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Fact check: Feds not slated to end Medicaid expansion funding

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Fact check: Feds not slated to end Medicaid expansion funding

Note: This article is part of Mississippi Today’s ongoing Mississippi Health Care Crisis project. Read more about the project by clicking here.

Mississippi Insurance Commissioner Mike Chaney recently told members of the media he supports the expansion of Medicaid, but that the program most likely will end in 2025.

That statement is inaccurate. Robin Rudowitz, vice president and head of the Medicaid team for the Kaiser Family Foundation, said the program is not slated to end and there is nothing pending federally that would result in the demise of Medicaid expansion in 2025.

The Medicaid expansion program will continue “unless Congress changes the law,” said Rudowitz. Kaiser is a health care advocacy nonprofit and keeps close tabs on federal legislation.

Medicaid expansion is part of the Patient Protection and Affordable Care Act, commonly called Obamacare, which was passed in 2010. Under the expansion program, states can provide health care coverage through Medicaid for people — primarily the working poor — earning up the 138% of the federal poverty level, or about $18,500 annually for an individual.

Q&A: What is Medicaid expansion, really?

Mississippi is one of 11 states that has opted not to expand Medicaid to ensure health care coverage for the working poor. Many in the Republican leadership in Mississippi, specifically Gov. Tate Reeves and House Speaker Philip Gunn, have maintained the state cannot afford to expand Medicaid and that they do not want to add to the welfare rolls by providing health insurance for the working poor.

Chaney is the only Mississippi statewide official to take a firm position in favor of expansion, though in doing so he has echoed another talking point of those who oppose expansion — that it will not last.

During the annual Hobnob in October, where the state’s political leaders speak to members of the Mississippi Economic Council, Chaney said of Medicaid expansion: “I’m not sure it would work today because it’s only got a three-year life left on the expansion part. In 2025, all the people that have been put on under expansion will be taken off and you’ve got to find a new (health care coverage) home for them unless the feds change the program. It depends on who controls the election, who controls the administration. I don’t know.”

During additional conversations in recent days, Chaney referenced programs other than the Medicaid expansion program that will end. It is true that the state’s “traditional” Medicaid rolls could be shrinking in the coming months.

READ MORE: Mississippi leaving more than $1 billion per year on table by rejecting Medicaid expansion

As part of federal COVID-19 relief legislation, the federal contribution to each state’s Medicaid program was increased by 6.2% during the pandemic public health emergency. The increase means that this fiscal year the federal government would pay 84.06% of the cost of providing health care services for Mississippi Medicaid recipients with the state paying the rest.

As part of receiving the additional federal funds through the higher matching rate, the state has had to agree not to remove anyone from the Medicaid rolls. In Mississippi, Medicaid provides coverage for poor pregnant women, poor children, the disabled, some categories of the elderly and some caretakers of Medicaid recipients living in extreme poverty.

Medicaid expansion would provide coverage for healthy people who otherwise would not be eligible for Medicaid.

The increased matching rate has resulted in a boon in revenue for the state. According to a Kaiser study, between 2020-2022, the enhanced matching rate for the state’s current program and increased Medicaid enrollment have resulted in additional costs of $173 million in state funds. But during the same time period, the federal government has provided an additional $1.1 billion in federal funds for Mississippi Medicaid recipients.

Mississippi, as the poorest state in the nation, receives the largest matching rate from the federal government for its existing Medicaid program.

Chaney is correct that the enhanced matching rate will end and people most likely will be removed from the rolls, most likely long before 2025. But Rudowitz said the administration of President Joe Biden has said it will provide states a 60-day notice before ending the state of emergency.

At that time, as Chaney said, Mississippi and other states will have to determine if there are ways to provide health care coverage for those who are removed from Medicaid. In Mississippi, many of those who might be removed could obtain coverage by expanding Medicaid or by providing one year of Medicaid coverage for mothers of newborns.

READ MORE: Extending postpartum coverage to Mississippi mothers ‘a no brainer,’ key lawmaker says

Many of the people in Mississippi who have remained on the rolls during the public health emergency are mothers of newborns. Under Mississippi law, outside of the federal public health emergency, postpartum coverage lasts for only 60 days.

Under Medicaid expansion, the federal government pays 90% of the costs.

Rudowitz said the 90% rate “remains in perpetuity unless Congress changes the law.”

She also said there has been no talk in recent years of Republicans in Congress trying to repeal Obamacare or more specifically the Medicaid expansion program.

In fact, as part of COVID-19 relief legislation, the states that have not expanded Medicaid have been offered a financial incentive to do so. In Mississippi, it is estimated that the financial incentive would provide more than $600 million in federal funds over two years.

Rudowitz said the federal legislation does not put a time limit on how long the states have to expand Medicaid and claim the financial incentive. But the financial incentive only lasts for two years once it begins.

South Dakota citizens voted in early November to adopt Medicaid expansion. Mississippi and 10 other states, most in the Southeast, have not adopted Medicaid expansion.

READ MORE: Here’s what experts say about expanding Medicaid in Mississippi

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

Mississippi Today

On this day in 1977, Alex Haley awarded Pulitzer for ‘Roots’

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On this day in 1977, Alex Haley awarded Pulitzer for 'Roots'

mississippitoday.org – @MSTODAYnews – 2025-04-19 07:00:00

April 19, 1977

Alex Haley was awarded a special Pulitzer Prize for “Roots,” which was also adapted for television. 

Network executives worried that the depiction of the brutality of the slave experience might scare away viewers. Instead, 130 million Americans watched the epic miniseries, which meant that 85% of U.S. households watched the program. 

The miniseries received 36 Emmy nominations and won nine. In 2016, the History Channel, Lifetime and A&E remade the miniseries, which won critical acclaim and received eight Emmy nominations.

This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.

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Speaker White wants Christmas tree projects bill included in special legislative session

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Speaker White wants Christmas tree projects bill included in special legislative session

mississippitoday.org – @MSTODAYnews – 2025-04-18 10:38:00

House Speaker Jason White sent a terse letter to Lt. Gov. Delbert Hosemann on Thursday, saying House leaders are frustrated with Senate leaders refusing to discuss a “Christmas tree” bill spending millions on special projects across the state. 

The letter signals the two Republican leaders remain far apart on setting an overall $7 billion state budget. Bickering between the GOP leaders led to a stalemate and lawmakers ending their regular 2025 session without setting a budget. Gov. Tate Reeves plans to call them back into special session before the new budget year starts July 1 to avoid a shutdown, but wants them to have a budget mostly worked out before he does so.

White’s letter to Hosemann, which contains words in all capital letters that are underlined and italicized, said that the House wants to spend cash reserves on projects for state agencies, local communities, universities, colleges, and the Mississippi Department of Transportation.

“We believe the Senate position to NOT fund any local infrastructure projects is unreasonable,” White wrote. 

The speaker in his letter noted that he and Hosemann had a meeting with the governor on Tuesday. Reeves, according to the letter, advised the two legislative leaders that if they couldn’t reach an agreement on how to disburse the surplus money, referred to as capital expense money, they should not spend any of it on infrastructure. 

A spokesperson for Hosemann said the lieutenant governor has not yet reviewed the letter, and he was out of the office on Thursday working with a state agency. 

“He is attending Good Friday services today, and will address any correspondence after the celebration of Easter,” the spokesperson said. 

READ MORE: Mississippi lawmakers end 2025 session unable to agree (or even meet about) state budget: Legislative recap

Hosemann has recently said the Legislature should set an austere budget in light of federal spending cuts coming from the Trump administration, and because state lawmakers this year passed a measure to eliminate the state income tax, the source of nearly a third of the state’s operating revenue.

Lawmakers spend capital expense money for multiple purposes, but the bulk of it — typically $200 million to $400 million a year — goes toward local projects, known as the Christmas Tree bill. Lawmakers jockey for a share of the spending for their home districts, in a process that has been called a political spoils system — areas with the most powerful lawmakers often get the largest share, not areas with the most needs. Legislative leaders often use the projects bill as either a carrot or stick to garner votes from rank and file legislators on other issues. 

A Mississippi Today investigation last year revealed House Ways and Means Chairman Trey Lamar, a Republican from Sentobia, has steered tens of millions of dollars in Christmas tree spending to his district, including money to rebuild a road that runs by his north Mississippi home, renovate a nearby private country club golf course and to rebuild a tiny cul-de-sac that runs by a home he has in Jackson.

There is little oversight on how these funds are spent, and there is no requirement that lawmakers disburse the money in an equal manner or based on communities’ needs. 

In the past, lawmakers borrowed money for Christmas tree bills. But state coffers have been full in recent years largely from federal pandemic aid spending, so the state has been spending its excess cash. White in his letter said the state has “ample funds” for a special projects bill.

“We, in the House, would like to sit down and have an agreement with our Senate counterparts on state agency Capital Expenditure spending AND local projects spending,” White wrote. “It is extremely important to our agencies and local governments. The ball is in your court, and the House awaits your response.”

This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.

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Advocate: Election is the chance for Jackson to finally launch in the spirit of Blue Origin

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Advocate: Election is the chance for Jackson to finally launch in the spirit of Blue Origin

mississippitoday.org – @BobbyHarrison9 – 2025-04-18 10:05:00

Editor’s note: This essay is part of Mississippi Today Ideas, a platform for thoughtful Mississippians to share fact-based ideas about our state’s past, present and future. You can read more about the section here.


As the world recently watched the successful return of Blue Origin’s historic all-women crew from space, Jackson stands grounded. The city is still grappling with problems that no rocket can solve.

But the spirit of that mission — unity, courage and collective effort — can be applied right here in our capital city. Instead of launching away, it is time to launch together toward a more just, functioning and thriving Jackson.

The upcoming mayoral runoff election on April 22 provides such an opportunity, not just for a new administration, but for a new mindset. This isn’t about endorsements. It’s about engagement.

It’s a moment for the people of Jackson and Hinds County to take a long, honest look at ourselves and ask if we have shown up for our city and worked with elected officials, instead of remaining at odds with them.

Pauline Rogers

It is time to vote again — this time with deeper understanding and shared responsibility. Jackson is in crisis — and crisis won’t wait.

According to the U.S. Census projections, Jackson is the fastest-shrinking city in the United States, losing nearly 4,000 residents in a single year. That kind of loss isn’t just about numbers. It’s about hope, resources, and people’s decision to give up rather than dig in.

Add to that the long-standing issues: a crippled water system, public safety concerns, economic decline and a sense of division that often pits neighbor against neighbor, party against party and race against race.

Mayor Chokwe Antar Lumumba has led through these storms, facing criticism for his handling of the water crisis, staffing issues and infrastructure delays. But did officials from the city, the county and the state truly collaborate with him or did they stand at a distance, waiting to assign blame?

On the flip side, his runoff opponent, state Sen. John Horhn, who has served for more than three decades, is now seeking to lead the very city he has represented from the Capitol. Voters should examine his legislative record and ask whether he used his influence to help stabilize the administration or only to position himself for this moment.

Blaming politicians is easy. Building cities is hard. And yet that is exactly what’s needed. Jackson’s future will not be secured by a mayor alone. It will take so many of Jackson’s residents — voters, business owners, faith leaders, students, retirees, parents and young people — to move this city forward. That’s the liftoff we need.

It is time to imagine Jackson as a capital city where clean, safe drinking water flows to every home — not just after lawsuits or emergencies, but through proactive maintenance and funding from city, state and federal partnerships. The involvement of the U.S. Environmental Protection Agency in the effort to improve the water system gives the city leverage.

Public safety must be a guarantee and includes prevention, not just response, with funding for community-based violence interruption programs, trauma services, youth job programs and reentry support. Other cities have done this and it’s working.

Education and workforce development are real priorities, preparing young people not just for diplomas but for meaningful careers. That means investing in public schools and in partnerships with HBCUs, trade programs and businesses rooted right here.

Additionally, city services — from trash collection to pothole repair — must be reliable, transparent and equitable, regardless of zip code or income. Seamless governance is possible when everyone is at the table.

Yes, democracy works because people show up. Not just to vote once, but to attend city council meetings, serve on boards, hold leaders accountable and help shape decisions about where resources go.

This election isn’t just about who gets the title of mayor. It’s about whether Jackson gets another chance at becoming the capital city Mississippi deserves — a place that leads by example and doesn’t lag behind.

The successful Blue Origin mission didn’t happen by chance. It took coordinated effort, diverse expertise and belief in what was possible. The same is true for this city.

We are not launching into space. But we can launch a new era marked by cooperation over conflict, and by sustained civic action over short-term outrage.

On April 22, go vote. Vote not just for a person, but for a path forward because Jackson deserves liftoff. It starts with us.


Pauline Rogers is a longtime advocate for criminal justice reform and the founder of the RECH Foundation, an organization dedicated to supporting formerly incarcerated individuals as they reintegrate into society. She is a Transformative Justice Fellow through The OpEd Project Public Voices Fellowship.

This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.

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