Medicaid fund could be tapped again to cover budget shortfall

by Jim McLean, KHI News Service

Kansas officials have borrowed a record $900 million from the state’s investment accounts but still may need to implement a series of emergency measures to end the 2016 budget year in the black.

Shawn Sullivan, director of Republican Gov. Sam Brownback’s Budget Office, said that the $900 million certificate of indebtedness approved Wednesday by the State Finance Council will be used to manage anticipated cash flow problems in the 2017 budget year, which starts July 1.

But with only a week remaining before the end of the 2016 budget year, the state is facing a $45 million shortfall. And that could grow if June tax revenues come in short of projections.

Sullivan is considering several emergency contingencies, including sweeping some or all of the cash from the Medicaid drug rebate fund.

A change in federal law triggered by the Affordable Care Act allows states with Medicaid managed care programs to collect refunds on prescription drug claims. Prior to the ACA, states that contracted with private insurance companies to operate their Medicaid programs were ineligible for the rebates.

Kansas privatized its Medicaid program in 2013 and renamed it KanCare.

When the budget year ends June 30, Sullivan said he expects the balance in the drug rebate fund to be in the neighborhood of $40 million to $45 million.

“As a last resort, I may transfer a portion of the ending balance to the State General Fund for 2016,” he said in an email to the KHI News Service.

Sullivan said he will make a decision next week once he knows how close June revenues will come to meeting projections.

Revenues fell more than $74 million short of projections in May.

The drug rebate money is currently earmarked to pay for anticipated increases in KanCare claims in the 2017 budget year, Sullivan said. If the demand for services grows as anticipated, any money transferred from the fund would have to be repaid. If the anticipated growth doesn’t occur, the state may not have to replenish the fund.

The Brownback administration transferred $55 million from the drug rebate fund in 2014 to help bridge a $280 million shortfall. That money wasn’t repaid because payments into the rebate fund exceeded projections the following year, Sullivan said.

The nonprofit KHI News Service is an editorially independent initiative of the Kansas Health Institute and a partner in the Heartland Health Monitor reporting collaboration. All stories and photos may be republished at no cost with proper attribution and a link back to KHI.org when a story is reposted online.

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UG accepting public comments on housing action plan

The Unified Government recently sent out a public notice about its annual action plan for three housing programs.

Comments are being accepted until July 15 on the plan.

The public notice:

PUBLIC NOTICE

UNIFIED GOVERNMENT OF WYANDOTTE COUNTY/KANSAS CITY, KANSAS
DRAFT ANNUAL ACTION PLAN (2016-2017)

The Unified Government of Wyandotte County/Kansas City, Kansas is required by federal regulations to publish a draft of the Annual Action Plan and provide for a 30 day citizen review and comment period. The citizen review and comment period will commence June 16, 2016. The Annual Action Plan consolidates three formula entitlement grant programs into a single application that is submitted to the U.S. Department of Housing and Urban Development (HUD). The three programs and their allocations are the Community Development Block Grant ($2,010,986), HOME Investment Partnership Program ($568,028), and the Emergency Solutions Grant Program ($182,274) totals $2,761,288, along with $274,180 in prior year funds and program income. The Annual Action Plan is available for public view on the UG website: www.wycokck.org. Copies of the plan are also available at the UG Community Development Department and the UG Clerk’s office. A summary of the proposed activities and funds are listed below.
ANNUAL ACTION PLAN
Program Sub-Total Total
CDBG Program Administration
Administration $397,232
Fair Housing $10,000
Total $407,232

CDBG Section 108 Repayment $280,000 $280,000

CDBG Public Services
Liveable Neighborhoods $20,000
Willa Gill Multi-Service Center $148,000
WHSC Continuum of Care Coordinator $52,575
Doing Real Work $50,000
Total $270,575

CDBG Acquisition/Rehab/Reconstruction
Emergency Home Repair Program $300,000
Project Delivery $387,781
Total $687,781

CDBG Demolition
Project Delivery $82,700
Demolition $256,778
Total $339,478

CDBG Public Facilities & Improvements
Bethel Neighborhood Center $131,000
Mt. Carmel Transitional Housing $111,100
Public Works – Stony Point Sidewalk/ADA Ramps $58,000
Total $300,100

HOME Investment Partnership Program
CHIP Loan Program $241,226
CHDO Set Aside (Rehab/New Construction) $180,000
New Construction/Rehab $90,000
HOME Administration $56,802
Total $568,028

Emergency Solutions Grant (ESG)
ESG Program Activities $168,604
ESG Administration $13,670
Total $182,274

Total $3,035,468

CITIZEN PARTICIPATION PLAN

The submission of the Annual Action Plan will include the Citizen Participation Plan which has been revised to include the requirements of the Affirmatively Furthering Fair Housing Final Rule. The UG has joined a collaborative of cities in the metropolitan area to develop a regional fair housing assessment and strategy. The revision of the Citizen Participation plan also requires that the UG provide for a 30 day citizen review and comment period. The revised Citizen Participation plan is available for public view on the UG website: www.wycokck.org. Copies of the plan are also available at the UG Community Development Department and the UG Clerk’s office.

Please submit all comments on the Annual Action Plan and/or the Citizen Participation Plan by July 15, 2016 to Community Development Department, 701 North 7th Street, Room 823, Kansas City, Kansas 66101.

Two injured when pickup truck overturns on I-70

A Kansas City, Kan., driver and passenger were injured about 5:45 a.m. Thursday, June 23, on I-70 west of the 57th Street exit in Wyandotte County.

According to a Kansas Turnpike Authority trooper’s report, A GMC Sierra was westbound on I-70 when it left the roadway, overturned and came to rest on its side.

The driver of the Sierra, a 22-year-old Kansas City, Kan., man, was injured and taken to the hospital, according to the trooper’s report.

A 22-year-old Kansas City, Kan., passenger in the vehicle also was injured and taken to the hospital, the report stated.