Advocacy and Policy

On a July night in Massachusetts, flames tore through Gabriel House , an assisted living facility. The fire claimed the lives of nine residents and injured more than 30. Survivors described heartbreaking scenes: residents leaning out of windows, screaming for help as staff members fled. Many were rescued only by the bravery of firefighters, neighbors, and police officers who broke down doors and carried people to safety. Despite the building having a sprinkler system, fire drills had not been conducted, elevators were broken, and residents with mobility limitations were trapped. A field supervision with Massachusetts’s long-term care ombudsman pled with the state to investigate Gabriel House’s faulty elevator. He was met with excuse after excuse. In 2024, a fire at Brandon Woods senior living facility in Lawrence, Kansas forced the evacuation of 85 residents. Dense smoke filled the structure, and a passerby was the first to call 911 and begin evacuating residents. Mutual aid from surrounding counties was called in, and a Lawrence police officer was hospitalized for smoke inhalation. Thankfully, no residents were hurt — this time. These two incidents tell a clear story: fire safety inspections and emergency preparedness are not optional. They save lives. And yet, during the 2024-2025 legislative session, a bill was introduced in the Kansas Senate that would have eliminated minimum fire safety standards for 720 adult care homes and provider locations across the state. Senate Bill 276 (SB 276) would have removed the authority of the State Fire Marshal to inspect these facilities or enforce compliance , a move KABC calls a recipe for disaster. KABC strongly opposed SB 276 because it would have stripped the State Fire Marshal of its vital role in inspecting facilities, identifying hazards, and ensuring life safety codes are followed. While the bill allowed for the Kansas Department of Aging and Disability Services (KDADS) to contract with the Fire Marshal’s office, it did not require it, leaving oversight optional and dangerously unclear. Worse still, KDADS is already chronically understaffed. Its surveyors, who are not trained in fire safety, are struggling to meet existing inspection requirements, often with only half the staff needed. By contrast, State Fire Marshal inspectors are specifically trained to identify fire code violations and help facilities improve safety before tragedy strikes Fire and burns are the sixth leading cause of death for older adults in the U.S. In long-term care settings: Cooking is the leading cause of fires (72%) Faulty appliances and electrical systems follow closely Smoking remains the leading cause of death from fires Due to diligent oversight, Kansas has had only two fire-related deaths in adult care homes over the past decade . That record could be reversed if oversight is weakened. Families who entrust care homes with their loved ones do so with the belief that these facilities are regularly inspected, meet state and national safety codes, and are prepared for emergencies. At KABC, we believe every older adult deserves safe, dignified care and that includes protection from preventable tragedies like fires. As we approach the 2026 legislative session, we anticipate this dangerous proposal could return and we’ll be prepared.

Thanks to the dedicated advocacy of KABC and our coalition partners, Kansas has taken a major step forward in improving access to long-term care information. We’re thrilled to share that the Fiscal Year 2026 state budget includes $190,000 in dedicated funding for the creation of a comprehensive statewide senior resource directory , a direct result of our persistent efforts to ensure older adults and their families can navigate care options with confidence and clarity. Language in the approved budget bill reads: “That expenditures in an amount of not less than $190,000 shall be made by the above agency from such account during fiscal year 2026 to create a comprehensive statewide resource directory to provide essential information on long-term care options: And provided further, That such directory shall be accessible in an up-to-date online version as well as in a printable version.” This is a huge win for older Kansans, caregivers, and care professionals , and it builds directly on the success of local efforts like the Douglas County Senior Resource Directory . We know that when people have access to clear, trustworthy information, they are better equipped to make decisions that support dignity, independence, and well-being in aging. We are proud that our voice, and YOURS, was heard. From providing testimony, to meeting with legislators, to amplifying the call for this essential resource, this achievement belongs to all of us who believe that quality care begins with access to information. Next Steps: We’ll be working closely with the Kansas Department for Aging and Disability Services to support the development of this directory and ensure it meets the needs of Kansans statewide, both in print and online. T hank you for standing with us. This is advocacy in action and together, we’re making a difference.

As we move further into 2025, we want to share an update on our legislative advocacy efforts this session. KABC remains committed to championing policies that protect and support older adults and individuals in long-term care. Here’s a look at key legislative developments and where things stand:

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.

On Thursday, January 30th, Dan Goodman, Executive Director, presented testimony before the House Social Services Budget Committee. His remarks focused on essential recommendations for the Kansas Department of Aging & Disability Services (KDADS) budget, underscoring the urgent need for a Statewide Resource Guide for Older Kansans. Dan’s testimony emphasized Kansas’s rapidly aging population, with projections showing that more than 20% of Kansans will be 65 or older by 2030. With state resources already stretched thin, KABC urged the committee to prioritize investments in solutions that diversify and enhance access to long-term care services across Kansas. Highlighting the Statewide Resource Guide KABC’s flagship recommendation was a comprehensive Statewide Resource Guide for Older Kansans, modeled after the highly successful Douglas County Senior Resource Directory. The proposal seeks $190,000 to develop and distribute a directory that would serve as an essential tool for older Kansans and their families. The funding would cover: Initial Setup & Information Coordination: $85,000 One-Time Master Printing for Statewide Distribution (35,000 copies): $105,000 The guide would provide accurate, accessible, and up-to-date information on long-term care services and resources, with an online version that could be printed on demand. This initiative aligns with the Senior Care Legislative Task Force’s final recommendations and would empower Kansans to make informed decisions about care options. Dan emphasized the proven success of the Douglas County Senior Resource Directory, which KABC developed with grant funding through the Douglas County Community Foundation. Since its launch, the directory has been accessed online by over 700 individuals and distributed to hundreds of older adults, caregivers, and local businesses. Expanding this model statewide would ensure that every Kansan—regardless of where they live—has access to vital information when they need it most. Other Budget Priorities KABC Supports KABC also backed several of KDADS Governor’s budget recommendations, including funding increases for: HCBS Frail Elderly Waiver Growth HCBS Brain Injury Waiver Growth Nutrition Services Incentive Program Stay tuned for updates as we continue to advocate for these critical investments during the legislative session!

If predictions are correct, the upcoming Kansas Legislature can likely be summed up by one word: “change.” Leadership changes, a large freshman class of legislators, new committee chairs and a compressed calendar all combine to make 2025 a year full of changes. Added to the mix is a stronger Republican supermajority with an additional 2 seats in the Senate and 3 in the House of Representatives. A quick breakdown by the numbers: The 2025 Senate is comprised of 31 Republicans and 9 Democrats. There are 14 new senators; 13 of whom are Republicans. Almost half of the new senators, 6, previously served in the House. Of the 40 Senators, 27 are men (a gain of 4) and 13 are women. Of the 125 members of the House, 88 Republicans make up the majority with 37 Democrats in the minority caucus. Of the 25 House freshman, 21 are Republicans and 4 are Democrats. Women will make up almost a third of the House, 41, with a gain of 6 House seats in the last election. There are 84 men in the House. One new House member previously served in the Senate. The legislature lost decades of institutional knowledge with the retirement of 19 House members and 14 senators. Many of the retiring legislators were experienced lawmakers who served in leadership positions and committee chairs. Significant procedural changes will impact legislative dynamics. Legislative leaders have adopted a compressed timeline for the 2025 session with plans to adjourn sine die no later than April 12 (the 90th day of the legislative session). Traditionally, the 90th day occurs at the end of April/early May with the ceremonial sine die held in late May. You can view the session calendar here. A new process will change the way the State budget is developed. Instead of using the governor’s budget as the base to begin negotiations, a special legislative budget committee will introduce what is being termed the “legislature’s budget” on Jan. 13, the first day of the session. The special committee met five days during November and December to craft a budget based on the 2024 approved budget, with very few enhancements requested by State agencies. How the budget process and tight time schedule proceeds is still largely to be determined. There are major changes in legislative leadership with the Senate electing Sen. Tim Shallenberger, (R-Baxter Springs) as its new vice president and Sen. Chase Blasi (R-Wichita) as majority leader. Sen. Ty Master (R-Andover) remains Senate president Dinah Sykes (D-Lenexa) will continue as Senate minority leader. In the House, Rep. Brandon Woodard (D-Wichita), takes the reigns as the new minority leader. Committees, too, will look different led by mostly new chairs and/or vice chairs along with new members. In the Senate, a new Committee on Government Efficiency, modeled off the proposed federal Department of Government Efficiency, will explore ways to restructure and reform state government to reduce spending and increase efficiency. All of these changes and multiple moving parts, including the goal to keep a tight rein on the budget, add up to uncertainty related to health and social services issues, including those impacting older adults. With all these variables, this will, in sports terms, be a “building year.” KABC will use this opportunity to build relationships with new and returning policy makers to explore legislation that supports person-centered policies and programs while protecting the rights of aging persons and those with disabilities. We will keep you regularly updated during the 2025 session and opportunities for advocacy but we encourage you to get acquainted with your elected officials. They want and need to hear from you, their constituents. Your experiences and observations about long term care in Kansas helps build their knowledge around these issues with first-hand information about the needs of the people they serve.

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).

On Monday, August 26th, Libby Hastings, Communication and Public Relations Coordinator, had the honor of presenting testimony on behalf of KABC to the Robert G. Bethell Joint Committee on Home & Community Based Services & KanCare Oversight Committee. Our goal was clear: to advocate for the reinstatement of the "Explore Your Options" (EYO) resource guide, a vital tool for older Kansans and their caregivers.

In a recent podcast episode and article with the Kansas Reflector, Dan Goodman, KABC Executive Director, and Libby Hastings, Communication and Public Relations Coordinator, shed light on the critical issues facing nursing facilities in Kansas. Interviewed by Tim Carpenter, they discussed the alarming findings from the Long-Term Care Community Coalition's latest data regarding "problem facilities" and the federal staffing mandate from U.S. Centers for Medicare & Medicaid Services. This conversation was based on the insights shared in our July e-newsletter Advocacy in Action article and has garnered significant attention. Media outlets and local newspapers in Hays, Dodge City, Ottawa, and Wichita have picked up the Kansas Reflector story, amplifying the urgent need for reform in long-term care. Goodman also spoke with Abby Wray with KAKE News in Wichita to continue the discussion on "problem facilities" and poor care in Kansas nursing facilities. At KABC, we remain steadfast in our mission to ensure quality long-term care for all Kansas residents. We invite you to read our article with Tim Carpenter and listen to the podcast episode. Your support and engagement are crucial as we continue to fight for improved care standards. We extend our heartfelt thanks to our supporters and the media for helping us share the harsh realities of nursing homes. Together, we can drive the change needed to ensure safe, dignified, and quality care for all residents in Kansas.