The bulk of this memorandum was originally published in the 2019 Briefing Book. At that time, the purpose was to inform readers about recent federal legislation that changed how Title IV-E funds could be accessed and spent by states. That information has since been edited for length and clarity. Additionally, a review of Families First in Kansas has been added.
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Medicaid Home and Community Based Services Waivers
This memorandum provides information related to Medicaid Home and Community Based Services (HCBS) waivers and current waiver services available in Kansas. [Note: The current KanCare contracts will end December 31, 2024. The Secretary of Health and Environment has indicated the new contracts will not be based upon the current 1115 waiver.]
Mental Health Services in Kansas
The access to mental health services in Kansas currently follows a multi-prong approach aiming to provide care in the least restrictive environment. There are many different combinations of access depending on the type of services needed, the age of the person receiving care, and how the service will be paid. This memorandum provides information on the types of government-resourced services available to Kansans.
Differences Between Community Mental Health Centers and Certified Community Behavioral Health Clinics
During the 2021 Session, the Legislature passed Senate Sub. for HB 2208, which included a requirement for the Kansas Department for Aging and Disability Services (KDADS) to establish a certification process for certified community behavioral health clinics (CCBHCs), a Medicaid provider type, and complete the transition to the CCBHC model by SFY 2025.
KDADS certified six CCBHCs in SFY 2022, three in SFY 2023, 11 in SFY 2024, and has six planned in SFY 2025. Currently, 20 of the planned 26 CCBHCs are certified in Kansas.
History of the Supreme Court Ruling’s Impact on Affordable Care Act Medicaid Expansion Through Federal Fiscal Year 2013
The Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010, jointly referred to as the Affordable Care Act (ACA), passed in March 2010, included a section that addressed the expansion of the Medicaid program. This historical memorandum is a synopsis of the ACA as to Medicaid Expansion and the immediate impact of the U.S. Supreme Court decision through federal fiscal year (FFY) 2013. The memorandum does not address the current status of Medicaid expansion adoption in states.
Selected Tax Rate Comparisons
The following tables compare selected tax rates and tax bases with those of nearby states.
Red Flag Laws
Red flag laws, sometimes called “extreme risk protection order” (ERPO) laws or “gun violence restraining order” laws, allow a judge to issue an order that enables law enforcement to confiscate firearms from individuals deemed a risk to themselves or others. Prior to the enactment of red flag laws, in most states, law enforcement had no authority to remove firearms from individuals unless they had been convicted of specific crimes, even if their behavior was deemed unsafe.
Telemedicine Laws and Recent Legislation in Kansas and Nearby States
This memorandum discusses telemedicine (or telehealth, used interchangeably) laws in Arkansas, Colorado, Illinois, Iowa, Kansas, Missouri, Nebraska, Oklahoma, and Texas, as well as recent telemedicine-related Kansas legislation and 2023 legislation in Arkansas, Illinois, Oklahoma, and Texas.
Mental Health Intervention Team Pilot Program
This memorandum provides an overview of the Mental Health Intervention Team Pilot Program created by the 2018 Legislature. The overview includes recent legislation, a program overview, fiscal information through FY 2023, and school district participation through school year 2020-2021.
Federal Medical Assistance Percentage Savings
The Federal Medical Assistance Percentage (FMAP) determines the state and federal shares of funding for Medicaid, Adoption Assistance, and Foster Care. It is determined annually by the Secretary of Health and Human Services and is based on each state’s per capita personal income compared with the average per capita personal income in other states.

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