Mississippi Today
Can a Mississippi governor expand Medicaid on his own? Depends on who you ask.

Editor’s note: Mississippi Today interviewed two Deep South governors about why they chose to champion and pass Medicaid expansion in their states and what the outcomes have been. Those articles will publish on August 24.
Brandon Presley, the Democratic nominee for governor, has at times spoken of expanding Medicaid through executive action without approval of the Republican-controlled Mississippi Legislature should he win the November general election.
“Day 1, I’m going to expand Medicaid so that 220,000 working Mississippians can get access to affordable healthcare,” Presley wrote on social media in July.
At other times, perhaps recognizing the obstacles such a solo effort to expand Medicaid might face, Presley has indicated he would work with the Legislature, which he has said he believes would be amenable to Medicaid expansion.
As nearly half of the state’s rural hospitals are at risk of closing and hospitals across the state are laying off staff or cutting services because of budget problems, Medicaid expansion has become a key campaign issue in 2023.
Forty states and the District of Columbia have expanded Medicaid, a federal opt-in program that provides health care coverage to poor Americans who can’t otherwise afford it themselves. Two of Mississippi’s neighbors, Arkansas and Louisiana, have expanded Medicaid with great success and improved outcomes.
But leaders in Mississippi, the poorest state in America with one of the nation’s highest percentages of uninsured residents, have resisted expansion for more than 10 years — despite the fact that it would bring more than $1 billion per year in new funds to the state and directly help hospitals.
READ MORE: FAQ: What is Medicaid expansion, really?
In some states, such as Louisiana, expansion was done through executive orders instead of by approval of the Legislature. But there are questions about whether a governor in Mississippi could expand Medicaid without legislative approval.
Republican Gov. Tate Reeves, who is seeking reelection and faces Presley in the November general election, has long opposed expanding Medicaid.
The Division of Medicaid, which is under the statutory direction and purview of the governor, takes the position that Medicaid expansion requires legislative approval.
“State law defines who can be eligible for Medicaid in Mississippi. Our understanding is that a governor is not authorized to unilaterally establish a new Medicaid coverage group through an executive order or a federal demonstration waiver,” said Matt Westerfield, a spokesperson for the state’s Division of Medicaid.
State Sen. Kevin Blackwell, R-Southaven, who chairs the Senate’s Medicaid Committee, referred questions about whether a governor could expand Medicaid on his or her own to the Division of Medicaid. His House counterpart, Joey Hood, R-Ackerman, could not be reached for comment.
Former state Rep. Steve Holland, who for years was considered one of the leading authorities in the Legislature on Medicaid issues as the longtime chair of Public Health Committee, said the governor has considerable authority over the Medicaid program. After all, Medicaid is a division within the governor’s office.
Still, Holland said, “We have the most codified Medicaid program in the country. We have put all the eligibility requirements in law … I know Brandon (Presley) as well as anyone. If he is fortunate enough to be elected governor, he is smooth enough and prepared enough to begin immediately to expand Medicaid. And I think he can work with the Legislature to do that.”
READ MORE: Nearly half of rural hospitals at risk of closure in Mississippi, new data shows
The Presley campaign has cited the ability of the Division of Medicaid — hence the governor — to seek a federal waiver to alter the state Medicaid program. A campaign spokesperson said the governor would have authority to seek the waiver under state law, though waivers are granted for only five years and they normally are granted in coordination with the Legislature, which often must provide funding to pay for the waiver.
Holland said state law provides the Division of Medicaid under the governor significant flexibility to seek waivers from the federal government to enact programs that are not codified in state law.
The bottom line is that if there was an effort to expand Medicaid through the waiver program, an appropriation by the Legislature to fund the program most likely still would be needed. But if a governor did expand Medicaid and figure out a way to pay for the program without the Legislature, it likely would result in litigation and be left to the state courts to determine whether it was legal.
Specific sections of state law define who is eligible for Medicaid based on income levels and health issues. In general terms, in Mississippi only poor pregnant women, poor children, the disabled, certain groups of the elderly and some groups who fall into extreme poverty categories and are providing care for family members on Medicaid are eligible for Medicaid coverage.
Most able-bodied people are not eligible for Medicaid in Mississippi.
With Medicaid expansion, those earning up to 138% of the federal poverty level — or about $18,750 annually — would be eligible for coverage. The intent with Medicaid expansion is to provide health care to primarily the working poor who cannot afford private insurance and who are not provided coverage by their employers.
The most clear cut way to expand Medicaid would be for the Legislature to approve a bill to incorporate the new eligibility requirements in state law.
Whether it would be feasible for the Legislature to agree to such a change in state law is the unknown question. If Presley is elected, Mississippians will find out.
At least in the current Legislature, there is a significant appetite to at least consider the merits of expansion. Last legislative session, Mississippi Today surveyed most of the 174 lawmakers and asked them directly if they supported Medicaid expansion.
In response, voting majority in the House said they either supported Medicaid expansion or remained undecided. One vote shy of a voting majority in the Senate said the same.
Just 21 of the House members surveyed, or 18% of the House, said they outright opposed Medicaid expansion. And just 18 of the Senate members surveyed, or 38% of the Senate, said they outright opposed it.
READ MORE: Few Mississippi lawmakers outright oppose Medicaid expansion
Holland, who served in the Legislature until 2020, says he believes Presley could get Medicaid expansion through the Legislature even with a Republican supermajority.
“Tate Reeves and (House Speaker) Philip Gunn were the two blocking it. Period.” said Holland. Gunn is not seeking re-election this year.
“In my final years in the House I had so many Republicans come to me and say expanding Medicaid is the right thing to do,” Holland said.
Another option would be for the Legislature to reauthorize the ballot initiative program that was ruled unconstitutional in 2021 by the state Supreme Court. Through the initiative process, people can gather signatures to bypass the Legislature and place issues directly on the ballot.
When the initiative process was ruled invalid, there was an effort underway to gather the required number of signatures to place Medicaid expansion on the ballot. The Mississippi Hospital Association was one of the sponsors of the Medicaid expansion initiative proposal and had hoped to have enough signatures to place the proposal on the 2022 ballot.
Multiple polls have indicated strong support among Mississippi voters for Medicaid expansion.
So far, legislative efforts to revive the initiative have been unsuccessful.
READ MORE: Mississippi leaving more than $1 billion per year on table by rejecting Medicaid expansion
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Feuding GOP lawmakers prepare to leave Jackson without a budget, let governor force them back
After months of bitter Republican political infighting, the Legislature appears likely to end its session Wednesday without passing a $7 billion budget to fund state agencies, potentially threatening a government shutdown if they don’t come back and adopt one by June 30.
After the House adjourned Tuesday night, Speaker Jason White said he had presented the Senate with a final offer to extend the session, which would give the two chambers more time to negotiate a budget. As for now, the 100 or so bills that make up the state budget are dead.
The Senate leadership was expected to meet and consider the offer Tuesday evening, White said. But numerous senators both Republican and Democrat said they would oppose such a parliamentary resolution, and Lt. Gov. Delbert Hosemann has also said it’s unlikely and that the governor will have to force lawmakers back into special session.
White said he believes, if the Senate would agree to extend the session and restart negotiations, lawmakers could pass a budget and end the 2025 session by Sunday, only a few days later than planned.
But if the Senate chooses not to pass a resolution extending the session, White said the House would end the session on Wednesday.
It would take a two-thirds vote of support in both chambers to suspend the rules and extend the session. The Senate opposition appears to be enough to prevent that.
Still, the speaker said he believes Lt. Gov. Delbert Hosemann and Senate leaders are considering the proposal. But he said if he doesn’t hear a positive response by Wednesday, the House will adjourn and wait for Gov. Tate Reeves to call a special session at a later date.
“We are open to (extending the session), but we will not stay here until Sunday waiting around to see if they might do it,” White said.
White said leaving the Capitol without a budget and punting the issue to a special session might not cool tensions between the chambers, as some lawmakers hope.
“I think when you leave here and you end up in a special session, some folks say, ‘Well everybody that’s upset will cool down by then.’ They may, or it may get worse. It may shine a different and specific light on some of the things in this budget and the differences in the House and Senate,” White said. “Whereas, I think everybody now is in the legislative mode, and we might get there.”
The Mississippi Constitution does not grant the governor much power, but if Gov. Tate Reeves calls lawmakers into a special session, he gets to set the specific legislative agenda — not lawmakers.
White said the governor could potentially use his executive authority to direct lawmakers to take up other bills, such as those related to education, before getting to the budget.
“When we leave here without a budget, it is entirely the governor’s prerogative to when he (sets a special session) and how he does that.”
While the future of the state’s budget hangs in the balance, lawmakers have spent the remaining days of their regular session trying to pass the few remaining bills that remained alive on their calendars.
House approves DEI ban, Senate could follow suit on Wednesday
The House on Tuesday passed a proposal to ban diversity, equity and inclusion programs from public schools, and both chambers approved a measure to establish a form of early voting.
The House approved a conference report compromise to ban DEI programs and a list of “divisive concepts” from K-12 schools, community colleges and universities. If the Senate follows suit, Mississippi would join a number of other Republican-controlled states and President Donald Trump, who has made rooting DEI out of the federal government one of his top priorities.
The agreement between the Republican-dominated chambers follows hours of heated debate in which Democrats, all almost of whom are Black, excoriated the legislation as a setback in the long struggle to make Mississippi a fairer place for minorities. Legislative Republicans argued the legislation will elevate merit in education and remove from school settings “divisive concepts” that exacerbate divisions among different identity groups.
The concepts that will be rooted out from curricula include the idea that gender identity can be a “subjective sense of self, disconnected from biological reality.” The move reflects another effort to align with the Trump administration, which has declared via executive order that there are only two sexes.
The House and Senate disagreed on how to enforce the act, but ultimately settled on an agreement that would empower students, faculty members and contractors to sue schools for violating the law, but only after they go through an internal campus review process that would give schools time to make changes. The legislation could also withhold state funds from schools that don’t comply.
Legislature sends ‘early voting lite’ bill to governor
The Legislature also overwhelmingly passed a proposal to establish a watered down version of early voting, though the legislation is titled “in-person excused voting,” and not early voting.
The proposal establishes 22 days of in-person voting before Election Day that requires voters to go to the circuit clerk’s office or another location county officials have designated as a secure early voting facility, such as a courtroom or a board of supervisors meeting room.
To cast an early vote, someone must present a valid form of photo ID and list one of about 15 legal excuses to vote before Election Day. The excuses, however, are broad and would, in theory, allow many people to cast early ballots.
Examples of valid excuses are voters expecting to work on Election Day, being at least 65 years old, being currently enrolled in college or potentially travelling outside of their county on Election Day.
Since most eligible voters either work, go to college or are older than 65 years of age, these excuses would apply to almost everyone.
“Even though this isn’t early voting as we saw originally, it makes this more convenient for hard working Mississippians to go by their clerks’ office and vote in person after showing an ID 22 days prior to an election,” Senate Elections Chairman Jeremy England said.
Republican Gov. Tate Reeves opposes early voting, so it’s unclear if he would sign the measure into law or veto it.
Both chambers are expected to gavel at 10 a.m. on Wednesday to debate the final items on their agenda.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
‘A lot of us are confused’: Lacking info, some Jacksonians go to wrong polling place
Johnny Byrd knew that when his south Jackson neighborhood Carriage Hills changed wards during redistricting last year, his neighbors would have trouble finding their correct polling place on Election Day.
So he bought a poster board and inscribed it with their new voting location – Christ Tabernacle Church.
“I made a sign and placed it in front of the entrance to our neighborhood that told them exactly where to go so there would be no confusion,” said Byrd, vice president of the Association of South Jackson Neighborhoods.
Still, on April 1, a car full of voters from a senior living facility who should have gone to Christ Tabernacle were driven to their old polling place.
“I thought it was unfortunate they had to get there and find out rather than knowing in advance that their polling location was different,” said Sen. Sollie Norwood, a Democrat from Jackson who was on the ground Tuesday helping constituents with voting.
One of those elderly women became frustrated and said she no longer wanted to vote, Norwood said, though her companions tried to convince her otherwise. By midday Tuesday, 300 people had voted at Christ Tabernacle, one of the city’s largest precincts currently in terms of registered voters, but among the lowest in turnout historically.
Voting rights advocates and candidates vying for municipal office in Jackson are keeping an eye on issues facing voters at the polls, though without official results, it remains to be seen if that will dampen turnout this election with the hotly contested Democratic primary.
“I still believed it was gonna be low,” Monica McInnis, a program manager for the nonprofit OneVoice, said of turnout. “I was expecting it would be a little higher because of what is on the ballot and how many people are running in all of the wards as well as the mayor’s race.”
The situation is evolving as the day goes on, but the main issues are twofold. One, thousands of Jackson voters have new precinct locations after redistricting last year put them into a new city council ward.
Two, some voters didn’t realize their polling place for the municipal elections may differ from where they voted in last year’s national elections, which are run by the counties.
In Mississippi, voters are assigned two precincts that are often but not always the same: A municipal location for city elections and a county location for senate, gubernatorial and presidential elections
“People in Mississippi, we go to the same polling location for three years, and that fourth year, it changes,” said Jada Barnes, an organizer with the Jackson-based nonprofit MS Votes. “A lot of us are confused. When people are going to the polling place today, they’re seeing it is closed, so they’re just going back home which is making turnout go even lower.”
Barnes said she’s hearing this primarily from a few Jackson voters who called a hotline that MS Votes is manning. Lack of awareness around polling locations is a big deterrent, she said, because most people are trying to squeeze their vote in between work, school or family responsibilities.
“Maybe you’re on your lunch break, you only got 30 minutes to go vote, you learn that your polling location has changed and now you have to go back to work,” she said.
Norwood said he heard from a group of students assigned to vote at Christ Tabernacle who had attempted to vote at the wrong precinct and were told their names weren’t on the rolls. They didn’t know they had been moved from Ward 4 to Ward 6, Norwood said, meaning they expected to vote in a different council race until reaching the polls Tuesday.
Though voters have a duty to be informed of their polling location, Barnes said city and circuit clerks and local election commissioners are ultimately responsible for making sure voters know where to go on Election Day.
Angela Harris, the Jackson municipal clerk, said her office worked to inform voters by mailing out thousands of letters to Jacksonians whose precincts changed, including the roughly 6,000 whose wards changed during the 2024 redistricting.
“I am over-swamped,” she said yesterday.
Despite her efforts, at least one voter said he never got a letter. Stephen Brown learned through Facebook, not an official notice, that he was moved from Ward 1 to Ward 2.

A resident of the Briarwood Heights neighborhood in northeast Jackson, Brown’s efforts to vote Tuesday have been complicated by mixed messages and a lack of communication. He has yet to vote, even though he showed up at the polls at 7:10 this morning.
His odyssey took him to two wrong locations, where the poll managers instructed Brown to call his ward’s election commissioner, who did not answer multiple calls, Brown said. Brown finally learned through a Facebook comment that he could look up his new precinct on the Mississippi Secretary of State’s website — if he scrolled down the page past his county precinct information.
This afternoon, Brown has a series of meetings planned, so now he’s hoping for a 30-minute window to try voting one more time, even though he’s skeptical it will make a difference.
“I’m a very disenchanted voter, because I’ve been let down so much,” he said. “I vote because it’s the thing that I’m supposed to do and because of the sacrifices of my ancestors, but not because I truly believe in it, you know?”
Brown’s not alone in facing turbulence. Back at Christ Tabernacle, one Jackson voter, who declined to give her name, said she’s frustrated from having to drive to three polling locations in one day.
“I’m dissatisfied with the fact that I had to drive from one end of this street and all of the back to come over here when I usually vote over here on Highway 18,” she said. “This was a great inconvenience, gas wise and time wise.”
The same thing happened to Rodney Miller. He called the confusion some voters are facing in this election “unnecessary.”
“That ain’t the way we should be handling business,” he said. “We should be looking out for one another better than that, you know? It’s already enough getting people out to vote, and when you confuse them when they try? Come on now. That’s discouraging.”
Christ Tabernacle is the second largest precinct in the city in terms of registered voters, with 3,330 assigned to vote there as of 2024, according to documents retrieved from the municipal election committee. But it had one of the lowest voter turnout rates – 10% in the 2021 primary election before redistricting and before it became so large.
Byrd mentioned the much higher turnout in places like Ward 1 in northeast Jackson, compared to where he lives in south Jackson. Why does Byrd think this is?
“Civics,” Byrd said. “They took civics out of school. If you ask the average person what is the role and responsibility of any elected official, they can’t tell you.”
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
New Stage’s ‘Little Women’ musical opens aptly in Women’s History Month
Ties that bind, not lines that divide, at the heart of “Little Women” are what make Louisa May Alcott’s beloved novel such an enduring classic. More than a century and a half since its 1868 publication, the March sisters’ coming-of-age tale continues to resonate in fresh approaches, say cast and crew in a musical version opening this week at New Stage Theatre in Jackson, Mississippi.
“Little Women, The Broadway Musical” adds songs to Alcott’s story of the four distinct March sisters — traditional, lovely Meg, spirited tomboy and writer Jo, quiet and gentle Beth, and artistic, pampered Amy. They are growing into young women under the watchful eye of mother Marmee as their father serves as an Army chaplain in the Civil War. “Little Women, The Broadway Musical” performances run March 25 through April 6 at New Stage Theatre.
In a serendipitous move, the production coincides with Women’s History Month in March, and has a female director at the helm — Malaika Quarterman, in her New Stage Theatre directing debut. Logistics and scheduling preferences landed the musical in March, to catch school matinees with the American classic.
The novel has inspired myriad adaptations in film, TV, stage and opera, plus literary retellings by other authors. This musical version debuted on Broadway in 2005, with music by Jason Howland, lyrics by Mindi Dickstein and book (script) by Allan Knee.
“The music in this show brings out the heart of the characters in a way that a movie or a straight play, or even the book, can’t do,” said Cameron Vipperman, whose play-within-a-play role helps illustrate the writer Jo’s growth in the story. She read the book at age 10, and now embraces how the musical dramatizes, speeds up and reconstructs the timeline for more interest and engagement.
“What a great way to introduce kids that haven’t read the book,” director Quarterman said, hitting the highlights and sending them to the pages for a deeper dive on characters they fell in love with over the two-and-a-half-hour run time.

Joy, familial warmth, love, courage, loss, grief and resilience are all threads in a story that has captivated generations and continues to find new audiences and fresh acclaim (the 2019 film adaptation by Greta Gerwig earned six Academy Award nominations).
In current contentious times, when diversity, equity and inclusion programs are being ripped out or rolled back, the poignant, women-centered narrative maintains a power to reach deep and unite.
“Stories where females support each other, instead of rip each other apart to get to the finish line — which would be the goal of getting the man or something — are very few and far between sometimes,” Quarterman said. “It’s so special because it was written so long ago, with the writer being such a strong dreamer, and dreaming big for women.
“For us to actualize it, where a female artistic producer chooses this show and believes in a brand new female director and then this person gets to empower these great, local, awesome artists — It’s just really been special to see this story and its impact ripple through generations of dreamers.” For Quarterman, a 14-year drama teacher with Jackson Public Schools active in community theater and professional regional theater, “To be able to tell this story here, for New Stage, is pretty epic for me.”
Alcott’s story is often a touchstone for young girls, and this cast of grown women finds much in the source material that they still hold dear, and that resonates in new ways.

“I relate to Jo more than any other fictional character that exists,” Kristina Swearingen said of her character, the central figure Jo March. “At different parts of my life, I have related to her in different parts of hers.”
The Alabama native, more recently of New York, recalled her “energetic, crazy, running-around-having-a-grand-old-time” youth in high school and college, then a career-driven purpose that led her, like Jo, to move to New York.
Swearingen first did this show in college, before the loss of grandparents and a major move. Now, “I know what it’s like to grieve the loss of a loved one, and to live so far away from home, and wanting to go home and be with your family but also wanting to be in a place where your career can take off. .. It hits a lot closer to home.”
As one of four sisters in real life, Frannie Dean of Flora draws on a wealth of memories in playing Beth — including her own family position as next to the youngest of the girls. She and siblings read the story together in their homeschooled childhood, assigning each other roles.

“Omigosh, this is my life,” she said, chuckling. “We would play pretend all day. … ‘Little Women’ is really sweet in that aspect, to really be able to carry my own experience with my family and bring it into the show. … It’s timeless in its nature, its warmth and what it brings to people.”
Jennifer Smith of Clinton, as March family matriarch Marmee, found her way in through a song. First introduced to Marmee’s song “Here Alone” a decade ago when starting voice lessons as an adult, she made it her own. “It became an audition piece for me. It became a dream role for me. It’s been pivotal in opening up doors for me.”
She relishes aging into this role, countering a common fear of women in the entertainment field that they may “age out” of desirable parts. “It’s just a full-circle moment for me, and I’m grateful for it.”

Quarterman fell in love with the 1969 film version she watched with her sister when they were little, adoring the family’s playfulness and stability. Amid teenage angst, she identified with the inevitable growth and change that came with siblings growing up and moving on. Being a mom brings a whole different lens.
“Seeing these little people in your life just growing up, being their own unique versions, all going through their own arc — it’s just fun, and I think that’s why you can stay connected” to the story at any life juncture, she said.
Cast member Slade Haney pointed out the rarity of a story set on a Northeastern homestead during the Civil War.
“You’re getting to see what it was like for the women whose husbands were away at war — how moms struggled, how sisters struggled. You had to make your own means. … I think both men and women can see themselves in these characters, in wanting to be independent like Jo, or like Amy wanting to have something of value that belongs to you and not just just feel like you’re passed over all the time, and Meg, to be valuable to someone else, and in Beth, for everyone to be happy and content and love each other,” Haney said.
New Stage Theatre Artistic Director Francine Reynolds drew attention, too, to the rarity of an American classic for the stage offering an abundance of women’s roles that can showcase Jackson metro’s talent pool. “We just always have so many great women,” she said, and classics — “To Kill a Mockingbird” and “Death of a Salesman,” for instance — often offer fewer parts for them, though contemporary dramas are more balanced.
Reynolds sees value in the musical’s timing and storyline. “Of course, we need to celebrate the contributions of women. This was a woman who was trying to be a writer in 1865, ’66, ’67. That’s, to me, a real trailblazing thing.
“It is important to show, this was a real person — Louisa May Alcott, personified as Jo. It’s important to hold these people up as role models for other young girls, to show that you can do this, too. You can dream your dream. You can strive to break boundaries.”
It is a key reminder of advancements that may be threatened. “We’ve made such strides,” Reynolds said, “and had so many great programs to open doors for people, that I feel like those doors are going to start closing, just because of things you are allowed to say and things you aren’t allowed.”
For tickets, $50 (discounts for seniors, students, military), visit www.newstagetheatre.com or the New Stage Theatre box office, or call 601-948-3533.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
-
News from the South - Florida News Feed6 days ago
Family mourns death of 10-year-old Xavier Williams
-
News from the South - Alabama News Feed7 days ago
1 Dead, Officer and Bystander Hurt in Shootout | March 25, 2025 | News 19 at 9 p.m.
-
News from the South - Alabama News Feed5 days ago
Severe storms will impact Alabama this weekend. Damaging winds, hail, and a tornado threat are al…
-
News from the South - Alabama News Feed4 days ago
University of Alabama student detained by ICE moved to Louisiana
-
News from the South - Louisiana News Feed6 days ago
Seafood testers find Shreveport restaurants deceiving customers with foreign shrimp
-
News from the South - Oklahoma News Feed7 days ago
Why are Oklahomans smelling smoke Wednesday morning?
-
News from the South - Oklahoma News Feed3 days ago
Tornado watch, severe thunderstorm warnings issued for Oklahoma
-
News from the South - West Virginia News Feed6 days ago
Roane County Schools installing security film on windows to protect students