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Lead Paint Contamination and Resources for Ohio Landlords

Client Alert

Every day, children in the United States are exposed to lead-based paint, which was used in most homes until it was banned in the US in 1978. The World Health Organization states that lead poisoning “can severely damage the brain and central nervous system causing coma, convulsions and even death.” Children who survive lead poising are often burdened with lower IQ, behavioral issues, poor school performance. They often find themselves in a cycle of poverty and violence. Although lead poisoning that results from paint accumulates over time and is entirely preventable, the childhood lead crisis continues to plague many, especially those in low-income households. 

Cleveland, Ohio, where my national health law practice is based, is one of the most severely impacted cities in the US. News outlets have reported that about 90% of Cleveland’s home were built prior to 1978. The lead paint dust settles into the air and on surfaces where it is picked up by children. In fact, the Cleveland Department of Public Health reports that approximately 1,500 kids in Cleveland alone are poisoned every year. But the problem is also national and even global. The Institute for Health Metrics and Evaluation has found that more than 1.5 million deaths globally were attributed to lead exposure in 2021. 

Federal, state and local governments are all increasingly focused on addressing this public health crisis. For example, in 2019, Cleveland passed an ordinance imposing requirements on landlords to pay for private inspections of lead and secure lead-safe certificates. Further, Cleveland has imposed requirements that disclosures are made to renters and homebuyers if a home has an identified lead hazard. 

In our experience, it is clear that many landlords are not aware of or are not following these requirements. Buyers of Cleveland properties have been victims of fraud and misrepresentation with respect to identified lead hazards. Landlords often realize that their insurance policies will not cover lawsuits or damages resulting from lead contamination. Ambiguities in the Cleveland interpretation of its requirements as well as challenges in the administration and enforcement of the laws have posed a challenge even for the most responsible and well-intended landlords who want to ensure that their properties do not endanger residents. Lead remediation is very expensive, and it takes work for landlords to identify potential sources of funding at the federal, state, and local level. 

We urge property owners and landlords to educate themselves about not only the lead crisis itself but also the federal, state and local regulations and resources. Further, we urge them to reach out and ask for help from advisors, such as our firm, and also from governmental agencies and community groups that can provide guidance. Landlords must act now to mitigate their own liability, afford themselves of available resources, and be part of the solution to this complex problem.

If BMD can be of any further assistance with respect to lead-safe regulations, financial assistance, liability, or related considerations, please feel free to reach out to Kate Hickner at kehickner@bmdllc.com or 734.945.3293.    


Effective December 12, 2024: Key Updates to Ohio Medicaid Rules for CPC and CMC Programs

Ohio Medicaid has amended rules for the Comprehensive Primary Care (CPC) and Comprehensive Maternal Care (CMC) programs, effective December 12, 2024. Key updates include expanded provider eligibility, stricter cultural competency training timelines, new clinical quality metrics, and changes to maternal care requirements.

Ohio Medicaid Extends Timely Filing Deadline Until 2025

The Ohio Department of Medicaid (ODM) recently announced that it is extending its timely filing deadline to February 28, 2025. According to ODM, roughly 2% of providers have contract issues preventing them from meeting the previous timely filing deadline of December 1, 2024.

Another Drug Manufacturer Pursues Rebate Program as 340B Alternative

Some of the nation’s largest drug manufacturers are forging ahead to implement rebate programs for 340B drugs, even after the federal government has called these programs illegal. While it is unclear how these federal courts will rule, this could threaten the sustainability of safety net providers and their patients.

Hurry Up, STOP. . .Has CTA Been Struck Down By Courts?

Following a recent case in Texas, uncertainty has arisen regarding whether clients should file "beneficial owners" reports. This is a result of the Federal Government enjoined from enforcing the CTA. Contact your BMD Member Blake Gerney to find out how this affects you.

DEA and HHS Issue its Third Extension of Telemedicine Flexibilities through 2025

The DEA and U.S. Department of Health and Human Services (HHS) have extended telemedicine flexibilities for prescribing controlled medications through December 31, 2025. This extension builds on temporary exceptions made in 2020 due to COVID-19, allowing providers to prescribe Schedule II-V controlled substances based on a telemedicine evaluation alone. The extension ensures continued patient access to necessary prescriptions and provides time for providers to comply with future regulations.