Here is what we know: The gargantuan budget reconciliation package making its way through Congress will kick thousands of Kansans off Medicaid and cost the state’s hospitals billions of dollars.
Here’s something else we know: U.S. Sen. Jerry Moran, R-Kansas, doesn’t deny those facts.
But he still voted for the bill.
Moran issued a statement after the Senate voted for President Donald Trump’s “one big, beautiful bill” early Tuesday. What’s remarkable about the senator’s words are not what they say, but what they don’t say.
I encourage everyone to take a look at the text. Here’s an enlightening paragraph.
“As this legislation was being drafted, I worked to make certain hospitals in Kansas were at the forefront of these discussions. After numerous discussions with Kansas hospital leaders, my colleagues and Administrator Oz, I was able to make changes to the legislation to make certain Kansas hospitals will not face any immediate cuts upon enactment of this legislation.”
Notice, again, what Moran omits. He doesn’t deny that Kansas hospitals will face cuts. He can’t, because he knows they will. Instead, he says they won’t face any immediate cuts.
That’s like saying I don’t face an immediate risk of death from the train hurtling toward my stalled car on the tracks. I might feel fine in the moment, but I’ll be squashed in no time.
Moran goes on:
“These provisions will protect Kansas’ ability to continue pursuing its application for increased Medicaid payments for certain providers. This change ensures that as state directed payments wind down, Kansas providers will be starting at a higher percentage of enhanced payments buying them much-needed time to utilize federal dollars as payments are reduced.”
Notice how many conditionals have been piled into this paragraph. Kansas can “continue pursuing” an application for increased payments. That doesn’t mean the state is going to actually receive such payments. And who will those increased payments go to? Well, certain providers. That doesn’t mean everyone.
And what’s with the “much-needed time”? It’s much needed because, as Moran says later in the sentence, payments will be reduced. All of this should raise the eyebrows of critical readers. Why shouldn’t Moran support the enhanced payments and oppose the other cuts? I think that “R” after his name might provide a clue.
“I also secured a one-year delay in the implementation of reductions to state directed payments to give Kansas providers more time to access these resources. Finally, I pushed for the establishment of a rural provider fund to aid rural hospitals facing significant financial challenges. These changes and investments, along with tax cuts for Kansas families, will bolster our economy and strengthen the safety of our nation.”
Yes, the legislation passed by the U.S. Senate includes a $50 billion fund for rural hospitals. However, it’s worth digging into the details. That money will be paid out over five years and available to all 50 states. Given that Kansas hospitals will experience a $2.65 billion drop over 10 years, basic math suggests that that federal money won’t go far enough.
Finally, it’s important to note two items that Moran’s statement leaves out entirely.
He does not call the piece of legislation the “one big, beautiful bill.” He instead refers to it as “Senate budget reconciliation legislation.” The senator apparently wants to distance himself from Trump and any bombast surrounding this package. However, he still voted for it.
Most disappointingly, Moran makes no mention whatsoever of the 13,000 Kansans who will lose insurance coverage through this package. Indeed, he does not mention Medicaid recipients a single time in his statement.
Farmers, yes. The border, yes. Air traffic controllers, sure.
But poor people who need health insurance? Nah.
Moran has built a lot of goodwill across Kansas. His prairie pragmatism still contrasts positively to the MAGA theatrics of U.S. Sen. Roger Marshall. But that post-passage statement relies on narrow, legalistic arguments to pitch a package that will harm the state he purports to represent.
Real people’s lives and communities are on the line here. Trump’s administration has asked lawmakers to play reverse Robin Hood, snatching benefits from the poor to benefit the rich.
All the carefully tailored language in the world won’t change that.
Clay Wirestone is Kansas Reflector opinion editor. Through its opinion section, Kansas Reflector works to amplify the voices of people who are affected by public policies or excluded from public debate. Find information, including how to submit your own commentary, here.