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Gov. Tate Reeves privately tells senators he will veto any Medicaid expansion bill

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Republican Gov. Tate Reeves summoned a group of state senators to the Governor’s Mansion in early March and privately told them he will veto any Medicaid expansion bill lawmakers pass, two senators told Mississippi Today.

Reeves invited the group of about 15 senators to the Governor’s Mansion to socialize with him — a common occurrence when the Legislature is in session — at a critical time for the GOP-controlled Senate.

Numerous Capitol observers also say Reeves’ legislative team has put on a full-court press lobbying the Senate against Medicaid expansion.

The Senate faces deadlines for action, and at this point Medicaid expansion is in its hands after the House overwhelmingly passed an expansion proposal on Feb. 28. This marked the first earnest movement on expansion in the state since Congress passed the Affordable Care Act.

READ MORE: Where’s the plan? Senate still has only a ‘dummy bill’ for Medicaid expansion

Staffers for Reeves, who has long emphatically and publicly opposed Medicaid, did not respond to a request for comment about the event or his remarks. One Senate source told Mississippi Today that Reeves would be hosting another gathering of lawmakers at the Mansion on Tuesday night.

Reeves has taken to social media over the last few weeks to reiterate his opposition to expansion. He wrote on X, formerly known as Twitter, on March 8 that President Joe Biden during his State of the Union speech supported the Affordable Care Act and Medicaid expansion.

“Our country is going broke and he wants to add millions more to the welfare rolls,” Reeves said. “We have to stand strong in Mississippi! NO Obamacare Medicaid expansion!”

Numerous studies show expanding Medicaid would provide health care coverage to at least 200,000 Mississippians and bring the state up to $1.6 billion in additional federal funds per year.

The GOP-majority House last month overwhelmingly passed a bill to expand Medicaid eligibility to 138% of the federal poverty level, or about $20,000 annually for an individual. It would cover primarily the working poor, as well as those exempt from working due to disability or extenuating circumstances, and only a small number of unemployed and non-exempt adults.

READ MORE: ‘Moral imperative’: House overwhelmingly passes Mississippi Medicaid expansion

The House bill contains a work requirement for recipients of Medicaid expansion, but it ensures that the expansion would go into effect even if the federal government does not approve the work requirement.

The House bill, which passed with a veto-proof majority, is pending in the Senate, where Republican leaders have been working behind closed doors on some version of Medicaid expansion. But even as deadlines approach, Senate leaders have not released specifics of their own proposal.

The federal government pays 90% of the cost for those covered by Medicaid expansion — 95% for the first two years. In addition to providing health coverage to poor Mississippians who need it, studies have shown Medicaid expansion would be a boon for the state economy. For the first four years, there is projected to be no cost to the state because of $600 million in additional federal funds offered as an incentive to expand Medicaid.

Medical and business leaders in Mississippi have endorsed the plan because they believe expanding the program can lead to better health outcomes and reduce the amount of uncompensated care that hospitals are often forced to write off.

Republican House Speaker Jason White, at a Feb. 28 press conference after the House passed its expansion plan, heralded the House vote but said Reeves is “due his say” on Medicaid expansion because he is the “duly elected governor” of Mississippi and was recently reelected to a second term.

“You’re looking at a supporter of Gov. Reeves,” White said at the press conference. “I just simply think you can be a supporter, a champion of Gov. Reeves leading our state as the governor and you can still be for finding a workable health care solution for this population of Mississippians who are in the coverage gap.”

The Republican-majority Senate has not yet passed a Medicaid expansion bill and faces a Thursday deadline to take action on its own “dummy bill,” or a bill that simply lists Medicaid code sections — not a substantive, specific expansion plan.

Senate Medicaid Chairman Kevin Blackwell, R-Southaven, declined to comment on the governor’s remarks on Tuesday, and he told Mississippi Today on Monday evening that he had virtually no update on where the 52-member Senate stood on passing an expansion bill.

Ahead of the Thursday deadline, Blackwell could attempt to pass the dummy bill on the floor, amend the dummy bill with a substantive Medicaid expansion plan, or let the Senate bill die altogether. Even if the Senate dummy bill dies on Thursday, the House expansion plan will still be alive for Senate consideration or amendments.

Meanwhile, Blackwell would not disclose what his plans were this week on expansion.

“You’ll just have to wait and see,” Blackwell said when asked what the Senate would do on Thursday.

If the governor vetoes a Medicaid expansion bill, two-thirds of lawmakers would need to vote in favor of overriding the veto before the bill can become law. If a two-thirds majority cannot be garnered in both the House and Senate, the bill will die at the governor’s hand.

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

Mississippi Today

Gloster residents protest Drax’s new permit request

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mississippitoday.org – Alex Rozier – 2024-11-15 13:33:00

GLOSTER — Drax, the United Kingdom-based wood pellet producer that’s violated air pollution limits in Mississippi multiple times, is asking the state to raise the amount of emissions it’s allowed to release from its facility in Gloster.

In September, the state fined Drax $225,000 for releasing 50% over the permitted limit of HAPs, or Hazardous Air Pollutants, from its facility Amite BioEnergy. In a pending permit application that it submitted to the Mississippi Department of Environmental Quality in 2022, the company is seeking to transition from a “minor source” of HAPs to a “major source.”

A “major source” permit would remove the limit over the facility’s total HAP emissions, but it would apply a new limit over the rate at which Drax could release the pollutants.

This year’s fine was its second penalty for violating Mississippi law around air pollution limits. In 2020, the state fined the company $2.5 million for releasing over three times the legal threshold of Volatile Organic Compounds, or VOCs, one of the largest such fines in state history. Drax underestimated its VOC releases since the facility opened in 2016, but didn’t realize it until 2018. The facility didn’t come into compliance until 2021.

The Environmental Protection Agency lists a variety of potential health impacts from exposure to HAPs, including damage to the immune system and respiratory issues. VOCs can also cause breathing problems, as well as eye, nose and throat irritation, according to the American Lung Association.

About sixty people packed into a Gloster public library for MDEQ’s public hearing over Drax’s permit application on Nov. 14, 2024.

For years since Drax’s violations became public, nearby residents have attributed health issues to living near the facility. During a public hearing on Drax’s permit request Thursday in Gloster, attendees reiterated those concerns.

“We all experience headaches every day,” resident Christie Harvey said about her and her grandchildren. Harvey said she has asthma too, and her doctor was “baffled” by her symptoms. “Each week I have to take (my grandchildren) to the clinic for upper respiratory issues … It’s not fair that we have to go through this. Drax needs to lower the pollution as much as possible.”

Part of the public outcry is the proximity of people’s homes to the plant, which is within a mile of Gloster’s downtown.

A screenshot of Google Maps showing the location of Drax’s Amite BioEnergy facility relative to the rest of Gloster. The facility is within a mile of the downtown area.

“The wood pellet plant in Lucedale is situated in an industrial park outside of town,” Andrew Whitehurst of Healthy Gulf, an environmental group dedicated to protecting the Gulf of Mexico’s natural resources, said at the meeting. “The wood pellet plant that (Enviva is) trying to put in Bond will be situated north and west of the downtown area. Not like this when it’s right smack in the middle (of the city). It’s totally inappropriate. People can’t take it, they don’t deserve it.”

In a statement to Mississippi Today, Drax said it prioritizes the public health and environment in Gloster, adding that the permit modification is a part of standard business practice.

“When we first began operations, some of our original permits were not fit for purpose,” spokesperson Michelli Martin said via e-mail. “We are now working to acquire the appropriate permits for our operating output and to improve our compliance. Within these permits the requirements may change based on engineering data and industry standards. This permit modification is part of our ongoing plan to provide MDEQ with the most accurate data. Drax fully supports the resolution of our permitting request and looks forward to working with MDEQ to finalize the details.”

While researchers, including from Brown University, are studying the health symptoms of residents near the wood pellet plant, there is no proven connection between the facility’s emissions and those symptoms.

Erica Walker, a Jackson native who teaches epidemiology at Brown and who’s leading the study, spoke to Mississippi Today earlier this year. Regardless of the cause and effect, she said, the decision to put the plant near disadvantaged communities with poor health outcomes is concerning.

“We want to make sure we aren’t additionally burdening already burdened communities,” Walker said.

Operations resume at Drax in Gloster, Miss., on Friday, Feb. 16, 2024. Some Gloster residents are concerned with the industrial pollution caused by the company that produces wood pellets in the town. Credit: Eric J. Shelton/Mississippi Today

About 1,300 people live in the city, according to Census data, and 39% live below the poverty line.

Moreover, Gloster residents often have to travel hours, to cities such as McComb and Baton Rouge, to find the nearest medical specialist. Amite County, where Gloster is, has a higher rate of uninsured residents than the rest of the state, according to County Health Rankings, and the ratio of residents to primary care physicians is over three times greater in the county than Mississippi as a whole.

As part of its application, Drax is seeking a Title V permit under the Clean Air Act, which the EPA requires for major sources of air pollutants. This gives the EPA the opportunity to review Drax’s application and public comments submitted with it. The public can submit comments on the application until Nov. 26, and can do so through MDEQ’s website.

The Mississippi Environmental Quality Permit Board, which is made up of officials from several state agencies, will then decide whether or not to grant the new permits. A full overview of the process and Drax’s application is available online.

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

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Mississippi receives ‘F’ rating on preterm birth rate

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mississippitoday.org – Sophia Paffenroth – 2024-11-15 10:11:00

Mississippi received an F grade for its rate of preterm births in 2023 – those occurring before 37 weeks gestation – from the 2024 March of Dimes report card

Mississippi’s preterm birth rate was 15%, the worst in the country. Any state with a rate greater than 11.5% also received an F. The U.S. average was 10.4%. 

Preterm births in Mississippi have risen steadily over the last decade, increasingly nearly 2% since 2013. In Jackson, the state capital, nearly one in five babies are born preterm, according to the report. 

“As a clinician, I know the profound impact that comprehensive prenatal care has on pregnancy outcomes for both mom and baby,” Dr. Amanda P. Williams, interim chief medical officer at March of Dimes, said in a press release. “Yet, too many families, especially those from our most vulnerable communities, are not receiving the support they need to ensure healthy pregnancies and births. The health of mom and baby are intricately intertwined. If we can address chronic health conditions and help ensure all moms have access to quality prenatal care, we can help every family get the best possible start.” 

In addition to inadequate prenatal care, factors such as smoking, hypertension, diabetes and unhealthy weight can cause people to be more likely to have a preterm birth.

The report highlighted several other metrics, including infant mortality – in which Mississippi continues to lead the nation. 

In 2022, 316 babies in the state died before their first birthday. Among babies born to Black mothers, the infant mortality rate is 1.3 times higher. 

The state’s maternal mortality rate of 39.1 per 100,000 live births is nearly double the national average of 23.2.

Mississippi has yet to expand Medicaid – one of only 10 states not to do so – and tens of thousands of working Mississippians remain without health insurance. It also has not implemented paid family leave, doula reimbursement by Medicaid, or supportive midwifery policies – all of which March of Dimes says are critical to improving and sustaining infant and maternal health care.

The Legislature passed a law last session that would make timely prenatal care easier for expectant mothers, but more than four months after the law was supposed to go into effect, pregnant women still can’t access the temporary coverage.

“March of Dimes is committed to advocating for policies that make healthcare more accessible like Medicaid expansion, addressing the root causes of disparities, and increasing awareness of impactful solutions like our Low Dose, Big Benefits campaign, which supports families and communities to take proactive steps toward healthy pregnancies,” Cindy Rahman, March of Dimes interim president and CEO, said in a press release.

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 2017

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mississippitoday.org – Jerry Mitchell – 2024-11-15 07:00:00

Nov. 15, 2017

Credit: Simon & Schuster

Author Jesmyn Ward became the first Black American to win the National Book Award twice. 

Growing up in DeLisle, Mississippi, “I read everything,” she wrote. “Still, I still felt as if a part of me was wandering. That there was a figure in me, walking the desert, waiting for a word. A word that would sound out of the wilderness to declare that it was speaking to me, for me, within me. The sonic sear of that voice: a new knowing of not only the world I walked, but of me.” 

She became the first person in her family to go to college. She attended Stanford University, where she earned a bachelor’s in English and a master’s in media studies. 

When a drunken driver killed her younger brother, she decided to become a writer in his memory. 

After earning a master’s in fine arts in creative writing from the University of Michigan, she and her family were caught by the floodwaters of Hurricane Katrina, but managed to take shelter with a family. 

She won her first National Book Award for “Salvage the Bones,” which was set during the days of Katrina. 

“When I hear people talking about the fact that they think we live in a post-racial America,” she said, “it blows my mind, because I don’t know that place. I’ve never lived there.” 

She won her second National Book Award for “Sing, Unburied, Sing,” becoming the first woman and first Black American to win two National Book Awards. She also won a MacArthur “genius” grant, one of a handful of Mississippians to receive the award. In 2022, she became the youngest person to ever receive the Library of Congress Prize for American Fiction.

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

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