During a recent government meeting, key stakeholders in Kansas's healthcare system voiced urgent concerns regarding the state's long-term care and healthcare workforce challenges. The discussions highlighted the need for immediate action to address critical issues affecting both providers and patients.

One of the primary topics was the request for state agencies to reassess their interpretation of physical environment waivers, which are essential for maintaining long-term care beds in Kansas. Stakeholders emphasized that streamlining processes for the Home and Community-Based Services (HCBS) waivers and updating federal staffing rules are crucial steps to combat the ongoing healthcare workforce shortage, particularly in aging services. A proposal for a healthcare workforce roundtable was also put forth, echoing the intentions of the late Representative Les Mason to develop a comprehensive healthcare workforce bill.

Aaron Herbel, administrator of Mercy Hospital, shared his experience transitioning to a rural emergency hospital model. He reported significant financial losses due to delays and complications in obtaining necessary waivers, which ultimately jeopardized skilled nursing services in his facility. Herbel noted that the interpretation of requirements for existing hospitals transitioning to this model was overly stringent, leading to potential closures and further loss of care options in rural communities.

Heather Brom, senior policy advisor at Kansas Action for Children, urged the committee to permanently resolve a long-standing error in the Children's Health Insurance Program (CHIP) eligibility threshold. She highlighted the importance of aligning state law with federal regulations to ensure that children receive necessary healthcare services. Additionally, Brom called for increased reimbursement rates for pediatric and maternity care, emphasizing that higher Medicaid payments could improve access to healthcare for children, particularly in rural areas.

Dr. Christina Kovacs, chief clinical officer at Behavioral Health Solutions, advocated for the establishment of value-based behavioral reimbursement programs in nursing homes. She pointed out the growing need for specialized care for residents with behavioral health issues and argued that such programs could enhance patient outcomes while reducing overall healthcare costs.

Rachel Banning, president of Rainbows United, appealed for a 3.5% increase in rates for direct support providers, stressing the critical role these caregivers play in supporting vulnerable populations. She underscored the importance of adequate compensation to ensure the availability of quality care for individuals with exceptionalities.

The meeting underscored the urgent need for legislative action to address the multifaceted challenges facing Kansas's healthcare system, particularly in long-term care and support services. Stakeholders expressed hope that the committee would take their recommendations into account as they prepare for the upcoming legislative session.