Mississippi Today
No statewide official endorses Medicaid expansion at Neshoba
In 2013, then-state Rep. Andy Gipson, R-Braxton, said he opposed Mississippi expanding Medicaid because there was no guarantee the federal government would continue to pay for the program.
“Knowing that the federal government may pay for a portion of it for the next two or three years is not enough comfort for me to go ahead and say, ‘You know, let’s expand this and take on the whole program,’” the Associated Press quoted Gipson as saying in 2013. “Certainly, we don’t have the funds to do that.”
More than 10 years after Gipson made those comments, he still opposes Medicaid expansion, and the federal government continues to pay for the bulk of the program for the 40 states — excluding Mississippi — and D.C. that have expanded Medicaid.
Importantly, there is no serious conversation of discontinuing Medicaid expansion, which provides health insurance for primarily the working poor, individuals earning a little more than $20,000 annually.
At that same meeting in 2013, Gibson said he was for people obtaining health insurance by getting “good-paying jobs,” not by signing up for Medicaid.
Ten years later Mississippi continues to be last in the nation in terms of per capita income and among the bottom 10 states in terms of the percentage of people with employer-sponsored health insurance, according to statistics from the Kaiser Family Foundation. And any gains in the number of Mississippians with private health insurance can be credited primarily to the health insurance exchange created by the federal Affordable Care Act, not because of more well-paying jobs.
At the recently completed political speeches at the Neshoba County Fair, Gipson said he still is opposed to Medicaid expansion and is counting on those jobs to provide health care coverage for working Mississippians.
“I am against Medicaid expansion. I always have been,” said Gipson, who is now the statewide elected commissioner of agriculture and commerce. “We need people having jobs to get insurance that way.”
Gov. Tate Reeves, who is campaigning for his second term as governor, also endorsed the concept of people obtaining health insurance by having well-paying jobs instead of by expanding Medicaid.
“My view is the best way to do that is get more people with more and better high paying jobs which will allow them to have private insurance,” the governor said.
At the Neshoba Fair last week, none of the Republican statewide officials who spoke endorsed Medicaid expansion as a way to reduce the number of people without health insurance and as a way to provide a needed source of revenue for the state’s struggling hospitals, many of which are in danger of closing and many of which have had staff reductions in recent weeks.
“I think it is a little late on Medicaid expansion,” said state Insurance Commissioner Mike Chaney.
“The match is not there that we used to have, and I don’t think the Legislature has the appetite to do anything,” Chaney added.
READ MORE: Q&A: What is Medicaid expansion, really?
When Medicaid expansion was enacted in 2014, the federal government paid 100% of the costs for two years. The portion paid by the federal government was stair-stepped down to 90% in 2020, which is what the federal match is now. But the federal government still offers a financial incentive for those 10 states that have not opted into the program. The financial incentive to expand Medicaid would equate to more than $600 million to Mississippi over a two-year period.
Chaney said his office is working to sign up people for the health care exchange which also is part of the same Affordable Care Act that resulted in Medicaid expansion. Through the exchange, people can sign up for private insurance where the federal government will help with the costs based on the income level of those signing up. Some people who qualify for Medicaid expansion do not qualify for the health insurance exchange, leaving a coverage gap in states that have not expanded Medicaid.
Secretary of State Michael Watson, said, “I am not in favor of Medicaid expansion, but I will say this – I think there is a number of issues out there that legislative leaders have perhaps been a little bit fearful of addressing because it is such an important topic.”
Watson said he created a task force to look at possible health care solutions in Mississippi. He said hospitals in states that have expanded Medicaid are having financial difficulties like those in Mississippi. Watson said he does not believe Medicaid expansion is “the silver bullet” for Mississippi hospitals, and that he will continue to work with others on possible solutions for the health care woes facing the state.
Treasurer David McRae said, “Being at the state treasury, I don’t have a position. I am waiting to see what the Legislature comes up with” and try to determine it is in the best interest of the state of Mississippi.
Attorney General Lynn Fitch said she does not support Medicaid expansion, but “If the law changes, I will certainly be supporting the law that is passed by the Legislature.”
During the 2023 session, Mississippi Today polled legislators on their position on Medicaid expansion. Only a handful said they outright opposed Medicaid expansion with a majority refusing to provide an answer or saying they wanted to see more information or had not decided their position on the issue that could bring more than a billion dollars annually in federal funds to the state.
Lt. Gov. Delbert Hosemann has said in the past he is willing to look at the issue of Medicaid expansion, though, during the past four years the Senate where he presides did not take any action on the issue.
Auditor Shad White missed the Neshoba County Fair because of a military commitment and was not available to offer a Medicaid expansion response.
All of the statewide officials are running for re-election this year.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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Mississippi Today
On this day in 1997
Dec. 22, 1997
The Mississippi Supreme Court upheld the conviction of white supremacist Byron De La Beckwith for the 1963 murder of Medgar Evers.
In the court’s 4–2 decision, Justice Mike Mills praised efforts “to squeeze justice out of the harm caused by a furtive explosion which erupted from dark bushes on a June night in Jackson, Mississippi.”
He wrote that Beckwith’s constitutional right to a speedy trial had not been denied. His “complicity with the Sovereignty Commission’s involvement in the prior trials contributed to the delay.”
The decision did more than ensure that Beckwith would stay behind bars. The conviction helped clear the way for other prosecutions of unpunished killings from the Civil Rights Era.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Medicaid expansion tracker approaches $1 billion loss for Mississippi
About the time people ring in the new year next week, the digital tracker on Mississippi Today’s homepage tabulating the amount of money the state is losing by not expanding Medicaid will hit $1 billion.
The state has lost $1 billion not since the start of the quickly departing 2024 but since the beginning of the state’s fiscal year on July 1.
Some who oppose Medicaid expansion say the digital tracker is flawed.
During an October news conference, when state Auditor Shad White unveiled details of his $2 million study seeking ways to cut state government spending, he said he did not look at Medicaid expansion as a method to save money or grow state revenue.
“I think that (Mississippi Today) calculator is wrong,” White said. “… I don’t think that takes into account how many people are going to be moved off the federal health care exchange where their health care is paid for fully by the federal government and moved onto Medicaid.”
White is not the only Mississippi politician who has expressed concern that if Medicaid expansion were enacted, thousands of people would lose their insurance on the exchange and be forced to enroll in Medicaid for health care coverage.
Mississippi Today’s projections used for the tracker are based on studies conducted by the Institutions of Higher Learning University Research Center. Granted, there are a lot of variables in the study that are inexact. It is impossible to say, for example, how many people will get sick and need health care, thus increasing the cost of Medicaid expansion. But is reasonable that the projections of the University Research Center are in the ballpark of being accurate and close to other studies conducted by health care experts.
White and others are correct that Mississippi Today’s calculator does not take into account money flowing into the state for people covered on the health care exchange. But that money does not go to the state; it goes to insurance companies that, granted, use that money to reimburse Mississippians for providing health care. But at least a portion of the money goes to out-of-state insurance companies as profits.
Both Medicaid expansion and the health care exchange are part of the Affordable Care Act. Under Medicaid expansion people earning up to $20,120 annually can sign up for Medicaid and the federal government will pay the bulk of the cost. Mississippi is one of 10 states that have not opted into Medicaid expansion.
People making more than $14,580 annually can garner private insurance through the health insurance exchanges, and people below certain income levels can receive help from the federal government in paying for that coverage.
During the COVID-19 pandemic, legislation championed and signed into law by President Joe Biden significantly increased the federal subsidies provided to people receiving insurance on the exchange. Those increased subsidies led to many Mississippians — desperate for health care — turning to the exchange for help.
White, state Insurance Commissioner Mike Chaney, Gov. Tate Reeves and others have expressed concern that those people would lose their private health insurance and be forced to sign up for Medicaid if lawmakers vote to expand Medicaid.
They are correct.
But they do not mention that the enhanced benefits authored by the Biden administration are scheduled to expire in December 2025 unless they are reenacted by Congress. The incoming Donald Trump administration has given no indication it will continue the enhanced subsidies.
As a matter of fact, the Trump administration, led by billionaire Elon Musk, is looking for ways to cut federal spending.
Some have speculated that Medicaid expansion also could be on Musk’s chopping block.
That is possible. But remember congressional action is required to continue the enhanced subsidies. On the flip side, congressional action would most likely be required to end or cut Medicaid expansion.
Would the multiple U.S. senators and House members in the red states that have expanded Medicaid vote to end a program that is providing health care to thousands of their constituents?
If Congress does not continue Biden’s enhanced subsidies, the rates for Mississippians on the exchange will increase on average about $500 per year, according to a study by KFF, a national health advocacy nonprofit. If that occurs, it is likely that many of the 280,000 Mississippians on the exchange will drop their coverage.
The result will be that Mississippi’s rate of uninsured — already one of the highest in the nation – will rise further, putting additional pressure on hospitals and other providers who will be treating patients who have no ability to pay.
In the meantime, the Mississippi Today counter that tracks the amount of money Mississippi is losing by not expanding Medicaid keeps ticking up.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1911
Dec. 21, 1911
Josh Gibson, the Negro League’s “Home Run King,” was born in Buena Vista, Georgia.
When the family’s farm suffered, they moved to Pittsburgh, and Gibson tried baseball at age 16. He eventually played for a semi-pro team in Pittsburgh and became known for his towering home runs.
He was watching the Homestead Grays play on July 25, 1930, when the catcher injured his hand. Team members called for Gibson, sitting in the stands, to join them. He was such a talented catcher that base runners were more reluctant to steal. He hit the baseball so hard and so far (580 feet once at Yankee Stadium) that he became the second-highest paid player in the Negro Leagues behind Satchel Paige, with both of them entering the National Baseball Hame of Fame.
The Hall estimated that Gibson hit nearly 800 homers in his 17-year career and had a lifetime batting average of .359. Gibson was portrayed in the 1996 TV movie, “Soul of the Game,” by Mykelti Williamson. Blair Underwood played Jackie Robinson, Delroy Lindo portrayed Satchel Paige, and Harvey Williams played “Cat” Mays, the father of the legendary Willie Mays.
Gibson has now been honored with a statue outside the Washington Nationals’ ballpark.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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