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Medicaid expansion bill inches forward in Senate with few details

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Senate Republican leaders continue to keep any particulars of their Medicaid expansion plans close to the vest, with a committee passing only a shell of a bill Tuesday to meet a deadline and keep it alive.

Meanwhile, a Medicaid expansion bill the House passed last week sits untouched in the Senate, and the two Republican-led chambers do not appear to be in sync on the issue.

Senate leaders have said they are dead set on any expansion of Medicaid coverage including a work requirement for recipients. This would require federal approval, which many say is unlikely. The House version includes a work requirement, but says the program would still be expanded even if the feds don’t approve a work requirement.

“If no work requirements, no expansion,” Senate Medicaid Chairman Kevin Blackwell, R-Southaven, said about the bill he calls “expansion light.”

Senate Bill 2735, authored by Blackwell, remains only a skeleton bill bringing forth the code sections necessary to expand Medicaid, with details to be hashed out later.

On Tuesday, Blackwell spent 25 seconds explaining the bill to committee members and 15 seconds counting a committee vote. Rita Potts Parks, R-Corinth, was the only No vote.

No questions were asked in committee.

Blackwell said the Senate measure, like the House plan, likely would raise the income eligibility for Medicaid coverage to 138% of the federal poverty level, up to about $20,000 annually for an individual. He said the plan would likely require Medicaid expansion recipients to pay premiums on a sliding scale based on income. 

READ MORE: ‘Moral imperative’: House overwhelmingly passes Mississippi Medicaid expansion

Mississippi is one of 10 states that has not expanded Medicaid to cover the working poor with the federal government picking up at least 90% of the cost. For the last decade, most Republican leaders, including now Gov. Tate Reeves, have decried expansion as “Obamacare” and “welfare” and the issue has not even garnered serious discussion or hearings in recent years.

But polls have shown growing support for expansion — even among Republicans — as Mississippi’s hospitals founder from providing free care to the uninsured and the state continues to have health statistics and outcomes that rival Third World areas.

New Republican House Speaker Jason White supports expansion, and second-term Lt. Gov. Delbert Hosemann has said he’s open to it and wants to help create a healthier workforce in Mississippi.

A prerequisite that Mississippi’s plan have a work requirement could kill its expansion. During the Biden administration, federal Centers for Medicaid Services has rescinded work requirements previously approved for other states during the Trump administration and has not approved new ones. Georgia remains in litigation with federal government over the work requirement issue.

Blackwell and other Senate Republicans realize the realpolitik of getting a work requirement approved, and say implementing expansion could perhaps be pushed back until after this year’s presidential election, so a new administration might approve a work requirement.

While both House and Senate leaders say they support a work requirement, the one in House Bill 1725 – which overwhelmingly passed the House – is only a “best-case scenario.” The bill has a provision that if federal authorities do not approve the waiver necessary to allow a Mississippi work requirement is not granted by Sept. 30, 2024, Medicaid would still be fully expanded to people up to 138% of the federal poverty level, starting in January 2025.

Blackwell said he doesn’t believe an expansion bill could garner the votes it needs from the Senate without the work requirement.

“Their [House] bill has a component, the first section, for the working people,” Blackwell said. “But if CMS comes back and says they’re not going to accept that, it’s traditional expansion. And we’re not going to get that passed over on this side.”

Senator Chad McMahan, R-Guntown, a member of the Medicaid committee, said he is in favor of expansion — both because he knows his constituents support it, and also because of his personal experiences growing up in a low-income, working-class family.

“I came from a family that didn’t have health insurance for a number of years,” McMahan said, “and I saw the fear in my mom and dad’s face when I got hurt and they had to decide about paying a car note, paying a house note or paying medical bills. And that’s why I’m sympathetic to the legislation. Working people in this state need a safety net, they need a way to access some basic medical care.”

But he said he would have a hard time supporting an expansion bill that had no work requirement.

“There’s a difference between just giving handouts and giving people a hand up to help them,” McMahan said. “I want to provide the working people of this state an opportunity to have some type of health care if their employer doesn’t provide that.”

Blackwell said the Senate bill could perhaps contain language and dates to allow a new presidential administration to take office — and approve a work waiver — before expansion would start.

“I’d love for there to be a change and I think the rest of the country would love for there to be a change,” he said. “We’ll just have to see whatever timeframes we put in are going to try to accommodate that potential change.”

McMahan said, “I think the work requirement is a big piece of it for Republicans. It’s got to be a helping hand. We have the lowest work participation rate in the United States. And if we can figure out a way to help people go to work and provide some health care, I’m for that.”

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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