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Health Bill Could Reduce Medicaid Services For Kids With Disabilities In Kansas Schools

On any given school day at Kansas City Kansas Public Schools, students with disabilities receive an array of medical and support services, from physical therapy to help from nurses.

Congress is working on a health bill that could affect Medicaid funding for districts like Kansas City Kansas Public Schools. Kansas schools receive around $46 million total to pay for services provided to students with disabilities.
FILE PHOTO / KCUR

The services are meant to ensure access to education for all children, said Michelle Colvin, director of special education for the district.

“All means all,” Colvin said. “It benefits us to include everyone in our education system.”

Medicaid helps pay for such services — providing around $46 million for schools statewide, according to data from the Kansas Department of Health and Environment.

As Republicans in Congress work on an Obamacare repeal and replacement bill that would impose caps on Medicaid funding and give states more authority to decide who and what to cover, education advocates in Kansas are scrambling to determine how those changes would affect schools.

“We’re trying to get that nailed down,” said Mark Tallman, a lobbyist for the Kansas Association of School Boards, which has been urging its members to contact Sens. Pat Roberts and Jerry Moran with their concerns.

“If federal aid goes down, that doesn’t change the cost to the districts,” he said, referring to federal statute that requires schools to meet the needs of children with disabilities.

Michelle Colvin, director of special education for Kansas City Kansas Public Schools, said services for disabled students wouldn’t decrease at her district if Medicaid reimbursements drop in Kansas. But the district might need to use other funds to provide those mandated services.
CREDIT CELIA LLOPIS-JEPSEN / KANSAS NEWS SERVICE

A coalition of concerned groups — ranging from the National Disability Rights Network to the Autistic Self Advocacy Network to the American Psychological Association — are sounding the alarm, warning that proposed caps on federal Medicaid spending risk reducing financial support to schools or even crowding them out of the program.

Such changes “could have devastating effects on our nation’s children,” the groups wrote in an open letter to House and Senate leaders.

In May, the House passed a bill that would curb projected growth in Medicaid spending by $830 billion over the next decade, according to estimates from the nonpartisan Congressional Budget Office. The Senate may soon vote on a version that slashes $770 billion.

Kansas’ four House members voted for their chamber’s version. In the Senate, Moran has said he opposes the bill in its current form and Roberts has voiced support.

Kansas GOP Congressman Kevin Yoder said in a recent emailed statement that the House bill prioritizes Medicaid spending on the elderly and people with disabilities. He noted that the bill cuts growth in spending, rather than reducing current funding levels.

“The bottom line is we are protecting these children by prioritizing them in our reforms and ensuring the Medicaid program will not go insolvent,” Yoder said.

Read U.S. Rep. Kevin Yoder’s statement on proposed Medicaid funding changes.

The CBO estimates the House version would cut the federal deficit by about $120 billion over a decade. It pegged the figure at about $320 billion for the Senate version.

Those savings would be achieved in large part by the Medicaid spending caps, which would reduce enrollment by an estimated 14 million to 15 million people by 2026.

Funding caps in the Senate version wouldn’t apply to disabled children, according to the CBO, but educators remain concerned that states could still reduce the funding that schools receive to provide services to students with disabilities.

Areas of impact

Among schools, the state’s biggest Medicaid billers are its largest urban-core districts, which serve high numbers of children from low-income families. These include the 50,000-student Wichita district, the 22,000-student Kansas City Kansas district and the 14,000-student Topeka district.

See how much your school district received in Medicaid funding last year

Kansas City Kansas schools received about $4.1 million through Medicaid last year. That figure includes money for some services provided to the neighboring Bonner Springs and Piper school districts.

But smaller districts are worried, too. The National Rural Education Association, part of the coalition concerned about the fate of Medicaid in schools, said losses can be difficult for such districts to absorb.

“Most rural districts are already strapped for cash anyway,” said Allen Pratt, the Tennessee-based group’s executive director. “It’s only going to make things a lot worse.”

There’s some indication Medicaid plays a larger role in increasing access to health care for residents of rural areas and small towns. Research published this month by Georgetown University and the University of North Carolina found that more children in those areas are insured by Medicaid than children living in metropolitan areas.

In Kansas, 36 percent of children in towns and rural areas have Medicaid coverage, compared to 27 percent in metropolitan areas. The rate of uninsured children — about 5 percent — is the same for both.

Erosion of state aid

The decades-old federal law on the educational rights of children with disabilities was born of civil rights efforts that moved schools away from systematically isolating kids with special needs from regular classrooms and other classmates.

It pushes schools to tailor medical and educational services so that children can learn in general education environments as much as possible.

For Colvin, the reasoning is simple: All children should have the opportunity to achieve their potential.

“We have to provide these students with the best possible education,” she said.

But state and federal funding that schools receive doesn’t fully cover the cost of providing the mandated services. And this feeds into school administrators’ fears of losing Medicaid dollars.

Under Kansas law, schools should receive from the state 92 percent of the extra costs associated with educating children with special needs, after adjusting for some federal assistance. But Kansas has ignored that law since 2011. Amid tight budgets in recent years, the state has covered around 80 percent instead.

A key type of federal special education aid is a similar story. According to the National School Boards Association, on a per-student basis, Congress is putting in less than half of what it committed upon passing a landmark special education-related law in 1975.

Kansas lawmakers agreed to add about $12 million to special education funding for next school year — part of their response to the long-running Gannon v. Kansas lawsuit that accuses the state of underfunding public schools. This could lead to a bump in aid per student, but the Kansas Association of School Boards said reductions in Medicaid could easily undo it.

Shifting dollars

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The national Save Medicaid in Schools Coalition warns scaling back the program could lead schools to divert money from other education programs to make up the difference. It could also weaken medical and mental health services, the groups said.

Colvin said services for disabled students, whose rights are governed by federal mandates, wouldn’t decrease at her district if Medicaid reimbursements drop in Kansas.

“There’s no negotiation there,” she said, but added that the district would need to pull money from elsewhere in its general budget.

Kansas City Kansas Public Schools is one of the plaintiffs in the Gannon lawsuit and has long argued its classrooms are already underfunded.

Colvin also warned that early childhood services billable in part to Medicaid aren’t subject to the same federal mandates, making them more vulnerable.

Kansas City Kansas schools serve nearly 700 infants and toddlers born with disabilities or facing other risk factors. About $275,000 for this program comes from Medicaid, and the district would struggle to find the money elsewhere, she said.

“That’s probably more scary to me,” she said. “They don’t have a fallback.”

Celia Llopis-Jepsen is a reporter for the Kansas News Service, a collaboration of KCUR, Kansas Public Radio and KMUW covering health, education and politics. You can reach her on Twitter @Celia_LJ. Kansas News Service stories and photos may be republished at no cost with proper attribution and a link back to kcur.org.

Bomb-making material taken from home of man accused of shooting at trooper on I-70

Gathercole-photo Dawson Co.

MATT VOLZ, Associated Press

HELENA, Mont. (AP) — FBI agents seized bomb-making materials, seven guns and ammunition from the Montana home of a man they suspect of carrying out bank robberies in five states.

An inventory of the property seized from Richard Gathercole’s home in Roundup shows that agents also took sheriff’s badges and patches, a sheriff’s vest and an ammunition vest, a military style helmet, an organic chemistry book and material to make identification badges.

The inventory list was filed with U.S. District Court in Billings on June 27.

Authorities believe Gathercole is the man they call “the AK-47 bandit” who held up at least six banks since 2012.

Gathercole is being held in Lexington, Nebraska, where he is accused of stealing a truck and guns and firing on a Kansas state trooper on Interstate 70 in Northwest Kansas last month.

He is scheduled to appear in court Thursday.

UPDATE: Man injured when Kansas dumpster emptied into garbage truck

Man seriously injured in Wednesday morning accident-photo courtesy KWCH

WICHITA, Kan. (AP) — Authorities say a man who apparently was sleeping in a dumpster in Wichita, Kansas, was injured when that large metal trash bin was emptied into a garbage truck.

The man was sent to the hospital after the accident shortly before 8 a.m. Wednesday outside an apartment complex.

A Wichita Fire Department battalion chief, Sid Newby, says the truck’s driver had emptied the dumpster and was compacting the trash when he stepped out of the vehicle and heard the victim screaming.

The victim was taken to a hospital, and his injuries were not considered to be life-threatening.

The man’s name was not released.

——

WICHITA, Kan. (AP) — Authorities say a man who apparently was sleeping in a dumpster in Wichita, was injured when that large metal trash bin was emptied into a garbage truck.

The man was sent to the hospital after the accident shortly before 8 a.m. Wednesday outside an apartment complex, though his medical status was not immediately clear.

The man’s name was not released.

Body of 12-year-old drowning victim found in Kansas lake

Lake Coldwater-photo city of Coldwater

COLDWATER, Kan. (AP) — Searchers of Lake Coldwater in southern Kansas’ Comanche County have found a 12-year-old drowning victim.

Searchers with the Kansas Department of Wildlife, Parks and Tourism found the girl’s body shortly after 3:30 p.m. Tuesday, more than two hours after the girl went missing while swimming.

The girl’s name was not immediately released.

Coldwater Lake is about 130 miles west of Wichita.

State to pay $67K to settle lawsuit over 2011 KHP traffic stop

TOPEKA, Kan. (AP) — The state of Kansas has agreed to settle for roughly $67,000 a 5-year-old lawsuit by a man who said he was illegally stopped and detained by a state trooper.

Peter Vasquez tells the Topeka Capital-Journal  he’s happy his litigation over the December 2011 stop is ending.

Vasquez says he was stopped by a Kansas Highway Patrol trooper in December 2011 in Wabaunsee County and was issued a warning but refused the trooper’s request to have his vehicle searched after Vasquez insisted there were no drugs in it.

Vasquez was detained, though a search of his vehicle found nothing illegal.

A federal appeals court last year overturned a lower court’s decision to dismiss the case. The U.S. Supreme Court denied the state’s request to hear the matter.

Sheriff: Kansas man jailed for alleged arson after house fire

Getz

RENO COUNTY –Law enforcement authorities are investigating a suspect for arson.

Just before 7p.m. Tuesday, Nickerson Fire District and Sheriff’s Officers were dispatched to 5000 Nickerson Blvd northwest of Hutchinson for a house fire, according to Sheriff Randy Henderson.

When deputies arrived the resident of the home had been moved away from the residence by persons driving by the scene.

Fire crews had trouble reaching the home due to the resident’s truck parked in the way.

Crews had to pull the vehicle out of the way before proceeding to the scene. The resident, 64-year-old Kerry Getz appeared intoxicated and smelled of gasoline.

After investigation and interviews deputies arrested Getz on 1 count of Arson. He lived alone at the residence.

In July of 2016, Getz entered a plea to a single count of making a criminal threat and was granted one year of probation after he chased a sub-contracted employee of Westar Energy at the home replacing an electrical meter.

Getz had been charged with aggravated assault with a deadly weapon, aggravated battery causing reckless bodily harm and criminal damage to property, but as a part of a plea agreement, the state dropped all the other charges.

Judge reaffirms fine against Kobach for misinformation on docs taken to Trump

WICHITA, Kan. (AP) — A federal magistrate judge has spurned a move by Kansas Secretary of State Kris Kobach seeking reconsideration of a $1,000 fine levied against him for misleading the court.

U.S. Magistrate Judge James O’Hara said Wednesday that Kobach’s “new excuse lacks credibility” based on its late assertion and lack of supporting documentation.

Kobach had blamed “editing errors” for his earlier misstatements to the court.

The judge also rejected Kobach’s contention that forcing him to submit to a deposition over documents he tried to keep secret would result in manifest injustice.

O’Hara ruled last week that Kobach made “patently misleading representations” about the content of materials he took into a November meeting with then President-elect Donald Trump as well as a separate draft amendment to the National Voter Registration Act.

Police: Teen jailed for shooting death of Kansas 18-year-old

Investigators on the scene of the June 26 fatal shooting-photo courtesy WIBW-TV

SHAWNEE COUNTY- Law enforcement authorities are investigating a fatal shooting and have made a teen suspect in custody.

Just before 12:30 a.m. June 26, police responded to a report of a shooting near 10th Street and SW Billard in Topeka, according to a media release.

First responders found victim identified as Justice T. Mitchell, 18, with a life-threatening gunshot wound in a fast-food restaurant parking lot. He was transported to a local hospital where he died.

On Tuesday July 4, police arrested a 17-year-old suspect for the shooting death. The Shawnee County District Attorney’s office is considering possible charges.

Fire destroys rural Kansas home

Tuesday fire in Reno County-photo Reno Co. Fire Dist. #6

RENO COUNTY – Officials are working to determine the cause of a Tuesday afternoon house fire in rural Reno County.

The blaze reported just before 1p.m. at a residence in the 100 Block of West Avenue C in Sylvia was quickly contained, according to a social media report from the Reno County fire district 6.

There were no injuries reported. The home was a total loss.

Bald eagle released back into wild in Kansas

WICHITA, Kan. (AP) — A bald eagle that was rescued earlier this year by Sedgwick County Sheriff’s Office deputies has been set free.

The bird was released back into the wild Tuesday near K-42 highway and the Ninnescah River.

The bird flew off back into the wild following its release.

A group of Sedgwick County firefighters and deputies helped rescue it in April after somebody reported a bald eagle that was down at Lake Afton. The bird was emaciated and was trying to fly.

It was taken at that time to the Eagle Valley Raptor Center near Cheney for rehabilitation.

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