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Ohio Lead Free Kids Coalition

Ohio Policy and Budget Initiatives in Lead Poisoning Prevention: Current Status and Future Possibilities June 18, 2019 Patricia Barnes, OHHN and Gabriella Celeste, Schubert Center for Child Studies, Case Western Reserve University. Ohio Lead Free Kids Coalition.

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Ohio Lead Free Kids Coalition

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  1. Ohio Policy and Budget Initiatives in Lead Poisoning Prevention: Current Status and Future Possibilities June 18, 2019 Patricia Barnes, OHHN and Gabriella Celeste, Schubert Center for Child Studies, Case Western Reserve University

  2. Ohio Lead Free Kids Coalition • Partnership between OHHN and the Schubert Center began when OHHN and CWRU worked together on a response to draft rules for the Lead Safe Rental Registry. • ODH rules did not require lead dust wipe sampling as a condition of being listed in the Registry. • 30 plus organizations “signed on” in support of dust wipe sampling. Coordinated our responses with Legal Aid, a group of Cleveland foundations and NCHH. • ODH agreed to adopt the dust wipe sampling requirement. Rules were approved by JCARR in January.

  3. Coalition-Building: Growing social capital for policy change...

  4. Building Political Will... “For every $1 spent controlling lead hazards, at least $17 returned (and as much as $221) in health benefits, increased IQ, higher lifetime earnings, tax revenues, lower special education costs and reduced criminal activity.” • Engaging stakeholders... • Pediatricians • Researchers • Housing specialists • Early care workers • Public health staff • Social policy experts • Families, etc. • ...to inform policy ideas. and Crafting State Policy Solutions: Prevention & Supports

  5. Ohio Lead Free Kids Coalition State Budget Policy Proposals in the Ohio Children’s Budget Broaden impact of SCHIP Lead Hazard Control Program Create a Primary Prevention of Child Lead Poisoning State-Local Demonstration Grant Increase access to effective lead screening & testing with targeted strategies Strengthen enforcement of current lead inspection laws with increased resources Prevent further harm by ensuring access to developmental and behavioral supports like early intervention Convene a state task force to develop a comprehensive primary prevention plan

  6. Ohio Lead Free Kids Coalition Early Intervention IDEA Part C Services (0-3 years): Securing Automatic Eligibility for Children with EBLLs & Why that Matters

  7. Ohio Lead Free Kids Coalition • Governor’s Lead Agenda: OHHN & Schubert Center worked on drafting and securing “sign-on’s” for an Ohio Lead Agenda. Asked the two candidates for Governor to respond. • Building on the Agenda, we invited groups who signed on to participate in discussions to develop a Childhood Lead Primary Prevention Proposal to Gov.-elect DeWine. Delivered in January. Key items: - Expand SCHIP by $20 Million; - Use $20M for demonstration grants to local govt. partnerships for lead hazard control/abatement in pre-1978 homes; - Give OHFA administrative role, - Move RRP management to ODH - Identify other funds for lead control and abatement

  8. Ohio Lead Free Kids Coalition

  9. Governor DeWine’s Budget Lead Initiatives • CHIP lead hazard abatement program sustained at $5 million/year but didn’t expand) • Funding for lead abatement training, license reimbursement - Workforce development of lead specialists • Demolition of units with lead (unable to be renovated) & funds for lead abatement for 25 over-income households (over Medicaid income limits) • New lead tax credit (up to $10,000/7 years) can incentivize private sector investment in lead safe housing ($ 5M permitted in abatements/FY) • New funding for early intervention supports to aid in new coverage for children with EBLL ($23.7M)

  10. State Budget FY20-21 Update • Ohio House approved the Governor’s Lead Initiatives • Budget bill did not include transfer of the USEPA’s Renovation Repair and Painting (RRP) Rule Program to Ohio • CLPPP proposal for grants to local governments working on lead poisoning prevention not in budget bill but CLE Lead Safe Home Fund Amendment in Senate Sub-bill • Ohio Lead Free Kids Coalition seeking RRP amendment • Amendment requested by Senator Peggy Lehner and Senators Brenner, Kunze and Williams • Amendment did not make it into the Senate budget but has been reoffered by Senator Lehner and others

  11. Renovation, Repair, Painting (RRP) Rule & Prevention Opportunity: Why RRP is Important • Renovations in pre-1978 structures can disturb painted surfaces which can create lead paint chips and dust • Lead dust can harm workers as well as children and others if they bring dust home on work clothing • Lead safe work practices are doable and prevent exposure

  12. Renovation Repair and Painting Rule Amendment RRP Amendment: • Requested $500,000/year for start up costs. Transfer would allow Ohio to set its own fees; all fees would stay in Ohio. Costs would be paid by fees after Year II. Why move the RRP Program to Ohio? • Foundation to Ohio’s lead poisoning prevention initiatives. Low-cost and efficient way to protect children from lead hazards during renovation • RRP certification is required for owners listing properties on Lead Safe Rental Registry

  13. Renovation Repair and Painting Rule Advances Prevention Move RRP to Ohio? • ODH would provide 3 FTEs while USEPA provides only 2 FTEs for 7 states in Region V, including Ohio. • ODH would be able to get more covered entities trained and certified and respond to complaints. • Ohio could provide education to the public on lead hazards during renovation, helping renovators, homeowners, day care providers, and schools.

  14. Ohio Lead Free Kids Coalition Comments to ODH Child Lead Program Rules • Lead risk assessments for children with 5-9 EBLLs • Permit risk assessment if requested by parent, recommended by public health investigator; or property was subject to earlier investigation • Focus on parent & public information • Include referrals for EI services • Lead hazard control orders • Make addresses open to the public • Lead poisoning prevention fund • Remove requirement restricting funds to units with lead hazard control orders to permit funds for prevention efforts • Expand use for relocation costs • Remove priority on homeowners and include hotels and renters as eligible to receive relocation assistance funds

  15. What’s Ahead for the Ohio Lead Free Kids Coalition... • Preserve investments & ensure effective implementation, especially is RRP amendment adopted • Gov. DeWine creation of state lead task force to build a robust comprehensive lead prevention roadmap • Strengthen early intervention with risk assessments or full public health investigations for 5 to 9’s - organize stakeholder input? • Improved disclosure of lead hazard control orders, lead real estate disclosure law – develop recommendations • Continue to seek support for local, innovative public-private partnerships prioritizing primary prevention/ lead safe housing policies as models for Ohio What should be other state priorities for future action...?

  16. Ohio Lead Free Kids Coalition Contact information: Co-Chairs, Ohio Lead Free Kids Coalition • Patricia Barnes, Executive Director, Ohio Healthy Homes Network patricia.barnes@ohhn.org • Gabriella Celeste, Policy Director, Schubert Center for Child Studies, Case Western Reserve University mgc36@case.edu

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