Capitol Comments Articles
Welfare Reform Joint Discussions

KanCare (Jan. 23, 2024) – Today, the House Commerce, Labor, and Economic Development Committee held a joint discussion with the House Welfare Reform Committee for a briefing on welfare, fraud and the workforce.

The committee received a presentation on fraud from Sam Adolphsen, policy director, the Foundation for Government Accountability. Adoplsen highlighted:

  • Kansas food stamp enrollment – 187,000
  • Food stamp spending – $416 million
  • Kansas Medicaid enrollment – 465,000
  • Kansas Medicaid spending – $5.591 billion
  • Medicaid Error Rate
    • National error rate: 20 percent – $80 billion in fraud and waste
    • 87 percent is due to the lack of documentation and "eligibility errors"
    • In Kansas, the Medicaid error rate is 27.8 percent; 99 percent is eligibility-related errors
  • Medicaid – "Fraud by Design"
    • Banning redeterminations for years and requiring states to carry ineligible individuals
    • Elimination of asset tests
    • Presumptive eligibility expansions
    • "Self-attestation" accepted
    • Pre-populating forms
    • No interviews or follow-up on applications
  • Food Stamps – "Fraud by Design"
    • Waivers from face-to-face interviews
    • "Zero income" applications required to be rushed without verifying
    • A standard of conviction for fraud and cooperation is not required
    • Retailers can use EBT cards in their stores
    • Food and Nutrition Services control retailer authorization
    • The state doesn't get to keep enough of the overpayments
  • Truly Needy – 7,700 people
  • 86,000 businesses