Topeka ? House Republicans have killed Democratic Gov. Kathleen Sebelius’ plan for reorganizing social service programs.

The vote Wednesday came a day after Republican leaders had outlined their alternative plan for streamlining medical services for low-income and disabled Kansans. Sebelius suggested the GOP plan would create a new, unnecessary bureaucracy and delay reforms.

Both GOP leaders and Sebelius say reorganizing programs could reduce the cost to taxpayers or allow the state to provide services to more people for the same dollars.

Sebelius and Republicans differ over who should control reorganized programs and how quickly a reorganization should occur. The GOP plan would divide power and move more slowly than the governor’s.

The governor issued an executive reorganization order in January. The order would have taken effect July 1 had neither chamber voted by Saturday. But on Wednesday, the House voted 77-44 to reject it, with all votes against Sebelius’ plan coming from majority Republicans.

“A lot of these legislators voted against their own constituents to make a political score, and I’m not quite sure who they’re scoring with, but I think Kansans need to be outraged,” Sebelius said after the vote.

GOP leaders said they were trying to offer a plan improving upon Sebelius’ ideas. House Majority Leader Clay Aurand said he was surprised by Sebelius’ response.

“What we want to do is work with her to make a system that works better and hopefully add to some of her ideas,” said Aurand, R-Courtland.

Sebelius and Republican leaders agree the state should combine the health insurance plan for state employees with programs that reimburse doctors, hospitals and clinics for services provided to the needy.

They also agree the resulting financial clout — a single agency buying $1.6 billion or more in services a year — would allow the state to force administrative changes in the health care system.

Sebelius wanted to move three medical programs from the Department of Social and Rehabilitation Services to the Department of Administration. But SRS would have retained programs providing mental health and in-home services.

Some Republicans said Sebelius’ plan would create a health care “czar” with too little oversight. The GOP plan would create a new Health Policy Authority with seven voting members, three appointed by legislative leaders.

Under the GOP plan, the programs Sebelius targeted would move out of SRS in 2006. Also, the authority could take over other programs, such as medical services for prison inmates.

In other developments:

— A proposed “Lew Perkins Provision” aimed at guaranteeing full disclosure of public employees’ compensation should face no opposition when the House Governmental Organization and Elections Committee considers the measure, said Chairman Jene Vickrey, R-Louisburg.

— The House Federal and State Affairs Committee had a hearing on a bill aimed at eliminating smoking in public places statewide starting in 2007.

— Negotiations to reconcile the House and Senate versions of an education funding bill could begin Thursday or Friday, said Rep. Kathe Decker, R-Clay Center, the House’s lead negotiator.