Affordable Care Act | KCUR

Affordable Care Act

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Sheri Wood, the longtime CEO of KC CARE Health Center, is stepping down.

Wood oversaw the expansion of what was essentially a mom-and-pop health clinic in midtown Kansas City into three locations across the city.  

When Wood began at KC CARE 22 years ago, it had a staff of 18 and a budget of $1.2 million. Today it boasts a staff of more than 150, a budget of about $16 million and more than 700 volunteers.

Crysta Henthorne / Kansas News Service

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On the eve of the Kansas Republican primary for governor, President Donald Trump tweeted his endorsement of Secretary of State Kris Kobach.

Little more than a week later, when Kobach could finally claim victory, he stood at the foot of the state Capitol and promised to do for Topeka what Trump’s done for Washington. Trump, he promised, was coming to campaign for him.

This week, that campaign promise looks pretty strong.

www.HealthCare.gov

Kansans seeking health insurance through the Affordable Care Act’s federally run exchange will have the choice of three insurers in 2019.

Kansas Insurance Commissioner Ken Selzer said in a statement that Blue Cross and Blue Shield of Kansas, Medica Insurance Co. and Ambetter from Sunflower Health Plan will offer 23 separate plans for individuals through HealthCare.gov, the federal government exchange.

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Segment 1: Kansas refusal to expand Medicaid has delayed access to medical care and left many poor residents uninsured.

file photo / Kansas News Service

Kansas Attorney General Derek Schmidt acknowledges that a multi-state attack on the Affordable Care Act, or Obamacare, could wipe out some popular consumer protections.

But, Schmidt said, he believes Congress will step in to preserve certain parts of the law if he and 19 other Republican attorneys general succeed in striking down the individual mandate — that everybody buy coverage or face a fine on their tax return — as unconstitutional.

Alex Smith / KCUR

Like many people who can’t afford medical care, Larissa Shively-Vitt of Shawnee, Kansas, has been spending a lot of time online lately, trying to tell her story and raise money through crowdfunding.

Medical expenses are the category most often used on GoFundMe, which is the largest crowdfunding platform. And in recent years, campaigns have snowballed for one particular kind of medical care: gender confirmation surgery.

Missouri Department of Social Services Children's Division

Segment 1: Controversy in Missouri and Kansas foster care. 

The foster care systems in Missouri and Kansas have been making headlines lately. In Missouri, the prescribing and administering of psychotropic drugs is at the center of litigation that just became a class action case. In Kansas, the Adoption Protection Act allows smaller agencies to deny potential parents adoption or fostering based on the agency's religious beliefs. We got an update on what's happening on both sides of the state line. 

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Insurance customers in Kansas City will have an additional option on the Affordable Care Act marketplace starting in 2019.

Medica, an insurance company based in Minneapolis, announced Monday it will sell individual plans on the exchange to customers in Cass, Clay, Jackson and Platte counties in Missouri. It began selling insurance plans on the exchange last year to Kansas customers in Johnson and Wyandotte counties. 

The insurer's coverage is mainly limited to providers in the Saint Luke's Health System.

Luke X. Martin / KCUR 89.3 / Senator Claire McCaskill / Flickr - CC

Segment 1: Attorney General Josh Hawley on the resignation of Gov. Greitens and preparing for midterm elections.

As Gov. Eric Greitens gets set to resign this afternoon, Missouri's attorney general maintains he did everything within his jurisdiction to investigate the governor’s alleged indiscretions. In an interview recorded on Thursday, Josh Hawley defended his conduct in the Greitens saga, and explained why he thinks Sen. Claire McCaskill has lost touch with Missouri voters.

Luke X. Martin / KCUR 89.3 file photo

After the resignation of Missouri Gov. Eric Greitens on Tuesday, months of turmoil in Jefferson City might finally be coming to an end. And Republicans such as Attorney General Josh Hawley are eager to shift focus to ousting the state's top Democrat in this year's midterm elections.

On Thursday afternoon, Hawley sat down with KCUR's Up To Date to discuss the historic resignation, his role in prosecuting the governor's alleged misdeeds, and, especially, the record of U.S. Sen. Claire McCaskill.

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Missouri will have to cough up more than $300,000 in attorney's fees after losing a case over a state law barring insurance navigators from giving advice about health plans.

Although he sliced about $128,000 from the bill, U.S. District Judge Ortrie Smith ruled that Missouri must pay the legal fees of the victorious plaintiffs.

file photo / Kansas News Service

Missouri and Kansas have joined 18 other states in seeking to have the Affordable Care Act declared unconstitutional following Congress’ repeal last year of the tax penalty associated with the individual mandate.

In a lawsuit filed late Monday in federal court in Texas, the coalition of 20 mostly red states claimed that the elimination of the tax penalty for those who don’t buy health insurance renders the entire healthcare law unconstitutional.

Allison Shelley

Longtime health reporter Julie Rovner is chief Washington correspondent for Kaiser Health News, a nonprofit news service providing in-depth coverage of health care policy and politics. Before joining KHN, Rovner was a health reporter for 16 years at NPR, where she helped lead coverage of the enactment and implementation of the Affordable Care Act. 

Alex Smith / KCUR 89.3

Entrepreneurs Keely Edgington and Beau Williams, owners of a Westport bar called Julep, say that the Affordable Care Act has been an easy, inexpensive way for them to get health insurance. 

Having insurance has been critical for the married couple. Their daughter Lula was diagnosed with cancer in 2016 when she was nine months old. Even with insurance, the family needed help from friends and family to pay her medical costs.

Gage Skidmore / Wikimedia Commons file photo

December 1 means the countdown is on, and we're not talking about Christmas. With just two weeks left for open enrollment on the federal health care marketplace, our experts are back to help answer all your "how" questions. Then, a conversation about America's favorite meat.

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Centene Corp. has agreed to offer individual marketplace coverage under the Affordable Care Act to patients who receive care at The University of Kansas Health System.

Until now, the KU Health System, which includes the University of Kansas Hospital, was not covered in-network under any of the individual marketplace plans offered in 2018 in the Kansas City area.

Blue Cross and Blue Shield of Kansas City had previously covered the hospital, the largest in Kansas, but the insurer in May said it would not offer individual plans under the Affordable Care Act (ACA) in 2018.

Luke X. Martin / KCUR 89.3

Despite several unsuccessful attempts to repeal Obamacare outright, Pres. Donald Trump has made substantial changes in how the healthcare exchange works. Today, we discuss those changes, and how they're affecting folks who depend on the Affordable Care Act. Then, the City School Fair wants to make Kansas City, Missouri parents aware of all the possibilities for K-12 education that don't require moving to the suburbs.

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Two community health care providers in the Lawrence area hope a merger will help them offer stable medical resources to more residents of the Douglas County region.

Health Care Access, which has served the poor and uninsured of Douglas County for 29 years, will merge early next year with Heartland Community Health Center, a federally qualified health center that serves the same area. Both will fall under the Heartland name.

agilemktg1 / Flickr — CC

There’s some good news and some bad news for Missourians purchasing marketplace healthcare plans under the Affordable Care Act.

The good news: Those eligible for premium subsidies will see no increase in their premiums. In fact, a 40-year-old non-smoker earning $30,000 a year will see a 2.7 percent reduction of his or her premiums to $201 a month.

The bad news: Those not eligible for subsidies will see premium increases ranging from 12 percent to 50 percent for the benchmark silver plan.

Alex Smith / KCUR 89.3

Geneva Wilson has struggled her entire life with health problems, including a blood disorder, depression and a painful misalignment of the hip joint called hip dysplasia. But she’s found peace living in a small cabin in the woods of western Missouri.

Wilson keeps chickens, raises rabbits and has a garden. She says her long-term goal is to live off her land by selling what she raises at farmers’ markets.

Courtesy Kansas Health Institute

Low-income Kansans are less likely to have health insurance than their counterparts in other states, according to an analysis of new data from the U.S. Census Bureau.

Alex Smith / KCUR

Stinson Dean, an entrepreneur from Independence, Missouri, is used to risks. He buys Canadian softwood framing lumber to sell to lumberyards in the US and says coping with the ups and downs of the market is an inevitable part of doing business.

But when he started the company about a year and a half ago, he laid down a firm rule.

“One of the things I wasn’t willing to risk was the health of my family,” Dean says.

Centers for Medicare and Medicaid Services

The Affordable Care Act marketplace will be a mixed bag for Kansas consumers seeking health insurance for 2018.

Some will pay more for coverage, some less. And some will purchase new plans for which there is no price-point comparison.

In Missouri, insurers are proposing some hefty rate hikes.

File Photo / Kansas News Service

Facing what could be a tough race for re-election, Kansas Congressman Kevin Yoder appeared determined to strike a bipartisan tone Tuesday night in his first in-person town hall meeting since last year’s election.

He stressed the importance of civility and working across the aisle several times during the meeting sponsored by the Kansas City Star, touting his work with Democrats to expand child-care tax credits and strengthen privacy laws.

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President Donald Trump and Republican congressional leaders came up short in their initial efforts to repeal the Affordable Care Act, but former Health and Human Services Secretary Kathleen Sebelius says they’re still working to engineer its failure.

In a recent interview, Sebelius, who spearheaded implementation of the ACA, said she knows that the law isn’t perfect. But she said it would be working better if Republicans would stop undermining it.

“The notion that this law is imploding is just not accurate,” Sebelius said.

Alex Smith / KCUR 89.3

Many health care advocates breathed a sigh a relief after the Senate’s recent efforts to scrap the Affordable Care Act failed in late July.

But local and national participants in a rally at Kansas City’s City Hall Wednesday afternoon had a message for those concerned about the fate of healthcare: Don’t let up.

File Photo / Kansas News Service

Editor's note: This story was updated at 7:20 a.m. July 26.

Despite misgivings about the closed-door process used to write a bill to repeal and replace the Affordable Care Act and its potential impact on rural health care providers, Republican U.S. Sen. Jerry Moran joined his Kansas counterpart, Pat Roberts, in voting Tuesday to begin debate on the legislation.

But a short time later, Moran was one of nine GOP senators who voted against a replacement bill backed by Republican leaders.

Frank Morris / KCUR

Updated: This story was updated at 11:15 a.m. to add the latest developments following news Moran will support a new plan to repeal the ACA. 

The mood of a rally outside Sen. Jerry Moran's Olathe office suddenly turned after it was announced the Kansas Republican had come out in support of an evolving GOP plan to repeal the Affordable Care Act before setting to work on a replacement plan. 

U.S. Department of Veterans Affairs

UPDATE: In Washington, D.C. Tuesday, U.S. Sen. Jerry Moran issued a statement saying that he would support President Donald Trump's efforts to repeal the Affordable Care Act without a replacement.  That news quickly turned the mood of a demonstration at Moran's office in Olathe where opponents of the now failed replacement bill had been thanking the senator from Kansas for standing firm against it.

Jim McLean / Kansas News Service

U.S. Sen. Jerry Moran’s silence Thursday on the GOP’s revised bill to repeal and replace the Affordable Care Act prompted one Capitol Hill reporter to refer to him as a “mystery man.”

Several Republican senators who either opposed or had concerns about an initial draft of the bill commented on changes unveiled Thursday by GOP leaders in an effort to gain votes.

But not Moran.

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