speaker 3: mean to sound harsh, but we cannot give Cadillac care
Speaker 3: on Medicaid. That is not I and honestly, unless you
Speaker 3: have concierge care and all of that. I don't think
Speaker 3: anybody in Ohio gets concierge's care unless you're paying up
Speaker 3: and above an extra for those things. So I think
Speaker 3: it's important for the people to understand that the group eight,
Speaker 3: the healthy body people. When we extended, they're twenty five
Speaker 3: percent of our spend and this is forty seven billion
Speaker 3: dollars a year. So yeah, so I mean, let's talk
Speaker 3: about the money. It's easy to say, well, Jen, you
Speaker 3: can't make these people go back to work.
Speaker 2: Well, the business.
Speaker 3: Owners are crying for people. I have factories that will
Speaker 3: pay processing lines people. They'll start at twenty two to
Speaker 3: twenty three dollars an hour. If you earn that kind
Speaker 3: of money. Twenty two dollars an hour, twenty dollars an hour,
Speaker 3: and you work forty hours a week, Brian, and you're
Speaker 3: married to someone who makes twenty twenty five, you don't
Speaker 3: qualify for Medicaid, but you can.
Speaker 1: Get an Obamacare. You can get an Obamacare policy and
Speaker 1: get a tax deduction for it too, if you're in
Speaker 1: lower income levels. For that, well, real quick here, I
Speaker 1: know it's thinking. I got to ask you about fraud, waste,
Speaker 1: and abuse. My understanding is we're one of the worst
Speaker 1: states when it comes to spending and a misspending, I'll
Speaker 1: call it that generally in the program. Are you doing
Speaker 1: anything with your committee to get to the bottom of
Speaker 1: that and drill down maybe we can find some savings
Speaker 1: on the money going out the door.
Speaker 3: We absolutely are. Our auditor Auditor Favor did an audit
Speaker 3: on Medicaid last year and he found when he pulled
Speaker 3: a sample of people on Medicaid that twenty six percent
Speaker 3: of the sample that we were paying Medicaid costs for
Speaker 3: don't live in Ohio.
Speaker 1: Oh my god.
Speaker 3: So when you find that kind of stuff, because we're
Speaker 3: a state that has something called self addest station. So
Speaker 3: I know you're an attorney, but what this means is
Speaker 3: that that if you if I go in and you
Speaker 3: say are you on Medicaid? I can say, yep, Brian,
Speaker 3: I am. And yet I live in Westchester, and you
Speaker 3: know I won't say where I live, and I live
Speaker 3: in a middle class home. And but if I say
Speaker 3: I have Medicaid, they have to accept that. They don't
Speaker 3: confirm it. They don't confirm my address, they don't come
Speaker 3: firm my income level, none of it. So now we
Speaker 3: are what we have to ask for waivers.
Speaker 2: In some of these things.
Speaker 3: But we're going to do regular cross checks because and
Speaker 3: that's an answer to the auditor's audit. I mean, what
Speaker 3: more do I need to say to you that our
Speaker 3: auditor found this and what I've found, and it's taken me.
Speaker 3: And this is why, you know, term limits are not
Speaker 3: what everybody thinks they are. It takes us a while
Speaker 3: to figure all of this out, and then in eight
Speaker 3: years we're gone, but the bureaucrats stay, and so we
Speaker 3: get into this huge spend because the bureaucrats keep spending
Speaker 3: and I'm not there to be the doge over you know,
Speaker 3: this system. But what we found is that we found
Speaker 3: self attestation. We have self attestation in many areas of
Speaker 3: the hospitals.
Speaker 2: If someone walks.
Speaker 3: In and they're you know, they have a big gash
Speaker 3: on their arm and they say they're medicaid and they
Speaker 3: bill it to medicaid, we have to pay simply because
Speaker 3: the person said they had medicaid.
Speaker 2: That self attestation. We have no cross check. I don't check.
Speaker 3: Lottery winnings, we don't check income, we don't check birthday,
Speaker 3: we don't you know, that's.
Speaker 1: Insane, that's absolutely insane, and that welcomes all kinds of
Speaker 1: fraud and that figure is mind boggling, mind boggling. All right, well,
Speaker 1: we have your commitment to get to the bottom of
Speaker 1: that and hopefully get some I can't believe you got
Speaker 1: to apply for a waiver to get rid of fraud,
Speaker 1: waste and abuse in a program. I mean, that's that's
Speaker 1: crazy right there, Jennifer Gross. Please keep us informed. You're
Speaker 1: always welcome here. You got updates. You need pressure to
Speaker 1: be brought to bear. I have my listeners get in
Speaker 1: touch with their elected officials and screaming, yell about it. Whatever,
Speaker 1: there's something we can do, love to help you out
Speaker 1: with that one?
Speaker 3: Can I say, can I ask for help?
Speaker 2: So as doje.
Speaker 3: It takes people from our community and says, hey, let's help.
Speaker 2: Right they went to the federal government.
Speaker 3: I would encourage the listeners to go to www. Dot LSC,
Speaker 3: dot Ohio dot gov and look for HB ninety six.
Speaker 3: That's the number of the budget, and look up what
Speaker 3: we call the red books in whatever area they're interested in.
Speaker 3: It doesn't always have to be medicaid though, because it's
Speaker 3: so expensive. I would encourage them to go to education
Speaker 3: and medicate. Our biggest spends. But look in there, look
Speaker 3: at the details, try to figure it out. Send your recommendations,
Speaker 3: say we don't need that in our budget. Tell your representative,
Speaker 3: not always me unless I'm your representative. Tell your representative,
Speaker 3: I saw this, I want this removed.
Speaker 2: I saw this. I want this removed. A lot of
Speaker 2: people want more and more and more.
Speaker 3: But you're paying. So if you think that's valuable, then
Speaker 3: say so. But if you think it's waste, you need
Speaker 3: to go in and if you want more information, right,
Speaker 3: my colleagues will hate this stuff. If you want to
Speaker 3: try to get more information, write your representative and say
Speaker 3: I think I see a problem here.
Speaker 2: Can you help me?
Speaker 3: Because we are there. This is a four thousand page budget.
Speaker 3: We are a government of for and buy the people.
Speaker 1: We need more citizen watchdogs, and my listening audiences still
Speaker 1: with them, so I encourage them to heed your advice
Speaker 1: and help out by finding it and alerting your officials
Speaker 1: with maybe appointed letter or phone called. Jennifer Gross, thank
Speaker 1: you so much for bringing this to everybody's attention. I
Speaker 1: wish you all the best of luck in the world.
Speaker 1: On behalf of the Ohio tax payers and the American
Speaker 1: taxpayers generally, getting some success over these challenges. And again
Speaker 1: keep us informed because I'll be curious to know how
Speaker 1: this all shakes out. Seven twenty nine. Right now, Donovan
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