Medicaid | KCUR

Medicaid

Some Missouri House Democrats are calling on the governor to stop the removal of people from Medicaid rolls until the state can get a better handle on children losing their coverage.

In recent weeks, Republican leadership in Missouri has publicly recognized that roughly 60,000 children who still qualify for coverage have been dropped from Medicaid. Previously, Gov. Mike Parson and Republican leaders in the statehouse have said the drop in the Medicaid rolls was because of a better economy and restructuring the outdated Medicaid system. 

Stephen Koranda / Kansas News Service

TOPEKA, Kansas — The Kansas legislative session began with what seemed like a done deal for expanding Medicaid. Gov. Laura Kelly and a top Republican senator had forged a compromise to offer health coverage for up to 130,000 low-income Kansans.

About a month later, the deal has ground to a halt — and even the state budget could be held up — because of abortion politics. 

Aviva Okeson-Haberman / KCUR 89.3

Kansas City’s business leaders have officially come out in favor of expanding Medicaid in Missouri. 

In a move that could put more political and financial heft behind a campaign effort, the Greater Kansas City Chamber of Commerce, United Way of Greater Kansas City and Civic Council of Greater Kansas City on Tuesday announced their support for a petition drive to put Medicaid expansion on Missouri’s November ballot.

Elle Moxley / KCUR 89.3

The fourth grader in Amanda Whiting’s chair had never been to the dentist, so she was a little nervous to be seen at the clinic at her school, J.A. Rogers Elementary.

“We don't use scary terms when we are treating a kiddo,” said Whiting, the dental director at Samuel U. Rodgers Health Center, which runs the clinic for Kansas City Public Schools.

Nomin Ujiyediin / Kansas News Service

TOPEKA, Kansas — The new Medicaid expansion bill, the product of a compromise between Democratic Gov. Laura Kelly and some Republican leaders, would change how state prisons and county jails fund health care for prisoners.

Daniel Caudill / Kansas News Service

The legislative session in Kansas is just getting underway, but lawmakers are already at odds on the hot-button issues of abortion and Medicaid expansion. Republican leaders are pushing for quick passage of an anti-abortion amendment to the Kansas Constitution. Meanwhile, Democratic Gov. Laura Kelly and Republican Senate Majority Leader Jim Denning are joining forces to break a nearly decade-long stalemate on expansion.

Daniel Caudill / Kansas News Service

TOPEKA, Kansas — Medicaid expansion is a done deal, right?

Democratic Gov. Laura Kelly and Jim Denning, the second most powerful Republican in the Kansas Senate, have compromised on a plan. Together, they bring a majority of lawmakers with them. So, game over.

Sure, the deal still needs to clear the Legislature and get the blessing of federal regulators. But the hard part — breaking an almost decade-long stalemate on the issue — looks done.

Daniel Caudill / Kansas News Service

TOPEKA, Kansas — The 2020 Kansas Legislature is underway. And while Democratic Gov. Laura Kelly laid out some of her top priorities during the State of the State address on Wednesday, Republican leaders of the House and Senate (and Kelly's fellow Democrats) have some different goals. 

Here are five issues that will be top of mind for the governor and lawmakers as the session heats up.

Dan Margolies / KCUR 89.3

For the second time in two years, Planned Parenthood is challenging Missouri’s denial of its claims for Medicaid payments.

The first time Missouri cut off the organization’s Medicaid funding was in fiscal 2019, after the legislature enacted an appropriations bill denying it reimbursement under the program.

Now Planned Parenthood’s Overland Park affiliates are challenging the state’s cutoff of their fiscal 2020 funding. An administrative law judge ruled against them last month and Planned Parenthood wants a Jackson County judge to overturn the ruling.

Segment 1: Kansas lawmakers prepare to tackle myriad issues in the upcoming legislative session.

Kansas' Medicaid expansion seems to be the hottest issue going into the 2020 legislative session, but it won't be the only thing keeping senators and representatives busy in Topeka. Possible outcomes and implications for everything from abortion to state debt to prison reforms were previewed.

Jim McLean / Kansas News Service

TOPEKA, Kansas — Democratic Gov. Laura Kelly and a key Republican lawmaker said Thursday they’ve crafted a deal to make roughly 130,000 more Kansans eligible for Medicaid.

Segment 1: What 2020 could bring for health care

Health care is one of the hottest issues across the country, and Missouri and Kansas are no exception. We previewed what this year might bring for a variety of health-related issues and storylines.

Chris Neal

The KCUR news staff presents the State of Kansas City series as a look ahead to 2020 on topics of importance to the region. Find the State of Kansas City report on other topics in the series as they are published each weekday, Jan. 6–Jan. 20. Follow coverage on these topics at KCUR.org and on 89.3 FM throughout the year.

Health care — who gets it, who doesn’t, and how we pay for it — will command as much attention in Missouri and Kansas politics this year as on the national scene.

Gun control, Medicaid and redistricting are expected to be the most contentious issues Missouri lawmakers will take up this legislative session. 

House and Senate members return to the state Capitol on Wednesday, and the governor is to deliver his State of the State address a week later on Jan. 15. 

Democrats in both chambers say gun control and urban violence will be at the top of their list of priorities. 

Stephen Koranda / Kansas News Service

Though its Medicaid contract is still at stake, Aetna Better Health is making progress, Kansas lawmakers and state regulators said this week. 

“There has been a good response from them,” Kansas Secretary of Health and Environment Lee Norman told a panel of lawmakers Tuesday.

Stephen Koranda / Kansas News Service

TOPEKA, Kansas — A top Republican in the Kansas Senate said he’s designed a Medicaid expansion plan that aims to walk a fine line — one that can win over conservatives without losing support from moderate Republicans and Democrats.

But the proposal also risks satisfying neither faction.

Republican Senate Majority Leader Jim Denning outlined a proposal this week that would grow the Medicaid health care plan to cover an added 150,000 or so low-income Kansans.

Chris Neal / For the Kansas News Service

TOPEKA, Kansas — Dozens of primarily elderly or disabled Kansans lost their Medicaid coverage because of errors made by Aetna. Staff at the state health department discovered the problem, restored their insurance and stopped further cancellations.

Months later, state workers are still double-checking the work of Aetna Better Health — one of the three companies that helps run the state’s privatized Medicaid system — while Aetna puts together a permanent fix.

Segment 1: A new state system to determine Medicaid eligibility is under fire.

In Missouri this year, Medicaid enrollment numbers have dropped at more than twice the national rate, topping 7%. This means 120,000 people, including tens of thousands of children, have been dropped from the program. We heard answers as to why this is happening and how the state can and should respond.

On Aug. 9, Holly Uchtman and her 7-year-old son Zyler headed to their weekly appointment at Mercy Hospital in Springfield. Zyler has Duchenne muscular dystrophy, a rare, terminal disease that causes muscles to weaken and eventually stop working. For two years, Zyler had been receiving eteplirsen, gene therapy that helped his muscles keep their shape.

But that day, there was a surprise on the other side of their journey. The state had removed Zyler from Medicaid, which pays for his nearly $40,000-a-week treatment. They were turned away, and he missed his appointment.

Stephen Koranda / Kansas News Service

Aetna Better Health is struggling to keep its Medicaid contract with KanCare, to the point that state officials found fault with Aetna’s recent plan to improve services.

But Kansas lawmakers had two words this week for the company: Keep trying.

Chris Neal / For the Kansas News Service

TOPEKA — Aetna is bringing in new leadership to run its Medicaid operations in Kansas after chronic complaints from hospitals and others put it at risk of losing its contract.

The Kansas Department of Health and Environment confirmed Friday that Aetna Better Health of Kansas CEO Keith Wisdom is no longer in that role. But the insurer declined to answer questions about whether it had replaced Wisdom.

Segment 1: CEO of the Health Forward Foundation stepping down but says "I won't be disappearing, I will continue to be a troublemaker in some way."

Chris Neal / For the Kansas News Service

TOPEKA ― Aetna remains in hot water with the state of Kansas, which recently threatened to cancel the company’s Medicaid contract.

Chris Neal / For the Kansas News Service

TOPEKA ― State officials have told one of the key players in Kansas’ privatized Medicaid system that it stands in danger of getting fired for not living up to its contract.

Aetna Better Health has until Wednesday to tell state officials how it is addressing chronic complaints about delayed payments to hospitals and other problems.

A formal letter from the state to Aetna says failure to fix the problems so far means the company’s contract “is in jeopardy of being terminated for cause.”

Governor Mike Parson signed an executive order earlier this summer creating a task force to look into something that could bring big changes to how Missourians get—and pay for—their health care. 

Laura Robeson quit her job as a fourth-grade teacher to care for her son, who has cerebral palsy and other health problems. But as politicians considered cuts to various health care programs, she felt compelled to become an activist, working with others to speak out for families like hers.

That culminated at the State of the Union Address in February. Kansas Congresswoman Sharice Davids chose Robeson to attend as her guest, providing a real-world example of the role federal healthcare policies play in a citizen's life.

Kansas News Service / Kansas News Service

One might think the end of her first legislative session as Kansas governor would give Laura Kelly some relief.

"Oh, not much," she said. "We've been extraordinarily busy."

Kansas Governor Laura Kelly

Jul 3, 2019

State's chief executive offers insights on her first session in office and her plans for moving Kansas forward

Governor Kelly explained how she is working with Republicans despite pushback from party leaders on everything from Medicaid to the budget. Kelly acknowledged that state prison conditions are a top priority and that she will entertain every alternative to avoid building a new prison "at all cost."

Georgetown University Health Policy Institute Center for Children and Families

In Missouri, children’s enrollment in Medicaid and the Children's Health Insurance Program fell nearly 10% over the last 14 months – the second biggest decline of any state after Idaho, according to a new report.

The report, by Georgetown University’s Center for Children and Families, says neither the strong economy nor an increased number of children with employer-sponsored health coverage is sufficient to explain the decline.

Battles over a Republican tax cut proposal and Medicaid expansion persisted through the last day of the Kansas Legislature's 2019 session … and remain unresolved. Senate Majority Leader Jim Denning says he plans to address healthcare and tax policy next session, when maybe he'll be Senate President. 


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