TOPEKA, Kan. (AP) — Republican Gov. Sam Brownback is tied to an effort to oust a majority of the Kansas Supreme Court’s justices through his PAC despite publicly distancing himself from the campaign.

A campaign finance report for the Road Map PAC showed that it donated a total of $65,000 to Kansans for Life in September and October.

The Wichita Eagle reportedthat Executive Director Mary Kay Culp confirmed Tuesday that anti-abortion group will use the money for its campaign to remove the justices in next week’s election.

Abortion opponents want to oust four of the seven justices ahead of a ruling in a pending abortion case. The four were appointed by moderate GOP Gov. Bill Graves and Democratic Gov. Kathleen Sebelius.

Brownback said last month that he would not weigh in.

By ANDY MARSO 

Open enrollment for health insurance through the Affordable Care Act starts Tuesday. People in Kansas and across the country will be able to log in to the online marketplace, healthcare.gov, and purchase plans for 2017 with federal subsidies based on income.

Some Kansans will face the sticker shock of big premium hikes, but their premium increases will be lower than those for some nearby states. And, thanks to Kansas Insurance Commissioner Ken Selzer, they will have choices that they otherwise would not have.

Like every candidate in the five-way Republican primary race for insurance commissioner in 2014, Selzer made opposition to the ACA, commonly known as “Obamacare,” part of his campaign.

But once elected to work on behalf of Kansas insurance consumers within the confines of the federal system, Selzer put practicality ahead of politics by recruiting a new insurer, Medica, into the Kansas ACA marketplace for 2017.

Selzer worked for months to get Medica and another insurer, Coventry Health and Life (a subsidiary of Aetna), to join the exchange.

Things ultimately didn’t work out with Coventry, but getting Minnesota-based Medica was important.

Avoiding a single insurer

UnitedHealthcare’s decision to exit Kansas — and many other state exchanges — appeared to leave Kansans able to buy 2017 ACA coverage from only one insurer: Blue Cross and Blue Shield of Kansas City in Wyandotte and Johnson counties and Blue Cross and Blue Shield Kansas Solutions in the rest of the state.

If that had happened, Kansas would have joined five other states — South Carolina, Alabama, Alaska, Oklahoma and Wyoming — in which Blue Cross was the only marketplace option.

Under that scenario, Kansans outside the Kansas City metropolitan area also would have been restricted in their choice of medical providers.

Blue Cross and Blue Shield of Kansas City is offering traditional insurance plans in which members get reimbursed more if they visit providers in a “preferred” network but still are reimbursed something for out-of-network care.

But Blue Cross and Blue Shield Kansas Solutions is offering only HMO plans, which provide no coverage for out-of-network care, on the marketplace. Those plans won’t provide any coverage to see specialists outside the network at places like The University of Kansas Hospital.

If Blue Cross were the only insurer on the exchange, Kansans outside the KC area whose doctors aren’t in the HMO network would have had two choices: pay entirely out of pocket or find a new doctor. As it is, they will have a third choice: Buy a traditional plan from Medica, which provides some coverage even for out-of-network care.

Effect on premiums

It’s hard to say exactly what effect it would have had on premiums if Blue Cross became the only seller on the Kansas exchange. But in general, getting more insurers into a market drives down premiums, as long as they’re selling comparable plans.

With Medica in the marketplace, premiums are still up substantially. The Kaiser Family Foundation has been tracking premiums of benchmark plans in major metropolitan areas year over year and found that such a plan in Wichita will cost 46 percent more in 2017 than the year before.

But without Medica the increases might have been higher.

Consumers in Oklahoma City saw premiums for their benchmark plan rise by 67 percent. Premiums were up 55 percent in Minneapolis and 48 percent in Chicago.

Experts say premiums are increasing and insurers are leaving the ACA marketplace for several reasons:

• Those who are signing up for plans are requiring more health care than estimated.
• Not enough young, healthy people are signing up through the marketplace.
• Prescription drug costs are driving up health insurance prices both on and off the marketplace.

Some of that could turn around in 2017. The tax penalty for not carrying insurance, known as the “individual mandate,” has been rising and is up to a minimum of $695 per adult in 2016. The fee for not having insurance in 2017 hasn’t been set yet, but by law it rises with inflation so it could go higher again. That changes the risk-reward calculation for generally healthy people trying to decide if it makes more personal financial sense to pay premiums and get health insurance or just pay the tax penalty.

As more people get insured and stay insured, the costs of pent-up care that they had been going without should also dissipate.

But it’s also possible that by now premiums and other out-of-pocket costs for ACA plans are so high that they will attract only buyers who need a lot of medical care, which will further drive up costs — what the insurance industry calls a “death spiral.”

Either way, there was little Selzer and his team in the insurance department could do to hold down premiums this year. A spokesman for Selzer’s office did not respond to a request for comment.

It’s also important to note that most Kansans won’t be personally affected by the ACA marketplace premium hikes.

Most Kansans get their insurance from an employer or from government programs like Medicare and Medicaid. In past years, about 100,000 Kansans — or 3.5 percent of the state population — have purchased insurance from the ACA marketplace.

Of those 100,000, about 85 percent will get federal subsidies based on their income to offset the premium increases, according to estimates from the U.S. Department of Health and Human Services.

That leaves about 15,000 Kansans who will take the brunt of the sticker shock when open enrollment begins.

But now they will at least have choices.

 

Andy Marso is a reporter for KHI News Service in Topeka, a partner in the Heartland Health Monitor team. You can reach him on Twitter @andymarso

MORRIS COUNTY – A Kansas man died in an accident just before 3p.m. on Tuesday in Morris County.

The Kansas Highway Patrol reported a 2003 Dodge Grand Caravan driven by Jean Ecklund, 77, Herington, was eastbound on U.S. 56 a mile west of Council Grove.

The van crossed the centerline going across the westbound lane and hit a culvert. The van rolled one time and came to rest in the north ditch.

A passenger Eugene Ecklud, 79, was pronounced dead at the scene.

Jean Ecklund was transported to the Morris County Hospital. She was not wearing a seat belt, according to the KHP.

OSAGE COUNTY – Law enforcement authorities in Osage County are investigating a burglary and asking for help to locate the suspect.

Just before 10 a.m. on Monday, a home owner in the 13100 block of South Shawnee Heights Road in northeast Osage County found a white male, early 20’s in age, blue jeans, and gray t-shirt, in the area of their garage, according to a social media.

The suspect left the residence in a white Toyota Celica after striking the victim’s vehicle. The Celica has KSU Powercat front plate, spoiler, and sunroof.

The suspect left northbound on Shawnee Heights Road.
Anyone who can identify the driver of this vehicle or the owner of the vehicle, please contact Osage County Crimestoppers at 1-877-OS-CRIME or 785-828-3121.

ABILENE, Kan. (AP) — The Eisenhower Foundation is hoping that people still like Ike enough for Kansas to continue production of “I Like Ike” specialty license plates.

The Salina Journal reports that 300 of the license plates with the slogan from the 1952 U.S. presidential campaign for former President Dwight D. Eisenhower need to be purchased by May 2017 for production to continue.

The license plates are available in all counties in Kansas. Foundation executive director Meredith Sleichter says every plate that is sold and renewed sends $50 to benefit the foundation.

Sleichter says the Kansas Legislature approved the tags and part of the statute requires that 500 plates be purchased in two years for production to continue.

TOPEKA, Kan. (AP) — Kansas says its tax collections fell nearly $13 million short of expectations in October for the state’s sixth consecutive monthly shortfall.

The state Department of Revenue’s report Tuesday came a week before the election with allies of Republican Gov. Sam Brownback facing a backlash in legislative races over the state’s budget problems.

The state collected $447 million in taxes last month when its official projection was nearly $460 million. The shortfall was 2.8 percent.

Since the current budget year began in July, total tax collections of $1.8 billion have fallen more than $80 million short of expectations for a shortfall of 4.2 percent.

Brownback said a rural recession is responsible for the monthly revenue shortfalls. His critics blame personal income tax cuts he pushed to help stimulate the economy.