Kansas Catholic Conference says Medicaid expansion needs pro-life revisions

Topeka, Kan., Nov 19, 2019 / 00:17 am

As Kansas considers expanding its Medicaid program, the state's Catholic conference said its support is contingent upon the establishment of pro-life safeguards.

Last week, the Special Committee on Medicaid Expansion - a joint House and Senate panel - held two days of hearings discussing an expansion of KanCare.

Chuck Weber, executive director of the Kansas Catholic Conference, said in his Nov. 12 testimony that the conference cannot support the legislation unless it explicitly excludes the expansion of abortion coverage, includes conscience protections for healthcare organizations and individuals, and a state constitutional amendment is enacted to clarify that abortion is not a natural right.

There are currently an estimated 400,000 people enrolled in Medicaid in Kansas. The Medicaid expansion bill would extend eligibility to an additional 130,000 low-income adults and children, the Topeka Capital-Journal reports.

April Holman, executive director of Alliance for a Healthy Kansas, a coalition supporting the expansion, said there is an insurance gap where people cannot afford private health insurance but make too much money to qualify for Medicaid.

Weber said the current healthcare system needs to be revised, noting that hospital emergency rooms are required to accept all patients, and therefore become the primary healthcare access point for many uninsured people, which raises costs for everyone.

Even for those with health insurance, he said,  rapidly rising deductibles may lead to "crushing debt."

But while the system needs to be updated, Weber said the proposal for Medicaid expansion presents "scientific and ethical" concerns.

The Kansas Catholic Conference will not support a Medicaid expansion proposal unless it clearly excludes expanding abortion coverage and includes conscience protections for healthcare institutions and professionals, he said.

In addition, the conference believes Kansas must adopt a state constitutional amendment clarifying that abortion is not a "natural right." The conference believes this is necessary due to the Hodes & Nauser v. Schmidt ruling earlier this year, in which the Kansas Supreme Court ruled that abortion is a "natural right."

Weber said the ruling established a right to "virtually unlimited abortion" and used radical language that may provide a legal gateway into physician-assisted suicide and irreversible gender transition procedures.

"This ruling raises the specter of publicly funded surgical and chemical abortion," he said. "The medical community, not an unfettered and unregulated abortion industry, best provides authentic healthcare for vulnerable women and babies."

During the hearing, the special committee approved a motion by Rep. Will Carpenter (R-El Dorado) to enable health care providers to decline treatments for reasons of conscience, and stating that the proposed expansion of Medicaid would not broaden abortion access, according to the Topeka Capital-Journal.