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

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1 year ago

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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.

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On this day in 1865

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16 hours ago

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December 24, 2024

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mississippitoday.org – Jerry Mitchell – 2024-12-24 07:00:00

Dec. 24, 1865

The Ku Klux Klan began on Christmas Eve in 1865. Credit: Zinn Education Project

Months after the fall of the Confederacy and the end of slavery, a half dozen veterans of the Confederate Army formed a private social club in Pulaski, Tennessee, called the Ku Klux Klan. The KKK soon became a terrorist organization, brutalizing and killing Black Americans, immigrants, sympathetic whites and others. 

While the first wave of the KKK operated in the South through the 1870s, the second wave spread throughout the U.S., adding Catholics, Jews and others to their enemies’ list. Membership rose to 4 million or so. 

The KKK returned again in the 1950s and 1960s, this time in opposition to the civil rights movement. Despite the history of violence by this organization, the federal government has yet to declare the KKK a terrorist organization.

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

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An old drug charge sent her to prison despite a life transformation. Now Georgia Sloan is home

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19 hours ago

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December 24, 2024

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mississippitoday.org – Mina Corpuz – 2024-12-24 04:00:00

CANTON –  Georgia Sloan is home, back from a potentially life-derailing stint in prison that she was determined to instead make meaningful. 

She hadn’t used drugs in three years and she had a life waiting for her outside the Mississippi Correctional Institute for Women in Pearl: a daughter she was trying to reunite with, a sick mother and a career where she found purpose. 

During 10 months of incarceration, Sloan, who spent over half of her life using drugs, took classes, read her Bible and helped other women. Her drug possession charge was parole eligible, and the Parole Board approved her for early release. 

At the end of October, she left the prison and returned to Madison County. The next day she was back at work at Musee, a Canton-based bath products company that employs formerly incarcerated women like Sloan and others in the community facing difficulties. She first started working at the company in 2021. 

“This side of life is so beautiful. I would literally hold on to my promise every single minute of the day while I was in (prison),” Sloan told Mississippi Today in December. 

Next year, she is moving into a home in central Mississippi, closer to work and her new support system. Sloan plans to bring her daughter and mother to live with her. Sloan is hopeful of regaining custody of her child, who has been cared for by her aunt on a temporary basis. 

“This is my area now,” she said. “This has become my family, my life. This is where I want my child to grow up. This is where I want to make my life because this is my life.” 

Additionally, Sloan is taking other steps to readjust to life after prison: getting her driver’s license for the first time in over a decade, checking in monthly with her parole officer and paying court-ordered fines and restitution. 

In December 2023, Sloan went to court in Columbus for an old drug possession charge from when she was still using drugs. 

Sloan thought the judge would see how much she had turned her life around through Crossroads Ministries, a nonprofit women’s reentry center she entered in 2021, and Musee. Her boss Leisha Pickering who drove her to court and spoke as a witness on Sloan’s behalf, thought the judge would order house arrest or time served. 

Circuit Judge James “Jim” Kitchens of the 16th District.

Instead, Circuit Judge James Kitchens sentenced her to eight years with four years suspended and probation. 

He seemed doubtful about her transformation, saying she didn’t have a “contrite heart.” By choosing to sell drugs, Kitchens said she was “(making) other people addicts,” according to a transcript of the Dec. 4, 2023, hearing. 

“I felt like my life literally crumbled before my eyes,” Sloan said about her return to prison. “Everything I had worked so hard for, it felt like it had been snatched from me.”

She was taken from the courtroom to the Lowndes County Detention Center, where she spent two months before her transfer to the women’s prison in Rankin County. 

Sloan found the county jail more difficult because there was no separation between everyone there. But the prison had its own challenges, such as violence between inmates and access to drugs, which would have threatened her sobriety. 

She kept busy by taking classes, which helped her set a goal to take college courses one day with a focus on business. Visits, phone calls and letters from family members and staff from Musee and Crossroads were her lifeline. 

“I did not let prison break me, I rose above it, and I got to help restore other ladies,” Sloan said. 

She also helped several women in the prison get to Crossroads – the same program that helped her and others at Musee. 

Sloan credits a long-term commitment to Crossroads and Musee for turning her life around – the places where she said someone believed in her and took a chance on her. 

Georgia Sloan, left, and Leisha Pickering, founder and CEO of Musee Bath, sit for a portrait at the Musee Bath facility in Canton, Miss., on Wednesday, Dec. 11, 2024. Pickering has supported Sloan through her journey of recovery and reentry, providing employment and advocacy as Sloan rebuilds her life after incarceration. Credit: Eric Shelton/Mississippi Today

Pickering, Musee’s CEO, said in the three years she’s known Sloan, she’s watched her grow and become a light for others. 

The bath and lifestyle company has employed over 300 formerly incarcerated women in the past dozen years, but Pickering said not everyone has had the same support, advocacy and transformation as Sloan. Regardless, Pickering believes each person is worth fighting for. 

When Sloan isn’t traveling for work to craft markets with Pickering, she shares an office with her Musee colleague Julie Crutcher, who is also formerly incarcerated and a graduate of Crossroads’ programs. She also considers Crutcher a close friend and mentor.

Sloan has traveled to Columbus to see her mother and daughter whom she spent Thanksgiving with. She will see them again for Christmas and celebrate her daughter’s 12th birthday the day after.

Her involvement with the criminal justice system has made Sloan want to advocate for prison reform to help others and be an inspiration to others.

“I never knew what I was capable of,” Sloan said.  “I never knew how much people truly, genuinely love me and love being around me. I never knew how much I could have and how much I could offer the world.”

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

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On this day in 1946

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2 days ago

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December 23, 2024

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mississippitoday.org – Jerry Mitchell – 2024-12-23 07:00:00

Dec. 23, 1946

Chuck Cooper Credit: Wikipedia

University of Tennessee refused to play a basketball game with Duquesne University, because they had a Black player, Chuck Cooper. Despite their refusal, the all-American player and U.S. Navy veteran went on to become the first Black player to participate in a college basketball game south of the Mason-Dixon line. Cooper became the first Black player ever drafted in the NBA — drafted by the Boston Celtics. He went on to be admitted to the Basketball Hall of Fame.

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

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