Governor, Senate Majority Leader announce compromise
proposal to lower healthcare costs for Kansas families

Bipartisan agreement paves way for both Medicaid expansion and reinsurance

TOPEKA – After weeks of negotiations, Democratic Governor Laura Kelly and Republican Senate Majority Leader Jim Denning today announced a compromise proposal to expand Medicaid while lowering health insurance premiums for Kansas families.

“This process is far from over, as there are still several critical steps to be taken by the Kansas Legislature,” Kelly said. “But today, Senator Denning and I are proud to stand together to propose a bipartisan compromise that will expand Medicaid and lower healthcare costs for Kansas families. This proposal includes elements of my plan, of Senator Denning’s plan, of the 2019 House plan, and of the bipartisan plan that passed both chambers in 2017.”

The compromise proposal includes key elements to address concerns raised from both parties, in both chambers:

• • Full Medicaid Expansion: The proposal includes a full expansion of Medicaid to 138% of the Federal Poverty Level (FPL) with a 90/10 match, to be effective no later than January 1, 2021.
  • Reinsurance: Pending Centers for Medicare and Medicaid Services (CMS) approval of a 1332 waiver and release of funding by the State Finance Council, the proposal includes a reinsurance program to be effective no later than January 1, 2022. The agreement also requires the Kansas Insurance Department to complete an actuarial study of the reinsurance proposal and submit to the State Finance Council.
  • Medicaid Funding: The proposal includes an annual hospital Medicaid expansion support surcharge of up to $35 million, which has been endorsed by the Kansas Hospital Association, to be effective July 1, 2021. This compromise proposal does not require a tax increase.
  • Promoting Personal Responsibility: The agreement includes a robust 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. Enrollees within the expansion population will make a modest contribution for health services through monthly premiums of up to $25 per month, or $100 for a family of four, as proposed in House Bill 2066.  The bill does not contain any lockouts. Instead, it collects unpaid premiums through the state’s debt setoff program. A hardship provision is also included.
  • Rural Health Care Innovations: The proposal creates an advisory committee within the Kansas Department of Health and Environment to support rural hospitals in assessing viability and identifying new delivery models, strategic partnerships and implementing financial and delivery system reform to improve the health of rural communities.

“My top priority is to lower the cost of healthcare for Kansans across the board. We want to give as many Kansans health care coverage as we can, in the Medicaid market and the non-Medicaid market,” Denning said.

While this proposal is the most sweeping compromise offered since the debate over Medicaid expansion began in 2013, both Kelly and Denning underscored that more work remains.

“We’ll both be working with our respective caucuses in the coming days to get their feedback and buy-in,” Denning said. “But all sides can find something in this bill to like. That means it’s probably about as middle of the road as it can get.”

“This compromise was an important first step, but our work is not over yet,” Kelly said. “Legislators, many of whom were here today, have the ability to bring this over the finish line in the early days of the 2020 session. I am calling on them to do just that.”

Topeka – As 2020 begins, the Kansas Department of Health and Environments (KDHE) offers 10 healthy habits to begin or to continue this new year!

“We want to help Kansans live their best lives, so we have compiled a list of simple things every one of us can do starting today,” said Dr. Lee Norman, Secretary of KDHE.

1. Move more, sit less. Benefits of regular physical activity include maintained weight, reduced symptoms of depression and anxiety, reduced high blood pressure and reduced arthritis pain. It also reduces your risk for many long-lasting (chronic) conditions, such as obesity, type 2 diabetes, heart attack, stroke and several forms of cancer.
2. Eat healthy. Good nutrition is key to good health. It can help sicknesses from happening and assist in healthy growth. So, reach for healthy options like fruits and vegetables instead of salty or sugary treats.
3. Lose weight or keep a healthy weight. Being overweight or obese increases your risk for multiple, long-lasting (chronic) diseases. People who lose and keep a healthy weight can improve not only their physical health, but also their energy levels, general mood and self-confidence.
4. Quit smoking. You are never too old to quit. Benefits include: lowered risk for lung cancer and many other types of cancer; reduced risk for heart disease and stroke; reduced heart disease risk within 1 to 2 years of quitting; reduced respiratory symptoms, such as coughing, wheezing and shortness of breath and more money you will save! To get started, call the Kansas Tobacco Quitline, 1-800-QUIT-NOW for free support.
5. Rethink your drink. You can substitute water for sugary or alcoholic drinks to reduce calories and stay safe. This simple change can reduce your risk of weight gain/obesity, type 2 diabetes, heart disease, kidney diseases, non-alcoholic liver disease, tooth decay and cavities and gout, a type of arthritis.
6. Get screened for cancer. Regular screenings may find breast, cervical, colorectal (colon) and other cancers early, when treatment is likely to work best. Talk with your health care provider to see which ones you should have. Women, call Early Detection Works, 1-877-277-1368 to see if you qualify for support in paying for breast and cervical cancer screenings.
7. Keep kids healthy and safe — talk to them about the dangers of vaping. Children develop their habits and behaviors at an early age and those habits can impact their life-long health. According to the National Youth Tobacco Survey data, e-cigarettes are the most commonly used tobacco product among both high school and middle school youth. Vaping is putting young people at risk for developing lifelong nicotine addictions.
8. Get vaccinated. The best way to prevent common illnesses is to get and stay up-to-date on vaccinations. A complete immunization schedule for children and adults can be found at http://www.kdheks.gov/immunize/schedule.htm. For adolescent females, this includes getting vaccinated against HPV cancer.
9. Get enough sleep. Get at least 7 hours of sleep per night. Lack of sleep can be a risk factor for many long-lasting (chronic) diseases and conditions, such as diabetes, cardiovascular diseases, obesity and depression.
10. Maintain mental health. Mental health is an important part of overall health and well-being. While everybody has the blues, feels anxious or gets stressed at times, if you cannot shake these feelings, it’s important to get help. Poor mental health increases the risk for long-lasting (chronic) physical conditions like heart disease, stroke and cancer. Call the National Alliance on Mental Illness for resources 1-800-539-2660.

###