What Changes Are Being Made to Social Assistance Benefits: A Community Perspective on the Impact of these Changes. Table of Contents I. Background on Provincial Budget Cuts to Social Assistance …………….. 3 Cap on health and non- health related discretionary benefits.………... 4 Community Start-Up and Maintenance Benefit (CSUMB)….……….. 5 Home Repairs Benefit………………………………………………… 6 Schedule A: list of discretionary benefits currently available……….. 7 II. Community Meeting on June 21, 2012………………………………….. 8 III. Potholes or People: What the changes mean for people on Ontario Works and Ontario Disability Support Program……………………… 10 Group Discussion Report……………………………………………... 10 Health Benefits…………………………………………………………10 Children and Families………………………………………………… 12 Travel and Transportation Benefit……………………………………. 14 Housing Supports/ Community Start-Up and Maintenance Benefit…. 15 IV. Conclusion……………………………………………………………….. 17 V. Next Steps………………………………………………………………… 17 VI. Sources………………………………………………………………….. 18 I. Background on Provincial Budget Cuts to Social Assistance The Ontario Provincial Budget 2012 contains the largest reductions in benefits to people on social assistance since the Liberals first formed the government in 2003. While an extra $55 million is being added to monthly benefit rates, approximately $133 million annually is being removed from direct benefits to people on Ontario Works (OW) and the Ontario Disability Support Program (ODSP): $20 million as a result of the new overall cap on discretionary health and nonhealth related benefits, to take effect July 1, 2012; $110 million through the elimination of the Community Start Up and Maintenance Benefits (note: while 50% of CSUMB money is being transferred to municipalities, there is no guarantee that these funds will continue to be administered as direct benefits; in addition, the funds may be used to provide services to all low-income people, not only people on Ontario Works and ODSP); $3 million from the elimination of the Home Repairs Benefit. This means a net reduction of $78 million in direct benefits, which will have serious implications for people on OW and ODSP. It will undoubtedly mean that the government will not meet its target of reducing child and family poverty by 25% by 2013, as promised in Ontario’s Poverty Reduction Strategy. “Cutting these benefits will push people further into poverty, isolation and segregation.” -quote from Community Meeting, June 21, 2012 3 The effect of the cap will be different depending on what each municipality decides to do in response. Cap on health and non- health related discretionary benefits Budget 2012 announced changes that will replace the previous provincial funding formula for health and non-health related discretionary benefits delivered through Ontario Works and the ODSP. Those health-related benefits that are currently provided to people on ODSP will continue to be delivered as a mandatory benefit without change. Health-related benefits are costs like basic dental services, eyeglasses, and hearing aids for adults, as well as funerals and burials. Non-health related benefits are for items like transit subsidies and recreational subsidies for children. (See Schedule A on page 7 for a complete list of discretionary benefits currently available in Peterborough and the projected 2012 budget amount for each). The new cap on the amount of money the province gives to municipalities means that municipalities will either have to dramatically increase their own financial contribution to benefits or reduce the benefits that are provided. The provincial government expects to save about $20 million annually with the new funding cap. The effect of the cap will be different depending on what each municipality decides to do in response. Joint Services Committee of Peterborough City and County has recommended that that the two municipalities pick up the $314,000 short fall in provincial funding through to the end of the 2012. Furthermore, as part of their budget decision-making in the fall, local municipal governments will have to deal with the estimated cut of $920,000 in provincial funding for discretionary benefits going forward in 2013. “I’m diabetic and on ODSP. I needed discretionary benefits to pay for a special boot because I have ulcers. The boot costs $600 and is not covered by ODSP health benefits. If I didn’t have the boot I would lose my foot, and then the costs to the health care system would be ridiculously high.” -quote from Community Meeting, June 21, 2012 4 Community Start-Up and Maintenance Benefit (CSUMB) ends January, 2013 The Provincial government will end the CSUMB as of January 1, 2013. This is going to have a serious impact on families who rely on social assistance for income support. CSUMB is a mandatory benefit that is used to help families pay for the initial costs of establishing a new home (last month’s rent deposit, heat/hydro deposits, moving costs, furniture and other necessities) and/or to pay costs to prevent eviction or disconnection of heat or utilities. Currently, about 16,000 Ontario Works and ODSP recipients across the province rely on CSUMB every month to pay for costs like these. CSUMB is a mandatory benefit. Because CSUMB is a mandatory benefit, a decision denying CSUMB funding can be appealed to the Social Benefits Tribunal. CSUMB funds are intended to help families either set up a new home or keep the home they have. It makes sense that any decision to deny these funds should be subject to review. CSUMB has been important for families on Ontario works and ODSP in Peterborough City/County. In 2011 local families on Ontario Works received $1.97 million in CSUMB. A further $0.83 million in CSUMB was paid to ODSP recipients. Of the total $2.8 million provided in CSUMB, $270,000 was funded by the Municipality. The Municipality has not decided what it will do to replace the CSUMB, or what it will do with the savings that it will have ($270,000) as a result of the elimination of the benefit. The Provincial government has said that half of the $110 million that currently goes to CSUMB (or about $55 million) will be moved to the Ministry of Housing and folded in with funding from five other programs, which were already slated to be consolidated under the government’s Long-Term Affordable Housing Strategy. The new consolidated money will be given to municipalities to fund housing and homelessness programs for all low-income people. New criteria for the way municipalities will deliver these programs have not yet been created. The reduced funding will not be part of the social assistance program, and so decisions denying funding will not be appealable. “Rates are too low to cover even rent and food. The term ‘discretionary benefits’ is misleading - really they should be called ‘necessary benefits’.” -quote from Community Meeting, June 21, 2012 5 Home Repairs Benefit ends January, 2013 The Home Repairs Benefit will also be cut as of January 1, 2013. It helps people pay for things like emergency plumbing repairs, patching a leaky roof, or repairing damage from fire or floods, but only if there’s no other source of funds that people can use. The $3 million for this benefit is not being moved into the Ministry of Housing. “I have bedbugs and it is horrible. I can’t throw out my bed because I am still paying on it.” -quote from Community Meeting, June 21, 2012 6 Schedule A Benefit and/or Service 2012 Projections 1. Basic Dental Services for OW adults and ODSP dependent adults $579,431 2. Dentures $183,288 3. Vision care for OW adults and ODSP dependent adults $160,591 4. Prosthetic Appliances $66,227 5. Hearing Aids and Batteries $8,142 6. Travel and Transportation $453,957 7. Basic funeral and burials services $213,011 8. Baby supplies and equipment $70,536 9. Paternity Testing Included in #14 10. Prescription Drugs $13, 712 11. Moving and storage costs $3,800 12. Home repairs for OW families who own their own homes $3,790 13. Vocational Training N/A 14. Birth verification $4,080 15. Replacement or repair to fridge or stove $18,658 16. Replacement of household contents in an emergency situation Combined with #15 17. Rent deposits $2,738 18. Heat and Utility deposits or payment to prevent $5,779 eviction or disconnection of services 19. Recreation and social activities subsidies for children $162,699 7 II. Community Meeting on June 21, 2012 Reducing and alleviating poverty has been the focus of collaborative initiatives by the Peterborough Poverty Reduction Network (PPRN) and its partners, the Peterborough Community Legal Centre (Legal Centre), the Peterborough County-City Health Unit (PCCHU) and the Peterborough Social Planning Council (PSPC), among others. These partners have investigated the implications of the 2012 budget cuts to provincial funding of social assistance on Peterborough City and County. One indisputable implication is that over the upcoming months municipal governments will need to make key funding decisions for the balance of 2012 and going forward to 2013. Peterborough has a higher percentage of people on assistance than other municipality in the region, with 8.5% of local residents relying on social assistance compared to a provincial average of 6.9%. One of every 11 residents relies on social assistance for food, shelter and other important benefits relating to health care, dental care, transportation, and housing. There are relatively high levels of poverty in Peterborough City and County. The area has historically had a high percentage of households below the low income cut off (LICO). Given the critical importance of the benefits in question to the poorest residents in the community, it is essential that people who rely on Ontario Works and ODSP be asked how the cuts will affect them. Accordingly, any interested member of the public and agencies who serve people on social assistance were invited to attend a community meeting on June 21, 2012 to: hear how the province has reduced funding for important benefits; learn what the City and County of Peterborough are considering doing in response to the changes, and about the process for municipal decisionmaking; discover what provincial and local actions are taking place in response to the changes; have a chance to say what the changes will mean for people on Ontario Works and ODSP. 8 One of every 11 residents relies on social assistance for food, shelter and other important benefits relating to health care, dental care, transportation, and housing. Community Meeting on June 21, 2012, Cont’d: Seventy-five people attended the meeting at the Peterborough Public Library, representing 19 local agencies and various individuals with lived experience of Ontario Works and ODSP. As part of background presentations made at the beginning of the meeting, Martha Macfie, staff lawyer with the Legal Centre, told those in attendance that “Municipal government must make hard choices in the upcoming months about funding priorities for 2013 given the cuts.” She outlined how the ongoing upload of the municipal cost share of OW to the province has resulted in municipal savings that will increase each year until the upload is complete in 2018. Ms. Macfie pointed out that there is currently an estimated $3.5 million in the social services reserve fund, and asserted that the savings from uploading and the social services reserves could be used to offset the drop in funding from the province for social assistance benefits. John Coreno, Social Services Coordinator for the City of Peterborough, outlined the “Discretionary Benefit Report” that was presented by the City staff to the Joint Services Committee on June 14th, 2012. According to Mr. Coreno, the Committee’s recommendation was to continue the current range of Discretionary Benefits through to the end of 2012, which would require an increased cost to the City of $300,140 and $14,368 from the County. Joanne Bazak-Brokking, Co-chair of Peterborough Poverty Reduction Network’s (PPRN) Income Security Work Group, told those in attendance that the cuts “are plunging people deeper into poverty.” She also encouraged those in attendance to get involved in provincial campaigns aimed at refocusing the provincial government on its 2009 commitment to poverty reduction. “Municipal government must make hard choices in the upcoming months about funding priorities for 2013 given the cuts.” - Martha Macfie, staff lawyer with the Peterborough Legal Centre and Co-Chair of the Income Security Work Group 9 “We have to tell Council what to decide and not have them decide for us.” -quote from Community Meeting, June 21, 2012 III. Potholes or People: What the changes mean for people on Ontario Works and ODSP Group Discussion Report: In small groups people talked about what the impact would be of the various proposed changes to social assistance benefits. These were grouped into the themes of health, children and families, travel and transportation, and housing benefits. Each of these themes is presented separately. Health Benefits: Cuts to these discretionary benefits will hurt families on Ontario Works the most. Current coverage of some health items for people on ODSP is limited, and so getting discretionary benefits can be critical. A person who is poor may also be hungry, sick or homeless and bouncing from crisis to crisis. Expecting that person to go around and beg service clubs for money to cover health costs is not realistic. It is cruel. The charity model does not work. A lot of minimum wage workers don’t have drug or dental benefits. That is wrong. But it doesn’t help them to take these away from people on assistance who are even poorer and sicker. Dental, Vision, Hearing, Orthotics, Other: Loss of basic dental services for adults on Ontario Works will have a devastating effect on people. People won’t be able to find work, pay taxes or stay healthy. Good dental hygiene is important for healthy pregnancies. Cutting these benefits would result in short term savings but greatly increased long-term costs. These important health benefits should be covered because this will result in significant future savings to the healthcare system. “My doctor said I need a blood pressure cuff. ODSP would not cover it and sent me to Ontario Works. First OW said no, but they finally did cover it. This was very stressful.” -quote from Community Meeting, June 21, 2012 10 “I’m diabetic and need eye care... by taking that away they are sentencing me to blindness.” -quote from Community Meeting, June 21, 2012 Not having glasses or a hearing aid is a safety issue, both for the person who needs the appliances and for other members of the community. A person who cannot see or hear well will become isolated, insecure and depressed. Dentures: Without dentures, peoples’ health will deteriorate. When people can’t eat properly they have poor nutrition, and lack energy. Then they can’t look after themselves or their children properly. They can’t look for work. Right now there is only partial funding for dentures. One woman could not make up the cost and was going without teeth/dentures. It was affecting what she could eat and her overall health was in decline. Funeral and Burial Services: Removal of this benefit would be de-humanizing for poor families, who would be forced to leave bodies unclaimed so that the cost would be minimally covered as required by law. Even families of people who have plots purchased won’t use them, because of the cost of a funeral service. Prescription Drugs: Some people are only able to buy critical medications through discretionary benefits because they are not covered by the Ontario Drug Plan. Removing this benefit will raise the cost of other forms of health care that will result from inadequate treatment in the first place. Mothers won’t be able to get the prescribed, specialized formulas they sometimes need for their babies to thrive. How Will People Cope with the Cuts?: People who are resourceful will go to other agencies and services (e.g. churches, the Hearing Society, service clubs), and compete for scarce resources, but others will become more isolated and sick. “It seems like the government doesn’t think low income people care about how they look.” -quote from Community Meeting, June 21, 2012 “I am getting dental work done now. No one will hire me if I have rotting teeth.” -quote from Community Meeting, June 21, 2012 “OHIP should be covering dental.” -quote from Community Meeting, June 21, 2012 11 Access to recreation and other children’s services is vital to healthy families and necessary to combat growing rates of childhood obesity, diabetes and mental health problems. Children and Families: General Comments: Any cuts to child and family support will result in: more family abuse and domestic stress; more alcoholism and drug abuse; increases in crime; increased mental health stress and suicide; more family breakdown; the CAS will become increasingly involved and families will be disrupted; families will not be able to meet their children’s needs and purchase the supplies they need to look after them. These are basic necessities for new families. Recreation: Research has shown that physical activity greatly benefits a child’s physical and mental health. For every $1 invested in physical activity, there is a long-term saving of $11 in health care costs. The federal government has recognized the value of children’s sports and cultural activities – parents get a tax credit for money they spend of these things. Parents fear that if their children are unhealthy the CAS will step in. Parents fear that cuts to this funding will result in more youth crime. The community will have to turn to private sources of support, such as Jump Start and Kids Sport. Focus groups with parents in Peterborough have shown that very few parents know about these other programs. The YMCA no longer offers free memberships to low income residents, only subsidized memberships. Lack of access to recreation will create a downward spiral for kids. It can be their only opportunity to be expressive and to meet other kids from a variety of social groups. Instead they will be bored and/ or isolated and act out. 12 “Ontario Works said they would cut me off if I didn’t tell them who the father is. I don’t know who it is.” -quote from Community Meeting, June 21, 2012 Baby Supplies: Babies can’t go home from the hospital without a CSA approved car seat. Without discretionary benefits funds for baby supplies, mothers will have to take money from other areas (such as the family food budget) to cover these items. Parents will be forced to use second-hand, unsafe equipment. A breast pump costs $3 a day to rent and about $100 to buy. With cuts to discretionary benefits funding for baby supplies, mothers will not be able to afford a breast pump. A breast pump can be crucial to establishing breastfeeding. Breastfeeding is better for child health. Breastfeeding can help to keep families together because the CAS is less willing to take a baby from a mother who is breastfeeding. Breastfeeding saves a huge amount of money, and can continue for up to two years. Paternity Testing: Lack of funding for paternity testing will increase the burden on Ontario Works to support families. Paternity testing can make it possible to get child support from a father who is working. Single mothers on assistance are afraid that they will lose their benefits because they will not be able to afford the cost of testing and therefore they won’t be able to provide information about the identity of the father. Birth Verification: Not having a birth certificate cuts you off from all kinds of services. impossible to get a social insurance number so you can work. Without one, it is 13 “I walk 2 hours a day to get my son to daycare and to get to my job.” -quote from Community Meeting, June 21, 2012 Travel and Transportation Benefits: Being able to travel within the community is important for ALL members of the community including those who rely on social assistance. The City of Peterborough should provide free bus passes to all low-income families. In one discussion group of eight recipients, six use the City bus subsidy. The two who do not said it was because they could not afford $21 per month. The consensus was that the bus pass was very important. People also agreed that $21 is too expensive. Not having a bus pass affects all aspects of daily living for example: food shopping; getting to drop-in centres, the Open Table and St. John’s lunch program; accessing children’s services; and visiting family and friends. This would also mean no social and peer support for people, leading to higher stress and poorer emotional health. Many people on Ontario Works and ODSP have trouble walking for health reasons. People will walk if they can, but many homes and services are too far away (Northern Lights, Federal Government building, the Wellness Centre, the YMCA). Without a bus pass people won’t use the services they need. This is important for people from the County as well, who get a ride into town and then use their bus pass to get to their appointments. “$21 is too expensive so I don’t get the pass. I only take a few trips a month but sometimes I don’t have enough money to cover even that.” -quote from Community Meeting, June 21, 2012 “Bus service has been reduced from once every 30 minutes to once every 40 minutes. I can’t stand for long and there aren’t enough benches.” -quote from Community Meeting, June 21, 2012 14 “I don’t get enough money to cover the rent. It isn’t my fault that I keep falling behind and having to move. I haven’t found an affordable place yet in Peterborough!” -quote from Community Meeting, June 21, 2012 Housing Supports / Community Start-Up and Maintenance Benefit: Stable housing is the base for so much else, it affects one’s feeling of mental and physical safety. This is an EXTREMELY IMPORTANT benefit for people on Ontario Works and ODSP because the current rates don’t leave any extra for dealing with housing emergencies. Elimination of CSUMB benefits will result in increased homelessness. The elimination of CSUMB will have a negative impact on many people – for example, on women trying to move from transition shelters into permanent homes after experiencing domestic violence, on men trying to move from homelessness or the shelter system into permanent homes, on people dealing with bedbug infestations and other problems associated with poor quality housing. People will be left in unsafe housing or they will not be able to escape from an abusive spouse / unsuitable housemates. People will have even less money for basic necessities, such as food, because they will need all their income for housing-related expenses. Elimination of CSUMB will be disruptive to families. People are afraid that they will lose their kids if the hydro is cut off, if they are evicted, or if they are forced to stay in cheap, unsafe places. The number of units where hydro is included in the rent is going down. Meanwhile, hydro costs keep going up and landlords don’t want to replace old fridges and stoves that need more electricity to run. “Without CSUMB and discretionary benefits to cover arrears of rent we won’t be able negotiate with landlords and stop evictions. This is going to have a devastating impact on our clients.” -quote from Community Meeting, June 21, 2012 15 Housing Supports / Community Start-Up and Maintenance Benefit Cont’d: Poor families will be forced to vacate their housing, leaving rent owing to their landlord, with no way to pay it back. Families on Ontario Works and ODSP won’t be able to afford the last month’s rent deposit that most landlords require, or hydro deposits. Landlords will refuse to rent to families on assistance. People won’t have a way to buy a fridge and stove which they may need to purchase when they move into social housing. There are serious safety issues when people cannot afford to buy a bed or couch. People pick up furniture at the side of the road, not knowing if it has bedbugs, hypodermic needles etc. People won’t be able to pay for phone hook up, so they won’t be able to communicate with Ontario Works and other community services. “ODSP threatened to cut me off because they said my rent was too high. It took me some time, but I found a new, cheaper place and got money [CSUMB] I needed to cover my deposits and moving costs. Without the extra help I would have been on the street.” -quote from Community Meeting, June 21, 2012 16 IV. Conclusion Overall, participants felt that social assistance benefits should be seen as an investment towards the stability and health of our community, not simply as a cost to the community. It was agreed that cuts to benefits for people on social assistance, even the less high-profile ones (like breast pumps and baby supplies) will destabilize families who are already struggling in very difficult circumstances. It will make single people, who are already without any other types of support, increasingly vulnerable. While saving money in the short-term, in the long run the cuts will result in much higher costs to social, medical and justice systems. Finally, it was agreed that removing existing benefits which are integrated into a comprehensive social assistance system will increase demand on other community supports. These will be fewer in number, less integrated, less comprehensive, and much more difficult to access. When accessed, they will be less efficient and more costly to deliver. V. Next Steps This report will be circulated to people who attended the community meeting on June 21st, 2012, to a variety of community agencies, and to municipal and provincial decision-makers. Follow-up meetings will be scheduled with municipal councillors to discuss the impact of benefit cuts in greater detail. An effort will be made to continue to inform all community members about the importance of this issue to community health and poverty reduction. Public participation will be encouraged at all stages of the municipal decision-making process. 17 VI. Sources 1. Income Security Advocacy Centre (May 23, 2012). Ontario Budget 2012: Analysis after the Negotiations. http://www.incomesecurity.org/OntarioBudget2012.html 2. Doherty, K., Director of Community Services City of Peterborough (June 14, 2012). Report CSSSJSSC12-004 Discretionary Benefit Report. 3. Singer, R. (2003, April). The impact of poverty on the health of children and youth. Toronto: Campaign 2000. http://www.campaign2000.ca/res/Poverty_healthbackgrounder.pdf 4. Social Services Division, City of Peterborough. (September 16, 2011). Beyond the Budget 2012. http://www.peterborough.ca/Assets/City+Assets/Social+Services/Reports+and+Research/ Budget+reports/Social+Services+2012+Budget+Background.pdf 5. N. Fischer, Senior Program Analyst, Social Services Division, City of Peterborough (July 13, 2012). Personal communication with Martha Macfie. 18