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FAQ: What is postpartum Medicaid extension, exactly?

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FAQ: What is postpartum Medicaid extension, exactly?

Postpartum Medicaid extension is the talk of Mississippi politics this week, with lawmakers, statewide officials and candidates debating the merits of passing the policy designed to help mothers after they give birth.

Lawmakers face a key deadline this week to keep the proposed policy alive, and there is much disagreement about whether it’s right for Mississippi. There have been several rallies and press conferences at the state Capitol this session focused on the issue, and it will continue to emerge as a key theme of the 2023 election cycle.

We’ve compiled answers to some frequently asked questions to help you understand what it is, what it isn’t, and how its potential passage could impact Mississippians.

What is postpartum Medicaid extension, exactly?

Postpartum Medicaid extension is proposed legislation to extend the length of health care coverage for Mississippians on Medicaid who give birth. Postpartum visits can include care of chronic health conditions, such as diabetes and hypertension, as well as mental health issues that might arise after giving birth, such as postpartum depression.

Federal law mandates that states provide postpartum Medicaid coverage for at least 60 days, which is the current limit in Mississippi. After 60 days, most Medicaid patients lose postpartum health care coverage, and this period of time is often most deadly for mothers. Most states, however, have passed measures to extend postpartum Medicaid coverage to one full year post-birth — which is what the currently proposed Mississippi legislation would do.

READ MORE: Senate votes to extend postpartum care. Here’s what the bill would do.

Would postpartum Medicaid extension provide cash directly to mothers?

No. Mississippi opting into the program would simply send additional federal funds to the state’s Division of Medicaid, which would then reimburse health care providers directly for any care they provide to qualified mothers. Many politicians, however, have tried to equate Medicaid programs — including the postpartum Medicaid extension — with direct cash assistance in efforts to sow discontent among those opposed to more government spending.

Is postpartum care extension the same thing as Medicaid expansion?

No, postpartum Medicaid extension is not the same thing as Medicaid expansion, despite what prominent elected officials and candidates have said. The proposed postpartum extension would simply extend the length of time Mississippians who already qualify can access postpartum services. Medicaid expansion, which has never been seriously considered by Mississippi’s legislative leaders, would broadly cover health care services for hundreds of thousands of additional Mississippians. “Medicaid expansion,” as it’s commonly referred to by politicians, is a completely separate issue from “postpartum Medicaid extension.”

FAQ: What is Medicaid expansion, really?

What’s the background of this debate, and why does it matter right now?

Mississippi has one of the highest maternal mortality rates in the country, and it’s getting worse. The state also has the highest infant mortality rate, preterm birth rate and low birthweight rate in the country. Despite these problems, neonatal ICUs and labor and delivery units continue to close in the state — and the state is expecting thousands more births following the U.S. Supreme Court’s decision to overturn abortion rights last summer.

Because two-thirds of babies born in Mississippi are born to people on Medicaid, extending postpartum coverage would boost the access to care and health outcomes of thousands of Mississippians, health care officials and researchers say. Doctors, nurses and major medical associations in the state have joined a growing chorus of everyday Mississippi this legislative session calling for postpartum Medicaid extension.

READ MORE: ‘Mississippi moms can’t wait’: Doctors urge legislators to extend postpartum coverage

Who qualifies for postpartum Medicaid coverage?

In Mississippi, pregnant people under 19 years old automatically qualify for pregnancy Medicaid, as well as pregnant people with income under 194% of the federal poverty level, or $2,255 of monthly income for a family of one.

How long are Mississippians who are expecting covered now?

Mississippians on Medicaid have postpartum coverage for two months after giving birth. However, regardless of what postpartum needs they might have beyond 60 days, they lose coverage after that. Research shows that drastic health problems for mothers exist and continue to develop well after two months postpartum.

Have other states extended postpartum Medicaid?

Yes, 29 other states have extended postpartum Medicaid coverage to one year, and seven additional states are planning to offer the extension imminently. States that have also extended postpartum care include contiguous neighbors Alabama, Louisiana and Tennessee. Mississippi and Wyoming are the only two states that have neither extended postpartum coverage nor expanded Medicaid more broadly.

Why hasn’t it passed yet in Mississippi?

Though the Mississippi Senate has passed postpartum Medicaid extension four times in two years (and most recently on Feb. 7 of this year), the legislation has been killed by the House of Representatives — and specifically, by Speaker of the House Philip Gunn. The House Medicaid Committee appears to not have met once this session, an important note considering the postpartum Medicaid extension legislation must pass through that committee to go into effect.

READ MORE: Pressure grows for lawmakers to pass postpartum Medicaid extension

The chair of the House Medicaid Committee, Rep. Joey Hood, refused to answer last week when asked about whether his committee will meet or take up the Senate bill. Gov. Tate Reeves, who has for months voiced his opposition to the legislation, reversed course and urged lawmakers to pass it on Feb. 26. As recently as Feb. 22, Gunn said he would not allow the legislation to be brought to the House floor because he believes it is Medicaid expansion, which he staunchly opposes.

READ MORE: How Rep. Joey Hood could save the lives of countless Mississippi mothers

Who supports it and why?

Statewide organizations and health professionals have advocated for the policy change, including State Health Officer Dr. Dan Edney, the Mississippi State Medical Association, the Mississippi Medical Care Advisory Committee and the Mississippi Economic Council. Additionally, a Mississippi Today survey conducted this session showed that a majority of lawmakers — including members of the House — support the policy measure. Recent polling of Mississippi voters shows that more than two-thirds of the state supports the measure. Advocates say it will widely improve health outcomes in Mississippi.

READ MORE: Survey: Majority of lawmakers support postpartum Medicaid extension

What would the economic impact of passing it be?

Officials and advocates have said that postpartum Medicaid extension would result in net savings for the state by preventing costly medical conditions from lack of treatment. Premature babies can cost the state more than half a million dollars more than babies born at term. It’s estimated that extending postpartum Medicaid coverage in Mississippi would cost about $6 million to $7 million per year, which is a marginal total considering the state’s current $3.9 billion surplus.

Who can extend postpartum Medicaid?

It’s still not clear if Gov. Reeves could pass the policy on his own as head of the state’s Division of Medicaid, though legislative leaders have long said that Reeves has the power to extend postpartum Medicaid coverage without their approval. Reeves recently said if the Legislature passed the bill, he would sign it into law, but he did not address the stated fact that he could pass it himself.

READ MORE: Gov. Tate Reeves, after months of resistance, asks lawmakers to pass postpartum Medicaid extension

What’s next?

If Rep. Joey Hood doesn’t call a House Medicaid Committee meeting and pass the Senate bill by midnight on Feb. 28, the measure will die for the second straight year in the House. It is possible (but perhaps unlikely) lawmakers could revive the measure later in the session, which is scheduled to end on April 2.

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

Mississippi Stories Videos

Mississippi Stories: Michael May of Lazy Acres

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mississippitoday.org – rlake – 2025-01-21 14:51:00

In this episode of Mississippi Stories, Mississippi Today Editor-at-Large Marshall Ramsey takes a trip to Lazy Acres. In 1980, Lazy Acres Christmas tree farm was founded in Chunky, Mississippi by Raburn and Shirley May. Twenty-one years later, Michael and Cathy May purchased Lazy Acres. Today, the farm has grown into a multi seasonal business offering a Bunny Patch at Easter, Pumpkin Patch in the fall, Christmas trees and an spectacular Christmas light show.  It’s also a masterclass in family business entrepreneurship and agricultural tourism.

For more videos, subscribe to Mississippi Today’s YouTube channel.


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

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On this day in 1921

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mississippitoday.org – Jerry Mitchell – 2025-01-21 07:00:00

Jan. 21, 1921

George Washington Carver Credit: Wikipedia

George Washington Carver became one of the first Black experts to testify before Congress. 

His unlikely road to Washington began after his birth in Missouri, just before the Civil War ended. When he was a week old, he and his mother and his sister were kidnapped by night raiders. The slaveholder hired a man to track them down, but the only one the man could locate was George, and the slaveholder exchanged a race horse for George’s safe return. George and his brother were raised by the slaveholder and his wife. 

The couple taught them to read and write. George wound up attending a school for Black children 10 miles away and later tried to attend Highland University in Kansas, only to get turned away because of the color of his skin. Then he attended Simpson College in Indianola, Iowa, before becoming the first Black student at what is now Iowa State University, where he received a Master’s of Science degree and became the first Black faculty member. 

Booker T. Washington then invited Carver to head the Tuskegee Institute’s Agriculture Department, where he found new uses for peanuts, sweet potatoes, soybeans and other crops. 

In the past, segregation would have barred Carver’s testimony before Congress, but white peanut farmers, desperate to convince lawmakers about the need for a tariff on peanuts because of cheap Chinese imports, believed Carver could captivate them — and captivate he did, detailing how the nut could be transformed into candy, milk, livestock feed, even ink. 

“I have just begun with the peanut,” he told lawmakers. 

Impressed, they passed the Fordney-McCumber Tariff of 1922. 

In addition to this work, Carver promoted racial harmony. From 1923 to 1933, he traveled to white Southern colleges for the Commission on Interracial Cooperation. Time magazine referred to him as a “Black Leonardo,” and he died in 1943. 

That same year, the George Washington Carver Monument complex, the first national park honoring a Black American, was founded in Joplin, Missouri.

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

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Legislative recap: 2025 tax cut battle has been joined

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mississippitoday.org – Geoff Pender – 2025-01-20 12:00:00

After relatively brief debate and questioning given its magnitude, the state House passed the first meaningful legislation of the new session: House Bill 1, a measure that would eliminate the state income tax, trim taxes on non-prepared food and raise sales and gasoline taxes.

It would mark a sea change in state tax structure, a shift from income to consumption taxation.

“We are at a place where we can finally tell the hard-working people of Mississippi we can eliminate the tax on work,” House Ways and Means Chairman Trey Lamar, HB1’s author, told his colleagues.

The measure passed the House 88-24. It gained some Democratic support in the supermajority Republican House, with nine Democrats voting in favor, 24 against and 12 voting present.

The proposal garnered some bipartisan support because it includes at least a couple of items Democratic lawmakers have championed in the past: A gasoline tax to help fix crumbling roadways, and a reduction in the “grocery” tax, or the sales tax levied on unprepared food, of which Mississippi has the highest overall rate in the nation.

It still met with some Democratic opposition in part because it is a sea change toward more “regressive” taxation. Proponents say this is just, people should pay more for state services they use, such as roadways, and for things they buy as opposed to taxing income. Opponents say this places a proportionately higher tax burden on people of modest means.

“I would say the people hurt the most with this would be working people who have to put gas in their car to go to work or those who have to purchase materials to do a job,” House Democratic Leader Robert Johnson said.

Beyond that concern, opponents or skeptics worry that the foundation of the proposed tax overhaul would be built on shifting sands — a state economy that has been so rosy primarily from the federal government dumping billions of dollars in pandemic spending into Mississippi. With the federal spigot being cut off, some worry, the state economy could slump, and the massive tax cuts in this new plan could provide a state budget crisis, of which Mississippi has much experience, and underfunding of crucial services such as schools, roads, health care and law enforcement.

The largest hurdle Republican House leaders face in seeing their tax plan through to law is not in garnering bipartisan support. It’s internecine disagreement with the Senate Republican leadership, which still appears to harbor abovementioned concerns about overhauling tax structure in uncertain economic times and betting on growth to cover massive tax cuts.

Senate leaders have said they want to enact more tax cuts, but their plan has not yet been released. Lt. Gov. Delbert Hosemann has provided some details of what he wants to see, but it would appear he wants a more cautious approach on cuts. He has not publicly opined on the tax increases in the House plan.


“Have you ever worn a belt and suspenders, lady? It’s a belt and suspenders approach.” — Rep. Trey Lamar, R-Senatobia, to Rep. Omeria Scott, D-Laurel, during floor debate on Lamar’s bill to eliminate the state income tax and raise other taxes.

“No. I have not worn a belt and suspenders. I don’t know anyone who has worn a belt and suspenders,” Scott replied.

House will renew push to legalize mobile sports betting

House Gaming Committee Chairman Casey Eure, R-Saucier, told Mississippi Today he plans on taking another crack at legalizing mobile sports betting in the state. In 2024, the House and Senate passed versions of legislation to permit online sports betting, but never agreed on a final proposal. Some lawmakers raised concerns that gambling platforms would have no incentive to partner with smaller casinos, and most of the money would instead flow to the Mississippi Gulf Coast’s already bustling casinos. Proponents say legalization would undercut the influence of illicit offshore sports betting platforms.

“I’ve been working on this bill for many years and I’m just trying to satisfy any concerns that the Senate may have so we can pass this and start collecting the tax dollars that the state deserves and not allowing everyone to place bets with these offshore accounts,” Eure said. “I feel like the state is losing between $40-$80 million a year in tax revenue.”

Sports wagering has been permitted in the state for years, but online betting has remained illegal amid fears the move could harm the bottom line of the state’s brick-and-mortar casinos. Mobile sports betting is legal in 30 states and Washington, D.C.,  according to the American Gaming Association. — Michael Goldberg


Hosemann makes Senate committee chair changes

Republican Lt. Gov. Delbert Hosemann last week named new chairmen of committees, after former state Sen. Jenifer Branning was sworn into office as a new justice on the Mississippi Supreme Court. 

Sen. Chuck Younger, a Republican from Columbus, previously led the Senate Agriculture Committee and will replace Branning as chairman of the Transportation Committee. Sen. Neil Whaley, a Republican from Potts Camp, previously led the Senate Wildlife, Fisheries and Parks Committee, but will now lead the Senate Agriculture Committee. 

Here are the other changes to Senate committees: 

Sen. Ben Suber, a Republican from Bruce, will be the new chairman of the Senate Wildlife, Fisheries and Parks Committee 

Sen. Bart Williams, a Republican from Starkville, is the new chairman of the Senate Public Property Committee

Sen. Scott DeLano, a Republican from Gulfport, will lead the Senate Technology Committee 

Sen. Robin Robinson, a Republican from Laurel, will chair the Senate Labor Committee 

Sen. Angela Turner Ford, a Democrat from West Point, will lead the Senate Drug Policy Committee.  — Taylor Vance


What’s in a name? Democratic Rep. Scott hopes GOP majority will pass ‘Donald J. Trump Act’ bills

Perhaps tired of seeing many measures she authors ignored or shot down in flames by the Republican supermajority in the Mississippi Legislature, Democratic Rep. Omeria Scott of Laurel is trying a new strategy: naming bills after Republican President-elect Trump.

For this session, Scott has authored: House Bill 61, the “Donald J. Trump Voting Rights Restoration Act;” House Bill 62, the “Donald J. Trump Ban-The-Box Act … to prohibit public employers from using criminal history as a bar to employment;” and House Bill 249, the “Donald J. Trump Early Voting Act.” — Geoff Pender


More bills filed to criminalize abortion

Since the 2022 Dobbs Supreme Court decision overturned the constitutional right to an abortion, Mississippi lawmakers have proposed bills to criminalize workarounds to the state’s strict abortion ban – including criminalizing the abortion pill and out-of-state abortions. The 2025 legislative session is no exception. 

Rep. William Tracy Arnold, R-Booneville, filed House Bill 616 that would make it a felony to manufacture or make accessible medication abortion. Anyone convicted of the crime would be subject to a fine between $1,000 and $5,000, as well as imprisonment between two and five years. Last year, about 250 Mississippians each month requested medication abortion from Aid Access, the only online telemedicine service supplying medication abortion via mail in the U.S. 

Helping a minor receive an abortion would also be criminalized under House Bill 148 filed by Rep. Mark Tullos, R-Raleigh. That would include transporting a minor out of state to undergo an abortion, as well as helping a minor procure a medication abortion – both of which would be punishable by not less than 20 years in prison or a fine of not less than $50,000. — Sophia Paffenroth


$1.1 billion

The estimated net annual cost of the House plan to eliminate the state income tax and raise sales taxes, once fully phased in. Proponents say economic growth would allow the state budget, currently about $7 billion a year, to absorb the cut. Eliminating the income tax would cost the state $2.2 billion in revenue, but the House plan would raise about $1.1 billion in other taxes in offset.

0

The amount of income tax Mississippians would pay after a 10-year phased in elimination of the state income tax. With previous cuts being phased in, state income taxes next year will already be reduced to 4%, among the lowest rates in the nation.

8.5 %

The new Mississippi sales tax, up from current 7%, under the House tax plan assuming most local governments would not opt out of adding a new 1.5% local sales tax.

13 cents more a gallon

The cost of the House’s proposed new 5% gasoline tax, based on last week’s average cost of gasoline in Mississippi of $2.62. The new 5% tax would be on top of the flat 18.4 cents a gallon current state excise on gasoline.

4%

The tax on unprepared food once a reduction of the current 7% would be phased in over a decade under the House plan. The state would over time reduce its sales tax on such groceries to 2.5%, but local governments would add a 1.5% sales tax to such items unless they opt out.

Lawmakers must pass new legislation to improve access to prenatal care

Lawmakers will file another bill this session to help low-income pregnant women get into the doctor earlier – after the federal government rejected the program set up under last year’s law, because of discrepancies between what was written into state law and federal regulations for presumptive Medicaid eligibility. Read the story.


Proposal: eliminate income tax, add 5% tax on gas, allow cities, counties to levy local sales tax

House leaders last week unveiled a sweeping tax cut proposal that would eventually abolish the state income tax, slash taxes on groceries, increase local sales taxes and shore up funds for state and local road work. Read the story.


A new Mississippi law aims to limit jailing people awaiting mental health treatment. Is it working?

Officials say a new law to decrease the number of people being jailed solely because they need mental health treatment has led to fewer people with serious mental illness detained in jails – but the data is contradictory and incomplete. Lawmakers plan legislation to make more counties report the data. Read the story.


How soon we forget: Mississippi House push for record tax cuts revives fear of repeat budget crises

Eight years ago, from a combination of dozens of tax cuts the Legislature approved and a slumping economy, the state saw a budget crisis that resulted in severely underfunded schools, government layoffs, a near halt to building new roads and highways and problems maintaining the ones we have, too few state troopers on the highways and cuts to most major state services. Read the story.


NAACP legislative redistricting proposal pits two pairs of senators against each other

The Mississippi chapter of the ACLU has submitted a proposal to the courts to redraw the state’s legislative districts that creates two new majority-Black Senate districts and pits two pairs of incumbent senators against one another. Read the story.


Legislation to send more public money to private schools appears stalled as lawmakers consider other changes

Some top lawmakers in Mississippi’s Republican-controlled Legislature are prepared to make it easier for students to transfer between public schools but remain skeptical of sending more public money to private schools. Read the story.


House passes $1.1 billion income tax elimination-gas and sales tax increase plan in bipartisan vote

A bill that phases out the state income tax, cuts the state grocery tax and raises sales taxes and gasoline taxes passed the House of Representatives with a bipartisan vote on Thursday. Read the story.


Tate Reeves and other top Mississippi Republicans owe thanks to President Joe Biden

The tremendous cash surpluses that some state Republicans cite when defending their plan to eliminate the state’s income tax would not exist if not for the billions of dollars in federal funds that have been pumped into the state during Biden’s presidential tenure. Read the story.


Podcast: Mississippi transportation director discusses proposed new gasoline tax

Mississippi Department of Transportation Director Brad White tells Mississippi Today’s Geoff Pender and Taylor Vance he’s staying “in his lane” and out of the politics of a House tax overhaul that would eliminate the income tax and raise sales and gasoline taxes, but that he’s pleased lawmakers are trying to address the long running need for a steady new stream of money to help cover highway maintenance needs. Listen to the podcast.

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

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