SB 271 updates Kansas' children's health insurance program (KCHIP) by raising the income eligibility threshold from 225% to 250% of the federal poverty level for children in households with incomes in 2010 and subsequent years. This change would directly affect low-income children in Kansas whose families earn between 225% and 250% of the federal poverty level, expanding coverage eligibility for these households. The bill also requires a minimum 8-month waiting period for children who previously had comprehensive health coverage (with exceptions for job loss or other specific coverage disruptions) before enrolling in KCHIP. The program remains subject to available funding and does not guarantee entitlement to coverage for all eligible children.
HB 2399 establishes a universal newborn screening program in Kansas to detect genetic conditions like phenylketonuria, hypothyroidism, and galactosemia shortly after birth. All infants born in Kansas will receive free initial screening tests, and families with diagnosed infants will receive support for treatment costs based on income levels. Families at or below 300% of the federal poverty level receive 50-100% reimbursement for treatment products, while higher-income families receive up to 50% coverage, with Medicaid covering eligible cases. The program also requires a registry for follow-up care and extends funding to the Kansas newborn screening fund.
HB 2386 updates Kansas' children's health insurance program (KCHIP) by changing income eligibility thresholds. For 2009, eligibility remains at 225% of the federal poverty level, but increases to 250% for 2010 and later years. The bill also adds an 8-month waiting period for new applicants with family income above 200% of the federal poverty level, unless prior coverage ended due to job loss or employer discontinuation. This change directly affects low-income children aged 0-19 in households meeting the updated income criteria, expanding access to health coverage for more families. The program continues to use a sliding-fee scale for payments based on family income.
SB 257, the Healthcare Access for Working Kansans (HAWK) Act, would expand Kansas' medical assistance program to cover non-pregnant adults under 65 with incomes at or below 138% of the federal poverty level, effective January 1, 2026. Applicants must provide employment verification (e.g., pay stubs or W-2 forms), with exemptions for students, parents, individuals with disabilities, veterans, and those experiencing homelessness. The bill requires the state to administer benefits through a managed care system and includes a provision to phase out coverage over 12 months if federal Medicaid funding falls below 90%.
HB 2375, the Healthcare Access for Working Kansans (HAWK) Act, expands Medicaid eligibility to working adults under 65 with incomes at or below 138% of the federal poverty level, effective January 1, 2026. It requires applicants to provide employment verification (e.g., pay stubs or W-2 forms) unless exempt - such as students, parents, individuals with disabilities, or those experiencing homelessness. The bill mandates Kansas to seek federal approval for this expansion and establishes a managed care system for administering benefits. Coverage would terminate if federal funding drops below 90%, and the law is contingent on federal approval.
SB 151 requires Kansas' Secretary of Health and Environment to request a federal waiver from the Centers for Medicare & Medicaid Services (CMS) by July 1, 2025, to end participation in four specific Medicaid services under the KanCare demonstration program. These services include expanded behavioral health care, residential/substance use disorder treatment, continuous eligibility for parents, and extended coverage for youth transitioning out of children's health insurance (CHIP). If CMS grants the waiver, Kansas must immediately stop funding these services; if denied, the state must reapply annually. The bill directly affects Kansas Medicaid beneficiaries currently receiving these services through the KanCare program.
HB 2240 requires Kansas state agencies to obtain legislative approval before seeking or implementing any Medicaid waiver or program change that would expand coverage to new individuals or increase state costs. This applies specifically to federal waivers under Section 1115 or 1915 of the Social Security Act, affecting programs like Medicaid. The law takes effect July 1, 2025, and mandates that agencies must get an explicit legislative act approving such changes before moving forward. It does not apply to waivers already in place before that date.
