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‘A no-brainer’: Why former Arkansas Gov. Mike Beebe successfully pushed Medicaid expansion

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Shortly after President Barack Obama ushered the Affordable Care Act through Congress, the U.S. states expanding Medicaid were for the most part Democratic-dominated states in the northeast and west coast with a sprinkling of left-leaning midwestern states.

There was, however, a notable exception: ruby red Arkansas.

To this day, most of the 10 states that have refused to expand Medicaid are located in the South, so Arkansas and a few other notable exceptions continue to stand out.

Still, in 2013, former Arkansas Gov. Mike Beebe viewed expanding Medicaid as “a no-brainer” to provide health care coverage to primarily the working poor.

“But it was Obamacare and nearly every Republican opposes Obamacare philosophically, especially those in Southern states,” Beebe, who is now retired from politics and living in his hometown of Searcy in north central Arkansas, recently told Mississippi Today in an interview.

When Beebe proposed being one of the first states to expand Medicaid in 2013, he was a second-term Democratic governor with a Republican-majority Legislature. And to make matters even more difficult, the Arkansas Constitution requires a three-fourths vote of each legislative chamber to pass an appropriations bill, meaning a high threshold was needed to pass Medicaid expansion.

Still, Beebe set his sights on doing something historic in 2013 by expanding Medicaid.

“It is a no-brainer whether you are Democratic or Republican if you care about your people,” the veteran Arkansas politician said.

READ MORE: Louisiana Gov. John Bel Edwards: Medicaid expansion ‘easiest big decision I ever made’

In the South, only Kentucky and Louisiana have followed Arkansas’ lead in expanding Medicaid. North Carolina has recently expanded Medicaid, though it has not yet been enacted.

In Mississippi, Brandon Presley, who is trying to become the first Democrat elected governor since 1999, said if elected he will work to expand Medicaid despite having a Republican Legislature.

If elected, Presley might study how Beebe succeeded in expanding Medicaid despite some difficult obstacles.

In 2013, Beebe said he was able to prevail by first approaching moderate Republican businessmen and making the argument that Medicaid expansion was good for the state’s economy and its people — "people I called the working poor, who worked but could not afford health care and their employers did not provide it," he said.

Beebe can still rattle off all the arguments he used in 2013 to convince lawmakers to expand Medicaid. Many of those arguments have been used – unsuccessfully – in Mississippi.

But there has been no one advocating for expanding Medicaid in Mississippi with the bully pulpit that Beebe had in Arkansas as governor. Current Mississippi Gov. Tate Reeves and Phil Bryant, his predecessor, were vocal in their opposition to Medicaid expansion.

Besides having the bully pulpit, Beebe had a vast knowledge of the workings of state government. He previously served as attorney general and for 20 years in the state Senate, including 10 of the 12 years that future President Bill Clinton served as governor. For many of those years, he was the leader of the Senate.

"I knew how to work the Legislature because I had been worked by the best," Beebe said matter of factly. "But I think the arguments carried the day."

Still, Beebe said, getting the expansion bill through the legislative process was difficult and took several votes. In the 100-member House the proposal, needing 75 votes, garnered 72 or 73 multiple times.

“I believe it finally passed with 77,” Beebe recalled. “It was the same in the Senate where there were 35 members.”

It passed in 2013 and went into effect in 2014.

A key to passage was the unique form of Medicaid expansion proposed by Beebe. Recognizing the difficulty in getting the proposal needing a three-quarters vote, through the Arkansas Legislature, Beebe proposed Medicaid expansion be offered through private health insurance companies instead of by a government entity.

Instead of money going to the government entity to pay the health care costs of those covered through expansion, the money would go to the private insurance companies that provided the health care coverage. Some Republicans could support the proposal under the pretense it was not expanding a government program.

The state of Arkansas would need a waiver from the federal government to approve such a unique plan.

“The Obama administration needed a win in a Southern state so they approved it,” Beebe said. Plus, it helped that Obama’s Health and Human Services Secretary was Kathleen Sebelius, whom Beebe knew from her time as governor of Kansas.

Beebe said the plan helped to attract more insurance companies to Arkansas, resulting in insurance premiums not skyrocketing in costs at a time when they were rising dramatically in the rest of the South. He reasoned that health care providers were not having to pass on costs to people who had insurance to pay for the people who received treatment, but had no means to pay for it.

He said that provided a powerful argument for expanding Medicaid. Another strong argument, Beebe said, is that if Arkansas did not expand Medicaid the citizens of the state would still be paying for the expansion in states like California and New York.

Expansion helped Arkansas hospitals and actually resulted in less costs for the state.

A lot has changed in Arkansas since Beebe was elected to his second term as the only governor in Arkansas history to win every county. Now, former Donald Trump spokesperson Sarah Huckabee Sanders is governor, but Beebe said he is not hearing anything about repealing Medicaid expansion, though it continues to be tweaked.

“They changed the name,” he said.

Beebe said it would be difficult to remove coverage for 300,000 Arkansans.

“Plus, the budget could not afford it,” Beebe said.

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

Mississippi Today

Mississippi River flooding Vicksburg, expected to crest on Monday

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mississippitoday.org – @alxrzr – 2025-04-25 16:04:00

Warren County Emergency Management Director John Elfer said Friday floodwaters from the Mississippi River, which have reached homes in and around Vicksburg, will likely persist until early May. Elfer estimated there areabout 15 to 20 roads underwater in the area.

A truck sits in high water after the owner parked, then boated to his residence on Chickasaw Road in Vicksburg as a rising Mississippi River causes backwater flooding, Friday, April 25, 2025.

“We’re about half a foot (on the river gauge) from a major flood,” he said. “But we don’t think it’s going to be like in 2011, so we can kind of manage this.”

The National Weather projects the river to crest at 49.5 feet on Monday, making it the highest peak at the Vicksburg gauge since 2020. Elfer said some residents in north Vicksburg — including at the Ford Subdivision as well as near Chickasaw Road and Hutson Street — are having to take boats to get home, adding that those who live on the unprotected side of the levee are generally prepared for flooding.

A rising Mississippi River causing backwater flooding near Chickasaw Road in Vicksburg, Friday, April 25, 2025.
Old tires aligned a backyard as a deterrent to rising water north of Vicksburg along U.S. 61, Friday, April 25, 2025.
As the Mississippi River rises, backwater flooding creeps towards a home located on Falk Steel Road in Vicksburg, Friday, April 25, 2025.

“There are a few (inundated homes), but we’ve mitigated a lot of them,” he said. “Some of the structures have been torn down or raised. There are a few people that still live on the wet side of the levee, but they kind of know what to expect. So we’re not too concerned with that.”

The river first reached flood stage in the city — 43 feet — on April 14. State officials closed Highway 465, which connects the Eagle Lake community just north of Vicksburg to Highway 61, last Friday.

Flood waters along Kings Point Road in Vicksburg, Friday, April 25, 2025.

Elfer said the areas impacted are mostly residential and he didn’t believe any businesses have been affected, emphasizing that downtown Vicksburg is still safe for visitors. He said Warren County has worked with the U.S. Army Corps of Engineers and the Mississippi Emergency Management Agency to secure pumps and barriers.

“Everybody thus far has been very cooperative,” he said. “We continue to tell people stay out of the flood areas, don’t drive around barricades and don’t drive around road close signs. Not only is it illegal, it’s dangerous.”

NWS projects the river to stay at flood stage in Vicksburg until May 6. The river reached its record crest of 57.1 feet in 2011.

The boat launch area is closed and shored up on Levee Street in Vicksburg as the Mississippi River rises, Friday, April 25, 2025.
The boat launch area (right) is closed and under water on Levee Street in Vicksburg as the Mississippi River rises, Friday, April 25, 2025.
City of Vicksburg workers shore up the bank along Levee Street as the Mississippi River rises, Friday, April 25, 2025.
The old pedestrian bridge spanning the Mississippi River in Vicksburg, Friday, April 25, 2025.

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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With domestic violence law, victims ‘will be a number with a purpose,’ mother says

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mississippitoday.org – @MSTODAYnews – 2025-04-25 15:07:00

Joslin Napier. Carlos Collins. Bailey Mae Reed. 

They are among Mississippi domestic violence homicide victims whose family members carried their photos as the governor signed a bill that will establish a board to study such deaths and how to prevent them. 

Tara Gandy, who lost her daughter Napier in Waynesboro in 2022, said it’s a moment she plans to tell her 5-year-old grandson about when he is old enough. Napier’s presence, in spirit, at the bill signing can be another way for her grandson to feel proud of his mother. 

“(The board) will allow for my daughter and those who have already lost their lives to domestic violence … to no longer be just a number,” Gandy said. “They will be a number with a purpose.” 

Family members at the April 15 private bill signing included Ashla Hudson, whose son Collins, died last year in Jackson. Grandparents Mary and Charles Reed and brother Colby Kernell attended the event in honor of Bailey Mae Reed, who died in Oxford in 2023. 

Joining them were staff and board members from the Mississippi Coalition Against Domestic Violence, the statewide group that supports shelters and advocated for the passage of Senate Bill 2886 to form a Domestic Violence Facility Review Board. 

The law will go into effect July 1, and the coalition hopes to partner with elected officials who will make recommendations for members to serve on the board. The coalition wants to see appointees who have frontline experience with domestic violence survivors, said Luis Montgomery, public policy specialist for the coalition. 

A spokesperson from Gov. Tate Reeves’ office did not respond to a request for comment Friday.

Establishment of the board would make Mississippi the 45th state to review domestic violence fatalities. 

Montgomery has worked on passing a review board bill since December 2023. After an unsuccessful effort in 2024, the coalition worked to build support and educate people about the need for such a board. 

In the recent legislative session, there were House and Senate versions of the bill that unanimously passed their respective chambers. Authors of the bills are from both political parties. 

The review board is tasked with reviewing a variety of documents to learn about the lead up and circumstances in which people died in domestic violence-related fatalities, near fatalities and suicides – records that can include police records, court documents, medical records and more. 

From each review, trends will emerge and that information can be used for the board to make recommendations to lawmakers about how to prevent domestic violence deaths. 

“This is coming at a really great time because we can really get proactive,” Montgomery said. 

Without a board and data collection, advocates say it is difficult to know how many people have died or been injured in domestic-violence related incidents.

A Mississippi Today analysis found at least 300 people, including victims, abusers and collateral victims, died from domestic violence between 2020 and 2024. That analysis came from reviewing local news stories, the Gun Violence Archive, the National Gun Violence Memorial, law enforcement reports and court documents. 

Some recent cases the board could review are the deaths of Collins, Napier and Reed. 

In court records, prosecutors wrote that Napier, 24, faced increased violence after ending a relationship with Chance Fabian Jones. She took action, including purchasing a firearm and filing for a protective order against Jones.

Jones’s trial is set for May 12 in Wayne County. His indictment for capital murder came on the first anniversary of her death, according to court records. 

Collins, 25, worked as a nurse and was from Yazoo City. His ex-boyfriend Marcus Johnson has been indicted for capital murder and shooting into Collins’ apartment. Family members say Collins had filed several restraining orders against Johnson. 

Johnson was denied bond and remains in jail. His trial is scheduled for July 28 in Hinds County.  

He was a Jackson police officer for eight months in 2013. Johnson was separated from the department pending disciplinary action leading up to immediate termination, but he resigned before he was fired, Jackson police confirmed to local media. 

Reed, 21, was born and raised in Michigan and moved to Water Valley to live with her grandparents and help care for her cousin, according to her obituary. 

Kylan Jacques Phillips was charged with first degree murder for beating Reed, according to court records. In February, the court ordered him to undergo a mental evaluation to determine if he is competent to stand trial, according to court documents. 

At the bill signing, Gandy said it was bittersweet and an honor to meet the families of other domestic violence homicide victims.

“We were there knowing we are not alone, we can travel this road together and hopefully find ways to prevent and bring more awareness about domestic violence,” she 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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Court to rule on DeSoto County Senate districts with special elections looming

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mississippitoday.org – @MSTODAYnews – 2025-04-25 15:06:00

A federal three-judge panel will rule in coming days on how political power in northwest Mississippi will be allocated in the state Senate and whether any incumbents in the DeSoto County area might have to campaign against each other in November special elections.  

The panel, comprised of all George W. Bush-appointed judges, ordered state officials last week to, again, craft a new Senate map for the area in the suburbs of Memphis. The panel has held that none of the state’s prior maps gave Black voters a realistic chance to elect candidates of their choice. 

The latest map proposed by the all-Republican State Board of Election Commissioners tweaked only four Senate districts in northwest Mississippi and does not pit any incumbent senators against each other. 

The state’s proposal would keep the Senate districts currently held by Sen. Michael McLendon, a Republican from Hernando and Sen. Kevin Blackwell, a Republican from Southaven, in majority-white districts. 

But it makes Sen. David Parker’s district a slightly majority-Black district. Parker, a white Republican from Olive Branch, would run in a district with a 50.1% black voting-age population, according to court documents. 

The proposal also maintains the district held by Sen. Reginald Jackson, a Democrat from Marks, as a majority-Black district, although it reduces the Black voting age population from 61% to 53%.  

Gov. Tate Reeves, Secretary of State Michael Watson, and Attorney General Lynn Fitch comprise the State Board of Election Commissioners. Reeves and Watson voted to approve the plan. But Watson, according to meeting documents, expressed a wish that the state had more time to consider different proposals. 

Fitch did not attend the meeting, but Deputy Attorney General Whitney Lipscomb attended in her place. Lipscomb voted against the map, although it is unclear why. Fitch’s office declined to comment on why she voted against the map because it involves pending litigation. 

The reason for redrawing the districts is that the state chapter of the NAACP and Black voters in the state sued Mississippi officials for drawing legislative districts in a way that dilutes Black voting power. 

The plaintiffs, represented by the ACLU, are likely to object to the state’s newest proposal, and they have until April 29 to file an objection with the court

The plaintiffs have put forward two alternative proposals for the area in the event the judges rule against the state’s plans. 

The first option would place McLendon and Blackwell in the same district, and the other would place McLendon and Jackson in the same district. 

It is unclear when the panel of judges will issue a ruling on the state’s plan, but they will not issue a ruling until the plaintiffs file their remaining court documents next week. 

While the November election is roughly six months away, changing legislative districts across counties and precincts is technical work, and local election officials need time to prepare for the races. 

The judges have not yet ruled on the full elections calendar, but U.S. Fifth Circuit Court of Appeals Judge Leslie Southwick said at a hearing earlier this month that the panel was committed have the elections in November. 

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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