Mississippi Today
Health insurance for low-income Mississippians will jump 160% when Biden-era subsidies end
Health insurance costs will increase an average of $480 annually or 160% for Mississippians on the Affordable Care Act marketplace health insurance exchange in 2026 unless Congress takes action to extend federal subsidies
The enhanced subsidies that were enacted during COVID-19 and extended through the federal Inflation Reduction Act are scheduled to end starting in 2026 unless they are renewed by Congress. The enhanced subsidies have led to large increases in marketplace participation in Southern states such as Mississippi.
According to a report by KFF, a national non-profit that focuses on health care issues, there are 280,000, mostly low-income Mississippians receiving health insurance through the marketplace exchange. The vast majority of those fit into income categories that receive federal subsidies to help pay for the cost of health insurance. And most of those on the exchange in Mississippians fall below 150% of the federal poverty level (income of $22,590 a year or lower for an individual) and can receive insurance with little or no monthly premiums. The low-income policyholders, though, still pay deductibles and out of pocket expenses.
If the enhanced subsidies expire, smaller subsidies would still be available through the Affordable Care Act for low income people who have health insurance policies through the marketplace. But many middle income people garnering insurance through the ACA exchange would no longer qualify for any subsidies to help pay their costs.
The November outcome of the 2024 presidential election and congressional races across the country could determine whether the subsidies are renewed.
KFF speculates that if Vice President Kamala Harris, the Democratic nominee for president, wins election this November she would attempt to extend the enhanced subsidies that were enacted as part of legislation championed by outgoing President Joe Biden.
It is not clear what action Trump would take on the enhanced subsidies if elected, but during his first term he is credited for action that harmed marketplace participation. The Center for American Progress said the Trump administration reduced outreach effort designed to let people know about the marketplace and reduced the time period to sign up for marketplace policies. Plus, he attempted to repeal the ACA. During his current campaign, Trump at times has spoken about wanting to improve the ACA and at other times talked about repealing it. He has offered no specifics, according to a KFF analysis.
“If the enhanced subsidies expire, almost all ACA Marketplace enrollees will experience steep increases in premium payments in 2026. However, the subsidies come at a steep cost to taxpayers,” the KFF study said.
The enhanced subsidies have reduced premiums nationwide by an average of 44%. But to renew and expand them for 10 years would cost $335 billion, the Congressional Budget Office estimates.
The KFF study — Inflation Reduction Act Health Insurance Subsidies: What is Their Impact and What Would Happen if They Expire – estimates that nationwide 21.4 million people receive health insurance through the exchange and 19.7 million of those people receive the enhanced subsidies. Because of legislation passed during Biden’s tenure, people earning less than 150% of the federal poverty level pay little or no monthly premiums. If the enhanced subsidies go away, KFF estimates premium costs will be $780 annually for low-income Mississippians.
The KFF study said the subsidies are having the most impact in Southern states.
The study said, “At least 10% of the population is enrolled in ACA Marketplace plans throughout all congressional districts in Florida and South Carolina, along with most in Texas, Georgia, and Utah. In Florida, there are nine congressional districts where at least 20% of the population is enrolled in a marketplace plan.”
The marketplace exchange is most impactful in states that have not expanded Medicaid to provide health care for the working poor. Only 10 states have not expanded Medicaid, including Texas, Florida, Mississippi, South Carolina and West Virginia in the South.
According to an NBC report, the five states that had the largest increases in marketplace participation between 2020 and 2024, which covers the time of the enhanced subsidies, are all Southern states that have not expanded Medicaid.
They are:
- Texas, 195% increase
- Mississippi, 172%
- Georgia, 165%
- Tennessee, 160%
- South Carolina, 154%
With the exception of Georgia, all are states that Trump won in 2020 during his unsuccessful reelection effort.
Low-income people earning up to 138% of the federal poverty level (about $20,700 for an individual) can obtain coverage through Medicaid in states that have expanded Medicaid instead of having to rely on the marketplace plans.
People earning less than 100% of the federal poverty level cannot obtain coverage through the marketplace and have no other option for health insurance in states, such as Mississippi, that have not expanded Medicaid.
Both Medicaid expansion and the marketplace are components of the Affordable Care Act.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Crooked Letter Sports Podcast
Podcast: Ohio State won it all, but where would Ole Miss have been with Quinshon Jundkins?
Lots to talk about on the days after the national championship game, but in Mississippi, especially in Oxford, much of the talk is about what might have been had Judkins stayed at Ole Miss. Also, the Clevelands discuss Egg Bowl basketball, the grueling SEC schedule, the NFL playoffs, and John Wade’s saga at Southern Miss.
Stream all episodes here.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
With EPA support, the Corps is moving forward with the Yazoo Pumps
Barring any legal challenge, it appears the South Delta is finally getting its pumps.
The U.S Army Corps of Engineers announced last Friday it’s moving forward with an altered version of the Yazoo Pumps, a flood relief project that the agency has touted for decades. The project now also has the backing of the Environmental Protection Agency, whose veto killed a previous iteration in 2008 because of the pumps’ potential to harm 67,000 acres of valuable wetland habitat.
In a Jan. 8 letter, the EPA wrote that proposed mitigation components — such as cutting off the pumps at different points depending on the time of year, as well as maintaining certain water levels for aquatic species during low-flow periods — are “expected to reduce adverse effects to an acceptable level.”
South Delta residents have called for the project to be built for years, especially after the record-setting backwater flood in 2019. State lawmakers from the area rejoiced over last week’s news.
“It’s been a long time coming,” said Sen. Joseph Thomas, D-Yazoo City, explaining that most in his district support the pumps. “I’m sure there are some minuses and pluses (to the project), but by and large I think it needs to happen.”
Sen. Briggs Hopson, R-Vicksburg, recalled that almost half of his district was underwater in 2019.
“I’m very pleased that the Corps has issued this (decision),” Hopson told Mississippi Today on Tuesday.
Before the Corps’ latest proposal, the future of the pumps was in limbo for several years. Under President Trump’s first administration, the EPA in 2020 said the 2008 veto no longer applied to the proposal because of Corps research suggesting that the wetlands mainly relied on water during the winter months — a less critical period for the agriculture-dependent South Delta — to survive, and that using the pumps during the rest of the year would still allow the wetlands to exist.
The EPA then restored the veto under President Biden’s administration. But in 2023, the Corps agreed to work with the EPA on flood-control solutions which, as it turned out, still included the pumps.
While the public comment period is over and the project appears to be moving forward, the Corps has yet to provide a cost estimate for the pumps, which are likely to cost at least hundreds of millions of dollars. A 19,000 cubic-feet-per second, or cfs, pumping station in Louisiana cost roughly $1 billion to build over a decade ago, and the Corps is proposing a 25,000 cfs station for the South Delta.
Corps spokesperson Christi Kilroy told Mississippi Today that the project will move onto the engineering and design phase, during which the agency will come up with a price estimate. Mississippi Today asked multiple times if it’s unusual to wait until after the public has had a chance to comment to provide an estimate, but the agency did not respond.
Under the project’s new design, the pumps will turn on when backwater reaches the 90-foot elevation mark anytime during the designated “crop season” from March 25 to Oct. 15. During the rest of the year, the Corps will allow the backwater to reach 93 feet before pumping.
In last Friday’s decision, the Corps wrote that the project would have “less than significant effects (on wetlands) due to mitigation.” The project’s mitigation includes acquiring and reforesting 5,700 acres of “frequently flooded” farmland to compensate for wetland impacts.
In a statement sent to Mississippi Today, the EPA said that the “higher pumping elevations” — the Corps’ previous proposal started the pumps at 87 feet — and the “seasonal approach” to pumping will reduce the wetlands impact.
However conservationists, including a group of former EPA employees, are not convinced. The Environmental Protection Network, a nonprofit of over 650 former EPA employees, wrote in August that the latest proposed pumping station “has the potential to drain the same or similar wetlands identified in the 2008 (veto) and potentially more.”
“Similar to concerns EPA identified in the 2008 (veto)… EPN’s concerns with the potential adverse impacts of this version of the project remain,” the group wrote.
A coalition of other groups — including Audubon Delta, Earthjustice, Healthy Gulf and Mississippi Sierra Club — remain opposed to the project, arguing that hundreds of species rely on the wetlands during the “crop season” for migration, breeding and rearing.
“This action is a massive stain on the Biden Administration’s environmental legacy and undermines EPA’s own authority to protect our nation’s most important waters,” the coalition said in a statement last Friday.
When asked about potential legal challenges to the Corps’ decision, Audubon Delta’s policy director Jill Mastrototaro told Mississippi Today via email: “This project clearly violates the veto as we’ve documented in our comments. We’re carefully reviewing the details of the announcement and all options are on the table.”
In addition to the pumps, the project includes voluntary buyouts for those whose properties flood below the 93-foot mark, which includes 152 homes.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1906
Jan. 22, 1906
Pioneer aviator and civil rights activist Willa Beatrice Brown was born in Glasgow, Kentucky.
While working in Chicago, she learned how to fly and became the first Black female to earn a commercial pilot’s license. A journalist said that when she entered the newsroom, “she made such a stunning appearance that all the typewriters suddenly went silent. … She had a confident bearing and there was an undercurrent of determination in her husky voice as she announced, not asked, that she wanted to see me.”
In 1939, she married her former flight instructor, Cornelius Coffey, and they co-founded the Cornelius Coffey School of Aeronautics, the first Black-owned private flight training academy in the U.S.
She succeeded in convincing the U.S. Army Air Corps to let them train Black pilots. Hundreds of men and women trained under them, including nearly 200 future Tuskegee Airmen.
In 1942, she became the first Black officer in the U.S. Civil Air Patrol. After World War II ended, she became the first Black woman to run for Congress. Although she lost, she remained politically active and worked in Chicago, teaching business and aeronautics.
After she retired, she served on an advisory board to the Federal Aviation Administration. She died in 1992. A historical marker in her hometown now recognizes her as the first Black woman to earn a pilot’s license in the U.S., and Women in Aviation International named her one of the 100 most influential women in aviation and space.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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