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Explaining Cuyahoga County's Health And Human Services Levy Deficit

Mayor Frank Jackson, Cuyahoga County Executive Armond Budish and others rally for an HHS levy renewal in 2018. [Mark Urycki / ideastream]
Mayor Frank Jackson, Cuyahoga County Executive Armond Budish and others rally for an HHS levy renewal in 2018.

Cuyahoga County鈥檚 two health and human services levies raise around $240 million each year. The money goes to MetroHealth Medical Center, children and family services, drug and alcohol recovery and many other programs.

But the revenue isn鈥檛 keeping up with costs. The county expects its health and human services levy fund to go into the red this year 鈥 and that deficit will keep getting bigger.

The fund is projected to end the year with a $7 million deficit, . That will grow to a $33.5 million hole next year.

What鈥檚 Driving The Cost Increase?

More and more kids have been entering the custody of the county Department of Children and Family Services鈥攁 statewide trend driven by the opioid crisis. Around this time in 2015, there were 1,800 children in out-of-home placements in Cuyahoga County. That number has grown to around 2,700.

鈥淭he numbers just keep going up every week,鈥 county budget director Maggie Keenan told county council in May. 鈥淚 track these every Monday, and they鈥檙e just going up, up, up. I can give you the data on 2015, 鈥16, but those numbers would not even be on the charts, they were so much lower.鈥

DCFS has hired 20 more social workers, following the recommendations of an expert panel convened after the deaths of children who had open cases with the county.

Keenan said the department is hiring another 20 social workers on top of that to address rising case loads, bringing the total to 40.

The county also increased spending this year on the First Year Cleveland infant mortality program, Job and Family Services call center workers and a program for seniors, according to Keenan.

What Else Does The HHS Fund Pay For?

The fund pays for a wide range of services for kids, seniors, addiction recovery and healthcare.

Nearly $40 million in levy funds go to the county Alcohol Drug Addiction and Mental Health Board. The levy also generates around $32 million for MetroHealth Medical Center. The Juvenile Court also receives funding from the taxes.

Will Tarter, a policy associate with the Center for Community Solutions, produced an analysis of the county鈥檚 HHS budget in 2017. . In an interview, Tarter pointed out that the levy also funds job training programs.

鈥淚t鈥檚 more than just older adults, mental health, children,鈥 he said. 鈥淭here鈥檚 tangible economic development implications here as well.鈥

Have Rising Home Values Brought The County More HHS Money?

There are two HHS property tax levies in Cuyahoga County. But the most recent round of reappraisals won鈥檛 bring in more revenue.

That鈥檚 because a 1976 state law known as effectively prevents inflation from increasing the burden of voted levies. If the county did want to capture that new value, council could vote to put a replacement levy on the ballot.

Will The County Ask For A Tax Increase?

Keenan told council in May that the administration has discussed asking for a levy increase, but said no decision had been made.

The next HHS levy will be up for renewal in the March primary next year, meaning council has until December to decide what to put on the ballot.

But Councilman Dale Miller pointed out that council will have to make a decision before then. He said council should tell the Greater Cleveland Partnership its intentions sooner, in order to get businesses on board with a levy campaign.

Even if voters were to pass a levy increase next year, the county still faces a problem in the near term, Tarter said. In the meantime, the county would need to subsidize the levy fund from its general fund, .

鈥淭he soonest that the money could come in is 2021,鈥 he said. 鈥淎nd the deficits begin this year and build next year. So there鈥檚 a short-term question that needs to be asked.鈥

Nick Castele was a senior reporter covering politics and government for 海角破解版. He worked as a reporter for Ideastream from 2012-2022.