Kansas
Kansas Medicaid expansion debate to be revived when Legislature returns • Kansas Reflector
TOPEKA — In three weeks, senators will decide whether to give Medicaid expansion a full floor debate or block discussion of health insurance coverage for low-income Kansans for another year.
Lawmakers rushed to hammer out myriad policy pieces ranging from the tax code to K-12 education funding during a late-night marathon session before adjourning Saturday for three weeks. During the frenzied process, Senate Minority Leader Dinah Sykes, a Lenexa Democrat, introduced a motion to pull Senate Bill 355 to the floor for consideration.
The procedural move is designed to override the authority of Republican leadership who refuse to allow the bill to move forward through the usual process. The Sykes motion will require approval from 24 of the 40 senators.
“This is not a partisan issue, and over 70% of Kansans, regardless of party, support Medicaid expansion,” Sykes said. “Only a few extremists in the Legislature are standing in the way, so Kansans deserve to know where their legislators stand on Medicaid expansion. To quote Beyonce, let’s bring it to the floor now.”
The quote is an apparent reference to Beyonce’s song “Texas Hold ‘Em,” which contains the line, “Come take it to the floor now.”
Senators will consider the motion after they return later this month, with a vote scheduled for April 26.
Gathering 24 votes will be an uphill battle, given GOP leaders’ opposition to Medicaid expansion. Senate President Ty Masterson and House Speaker Dan Hawkins have characterized the program as a way to “expand the welfare state,” instead of helping the “truly needy.”
Medicaid expansion would expand health insurance coverage for lower-income families. Under the Affordable Care Act, the federal government covers 90% of the extra cost of Medicaid services in exchange for expanding eligibility to those who earn up to 138% of the federal poverty rate. Most of the estimated 152,000 Kansans who would benefit from expansion are self-employed, small business owners and their employees, or suffering from chronic illness.
Medicaid expansion would unlock $700 million in annual federal funding and could save 59 rural hospitals on the brink of closing.
“The costs of everyday living continue to rise — including the cost of health care — and Kansas families are feeling it,”said April Holman, executive director of Alliance for a Healthy Kansas. “It is past time for Kansas lawmakers to listen to the people and enact policy change that will ease the burdens of these costs on Kansas families.”
Kansas is one of 10 states left that have not expanded Medicaid.
This session marked the first time in four years that GOP leaders allowed a Medicaid expansion bill to receive a committee hearing. Democratic Gov. Laura Kelly applied pressure before the session with a statewide tour in which she promoted Medicaid expansion.
Democrats and health care advocates are hopeful this year’s election will place additional pressure on lawmakers to support Medicaid expansion. All 165 seats in the House and Senate are up for election, and polling shows bipartisan support for Medicaid expansion.
In a statement to voters Saturday, Kelly said, “Now is the time to make your voices heard.”
“I urge you to write, call, or meet with your legislators and encourage them to support expanding Medicaid by voting yes on this motion. We have the momentum to get this done this legislative session.”
Stormont Vail Healthcare is in a legal battle with the state government, alleging the Medicaid program was wrong to refuse payment for the hospitalization of a pregnant patient with complications.
At issue is a disagreement between the Topeka hospital and the Kansas Department of Health and Environment over whether inpatient health care services were medically necessary for the Medicaid patient’s last two weeks of pregnancy.
The Kansas Court of Appeals did not resolve that dispute, but it did side with Stormont Vail in a May 8 decision. The unanimous three-judge panel reversed a decision by Shawnee County District Court Judge Thomas Luedke and vacated an order from KDHE’s State Appeals Committee. The matter now goes back to the appeals committee for reconsideration.
The appellate panel was comprised of Judges Jacy Hurst, Thomas Malone and Stephen Hill, which heard oral arguments on Aug. 5. Hurst wrote the court’s opinion.
The lawsuit stems from a 2018 case of a pregnant patient, who is not named in appellate court documents. She was 28 years old at the time and had an intellectual disability among other complications, including rapid weight loss caused by hyperemesis gravidarum.
The woman was originally admitted at Newman Regional Health in Emporia before she was transferred to Stormont Vail. Part of the hospitalization during her third trimester was covered.
But the final two weeks were not because Sunflower Health Plan, one of the managed care organizations in the state’s privatized Medicaid program known as KanCare, refused to reimburse for the patient’s continued hospitalization through the day the child was born via cesarean section.
“We are here because the Kansas Medicaid program has wrongfully refused to pay for some of an inpatient hospitalization while a Medicaid beneficiary was at Stormont Vail,” said Amanda Wilwert, an attorney for the hospital, during oral arguments. “Stormont believes the inpatient care was medically necessary as defined by the Kansas Medicaid regulations.”
Court records and oral arguments show the state expected Stormont Vail to look into having a home health agency care for the patient in Emporia instead of continued hospitalization — even though home health generally does not take care of pregnant patients and her doctors believed the expectant mother was not stable enough to discharge.
“The way it’s supposed to work,” said Darren Sharp, an attorney representing KDHE, “is the managed care organization, in this case Sunflower Health, on behalf of KDHE reviews the medical records, asks about the appropriate level of care and whether there’s any other interventions that would be more cost effective or appropriate depending on the level of or depending on the patient’s records and the patient’s status.”
Sharp argued medical records showed the patients was getting better because of total parenteral nutrition, or TPN.
“This is when a tube, a PICC, is inserted and your minerals and your electrolytes and all of your nutrition is then intravenously provided,” Sharp said.
He said the treatment “was eliminating her vomiting, her diarrhea, she had no fever, her glucose levels were stabilized.”
In their ruling, the judges indicated the KDHE appeals committee primarily cared about the cost saving of using home health versus hospitalization while disregarding the treating physician for insufficient reasons and ignoring evidence on potential benefits or harms to the patient.
But the judges declined to resolve the dispute. Rather, unless the decision is appealed to the Kansas Supreme Court, the matter goes back to the KDHE administrative process.
There, the agency’s appeals committee must reconsider the case consistent with the Court of Appeal’s ruling. The published decision sets new precedent interpreting state laws and regulations on the Medicaid program.
“While this court provides no opinion on whether the disputed inpatient healthcare services met the definition of medical necessity,” Hurst wrote, “the record shows that some of the (appeals committee’s) factual findings were not supported by the record as a whole and that the (appeals committee) inaccurately applied the law when it failed to consider (the patient’s) individual characteristics and assess the harms and benefits of the healthcare intervention.
“In making a medical necessity determination, the reviewing agency must make an individualized determination based on the record as a whole.”
Jason Alatidd is a Statehouse reporter for The Topeka Capital-Journal. He can be reached by email at jalatidd@usatodayco.com. Follow him on X @Jason_Alatidd.
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Kansas
Kansas City, Kansas, becomes sister city to Concepción, Argentina, ahead of FIFA World Cup 2026
KSHB 41 reporter Fernanda Silva covers stories in the Northland, including Liberty. She also focuses on issues surrounding immigration. Share your story idea with Fernanda.
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Kansas City, Kansas, is now a sister city to Concepción, in the Tucumán province of Argentina.
The connection that carries deep personal meaning for members of the Kansas City area’s Argentinian community, with less than six weeks until Lionel Messi and their national team play at Kansas City Stadium (GEHA Field at Arrowhead Stadium).
Kansas City, Kansas, becomes sister city to Concepción, Argentina, ahead of World Cup
The official Sister Cities Agreement was signed Wednesday at Sporting Park, in a ceremony that also served as the kickoff of a broader cultural and economic initiative connecting Argentina and Kansas.
Federico Carmona has lived in the United States for more than two decades. He spent Wednesday afternoon cheering and smiling.
“This is my dream,” Carmona said.
For Carmona, the moment was personal — a merging of the two places he calls home.
KSHB/ Brian Luton
“This is a blessing,” Carmona said.
He continued, “Argentina is my heart. I was born in Argentina. I have so much passion for soccer. I used to play, my kids play. We never thought that Argentina was going to be in Kansas City. So that was a big, big surprise for us.”
Claudia Luna West, chair of the Sister Cities Association and a native of Concepción, Tucumán, was one of the driving forces behind the partnership.
“It means the world to me,” Luna West said.
KSHB/ Brian Luton
She described the pairing of the two cities as a natural collaboration — like the ingredients of a perfect recipe coming together.
“Everything collaborates to be this great thing,” Luna West said.
That recipe metaphor extended to food. The event featured the announcement of a partnership between Kansas BBQ Empanadas and Jack Stack BBQ — a culinary symbol of the two cultures meeting.
“Now, empanadas aren’t going to be just an ethnic food. They’re going to be a landmark of Kansas,” Luna West said.
Mayor/CEO of the Unified Government of Wyandotte County and KCK, Christal Watson, said the designation reflects the city’s diversity and its ability to connect with the world.
KSHB
“I think it’s important that we set a global stage on how diverse we are and how beautifully, wonderfully made we are with all the different cultures,” Watson said.
Watson said shared experiences — including food — are what bring communities together.
KSHB
“Food is a common link. Those are the things that get us engaged… those are the things that help us grow and be a better community overall,” Watson said. “We already have a flavor going on.”
Jake Reid, president and CEO of Sporting Kansas City, said the timing of the sister city announcement — with the FIFA World Cup 2026 approaching — felt right.
KSHB/ Brian Luton
“We’ve been planning this for so long. I think to have it on the doorstep now and be probably a month out is becoming very real and exciting,” Reid said. “They’re meant to be from… kind of everything we’ve got going on right now, for sure.”
For Carmona, the day was a long time coming.
“We can’t wait for all this to happen,” Carmona said.
This story was reported on-air by a journalist and has been converted to this platform with the assistance of AI. Our editorial team verifies all reporting on all platforms for fairness and accuracy.
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