A new report warns of a "dramatic" shift in Ohio's population during the next 20 years.
Miami University professor Robert Applebaum says Ohio is aging quickly. He says former Ohioans who left the state to retire are now returning.
"We have more older people coming back to the state because what happens people retire and then as they reach very old age, 80 plus, they come back to Ohio to be close to family," says Applebaum.
Applebaum says while Ohio's overall population will increase by 2 percent by 2030, the population of 60 and older residents will jump by 47 percent. Applebaum says that will force policy changes.
"Whether it be health care or long term services, pensions, you name it, it's going to change as a result of these changing demographics,"
Ohio, in recent years, shifted some Medicaid funds away from nursing homes and toward in-home care services. The study says elder services will also depend on taxpayers willingness to fund levies for elderly services.