Health | KCUR

Health

KCUR's health team focuses on health issues and their impact in Missouri and Kansas. Working with journalists at other public media stations and news outlets, reporters Dan Margolies and Alex Smith strive to bring listeners and readers timely, accurate and comprehensive coverage of a topic that leaves no one untouched.

Meg Wingerter / Kansas News Service

A new law will allow Kansas crisis centers to treat involuntary mental health patients for up to 72 hours, but it isn’t clear if lawmakers will fund it.

Gov. Sam Brownback on Wednesday signed House Bill 2053, which allows crisis centers to treat people deemed a danger to themselves or others because of a mental health or substance use disorder. The bill had passed the House unanimously and passed the Senate 27-12 after some amendments. 

Blue Cross Blue Shield of Kansas City announced on Wednesday that it will not offer individual plans on the Affordable Care Act insurance exchanges next year The move will affect about 67,000 people across 30 counties in Missouri and two counties in Kansas

“Through 2016 we have lost more than  $100 million [on ACA plans],” the company’s CEO Danette Wilson said in a release. “This is unsustainable for our company.”


File Photo / Kansas News Service

Federal officials this week approved a corrective plan for Kansas’ privately managed Medicaid program, easing pressure on the state before a year-end deadline.

As part of the plan, state officials agreed to keep track of the number of grievances and appeals they receive from Kansans in Medicaid who say they were denied appropriate services. That and other elements of the plan were outlined in a letter the state received Monday from James Scott, associate regional administrator for Medicaid and children’s health operations at the Center for Medicare and Medicaid Services.

File Photo / Kansas Public Radio

The Kansas Senate Ways and Means Committee on Tuesday advanced a bill that would allow public health care facilities to continue to ban concealed guns.

A state law taking effect July 1 will allow people to carry concealed guns into any public building that is not secured by armed guards and metal detectors.

UMKC

Some of Kansas City’s largest health organizations announced on Friday the launch of a collaboration centered on Hospital Hill.

The “UMKC Health Sciences District” includes the University of Missouri-Kansas City School of Medicine, Truman Medical Centers, Children’s Mercy Hospital and the Kansas City, Missouri, Health Department, among other partners.

Kristen Rechtlich / St. Louis Public Radio

Six clergymen who were found guilty of trespassing in the Missouri Senate gallery after they protested Missouri’s failure to expand Medicaid were sentenced today to one year of unsupervised probation.

The six, including well-known Kansas City clergymen Sam Mann, Wallace Hartzfield Sr. and Vernon P. Howard Jr., were part of the so-called Medicaid 23, who were charged with trespassing and obstructing government operations after leading a group of about 300 protestors in the Senate gallery three years ago.

Laura Ziegler / KCUR 89.3

This story was updated at 3:12 p.m. to include a statement from Missouri Attorney General Josh Hawley. 

A federal judge has denied Missouri’s request to stay his order blocking two statewide abortion restrictions, making clear he takes a dim view of the state’s arguments.

In a three-page ruling on Wednesday, U.S. District Judge Howard Sachs rejected out of hand Missouri’s claim that the restrictions protect abortion patients’ health.

Alex Smith / KCUR 89.3

Inside a yoga studio in midtown Kansas City, Ayurvedic medicine practitioner Sarah Kucera does a consultation for a client.

In some ways, the consultation isn’t that different from a regular doctor’s checkup. Kucera asks about the patient’s health history, diet and exercise regimen while typing notes on a laptop.

But there are differences. The Ayurvedic remedies that Kucera prescribes are mostly plant-based – things like herbs and oils which are thought to be beneficial to various parts of the body.

Meg Wingerter / Kansas News Service

Editor’s note: Kansas privatized its foster care system in 1997 after a lawsuit revealed widespread problems. Twenty years later, the number of Kansas children in foster care has shot up — by a third in just the last five years — and lawmakers are debating whether the system once again needs serious changes. The Kansas News Service investigated problems in the system and possible solutions. This is the first story in a series.

wp paarz / Flickr — CC

As expected, Missouri has appealed a federal judge’s ruling blocking two abortion restrictions enacted by the Legislature in 2007.

Attorney General Josh Hawley had said he would appeal the preliminary injunction entered by U.S District Judge Howard Sachs last week.

The injunction blocks Missouri’s laws requiring abortion doctors to have admitting privileges at nearby hospitals and abortion clinics to be outfitted like ambulatory surgical centers.

File Photo / Kansas News Service

The Kansas House gave preliminary approval Friday to a bill creating a task force that will recommend improvements to the foster care system.

The House Children and Seniors Committee passed the bill in March after collecting testimony from foster parents, law enforcement officials and child welfare advocates. Many of those who testified expressed concerns about social worker caseloads and lack of coordination in the system. 

File Photo / Kansas News Service

With a Monday deadline approaching, it isn’t clear whether all of the health insurance companies now participating in the Affordable Care Act marketplace in Kansas will continue in 2018.

Blue Cross Blue Shield of Kansas, the state’s largest health insurer, has made a preliminary decision to continue and has filed initial paperwork with the Kansas Insurance Department, said Mary Beth Chambers, a company spokeswoman.

Intropin / Wikimedia Commons

Another major pharmacy chain in Missouri now offers naloxone, the potentially lifesaving drug that prevents opioid overdose deaths, to Missourians without a prescription.

Hy-Vee announced Wednesday it will now sell the drug to customers in Missouri, Iowa, Wisconsin, and South Dakota.

File Photo / Kansas News Service

Costs to secure four state-run hospitals under Kansas’ concealed carry law could run close to $12 million annually, with an additional $1 million needed in the first months, according to a new “action plan” from state officials.

Luke X. Martin / KCUR 89.3

The monarch butterfly migration is one of the most beautiful phenomena in nature. Today, we speak with an Overland Park native who is following the migration on her bike, a 10,000-mile trip. Then, we shine a spotlight on Angel Flight Central, a Kansas City charity staffed by volunteer pilots who fly patients in need to essential medical care.

A proposal to finally create a prescription drug monitoring program was revived in the Missouri House on Tuesday, while the Senate came to terms with a 12-year-old federal ID law.

Friday is the end of the 2017 legislative session. Here’s a more detailed look at the action Tuesday (and very early Wednesday), as well as a count of how many bills were sent to Gov. Eric Greitens:

Guttmacher Institute

Along with Texas, Kansas leads the nation when it comes to imposing abortion restrictions not supported by scientific evidence, according to a report by a leading abortion rights organization.

File Photo / Kansas News Service

Another poll has found strong majorities of Kansans support expanding Medicaid, but some political experts say it isn’t likely to make a difference this legislative session.

The latest Medicaid expansion poll found about 68 percent of Kansans surveyed said they supported expanding the program to non-disabled adults who earn up to 138 percent of the federal poverty line, or annual income of about $16,600 for an individual and $33,400 for a family of four. About 60 percent of Republicans polled said they also supported expansion.

Something for Missourians and Kansans to consider when they consider the effects of the measure approved by the House to repeal and replace major parts of the Affordable Care Act:

Both states are among the 11 with the highest levels of adults under age 65 with pre-existing medical conditions, according to the Kaiser Family Foundation. 

Thirty percent of people living in both Kansas and Missouri have a pre-existing condition.

Laura Spencer / KCUR 89.3

The House of Representatives on Thursday passed the American Health Care Act, the GOP-backed bill to replace the Affordable Care Act, known as Obamacare. 

House Republicans approved the plan by a narrow margin, 217 - 213. The measure goes next to the Senate.

In the waning hours before the vote, Indivisible Kansas City, a local branch of the national movement, organized a protest outside Republican Congressman Kevin Yoder's office in downtown Overland Park, Kansas. 

Jim McLean / Kansas News Service

The University of Kansas Health System and a Tennessee-based for-profit hospital chain have agreed to rescue a troubled Topeka hospital despite possible changes in federal health policy that could hurt Kansas providers.

Officials from the KU Health System and Ardent Health Services, the nation’s second-largest privately owned for-profit hospital chain, announced Thursday that they had signed a letter of intent to acquire St. Francis Health.

Bryan Thompson / Kansas News Service

Doctors and nurses are obviously essential to any primary care medical team. But when it comes to managing a chronic health condition, a social worker could be the most valuable player from the patient’s perspective.

That’s what some Medicare patients in and around the small northwest Kansas town of Plainville have been discovering since January of last year.

House Republicans approved their plan to replace the Affordable Care Act on Thursday.

Here's a rundown of key provisions in the American Health Care Act and what would happen if the Senate approves them and the bill becomes law.

Buying insurance

Joseph Morris / Wikimedia Commons

This post was updated at 1:38 p.m. on Thursday.

The House of Representatives voted Thursday to approve the American Health Care Act, touted by the GOP and President Donald Trump as a better alternative to President Obama's signature health care effort, the Affordable Care Act. The final vote, 217 - 213. All 193 Democrats in the House, joined by 20 Republicans, opposed the bill. 

File Photo / KCUR 89.3

Planned Parenthood Great Plains plans to move quickly to offer abortion services in Kansas City and Columbia, Missouri, now that a judge has blocked two Missouri abortion restrictions that had prevented it from doing so.

Susie Fagan / Kansas News Service

A bill to increase oversight of the Kansas foster care system hit a snag after state officials said its wording could jeopardize millions in federal funding.

The bill would create an interim oversight committee that would study problems in the state’s foster care system and submit a corrective action plan to the Kansas Legislature. The House Committee on Children and Seniors approved the bill in March, but it still must pass the full House and Senate.

This week, Missouri transferred the state-run health coverage of about 240,000 low-income adults and children to managed care plans run by three companies: WellCare, Centene Corporation and United Health Group.

The move is part of an increasing privatization of Missouri’s Medicaid program, MO HealthNet. Legislators call it a cost-saving measure that improves efficiency in health care. Critics say the transfer happened too quickly, putting patient health at risk.

www.mccaskill.senate.gov

President Donald Trump and Republican leaders in Congress are promising to take another vote this week to repeal the Affordable Care Act, otherwise known as Obamacare. But Sen. Claire McCaskill says rural hospitals in the state could be forced to close if the health reform measure is repealed.

Susie Fagan / Kansas News Service

Republican leaders in the Kansas House say it is unlikely they will schedule another vote on Medicaid expansion in the final weeks of the legislative session.

But Democrats say they will attempt to force one.

House Majority Leader Don Hineman, a Dighton Republican, said lawmakers facing tough votes on the budget, taxes and school finance don’t want to further complicate the final weeks of the session by adding Medicaid expansion to the mix.

File Photo / Kansas News Service

An audit of the Kansas foster care system found the state doesn’t ensure children are placed close to home or receive all services they need.

The Legislature’s independent auditing team presented the third part of its report on the Kansas foster care system Friday to the Legislative Post Audit Committee. The final part of the audit attempted to answer if the state’s two foster care contractors have sufficient resources to provide services and if privatization has improved children’s outcomes and lowered costs.

Pages