Sam Brownback

Courtesy Kansas Department for Aging and Disability Services

Editor’s note: Heartland Health Monitor partner KHI News Service conducted a months-long investigation into what led federal officials to deem Osawatomie State Hospital as a facility too dangerous for Medicare patients and whether officials can rebuild the hospital for a successful future. This is the fifth and final story of the series.

Heartland Health Monitor

Administrators at Osawatomie State Hospital worked to maintain a delicate balance in 2011 as they struggled to cope with rising demand for care and funding that hadn’t kept up.

OSH superintendents had credited the facility’s experienced workforce for pulling it through lean times before, but that key source of stability soon would be diminished.

Sam Zeff / KCUR 89.3

Everyone knows agriculture is huge in Kansas.

It’s a $62 billion a year industry that accounts for 43 percent of the Kansas economy and touches every part of the state.

Following the 2012 Brownback tax cuts, farmers no longer had to pay state income tax -- just like 334,000 LLCs, S corporations and sole proprietorships.

Editor’s note: Heartland Health Monitor partner KHI News Service conducted a months-long investigation into what led federal officials to deem Osawatomie State Hospital a facility too dangerous for Medicare patients and whether officials can rebuild the hospital for a successful future. This is the second story in a series.

Andy Taylor

Dr. Julie Stewart doesn’t want political candidates and elected officials to show up at her nonprofit medical clinic in Coffeyville for photo opportunities, grant announcements or organized tours.

Instead, the Coffeyville physician would like those officials to take a personal interest in the patients who have chosen Stewart’s Community Health Clinic of Southeast Kansas because they have no health insurance options.

Gov. Sam Brownback and the Kansas Legislature continue to be unpopular, and the primary race in the 1st Congressional District is in a dead heat, according to a new survey from the Fort Hays State University Docking Institute. 

With the presidential nominations settled and Kansas races heating up ahead of the Aug. 2 primaries, Brad Pendergast, with the Docking Institute, says it was time for some new polling numbers.

Stephen Koranda / KPR

A state Senate race in the Topeka area shows how complicated this election cycle can be for some candidates. Kansas Republicans are running at a time when polls are showing the state’s Republican governor – and the Legislature itself – with pretty low approval ratings.

Senator Vicki Schmidt, a moderate Republican from Topeka’s 20th District, is not shy about the fact that she often doesn’t see eye-to-eye with Gov. Sam Brownback.

Andy Marso / Heartland Health Monitor

The state’s Medicaid application backlog is making work more stressful for Angela Moore, executive director of Sharon Lane Health Services in Shawnee.

Moore’s nursing home has 110 employees caring for about 70 elderly and disabled residents, and she has cash flow worries because of persistent problems with the state’s Medicaid eligibility system.

At one point recently she was waiting on Medicaid coverage approval for 17 residents — which means Sharon Lane was providing free care for almost one-fourth of its clients.

KHI News Service

While most Kansas educators are still breathing a sigh of relief that the school funding equity issue was solved in a special session and public schools could remain open, some lawmaker are already looking ahead to the new session in January.

Sen. Laura Kelly, the minority whip from Topeka, says a small bipartisan group has already begun meeting to draft a new school funding formula to replace block grants, which expire at the end of this fiscal year.

The plan, drafted by Democrats and moderate Republicans, is based a great deal on the old formula.

Sarah Long / Joyful Photography

Funding cuts and changes for children’s programs across the state became a reality at the start of this month — and that means fewer Kansas families will receive some services.

An official with TARC, a Shawnee County organization that serves people with developmental disabilities, said the nonprofit was out of options for administrative cuts in the wake of state funding reductions.

Matt Hodapp / Heartland Health Monitor

A federal judge blocked Kansas’ effort to cut off two regional Planned Parenthood affiliates’ Medicaid funding, ruling the move likely violates federal law.

In a 54-page decision handed down late Tuesday afternoon, U.S. District Judge Julie Robinson granted a preliminary injunction sought by Planned Parenthood of Kansas and Mid-Missouri (now known as Planned Parenthood Great Plains) and by Planned Parenthood of the St. Louis Region.

File photo

The Kansas Hospital Association is urging federal officials to stop Gov. Sam Brownback from implementing $56.4 million in Medicaid cuts set to take effect today.

Brownback ordered the cuts in May to cover shortfalls in the fiscal year 2017 budget approved by the Legislature. The hospital association is asking the federal Centers for Medicare and Medicaid Services to immediately intervene to stop the cuts, which include a 4 percent reduction in provider payments.

File photo

The troubled Larned State Hospital has a new superintendent.

Veteran state attorney Bill Rein has been named to head the facility, which provides inpatient treatment for people from the western two-thirds of Kansas suffering from severe or persistent mental illness.

Wikimedia Commons - CC

Kansas lawmakers have approved a school funding plan that they say will end the risk of a legal fight closing Kansas schools. The bill is in response to a Supreme Court ruling that says the funding system was unfair to poorer school districts.

Democratic Sen. Anthony Hensley joined a large bipartisan majority Friday night that supported the bill.

“Regardless of who came up with the plan, what matters is that what we did today was put the children of Kansas first. This is a responsible plan that solves the problem,” said Hensley.

United States Mission Geneva / Wikimedia Commons--CC

Four former governors have banded together to “Save Kansas” from Gov. Sam Brownback and his supporters.

In a letter circulated Friday, former Govs. Kathleen Sebelius, Bill Graves, Mike Hayden and John Carlin urged Kansas Democrats, Republicans and Independents to band together “to regain our fiscal health and stop the calculated destruction of our revenue stream and our educational, healthcare, and transportation systems.

Andy Marso / Heartland Health Monitor

News of a mistake that dropped several thousand Kansans from state Medicaid backlog reports has advocates and Democratic lawmakers questioning the state’s oversight of the contractor blamed for the error.

KHI News Service

The Vice President of the Kansas Senate says the special session set to gavel in on Thursday will probably stretch into early next week. That would move the Legislature even closer to a June 30 school shutdown deadline, and make the session longer than Gov. Sam Brownback suggested it would take to fix the inequity that exists between rich and poor school districts in Kansas.

“We’re probably looking at more like three to five days if all goes well,” Sen. Jeff King from Independence said on KCUR's political podcast Statehouse Blend.

The Kansas Board of Regents met Wednesday afternoon to approve tuition increases for the next school year. The board thought it was going to do that last month, but during the meeting Gov. Sam Brownback announced he was cutting an additional $30 million out of higher education.

So, at their last regular meeting until September, the Regents found themselves having to approve even higher tuition hikes.

Elana Gordon / KCUR

A federal judge on Tuesday promised to rule before July 7 on Planned Parenthood’s request to block the Kansas Department of Health and Environment from cutting off its Medicaid funding.

That’s the date when the agency has said it will terminate Planned Parenthood’s participation in the Medicaid program.

The original cutoff date was May 10, but KDHE has extended that deadline twice, in part because it has had trouble finding counsel to represent it.

Stephen Koranda / KPR

Republican Kansas Governor Sam Brownback says he will call state lawmakers back to Topeka for a special session to work on school funding issues. In a statement, Brownback said he made the decision after consulting with legislative leaders.

Brownback spokeswoman Eileen Hawley says the governor’s priority is avoiding a school shutdown caused by a lawsuit over school funding.

“They’re going to work very hard to keep the special session focused on the issue of education to make sure the courts do not close our schools and the kids can go back to school,” says Hawley.

Sam Zeff
KCUR 89.3

While most school districts in Kansas prepare for a possible shutdown at the end of the month, educators are looking for some guidance from the state Department of Education (KSDE).       

Everyone is waiting to see whether there will be a special session of the Kansas Legislature to try and fix the inequity between rich and poor districts.

If it’s not fixed by the end of the month, the state Supreme Court has said it will prohibit districts from spending or raising money.

Sam Zeff
KCUR 89.3

For the first time, someone in leadership in the Kansas Legislature has called for a special session to craft a solution to school funding inequity that will satisfy the state Supreme Court and head off a possible shutdown of schools by month's end.

Rep. Ron Ryckman from Olathe, the chairman of the House Appropriations Committee, sent a letter addressed to "Colleagues" suggesting now is the time to act.

Andy Marso / KHI News Service

A Kansas senator says a highway project in his district is back on schedule, drawing protests from Democrats who say Republican Gov. Sam Brownback picked that project over others to help a political ally in an election year.

The project to widen U.S. Highway 69 north of Pittsburg from two lanes to four was one of 25 delayed in April to help balance the state budget.

It sits in the district of Republican Sen. Jake LaTurner, who sent an open letter to Brownback decrying the delay.

File photo

In the past few years, Kansans have become used to monthly revenue numbers in the red. Still, May's figures came as a shock. On the last (mostly ceremonial) day of the 2016 legislative session, state revenue officials announced Kansas had come up nearly $75 million short of projections. Both individual and corporate income tax collections fell short of the mark. 

Courtesy Coffeyville USD 445

Children’s programs across the state are scrambling to deal with grant cuts that take effect at the start of July.

The cuts come from a $3.3 million reduction in funding for the Kansas Children’s Cabinet, which uses the state’s share of the 1998 master settlement agreement with large tobacco companies to provide grants through the Children’s Initiatives Fund for programs for children and families.

Andy Marso / Heartland Health Monitor

Kansas tax collections for May fell short of projections by about $74 million, and legislators said Wednesday they fear that will mean more cuts to Medicaid.

The May shortfall comes despite the state’s revenue estimating group revising projections downward for the third consecutive time about six weeks ago.

It wipes out the meager savings Gov. Sam Brownback created when he made cuts two weeks ago after the Legislature sent him a budget that didn’t balance.

Megan Hart / Heartland Health Monitor

Rural hospitals nationwide are facing a host of financial challenges, but states can still take action to keep them open, the head of a rural health group told the Governor’s Rural Health Working Group on Wednesday in Topeka.

Alan Morgan, CEO of the National Rural Health Association, said people in urban areas have a few explanations for why rural hospitals are struggling: irreversible population decline in rural areas, low-quality care and bad management practices.

File photo

Kansas health care providers will urge federal officials to reject Gov. Sam Brownback’s proposed Medicaid cuts and may challenge them in court.

The recently announced cuts would reduce state expenditures for KanCare, the state’s privatized Medicaid program, by $56.3 million and trigger a loss of approximately $72.3 million in federal funds. Combined, the managed care organizations that administer $3 billion KanCare program and the health care and service providers they have contracts with would be forced to absorb more than $128 million in cuts.

Conservative Republican Sen. Forrest Knox faces voters in Gridley, Kansas.
Jim McLean / KHI News Service

The 2016 election could be a tough one for some Kansas lawmakers hoping to return to the Statehouse.

Polls, editorials and reader comments on news websites indicate that voters are paying attention to what’s happening in Topeka, and many don’t like what they’re seeing.

File photo / Heartland Health Monitor

This story was updated at 8:30 p.m.

Gov. Sam Brownback trimmed more than $56 million from Medicaid in Kansas as part of larger budget cuts announced Wednesday, raising concerns that health care providers may decide not to take unprofitable patients.

About $38.2 million of the $56.4 million in budget cuts comes from reducing reimbursements by 4 percent for providers who treat patients covered by KanCare, the state’s privatized Medicaid program launched in 2013. The remaining $18.2 million comes from cuts in other areas of the Medicaid program.

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