2023 Q3 Ohio Matters

OHIO MATTERS

JULY – SEPTEMBER 2023

CONTENTS

Upcoming Ohio Chamber Events

AWS Works to Help Central Ohio Build the Silicon Heartland

Ohio Businesses Cannot Stand for Government Overreach

Empowering Change: The Alkermes Grant and the Opioid Toolkit for Ohio Employers Ohio’s Growing Tourism Industry Recognized with a New Committee Featured Legislator Column - Congress Must Step in to Help

Budget Recap

Autoimmune Support for Small Businesses

Ohio Chamber Research Foundation Gala Event No-Cost Health Engagement Nurse Resource Ohio Chamber Wins Multiple Awards for Growth Chapter: Medicare Support for Ohio Employees Chamber Member WM Showcases Latest Advances in Landfill Technology

Empowering Education: The Status Solutions Network Revolution

Upcoming Ohio Chamber Business Academies

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UPCOMING EVENTS 2023 POST-ELECTION IMPACT OHIO NOVEMBER 9, 2023 | OHIO CHAMBER OF COMMERCE OFFICES This unique event will bring together key government officials, business leaders, and community stakeholders to discuss important issues and opportunities facing post-election Ohio. During this information-packed conference, attendees will hear first-hand from experts on current policy and political activities and have an opportunity to network and participate in Q&A. 2023 SOUTHEAST REGIONAL IMPACT OHIO NOVEMBER 14, 2023 | BAKER UNIVERSITY CENTER Join us for this information-packed conference, attendees will hear first-hand from experts covering: Improving Health Disparities in Appalachia; Rural Resurgence: An Innovation Hub for Southeast Ohio; Legislative Leaders Discuss Priorities for the State and Region; and a lunch conversation with Ohio University President Dr. Lori Gonzalez 2023 HEALTHCARE SUMMIT NOVEMBER 30, 2023 | RENAISSANCE COLUMBUS DOWNTOWN HOTEL A comprehensive gathering of Ohio’s largest healthcare stakeholders to foster ideas and solutions to improve healthcare outcomes, increase access, and decrease costs for patients, providers, and employers. UNIONS IN THE WORKPLACE: FORMER NLRB MEMBER SHARES INSIGHTS ON RECENT DECISIONS DECEMBER 6, 2023 | OHIO CHAMBER OF COMMERCE OFFICES The Ohio Chamber of Commerce is hosting former NLRB Board Member Brian Hayes for a conversation on unionization in the workplace. Attendees will hear from Brian, now a Shareholder at the law firm Ogletree Deakins, on the impact to employers of recent NLRB policy changes including potentially allowing for union elections by card check only, the formation of micro-unions, and the second guessing of employee handbook policies. THE OHIO CHAMBER’S 130TH ANNIVERSARY GALA PRESENTED BY THE OHIO CHAMBER RESEARCH FOUNDATION DECEMBER 7, 2023 | OHIO STATEHOUSE Please join us to celebrate this milestone at the Ohio Chamber’s 130th Anniversary Gala, presented by the Chamber Research Foundation, with Special Guest Former Senator Rob Portman.

FIND MORE INFO & REGISTER HERE

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CENTRAL OHIO

AWS WORKS TO HELP CENTRAL OHIO BUILD THE SILICON HEARTLAND

As the Silicon Heartland conti- nues to emerge in Ohio, Amazon Web Services is excited to deliver much more than the data centers it has been building here for more than a decade. Schools, local busi- nesses, state and regional econo- mies, communities and the envi- ronment are key beneficiaries of AWS and its expanding investment in the regions where it operates. AWS, the world’s most com- prehensive and broadly adopted cloud computing platform, has grown since 2011 to offer more than 200 services from data centers arou- nd the globe, allowing startups, large established enterprises and leading government agencies to ac- cess cost-effective, fast and efficient computing, data storage and data- base technologies. Now, a new Economic Impact Study shows AWS has invested more than $108 billion in cloud computing infrastructure across the United States and contributed nearly $38 billion to the U.S. gross domestic product while supporting some 30,000 jobs through its spen- ding for construction, connection, maintenance and operation of data centers. Ohio is a critical hub for AWS, hosting multiple data centers that have boosted the state’s GDP by more than $2.2 billion from 2015 through 2022. Another $7.8 billion will be invested by 2030 as AWS plans to expand its Ohio data center operations, including $3.5 billion more in New Albany. This will add hundreds of new direct jobs and thousands of indirect positions to the 3,500 full-time equivalent jobs that AWS already supports annually

in Ohio. But these indicators, as immen- sely impressive as they are, are only part of the story of the positive im- pact AWS is driving across Ohio and the nation. AWS is dedicated not only to building and staffing data centers today but also to developing the talent it will need for tomor- row’s workforce and supporting the communities in which it operates. Examples of AWS’ commitment to future generations include its 18 Think Big Space sites in Central Ohio, where 26,000 students from kindergarten through grade 12 get hands-on opportunities in AWS learning labs promoting science, te- chnology, engineering, arts and ma- thematics (STEAM) education. And AWS also works to inspire girls and young women to consider technolo- gy careers, offering a free half-day event, Girls’ Tech Day, which attrac- ted 400 girls from fifth through eigh- th grade in participating Columbus schools in 2022. For older students and young adults, AWS Academy gives Ohio colleges and universities free curri- cula ready to teach cloud computing to help students achieve industry- -recognized certifications and land highly sought jobs. Columbus State Community College, Miami Univer- sity and the University of Cincinna- ti are among those offering the AWS curricula. In addition, Columbus State part- nered with AWS to add a new Data Center Technician Training Pro- gram that includes a $50,000 AWS- -sponsored scholarship fund and opportunities for students to start their careers at local AWS data cen- ters. Another pathway to data cen-

ter careers with on-the-job-training and internships is AWS’ Grow Our Own Talent program. The state’s legislative leaders are taking notice. “Events like Girls’ Tech Day are important because they reinforce the message that we want, and need, more women to be part of these fields,” said Ohio State Senator Stephanie Kunze, R-Hilliard. “It’s critical that we keep developing and encouraging their talent, so they can seize the oppor- tunities available to them in tech.” Just as impressive as our work- force development efforts is AWS’ exemplary environmental steward- ship. AWS has committed to be using 100% renewable energy by 2025—five years ahead of our ori- ginal target of 2030. This will also mean more renewable energy for electricity grids without adding cos- ts to local energy users. AWS also pledges to be “water positive” by 2030—returning more water to communities than our data centers use, such as by using recy- cled water for data center cooling. The AWS advantage is clear: through the direct infrastructure investment and jobs that it provi- des, the workforce development it promotes and the ripple effect of employment growth not only in its supply chain but also the small and medium-sized local businesses, professional services and restau- rants that AWS employees support. Ohio is better with Amazon Web Services as its partner in building the Silicon Heartland. Roger Wehner is AWS Director of Economic Development.

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OHIO BUSINESSES CANNOT STAND FOR GOVERNMENT OVERREACH

(ADVERTISING) We recognize that the price-setting mechanism outlined in the statute is far from a genuine negotiation process, as CMS would like the public to believe; rather, it is a scheme designed to wield control over private business prices. This flawed price- -control scheme lacks essential safeguards, infringes on fundamental freedoms and is riddled with significant legal shortcomings. This statute provides no legal recourse for drug manufacturers, as many of the critical determinations made under the law are left to the unbounded discretion of the agency and are expressly exempted from judicial review. Subjecting any U.S. bu- siness to such a price-setting scheme would render it impossible to make informed investment decisions. Additionally, the statute concentrates an excessive amount of unchecked power within a single executive agency, thereby violating the separation of powers enshrined in the Constitution. The implementation of government price controls has far-reaching consequences for all Americans, and is a severe overreach by the federal government. These con- cerns are compounded by recent provisions introduced in the Inflation Reduction Act (IRA), which not only infringe upon the fundamental protections of free enter- prise enshrined in our Constitution but also carry disastrous implications for our future economy. As a result, we, along with the Michigan Chamber of Commerce and the U.S. Chamber of Commerce, have taken decisive legal action to protect bu- siness rights by filing a federal lawsuit in the U.S. District Court for the Southern District of Ohio in Dayton. This litigation against the Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) responds to these detrimental government price control measures that the federal government is forcing onto private industry. These price controls introduced by the IRA will have long-term consequences for free-enterprise and the competitiveness of the United States. If the government can establish price controls for essential medicines through an opaque regime without allowing for judicial review, it sets a dangerous precedent that could extend to other vital industries. This would have disastrous effects on our economy and individual rights. We leave you with this note: the imposition of government price controls hampers innovation and jeopardizes free enterprise across business as a whole. This is why the Dayton Area Chamber of Commerce and the Ohio Chamber of Commerce have stood up against these detrimental measures to safeguard the principles of free en- terprise and protect the future well-being of business in the Dayton area, the State of Ohio and the United States.

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FEATURED LEGISLATOR COLUMN

OBESITY IS KILLING OHIO. CONGRESS MUST STEP IN TO HELP

REPRESENTATIVE DONTAVIUS JARRELLS

As a State legislator, I am compel- led to shed light on an issue that af- fects countless Ohioans, including myself—obesity. This topic holds personal significance for me, as I have witnessed the struggles indi- viduals endure in obtaining the re- sources they need to address this health challenge. Obesity is not a mere statistic; it is a relentless adversary that haunts millions of lives. It is a battle fought not only in the shadows of self-dou- bt but also in the harsh judgments of society. People often view obesity as a reflection of personal failure, a lack of discipline or willpower. But let me tell you, it is not a choice. It is a chronic disease. The consequences of obesity are devastating. It is the second leading cause of preventable death in our nation, according to the National Institute of Health. Yet, it seems that the urgency to address this cri- sis falls behind other health concer- ns. In Ohio, the obesity situation is dire. Almost half of our state’s popula- tion – our neighbors, friends, and loved ones – is currently living with obesity. Even our seniors, who have wea- thered the storms of life, are not spared from this relentless disease. Over the past generation, obesi- ty rates among Americans over 65 have nearly doubled. To make mat-

ters worse, the very system designed to provide care and support, Medi- care, denies coverage for essential anti-obesity medications. We must fight for our seniors, for their right to a healthy and dignified life. New medications can help fight obesity But amidst this struggle, there is a glimmer of hope—the Treat and Reduce Obesity Act, federal legisla- tion that was introduced this July in Congress. It would update Medicare to co- ver evidence-based obesity treat- ments, including FDA-approved medications, and would expand ac- cess to intensive behavioral therapy for obesity, empowering more heal- thcare providers to deliver essential support to Medicare beneficiaries. Moreover, addressing obesity is a matter of health equity. Black and Hispanic popula- tions are disproportionately affec- ted by chronic diseases stemming from untreated obesity. By fighting against obesity, we fight for justice and equality, ensuring that everyo- ne has an equal chance at a healthy and fulfilling life. Let us not overlook the economic toll of obesity. The costs, both direct and in- direct, are staggering—a crushing burden on individuals and our healthcare system, estimated at $1.4 trillion. By reducing obesity

rates, we can alleviate this financial strain. As we eagerly await the Treat and Reduce Obesity Act’s progress through Congress, I implore Ohio’s entire congressional delegation to take a stand. Led by our esteemed Sen. Sher- rod Brown, let us unite in support of this critical legislation. Brown has been a champion for our working families and retirees, and his en- dorsement of the Treat and Reduce Obesity Act would be a testament to his unwavering commitment to the well-being of Ohioans. The time for action is now. We cannot allow obesity to claim more lives, shatter more dreams, and per- petuate a cycle of despair. We owe it to ourselves, our loved ones, and the countless individuals whose voices go unheard in the depths of this struggle. Together, we can build a heal- thier Ohio and nation for all of us. State Representative Dontavius Jarrells is a member of the Ohio State House of Representatives, representing District 1 (D-Colum- bus), and serves as the assistant minority leader.

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OHIO’S GROWING TOURISM INDUSTRY RECOGNIZED WITH A NEW COMMITTEE MATT MACLAREN DIRECTOR OF TRAVEL AND TOURISM POLICY OHIO CHAMBER OF COMMERCE The new Ohio Chamber of Commerce Travel and Tourism Committee will help Ohio’s $53 billion industry achieve recognition from statewide leaders. It also supports the Ohio Chamber of Commerce Blueprint for Ohio’s Economic Future in the areas of “Workforce” and “Sense of Place.” The committee’s work to attract more visitors to Ohio will also bring more workers to our state. Ohio’s growing economy is on pace to have more open jobs than people in our state to fill them. We can solve this with the right policies that attract more people to visit, live, and work in Ohio. The committee’s work to support tourism businesses and promote Ohio will enhance Ohio’s sense of place. A recent study by Longwoods International showed that visiting Ohio doubles a person’s view of our state as “a good place to live” and “a good place for job opportunities.” The committee is open to all Ohio Chamber members at the Advocate Membership Level or above who are involved in Ohio’s travel and tou- rism industry. The next quarterly meeting will take place on Tuesday, November 28 at 2pm. For more information or to join the committee, please contact Ohio Chamber of Commerce Director of Travel and Tourism Policy, Matt MacLaren, Esq., at mmaclaren@ohiochamber.com

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OHIO CHAMBER RESEARCH FOUNDATION

Empowering Change: The Alkermes Grant and the Opioid Toolkit for Ohio Employers

In the ongoing battle against the opioid epide- mic, communities, orga- nizations, and individuals across Ohio are stepping up their efforts to combat this public health crisis. Among these champions of chan- ge is the Ohio Chamber of Commerce Research Fou- ndation, which has been awarded a grant from Alker- mes to enhance its Opioid Toolkit for Employers. This grant not only signifies a significant milestone in the fight against opioid ad- diction but also reflects a profound commitment to creating safer and healthier workplaces across the state. The Opioid Epidemic: Local and National Challenge Ohio, like many sta- tes across the nation, has been deeply affected by the opioid epidemic. This crisis has touched every corner of society, from individuals and families to busines- ses and communities. Em- ployers, in particular, have faced unique challenges in

addressing the opioid cri- sis within the workplace. Substance misuse not only jeopardizes the well-being of employees but also im- pacts workplace safety, productivity, and overall company success. Recognizing the pressing need for comprehensive resources tailored to em- ployers, the Ohio Cham- ber of Commerce Research Foundation took a bold step forward in 2018 by creating the Opioid Toolkit for Em- ployers. This toolkit is de- signed to empower Ohio’s businesses with the know- ledge and tools necessary to address opioid-related issues effectively. The Alkermes Inspiration Grants Program Alkermes, a biopharma- ceutical company with a profound commitment to addressing unmet needs in the field of behavioral heal- th, has been a trailblazer in the fight against opioid ad- diction. Through their Ins-

piration Grants program, Alkermes supports initiati- ves aimed at making a tan- gible impact on the opioid epidemic. The program pro- vides grants to organizations that are working diligently to address the multifaceted challenges posed by opioid addiction. In September of 2023, the Ohio Chamber of Commer- ce Research Foundation was honored to receive an Alkermes Inspiration Grant, signifying a significant vote of confidence in its mission to combat opioid addiction within the workplace. This grant would prove instru- mental in furthering the foundation’s work, enabling it to enhance its Opioid Toolkit for Employers signi- ficantly. The Opioid Toolkit for Employers: A Beacon of Hope The Opioid Toolkit for Employers program, deve- loped by the Ohio Cham- ber of Commerce Research Foundation in collaboration

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Looking Ahead The Alkermes Inspiration Grant has marked a signifi- cant milestone in the jour- ney towards a healthier, opioid-free Ohio. As the Ohio Chamber of Commer- ce Research Foundation continues to enhance and expand its Opioid Toolkit for Employers, the impact of this initiative will reso- nate far beyond individual workplaces. It serves as a beacon of hope for those struggling with addiction, a testament to the power of collaboration, and a remin- der that, together, we can make a difference. In the coming months and years, as the toolkit reaches more employers and employees, the ripple effects of this initiative will be felt throughout the sta- te. By working together, or- ganizations like Alkermes and the Ohio Chamber of Commerce Research Fou- ndation are not only crea- ting positive change within their communities but also setting an inspiring exam- ple for others to follow in the fight against opioid ad- diction. The journey towards a healthier, opioid-free Ohio continues, and thanks to the partnership between Alkermes and the Ohio Chamber of Commerce Research Foundation, the path forward is illuminated with hope and possibility.

with Working Partners® and Anthem, is a comprehensi- ve resource that equips em- ployers with the necessary tools to address opioid-rela- ted challenges within their organizations. The toolkit features an 8-module course that pro- vides guidance on identi- fying, responding to, and resolving opioid addiction issues in the workplace. The toolkit’s objectives are am- bitious, including raising awareness, promoting pre- vention and early interven- tion, improving workplace safety and productivity, and enhancing corporate social responsibility. What sets this toolkit apart is its practicality. It doesn’t just raise awareness; it provides actionable steps that employers can take to make a meaningful diffe- rence. In doing so, it fosters a culture of compassion, su- pport, and action within the workplace. Alkermes Grant: Fueling Progress The Alkermes Inspiration Grant has played a pivotal role in advancing the Opioid Toolkit for Employers pro- gram. It has provided the necessary resources to up- date and expand the toolkit, ensuring that it remains re- levant and effective in ad- dressing the ever-evolving challenges posed by the opioid epidemic. The grant has allowed the

Ohio Chamber of Commer- ce Research Foundation to bring together experts, re- sources, and technology to create a more comprehen- sive and accessible toolkit. This includes video content, interactive resources, and up-to-date information on opioid addiction trends and legal changes. Empowering Employers, Transforming Lives At its core, the Opioid Toolkit for Employers is about more than just equi- pping businesses with re- sources; it’s about transfor- ming lives. By empowering employers to take proactive measures against opioid ad- diction, this toolkit is crea- ting healthier workplaces, stronger communities, and ultimately contributing to the overall well-being of em- ployees and their families. Through educational ini- tiatives, practical guidance, and a commitment to cor- porate social responsibili- ty, employers are not only better prepared to address opioid addiction but also play an active role in the broader effort to combat this crisis. As the opioid epi- demic continues to affect countless lives, the Ohio Chamber of Commerce Re- search Foundation, with the support of the Alkermes Inspiration Grant, is leading the charge for change wi- thin the business communi- ty.

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On Independence Day, Governor Mike DeWine signed into effect the state’s two-year, $191 billion operating budget. This was the culmination of over six months’ worth of meetings, hea- rings, and countless bill drafts and amendments. At all stages of this process, the Ohio Chamber of Commerce’s Government Affairs team remained engaged, including testifying before both the House and Senate Finance Committees, speaking with legislative leaders and members of the DeWine Administration, and submitting comments to the joint conference committee. Overall, the Ohio Chamber enjoyed a favorable state operating budget, with six of the OCC’s ten Policy Priorities designated at the start of the Ohio General Assembly addressed in the final budget language. In addition to these policy priorities, a major initiative the OCC both authored and facilita- ted was an amendment to eventually extend JobsOhio’s liquor franchise by 15 years. JobsOhio currently has 15 years remaining on its original 25-year franchise, and this extension will equip JobsOhio with increased capacity to compete for more economic opportunities, longer-term agreements, and more aggressive incentives. Under this language, the state and JobsOhio will now enter into an extension agreement which must then be approved by the State Controlling Board. Of the OCC’s ten Policy Priorities established back in January, here are the six that were enac- ted in the state operating budget: • Senate Bill 1/House Bill 12 – The budget includes this OCC priority legislation, which restructures both the Ohio Department of Education and State Board of Education to provide stronger emphasis on workforce skills and career readiness. Under SB 1, the Department of Education will become a state-level agency called the Department of Education and Workforce (DEW) and will consist of two divisions: the Division of Primary and Secondary Education, and the Division of Career Technical Education. We are especially excited to see career tech finally elevated to the same level as traditional K-12, as we need to prioritize both to help our youth reach personal fulfillment while equipping them with the necessary skill sets for our modern workforce. OHIO CHAMBER OF COMMERCE BUDGET RECAP Throughout our budget conversations with Chamber members & policymakers, our driving force has continued to be our Blueprint for Ohio’s Economic Future. The Blueprint is a constructive look at policy areas where Ohio can better capitalize on opportunities and position itself as a leader in the coming decade.

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• Innovation Hubs – Ohio’s original Innovation Districts have incentivized new research and development, created tens of thousands of new jobs and STEM graduates, and have generated billions in annual economic impact. This model will now expand to multiple mid-sized Ohio metropolitan centers, new industries, and new private sector partners to attract increased investment in Ohio. Many communities are in varying stages of pulling together cooperative efforts and financial commitments among regional businesses, higher education, and economic development partners, and the budget provides $125 million to convene these Innovation Hubs. • Ohio Workforce Housing State Tax Credit Program – With Ohio’s housing shortage among the most pressing of workforce challenges, the OCC was pleased to see adoption of the DeWine/Husted Administration’s proposed low-income housing tax credit (LIHTC) to create approximately 4,700 affordable housing units over four years. The OCC had advocated for the House’s more robust version, but believes the final version is a first start and, when coupled with the budget’s other housing incentives, will start chipping away at this critical problem. Other OCC-supported housing incentives which, when combined with the state LIHTC, total a $250 million effort to grow Ohio’s housing stock, include: • A single-family housing development tax credit proposed by the Administration. • The creation of income tax deductions for home purchasing savings accounts. • The Senate’s Welcome Home Ohio programs and appropriations, which will allow Ohioans to make needed renovations/updates to single-family homes (particularly to convert rental homes to permanent housing). • An increased signature threshold for placing township zoning referendums on the ballot from 8% to 15% - this is problematic especially in Central Ohio, where several new housing projects have been throttled locally and even overturned after going through the normal zoning process. • Streamlining of Ohio’s Administrative Code - The DeWine/Husted Administration’s “Innovate the Code” initiative will reduce up to one-third of the Ohio Administrative Code through the targeting of duplicative provisions, outdated sections, and unnecessary requirements. The OCC highly supported inclusion of the “Innovate the Code” initiative under the Senate-passed budget and was glad to see it in the final draft. • Promotion of Computer Science Offerings - Ohio’s economic competitiveness is contingent upon a technology-proficient workforce prepared with the skill sets for jobs that have yet to even be invented. Unfortunately, approximately 50% of Ohio’s public-school districts have zero offerings of Computer Science (CS) courses at the high school level. The budget extends the computer science licensure exemption and contains $8 million for the Teach Computer Science program for coursework, materials, and exams – both initiatives will professionall develop more CS teachers. Additionally, the budget contains the Computer Science Promise Program, to provide in-school and virtual CS course offerings for more Ohio students.

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• Age Extension for Medicaid Buy-In for Workers with Disabilities (MBIWD) Program – This was an OCC-proposed amendment inserted early in the budget process by the Ohio House, which eliminates a benefits cliff forcing able-bodied Ohioans with developmental disabilities to retire prematurely at age 65. Lifting this age cap will now allow disabled Ohioans 65 and older to continue working and earning a living, while paying a monthly amount to receive their needed Medicaid coverage. Additional enacted measures for which the Ohio Chamber successfully testified and lobbied re- peatedly during the budget process include: • Pole Replacement and Undergrounding Program - Our state’s ongoing investments in broadband expansion are noteworthy, but in many areas this deployment is dependent upon replacement of outdated poles, construction of new poles, and assorted other make-ready costs involved with accommodating this infrastructure along utility routes. The budget contains a measure the OCC pushed for, an appropriation of $50 million to create the Ohio Broadband Pole Replacement and Undergrounding Program. These funds are critical, as the size and scope of this needed work is delaying broadband construction in many areas. In our conversations with assorted broadband providers, the Ohio Chamber has learned that at least one has identified 57,000 poles in need of work with an average cost per pole of $3,500 – so there is much work still left to do. • All Ohio Future Fund - Replenishing Ohio’s inventory of large sites will bring economic opportunities to more areas. Site development costs to bring roadways, water, sanitary sewer, electric, natural gas, telecommunications, and broadband access are steep, but significantly enhance the marketability of communities outside of our metro regions while bringing immediate spillover benefits to residents and businesses in those areas. Governor DeWine’s initial budget proposed $2.5 billion to prepare infrastructure for economic development sites and to ensure all Ohioans reside within commuting distance of at least one such site. This figure was ultimately reduced to $667 million in the final budget. • Post-Secondary Financial Aid - The “Governor’s Merit Scholarship” is a new, targeted measure to keep our brightest students in-state while equipping them with the financial means to continue their learning pathways. The awards involve individual merit- based scholarships of $5,000 per academic year to students in the top 5% of their high school’s graduating class, for up to four academic years at a public or private institution of higher education. This type of financial assistance, combined with the increases to Ohio College Opportunity Grant (OCOG, which is the state’s need-based tuition assistance tool), place Ohio on a trajectory to compete with Michigan and Indiana, both of which offer robust financial aid to grow their talent bases. • Municipal Net Profits Tax Safe Harbor - This was another standalone bill the OCC had been working on (House Bill 121), which allows businesses with remote/hybrid employees or owners to elect to use a modified apportionment formula. It provides the following: when an employee or owner works at a remote workstation, the business may elect to apportion any property, payroll, or sales (gross receipts) attributable to that employee or owner to a designated location owned or controlled ether by the business or one of its

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customers. This relieves many businesses of substantial compliance costs. This only applies to the net profits tax and does not impact the withholding tax. • PILOT Extension for Renewable Energy Projects - Since 2010, Ohio’s permissive PILOT (Payment in Lieu of Taxes) mechanism for counties has spurred significant private investment in renewable energy development and brought significant new tax dollars to Ohio’s communities. The General Assembly extended the PILOT for four years and reduced the required ratio of Ohio-domiciled full-time equivalent employees on a new qualified clean energy project from 80% to 70%. • Newborn Screening for Duchenne Muscular Dystrophy - The budget added Duchenne Muscular Dystrophy – a rare and fatal pediatric disease – to Ohio’s Newborn Screening panel. Not only does increased access to preventative care lead to healthier outcomes, in this instance it will delay or outright halt the terrible manifestations of this disease. Big pharmaceutical companies such as Sarepta Therapeutics, with operations in Central Ohio, are leading the way with innovative research, development, and deployment of gene therapies to treat Duchenne, improve quality of life, and extend lifespans. Our Blueprint calls for eliminating disparities among at-risk communities, and the broad adoption of newborn screening for Duchenne shortens the time to diagnosis, helps close the gap in racial and ethnic disparities, and empowers families to make earlier and better-informed treatment decisions. The provision of this lifesaving screening also encourages and enables more biopharmaceutical companies to make private investments in Ohio-based facilities and faculty. An additional item worth mentioning relates to the Commercial Activity Tax (CAT) exemptions enacted in the final budget. At the request of Ohio Senate leaders, the OCC was asked to weigh in on their proposal to cut the Commercial Activities Tax (CAT). The OCC suggested an approach, which was ultimately adopted, of a phased exemption from the CAT for taxable gross receipts of $3 million or less in FY24, and taxable gross receipts of $6 million or less in FY25. The exemp- tions will provide tax relief to all businesses paying the CAT and, when fully implemented, will eliminate the CAT for approximately 90% of all Ohio businesses, or 145,000 of the current 163,000 CAT payers. The Legislative Budget Office projects the exemptions will reduce CAT receipts by about $238 million in FY24 and $460 million in FY25, amounting to $698 million total in CAT tax relief over the biennium. The Ohio Chamber applauds both the DeWine Administration and the Ohio General Assembly for the numerous investments in this budget to make Ohio a safe and vibrant destination to live, work, study, raise a family and operate a business. As we transition to the autumn legislative session, our Government Relations team is already working with legislators on standalone bills that align with the Blueprint or address areas that fell short in the budget. Stay tuned to our Legislative Update emails for future updates on our efforts. Given our policy wins in the state budget, we will also update and publish a revised list of our top ten policy priorities. As always, if you have any questions, comments or concerns about any of the measures within the state ope- rating budget and how they may impact your business, please contact our Senior Vice President of Government Affairs, Rick Carfagna, at rcarfagna@ohiochamber.com.

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AUTOIMMUNE SUPPORT FOR SMALL BUSINESSES

I’ve tried a lot of programs. What’s different about this one? AndHealth’s autoimmune disease-specialized phy- sicians uncover your root cause(s) using comprehen- sive labs and assessments. A treatment plan is then prescribed considering environmental factors, beha- viors, and genetic predisposition. You will also work closely with your AndHealth coach on lifestyle factors like stress, sleep, nutrition, and movement that most impact your root cause(s). After six months of working with her AndHealth care team, one RA patient began riding her bike again for the first time in years. I am super busy. How much time does this take up? The AndHealth program is customized to fit into any patient’s life, no matter how busy they are. Our team works with you to identify small, easy actions that fit into your life to build new habits geared toward disease reversal. And because our visits can be done virtually through our app, we can meet you wherever you are, whenever you need. AndHealth’s program is available to anyone 18+ covered by the Ohio Chamber Health Benefit Pro- gram’s medical benefit. If you or anyone you know covered by the medical benefit suffer from one of these conditions, please email enrollment@andheal- th.com for more information. “This is how all healthcare should be.” — AndHealth autoimmune program patient

The Ohio Chamber Health Benefit Program has partnered with AndHealth, a specialized digital heal- th practice, to offer care for patients who are taking a biologic medication for their autoimmune condi- tion, including rheumatoid arthritis (RA), psoriatic arthritis (PsA), psoriasis, and ankylosing spondylitis. No matter where you are on your health journey — in daily pain or remission — AndHealth offers perso- nalized treatment to address the root causes of your condition. The program includes: • A dedicated care team including experts in root cause and lifestyle medicine, rheumatology, clinical pharmacy, nutrition, mental health, and behavior change • 1:1 health coaching, giving unprecedented support through health-journey challenges • Personalized nutritional plans, supplements, and tailored meals delivered directly to you when appropriate • An Oura ring to support data -driven decision-making and better health outcomes • Virtual care via a custom app,optimal for busy people I am happy with my medication and provider. Can I keep them? AndHealth can collaborate closely with your cur- rent care provider, supplementing any care that is already being received. Multiple specialists have reached out to AndHealth to learn more about the program after their patient’s symptoms went into remission. You can continue your current drug regimen, but AndHealth’s providers can also optimize medica- tions. AndHealth also has a team of healthcare ex- perts that can help you find payment assistance for large co-pays to reduce cost burden.

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UHC Health Plan Participants Have No-Cost Health Engagement Nurse Resource

Health care is more complex than ever. Where can employees go for support with health goals, health conditions or a better understanding of United Healthcare tools & resources? Fortunately, we have solutions to help!

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The new health engagement nurse Michele Adams relays, “Over the past 30 years I have worked in health care there has been incredible innovation, but also complexity. As a consu- mer myself, I know it can be overwhelming! Most patients can benefit from what I do to guide them in the right direction to obtain the best care at the lowest out-of-pocket cost.” A few examples OCHBP plan members can discuss with Michele:

The Ohio Chamber Health Be- nefit Program® (“OCHBP”) is tailo- red specifically for Ohio busines- ses with 2-50 employees. Members may be able to save up to 25% 1 on self-funded health plans, while gi- ving employers the ability to offer health plan benefits that rival those of larger companies. This includes lower health care costs and more access to quality health care pro- viders to help meet the needs of your employees. PPO plans offer some of the richest benefits for the most utilized services which inclu- de $15 PCP visits, $0 kid copay, free virtual visits, and $25 copays for urgent care visits. Plus, you get ac- cess to the UnitedHealth Premium® Program which makes it easier for your employees to find quality care at a lower cost. UnitedHealthcare’s Premium designation recognizes select providers who meet 240 mea- sures of quality and cost efficiency. In partnership with the Ohio Chamber, UHC is providing a dedi- cated nurse resource to members of the OCHBP at no added cost. To- gether, we can help you, and your employees, increase health litera- cy, assist in navigating the health care system, maximize UHC be- nefits and improve overall health. The goal of this program is to help patients and their families manage their health conditions for optimal clinical outcomes. (PHOTO)

• Lifestyle goals like weight loss, physical activity, and nutrition improvement

•Chronic condition management like diabetes, hypertension, and asthma

• Disease prevention and wellness promotion

• UHC health resource education and referrals

To learn more, contact your health engagement nurse Michele Adams at 614-632-4172 or michele.adams@uhc. com for non-emergent health questions and concerns. All personal health information will be protected in accordan- ce with HIPAA. No personal health information will be shared with your employer.

1 Savings based on Q1 2020 UnitedHealthcare internal analysis for ave- rage price comparison between UnitedHealthcare plans in Ohio.

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Medicare Support for Ohio Employees Finding the right Medicare plan is crucial for American seniors. A 65-year-old couple retiring in 2021 would expect to spend an es- timated $300,000 on healthcare expenses throughout retirement, not including long-term care costs. Since then, the cost of healthcare in America has only risen. Medicare is a crucial decision for employees in all different si- tuations. Employees turning 65 or older must evaluate whether to stay on their employer insurance or enroll in Medicare. Employees at companies with fewer than 20 employees are required to sign up for Medicare. Finally, employees who plan to retire soon must find the right Medicare coverage that fits into their financial plan. This article aims to provide a brief overview of the program and resources to help your team navigate their Medicare journey. What is Medicare? Medicare is a federal health insurance program designed to pro- vide healthcare coverage for individuals aged 65 and older, as well as certain younger individuals with disabilities and those with En- d-Stage Renal Disease (ESRD). Established in 1965 under Title XVIII of the Social Security Act, Medicare helps millions of Americans cover their healthcare costs during retirement. Medicare consists of a few different parts. Part A is hospital care, Part B is out-patient medical care, like doctor’s visits, and Part D is drug coverage. There is a Part C (also called Medicare Advantage), which bundles these three parts together. Each part of Medicare has a cost. Most Americans don’t pay any-

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thing for Part A, but must pay a pre- mium for Part B that depends on their income. Together, Part A and B are cal- led “Original Medicare.” Part D is op- tional and must be purchased separa- tely from Original Medicare. Choosing the right Medicare plan Finding the right Medicare plan isn’t easy. American seniors must navigate the thousands of different Medicare options and understand the right en- rollment periods to avoid late penal- ties. As a result, many Americans rely on Medicare brokers to help them with their choice. However, this doesn’t always work out. Most American seniors have access to over 50 Medicare options — but on 80% of Medicare calls, the insurance broker presented only one. The Medicare industry is fraught with misleading advertisements and dishonest brokers who serve as agents of insurance carriers rather than advo- cates of consumers. As a result, many Americans choose Medicare plans that aren’t right for their situation. When selecting a plan, it’s impor- tant to compare the costs, including premiums, deductibles, copayments, and coinsurance. Also, it’s important to consider the plan’s out-of-pocket maximum to understand the potential financial exposure. Medicare assigns star ratings to Me- dicare Advantage and Part D plans based on factors like customer satis- faction, clinical outcomes, and plan performance. It’s important to review the star ratings when comparing plans to ensure you select one that is high quality. In other words, not all plans are

made equal. That’s why it’s important to compare all your options to find the right one. Supporting Your Employees The Ohio Chamber of Commerce has partnered with Chapter, an inde- pendent Medicare Advisor, to provide unbiased, comprehensive Medicare guidance to Ohio seniors who are eligi- ble for Medicare. Unlike most Medica- re brokers, Chapter’s advisors compare every Medicare plan, not just the ones that pay them the most. The Medicare open enrollment pe- riod is coming up, which takes place every year from October 15th to De- cember 7th. During this time, Medica- re enrollees can change their Medicare Advantage or Part D plan, switch be- tween Original Medicare and Medica- re Advantage, or join a Part D plan if they haven’t already. Chapter is also a helpful resource for employees who do not have Medicare yet but who are or will soon become eli- gible. Chapter Advisors will walk them through the sign up process, evaluate all of their coverage options, and ensu- re they find coverage that keeps their preferred providers in network while minimizing costs and maximizing any other benefits. If you’re interested in supporting your Medicare-eligible employees during this year’s open enrollment, reach out to occ@getchapter.com or find them on our website listed under “Member Savings.” They can host Me- dicare webinars for your team, provide you with email templates and educa- tional materials to send to your em- ployees, facilitate 1-1 consultations, and provide any additional support you need on Medicare at no cost to you or your team.

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CHAMBER AWARDS

We are proud to report that 2023 has marked another busy and successful year at the Ohio Chamber of Commerce. We have seen continued, aggressive growth in both membership numbers and the services and programs offered by the Ohio Chamber. All of this hard work and growth by the Chamber team has received notice, winning the Chamber and staff multiple awards over the past few months. OHIO CHAMBER WINS MULTIPLE AWARDS FOR GROWTH

ASSOCIATION OF STATE CHAMBER AWARDS

E very year, Chamber leadership from across the country convene for the Association of State Chamber Professio- nals (ASCP) Conference. The 2023 NASC-ASCP Conference was held in Alaska and we are proud to report that the Ohio Chamber was the recipient of a few notable awards, including Greatest Growth in Total Revenue – Honorable Mention, Greatest Growth in Membership Dues, and the ASCP Membership Development Excellence.

COLUMBUS BUSINESS FIRST AWARDS

In addition to the ASCP awards, two Chamber staffers were recently honored by Columbus Business First for their leadership and outstanding service to the community. Ohio Chamber CEO Steve Stivers received the Most Admired CEO Award as part of the 2023 C-Suite Awards. Stivers has been the CEO at the Chamber since May of 2021. Prior to this position, he served as the Congressman for Ohio’s 15th Congressional District for over a decade and as a major general in the Ohio Army National Guard. Additionally, Natalie Pantalos, Chamber Director of External Relations, received the Community Champion Award as part of the 2023 Women of Influence Awards Ceremony. Pantalos has been with the Ohio Chamber since January of 2022. In addition to her position with the Chamber, Natalie also serves our country in the Ohio Army National Guard and volunteers at the National Veterans Memorial and Museum. Congratulations to Steve and Natalie. We appreciate all your efforts to grow the Chamber and make Ohio the best state in the nation in which to do business!

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Chamber Member WM Showcases Latest Advances in Landfill Technology

The Ohio Chamber was proud to recently join Chamber member Waste Management (WM) and State Senator Tim Schaffer (R-Lancaster) for a site visit to WM’s Suburban Landfill facility in Perry Coun- ty. The site originally opened in 1992, encompasses 1,158 acres, employs 13, processes approximately 320,000 tons of waste materials annually, and is projected to have 90 years of life remaining. Both the OCC and Sen. Schaffer, who chairs the Senate Agriculture and Natural Resources Committee, got a firs- thand glimpse of how massive and scenic the landfill is, and learned how the facility is engineered with environmental protection systems that meet or exceed government regulations. These systems, which include engineering liners and covers, leachate collection and removal, and gas collection and control, are also subject to highly regulated monitoring and reporting requirements. WM’s Suburban Landfill operations are a proud example of not just responsible waste disposal, but also unsung energy generation. At Suburban Landfill, the landfill gas is actively extracted using 160 combined wells and converted to electricity in their landfill gas-to-energy plant. This energy is then distributed onto South Central Power’s grid, providing enough energy to power over 2,000 Southeastern Ohio homes. By harvesting this natural gas from decomposing waste, WM is producing electricity that contributes to grid stability and provides yet another diverse element to Ohio’s energy portfolio. As always, the Ohio Chamber welcomes the opportunity to connect our Chamber members with area legislators for an operational tour and to help them understand the economic impact of our member bu- sinesses. If you are interested in having the Chamber organize such a visit, please contact Adam Rapien, our VP of Political Engagement, at either (614) 629-0929 or arapien@ohiochamber.com.

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STATUS SOLUTIONS

Empowering Education: The Status Solutions Network Revolution

Students Teachers Have A Right to Feel Safe According to the United States Government, all children are entit- led to a free and appropriate edu- cation. Status Solutions takes that one step further and believes that all children are entitled to feel safe while getting that free and appro- priate education. So what prevents this from happening? What keeps schools from having appropriate situational awareness and the te- chnologies available to keep their students and teachers safe? The answer is always money. But what if money didn’t have to be a barrier? What if the way we thought about things was flipped on its head? and What if in the same way that all citizens have free use of Google, network television, and AM/FM radio because businesses paid to be advertised on those platforms, schools also had free use of situa- tional awareness safety technolo- gies because businesses paid to be advertised on those platforms? Enter the Status Solutions Network (SSN) An offshoot of Status Solutions, a 22-year veteran of groundbreaking situational awareness technolo- gies, Status Solutions Network is a franchise opportunity designed with the sole purpose of funding safety measures for schools.

accepting the Grant of Use, the dis- trict becomes a member of the Sta- tus Solutions Network. Meanwhile, a local entrepreneur runs the Status Solutions Network franchise in that district’s area. By selling memberships to local businesses in exchange for being listed on the Network Directory, this franchisee creates a commu- nity of like-minded businesses who are supporting and protecting their local schools by creating a sustainable funding model. Fif- ty percent of all SSN membership sales go right back to the local

It works like this: a local school or district agrees to accept the Sta- tus Solutions Grant of Use. This provides the district with SARA, our automated and customized alerting engine that integrates life safety, security, and environmen- tal controls. Principals, teachers, and other personnel will recei- ve real-time information about any possible threat or disruption from situations as extreme as an intruder to medical emergencies and even mundane things like custodian support. The solution is completely customizable to meet each building’s unique needs. By

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