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Legislative recap: Mississippi Medicaid expansion on hold, awaiting Trump, Dr. Oz

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mississippitoday.org – Geoff Pender – 2025-01-13 12:01:00

House and Senate leaders have remained at odds on efforts to expand Medicaid coverage to the working poor in Mississippi, but they agree on one thing as the 2025 legislative session starts: They should wait to draft and debate policy until the Trump administration and a new head of federal Medicaid take office.

This could easily push any legislative action on expansion into next year, postpone it until next session, depending on how long the changing of the guard in Washington takes. Installment of a new head of Centers for Medicare and Medicaid could easily take until late spring or summer.

“We’re going to pump the brakes and figure out where a Trump administration is on these issues,” Republican House Speaker Jason White said. “Anybody that doesn’t want to do that, I think you’re not being honest with where the landscape is.”

Republican Lt. Gov. Delbert Hosemann, who presides over the Senate, agreed waiting to hear of any federal policy changes or allowances is prudent before trying to add Mississippi to the ranks of 41 other states that are accepting billions in federal dollars to provide health coverage through expanded Medicaid.

Trump, who will take office later this month, has selected TV personality and celebrity physician Dr. Mehmet Oz to run the Centers for Medicare and Medicaid Services. Oz’s appointment will require U.S. Senate confirmation.

This would likely make tax cuts or elimination the early, main debate among lawmakers. White and Hosemann both outlined their tax cut plans as the new session starts. White is continuing his push for eliminating the state income tax, as is Gov. Tate Reeves. Hosemann is continuing his call for a more cautious approach, cutting income taxes more over the next few years. Both said they also want to cut the state’s highest in the nation sales tax on groceries, nonprepared food.

Other likely major issues for lawmakers include changes to the state’s medical certificate of need regulations for hospital or clinic expansion, regulation of pharmacy benefit management, “school choice” — using public funds for private schools and allowing public school students to more easily change districts to escape poorly performing schools — and changes to the state’s Public Employee Retirement System.


“I don’t anticipate us not being here very many Fridays, but we will adjourn tomorrow for the week and go home and mirror our Senate counterparts. I hope it’s one of the only things we mirror them on this session.”

— House Speaker Jason White, on ending the legislative week a day early because of impending snow and ice storms for North Mississippi, and a dig at the policy clashes between the House and Senate

Will Mississippi scrap white supremacists statues in Washington?

As other Southern states replace their statues of white supremacists in the U.S. Capitol, more Mississippi lawmakers appear ready to install more inclusive figures of the Magnolia State in Washington.

Democratic Sen. David Blount of Jackson filed a bill that creates a commission to recommend who state officials should replace the statues of J.Z. George and Jefferson Davis with in the U.S. Capitol’s Statuary Hall collection. The lieutenant governor’s office referred the bill to the Senate Rules Committee, which is led by Republican Sen. Dean Kirby of Pearl.

Kirby in the past has not advanced similar legislation out of his committee, but House Rules Committee Chairman Fred Shanks, a Republican from Brandon, previously told Mississippi Today he is open to moving such legislation forward in the 122-member House. — Taylor Vance


Reeves does some online lobbying for tax elimination

Gov. Tate Reeves posted on X as the Mississippi Legislature gaveled in this week that eliminating the state income tax is his top legislative priority, and he challenged fellow Republican statewide elected and legislative leaders to let voters know where they stand.

“Legislative Session begins today — #1 Goal for this Republican: ELIMINATE the Income Tax in Mississippi!!” Reeves posted. Under his tagging of others he said, “Are y’all with me?? @MSGOP voters deserve to know.”

Republican House Speaker Jason White this week also declared phasing out the income tax as his top priority. Republican Lt. Gov. Delbert Hosemann, who oversees the Senate, has proposed a more cautious approach: continuing to cut the state’s already low income taxes over the next few years, and cutting the state’s highest-in-the-nation sales tax on groceries. — Geoff Pender


Judges sworn in for state’s highest courts

Justice Jenifer Branning, center, takes the oath of office while surrounded by her family.

New and returning state Supreme Court and Court of Appeals judges took their oaths of office on Monday.

Newly elected high court justices Jenifer B. Branning of Philadelphia and Justice David P. Sullivan of Biloxi took their oaths to begin their judicial service, as did newly elected appeals Judge Amy Lassitter St. Pe’ of Pascagoula.

The Mississippi Constitution requires each justice and judge to swear or affirm “that I will administer justice without respect to persons, and do equal right to the poor and to the rich, and that I will faithfully and impartially discharge and perform all the duties incumbent upon me as (name of office) according to the best of my ability and understanding, agreeably to the Constitution of the United States and the Constitution and laws of the State of Mississippi. So help me God.” — Mississippi Today politics team

558

The number of general bills that had been posted to the state’s legislative website after the end of the first week of the new session Of these, 547 were House bills, 11 from the Senate. Typically, around 3,000 bills will be filed during a legislative session, but only hundreds will eventually be passed into law. Jan. 20 is the deadline for introduction of general bills and constitutional amendments.

Here are the issues the Legislature will address during the 2025 session

Felony suffrage, restoration of a ballot initiative, tax cuts, Medicaid expansion — Mississippi lawmakers are expected to again deal with several longstanding issues. Read the story.


Speaker White, Lt. Gov. Hosemann talk 2025 priorities

Mississippi’s top two legislative leaders outlined their priorities for the legislative session to state media last week before the state’s 174 lawmakers gaveled in in Jackson. Read the story.


Mississippi will have at least three special legislative elections this year 

Some Mississippians around the state will have the chance to participate in at least three special elections to fill vacancies in the state Legislature — and there could be more in the future. Read the story.


Billionaire Tommy Duff forms Republican PAC as he weighs gubernatorial run

Billionaire Tommy Duff, as he considers a run for Mississippi governor in 2027, has formed a political action committee to help elect Republicans to city and legislative offices this year, likely to increase his influence as a political powerbroker. Read the story.


Photos: Lawmakers gavel in for 2025 Mississippi legislative session

Day one of the 2025 legislative session. See the photos.


Gov. Tate Reeves zones in again on taxes but remains silent on critical retirement system problems

Analysis: Gov. Tate Reeves, still shouting his desire to eliminate the income tax, is dead silent on another critical financial issue facing the state. Read Bobby Harrison’s analysis.

Podcast: ‘Deja vu all over again’: Senate President Protem Dean Kirby outlines 2025 issues

Sen. Dean Kirby, second ranking leader of the state Senate, says many of the issues Mississippi lawmakers will be tackling this year are recurring ones: tax cuts, education funding, Medicaid expansion, and issues with the Public Employees Retirement System. He’s also helping lead court mandated redistricting that will likely result in do-over elections later this year for numerous lawmakers. Listen to the podcast.

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

Mississippi Stories Videos

Mississippi Stories: Chris Lockhart of Capital City Kayaks

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mississippitoday.org – Marshall Ramsey – 2025-01-14 11:39:00

In this episode of Mississippi Stories, Mississippi Today Editor-at-Large Marshall Ramsey took a tour of one of the best kept secrets in Jackson with Chris Lockhart of Capital City Kayaks. What started as a hobby to explore the green side of the capital city has turned into a family-fun spot for tourists and Jacksonians alike.

For more videos, subscribe to Mississippi Today’s YouTube channel.


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

The post Mississippi Stories: Chris Lockhart of Capital City Kayaks appeared first on Mississippi Today.

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Lawmakers must pass new legislation to improve access to prenatal care

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mississippitoday.org – Sophia Paffenroth – 2025-01-14 10:27:00

Lawmakers will file another bill this session to help low-income pregnant women get into the doctor earlier – after the federal government rejected the program set up under last year’s law. 

The implementation of the program has been delayed for months as a result of the discrepancy between what was written into state law and federal regulations for pregnancy presumptive eligibility.

Rep. Missy McGee, R-Hattiesburg, told Mississippi Today she will file a bill before next week’s deadline.

“It’s a priority to get pregnant women into the doctor as early as possible,” said McGee, who authored last year’s bill and chairs the House Medicaid committee. “The goal is the same, the priority for us is the same.”

House Medicaid Committee Chairwoman Missy McGee, R-Hattiesburg, said the passing of legislation that would extend postpartum Medicaid coverage from two months to a year, by the committee is “the right thing for women and babies in Mississippi,” Tuesday, Feb. 28, 2023, at the Mississippi Capitol in Jackson. (AP Photo/Rogelio V. Solis)

The problem with the 2024 legislation is that it included a proof of income requirement – meaning patients would need to bring paystubs into the doctor’s office – which the Centers for Medicare and Medicaid Services, the federal agency responsible for approving the state plan, does not allow. Although the law is intended for low-income individuals, the federal government maintains that vocal testimony should suffice. 

Federal guidelines state that while the agency may require proof of citizenship or residency, it should not “require verification of the conditions for presumptive eligibility” – which are pregnancy and income. 

McGee said she will be taking out the proof of income requirement. The proof of pregnancy requirement is null, she said, since doctors would be able to see pregnancy during the first visit. 

The law presumes certain low-income pregnant women as eligible for Medicaid, and allows them to receive treatment right away at no cost to them while their official Medicaid application is pending. This interim coverage only lasts 60 days, at which point the Division of Medicaid will typically have approved or denied their application, according to average application processing times. 

The policy will cost roughly $567,000 and could cut down on the number of premature infants who end up in the intensive care unit, where the state might pay up to $1 million caring for a single baby. Mississippi has the nation’s highest rate of preterm birth, which adequate prenatal care has been proven to mitigate

Advocates argue that the mandatory documentation is just another burden on pregnant women already facing socioeconomic barriers to health care. 

Officials with the Mississippi Division of Medicaid said several times throughout the summer and fall that they were in negotiations with the federal government to work out the problem with state law.

Matt Westerfield, spokesperson for the Division of Medicaid, confirmed that the agency could not work out with the federal government the proof of income requirement state lawmakers wrote into the law. 

McGee said the easiest solution is to draft new legislation. She is hopeful that the policy will garner the same overwhelming support this year that it had from lawmakers in both chambers last year. 

“We do not believe that the changes do any harm to our objective, so we are willing to make these changes,” McGee said. “And really, I think it’s been helpful for the Division of Medicaid to have these in-depth conversations [with CMS] so we have a better idea of what CMS is looking for.”

The House passed the law 117-5 last year, and the Senate passed it 52-4. 

The deadline to file bills is Jan. 20. McGee says she hopes to push the bill through the Legislature early on this year – as she did last year. In 2024, it was sent to the governor less than halfway through the session. 

Thirteen providers were approved to participate in the policy in 2024, including the University of Mississippi Medical Center – the state’s largest Medicaid provider.

In addition to negotiating with CMS and accepting provider applications, the Division of Medicaid also conducted several provider training sessions throughout the fall.

Westerfield was not able to comment on whether the approved providers would be automatically enrolled in 2025 or whether they would need to reapply. He also declined to comment on whether the implementation process would be streamlined the second time around. 

Other than minor changes to income verification, everything in this year’s bill will stay the same as last year. 

An expectant mother would need to fall under the following income levels to qualify for presumptive eligibility in 2025:

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

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On this day in 1963

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mississippitoday.org – Jerry Mitchell – 2025-01-14 07:00:00

Jan. 14, 1963 

On the same portico of the Alabama Capitol in Montgomery where Jefferson Davis was sworn in as president of the Confederacy, Alabama Gov. George Wallace delivered his inaugural address, telling the crowd, “In the name of the greatest people that have ever trod this earth, I draw the line in the dust and toss the gauntlet before the feet of tyranny, and I say segregation now, segregation tomorrow, segregation forever!” 

Asa Carter, a member of the Ku Klux Klan, wrote his speech, which made national headlines and thrust Wallace into the national spotlight. 

Seven months later, Martin Luther King Jr. responded to that speech, saying, “I have a dream that one day, down in Alabama, with its vicious racists, with its governor having his lips dripping with the words of ‘interposition’ and ‘nullification’ — one day right there in Alabama little black boys and black girls will be able to join hands with little white boys and white girls as sisters and brothers.” 

Before his death, Wallace called his most famous phrase “his biggest mistake.”

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

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