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Kansas Legislative Update December 2008. Kansas Senate 31 Rs; 9 Ds Leadership: Sen. Steve Morris Sen. Derek Schmidt Senate President Majority Leader. Kansas House 77 Rs; 48 Ds Leadership: Rep. Mike O’Neal Rep. Ray Merrick
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Kansas Legislative UpdateDecember 2008 December 2008
Kansas Senate 31 Rs; 9 Ds Leadership: Sen. Steve Morris Sen. Derek Schmidt Senate President Majority Leader Kansas House 77 Rs; 48 Ds Leadership: Rep. Mike O’Neal Rep. Ray Merrick Speaker of the House Majority Leader 2008 Kansas Elections December 2008
State of Kansas Budget FY 09: ($669.3 M) FY 10: ($879.8 M) FY 11: ($1,830.0 M) FY 12: ($2,494.9 M) Energy Immigration Transportation Health Reform What will the 2009 Legislative Focus be on… December 2008
Original Package with few changes: Increase Tobacco Product Assessment Statewide Smoking Ban Expand Medicaid Coverage for Parents/Caretakers Tobacco Cessation for all Medicaid Recipients Implement Statewide Community Health Record Assist Small Businesses in Purchasing Affordable Health Insurance Develop Medical Home Model for Medicaid and State Employee Health Plan KHPA’s “Simpler Reform” Plan December 2008
Approximately 400,000 Kansans receive health insurance through Medicaid/SCHIP More than 1 million Medicaid payments made each month Medicaid claims paid average $180M per month Medicaid Budget: $2.2B in FY07 (all funds, all agencies) KHPA Medicaid programs = $1.2B FY 2009/10 Projected Annual Growth = 5.5% Comparison to Other States: Overall spending per beneficiary is above average Coverage of children is typical Spending on aged and disabled is above average Coverage of low-income adults is very low What About Kansas Medicaid? December 2008
Medicaid Transformation Committee Created Recommendations given to KHPA Board in Fall 08 Policy Goals… Cost-effectiveness Program integrity Coordinate program delivery Quality outcomes Health promotion and a medical home Gaps in coverage and access Medicaid Transformation December 2008
Objective: Sustaining the number of primary care physicians in Kansas Over 55% of the graduates stay in KS Total funding request: $9.6M 2008 Legislative Approps: $2.5M KBA Award: $6.1 over 3 years Legislature created the Physician Workforce & Accreditation Taskforce Recommendations to be forthcoming Wichita Center for Graduate Medical Education December 2008
Health Reform Tobacco tax increase Statewide smoking ban Workforce Related Issues Wichita Center for Graduate Medical Education Nursing/Allied Health Shortages Nurse Staffing Ratios Tort Reform Increase in the non-economic damages cap of $250K Insurance Related Topics Mandates on Bariatric Surgery; Cancer Clinical Trials; several others Health Focus for 2009 December 2008