December 2008Kan

sas H

osp

ital A

ssocia

tion

Kan

sas H

osp

ital A

ssocia

tion

Kansas Legislative UpdateDecember 2008

December 2008Kan

sas H

osp

ital A

ssocia

tion

Kan

sas H

osp

ital A

ssocia

tion

2008 Kansas Elections

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

December 2008Kan

sas H

osp

ital A

ssocia

tion

Kan

sas H

osp

ital A

ssocia

tion

What will the 2009 Legislative Focus be on…

• 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

December 2008Kan

sas H

osp

ital A

ssocia

tion

Kan

sas H

osp

ital A

ssocia

tion

KHPA’s “Simpler Reform” Plan

• 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

December 2008Kan

sas H

osp

ital A

ssocia

tion

Kan

sas H

osp

ital A

ssocia

tion

What About Kansas Medicaid?

• 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

December 2008Kan

sas H

osp

ital A

ssocia

tion

Kan

sas H

osp

ital A

ssocia

tion

Medicaid Transformation

• 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

December 2008Kan

sas H

osp

ital A

ssocia

tion

Kan

sas H

osp

ital A

ssocia

tion

Wichita Center for Graduate Medical Education

• 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

December 2008Kan

sas H

osp

ital A

ssocia

tion

Kan

sas H

osp

ital A

ssocia

tion

Health Focus for 2009

• 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