Mississippi Today
Despite Tate Reeves’ win, Medicaid expansion sure is on the table
A time-honored political adage is that “elections have consequences.”
Tate Reeves was reelected governor in 2023 as a long-time opponent of Medicaid expansion. Hence, the consequence is that there is no likelihood that Medicaid will be expanded to provide health care coverage for primarily the working poor — an estimated 200,000 Mississippians.
Even with two-thirds super majorities of Reeves’ fellow Republicans in both the state House and Senate, Mississippi may be closer than the gubernatorial election results would indicate to joining the nation’s other 40 states that have expanded Medicaid.
For instance, new House Speaker Jason White, R-West, pronounced that expanding Medicaid would be on the table for discussion during his tenure. White made his comments even before he was selected as the unanimous pick of his fellow House Republicans to replace outgoing Speaker Philip Gunn, who like Reeves was staunchly anti-expansion. There is no reason to think Speaker White will not honor that commitment.
And over in the Senate, one of the worst-kept secrets in the Capitol for the past four years has been that its presiding officer Lt. Gov. Delbert Hosemann has believed that expanding Medicaid to provide health insurance for the working poor should at least be adequately studied. Hosemann knew with both Reeves and Gunn in opposition that any efforts to pass Medicaid expansion in the Senate would be futile. Gunn is gone.
During a recent appearance before the Mississippi State University Stennis Institute/Capitol Press Corps luncheon, Hosemann indicated that Medicaid expansion was still on his political radar.
First of all, Hosemann gave the indication that legislative leaders have discussed the issue before the 2024 session because he said, “he (White) is taking the lead on that.”
Hosemann added, “The state economist has said we actually make money (if Medicaid is expanded) and that has been bolstered by other states.” Studies by the University Research Center led by State Economist Corey Miller have indeed surmised that expanding Medicaid and receiving more than $1 billion annually in federal funds would grow the state economy and revenues.
Hosemann explained that seven of the last eight states that expanded Medicaid did so through a ballot initiative where citizens gathered enough signatures to bypass their legislators and place Medicaid expansion on the ballot. He said all but one of those states where the citizens voted to expand Medicaid were “red” or Republican states.
“I think people are willing to accept some assistance in making sure that working people have access to health care and they are willing to do so particularly if it is a neutral economic event,” Hosemann said. Multiple polls in Mississippi have supported Hosemann’s conclusion.
In the 2023 legislative session, Mississippi Today asked legislators their position on Medicaid expansion. The survey indicated that the opposition to Medicaid expansion was surprisingly limited in the Legislature.
Just 21 of last year’s House members surveyed, or 18% of the House, said they opposed Medicaid expansion. And 18 of last year’s Senate members surveyed, or 38% of the Senate, said they opposed it.
In the House, 67 members — a voting majority — said they either supported Medicaid expansion or were undecided. Mississippi Today could not get answers from 32 representatives.
And in the Senate, 25 members — one vote shy of a voting majority — said they either supported Medicaid expansion or were undecided. Answers could not be obtained from nine senators.
There is precedent for Reeves making a quick reversal on a position he staked out in a campaign. One has to look no further than when he was first elected governor in 2019.
During that campaign, Reeves consistently stated that he would not support legislation that removed the divisive Confederate battle emblem from the state flag. He said that should be left up to the voters.
But in the 2020 session, which was extended because of the COVID-19 pandemic, momentum began to emerge in the House to change the flag. For days, most people thought that momentum would eventually fade away, especially since at that point in the legislative process it required a near-impossible to obtain two-thirds majority in each chamber to change the flag. But the House effort grew, even though Reeves reiterated that he opposed the Legislature changing the flag without a vote of the people.
As the legislative vote neared and it became apparent that the vote to change the flag was going to pass — by the two-thirds legislative majority needed to override a governor’s veto — Reeves acquiesced and said he would sign the legislation.
No doubt, Reeves would say now there is no way he would sign legislation expanding Medicaid.
But at this point in the process four years ago, he would have said the same about legislation to change the state flag.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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Mississippi Today
On this day in 1908
Dec. 26, 1908
Pro boxing pioneer Jack Johnson defeated Tommy Burns, becoming the first Black heavyweight boxing champion.
Johnson grew up in Galveston, Texas, where “white boys were my friends and pals. … No one ever taught me that white men were superior to me.”
After quitting school, he worked at the local docks and then at a race track in Dallas, where he first discovered boxing. He began saving money until he had enough to buy boxing gloves.
He made his professional debut in 1898, knocking out Charley Brooks. Because prizefighting was illegal in Texas, he was occasionally arrested there. He developed his own style, dodging opponents’ blows and then counterpunching. After Johnson defeated Burns, he took on a series of challengers, including Tony Ross, Al Kaufman and Stanley Ketchel.
In 1910, he successfully defended his title in what was called the “Battle of the Century,” dominating the “Great White Hope” James J. Jeffries and winning $65,000 — the equivalent of $1.7 million today.
Black Americans rejoiced, but the racial animosity by whites toward Johnson erupted that night in race riots. That animosity came to a head when he was arrested on racially motivated charges for violating the Mann Act — transporting a woman across state lines for “immoral purposes.”
In fact, the law wasn’t even in effect when Johnson had the relationship with the white woman. Sentenced to a year in prison, Johnson fled the country and fought boxing matches abroad for seven years until 1920 when he served his federal sentence.
He died in 1946, and six decades later, PBS aired Ken Burns’ documentary on the boxer, “Unforgivable Blackness: The Rise and Fall of Jack Johnson,” which fueled a campaign for a posthumous pardon for Johnson. That finally happened in 2018, when then-President Donald Trump granted the pardon.
To honor its native son, Galveston has built Jack Johnson Park, which includes an imposing statue of Johnson, throwing a left hook.
“With enemies all around him — white and even Black — who were terrified his boldness would cause them to become a target, Jack Johnson’s stand certainly created a wall of positive change,” the sculptor told The New York Times. “Not many people could dare to follow that act.”
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Health department’s budget request prioritizes training doctors, increasing health insurance coverage
New programs to train early-career doctors and help Mississippians enroll in health insurance are at the top of the state Department of Health’s budget wish list this year.
The agency tasked with overseeing public health in the state is asking for $4.8 million in additional state funding, a 4% increase over last year’s budget appropriation.
The department hopes to use funding increases to start three new medical residency programs across the state. The programs will be located in south central Mississippi, Meridian and the Delta and focus on internal and family medicine, obstetric care and rural training.
The Office of Mississippi Physician Workforce, which the Legislature moved from UMMC to the State Department of Health last year, will oversee the programs.
The office was created by the Legislature in 2012 and has assisted with the creation or supported 19 accredited graduate medical education programs in Mississippi, said health department spokesperson Greg Flynn.
A $1 million dollar appropriation requested by the department will fund a patient navigation program to help people access health services in their communities and apply for health insurance coverage.
People will access these services at community-based health departments, said Flynn.
Patient navigators will help patients apply for coverage through Medicaid or the Health Insurance Marketplace, said Health Department Senior Deputy Kris Adcock at the Joint Legislative Budget Committee meeting on Sept. 26.
“We want to increase the number of people who have access to health care coverage and therefore have access to health care,” she said.
The Health Insurance Marketplace is a federally-operated service that helps people enroll in health insurance programs. Enrollees can access premium tax credits, which lower the cost of health insurance, through the Marketplace.
The department received its largest appropriation from the state’s general fund in nearly a decade last year, illustrating a slow but steady rebound from drastic budget cuts in 2017 that forced the agency to shutter county health clinics and lay off staff.
State Health Officer Dr. Daniel Edney said he is “begging for some help with inflationary pressure” on the department’s operations budget at the State Board of Health meeting Oct. 9, but additional funding for operations was not included in the budget request.
“They’re (lawmakers) making it pretty clear to me that they’re not really interested in putting more money in (operations) to run the agency, and I understand that,” he said.
State agencies present budget requests to the Joint Legislative Budget Committee in September. The committee makes recommendations in December, and most appropriations bills are passed by lawmakers in the latter months of the legislative session, which ends in April.
The Department of Health’s budget request will likely change in the new year depending on the Legislature’s preferences, Edney said Oct. 9.
The state Health Department’s responsibilities are vast. It oversees health center planning and licensure, provides clinical services to underserved populations, regulates environmental health standards and operates infectious and chronic disease prevention programs.
Over half of the agency’s $600 million budget is funded with federal dollars. State funding accounts for just 15% of its total budget.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1956
Dec. 25, 1956
Fred Shuttlesworth somehow survived the KKK bombing that took out his home next to the Bethel Baptist Church in Birmingham, Alabama.
An arriving policeman advised him to leave town fast. In the “Eyes on the Prize” documentary, Shuttlesworth quoted himself as replying, “Officer, you’re not me. You go back and tell your Klan brethren if God could keep me through this, then I’m here for the duration.’”
Shuttlesworth and Bethel saw what happened as proof that they would be protected as they pursued their fight against racial injustice. The next day, he boarded a bus with other civil rights activists to challenge segregation laws that persisted, despite a U.S. Supreme Court decision that ordered the city of Montgomery, Alabama, to desegregate its bus service.
Months after this, an angry mob of Klansmen met Shuttlesworth after he tried to enroll his daughters into the all-white school in Birmingham. They beat him with fists, chains and brass knuckles. His wife, Ruby, was stabbed in the hip, trying to get her daughters back in the car. His daughter, Ruby Fredericka, had her ankle broken. When the examining physician was amazed the pastor failed to suffer worse injuries, Shuttlesworth said, “Well, doctor, the Lord knew I lived in a hard town, so he gave me a hard head.”
Despite continued violence against him and Bethel, he persisted. He helped Martin Luther King Jr. found the Southern Christian Leadership Conference and was instrumental in the 1963 Birmingham Campaign that led to the desegregation of downtown Birmingham.
A statue of Shuttlesworth can be seen outside the Birmingham Civil Rights Institute, and Birmingham’s airport bears his name. The Bethel church, which was bombed three times, is now a historic landmark.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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