In a memo to the mayor and City Council members last night, City Manager Milton Dohoney Jr. revealed the streetcar is facing a $22.7 million shortfall because construction bids were way over budget. The memo says $5.3 million of that budget gap could be brought down through cuts, but fixing the rest requires $17.4 million in additional funds. The memo comes at a time the city is attempting to balance its operating budget by laying off cops and firefighters. But as John Deatrick explained when the city moved to hire him for the streetcar project, the streetcar is part of the capital budget, which is separate from the operating budget and can't be used to balance the operating budget because of legal and traditional constraints.The budget bill heading to the Ohio House floor would ban comprehensive sex education, defund Planned Parenthood and fund crisis pregnancy centers that pro-choice groups consider "anti-choice." Citing "gateway sexual activity," the bill would open teachers to up to $5,000 in fines for explaining the use of condoms and other birth control to students, and it also bans the distribution of any birth control on school grounds. The bill takes its anti-contraceptive measures to promote an abstinence-only education program. Research has found abstinence-only programs to be generally ineffective, while birth control programs ultimately save money by avoiding costly pregnancies and sexually transmitted infection treatment.Councilman Cecil Thomas is stepping down, and he will be replaced by his wife of 32 years, Pam Thomas. The appointment has raised questions about how council members are replaced upon resignation, but Thomas says he's just following the rules. Under the current system, designees appoint successors to council seats, but the designees give great weight to the incumbent's input.JobsOhio repaid $8.4 million to Ohio yesterday — fulfilling a promise it made in March that it would fully repay the state for public funding received since it opened on July 5, 2011. The sum is much higher than the $1 million state officials originally said would go to the agency. JobsOhio's finances came under criticism after it was revealed that Gov. John Kasich was redirecting public funds to the agency, prompting a closer look from State Auditor Dave Yost. JobsOhio is a privatized development agency that Kasich and Republicans established to eventually replace the Ohio Department of Development.In light of the Boston Marathon bombings, Flying Pig Marathon organizers are evaluating security measures, but they're not sure whether additional measures are needed just yet. The Flying Pig Marathon is expected to draw more than 20,000 participants on May 5 — close to the 23,000 who typically attend the Boston Marathon. Still, only about 150,000 spectators are expected at the Flying Pig Marathon, while about 500,000 typically spectate the Boston Marathon.City Council is expected to vote today in support of expanding mobile food vending in the city and make the program, which is handled by 3CDC, permanent. The new mobile vending spots will be near nightlife areas in Over-the-Rhine and during the day at Washington Park.TriHealth and Mercy Health are among the top 15 hospital systems in the United States, according to a new ranking from Truven Health Analytics.When renewing its contract with Sedgwick Claims Management Services Inc., Kroger asked the company to move its center from Des Moines, Iowa, to Cincinnati, bringing an estimated 55 new jobs to the city.New surgical tape works like a parasitic worm for extra stickiness.For the first time, scientists are being allowed to study psychedelics for potential medical treatments.

With Republican support and Democratic opposition, the Ohio House Finance Committee approved a budget bill today that would ban comprehensive sex education, defund Planned Parenthood and fund crisis pregnancy centers that pro-choice groups call “anti-choice.” Citing the possibility of “gateway sexual activity,” the bill would make it so teachers can be fined up to $5,000 if they explain the use of condoms and other forms of birth control to high school students. It would also prohibit individuals and groups from distributing birth control on school grounds. The bill pushes abstinence-only education to curtail any promotion, implicit or explicit, of gateway sexual activity. To define such activity, the bill cites Ohio’s criminal code definition for “sexual contact,” which is defined as “any touching of an erogenous zone of another, including without limitation the thigh, genitals, buttock, pubic region, or, if the person is a female, a breast.” The bill would also redirect federal funding to defund Planned Parenthood and shift funds to crisis pregnancy centers, which CityBeat covered in further detail here. “Today the Ohio House Finance Committee voted to send our state back to the 1950s,” said Kellie Copeland, executive director of NARAL Pro-Choice Ohio, in a statement. “The Ohio House is doing everything they can to restrict access to reproductive health care and medically accurate information that help Ohioans live healthy lives. (Gov. John) Kasich can stop these dangerous attacks on women’s health care. We need him to speak out against these budget provisions and to line-item veto these dangerous measures when they reach his desk.” Researchers have found abstinence-only programs to be generally ineffective. A 2007 study published in the Journal of Adolescent Health found abstinence-only programs have no impact on rates for teenage pregnancy or vaginal intercourse, while comprehensive programs that include birth control education reduce rates. A 2011 study from researchers at the University of Georgia that looked at data from 48 states concurred abstinence-only programs do not reduce the rate of teenage pregnancy. The study indicated states with the lowest teenage pregnancy rates tend to have the most comprehensive sex and HIV education programs. When looking at three ways to prevent unintended pregnancies for a 2012 study, the Brookings Center on Children and Families found the most cost-effective policy was to increase funding for family planning services through the Medicaid program. In other words, if governments increased spending on birth control programs, they would eventually save money. Still, a 2010 study from a University of Pennsylvania researcher found abstinence-only education programs may delay sexual activity. The study, which tracked black middle school students over two years, found students in an abstinence-only program had lower rates of sexual activity than students in the comprehensive program.At hearings on April 12, anti-abortion groups praised abstinence-only education for promoting chastity.

Democratic Councilman Cecil Thomas’ last City Council meeting will be Wednesday, after which he will be replaced by his wife of 32 years, Pam Thomas. “Her qualifications are impeccable,” Thomas told reporters Tuesday. “She will give this city a good representation.” Thomas’ wife ran for Hamilton County clerk of courts last year, ultimately losing to Tracy Winkler. But Thomas said she won 70 percent of the vote in Cincinnati, making her an obviously strong contender as a local candidate. Thomas’ recommendation has raised questions among critics about how council members are replaced upon resignation. Incumbents can only make recommendations to successor designees, who make the final decision, but as Councilman Wendell Young, one of Thomas’ designees, noted at the meeting, the designees typically give great weight to the incumbent’s recommendation. When asked whether council members should have so much power in recommending appointees, Thomas said, “I just follow the rules.” He said if City Council wants to change the rules, it can. Thomas said he will now run for the State Senate seat being left vacant by State Sen. Eric Kearney, who is term limited. He acknowledged the State Senate may be a more difficult place for Democrats, which are in the minority at the state level, but he said he hopes to “bridge divides” if he serves. Until then, Thomas said he is looking forward to his time off, although he will miss having a role in local politics: “It's going to be tough to not be able to have that direct hands-on.” Thomas said he wanted to step down earlier in the year, but he decided to stay in office to see if the city could avoid laying off cops and firefighters by balancing the fiscal year 2014 budget through the parking plan (“Parking Stimulus,” issue of Feb. 27), which Thomas strongly supports. With the parking plan now in legal limbo and the layoffs going through, Thomas is stepping down.

Two explosions at the Boston Marathon yesterday led to the deaths of at least three and injured at least 140 others, with the deaths including an 8-year-old boy. So far, it is unclear who carried out the bombings. Police said the two bombs were set in trash cans, less than 100 yards apart, near the finish line of the marathon. Officials said police also found two bombs in different locations, but they were not set off. At least 134 entrants from Greater Cincinnati were at the marathon, but none are believed to be hurt, according to The Cincinnati Enquirer. The bombings were carried out on Patriots’ Day, a Massachusetts-based holiday that commemorates the first battles of the American Revolution, and tax day. They were the first major act of terrorism on U.S. soil since Sept. 11, 2001. Councilman Cecil Thomas is set to make a major announcement today at 11:30 a.m. The speculation is that Thomas will officially announce he’s appointing his wife Pamula Thomas to replace him on City Council — a move he’s hinted at for a couple months now. Thomas is term limited from running again in City Council, but appointing his wife to his seat could give her some credibility and experience to run in November. Federal sequestration, a series of across-the-board budget cuts at the federal level, is already having an effect on Cincinnati and Ohio, with cuts taking place for education, housing and the environment. In Cincinnati, the Cincinnati-Hamilton County Community Action Agency plans to carry out $1 million in cuts by dropping 200 kids from the Head Start program, which helps low-income families get their children into preschool and other early education programs. Wendy Patton, a senior project director at Policy Matters Ohio, says the cuts are only the “tip of the iceberg.” David Pepper, a Democrat who previously served on City Council and the Hamilton County Board of Commissioners, announced yesterday that he will run for state attorney general. “I have been traveling the state for years now listening to working and middle class Ohioans and it is clear they want a change, a new direction at all levels,” Pepper said in a statement. “I’m running for Ohio Attorney General because Ohioans deserve better.” In the statement, Pepper touted his experience working with law enforcement in Cincinnati and Hamilton County. At least seven members of the University of Cincinnati Board of Trustees are asking fellow member Stan Chesley to resign after Chesley’s permanent disbarment by the Kentucky Supreme Court last month. A letter to Chesley from his fellow board members cited the Kentucky Supreme Court ruling, claiming he “engaged in conduct involving dishonesty, fraud, deceit or misrepresentation.”Greater Cincinnati housing permits increased by 41 percent in the first quarter of 2013, according to the Home Builders Association of Greater Cincinnati. The numbers are another sign the local economy is quickly recovering from the Great Recession. Convergys plans to fill 1,000 work-at-home call jobs in 60 days. DunnhumbyUSA is preparing for future growth in Cincinnati by building a new headquarters. Solar panels may be used to make natural gas 20 percent more efficient and therefore pollute 20 percent less greenhouse gases. Two new studies of mice and rat skin cells could be used to treat brain disease.

Policy Matters Ohio released a report Monday that gives a hint of how federal sequestration, a series of across-the-board federal budget cuts that kicked in March 1, will affect Ohio. The impact of sequestration is already being felt in various areas, including education, housing and the environment. In Cincinnati, the Cincinnati-Hamilton County Community Action Agency plans to carry out $1 million in cuts by dropping 200 kids from the Head Start program, which helps low-income families get their children into preschool and other early education programs. Cuts will be spread out all around the state, leading to cuts in tax incentives for renewable energy and energy efficiency, reduced research programs at major universities and the elimination of military jet flyovers at certain events. Wendy Patton, a senior project director at Policy Matters, says the cuts are only the beginning. “We’re just seeing the tip of the iceberg now,” Patton says, citing cuts in Chillicothe that will force the Chillicothe Metropolitan Housing Authority to serve 47 less families through the housing voucher program. “We will see this kind of information come out across Ohio’s 88 counties as the months roll by.” In February, the White House outlined how sequestration cuts will affect Ohio in its efforts to convince Congress to stop the cuts. The White House estimated about 26,000 civilian defense department employees would have to be furloughed, nearly $6.9 million in funding to clean air and water would have to be cut and 350 teacher and aide jobs would be put at risk, among other cuts. Even the unemployed will be hurt through cuts to unemployment insurance benefits — bad news in an already weak economy. In Ohio, about $5.3 million in federal grant money going toward unemployment insurance will be cut in a way that particularly affects the long-term unemployed, according to Pew Charitable Trusts. “We already have a problem with the long-term unemployed,” says Zach Schiller, research director at Policy Matters. “This just makes it worse for these folks.”An analysis from The Washington Post found employers often discriminate against anyone who has been unemployed for a considerable time during the hiring process.

Today is Tax Day, which means income tax returns have to be filed by midnight. If you’re in a rush, there are a variety of online tax filing services out there, particularly for state and federal taxes. Cincinnati’s e-filing service can be found here. Cincinnati is outlining the time frame for police, firefighter and other layoffs that the city says it must undertake to balance the budget. The layoffs are currently set for June 9, with layoff letters going out by then. The city administration says the layoffs are necessary because the city’s plan to lease its parking assets has been held up in court and a referendum effort, eliminating the use of parking funds to help balance the budget in time for fiscal year 2014. Opponents say there are alternatives, but Mayor Mark Mallory and the city’s budget gurus recently criticized the suggestions as misleading and unworkable. Ohio House Republicans are once again attempting to defund Planned Parenthood in their latest budget plan, but this time they are also throwing in support for crisis pregnancy centers, which tout abstinence-only education, in a separate part of their budget proposal. The moves have sparked criticism from pro-choice groups around the state that say Republicans are trying to push their morality on women, while anti-abortion groups have praised the budget for enforcing family values and what they claim are more women’s health options. The Medicaid expansion is uniting Gov. John Kasich, Ohio Democrats, mental health advocates and other health experts against the Ohio House Republicans’ budget proposal, which rejects the expansion. Supporters of the expansion point to studies that say the expansion will save the state money, insure nearly half a million Ohioans and help the state’s neediest, but Ohio Republicans say they’re concerned the federal funding backing the expansion will dry up at some point, even though there’s no historical precedent of the federal government failing to meet its Medicaid commitments. State officials are moving to reform Ohio’s foster care system after several deaths were linked to poor oversight and regulations. The Foster Care Advisory Group sent out its suggestions last week, which include removing some rules to “normalize” foster children’s childhoods and eliminating county-by-county funding inequality. Internet sweepstakes cafes have been closed in California and Florida — a move state officials are looking to replicate in Ohio. Ohio gas prices are low this week. A new state license plate design is now available. A new strand of the bird flu is here, and it’s already killed 11 people in China. Scientists have reconstructed the ancestor that came between the human and chimp.

Pro-choice groups are criticizing Ohio House Republicans’ budget plan for pulling money from Planned Parenthood and shifting federal dollars to “anti-choice” crisis pregnancy centers. The Ohio House Republicans’ budget plan would redirect federal funding for family planning services in a way that would strip funding for Planned Parenthood and family planning providers. During hearings at the Ohio House Finance and Appropriations Committee today, multiple women’s health advocates, ranging from health experts to members of Planned Parenthood, said these services mostly benefit low-income women, particularly in rural areas. On the other side, representatives from anti-abortion groups spoke in support of the Ohio House Republicans’ measures, citing health care options, family values, abstinence and chastity. Kellie Copeland, executive director of NARAL Pro-Choice Ohio, says the defunding measure has become a recurring trend for Ohio Republicans, who have taken up the Planned Parenthood measure multiple times in the past couple years. But she says the threat could have more weight this time around. “This feels different,” Copeland says. “They’ve always kind of tried to hide it before. This time they were a lot more upfront about it. It seems like they may be willing to put political capital into this fight this time.” A separate section of the Ohio House Republicans’ budget plan redirects federal funding to a program that will fund crisis pregnancy centers (CPCs), which provide abstinence-only family planning services. Some researchers have found abstinence-only programs to be ineffective. A 2007 study published in the Journal of Adolescent Health found abstinence-only programs have no impact on rates for teenage pregnancy or vaginal intercourse, while comprehensive programs that include birth control education reduce rates. A 2011 study from researchers at the University of Georgia that looked at data from 48 states concurred abstinence-only programs do not reduce the rate of teenage pregnancy. The study indicated states with the lowest teenage pregnancy rates tend to have the most comprehensive sex and HIV education programs.Still, a 2010 study from a University of Pennsylvania researcher found abstinence-only education programs may delay sexual activity. The study, which tracked black middle school students over two years, found students in an abstinence-only program had lower rates of sexual activity than students in the comprehensive program.A study released in January by NARAL Pro-Choice Ohio found CPCs routinely mislead patients. The study, which looked at CPCs around Ohio in an “undercover investigation,” said 47 percent of CPCs give misleading information about mental health problems and abortion, and 38 percent provide false information about the connection between breast cancer, infertility and abortion. Some supporters say the Ohio House Republicans’ budget measures aren’t specifically about Planned Parenthood, abortion or birth control. Instead, they argue they’re trying to establish more health care options for women. But the providers that would be able to get more funding already apply for it; they just lose out to Planned Parenthood’s services, which are deemed superior by state officials who distribute the funds during the competitive distribution process. Copeland says “no thinking person” should fall for the reasoning given by Republicans and supporters who say abortion is not one of their concerns. “They’re trying to impose their morals on you,” Copeland says. “These are not health care experts. These are not people who are trying to find real solutions for the problems that real people face. These are people who want to impose their personal views, their personal morality on you.” Some anti-abortion supporters, including Denise Leipold of Right to Life of Northeast Ohio, say abortion and broader cultural issues are absolutely part of the reason they support the Ohio House Republicans’ budget plan. “Our mission is to support the right to life from conception to natural death,” Leipold says. “Abortion happens to be a big problem right now because in the past 40 years it’s become part of the culture.” She adds, “Now kids are learning that responsible sex means that you can have sex but just use birth control. That’s not supposed to be the attitude. The attitude is supposed to be that sex is for a committed relationship between a man and a woman in a marital relationship.” During testimony today, Stephanie Kight, president and CEO of Planned Parenthood of Greater Ohio, asked state legislators to support the organization’s numerous medical services, including women’s health, family planning and sexually transmitted infection (STI) treatment. Kight also said state and federal funds do not go to abortions. Planned Parenthood’s abortion services are instead funded by private donations. At the hearings, Republican State Rep. Ron Maag asked Kight why Planned Parenthood doesn’t shut down its three abortion clinics in Ohio if those clinics are potentially threatening the “good work” Planned Parenthood does elsewhere. Kight said Planned Parenthood believes its abortion services are “good work.”

Ohio House Republicans are poised to reject the Medicaid expansion and the $500 million per year in federal funding that would come with it for the next two years — a move that has united Republican Gov. John Kasich, Ohio Democrats, mental health advocates and other health groups in opposition. The Medicaid expansion is part of a measure in the Affordable Care Act (“Obamacare”) that encourages states to expand their Medicaid programs to include anyone at or below 138 percent of the federal poverty level with the use of federal funds. For the first three years, the federal government would pick up the entire tab for the expansion. After that, payments would be phased down over time so the federal government would be paying 90 percent of costs. Ohio House Republicans oppose the measure because they say they’re worried federal funding will dry up in the future, even though there is no historical precedent of the federal government failing to pay its commitment to Medicaid. Kasich’s proposal for the Medicaid expansion includes an automatic trigger that would immediately stop and retract the expansion if federal funding falls through, but Ohio Republicans previously voiced concerns in hearings that the trigger would hurt Ohioans who have become accustomed to government-provided health insurance without any plan to make up for the lost coverage. A report from the Health Policy Institute of Ohio found the expansion would help insure 456,000 Ohioans by 2022 and save the state money in the next decade by producing economic growth and shifting health-care expenses from the state to the federal government. For advocates of mental health and addiction treatments, Ohio House Republicans’ rejection of the Medicaid expansion and other budget items means mental health and addiction services will miss out on $627 million per year, according to a report from the Office of Health Transformation. Ohio House Republicans’ budget plan would include $50 million more annual funding for mental health and addiction services, but that’s also not enough to make up for the $140 million in annual funds cut around the state since 2002 and the $17 million being cut over two years through the dissolution of the tangible personal property tax replacement funds. Cheri Walter, chief executive officer of the Ohio Association of County Behavioral Health Authorities (OACBHA), says the Medicaid expansion is a great opportunity to emphasize mental health services around the state. “On the mental health side, ... sometimes it can take two or more years for someone to get a disability determination that makes them Medicaid eligible,” she says. “In addition to making more people Medicaid-eligible, it will speed up the process for many others.” Walter says for addiction patients in particular, getting access to health services can be difficult because alcoholism and other forms of addiction are not technically disabilities. By including more income levels in the Medicaid program, less people will fall through the cracks, she says.OACBHA was one of the many groups that rallied at the Ohio Statehouse Thursday in support of the Medicaid expansion. The crowd, which received support from Ohio Democrats and Kasich, was estimated to reach 2,500. Until the U.S. Supreme Court ruling on Obamacare, the Medicaid expansion was required, but the court ruled that states must be allowed to opt in and out. The Medicaid expansion was one of the few parts of Kasich’s budget plan that Democrats and progressives approved, while the two other major proposals in Kasich’s plan — school funding and a tax cut proposal — were criticized for disproportionately benefiting wealthy Ohioans (“Smoke and Mirrors,” issue of Feb. 20).

In Cincinnati, an ankle MRI can range in price from $367.46 to $2,865.42, but weak transparency laws make it difficult for consumers to compare prices. But to make up for the lack of transparency, some companies are providing compiled price and quality data to paying employers. A previous report from Catalyst for Payment Reform and the Health Care Incentives Improvement Institute gave 29 states an “F” for health-care price transparency, Ohio and six other states a “D” and only New Hampshire and Massachusetts an “A.”Ohio House Republicans killed Gov. John Kasich’s Medicaid expansion plan, but Ohio Democrats are planning to introduce the expansion as a standalone bill. The expansion, which was one of the few aspects of Kasich's budget that Democrats supported, would have saved the state money and insured 456,000 Ohioans by 2022, according to the Health Policy Institute of Ohio. CityBeat covered the Medicaid expansion and other aspects of Kasich’s budget proposal here. In two 5-4 votes yesterday, City Council approved the executive director position for the streetcar project and a repeal on a “double dipping” ban. The city says it needs the measures to hire John Deatrick, the current manager of The Banks project, to head the streetcar project, but critics argue the city should not be making hires when it’s threatening to lay off 189 cops and 80 firefighters to balance the budget — even though the hire is through the capital budget used for the streetcar project, not the general fund that is used to employ cops and firefighters. CityBeat wrote more about the new position and the double dipping ban here. This week’s commentary from CityBeat: “Religious Birth Control Exemptions Are a Double Standard.” City Council also approved the Music Hall lease, which will enable extensive renovations. CityBeat covered some of the original details of the renovation plan when it was first announced here. StateImpact Ohio has some information on how Ohio House Republicans’ plan for school funding differs from Kasich’s proposal. The big difference is Kasich’s plan was based on property taxes, which ended up being regressive, while the House plan is based on the average cost to educate each student, which makes it so less schools, particularly poor and rural schools that fell under Kasich’s plan, have their funding reduced. The House plan also expands performance-based pay and school choice, which Policy Matters previously found may hurt students and teachers. CityBeat covered Kasich’s proposal in further detail here. Policy Matters Ohio posted an interactive map showing the county-by-county benefits of a state earned income tax credit. The credit, which mostly benefits low- and middle-income earners with children, is already used by the federal government and some states to progressively reward employment. Freedom Ohio and Equality Ohio will debate the Family Research Council today over whether Ohio should legalize same-sex marriage. The debate will be streamed here. CityBeat covered Freedom Ohio’s same-sex marriage legalization efforts here. The U.S. Postal Service will drop its threats to stop delivering on Saturdays after Congress denied the action. A new study found humans tend to think strangers are staring at them. Headline: “Why Are Monkey Butts So Colorful?”