Advocacy in Action (March 2025): KABC Stands Against Medicaid Cuts

Libby Hastings • February 25, 2025

KABC is raising the alarm over proposed federal cuts to Medicaid that could strip away as much as $2.5 trillion from the program. This is not just a budgetary adjustment—it is a direct threat to the well-being of thousands of older Kansans who rely on Medicaid for their long-term care needs.


Dan Goodman, Executive Director of KABC, spoke out against these proposed cuts, emphasizing the urgent need for Kansans to take action: “I have no sense that this will deter the Federal Administration from taking action on this program, but rather the hope is to illuminate this issue for those Kansans that are paying attention and bring about a more calibrated approach. We must get Kansans to think about what long-term care looks like for Older Kansans with lesser Medicaid funding. I’m here to urge you to protect Older Kansans, protect Medicaid.”


Goodman was invited to speak at the Kansas Statehouse in Topeka on Monday, February 24, 2025, to address the recent movement by Congressional leaders to cut federal Medicaid funding. The informal gaggle took place in the east wing of the ground level of the Kansas Statehouse and gained statewide media attention. Other speakers included April Holman, Executive Director of the Alliance for a Healthy Kansas; Rocky Nichols, Executive Director of the Disability Rights Center of Kansas; and Adrienne Olejnik, Vice President of Kansas Action for Children.


Medicaid: A Lifeline for Older Kansans


Most Kansans over 65 rely on Medicare for their healthcare needs, but it is Medicaid that ensures access to long-term care services, whether at home or in nursing facilities. For thousands of seniors in Kansas, Medicaid is the only option that allows them to age with dignity in their own homes, receiving essential support services.


However, the impact of these proposed federal cuts would be catastrophic. Kansas already suffers from a critical shortage of direct care workers, and nearly 85,000 Older Kansans live in areas with limited access to care. Slashing Medicaid funding will only deepen this crisis. Rural communities, where healthcare access is already strained, will be hit the hardest. Short-term savings from these cuts will be overshadowed by the long-term damage—weakening the home and long-term care infrastructure, driving more providers out of the workforce, and placing tens of thousands of Older Kansans at risk.


Who Will Care for Older Kansans?


More than half of Kansas nursing home residents depend on Medicaid to afford care, which costs an average of $7,700 per month for a semi-private room. These older adults have already depleted their assets before qualifying for Medicaid, leaving them with no other options. Many have no family to step in, and even when family is available, they may not have the ability to provide the level of care required.


Without Medicaid, who will care for them? And how will Kansas taxpayers fill the financial void left by the loss of federal funding? This is not just a question of policy—it is a question of morality and responsibility.


Take Action Now


We cannot afford to wait and see what happens. Kansans must act now. Contact your federal representatives (Find Your Members in the U.S. Congress | Congress.gov | Library of Congress) and tell them: Medicaid is not just another federal program to be gutted—it is a lifeline for older Kansans. Do not allow reckless budget cuts to dismantle a system that so many depend on.



Stand up. Speak out. Demand that Medicaid funding is protected before it is too late. The future of long-term care in Kansas depends on it. Protect older Kansans. Protect Medicaid.


Dan Goodman testifies before legislative committee
By Libby Hastings October 16, 2025
On Monday, October 13th, Dan Goodman, Executive Director of Kansas Advocates for Better Care (KABC), delivered testimony before the Robert G. Bethell Joint Committee on Home & Community Based Services & KanCare Oversight. His remarks focused on the urgent need to strengthen Kansas’ long-term care system through sustainable funding and workforce investments. Goodman urged legislators to provide additional funding for the Home and Community-Based Services (HCBS) Frail Elderly waiver , noting projected shortfalls of $27 million in FY26 and $70 million in FY27. Without intervention, hundreds of older Kansans could face placement on a waitlist as early as this fall—delaying access to critical in-home services and increasing the risk of premature institutionalization. He also highlighted the need to support and stabilize the state’s long-term care workforce by exploring innovative approaches used in other states. For example, New Mexico’s Competitive Pay for Professionals program has helped attract and retain workers by linking higher wages to improved reimbursement rates and accountability measures. Goodman suggested Kansas consider similar models to strengthen its caregiving workforce and ensure providers can offer competitive pay. KABC remains committed to advocating for policies that promote quality care, protect older adults, and sustain a strong, well-supported caregiving system across Kansas. Read KABC’s full testimony here: View Testimony (PDF) Watch a full recording of the committee here: YouTube Link
By Libby Hastings October 6, 2025
On October 1st and 2nd, the 2025 Special Committee on Health and Social Services met, with the first day devoted to nursing home surveying and credentialing. The joint committee of both House and Senate members heard from the Kansas Department for Aging and Disability Services (KDADS), the Long-Term Care Ombudsman, industry representatives from Kansas and out of state, administrators, and contractors. Notably absent were the voices of consumers, their family members, and facility staff , the people most affected by long-term care policy. The committee heard information about: Survey Backlogs and Staffing Challenges KDADS contracts with the federal government to inspect adult care homes for health and safety compliance. KDADS has struggled for years to meet federal requirements, due in large part to recruiting and retaining nurse surveyor positions. More than half of the 60 approved positions were vacant earlier this year. As a result, Kansas currently averages 19.9 months between nursing home inspections , far beyond the federal requirement of 12-15.9 months. With just over 300 federally licensed facilities in the state, timely inspections are critical to protecting residents. To address this, KDADS eliminated 15 vacant positions and raised starting pay: up to $60,000 for multidisciplinary surveyors and $67,000 for RNs . The agency is also considering incentives to encourage more RNs to work as surveyors. Kansas has one of the highest rates of the most serious deficiencies, known as Immediate Jeopardy (IJ) deficiencies, in the nation , citations for situations where resident health and safety are at serious risk. The committee explored the possibility of privatizing the survey process. Resident Rights at Risk Testimony also revealed troubling practices in some nursing homes, including charging residents $200–$300 per month in “pharmacy provider” or “medication set-up” fees if they choose to use an outside pharmacy. This practice undermines residents’ right to choose their own providers and unfairly penalizes private-pay residents, already shouldering an average of $7,000–$8,000 per month in nursing home costs. Involuntary Discharges and the Ombudsman’s Recommendation The Long-Term Care Ombudsman urged lawmakers to expand discharge reporting requirements. As she noted: “Federal regulations require a notice to be sent to our office for a facility-initiated transfer (involuntary discharge) in federally licensed nursing homes, but that is not the case for state licensed homes, assisted livings, home pluses and residential health care facilities. With the help of our office, we can often help resolve the reason for the discharge notice to prevent a resident transfer or support the resident to ensure a transition occurs safely.” The committee heard concerns from representatives of the nursing home industry and decided to delay making a recommendation on this issue, noting that additional information is needed. KABC has advocated for not only strengthening the reporting requirements but also giving residents of assisted living facilities the same right to appeal an involuntary discharge that nursing home residents enjoy. Raising the Personal Needs Allowance The Personal Needs Allowance (PNA) for nursing home residents is a monthly stipend that Medicaid recipients can use for personal expenses. In Kansas, the PNA is just $62 per month. Many residents express concern that this amount is insufficient to cover basic personal expenses such as haircuts or undergarments. An immediate increase to the allowance is needed, along with an ongoing adjustment to keep pace with rising costs. The Long-Term Care Ombudsman recommended a PNA increase to the national average of $72 with an additional annual Cost of Living Adjustment. KABC’s Position KABC will continue to advocate for: • Strong oversight of nursing homes. • Resident rights protections, including freedom of choice in providers. • Central inclusion of residents and staff voices in all policy discussions. You can watch the hearing on the Kansas Legislature’s YouTube channel here . KABC will continue to monitor these conversations closely as the 2026 legislative session approaches.