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Where’s the plan? Senate still has only ‘dummy bill’ for Medicaid expansion

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Facing a Thursday deadline for passage, the state Senate leadership has refused to detail its Medicaid expansion plan, leaving members in the dark and health experts worried the plan could ultimately include elements that are unfeasible, costly and counterproductive.

Two-and-a-half months into the legislative session, and after 10 years of debate, Senate Medicaid Chairman Kevin Blackwell told Mississippi Today on Monday afternoon that there was no update on a Senate proposal to expand Medicaid eligibility to the working poor and said, “we’re still working on it.”

Two weeks after the House overwhelmingly passed a bill to expand Medicaid, the Senate has not brought the House measure up, even in committee, and Senate leaders refuse to comment on it.

The Senate expansion bill, which only has the necessary code sections to expand Medicaid with no details, passed committee the first week of March. But trying to have the full Senate pass such a “dummy bill” could prove counterproductive, with senators on the fence unlikely to support a bill they know nothing about.

Blackwell declined to elaborate whether he would advance the dummy bill for a floor vote, if he would let it die or if he planned to propose a substantive expansion plan before the Thursday deadline.

“You’ll just have to wait and see,” he said on Monday.

READ MORE: Gov. Tate Reeves privately tells senators he will veto any Medicaid expansion bill

The only detail Blackwell and Lt. Gov. Delbert Hosemann have confirmed about the plan is that it would contain a work requirement for new coverage recipients — a prerequisite which could kill the effort to expand the health program if the feds don’t approve it.

Members of the Senate have voiced concerns about supporting a skeletal bill without knowing what it might eventually contain.

Sens. Scott DeLano, R-Biloxi, and Daniel Sparks, R-Belmont, say they have never favored expansion, but not having a real bill in front of them doesn’t help the cause. If they were presented a real bill, they say, they would consider the policy.

“I’ve always been pragmatic. If you show me there’s a sustainable way to do something, I will listen,” DeLano said. “I am a compassionate person as well. I want to help people as much as we can. But show me where the sustainable funding will come from … I haven’t seen a bill. If you want me to support something — I haven’t seen a bill, we haven’t seen a bill yet.”

Sparks echoed the sentiment.

“I have not seen the language of the Senate Medicaid expansion plan,” Sparks said. “As I do with all legislation, though, I will review it, study it and ask questions about it.”

The only detail Blackwell has made public is that the bill would need to contain a work requirement, meaning enrollees would need to prove employment or exemption in order to be covered. That requires approval from federal Centers for Medicaid Services, which under the Biden administration has rescinded work requirements previously approved for other states during the Trump administration and has not approved new ones. Georgia remains in litigation with the federal government over the work requirement issue, and has suffered low enrollment and missed out on millions in federal funds by not expanding fully.

Even if a work requirement were approved, it would be costly to implement and could cause a host of administrative difficulties, resulting in loss of coverage even for employed individuals. To the extent that work requirements lead to lower-than-expected enrollment, certain economic benefits of expansion such as additional tax revenue would be muted, according to a March 2024 study conducted by The Hilltop Institute at the University of Maryland, Baltimore County.

Hilltop previously conducted a more comprehensive report on Medicaid expansion in Mississippi, which it presented to the House Medicaid committee in mid-February. During the panel, the researchers outlined how it would boost the economy, generate thousands of jobs and help struggling hospitals.

The work requirement study estimates that if Medicaid were expanded in Mississippi, the majority of enrollees would be either employed or exempt from employment due to disability or extenuating circumstances.

Under the Arkansas Works program, the state saw 45% of new enrollees were employed. Of those unemployed, over 75% were exempt, and only a small number were unemployed and not eligible for exemption.

Arkansas briefly had a Medicaid work requirement from 2018-2019. Research shows it did not lead to more people entering the workforce.

Furthermore, explained Morgan Henderson, Hilltop’s principal data scientist, the cost and administrative chore of implementing work requirements far exceeds the cost of insuring a small number of unemployed, non-exempt individuals along with the rest of the employed or exempt population.

“It would be very challenging to have a robust Medicaid expansion program with a work requirement,” Henderson said.

That’s because implementing work requirements would involve enrollees submitting proof of employment monthly. It would require more staff, and would “introduce substantial confusion among enrollees,” according to the study, which could mean that “if working individuals do not realize that they must report their work status, working enrollees may also lose coverage.”

And others might not even apply.

“There’s a lot of research to show that even seemingly very small paperwork barriers can prevent folks from signing up for health insurance,” Henderson said, “even very affordable health insurance, and so it will reduce uptake – work requirements – we know this for a fact.”

Georgia, the only state currently trying to implement work requirements, has a very low uptake. Georgia’s Department of Community Health had estimated the state would see 64,000 new enrollees from expansion, but as of Dec. 15, 2023, only 2,344 individuals were actively enrolled.

“Some people don’t have internet access,” Henderson explained, “some people just don’t complete the requirements for whatever reason, and so there are folks who are legitimately employed, who should be income-eligible, who would certainly be frozen out just because of the administrative confusion.”

Eligible enrollees who were deemed ineligible due to procedural errors would have to reapply, causing an even greater strain on a system that is already understaffed and backlogged. That’s due in part due to “unwinding,” the process in which state Medicaid divisions across the country have been reviewing their rolls for the first time in three years after the end of COVID-19 restrictions that prevented them from kicking people off.

“In this era of PHE unwinding, it would be extremely cumbersome, I think, to actually implement this work requirement in Mississippi,” Henderson said.

Per a 2019 GAO report, the administrative costs of implementing work requirements range from $6.1 million in New Hampshire to $271.6 million in Kentucky.

In addition to that, if CMS does not consider the Mississippi plan to be Medicaid expansion under the Affordable Care Act — as is the case with Georgia — the state would only receive its traditional share of federal funds for its program, instead of the increased incentive of 90% for states that expand. Georgia is only receiving 65.9% federal share under its “Georgia Pathways to Coverage,” missing out on the millions more of federal funds it would receive under true expansion.

The Mississippi House expansion bill, which passed 98-20 without discussion and now sits untouched in the Senate, calls for a work requirement but says the state’s Medicaid program will be expanded regardless of whether the federal government approves the requirement.

The Senate would have to pass its expansion bill Thursday — whether it’s a skeletal bill or full-fledged bill — to keep it alive.

If the bill dies or is not passed, the Senate could still take up the House bill.

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

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https://www.biloxinewsevents.com/?p=340053

Mississippi Today

See how much your Mississippi school district stands to lose in Trump’s federal funding freeze

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mississippitoday.org – @MSTODAYnews – 2025-04-17 15:57:00

Mississippi school districts are grappling with the fallout of the Trump administration’s decision to freeze roughly $137 million in federal money and are hoping the U.S. Department of Education will reverse the decision. 

Around 70 school districts were relying on the federal Department of Education’s decision under the Biden administration to allow them to spend federal pandemic grant money through next year. 

But new U.S. Secretary of Education Linda McMahon notified state and local officials last month that the Trump administration was immediately cutting off the money. 

Schools were already spending the money on a range of initiatives, including literacy and mathematics programs, mental health services, construction projects for outdated school facilities, and technology for rural districts.

“We’re really counting on all of our state and federal leaders to understand the predicament that we’re in as local school districts and do whatever it takes to get the federal government to honor this extension,” said Lawrence Hudson, the superintendent of Western Line School District in the Delta. 

Hudson told Mississippi Today that his school district had already utilized federal money to renovate the heating and air systems in three old buildings in the district — two former Army barracks and a double-wide trailer — which had inferior ventilation. 

The district also planned to use the money to improve ventilation in another building. However, it was unable to complete the project by the original deadline because it needed to take place during the summer break when the kids were not in the building. 

Now those plans have been disrupted. Hudson said the district will have to find other money to pay for the project. 

Lance Evans, the Mississippi Superintendent of Education, wrote a letter to McMahan saying the federal government failed to provide adequate notice that it would cut off access to money committed to schools during the COVID-19 pandemic, and the action has put school districts like Hudson’s in a bind. 

Madi Biedermann, deputy assistant secretary for communications for the federal education department, told Mississippi Today in a statement that the COVID-19 pandemic is over and “school districts can no longer claim they are spending their emergency pandemic funds on ‘COVID relief.’” 

“The Department will consider extensions on an individual project-specific basis where it can be demonstrated that funds are being used to directly mitigate the effects of COVID-19 on student learning,” Biedermann said. 

Jackson Public School District, one of the largest districts in the state, has approximately $4.5 million in encumbered funds at risk due to the federal government’s decision, according to Earl Burke, the district’s Chief Operations Officer.

Of that amount, JPS had $3.6 million allocated for critical construction projects and just under $1 million designated for instructional support. 

“That said, despite our best efforts, it is important to note that some construction projects may not be completed by the start of the school year due to this shift in funding availability,” Burke said. 

The funding crunch also comes on the heels of Mississippi legislators voting to end their 2025 session without setting an annual budget. 

Mississippi is one of the most federally dependent states in the nation, and the Trump administration, through its Department of Government Efficiency, has made slashing government spending one of its priorities. 

Lt. Gov. Delbert Hosemann has said in recent interviews that legislative leaders might consider assisting state agencies that have been affected by federal funding cuts.

Whatever decisions federal and state leaders make, smaller school districts that received the federal money will be impacted. 

The Benton County School District, located in rural northeast Mississippi, completed a heating and air conditioning project for one of its buildings, according to Superintendent Regina Biggers. The district paid for the project but was banking on the federal government reimbursing it around $166,000, something that may not now happen. 

“This was a tremendous amount of money for a district our size,” Biggers said. 

This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.

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Crime lab sees increase in rape kits following new law

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Crime lab sees increase in rape kits following new law

mississippitoday.org – @MSTODAYnews – 2025-04-17 15:01:00

Twenty-seven percent more rape kits were sent to the state crime lab in 2024 than the year before in Mississippi.

The increase is thanks in part to a law passed in 2023 to streamline rape kit processing, which officials say resulted in more rape kits making it to the crime lab. However, because Mississippi has no complete rape kit inventory, it’s impossible to tell what impact it made on the backlog.  

While variation from year to year is normal, the crime lab has not seen an influx that large in previous years – likely signifying the legislation’s effect, explained Commissioner Sean Tindell of the Department of Public Safety. 

Mississippi Department of Public Safety Commissioner Sean Tindell at his office in Jackson, Miss., Tuesday, January 24, 2023.

But Tindell added that he could not say how many kits, if any, are still getting stalled along the way.

House Bill 485 mandated law enforcement pick up rape kits from hospitals within 24 hours of being contacted, and that they transport the kits to the forensic lab within seven calendar days. It also created a sexual assault task force, whose members designed a system for survivors to track their rape kit as it changes hands. 

The tracking system went into operation September 2024, Tindell said. Any rape victim who had a kit done after then can track the status of the kit by putting its serial number into the online system

The idea was that rape kits could would no longer sit indefinitely in hospital refrigerators or in the trunks of cop cars, and that survivors would be kept in the know – the way patients are for any other hospital procedure.

“They leave the hospital and they don’t know where their kit is, they never hear anything. Can you imagine getting a cancer test and nobody ever calls you back to tell you what it was? For months or years or ever?” asked Ilse Knecht, policy director at End the Backlog, an organization seeking justice for sexual assault survivors through policy work around rape kits. 

Forensic scientist Jenn Odom operates an automated DNA extraction instrument at the Mississippi Crime Laboratory in Pearl, Miss., on Wednesday, April 2, 2025. The system uses silica-coated magnetic particles to capture DNA, followed by a series of washing steps to purify it, processing up to 24 samples in about 17 minutes.

Backlogged rape kits have long been problem across the U.S. – one that first sparked public outcry in 1999 when it was discovered that New York City was sitting on 17,000 untested rape kits

“What happened later was that the mayor decided to test them all, which was a years-long process, and there were very important and interesting cases that came out of that,” explained Knecht. “And it started to catch on, the other states started to look at what they had. And we started to get a sense of what was going on across the country.”

The root of the problem isn’t as simple as underfunded crime labs or a lack of resources in law enforcement agencies, Knecht said. It’s also a matter of culture, with some kits never being tested because victims aren’t believed. 

“If they’re not the perfect victim, the case is going to be closed before it’s even opened.”

The Mississippi Prosecutors’ Association did not respond to a request for comment on whether the increase in submissions to the crime lab has led to an increase in prosecutions. 

Knecht, who has 25 years of experience working in this area, joined End the Backlog in 2015, when she helped develop the group’s policy directives. After collaborating with dozens of sexual assault survivors and various professionals handling rape kits, her team came up with six pillars intended to guide states toward policies to enact meaningful and feasible change.

Mississippi’s 2023 legislation led to the adoption of three of the six pillars End the Backlog recommends: mandating the timely testing of all new kits; implementing mechanisms for survivors to easily find out about the status of their kits; and creating a tracking system for victims. 

The other three pillars, which Mississippi does not have, are: implementing an annual statewide inventory of kits; mandating submission and testing of all backlogged kits; and allocating funding to submit, test and track kits.

The timeline the 2023 legislation imposed on law enforcement is more than reasonable, according to Ken Winter, executive director of the Mississippi Association of Chiefs of Police.

“It absolutely has not taken more staff or resources,” Winter said. “The only thing it’s taking is somebody paying attention to the process and making sure the evidence is handled in a timely manner – and they should be doing that anyways.”

Rep. Angela Cockerham, I-Magnolia, left, during a meeting of House Judiciary B Committee while committee member Jill Ford, R-Madison, listens, at the Capitol in Jackson, Miss., Tuesday, March 3, 2020. (AP Photo/Rogelio V. Solis)

House Bill 485 was a bipartisan effort led by Rep. Angela Cockerham, I-Magnolia, and co-authored by Reps. Dana McLean, R-Columbus; Jill Ford, R-Madison; and Otis Anthony, D-Indianola.

McLean said she believed the legislation was the first step to getting justice for sexual assault survivors. 

But she later became aware that some rape victims have trouble earlier in the process – getting a rape kit done in the first place. McLean fought to change that this past session, and successfully oversaw the passage of a bill requiring hospitals to stock and perform rape kits. 

What makes the problem still more complicated in Mississippi – and four other states – is that the state has not mandated an inventory of rape kits. There is no way to tell the extent of Mississippi’s backlog – or at what point in the process the kits are getting backlogged.

McLean said she hopes to make a mandatory statewide inventory her focus next legislative session. 

The issue is dimensional, said Knecht. But the message of the movement is simple: to tell survivors that what they did by receiving a rape kit mattered. 

“All of this was created to keep a promise to survivors,” Knecht said. “And to society because guess what – these kits represent dangerous people on the street. And when they’re not tested, we have 100 pages of stories of crimes that maybe could have been prevented if a rape kit had just been tested.”

This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.

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1863: Charlotte Brown refused to leave whites-only streetcar

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1863: Charlotte Brown refused to leave whites-only streetcar

mississippitoday.org – @MSTODAYnews – 2025-04-17 07:00:00

April 17, 1863

As darkness fell on San Francisco, a young Black woman named Charlotte Brown walked a block from her home on Filbert Street and took a seat on the “whites-only” horse-drawn streetcar. 

She and her family had moved to California from Maryland, a part of the city’s burgeoning Black middle class. Her father, James E. Brown, was an anti-slavery crusader and was a partner in the Black newspaper, Mirror of the Times. 

When the conductor came to collect tickets, she handed him the ticket she had purchased, only for him to refuse to take it. 

“He replied that colored persons were not allowed to ride,” she later testified. “I told him I had been in the habit of riding ever since the cars had been running. I answered that I had a great ways to go and I was later than I ought to be.” 

The conductor asked her several times to leave. Each time she refused. When a white woman objected to her presence, the conductor grabbed her by the arm and forced her off the streetcar. She boarded twice more with the same result and sued. 

Two years later, a jury awarded her the huge sum in her day of $500 (streetcar tickets were just 5 cents), and a judge ruled that barring passengers on the basis of race was illegal. He wrote in his ruling that he had no desire to “perpetuate a relic of barbarism.” 

Her victories paved the way for the official end of racial discrimination on streetcars in San Francisco and beyond.

This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.

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