The Colyer administration clarified that the state legislature had determined that a work requirement would need to go through the budget process, and would thus not be implemented as part of the KanCare extension that took effect in 2019. In October 2015, Mercy Hospital in Independence, Kansas announced that it would close, becoming the first Kansas hospital to shut down in nine years. “Not only are we leaving them out in the cold, but expansion would have brought millions of federal dollars into the Kansas economy just as state revenues are plummeting.”. Finally, a former employee of one of the managed care companies that participates in KanCare has filed a lawsuit alleging fraud. All states are required to provide Medicaid to certain populations — like low-income children — to qualify for federal Medicaid funding. Now It May Become Reality. April Holman, executive director of Alliance for a Healthy Kansas, said in a statement that a previously bipartisan agreement on expansion was cut short by “political games” and the COVID-19 pandemic, which forced the Legislature to shorten its session. A month later, the bill passed the Senate, 25-14. The Senate Public Health and Welfare Committee passed the 2018 Medicaid expansion bill (S.B.38) in February, but it did not advance after that. — Medicaid expansion is coming to Missouri after voters approved a constitutional amendment Tuesday, expanding the federal government’s health program for … Medicaid programs and eligibility vary widely across the country. S.B.246 was pre-filed in early December 2019. Like the legislation that’s been introduced in 2020, H.B.2066 included a job training referral program and a monthly fee of up to $25 for Medicaid expansion enrollees. “It would be a significant improvement,” LMH Health CEO Russ Johnson told the newspaper in January. Laura Kelly campaigned to expand Medicaid, but it failed to pass in the most recent legislative session. The legislative session is scheduled to begin Jan. 6, and Medicaid expansion is expected to be a major topic throughout. What is the expansion of Medicaid and how will it affect Kansas? Kansas remains one of the exceptions. Expanding Medicaid Was a Pipe Dream in Kansas. He believed it would be “unwise” to expand Medicaid given the uncertainty of the ACA on the federal level (ultimately, the ACA has remained in place, despite the efforts of GOP lawmakers and the Trump administration). Medicaid Expansion Bill Tracker (March 2020) By Peter F. H. Barstad, Kari M. Bruffett | March 04, 2020. Kansas Gov. Amid the pandemic and rapidly worsening case numbers, leaders of the Kansas campaign said expansion was more critical than ever before. Although the Medicaid expansion legislation passed by a wide margin in both chambers, it was a few votes shy of a veto-proof majority. Laura Kelly authored. Medicaid expansion would’ve helped save hundreds of thousands (of Kansans). In May 2018, CMS notified Kansas that the 36-month cap on Medicaid eligibility would not be allowed. Copyright © Lawrence Journal-World: news, information, headlines and events in Lawrence, Kansas | https://www2.ljworld.com | 1035 N. Third Street, Lawrence, KS 66044 | 800-578-8748 | Ogden Newspapers | The Nutting Company | Terms of Service. Kansas, like most other states, is facing a sharp loss of state revenue due to the economic impact of COVID-19. Medicaid expansion has been a topic of debate in Kansas … Our guide to financial resources for Medicare enrollees in Kansas includes overviews of those programs, including Medicare Savings Programs, long-term care benefits, and income guidelines for assistance. But then-Governor Sam Brownback remained steadfast in his opposition to Medicaid expansion, and vetoed the bill. Can I be enrolled in Medicare and Medicaid at the same time? Welcome to the new LJWorld.com. Kansas now remains one of 14 states yet to expand its Medicaid program as recommended by the 2010 Affordable Care Act. As of mid-2020, there are no Medicaid work requirements in effect anywhere in the country. Medicaid expansion advocates attend a rally last month at the Kansas Statehouse. TOPEKA — Amid a global health crisis, the Republican-dominated Kansas Senate on Thursday voted along party lines against expanding Medicaid, delaying the hopes that the state would extend health care coverage to tens of thousands of Kansans until at least the next legislative session. Abortion is legally protected nationwide under Row v. Wade, but abortion opponents are hoping that could be overturned at the federal level if the Supreme Court continues its conservative shift. There is no longer a separate username and password login step. Learn more about us. Nearly a … The amendment, Sykes said, was the compromise agreed on in January by Senate Majority Leader Jim Denning, R-Overland Park, and Democratic Gov. Laura Kelly (who has long supported Medicaid expansion) and Republican Senate Majority Leader Jim Denning, arousing hopes that Kansas will be the next state to expand Medicaid. The state’s past expansion efforts have stalled. your data and privacy. In 2017, the Legislature passed a bill approving expansion; then-Gov. On April 3, the House voted to uphold Brownback’s veto. Kansas Democratic Gov. The Trump administration has approved work requirements in several states, but they have all either been overturned in the courts or paused by the states. Kansas is one of 14 states to have declined to implement the Affordable Care Act’s Medicaid expansion. Throughout the pandemic, we have seen the amazing efforts of our front line workers. The legislative session is scheduled to begin Jan. 6, and Medicaid expansion is expected to be a major topic throughout. Adults (Medicaid) Expansion to Adults: Eligibility Level : 1. Medicaid expansion legislation passed again in the Kansas House in 2019, but died in the Senate. He also objected to the possibility that abortion providers … Under Brownback, the state not only … “It was bipartisan and it would’ve been a good-faith effort for the two-thirds of Kansans who care about health care.”. Anyone needing assistance with the application process can call 1-888-369-4777 for help. But the KanCare extension approval, granted in late 2018 by CMS, noted that the state had asked CMS to defer consideration of the work requirement. If you need help with the application process, contact DCF toll free at 1-888-369-4777. This has to stop! You may submit your information through this form, or call She and other supporters hope to try again in 2020. But it never reached a floor vote in the Senate, as explained here by Kansas Representative Brett Parker. If you are already signed into Facebook within your browser, you will be able to comment. Kansas is one of 19 states that have not expanded Medicaid since 2010. Medical expansion is a crucial safety net for people facing the loss of their income and health coverage, but it remains unavailable in Kansas and 13 other states (neighboring Nebraska’s Medicaid expansion will take effect in October 2020, bringing the total number of states with a Medicaid coverage gap down to 13). While bipartisan legislation was unsuccessful in Kansas this year, Alliance for a Healthy Kansas will be leading efforts to pass Medicaid expansion in 2021. Laura Kelly. Laura Kelly sent lawmakers a Medicaid expansion plan that will offer health coverage to people making up to 133 percent of the federal poverty level. If the state were to accept federal funding to expand Medicaid, an estimated 150,000 people would gain access to Medicaid in Kansas, including 50,000 residents who are currently uninsured. A majority of Kansas senators voted in favor of Medicaid expansion on Wednesday. Thirty-nine states have OK’d Medicaid expansion. Sam Brownback used his veto, saying any expansion would have to have a neutral impact on the state budget, as well as include a work requirement for eligibility. This table reflects the principal but not all MAGI coverage groups. Kansas is one of 12 states that has not yet implemented Medicaid expansion for adults with income up to 138 percent of the federal poverty level. There have been some close calls. The new expansion proposal would extend Medicaid coverage on Jan. 1, 2021, to Kansas residents earning up to 138% of the federal poverty level, or $29,435 for a family of three. Yet, now more than ever, Kansas can’t afford not to expand Medicaid… By June 2020, it stood at 401,103, which was little changed over more than six years (total enrollment had increased by about 10 percent from 2013 through late 2016, but has since declined to slightly lower than it was in 2013). who is among the sponsors for both Medicaid expansion bills, wrote an article on our site in 2017 about the importance of Medicaid expansion and her tireless efforts to convince other Kansas lawmakers to expand coverage. What does opting out of the Affordable Care Act Medicaid expansion mean for Kansas? But this proposal is much less likely to be approved, as CMS has not yet approved it anywhere, despite some states efforts. “These are unprecedented times in our country and our state. By Kyle Kessler The people of Kansas need Medicaid expansion to increase access to mental health care or substance use treatment. Her state health exchange updates are regularly cited by media who cover health reform and by other health insurance experts. The fundraising continued a trend of financial contributions to lawmakers from the private companies that contract with KanCare, and called into question lawmakers’ willingness to provide meaningful oversight for KanCare’s performance. Under Brownback, the state not only … Governor's Council on Medicaid Expansion Agenda, December 12, 2019. The KanCare Medicaid program operates with a waiver from CMS that must be periodically extended. MYTH VS. Kansas Senate President Susan Wagle is being accused of holding a bi-partisan Medicaid expansion bill hostage until the House takes action on limiting abortion. Elderly or disabled individuals can apply online or complete an application in English and Spanish. Jacqueline Leary filed suit against Sunflower State Health Plan, and its parent company, Centene. And the state’s primary election in August 2016 resulted in several moderate Republicans getting onto the ballot for November, energizing Medicaid expansion advocates. Stymied for months, Senate Democrats attempted a last-ditch effort to … A summary of the differences among the various proposals, including the bipartisan proposal by Gov. We’ve already forfeited more than $4 BILLION to other states. Eligibility: Children up to age 1 with family income up to 166% of FPL. Holman’s group has been one of the leading advocates for expanding the state’s Medicaid program. A new study from the Kansas Health Institute concludes Medicaid expansion in Kansas would serve an additional 130,000 low-income adults and children with a … But people would not be locked out of Medicaid expansion for failure to pay the premiums (instead, they’d be subject to collection under, He wanted Medicaid reform to eliminate the existing waiting lists for disabled Kansans (a population that was already eligible for Medicaid pre-ACA). Kansas has taken an enormous step toward providing quality health care for all of its residents. Children and families can apply online or complete an application in English and Spanish. Medicaid Expansion was forced through the Kansas House in 2019 by gutting a very good nurse practitioner bill that could have brought additional access to affordable quality health care to Kansans. “A small group of House and Senate leaders have left tens of thousands of Kansans without access to affordable health care in the midst of a global pandemic,” Holman said. After nearly a decade, Medicaid expansion supporters in Kansas have hoped 2020 will finally mark the year lawmakers extend healthcare to upwards of 130,000 low-income residents. The federal government was still considering the rest of the state’s proposal at that point, but the letter indicated that CMS was likely to approve the state’s proposed work requirements, and reiterated the fact that CMS has been willing to approve lock-out periods for people who don’t comply with work requirements, which was part of Kansas’ proposal. As described below, legislation to expand Medicaid passed in 2017, but Gov. Our old commenting system has been replaced with Facebook Comments. Unemployed Medicaid expansion enrollees would be referred to the Kansas Works Program (this is a work referral program, as opposed to a work requirement; people would receive assistance with job training and securing work, but would not lose their health insurance as a result of not having a job). H.B.2552 was popular with Brownback and 2014’s more-conservative legislature, particularly given the strong-than-anticipated gubernatorial campaign of then-House Minority Leader, Paul Davis — a Democrat who supported Medicaid expansion. Kansas is one of only a few states that haven’t expanded eligibility for Medicaid, the state-administered program that is largely funded by the federal government. Children up to age 1 are covered with family income up to 166 percent of the federal poverty level (FPL), Children ages 1 to 5 are covered with family income up to 149 percent of FPL, Children ages 6 to 18 are covered with family income up to 133 percent of FPL, Parents with dependent children are eligible with household income up to, Children with family income too high to qualify for Medicaid are eligible for the, Individuals who are elderly or disabled may also qualify for Kansas Medicaid; see the. Children ages 6-18 with family income up to 133% of FPL; children with family income up to 242% of FPL are eligible for CHIP. Bollier was a Republican at that point, but became a Democrat in 2018 and is running for election to the US Senate in the 2020 election. Unfortunately for low-income adult residents, the existing Kansas Medicaid program is quite limited. Enrollment in Medicaid coverage under expansion began on November 1, 2019, and coverage for these enrollees began on January 1, 2020. Lawmakers, it’s crunch time. TOPEKA, Kansas — The Kansas legislative session began with what seemed like a done deal for expanding Medicaid. Denning expressed that he was “profoundly disappointed” that the bill never received a floor debate during the 2020 session. In October 2015, Amerigroup, one of KanCare’s three managed care organizations, hosted a fundraiser for Republican members of the Senate Health and Welfare Committee, which oversees KanCare’s performance. Gov. The others are South Dakota, Wyoming, Oklahoma, Texas, Missouri, Wisconsin, Tennessee, North Carolina, South Carolina, Georgia, Alabama, Mississippi and Florida. The others are South Dakota, Wyoming, Oklahoma, Texas, Missouri, Wisconsin, Tennessee, North Carolina, … Mark Reinstein/Corbis via Getty Images It … In a joint news conference Thursday, Gov. … The Journal-World has previously reported that expanding the state’s Medicaid program under the Denning-Kelly plan would have improved LMH Health’s finances by between $3 million and $6 million, and it would have expanded health insurance coverage to about 10,000 Douglas County residents who don’t currently have it. FAQs on Kansas Medicaid Expansion with Beverly Gossage. Helping millions of Americans since 1994. The Kansas Legislature is playing a dangerous game of chicken with Medicaid expansion and the abortion amendment — and, truth be known, with the public health. to speak directly with licensed enrollers who will provide advice specific to your situation. Read about All income standards are expressed as a percentage of the federal poverty level (FPL). The bipartisan proposal announced Thursday must still pass the Legislature. She has written dozens of opinions and educational pieces about the Affordable Care Act for healthinsurance.org. We are nationally recognized experts on the Affordable Care Act (ACA) and state health insurance exchanges/marketplaces. But Wagle and other anti-choice Republicans in Kansas would like to see that changed, and blocked the Medicaid expansion legislation in an effort to try to pass the abortion amendment. In 2010, Kansas began researching options to reform its Medicaid program to improve health outcomes and control costs. He wanted Medicaid reform to cut funding for Planned Parenthood, and H.B.2044 did not do that. Kansas Gov. Now It May Become Reality. Kelly’s press release about the legislation notes that it includes a “work referral program that promotes self-reliance for non-working Medicaid beneficiaries, while limiting costly administrative red tape that drives up overall costs to taxpayers.” That’s a nod to the fact that Medicaid work requirements are expensive and complicated for states to administer — and almost certain to be challenged in court. Each of Kansas’ neighbors has now moved to expand Medicaid, and April Holman, executive director for the pro-expansion group Alliance for a Healthy Kansas, said that could have a … — In August, Missouri voters approved Medicaid expansion, and now the topic has taken center stage in the race for Missouri Governor. Denning, who was serving his final day in the Legislature after announcing he wouldn’t seek reelection, said he was “profoundly disappointed” not to get a vote on Medicaid — before casting a vote against hearing Sykes’ amendment. Multiple proposals to expand Medicaid are expected to compete for approval by the Legislature. Governor's Council on Medicaid Expansion Agenda, December 12, 2019. FACT: A PRIMER ON MEDICAID EXPANSION For years, the rose-colored views of Medicaid expansion, and its likely impacts, flooded the Kansas Statehouse. By. On February 23, 2017, H.B.2044 passed the Kansas House of Representatives, 81-44. By not including a work requirement, the Kansas legislation could cover more low-income residents and be less complicated for the state to administer. contact us. The Kansas court ruling upholds a woman’s right to choose in Kansas, regardless of federal rules. An analysis by the Georgetown Health Policy Institute indicated that Medicaid enrollment in Kansas grew by 2.8 percent from February 2020 to April 2020. Lawmakers again considered Medicaid expansion during the 2018 legislative session, although the bill did not pass. The lawsuit was dropped in July 2015. Laura Kelly authored. In response to editorials calling for Medicaid expansion in the state, an email from Brownback’s deputy communications director Melika Willoughby described Medicaid expansion as “morally reprehensible” and an “Obamacare ruse [that] funnels money to big city hospitals.” The email also said that Medicaid expansion would create a new entitlement “for able-bodied adults without dependents, prioritizing those who choose not to work before intellectually, developmentally, and physically disabled, the frail and elderly, and those struggling with mental health issues.” [This is disingenuous, though, as 60 percent of adults in the coverage gap are in an employed household; the problem is that their jobs are low-paying and don’t provide health insurance.]. But Senate President, Susan Wagle (R, Wichita) is opposed to Medicaid expansion, and refused to allow it to come up for a vote in the Senate unless both chambers of the legislature passed a constitutional amendment that would have overturned the Kansas Supreme Court ruling that protects a woman’s access to abortion in Kansas. Sat., March 7, 2020 timer 4 min. Each state could elect to be part of the ACA Medicaid expansion, but was not required to include the new guidelines. FACT: A PRIMER ON MEDICAID EXPANSION For years, the rose-colored views of Medicaid expansion, and its likely impacts, flooded the Kansas Statehouse. The state was given a temporary extension, through the end of 2018, but was in need of a longer-term renewal by the end of 2018. Two representatives who had voted for expansion ended up voting to uphold the veto, while two others who had opposed the expansion vote shifted sides and voted to override the veto. The mission of healthinsurance.org and its editorial team is to provide information and resources that help American consumers make informed choices about buying and keeping health coverage. In a nutshell, here is what was being proposed (this may be reconsidered during the 2021 legislative session): H.B.2066, which called for Medicaid expansion, passed in the Kansas House in March 2019 by a vote of 69-54 (note that the bill was revised; it initially dealt with nursing regulations, but that text was replaced with the Medicaid expansion text in the final version). Medicaid expansion supporters rallied at the Kansas Statehouse on the second day of the 2020 legislative session. Many of the views on Medicaid expansion are built on campaign promises instead of sound data and sound solutions. Full Medicaid expansion, as outlined in the ACA, as of January 2021 (if this is reconsidered in 2021, the implementation date would presumably be pushed out to 2022). Gloria Van Rees - January 18, 2020. Kansas legislative leaders debate an amendment to expand the state's Medicare program on Thursday, May 21, 2020 at the Kansas Statehouse in Topeka. If you have questions or comments on this service, please Share on Facebook. If you do not have a Facebook account and do not wish to create one, you will not be able to comment on stories. Finally, Medicaid expansion will increase the amount of taxpayer money going to the two Planned Parenthood facilities in Kansas. Print. The COVID-19 pandemic has pushed Medicaid enrollment higher, however, even in states like Kansas that haven’t expanded Medicaid. Mar 13, 2019. In states that don’t expand Medicaid, the uninsured rate remains higher and hospitals continue to struggle with higher levels of uncompensated (charity) care – particularly since federal funds to offset uncompensated care costs are being phased out now that states have the option to expand Medicaid. 619-367-6947 This week, liberal Gov. The legislation has support from Kansas Democrats, but although it’s a bipartisan bill, some of the state’s GOP lawmakers publicly opposed it, especially because it does not have a work requirement. The Affordable Care Act Medicaid expansion was first introduced as optional in the early 2010s to all 50 states including Kansas. When our neighbors and fellow Kansans are healthier, our state is healthier. 902. Wagle was vying for the Republican nomination to run against Bollier, but dropped out in May 2020. A summary of the Medicaid expansion bills introduced for 2020, as well as measures that were considered in 2019, is available here. The American Cancer Society, which supports Medicaid expansion, reported that 82 percent of Kansas survey respondents wanted the state to accept federal funding to expand Medicaid. The state’s past expansion efforts have stalled. Those requesting the investigation cited reports that the FBI interviewed numerous people involved in the contracting process. Technical Notes* — Medicaid Expansion in Kansas (January 2020) Testimony — Senate Bill 252, Kansas Innovative Solution for Affordable Healthcare Act (January 2020) Multiple proposals to expand Medicaid for low-income Kansas adults age 19-64 have emerged for consideration in the 2020 legislative session. Kansas GOP leader’s Medicaid expansion move roils Statehouse. H.B.2066, which called for Medicaid expansion, passed in the Kansas House in March 2019 by a vote of 69-54 (note that the bill was revised; it initially dealt with nursing regulations, but that text was replaced with the Medicaid expansion text in the final version). Consumer advocates had hoped that expansion legislation would pass and be signed into law in 2020 — with coverage effective in 2021 — but that did not come to pass. Kansas State Profile Page. Sen. Dinah Sykes, D-Lenexa, tried to expand the state’s Medicaid program by way of amending an unrelated bill — a controversial process known as “gut-and-go” — but it was quickly struck down by Republican leaders. The latest headlines from the Lawrence Journal-World and KUsports.com, delivered straight to your inbox. In this May 1, 2019 file photo a sign criticizing Kansas Senate majority leader Jim Denning, R-Overland Park and favoring Medicaid expansion was left on the Kansas Statehouse grounds after a protest in Topeka, Kan. Denning helped block a Medicaid expansion plan in 2019 but is now pushing a bipartisan plan he and Democratic Gov. Gov. KCUR serves the Kansas City region with essential news and information. Laura Kelly, a Democrat, has reached a deal with Republican legislative leaders to expand Medicaid under Obamacare. Pregnant women, families and children who do not have a disability may have a request for Medicaid benefits denied. 15275 Collier Boulevard Suite 201-279 Naples, FL 34119 (239) 244 8808 KANSAS CITY, Mo. It includes monthly fees that could be as high as $25 per enrollee, and would refer unemployed Medicaid expansion recipients to a job training program. Medicaid expansion first became available almost a decade ago under the Affordable Care Act. Laura Kelly of Kansas announced her plan to bring ObamaCare’s Medicaid expansion to the state, opening up the program to … The medical device manufacturer began producing face shields when the … Kansas is one of 14 states to have declined to implement the Affordable Care Act’s Medicaid expansion. Louise Norris is an individual health insurance broker who has been writing about health insurance and health reform since 2006. Archives Archives In this May 1, 2019 file photo a sign criticizing Kansas Senate majority leader Jim Denning, R-Overland Park and favoring Medicaid expansion was left on the Kansas Statehouse grounds after a protest in Topeka, Kan. Denning helped block a Medicaid expansion plan in 2019 but is now pushing a bipartisan plan he and Democratic Gov. The Kansas Legislature is playing a dangerous game of chicken with Medicaid expansion and the abortion amendment — and, truth be known, with the public health. And the legislation clarifies that if CMS doesn’t approve the 1115 waiver (or the 1332 waiver, although that’s much less likely to be an issue), full Medicaid expansion will continue in Kansas. The hospital’s closure has been linked to the state’s rejection of Medicaid expansion. The tentative agenda for Friday's virtual meeting is heavy with presentations on Medicaid and Medicaid expansion. Kansas Medicaid eligibility mainly serves those who are elderly or have a disability. States that opt to cover additional populations are eligible for additional funding. Medicaid expansion passed the house in 2019 but died in the Senate. He wanted a work requirement for able-bodied adults (as opposed to the work referral program in H.B.2044). This estimate differs from other estimates, including state fiscal notes, because it includes the indirect effect of expansion on children and currently eligible adults. Supporters became more confident than ever that they could get a bill passed in 2017 to expand coverage, particularly given that several of the primary winners had been outspoken about their support for Medicaid expansion. In March, the state House voted to make … “We demand Medicaid expansion in Kansas. In September 2014, Democrats on the KanCare Oversight Committee requested an investigation of the contracting process with the three managed care companies that participate in KanCare. Many of the views on Medicaid expansion are built on campaign promises instead of sound data and sound solutions. We have the data and so do the legislators,” said Letiah Fraser, a convener for the Poor People’s Campaign of Kansas. The Kansas Senate has slammed the door on expansion of Medicaid until next year. Lawmakers, it’s crunch time. See the eligibility guidelines for those who are elderly or disabled. The reformed program was given the name KanCare. Kansas Gov. And S.B.252, which was pre-filed in January, just before the start of the legislative session, was announced as a bipartisan compromise by Democratic Gov. In a joint news conference Thursday, Gov. Kansas has taken an enormous step toward providing quality health care for all of its residents. By John Hanna The Associated Press. Of the confirmed cases, 62 are in Douglas County. MYTH VS. In November 2011, the Brownback administration announced its plans to move all Medicaid beneficiaries, including fragile populations like disabled individuals and nursing home residents, into managed care programs. Medicaid expansion would bring our federal tax dollars and good jobs back to Kansas.

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