February 2, 2024
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A Message from the President & CEO Linda MowBray: Our Kansas Commitment

The Legislators really rolled up their sleeves this fourth week of the session as a flurry of hearings and new bill introductions occurred.

On Monday, January 29, 2024, in House Social Service Budget Committee, an informal briefing was present by the Kansas Legislative Research on the Interim Committee Recommendations for Nursing Facility Reimbursement Rates. Very favorable remarks were made by the committee for fully rebasing the FY 25 nursing home rates and leaving the $19.58 Medicaid add-on in place. Later in the week, we met with both Representative Les Mason, chair of the House Social Service Budget Committee and Representative Will Carpenter, vice-chair of the House Social Service Budget Committee. Both expressed their commitment to funding our homes by championing both recommendations.

KHCA/KCAL members as well as those of LeadingAge Kansas and Kansas Adult Care Executives were brilliant Thursday, February 1, 2024 at our Aging Services Day at the Capitol. With over 100 attendees, 10 sponsor organizations and provider display tables, our presence was felt at the Statehouse. See more information and photos below.

The Bethell Joint Committee  HCBS and KanCare Oversight met Friday, February 2, 2024. To see a recording of the broadcast, click here.

Also of interest, we met with the new Kansas State Fire Marshal on Tuesday, January 30, 2024. Mark Engholm was appointed by Governor Kelly in October 2023. His confirmation hearings are on-going in the Senate. A takeaway from that meeting was that KSFMO is considered “law enforcement” and as such, they wear body cameras, including while conducting life safety surveys in our adult care homes. A bill was introduced Thursday February 1, 2024 in the House Health and Human Services committee that would prohibit that practice. We will provide more information when a bill number is assigned.

A bill was also introduced Thursday February 1, 2024 in the House Health and Human Services committee that significantly changes the definition of a Continuing Care Retirement Community or CCRC. This would also change parameters for the fees charged for the provider tax. Click here for the proposed language.

Hearings are scheduled for next week for the “No Patient Left Behind” bill in both the House and the Senate. The Senate bill SB352 did not include long-term care. The House bill, HB 2548 does include long-term care. I’m not seeing anything of great concern but please feel free to reach out to me if you wish to discuss.

KDADS budget will have a hearing in the House Social Services Budget Committee on February 14 with public testimony to be heard on the 15th. Look for more information on that in the coming weeks.

KDADS budget will have a hearing in the Senate Ways & Means Human Services Subcommittee on February 12, 2024 with recommendation made on February 14, 2024.

Linda MowBray
President/CEO
(785) 267-6003
Yesterday, over 100 people representing Aging Services spent time at the State Capitol during KHCA/KCAL, LeadingAge and KACE's Age Aging Services Day. We’d like to thanks all that took time out of their schedules to convey the message to our State Legislators the importance and value of Aging Services.
Providers, Federal Officials Meet To Boost Nursing Home Vaccination Improvements

McKnight’s Long-Term Care News (2/1, Marselas) reports, "Providers and top federal officials intent on saving more seniors’ lives met near the White House Wednesday to plan nursing home vaccination improvements." HHS Secretary Xavier Becerra "met with a group of skilled nursing providers, clinicians and nursing home residents to discuss their approach to the next respiratory virus season, even as cases of three main illnesses remain elevated this season." Their "focus was on preparing for vaccination efforts to improve protection ahead of the 2024-25 flu and RSV season, and, possibly, another COVID19 spike." AHCA/NCAL Chief Medical Officer David Gifford, MD, MPH, "attended the meeting with AHCA Board Chairman Phil Scalo." Gifford said in an emailed statement on Wednesday, "It is evident that our country faces significant, systemic challenges with vaccine reluctance that requires a collective endeavor by public health officials, other health care providers, and the public to overcome." Gifford added, "Conversations like those hosted today by the administration can help us find a productive and positive path forward, whether during this cold and flu season or the next. ... As providers, we remain persistent in educating and encouraging families and residents to get vaccinated." Gifford also "said the administration’s help in reinforcing the importance of the vaccines, ‘especially for our nation’s seniors and those who care for them’ was sincerely appreciated." 
KCAL District 5 Round Table

Thursday, February 15, 2024 from 2:00PM - 4:00PM in Wichita, KS
 
Assisted Living Round Table with KCAL Board Members Jennifer Scheck and Kasey Breidenthal and KHCA/KCAL VP of Operations & Education Polly Berkley. This includes ALL Assisted Livings, Home Plus and Residential Health Care Communities in District 5. (See image for counties included in this district.) 
 
Location:
The Colony Coworking Space
659 N. Market St.
Wichita, KS 67214

You do not have to be a KCAL Member to attend and there is no cost.

RSVP:
If you plan to attend this meeting, please RSVP to the KHCA/KCAL office by emailing Teresa Keating (tkeating@khca.org). Please indicate your name, community, and a phone number.
In Case You Missed It
OSHA Recordkeeping and Reporting: A Guide to Determination

The guide will cover the determination behind the OSHA Recordkeeping and Reporting requirements, helping LTC facilities navigate these requirements more effectively. It will specifically address the determination of work-relatedness for injuries and illnesses, such as COVID-19, in the process of identifying recorded or reported events. READ MORE

Register for the upcoming Webinar: OSHA Recordkeeping & New Reporting Requirements
CMS’ Proposed HCBS Access Rule Now Under Final Review

McKnight’s Senior Living (1/31, Bonvissuto) reports, "A proposed federal rule establishing mandatory quality measures for home- and community-based services and requiring providers to allocate 80% of HCBS payments to direct care worker pay now is under final review." Previously, "senior living industry advocates...raised concerns about the worker payment allocation and quality measure requirements contained in the so-called Medicaid Access Rule after it was proposed by" CMS "in April, saying that it potentially could lead to fewer jobs, stagnant pay for caregivers and reductions in older adult access to HCBS." This "proposed rule was sent to the White House Office of Management and Budget on Friday, and CMS has indicated that it plans to issue a final rule by April." The National Center for Assisted Living was "among the more than 2,000 groups and individuals that submitted comments to CMS last year." An NCAL spokeswoman said, "NCAL applauds CMS’ efforts in the proposed rule as they relate to consistency, transparency and increasing access to health care services. ... At the same time, we are concerned that several of these reporting requirements and provisions are duplicative and will ultimately increase administrative burden on assisted living communities." The spokeswoman "also said the organization supports efforts to address wage adequacy but that it believes that the direction outlined in the proposal inadvertently will increase workforce challenges and that the proposed rule fails to address the ‘critical importance for policymakers to properly fund Medicaid.’" In "original comments, NCAL raised the concern that by not including all provider types in the rule, workers would resign from one provider type and move to another due to higher wages related to the 80% payment proposal." 
Education Spotlight
Resident Care Coordinator Training for Nurses in Assisted Living

Assisted Living homes are one of the fastest growing segments of Kansas Long Term Care. Homes that understand the importance of the Resident Care Coordinator know that the right nurse with the right systems can be the answer to providing excellence in resident centered care.

Join KCAL professional nurses for a full day of training specifically designed to give nurses in the state licensed only setting (Assisted Living/Home Plus/Residential Health Care) the tools they need to succeed. From “up-to- date” regulatory information to hints for designing systems, this course will provide “The Right Stuff” for a nurse to succeed as a Resident Care Coordinator.

Click here for more details.
Upcoming Education
Webinar: The Impact of the MDS: Ripple Effect on Reimbursement

2/7/24 - 1:30PM-2:30PM

Click here for more details.
Webinar: Deconstructing Immediate Jeopardy Mitigation: Navigating Top Risk Areas: Reducing Risks Related to Falls and Other Accident Hazards

2/13/24 - 1:30PM-2:30PM

Click here for more details.
OSHA Recordkeeping & New Reporting Requirements

2/13/24 - 2:00PM-3:00PM

Click here for more details.
Webinar: The Impact of the MDS: MDS Influence on the Quality Measures 

2/14/24 - 1:30PM-2:30PM

Click here for more details.
Resident Care Coordinator Training for Nurses in Assisted Living

2/16/24 - 8:30AM-3:30PM in Ottawa, KS

Click here for more details.
Webinar: Documentation in Depth: Supportive Documentation for Behavioral Health and Mental Illness

2/20/24 - 1:30PM-2:30PM

Click here for more details.
Webinar: The Impact of the MDS: MDS Influence on Spades and SNF QRP

2/21/24 - 1:30PM-2:30PM

Click here for more details.
Webinar: Nursing Facility Discharge Processes

2/22/24 - 1:00PM-2:30PM

Click here for more details.
Life Safety Code Boot Camp

2/28 - 2/29/24 - 8:00AM-3:30PM in Olathe, KS

Click here for more details.
Webinar: The Impact of the MDS: MDS Five Star Factors

2/28/24 - 1:30PM-2:30PM

Click here for more details.
Administrator in Training (AIT) Program

Looking for an AIT Program? Click here for more details on KHCA's Program.

Questions? Email Teresa Keating at tkeating@khca.org
Kansas Health Care Association and the Kansas Center for Assisted Living
1100 SW Gage Blvd. | PO Box 4770 | Topeka, KS 66604
PH: 785-267-6003 FAX: 785-267-0833