Advocacy in Action (October 2024): Your Right to Vote

Libby Hastings • November 2, 2024

As we approach the 2024 general election, it’s important to ensure that you’re registered to vote and prepared to participate. In Kansas, you must be a U.S. citizen, a resident of the state, and at least 18 years old by Election Day to register. Additionally, if you’ve moved or changed your name, you’ll need to update your voter registration. You can check your voter registration online, view a sample ballot, and check your polling location.


Kansas is a “no-excuse” absentee voting state, meaning any registered voter can request a mail-in ballot without providing a reason. The deadline to register to vote or update your registration is Tuesday, October 15th. You can register in person at your local election office, at the DMV, or online if you have a valid Kansas driver’s license or ID. If you don’t have one, you can still register using the paper Kansas Voter Registration Application by mail.


For voters who prefer to vote by mail, the deadline to submit your advance voting application is October 29th, and ballots will begin being mailed on October 16th. Make sure your ballot is postmarked by November 5th (Election Day) and received by the county election office within three business days after the election.


If you vote in person, Kansas requires photographic identification. Voters 65 or older can use an expired photo ID.

For residents in long-term care facilities, absentee ballots may be an easier option than voting in-person.


When residents receive their ballots in the mail, long-term care staff must understand what they can and cannot help with when it comes to assisting residents in filling out their ballots. For example, an assistance provider should ask the voter what choice they want to make. The assistance provider must never make assumptions regarding how a person wants to vote. If the resident has a Power of Attorney (POA), that person should be contacted about helping the resident fill out their ballot. The resident has the right to decide whether they want assistance and can choose who they want to help them fill out their ballot.


The Centers for Medicare & Medicaid Services (CMS) released a recent memo affirming the regulatory expectation that ensures nursing home residents have the unimpeded ability to exercise their right to vote as a citizen of the United States. The memo hits the high points from the Nursing Home Reform Act that requires facilities honor the rights, including the right to vote, of residents.



Federal and state laws ensure that voting is accessible to everyone. If you feel your voting rights have been violated, contact the Office of the Secretary of State at 800-262-VOTE (8683).


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.