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

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
Proposed legislation aims to protect Mississippi River fisheries
Proposed legislation aims to protect Mississippi River fisheries
A new congressional bill aims to improve fisheries and environmental quality in the Mississippi River basin with a federally funded commission.
“This is a bill that’s way past its due,” said U.S. Rep. Troy Carter Sr. D-Louisiana, who is co-sponsoring the Mississippi River Basin Fishery Commission Act of 2025 with U.S. Rep. Mike Ezell R-Mississippi. It was introduced Feb. 24 in the House Committee on Natural Resources.
The goal is to fund grants for habitat restoration, fisheries research and the mitigation of invasive species.
It aims to support the growth of the fishing industry throughout the basin, as well as reinforce partnerships between local, state and federal agencies involved in the management of the river and its tributaries. The commission would be federally funded, and draw down on federal dollars to support restoration projects and fisheries management.
“The Mississippi, a mighty, mighty estuary, is not only a major tool for moving commerce back and forth, but it’s also a place where people make a living, fishing on the river,” Carter said. “This bill endeavors to make sure that we are protecting that asset.”
While commercial fishing has declined in recent decades, and updated research is necessary to establish the exact value of recreational, commercial and subsistence fishing in the Mississippi River, one study valued it as a billion dollar industry.
“The Mississippi River Basin is not just a geographical feature — it’s the backbone of our economy, a provider of jobs, and a sanctuary for our nation’s anglers and wildlife,” Ezell said in a news release. “This commission will ensure we’re taking a proactive approach to conservation, management, and sustainability, securing this resource for generations to come. Healthy fisheries mean a stronger economy and better opportunities for those who depend on the river for their livelihoods. This is about securing our natural resources while supporting hardworking families.”
The river has long faced challenges, such as industrial and agricultural pollution, habitat destruction and prolific spread of invasive species. Part of the difficulty in addressing these problems comes from the sheer size of the basin, with its geography covering over a third of the continental United States.
“For decades, states have struggled to find dedicated resources to adequately manage large river species that cross many state, federal, and tribal jurisdictions,” Ben Batten, deputy director of Arkansas Game and Fish Commission and chair of the Mississippi Interstate Cooperative Resource Association, said in a press release.
Large river species, such as invasive carp, are a problem the new commission would address, building on the work of the interstate cooperative, a multistate, multi-agency organization formed in 1991 that has focused on reducing invasives. The four varieties of carp originating from Asia – silver carp, black carp, grass carp and bighead carp – have spread at alarming rates and harm existing fisheries.
Communication amongst the numerous jurisdictions in the basin — states, cities, towns and tribal entities — can be difficult. Collaborative groups encourage more cohesive policy between basin states, such as the Mississippi River Cities and Towns Initiative and the Upper Mississippi River Basin Association, and there have been efforts to pass a river compact.
The United States and Canada share a partnership through the Great Lakes Fishery Commission. The Mississippi River Basin Fishery Commission would be part of the Department of the Interior, and include other agencies, like the U.S. Geological Survey, Fish and Wildlife Service and Army Corps of Engineers.
Due in large part to a lack of standardized testing, and often limited resources, health experts and government agencies often offer conflicting advice as to whether fish from the Mississippi River are safe to eat. Fish advisories warning against consumption of fish in one area may not exist in neighboring states, varying from one side of the river to the other.
The bill authors request $1 million to launch the commission in 2026, then $30 million each year for the following three years
While many fish the Mississippi River for sport rather than to eat, some rely on the river as a source of food.
General health advice for eating fish caught from the Mississippi does exist, such as throwing back the biggest and fattiest fish, washing them before fileting, and broiling or grilling the catch to avoid certain pollutants.
Halle Parker and Mississippi Today contributed to this story. This story is a product of the Mississippi River Basin Ag & Water Desk, an independent reporting network based at the University of Missouri in partnership with Report for America, with major funding from the Walton Family Foundation.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
The 19th Explains: What parents need to know about the measles vaccine
The 19th Explains: What parents need to know about the measles vaccine
This story was originally reported by Barbara Rodriguez of The 19th. Meet Barbara and read more of their reporting on gender, politics and policy.
A measles outbreak involving more than 150 infected people in Texas has put a spotlight on the role of vaccines in treating preventable diseases — especially as childhood vaccination rates have declined for several years. A school-aged child who was not vaccinated and had no known underlying conditions died from the outbreak, according to Texas health officials.
Parents and caregivers, in particular mothers, make important health decisions for their families. Though it can impact people of different ages, measles is considered a childhood disease and unvaccinated children under 5 years old are among those who are most at risk for severe illness. Here’s what parents need to know about measles and vaccines.
What is measles? How serious is it?
Measles is a highly contagious airborne disease that spreads when an infected person breathes, coughs or sneezes. If you do not have immune protection from measles and you come into contact with a person who has been infected — or even if you enter a room where an infected person was in the previous two hours — it is highly likely you will get infected.
According to the American Academy of Pediatrics, symptoms for measles include:
- fever
- cough
- runny nose
- red, watery eyes
- a skin rash
Measles can make people very sick: 1 in 20 people get pneumonia; 1 to 3 in 1,000 people get brain swelling (encephalitis); and 1 in 1,000 people die. Children who are infected with measles typically stay home from school. And since symptoms can emerge over several weeks, parents could be out of work for a prolonged period of time to care for their child and keep them in isolation.
The recent death of a child who was infected with measles in Texas is the first measles death in the United States in a decade and the first measles death involving a child since 2003.

(Jan Sonnenmair/Getty Images)
How do you prevent measles?
Vaccination is the key to measles prevention. Routine childhood vaccination provides 97 percent protection from measles through the measles, mumps and rubella (MMR) vaccine. Following the childhood vaccination schedule, which is reviewed by multiple medical organizations, helps prevent hospitalization, long-term injuries and death.
Because the disease is so contagious, community protection from measles requires at least 95 percent immunity to prevent outbreaks.
How often do measles outbreaks happen in the United States?
The widespread use of vaccines has meant that measles has not been common in the United States — so much so that it was declared eliminated from the country in 2000.
That has changed as parents increasingly decline to vaccinate their children, with emerging instances of measles outbreaks, which involve three or more cases. In 2019, there was an uptick in measles cases, with a major outbreak reported in New York. In 2023, there were four outbreaks. In 2024, there were 16 outbreaks. Three months into 2025, there have been three outbreaks reported.
Measles still regularly occurs in many parts of the world, said Dr. Lori Handy, associate director of the Vaccine Education Center at Children’s Hospital of Philadelphia. There has always been a risk that an unvaccinated child in the United States could be infected with measles from an international traveler who enters the United States. But the risk is greater now amid lower vaccination rates in kindergarten-age children.
“As a parent, it’s important to update that framework — that this is no longer the rare, ‘international traveler brings measles back home to a highly vaccinated country.’ This is now people within our own country have measles, and we have an under-vaccinated population, and so we are likely to see more spread in more regions,” she said.
I am vaccinating my child according to the childhood vaccination schedule. How worried should I be about outbreaks?
It depends on the age of your child and whether they are old enough to get the MMR vaccine. The first dose is administered between 12 and 15 months old and is 93 percent effective against measles. The second dose, which is administered between 4 and 6 years old, can add an additional 4 percent of immunity.
If you and your family are fully vaccinated, you can go about your routine activities, according to Handy. If you are vaccinated but you have a young child who is not old enough to receive an MMR shot, you should make sure that the people around the child are vaccinated. People transmit measles to other people only when they are showing symptoms of the viral infection.
“A fully vaccinated parent has a very, very low risk of getting infected with the measles
virus, and therefore should not be a risk to their infant,” Dr. John Swartzberg, clinical professor emeritus at the UC Berkeley School of Public Health, said in an email.
It is important to be aware of outbreaks in your region. Handy said if you live in an outbreak area, be very cautious about bringing a young child who is not yet vaccinated to crowds — or avoid it if at all possible. If you find out your child has been exposed, immediately call their pediatrician to learn about post-exposure care that can be taken to prevent infection.
At a community level, ensure your friends and family are aware of outbreaks and the importance of vaccination to protect themselves, their children and their community.

(Jan Sonnenmair/Getty Images)
Can my child receive an MMR shot early?
Some children who are traveling abroad can get an MMR shot as early as six months old, but it could still require two doses later. Parents should consult their pediatrician.
Handy added that there can be unusual circumstances; she gave the example of a parent with an 11-month-old traveling into a state or region with an outbreak for a social event like a wedding. That child is on the cusp of being old enough to receive the first dose of the MMR vaccine and may be able to get the shot early even though they’re not traveling abroad.
“That’s kind of the one-on-one conversation families will have to have with their care provider,” she said.
Swartzberg said that the most important thing a parent can do is make sure everyone who lives in or visits their home is vaccinated against measles.
“If someone is ill with a respiratory infection in the household, they should wear an N95
mask and stay away from the infant,” he added.
Children who have received their first MMR shot can receive the second as early as 28 days after the first dose, which may be the best option for people who live in or travel to outbreak areas or are traveling internationally. Handy said a second MMR dose helps individuals who may not have responded to the first dose. About 7 out of 100 people do not become immune after one dose; the second dose brings this down to 3 out of 100.
Handy again recommends that parents talk to their pediatricians about the best course of action.
“Related to the immunization schedule, I think the most practical information that people should have is that the way it’s designed right now is to give your child the best protection at the earliest time we can safely give vaccines. And with that in mind, deviation from that should be the exception,” she said.
I’m an adult but I’m not sure about my vaccination status. How can I check if I’ve had the measles vaccine?
If you were born before 1957, you have immunity due to the natural spread occurring then. If you were born after 1957 and have access to your records, check these. Most individuals vaccinated after that time will be protected except for a group of people who received a certain type of vaccine prior to 1968. If you do not have access to your records, you can ask your doctor to check your immunity through bloodwork to see if you need a dose of the vaccine.
The MMR vaccine gives long-lasting protection. No booster is needed, including for parents of young children, said Dr. William Schaffner of Vanderbilt University.
“The vaccine is extraordinarily effective,” he said.
I’m pregnant. What should I know about measles?
To date, most adults have received the MMR vaccine. A person who did not get the vaccine during childhood should make a plan to get it before they become pregnant by at least a month. If they do not, they should wait until after their pregnancy because the MMR vaccine is a live virus vaccine.

(Jan Sonnenmair/Getty Images)
Amid the declining rates of childhood vaccination and the measles outbreak, how should I discuss this topic with my family, friends and community if I’m not sure about their vaccination status?
Handy said that while she hopes parents and others make decisions about vaccination based on the science and one-on-one conversations with their health care providers, she knows people can be convinced to get vaccines because of their social groups. She encourages parents to have honest conversations with fellow parents.
“Help people realize, ‘This is important to me. This is what I do,’” she said. “A lot of people have a lot of questions, and they kind of want to understand what’s socially normal here.”
Handy said parents can also direct fellow parents to medical professionals.
“Recommend they talk with their health care provider to figure out, ‘Where’d you get that information? And how is that helping or potentially harming your child?’” she said. “Because your health care provider is keeping up on all of the science behind vaccines and kind of can help with myths or questions.”
Schaffner also encouraged open conversations between parents, particularly those having play dates. His biggest concern is in outbreak regions for now.
“You’re entitled to ask those other moms or dads, for that matter: ‘If your Susie wants to play with my Johnny, is your Susie vaccinated?’” he said.
Department of Health and Human Services Secretary Robert F. Kennedy Jr. has a history of anti-vaccine activism that came up during his Senate confirmation hearings What has he said about the outbreak?
Kennedy’s political ascension as a one-time presidential candidate and now as the head of the federal health department comes from a platform of promising to “Make America Healthy Again” through policy that purports to address children’s health issues. The messaging has resonated with some parents, while others are skeptical given Kennedy’s lack of formal medical and science training and years of anti-vaccine activism.
During his first public remarks on the Texas outbreak, Kennedy said measles outbreaks are “not unusual” — a description that drew criticism from some health experts because the number of cases related to this outbreak is particularly high. Kennedy also did not mention vaccination.
A few days later, Kennedy posted an op-ed where he more clearly acknowledged the severity of the outbreak and the need for vaccination.
“Parents play a pivotal role in safeguarding their children’s health. All parents should consult with their healthcare providers to understand their options to get the MMR vaccine. The decision to vaccinate is a personal one. Vaccines not only protect individual children from measles, but also contribute to community immunity, protecting those who are unable to be vaccinated due to medical reasons.”
There is a lot of information being shared online about vaccines. Where can I get factual information?
Handy recommended that parents review information available on the Vaccine Education Center at Children’s Hospital of Philadelphia, which provides information on vaccine science, including its safety. She also noted the American Academy of Pediatrics has guides on vaccination, as does the American Academy of Family Physicians.
“Parents can look to those sites and see, where are those organizations potentially diverging from some other messaging in MAHA?” she said. “We really should be looking to those who have spent decades, if not centuries, protecting children and rely on that information.”
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Latest Mississippi inmate to flee prison is another repeat escapee

Weeks after the escape of two men from separate Mississippi prisons, the search continues for a 71-year-old man convicted of capital murder who escaped the Mississippi State Penitentiary earlier in the week.
Nevin Whetstone, who is serving life for the 1983 murder of Loretta Darlene Steele in Lee County, was last seen Tuesday, prison officials said.
This is not the first time he has escaped incarceration. Whetstone received a one-year sentence for escaping from the Sunflower County Jail. He also tried to escape Parchman in 1988 with another man by climbing a fence behind a reception unit, according to the Associated Press.
A spokesperson for the Mississippi Department of Corrections declined to comment Wednesday about details of how Whetstone escaped, how prison staff discovered his absence and whether a lack of staffing was a contributing factor.
Staffing has been a problem at Parchman and across the state’s prisons for years. The agency’s 2023 annual report, the most recent published online, lists 275 filled security positions at Parchman, but 430 positions are authorized. That resulted in an inmate to staff ratio of 8.6.
Whetstone has been in prison since 1984 after pleading guilty. Because he was sentenced before July 1994, his life sentence is parole eligible.
In 2023, he was denied parole and given five years before he can be considered again, in 2028, according to an advocate who has worked with him. To date, Whetstone has been denied parole at least eight times. An MDOC spokesperson did not confirm whether Whetstone is parole eligible.
Whetstone has been housed in Unit 31, Parchman’s medical unit, according to prison records. The advocate added that he has used a walker, which an MDOC spokesperson declined to comment about.
Whetstone’s escape comes months after at least two prison escapes in December.
On Christmas Eve, Drew Johnson escaped the South Mississippi Correctional Facility and was found a day later in Greene County. The 33-year-old is serving a life sentence for murder, and after the escape he was moved to Walnut Grove Correctional Facility.
Gregory Trigg, sentenced to 61 years on nine counts including armed robbery, kidnapping and burglary committed in the Jackson metro area, escaped Parchman Dec. 9 and was found days later in Tulsa, Oklahoma. The 46-year-old was returned to prison and moved to Walnut Grove.
This year, a bill has been proposed to require local law enforcement and the Mississippi Bureau of Investigation to be immediately notified about any prison or jail escape and once the person is apprehended. The legislation awaits a vote by the Senate.
In the past decade, there have been at least 50 people in MDOC prisons and assigned to community work and restitution centers who have escaped, with a majority returned to custody afterward. About half of those escapes have been since 2020.
Whetstone is among those who have escaped Mississippi prisons more than once.
Trigg, who escaped last year, previously escaped from the Scott County Jail in 2017 while he was being held there on a court order, according to a MDOC news release from the time.
Former Parchman inmate Ryan Young, who fled from court in Meridian in December 2023, was arrested five days later in Texas.
He previously escaped the prison in 2017 with James Sanders. Young was found in Mound Bayou and Sanders was arrested in Arkansas. Not long after their return to prison, Sanders was moved to East Mississippi Correctional Facility, and Young went to Walnut Grove.
Michael Wilson, who is serving a life sentence for nine charges including two murders, escaped SMCI in 2018 and was found a day later on the Coast. Years later in 2022, he escaped the Central Mississippi Correctional Facility and was found in Harrison County. His convictions are in Harrison and Jackson counties.
“While understaffing has not been directly attributed to the July 5 escape, it could be a contributing factor that ultimately affects public safety,” MDOC said in a July 2018 statement following Wilson’s escape.
“The department is committed to finding ways to address the understaffing problem, but until the wages, the necessary security positions are restored, and working conditions of the correctional officers improve, the state correctional system will continue to be at a disadvantage in carrying out its public safety mission.”
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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