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Few Mississippi lawmakers outright oppose Medicaid expansion

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No Republican lawmaker in the Mississippi House or Senate voted in favor of Medicaid expansion when legislative Democrats forced votes on the issue during the recently completed 2023 session.

But those votes do not necessarily mean the state’s Republican-controlled Legislature opposes opting into the policy that would provide health coverage for hundreds of thousands of poor, working Mississippians and revive rural hospitals that have been struggling to stay open.

Only a handful of lawmakers in both the House and Senate say they outright oppose Medicaid expansion, according to a Mississippi Today survey of legislators conducted during the 2023 legislative session.

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.

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. Mississippi Today could not get answers from nine senators.

But among the lawmakers who said they opposed expansion or asked to be labeled as “undecided,” several went on to add that they were actually open to some version of expansion.

Several lawmakers who said they opposed expansion said they supported policies similar to those passed in states such as Arkansas, Kentucky or Indiana — all states that have passed versions of Medicaid expansion.

Sen. Kevin Blackwell, a Republican from DeSoto County who chairs the Senate Medicaid Committee, was among those. Other key legislative leaders fell in this camp.

“I am open to considering something like Indiana has done,” said Rep. Trey Lamar, a Republican from Senatobia, after asking to be labeled “undecided.”

“I’m against it other than I would consider something like in Kentucky or Indiana, where everyone’s got skin in the game,” said Rep. Kevin Horan, a Republican from Grenada who asked to be labeled “no.”

Mississippi is one of just 10 states that have resisted Medicaid expansion. Economists say the policy would bring $1.5 billion in new revenue annually while creating jobs, helping bolster the budgets of struggling hospitals and providing up to 300,000 poor, working Mississippians with health coverage.

The years-long resistance to expansion has come most directly from Republican leaders — namely Gov. Tate Reeves and House Speaker Philip Gunn — who have likened the policy to socialism. Republican Lt. Gov. Delbert Hosemann, who presides over the Senate, has in the past indicated support for some version of expansion but hasn’t earnestly pushed legislation since he was elected in 2020.

And as poor Mississippians struggle to afford basic health care and dozens of the state’s rural hospitals struggle to keep their doors open, Mississippi voters appear resolutely behind expansion. An April poll from Mississippi Today/Siena College showed that 66% of Mississippians support Medicaid expansion. An earlier survey in January showed 80% of Mississippians favored expansion.

Several rank-and-file Republican lawmakers polled by Mississippi Today said they were open to expansion, and some shared they believed there was a greater willingness among Republicans to pass expansion than in previous years. All 57 Democratic lawmakers support expansion.

Still, there was no serious push by Republicans in the 2023 session to even debate expansion, let alone vote on it.

“I think people are a little more open-minded about it than they were,” said Rep. William Tracy Arnold, a Republican from Booneville who supports Medicaid expansion. “We have a substantial amount of revenue now. We have to help save our struggling hospitals, and this would not only be giving hospitals more funding, it would help the struggling, tax-paying citizen.”

“Years ago when I first ran, I was totally opposed to Medicaid expansion,” said Rep. Mark Tullos, a Republican from Raleigh. “But I’ve looked at it further, and looked at what Arkansas did, and I would support something similar to what Arkansas has, with coverage for low income working people. Being from rural Mississippi, hospitals play a large role in our community. For rural Mississippi we are going to have to do something.”

“I’m for giving the working people of Mississippi health coverage,” said Rep. Sam Creekmore, a Republican from New Albany. “I’m for giving the working people health coverage. It would save lives. It would keep people working and prevent medical issues down the road.”

“I am for health insurance for our working people in Mississippi,” said Rep. Jerry Turner, a Republican from Baldwyn. “I’m for a program that would have everybody have skin in the game.”

Dozens of other Republicans asked to be marked as “undecided” in Mississippi Today’s expansion database. Some of those indicated they were waiting on leadership to present some options, and others said they wouldn’t speak to any theoretical policy change without first seeing a bill.

“We need to have the conversation,” said Sen. Bart Williams, a Republican from Starkville. “We have a hospital crisis and we need to listen to any and all ideas.”

“Without knowing what a bill looks like, it is hard to say. But we have to do something to help our rural hospitals,” said Rep. Jon Lancaster, a Republican from Houston. “But I am concerned about the federal strings.”

“We need to have discussions about it,” said Rep. Nick Bain, a Republican from Corinth. “There are good parts to it and not so good.”

“The devil is in the details, where the money is coming from,” said Sen. Walter Michel, a Republican from Ridgeland. “I do want to help the hospitals, but I would have to see the bill.”

Still, several Republicans remain firmly opposed to expansion. And many of those opposed declined to expound on why they are opposed.

But Rep. Dana Criswell, R-Olive Branch, said: “It’s bad insurance, so there’s no reason to keep expanding it.”

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

Mississippi Today

On this day in 1908

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mississippitoday.org – Jerry Mitchell – 2024-12-26 07:00:00

Dec. 26, 1908

Jack Johnson Credit: Wikipedia

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.

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Health department’s budget request prioritizes training doctors, increasing health insurance coverage

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mississippitoday.org – Gwen Dilworth – 2024-12-26 06:00:00

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.

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Mississippi Today

On this day in 1956

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mississippitoday.org – Jerry Mitchell – 2024-12-25 07:00:00

Dec. 25, 1956

Civil rights activist Fred Shuttllesworth Credit: Wikipedia

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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