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‘These are not good numbers’: Thousands more Mississippians, kids dropped from Medicaid

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More than 16,000 Mississippians were dropped from Medicaid in August during the latest round of the agency’s disenrollments.

The pandemic-era federal regulations that prevented state Medicaid agencies from disenrolling beneficiaries ended in May. Since then, Medicaid divisions all over the country are reviewing their rolls for the first time in three years.

In June, 29,460 Mississippians were dropped. Another 22,507 people were disenrolled in July.

August’s numbers bring the agency’s total number of disenrollments thus far to 68,626 people. Before unwinding began, the agency’s enrollment exceeded 900,000 people for the first time in the agency’s history.

Most concerningly, most of those who were disenrolled — 54,366 people or 79% — have not been kicked off because they’re ineligible. Instead, there were issues with their paperwork – it was either not turned in on time or was incomplete. That could mean some people have been kicked off Medicaid even though they’re still eligible.

It’s unknown how many of the procedural disenrollments have been children. Children are most at risk of losing benefits during the unwinding process, federal research predicts, and many of them may still be eligible. Kids in low-income families comprise more than half of Mississippi’s overall Medicaid beneficiaries.

“These are not good numbers,” said Joan Alker, executive director of Georgetown University’s Center for Children and Families. “It’s very concerning to see … people, likely children and parents by and large, losing Medicaid for red tape or procedural reasons.”

According to the Kaiser Family Foundation, 13 states have higher procedural disenrollment rates than Mississippi.

From June to July, 18,710 kids were unenrolled from Medicaid, when the first wave of disenrollments took place.

Mississippi Today has requested to interview an agency official about the unwinding data, but the requests were not granted.

New enrollment numbers show that from July to August, another 12,882 children were dropped, bringing the agency’s total of children dropped since unwinding began to 31,592.

Mississippi Medicaid’s monthly unwinding reports do not say what number of terminations were children, but Mississippi Medicaid spokesperson Matt Westerfield confirmed that most of these disenrollments are due to unwinding.

The agency’s ex-parte rate, or automatic renewal rate, remains low. Westerfield previously told Mississippi Today that the agency wants to increase those rates, but August numbers show that of the 70,069 people up for renewal, only 10,817 were renewed on an ex-parte basis.

That’s on par with the previous data release, which shows that of the 75,110 people up for renewal in July, 12,188 were renewed ex-parte.

The agency in August requested permission from the Centers for Medicare and Medicaid Services for “four additional flexibilities that would reduce procedural disenrollments while increasing ex-parte renewals.” According to Westerfield, some were approved, while discussions continue about the others.

The agency’s backlog of beneficiaries to review also keeps growing. In June, about 5,000 renewals were not reviewed. About 15,000 additional reviews went uncompleted in July and another 10,000 in August.

As unwinding continues for the next several months, the burden on the state’s already crumbling health care infrastructure grows. One report puts nearly a half of the state’s rural hospitals at risk of closure.

State Republican leaders have adamantly opposed expanding Medicaid to the working poor, which research shows would bring in billions, though presumptive incoming House Speaker Jason White recently indicated he would consider expansion. His predecessor Philip Gunn largely led the effort to oppose the policy change.

The Kaiser Family Foundation says at least 6,438,000 people nationally have been disenrolled from Medicaid as of Sept. 13.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

Mississippi Today

An ad supporting Jenifer Branning finds imaginary liberals on the Mississippi Supreme Court

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mississippitoday.org – Bobby Harrison – 2024-11-24 06:00:00

The Improve Mississippi PAC claims in advertising that the state Supreme Court “is in danger of being dominated by liberal justices” unless Jenifer Branning is elected in Tuesday’s runoff.

Improve Mississippi made the almost laughable claim in both radio commercials and mailers that were sent to homes in the court’s central district, where a runoff election will be held on Tuesday.

Improve Mississippi is an independent, third party political action committee created to aid state Sen. Jenifer Branning of Neshoba County in her efforts to defeat longtime Central District Supreme Court Justice Jim Kitchens of Copiah County.

The PAC should receive an award or at least be considered for an honor for best fiction writing.

At least seven current members of the nine-member Supreme Court would be shocked to know anyone considered them liberal.

It is telling that the ads do not offer any examples of “liberal” Supreme Court opinions issued by the current majority. It is even more telling that there have been no ads by Improve Mississippi or any other group citing the liberal dissenting opinions written or joined by Kitchens.

Granted, it is fair and likely accurate to point out that Branning is more conservative than Kitchens. After all, Branning is considered one of the more conservative members of a supermajority Republican Mississippi Senate.

As a member of the Senate, for example, she voted against removing the Confederate battle emblem from the Mississippi state flag, opposed Medicaid expansion and an equal pay bill for women.

And if she is elected to the state Supreme Court in Tuesday’s runoff election, she might be one of the panel’s more conservative members. But she will be surrounded by a Supreme Court bench full of conservatives.

A look at the history of the members of the Supreme Court might be helpful.

Chief Justice Michael Randolph originally was appointed to the court by Republican Gov. Haley Barbour, who is credited with leading the effort to make the Republican Party dominant in Mississippi. Before Randolph was appointed by Barbour, he served a stint on the National Coal Council — appointed to the post by President Ronald Reagan who is considered an icon in the conservative movement.

Justices James Maxwell, Dawn Beam, David Ishee and Kenneth Griffis were appointed by Republican Gov. Phil Bryant.

Only three members of the current court were not initially appointed to the Supreme Court by conservative Republican governors: Kitchens, Josiah Coleman and Robert Chamberlin. All three got their initial posts on the court by winning elections for full eight-year terms.

But Chamberlin, once a Republican state senator from Southaven, was appointed as a circuit court judge by Barbour before winning his Supreme Court post. And Coleman was endorsed in his election effort by both the Republican Party and by current Republican Gov. Tate Reeves, who also contributed to his campaign.

Only Kitchens earned a spot on the court without either being appointed by a Republican governor or being endorsed by the state Republican Party.

The ninth member of the court is Leslie King, who, like Kitchens, is viewed as not as conservative as the other seven justices. King, former chief judge on the Mississippi Court of Appeals, was originally appointed to the Supreme Court by Barbour, who to his credit made the appointment at least in part to ensure that a Black Mississippian remained on the nine-member court.

It should be noted that Beam was defeated on Nov. 5 by David Sullivan, a Gulf Coast municipal judge who has a local reputation for leaning conservative. Even if Sullivan is less conservative when he takes his new post in January, there still be six justices on the Supreme Court with strong conservative bonafides, not counting what happens in the Branning-Kitchens runoff.

Granted, Kitchens is next in line to serve as chief justice should Randolph, who has been on the court since 2004, step down. The longest tenured justice serves as the chief justice.

But to think that Kitchens as chief justice would be able to exert enough influence to force the other longtime conservative members of the court to start voting as liberals is even more fiction.

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 1968

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mississippitoday.org – Jerry Mitchell – 2024-11-24 07:00:00

Nov. 24, 1968

Credit: Wikipedia

Black Panther leader Eldridge Cleaver fled the U.S. to avoid imprisonment on a parole violation. He wrote in “Soul on Ice”: “If a man like Malcolm X could change and repudiate racism, if I myself and other former Muslims can change, if young whites can change, then there is hope for America.” 

The Arkansas native began to be incarcerated when he was still in junior high and soon read about Malcolm X. He began writing his own essays, drawing the praise of Norman Mailer and others. That work helped him win parole in 1966. His “Soul on Ice” memoir, written from Folsom state prison, described his journey from selling marijuana to following Malcolm X. The book he wrote became a seminal work in Black literature, and he became a national figure. 

Cleaver soon joined the Black Panther Party, serving as the minister of information. After a Panther shootout with police that left him injured, one Panther dead and two officers wounded, he jumped bail and fled the U.S. In 1977, after an unsuccessful suicide attempt, he returned to the U.S. pleaded guilty to a reduced charge of assault and served 1,200 hours of community service. 

From that point forward, “Mr. Cleaver metamorphosed into variously a born-again Christian, a follower of the Rev. Sun Myung Moon, a Mormon, a crack cocaine addict, a designer of men’s trousers featuring a codpiece and even, finally, a Republican,” The New York Times wrote in his 1998 obituary. His wife said he was suffering from mental illness and never recovered.

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 1867

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mississippitoday.org – Jerry Mitchell – 2024-11-23 07:00:00

Nov. 23, 1867

Extract from the Reconstructed Constitution of the State of Louisiana, 1868. Credit: Library of Congress

The Louisiana Constitutional Convention, composed of 49 White delegates and 49 Black delegates, met in New Orleans. The new constitution became the first in the state’s history to include a bill of rights. 

The document gave property rights to married women, funded public education without segregated schools, provided full citizenship for Black Americans, and eliminated the Black Codes of 1865 and property qualifications for officeholders. 

The voters ratified the constitution months later. Despite the document, prejudice and corruption continued to reign in Louisiana, and when Reconstruction ended, the constitution was replaced with one that helped restore the rule of white supremacy.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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