Kansas Medicaid Expansion Blocked, Supporters Frustrated And Lawmakers Considering ‘Nuclear Option’

Medicaid expansion advocates attend a rally last month at the Kansas Statehouse. STEPHEN KORANDA / KANSAS NEWS SERVICE
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By Stephen Koranda – Kansas News Service

TOPEKA, Kansas — The Kansas legislative session began with what seemed like a done deal for expanding Medicaid. Gov. Laura Kelly and a top Republican senator had forged a compromise to offer health coverage for up to 130,000 low-income Kansans.

About a month later, the deal has ground to a halt — and even the state budget could be held up — because of abortion politics. Medicaid supporters are irritated. Moderate Republicans and Democrats are ready to fight back with delays. And abortion opponents haven’t budged.

“I’m pretty frustrated,” said Republican Sen. Randall Hardy, who supports expanding Medicaid. “I’m willing to consider almost anything at this point.”

The strategy of holding up the Legislature to get Medicaid expansion is a risky play, Washburn University political science professor Bob Beatty said. It could anger voters if the delay drags on to the point that important services like roads and law enforcement aren’t funded.

“This is the nuclear option,” Beatty said, “because the last thing voters, constituents and even legislators want is for the Legislature to not be able to do anything, including funding programs that everybody agrees should be funded.”

The Senate already passed the proposed constitutional amendment on abortion, which would overturn a court ruling that said the state constitution guarantees women a right to the procedure. But the House narrowly rejected it on Feb. 7.

That led the influential anti-abortion group Kansans for Life to call for blocking Medicaid expansion until the amendment is on a ballot, something Republican Senate President Susan Wagle has promised will happen.

Abortion opponents say the delay is necessary, fearing that the court ruling on abortion rights could lead to state money being used for abortions through an expanded Medicaid program.

“If we want to be able to protect human life and protect the citizens of Kansas from being forced to fund abortions through Medicaid, then this is just a position that we have to take,” Kansans For Life’s Director of Government Relations Jeanne Gawdun said earlier this month.

Senate Majority Leader Jim Denning, the Republican who helped draft the Medicaid compromise, is pushing back, saying state funding would not go to abortion due to federal law.

Last year, Democrats and moderate Republicans tried holding up the budget in the House to get Medicaid expansion, but ultimately didn’t have enough votes. The top Democrat in the House said expansion is such a high priority this year that they’re willing to try again if needed.

“We will keep discussing it with them to get that leverage,” House Minority Leader Tom Sawyer said.

Since Republicans hold strong majorities in both chambers, Democrats would need to attract a healthy number of Republicans like Hardy if they hope to successfully block any bills.

Meanwhile, Medicaid supporters held a rally last week, shouting their disapproval of the whole situation inside the Statehouse.

“There’s been one delay after another,” Alliance for a Healthy Kansas Executive Director April Holman said, “with no end in sight.”

Stephen Koranda is the Statehouse reporter for Kansas Public Radio and the Kansas News Service. You can follow him on Twitter @kprkoranda.

The Kansas News Service is a collaboration of KCUR, Kansas Public Radio, KMUW and High Plains Public Radio focused on health, the social determinants of health and their connection to public policy. Kansas News Service stories and photos may be republished by news media at no cost with proper attribution and a link to ksnewsservice.org.

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Derek Nester was born and raised in Blue Rapids and graduated from Valley Heights High School in 2000. He attended Cowley College in Arkansas City and Johnson County Community College in Overland Park studying Journalism & Media Communications. In 2002 Derek joined Taylor Communications, Inc. in Salina, Kansas working in digital media for 550 AM KFRM and 100.9 FM KCLY. Following that stop, he joined Dierking Communications, Inc. stations KNDY AM & FM as a board operator and fill-in sports play-by-play announcer. Starting in 2005 Derek joined the Kansas City Chiefs Radio Network as a Studio Coordinator at 101 The Fox in Kansas City, a role he would serve for 15 years culminating in the Super Bowl LIV Championship game broadcast. In 2021 he moved to Audacy, formerly known as Entercom Communications, Inc. and 106.5 The Wolf and 610 Sports Radio, the new flagship stations of the Kansas City Chiefs Radio Network, the largest radio network in the NFL. Through all of this, Derek continues to serve as the Digital Media Director for Sunflower State Radio, the digital and social media operations of Dierking Communications, Inc. and the 6 radio stations it owns and operates across Kansas.