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Gov. Kelly directs council to explore Medicaid expansion options

TOPEKA —  Governor Laura Kelly announced the Governor’s Council on Medicaid Expansion Wednesday.

Governor Kelly signs the executive order Wednesday photo courtesy office of Kansas governor

This Council of legislators, policy experts, advocates, stakeholders and community leaders will spearhead the Medicaid expansion efforts in the 2020 legislative session.

The members of the Council and their current positions are listed below:

Tom Bell – President and CEO, Kansas Hospital Association

Sen. Ed Berger – State Senator, District 34

Rep. Susan Concannon – State Representative, District 107

Denise Cyzman – CEO, Community Care Network of Kansas

Ximena Garcia M.D., Community Health Advocate

Cathy Harding – President and CEO, Wyandotte Health Foundation

Rep. Don Hineman – State Representative, District 118

April Holman – Executive Director, Alliance for a Healthy Kansas

Dave Kerr, former president of the Kansas Senate

Kyle Kessler – Executive Director, Association of Community Mental Health Centers

Sen. Carolyn McGinn – State Senator, District 31

Rep. Monica Murnan – State Representative, District 3

Dr. Lee Norman – Secretary, Kansas Department of Health and Environment

David K. Livingston – CEO, Aetna Better Health of Kansas

Sen. Pat Pettey – State Senator, District 6

Rep. Jason Probst – State Representative, District 102

Jerry Slaughter – Interim Executive Director, Kansas Medical Society

Kevin Sparks – CEO, United Health Community Plan for Kansas

Michael Stephens – President and CEO, Sunflower Health Plan

Sen. Gene Suellentrop – State Senator, District 27

Suzanne Wikle – Senior Policy Analyst, Center for Law and Social Policy

Rep. Kathy Wolfe Moore – State Representative, District 36

The Governor delivered the following remarks Wednesday on Medicaid expansion:

It’s hard to believe, but in just four months, another legislative session will be upon us. Every legislative session offers its own unique set of challenges and opportunities, and 2020 will be no different.

For the last several months I’ve been working with my administration to begin planning for the year ahead.

Many of those plans are still in development, but one piece of my 2020 agenda is a certainty:

I am going to do everything in my power to ensure this will be the year we will finally expand Medicaid in Kansas.

When I traveled around the state last fall, Kansans made it clear that this is a high priority. They want as many Kansans as possible to have access to affordable, high-quality health care. They want our hospitals supported, and they want the jobs Medicaid expansion will bring.

Medicaid expansion isn’t just a matter of smart health care policy. It is smart fiscal policy. It is smart economic policy. It is smart public policy.

I’ve stood at this podium many times over the last year explaining why Medicaid expansion makes sense for Kansas. I won’t repeat those arguments again today.

Instead, I’m here to talk about how we can finally bring this over the finish line.

As you all are aware, I put forward a proposal to expand Medicaid on Kansas Day last year. I continue to believe that proposal was the simplest, most commonsense path forward – a plan that includes measures that promote self-sufficiency, a plan that includes safeguards to protect against exorbitant spending, and a plan that can be implemented effectively without undue costs or administrative burden.

The House also took a position and passed a bill very similar to the one I offered, with very few amendments.

And this fall, the Senate will finally begin its work on the interim committee to start drafting its own plan.

This is finally a step in the right direction.

But one thing concerns me as this work gets underway.

Although Medicaid expansion has been at the top of voters’ minds for several years, the issue has received no formal committee review or vetting process in well over two years. Much has changed in that time, both federally and at the state level.

For starters, we have a new President and, therefore, a new Centers for Medicare & Medicaid Services Administrator. The CMS administrator gets the final say on how states can amend their Medicaid systems.

Obviously, we have a new governor, in addition to many recently-elected legislators who are diving into this issue for the first time. Several additional states have implemented expansion, with varying degrees of success, and an abundance of new data have been collected.

The landscape has undeniably shifted. And the one benefit Kansas can leverage as a late-expansion state is the lessons learned from those who went before us. It is critical that we do this.

To that end, today I will sign Executive Order 19-10, creating the Governor’s Council on Medicaid Expansion.

The Council will bring together both new and veteran voices on Medicaid expansion and will be charged with supporting legislative efforts to find the best version of Medicaid expansion for Kansas.

This Council will not develop or endorse new legislation. Rather, I’ve asked them to study the costs and benefits associated with expansion models in other states.

It will be facilitated by a national, nonpartisan policy expert from the National Governors Association, and they will meet three times before the end of the year to explore these issues.

By studying other state models for expansion, I am hoping we can avoid repeating some of the expensive, unnecessary mistakes made in other states.

While I hope the Council will be able to identify 3 to 5 guideposts or goals for responsible expansion in Kansas, it will not develop new legislation.

This Council will serve solely as an educational, transparent forum for public discussion, in a broader setting than can be achieved in an interim committee.

These discussions will be an important supplement to legislative work that is already underway. The experiences of the 36 other states that already moved forward with expansion varied widely depending on what shape each state plan took – particularly in the early phases of implementation.

That’s why this Council is necessary.

We know not all models for expansion are created equal. We must carefully study other state approaches and outcomes so that our final Kansas plan balances our unique needs with evidence-based best practices.

I want to thank every legislator, policy expert, advocate and community leader who has accepted our invitation. We want to hear everyone’s voice.

We want a thorough, honest discussion.

I am deeply committed to working with the Legislature to find a bipartisan solution. I want these Council members to ask the hard questions … to come up with a plan that works for all Kansans.

It’s the only way to get things done, and done right.

Let’s work together to figure out how we can best serve Kansans, get them the access they need to affordable health care, and bring Kansas dollars back to Kansas.

I look forward to collaborating with this Council and to, finally, bring Medicaid expansion to Kansas.

🎥 Drill assesses emergency response to aircraft crash at Hays Regional Airport

Ellis County EMS personnel triage volunteer plane crash victims during Wednesday’s drill at the Hays Regional Airport.

By BECKY KISER
Hays Post

A drill for the emergency response to an airplane crash at the Hays Regional Airport won’t replicate such an incident exactly, but it comes close.

Emergency responders from throughout Ellis County participated in a full-scale exercise Wednesday morning at the airport.

Darin Myers, Ellis County Emergency Manager and Rural Fire Chief, along with Ryan Hagans, Hays Fire Chief, were the exercise directors.

Overall, things went well, Myers said.

“You can only have a pretend fire for so long before the pretend fire goes out. Then you move on to the next phase of evacuating the fuselage.”

The drill started at 9 a.m. and took a little more than 90 minutes. An actual airplane crash response would likely take longer.

“It may have taken us only 10 to 15 minutes down there, but in real life to move patients who are unable to walk like we did today, they would have to be carried out or drug out,” Myers said. “That would take a lot more time.”

Approximately 30 volunteers from the NCK-Tech College nursing program portrayed the injured passengers.

Each person wore a vest identifying them as an actor and also had a piece of paper with their symptoms written on it. Most actors were wearing red makeup to resemble blood flowing from their injuries. Some patients also had moulage kits applied to simulate wounds.

After they were triaged by Ellis County EMS personnel, four passengers were declared dead.

“I had no visible injuries,” said Kylie Watson, Topeka, “but I had a blank stare, couldn’t feel air movement and had no color to my fingertips. So they had to decide whether I was dead or not, which I was.”

Tyra Younie, Hays, portrayed a victim who had been decapitated.

“I wasn’t wearing any special makeup to indicate that. I just kind of slumped over and hid my face,”  Younie said.

Alexa Brull, Catherine, had a head injury. “I was not responsive, not breathing, so I was tagged ‘black.’

The NCK-Tech students have been working with hospitalized “patients” in their classrooms. They found the response to casualties at an airplane crash to be quite different.

“It was very interesting to see how they coded each one of us and who they responded to first,” Watson said.

“We were all on the aircraft. They got to us pretty quick and were really good about prioritizing each victim and getting us off the plane.”

There were also individuals inside the airport terminal portraying distraught family members.

In yesterday’s exercise, a Hays USD 489 yellow school bus served as the airplane. Hays and Ellis County firefighters poured water on the simulated fire and smoke visible at the crash site off the south end of the airport apron.

The Hays airport is required by the Federal Aviation Administration to conduct such emergency exercises every three years.

Following the drill, all the participants gathered near the airport fire station and submitted their feedback in written form to Myers. Then each agency, observer and evaluator talked about what went well and what could have been done better.

Airport manager Jamie Salter and Hays Public Works Director Jesse Rohr

This was the first such exercise for airport manager Jamie Salter, who was appointed to the position in late February. “I felt like she did a great job,” said one observer.

In her series of contacts, Salter first notified Jesse Rohr, Hays public works director, then city management followed by the city’s Public Information Officer. Rohr was one of the on-site observers.

Hays Fire Department Captain Aaron Dome talked about the incident command post.

“We had a pretty good unified command between medical branch, law branch, and the airport. We were all face-to-face. It went pretty smooth  on our end,” Dome said.

Site security was evaluated by Toby Prine, the Kansas Regional Emergency Management Coordinator for northwest Kansas who is based in Hays.

Toby Prine (left), NWKS Emergency Management Coordinator, evaluated site security during the Hays airport drill.

“About 9:04 a.m., Hays police started blocking access to the airport. At 9:16 a.m. they brought in mutual aide units like the sheriff’s department and Kansas Highway Patrol,” Prine reported.

“Later on they identified the hospital as a possible critical area with internal security at the hospital (HaysMed). The discussion was we need to keep that in the forefront in case they need additional law enforcement out there. Overall, they did a very good job,” he added.

Don Scheibler, Hays police chief, agreed.

“In this type of event, law enforcement’s primary job is to provide a safe and secure environment for you guys to do what you need to do,” Scheibler told the participants.

Ellis County EMS reported they were on scene for 40 minutes with all the critical patients transported within 20 minutes. SkyWest Airline personnel provided information to EMS on the number of passengers and crew which EMS used to determine whether they needed to request out-of-county ambulances.

A couple of concerns were noted by firefighters.

All the county’s fire trucks are paired with supplies according to the vehicles’ engine capability.  “On scene we can split the crew, but we need to keep the equipment together,” said one rural firefighter.

Hays firefighters assist a patient into an ambulance.

“In that transition period when we went from operations fire-wise to EMS-wise on our end, we kind of ditched a crew down there. I knew Justin (firefighter Choitz) had it under control,” said Tyler Brungardt, HFD lieutenant. “I feel like that probably could have gone a little bit smoother.”

HaysMed Security Manager Mike Filley evaluated the performance of EMS and health support. “I’m going to talk to Kerry (McCue-Ellis County EMS/Health Services Director) a little more about it but, overall it was pretty good.”

An after-action report will be compiled and distributed with a summary of key information related to the evaluation along with plans for improvement.

Participating agencies were Hays Public Works, Fire, and Police Departments, Ellis County EMS, Fire and Emergency Management, and Sheriff Departments, Kansas Highway Patrol, Hays Aircraft, SkyWest Airlines, TSA, Hays Medical Center, EagleMed, and NCK-Tech College.

Kansas Farm Bureau Insight: The Farm Bureau family

Greg Doering
By GREG DOERING
Kansas Farm Bureau

For John and Berna Mae Stegman, the recent loss of their son, Bernard, in an accident has brought heartache and grief. It’s also underscored the fact that family extends beyond kinship.

John was surprised by the number of cards, calls and visitors his family received from his connections made in Kansas Farm Bureau in the wake of Bernard’s death. The volume of condolences was almost overwhelming,

“I just want to thank all the people who took the time to send a card, give me a call or whatever,” John said.

Bernard didn’t just reside in Spearville, he helped cultivate a community there with his wife, Debra, and their three sons. Farming was all he ever wanted to do – so much so that he opted to stay close to home for college so he could work on the farm in the afternoons. He graduated from St. Mary of the Plains in Dodge City.

“His life was farming,” John said. “He started when he was a little guy saying, “‘I’m going to be your partner. I’m going to be your partner.’ We had probably 48 good years together – working together. It’s tough to lose someone like that. I know I’m not the only one that’s happened to.”

Under that partnership, the farming operation flourished from “a small acreage to a considerable size now,” in addition to growing a herd of registered Angus. Bernard also found the time to serve the Spearville community through his church, the local school board and professional groups.

Bernard also is the reason John was able to serve on Kansas Farm Bureau’s board of directors, representing 11 counties in southwest Kansas.

“I spent 20 years on that Farm Bureau board, and it was because Bernie was at home and he took care of everything when I wasn’t there,” John said. “He was just my best friend and my buddy. He knew everything about the farm.”

John’s tenure on the Farm Bureau board ended in 2010, but the connections are still strong.
“The amount of people you meet in 20 years is just unbelievable,” John said. “We get these cards from all over the state. We had some of the past directors come out (for the funeral). I didn’t get to see everybody because the church was full, the parish center was full.”

There are smaller injustices in Bernard’s death, like the new barn he’d recently completed, the culmination of years of work to make the farm as productive as possible.

“He just about had everything the way he wanted it, but he doesn’t get to enjoy it,” John said.

Instead, John said he’s going to embark on a new partnership with his three grandsons who all desire to be back on the farm.

“We’ll have to see if we can make this thing work so that everybody’s got some income – can make a decent living.”

With the numerous relationships John has built through Kansas Farm Bureau, there’s plenty of family standing by ready to help.

“Insight” is a weekly column published by Kansas Farm Bureau, the state’s largest farm organization whose mission is to strengthen agriculture and the lives of Kansans through advocacy, education and service.

Voss leadership scholars for 2019-20 at Fort Hays State

FHSU University Relations

The Department of Leadership Studies at Fort Hays State University has selected its 2019-2020 scholars for the Voss Advanced Leadership Undergraduate Experience.

To complete the program, students will plan and implement a project in either civic and non-profit leadership, corporate leadership or leadership research. Mentors will coach students throughout the academic year. Scholars are awarded a $500 stipend each semester.

VALUE is a year-long, co-curricular experience designed to challenge and develop leadership skills in upperclassmen.

The program has two objectives: 1) to teach students how to put ideas into action and implement, execute and transform a vision into reality; and 2) to promote teamwork and collaborative skills in order to be successful.

Applicants must be juniors or seniors in good academic standing who have completed the leadership studies certificate and are willing to commit themselves to a deep degree of scholarship and service. Faculty and staff can also make nominations.

Scholars are listed alphabetically by hometown:

LIBERAL: Charlotte Peterson is a senior majoring in organizational leadership.
OMAHA, Neb.: Caden Frank is a junior majoring in organizational leadership.
SALINA: Quinn Munk is a junior majoring in organizational leadership.
ULYSSES: Tyra Hayden is a senior majoring in general studies.
WACO, Texas: Alexandria Kultgen is a senior majoring in organizational leadership and minoring in political science.
WICHITA (67226): Jacki Dougherty is a senior majoring in organizational leadership.
WOODBINE: Jaryth Barten is a junior majoring in organizational leadership and communication studies.

About VALUE
The Voss Advanced Leadership Undergraduate Experience is designed to develop the most promising undergraduates into powerful agents for good following their educational experience at Fort Hays State University.

To learn more about the VALUE program and this year’s scholars, visit https://www.fhsu.edu/leadership/value/

Police make arrest for alleged prostitution at Kan. massage parlor

HUTCHINSON, Kan. —Law enforcement authorities are investigating a business in Hutchinson that may have been offering sexual favors.

Fang photo Reno Co.

Officers with the Hutchinson Police Department’s Repeat Offender Unit and Detective Division conducted a search warrant at The Spring Spa, 1509 N. Lorraine Street after receiving numerous reports of sexual acts being offered as part of the service, according to a media release.

An undercover operation was conducted and a detective was offered a sexual act, which he declined. The offer confirmed previous reports.

During a search of the building, officers located numerous items consistent with prostitution. Authorities arrested 54-year-old Yu Jun Fang on suspicion of promoting the sale of sexual relations, maintaining an establishment, and one count of promoting the sale of sexual relations. Her bond is set at $3,000.

Police say the investigation continues into Fang’s possible involvement within a larger organization.

The Latest: Concerns reported to Kan. agency before toddler’s death

Compass photo Sedgwick Co.

In response to a records request from The Associated Press, the Kansas Department of Children and Families released a summary Tuesday of its involvement with 2-year-old Zayden JayNesahkluah. He is at least the ninth child age 5 or younger since 2017 to die in the Wichita area under suspicious circumstances, several of them after state welfare officials had contact with the family.

Zayden’s mother, 23-year-old Kimberly Compass , was charged last month with first-degree murder following her son’s overdose of the addiction treatment medication. She previously has denied any wrongdoing. Her attorney, Casey Cotton, didn’t immediately return a phone message Wednesday.

The child welfare agency says Compass was assigned to a program designed to keep the family intact almost continuously from August 2016 to September 2018, although the state contractor working with Compass lost contact with her during the second year after she moved. It was unclear from the summary why she was participating in the program. But Mike Deines, a spokesman for the Kansas Department for Children and Families, said her participation was voluntarily.

The agency says it then received reports in December 2018 and January 2019 about neglect and lack of supervision. Later, the agency received reports that Compass’ then-partner was physically abusive, and that Compass was neglectful and failed to provide supervision. At one point, Compass refused a drug test, the summary shows.
——————

WICHITA, Kan. (AP) — Kansas child welfare officials say they received repeated reports about a toddler before he died of an overdose of the addiction treatment medication methadone.

Compass photo Sedgwick Co.

The Kansas Department of Children and Families released a summary Tuesday of its involvement with 2-year-old Zayden Jay Nesahkluah of Wichita in response to a records request from The Associated Press.

Zayden’s mother, 23-year-old Kimberly Compass, was charged last month with first-degree murder.

The agency says the initial reports in December 2018 and January 2019 were about neglect and lack of supervision. Later, the agency received reports that Compass’ then-partner was physically abusive, and more that Compass was neglectful.

Although the reports weren’t substantiated, Compass received a mental health referral. The agency says a service provider attempted to contact her on May 31, the day Zayden was found dead at a motel.

Soler extends Royals record with 40th HR in win vs Tigers

KANSAS CITY, Mo. (AP) – Jorge Soler extended his team record with his 40th homer, Hunter Dozier and Alex Gordon had three hits each, and the Kansas City Royals beat the Detroit Tigers 5-4 on Wednesday night.

The Royals are the last team in baseball history to have a player reach 40 home runs in a season. Prior to Tuesday, Mike Moustakas held the club record with 38 in 2017.

Jakob Junis (9-12) gave up four runs and seven hits over seven innings for Kansas City.

Ian Kennedy pitched the ninth for his 26th save in 30 chances. He blew his first save in 15 chances Tuesday night against Detroit, but he was perfect Wednesday.

Edwin Jackson (3-9) allowed four runs and nine hits in five innings for the Tigers.

Detroit scored three runs in the second inning on four consecutive hits. Christin Stewart led off with a single, Jeimer Candelario doubled and Harold Castro drove in both runners with a double. Castro then scored on a single by Dawel Lugo.

After threatening in the third, the Royals scored twice in the fourth. Dozier and Gordon singled leading off, and Ryan McBroom, who made his major league debut Tuesday, collected his first career RBI with a single that scored Dozier and sent Gordon to third. Gordon then scored on a wild pitch.

The Royals added two more in the fifth. Soler’s blast off the Royals Hall of Fame in left field tied it. Dozier then tripled off the base of the wall in left center and scored on Gordon’s infield hit.

Adalberto Mondesi hit a two-out single in the sixth to make it 5-3.

Miguel Cabrera’s RBI single just inside the line in the eighth cut the lead to one.

UP NEXT

Tigers LHP Matthew Boyd (7-10, 4.58 ERA) will get the ball for the final game between the two clubs this season. Boyd is 1-2 with a 6.53 in four starts against Kansas City in 2019. Royals RHP Glenn Sparkman (3-10, 5.86 ERA) has never started against the Tigers, but appeared in relief twice last season, posting a 2.84 ERA.

Kan. teens jailed for alleged burglary, battering store employee

SEDGWICK COUNTY  — Law enforcement authorities are investigating a burglary and have two suspects in custody.

Location of the attack on the store employee-google image

Just before 6:30p.m. Tuesday, police responded to strong arm robbery call at the US Gas in the 2600 Block of North Hillside in Wichita, according to officer Charley Davidson.

At the scene, police found a 49-year-old employee with minor injuries from the robbery.

Investigators have learned that at 5:45p.m., a 15 and a 16-year-old came to the store and purchased drinks.  Employees asked the boys to leave because they were loitering and didn’t have guardians with them, according to Davidson.

The teens later returned to the store and battered the employee and damaged property in the store.

Officers responded and searched the area and located the teens in Grove Park and took them into custody, according to Davidson.

Police later learned the boys had been involved in a burglary at 1:30a.m. Tuesday at a market in the 2400 Block of South Seneca. Through that investigation, police learned that a third teen was involved in the earlier burglary. They located him and made an arrest, according to Davidson.

One 16-year-old boy is being held in juvenile detention on requested charges of aggravated robbery, aggravated battery, destruction of property and burglary. The 15-year-old is in juvenile detention on requested charges of aggravated robbery, destruction of property, shoplifting and burglary.  The third 16-year-old was arrested on requested charges of burglary.

Judge: Kan. farmer’s online review of Branson attraction not defamatory

SPRINGFIELD, Mo. (AP) — A federal judge has ruled that a Kansas cattle farmer did not defame a Branson attraction by leaving a three-star TripAdvisor review.

Google image

Owners of Bigfoot on the Strip sued Randy Winchester and his daughter in June 2018, claiming the review was libelous and defamatory.

Winchester had written that he was disappointed by a tour of Bigfoot Farms and its cattle. Owners of the attraction contended some of the details in Winchester’s review were inaccurate.

Winchester said after tour owner’s contacted him to complain, he changed it to a one-star review.

U.S. District Court Chief Judge Beth Phillips ruled late last month that Winchester’s statements were factually correct and/or didn’t diminish the company’s reputation in the community.

An attorney representing Bigfoot’s owners did not return a call seeking comment.

Teen from Victoria hospitalized after pickup rolls

ELLIS COUNTY — One person was injured in an accident just after 3:30p.m. Wednesday in Ellis County.

The Kansas Highway Patrol reported 2006 Chevy S10 pickup driven by Vance L. Hockersmith, 15, Victoria, was southbound on 370th one mile west of Walker.

The driver lost control and rolled the vehicle into the north ditch.

EMS transported Hockersmith to Hays Medical Center. He was properly restrained at the time of the accident, according to the KHP.

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