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Despite Gov. Reeves’ debate claims, experts say it’s hard to argue that states are ‘better off’ without Medicaid expansion

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Gov. Tate Reeves, the state’s most powerful opponent of Medicaid expansion, repeated a familiar claim at Wednesday night’s gubernatorial debate: that the program wouldn’t save the state’s failing hospitals.

But health care experts say that was always clear, that the governor’s argument is missing an understanding of the challenges facing the state’s health care system and that expansion, by potentially insuring about a quarter million Mississippians, would allow hospitals to get paid something for the care they provide to uninsured patients versus getting paid nothing.

The first and only debate between Reeves and Democratic challenger Brandon Presley ahead of the Nov. 7 election opened Wednesday night with questions about Medicaid expansion, which has remained a title issue of the campaign cycle.

Mississippi is one of just 10 states that have not expanded Medicaid. Though most Mississippians support the policy, the governor has remained steadfast in his opposition.

READ MORE: FAQ: What is Medicaid expansion, really?

“Medicaid is not the best policy for rural hospitals, but you don’t have to look very far to prove that,” Reeves said at the debate, before citing data from the Center for Healthcare Quality and Payment Reform’s rural hospital report about Louisiana and Arkansas, two Southern states that have expanded Medicaid.

The center’s most recent version of the report, which was updated last month, shows that Louisiana and Arkansas still have high rates of rural hospitals at risk of closure — 42% and 43%, respectively.

According to the report, 42% of Mississippi’s rural hospitals are at risk of closure.

“Guess what? The difference is… Louisiana and Arkansas have expanded Medicaid,” Reeves continued. “Mississippi has not. (Medicaid expansion) is not the financial windfall that Brandon Presley would have you believe.”

READ MORE: Brandon Presley again vows to expand Medicaid as Gov. Tate Reeves reiterates opposition

The heart of Reeves’ argument misses some major points, experts said.

“To say that other states that expanded have had the same problems is a very true statement,” said Ryan Kelly, executive director of the Mississippi Rural Health Association. “But would they be worse off without (Medicaid expansion) in the current environment? Yes, I think they would be.”

According to the center’s report, the average percentage of rural hospitals at risk of closure in non-expansion states is over 37%, while the percentage in expansion states is much lower at 26%.

“What [Reeves is] saying is true,” said Harold Miller, leader of the Center for Healthcare Quality and Payment Reform. “Those are the numbers.”

However, expansion is about more than just “saving” hospitals, Miller said — it’s about insuring vulnerable people, allowing them to receive regular health care.

While emergency rooms cannot turn down patients regardless of their insurance status, doctor’s offices can, preventing people from receiving preventative and other non-urgent forms of health care.

Somewhere between 200,000 and 300,000 Mississippians would be affected by Medicaid expansion, according to projections. The policy would potentially bring in billions within its first few years of implementation in Mississippi, an influx of cash that the state needs. Just minutes later during the same debate, Reeves touched on Mississippi’s economy, and the “competitive disadvantage” the state’s up against when it comes to economic development.

Miller said hospitals in states that have expanded Medicaid do have greater losses on Medicaid services — Medicaid typically reimburses hospitals at lower rates than commercial insurance for health care services.

Reeves used that argument during the debate.

“The unintended consequence of expanding Medicaid to 300,000 Mississippians is moving individuals off of private insurance,” he said. “That’s bad for rural hospitals as well, because the fact is that when you move them from private insurance, the reimbursement rates… are actually lower when they go on Medicaid.”

But that’s better than not getting paid at all, according to Kelly.

Hospitals report losing about $600 million on uncompensated care annually, or services provided to people who aren’t insured. That number would reduce drastically if Medicaid was expanded.

Experts agree that the hospital crisis, while heightened by the COVID-19 pandemic, has been caused by a multitude of factors. In the same vein, it won’t be solved by one policy.

Kelly cited all of the other challenges hospitals are up against, including timely insurance reimbursements and rising health care costs, but he conceded that expansion would aid hospitals’ uncompensated care losses, an issue that’s fueling the crisis.

“You’re going to have a real hard time finding someone who would say hospitals would be better off without Medicaid expansion,” Kelly said.

READ MORE: ‘It is a moral obligation’: Faith leaders, advocates, doctors cite Christianity as reason to expand Medicaid

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

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Photos: Lawmakers gavel in for 2025 Mississippi legislative session

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mississippitoday.org – Vickie King – 2025-01-07 15:23:00

The Mississippi Legislature returned to the State Capitol on Tuesday for the start of the legislative session in Jackson.

House Speaker Jason White brings the House of Representatives to order at the beginning of the new legislative session at the State Capitol, Tuesday, Jan. 7, 2025 in Jackson. Credit: Vickie D. King/Mississippi Today
A children’s choir entertains at the the State Capitol before the start of the new legislative session, Tuesday, Jan. 7, 2025 in Jackson. Credit: Vickie D. King/Mississippi Today
Members of the House of Representatives at the start of the new legislative session at the State Capitol, Tuesday Jan. 7, 2025, in Jackson. Credit: Vickie D. King/Mississippi Today
Rep. C. Scott Bounds, R-Philadelphia, during the start of the new legislative session at the State Capitol, Tuesday, Jan. 7, 2025 in Jackson. Credit: Vickie D. King/Mississippi Today
House of Representatives look over bills during the first day of the new legislative session, Tuesday, Jan. 7, 2025 in Jackson. Credit: Vickie D. King/Mississippi Today
House Reps chat during the first day of the new legislative session, Tuesday, Jan. 7, 2025 in Jackson. Credit: Vickie D. King/Mississippi Today
Visitors to the House of Representatives pledge allegiance to the flag during the first day of the legislative session at the State Capitol in Jackson, Tuesday, Jan. 7, 2025. Credit: Vickie D. King/Mississippi Today
House of Representative members during the first day of the new legislative session at the State Capitol, Tuesday, Jan. 7, 2025 in Jackson. Credit: Vickie D. King/Mississippi Today
House members pledge allegiance to the flag during the first day of the legislative session at the State Capitol, Tuesday, Jan. 7, 2025. Credit: Vickie D. King/Mississippi Today
The legislative session began Tuesday, Jan. 7, 2025 at the State Capitol in Jackson. Credit: Vickie D. King/Mississippi Today

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

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Billionaire Tommy Duff forms Republican PAC as he weighs gubernatorial run

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mississippitoday.org – Taylor Vance – 2025-01-07 11:40:00

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.

Jordan Russell, a longtime Republican operative who has led several federal and state campaigns, is director of the PAC, which was formed in December. 

Russell told Mississippi Today in a statement that Duff founded the PAC to support conservative candidates and advance policies that promote “opportunities, freedom, faith-based values and prosperity across Mississippi.” 

“We are planning a significant investment in multiple races in our state to ensure strong, conservative leadership at every level of government,” Russell said. 

Duff, a Hattiesburg resident and the co-wealthiest Mississippian along with his brother Jim, has been involved in state politics for decades, but mostly behind the scenes as a megadonor and philanthropist. He recently finished an eight-year stint on the state Institutions of Higher Learning Board, first appointed by former Gov. Phil Bryant. 

READ MORE: Will a Mississippi billionaire run for governor in the poorest state?

He’s travelled around the state in recent months meeting with political and business leaders, potentially laying the groundwork for a gubernatorial run. Duff also appeared at last year’s Neshoba County Fair and made the rounds at the state’s premiere political gathering. 

Duff and his brother turned a small, struggling company into Southern Tire Mart, the nation’s largest truck tire dealer and retread manufacturer. They created Duff Capitol Investors, the largest privately held business in Mississippi, with ownership in more than 20 companies, including KLLM Transport, TL Wallace Construction and Southern Insurance Group.

Duff has recently said he’s still weighing a run for governor, but his creation of a PAC that could garner support from many down-ticket Republicans would appear to be a concrete step in that direction. Duff’s entrance into a gubernatorial race would likely cause numerous potential candidates — particularly those who have looked to him for large campaign donations — to wave off.

While statewide elections are still two years away, municipal elections will take place this year and several special legislative races will happen as well. 

Rep. Charles Young, Jr., a Democrat from Meridian, died on December 19, and Rep. Andy Stepp, a Republican from Bruce, died on December 5. Sen. Jenifer Branning, a Republican from Philadelphia, was sworn into office yesterday for a seat on the Mississippi Supreme Court. Special elections will take place later this year to fill these vacancies. 

A federal three-judge panel also ruled last year that the Legislature  must create new state Senate and House maps with Black-majority districts and conduct special elections in 2025 under those newly created districts. 

The court ordered legislators to create a majority-Black Senate district in the DeSoto County area in north Mississippi and one in the Hattiesburg area in south Mississippi. The panel also ruled the state must create a majority-Black House district in the Chickasaw County area in northeast Mississippi. 

However, the Legislature will also have to tweak many districts in the state to accommodate for the new Black-majority maps. State officials in court filings have argued that the redrawing would affect a quarter of the state’s 174 legislative districts.

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

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Mississippi Today expands politics team for 2025 legislative session

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mississippitoday.org – Adam Ganucheau – 2025-01-07 10:19:00

Mississippi Today is proud to announce the expansion of its politics team, dedicated to providing readers with in-depth reporting on the 2025 legislative session and key political issues shaping our state.

This team will rove the halls of the Mississippi Capitol in 2025, providing insightful daily updates, robust analysis, and in-depth coverage of state politics. The team will also produce investigations that aim to provide accountability to our state’s most powerful leaders.

Geoff Pender, a seasoned journalist with decades of experience covering Mississippi politics, continues his role as the politics team editor. Pender will guide the team as they tackle critical stories and offer insightful commentary on the decisions affecting Mississippians.

“We have a great team in place, a mix of old hands and fresh eyes, and one I believe will enhance Mississippi Today’s already unrivaled coverage of Mississippi government, politics and policies that impact us all,” Pender said.

Newcomers to the politics team — Simeon Gates and Michael Goldberg — join team veteran Taylor Vance to bring unique expertise to readers.

Simeon Gates, who has been with Mississippi Today since 2024, moves to the politics team to focus on education policy issues, highlighting how debates and decisions at the Capitol affect Mississippi’s schools, teachers and students. Gates is a Pearl native and alumna of University of Southern Mississippi.

Michael Goldberg joined Mississippi Today on Dec. 30, 2024, after more than two years with The Associated Press. Goldberg, who covered two Mississippi legislative sessions with the AP, will be posted at the Capitol daily. Goldberg is a California native and is an alumnus of Western Washington University and University of Southern California.

Taylor Vance, who has served on the Mississippi Today politics team since 2023, will continue to cover the Legislature and focus on elections and the political dynamics shaping the state’s future. Vance, a Grenada native, is an alumnus of the University of Mississippi.

PODCAST: Expanded Mississippi Today politics team talks 2025 legislative session

Mississippi Today Senior Political Reporter Bobby Harrison, who has been on the politics team since 2018, is transitioning to a new role in the newsroom that will be announced in coming days. Harrison will continue publishing his weekly political analysis in conjunction with newspaper partners across the state.

The politics team will continue producing its weekly podcast, “The Other Side,” and beginning this week, videos of episodes will be available to watch on our YouTube channel.

To follow Mississippi Today’s politics team and its coverage of the 2025 legislative session, you can do two things:

  1. Subscribe to our free weekly newsletter. There, the team will recap the previous week, forecast the upcoming week, and produce short videos and other written nuggets that you can’t find anywhere else.
  2. Bookmark our 2025 Legislative Guide, which includes resources you need to engage with lawmakers and follow their action this year. This page will also update whenever a new legislative story from Mississippi Today publishes.

Thank you for reading, and don’t hesitate to email us if you have any questions or tips.

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

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