County Commissioners' Association of Ohio - 88 CCAO - Serving Ohio Counties Since 1880

Current Issues

An overview of CCAO's current top-priority issues, by subject matter.


132nd general assembly

Replace revenue lost from the elimination of the Medicaid managed care organization sales tax

Given that the county and transit authority portion of the Medicaid MCO tax collected in CY 2016 was over $209 million, it is essential that any solution brought forth addresses the significant fiscal problem this creates for counties. The loss of the Medicaid MCO sales tax is even more significant than the previous Local Government Fund (LGF) reductions.

Click here for CCAO's overview of the loss of the Medicaid MCO sales tax. 

Proposed transitional aid to counties and transit authorities in response to the termination of sales tax on Medicaid Health Insuring Corporations (MHICs)

Address growing pressures on counties caused by the opiate epidemic

The opiate epidemic is an unprecedented crisis that impacts counties in two crucial areas.

  • Child protective services (CPS) has seen an increase in the number of children in custody due to parental addiction. These children have greater needs and the reunification process takes a lot longer.

  • Justice and public safety services are under considerable strain due to the spike in addicted individuals going to county jails. Jails are experiencing increased risks and expenses associated with this population.

Click here for PCSAO's overview of the opiate epidemic's effect on children's services. 

Click here for information on the opiate epidemic's effect on county jails. 

Strengthen state-county partnership

Replace voting equipment

Ohio’s current voting equipment, which was largely purchased 10 years ago to comply with the Help America Vote Act, is nearing the end of its lifespan. Through a collaborative effort among CCAO, Ohio Association of Elections Officials, Secretary of State’s office and Department of Administrative Services, a proposal for voting equipment replacement has been developed which follows the precedent set by Ohio’s procurement of electronic poll books. Counties seek state partnership in replacing voting equipment. 

Provide 50 percent reimbursement for indigent defense

The General Assembly should ensure the state reimbursement rate to counties for indigent defense is at least 50 percent, provide full reimbursement for death penalty cases, and continue to identify and implement system reforms to assist counties in carrying out the state’s constitutionally mandated obligation. 

Click here for CCAO's one-pager on Indigent Defense.


Next Generation 9-1-1: Work Continues

The  ESInet Steering Committee’s consultant L.R. Kimball has issued reports containing their recommendations for actions the State needs to take in order transition to next generation 9-1-1 (NG9-1-1) service in Ohio.  An overview of the four reports can be found in the PowerPoint document Overview: 9-1-1 Transition Planning.  The four reports can be found below:

ESInet Technical and Operational Requirements

Public Safety Answering Point Consolidation

Funding Review

Framework for the Management of the Ohio State-level ESInet

Particularly relevant to county commissioners are L.R. Kimball’s recommendations regarding minimum standards for 9-1-1 call centers and statewide funding. 

The reports indicates that 9-1-1 call centers operating PSAPs 1-1 should be required to:

  • Meet minimum staffing requirements of two on duty at all times

  • Meet minimum training standards for call takers and dispatchers

  • Provide emergency medical instructions to callers (EMD) either directly or through another agency

  • Consider funding incentives for consolidation efforts that are in keeping with the State’s overall service level goals

  • Restrict access to the ESInet to primary PSAPs only in order to avoid response time lost due to transfer of 9-1-1 callers.

The report also states that a statewide fee should be applied to any device that can access 9-1-1. In order to provide the most adequate long-term funding source for 9-1-1 into the future, the fee should meet the following criteria:

  • Be technology, vendor and competitively neutral

  • Be used only for its intended purposes and should not be re-allocated at the state or local level for non-9-1-1 purposes

  • Be easy to understand and administer

  • Be fair and equitable to all individuals and devices capable of accessing the current and future 9-1-1 network

  • Be stable, and therefore not require frequent legislative adjustments

And finally, the report states the funds generated from the 9-1-1 fee should be used for:

  • Administrative & staffing costs for Ohio 9-1-1 Department

  • Capital expenditure fund for future network upgrades

  • Key network functionality procured at state level

  • PSAP costs such as: a 9-1-1 network, 9-1-1 equipment and equipment maintenance, GIS & GIS maintenance, telecommunicator training standards and certification, and emergency back-up equipment.


Click here for archived policy issues.