Mississippi Today
Hosemann announces Senate Medicaid expansion bill
Lt. Gov. Delbert Hosemann said Thursday the Senate will have a bill by Monday’s deadline to expand Mississippi Medicaid to cover the working poor.
Hosemann said the bill will likely contain a work requirement and cover roughly 230,000 adults who make too much to currently be eligible for Medicaid, but too little to afford private insurance. As it stands, these adults — if they’re not pregnant or disabled — have no access to preventative care, leading to Mississippi’s abysmal public health metrics, such as the lowest life expectancy in the country.
This marks the first time, after a decade of partisan debate, that a Mississippi Republican leader has taken an affirmative step toward expansion.
Hosemann, who is still loathe to use the words “Medicaid expansion,” said he hopes lawmakers pass such a plan into law.
“I have tried to tell everybody this: Stop saying Medicaid expansion,” Hosemann said. “What we are looking at is providing health insurance for working people. How you couch that is up to you but the interest I have had for a while is: We need to have a better labor force participation rate. That right now is the lowest in the country. But to get to that point … I’ve got to have healthy people.”
Hosemann said the Senate proposal will likely increase Medicaid eligibility to people making up to 138% of the poverty level. That would be an annual household income up to about $43,000 for a family of four.
New House Speaker Jason White — who replaced longtime Speaker Philip Gunn this year — has been outspoken about the state’s health care crisis, calling on Republican lawmakers to consider expansion. Gunn had blocked Medicaid expansion legislation, and even thwarted serious debate or consideration.
Many Capitol observers expected White and the GOP House leadership to be the first out of the gates this session with expansion legislation. But even after House Democrats unveiled an expansion bill the House leadership still hasn’t brought out a version or provided details of what it might propose.
Governor Tate Reeves — vehemently opposed to expansion, calling it “welfare” — has the power to veto a bill if it passes the Legislature. If he vetoed an expansion bill, two-thirds of lawmakers would have to vote to override the veto for it to become law.
Last session, the Legislature passed a measure to provide 12 months of postpartum coverage for mothers. This session, legislatives leaders are focusing on addressing the coverage gap, in which hundreds of thousands of adults go without health care. That is, until unaddressed health issues render them disabled, qualifying them for Medicaid, or land them in an emergency room — the most expensive place to receive health care.
“We’re looking at the part of people who aren’t already covered that would fit into this workforce – maybe a working mom with a child or two children, how do we get her continued health care after the postpartum period,” Hosemann said. “One of the most economic ways is to have the federal government pay for it, so that’s of real interest to me. So if I can get the federal government to pay for some or all of this, I’m going to do that.”
Hosemann said he would like to see a work requirement in any expansion bill, and he would also like to see a requirement that recipients make a contribution toward their health insurance.
“When I get a plan that covers working people, I would like for them to make some contribution to their health care,” he said. “I think that’s important, I think that’s self dignity, you become part of the system when you’re paying some part of it.”
Hosemann, who has been working on addressing the coverage gap for several years now, said he was convinced when Louisiana expanded Medicaid in 2016.
“When Louisiana did this several years ago, there was a great concern that people would move from the private market to the public,” he explained. “Well it didn’t happen. It’s maybe, like, 1% difference.”
Mississippi is one of 10 states not to expand Medicaid to cover the working poor. Proponents of expansion say the state is leaving more than $1 billion a year in federal money and thousands of new jobs on the table by refusing expansion.
Regardless of whether a House or Senate version of a bill is ultimately successful, Hosemann said he hopes that headway is made on increasing health care coverage of working Mississippians.
“I’ll be a proponent of a plan like this. I’m very hopeful that the Senate will pass one. I’m very hopeful that the House will address one, as well … We’ve been working on it a long time. Because of my current maturity, I don’t much care who gets the credit. My goal is to have working people have health care. If somebody else gets the credit – the governor or members of the House – I don’t really care much about that.”
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1997
Dec. 22, 1997
The Mississippi Supreme Court upheld the conviction of white supremacist Byron De La Beckwith for the 1963 murder of Medgar Evers.
In the court’s 4–2 decision, Justice Mike Mills praised efforts “to squeeze justice out of the harm caused by a furtive explosion which erupted from dark bushes on a June night in Jackson, Mississippi.”
He wrote that Beckwith’s constitutional right to a speedy trial had not been denied. His “complicity with the Sovereignty Commission’s involvement in the prior trials contributed to the delay.”
The decision did more than ensure that Beckwith would stay behind bars. The conviction helped clear the way for other prosecutions of unpunished killings from the Civil Rights Era.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Medicaid expansion tracker approaches $1 billion loss for Mississippi
About the time people ring in the new year next week, the digital tracker on Mississippi Today’s homepage tabulating the amount of money the state is losing by not expanding Medicaid will hit $1 billion.
The state has lost $1 billion not since the start of the quickly departing 2024 but since the beginning of the state’s fiscal year on July 1.
Some who oppose Medicaid expansion say the digital tracker is flawed.
During an October news conference, when state Auditor Shad White unveiled details of his $2 million study seeking ways to cut state government spending, he said he did not look at Medicaid expansion as a method to save money or grow state revenue.
“I think that (Mississippi Today) calculator is wrong,” White said. “… I don’t think that takes into account how many people are going to be moved off the federal health care exchange where their health care is paid for fully by the federal government and moved onto Medicaid.”
White is not the only Mississippi politician who has expressed concern that if Medicaid expansion were enacted, thousands of people would lose their insurance on the exchange and be forced to enroll in Medicaid for health care coverage.
Mississippi Today’s projections used for the tracker are based on studies conducted by the Institutions of Higher Learning University Research Center. Granted, there are a lot of variables in the study that are inexact. It is impossible to say, for example, how many people will get sick and need health care, thus increasing the cost of Medicaid expansion. But is reasonable that the projections of the University Research Center are in the ballpark of being accurate and close to other studies conducted by health care experts.
White and others are correct that Mississippi Today’s calculator does not take into account money flowing into the state for people covered on the health care exchange. But that money does not go to the state; it goes to insurance companies that, granted, use that money to reimburse Mississippians for providing health care. But at least a portion of the money goes to out-of-state insurance companies as profits.
Both Medicaid expansion and the health care exchange are part of the Affordable Care Act. Under Medicaid expansion people earning up to $20,120 annually can sign up for Medicaid and the federal government will pay the bulk of the cost. Mississippi is one of 10 states that have not opted into Medicaid expansion.
People making more than $14,580 annually can garner private insurance through the health insurance exchanges, and people below certain income levels can receive help from the federal government in paying for that coverage.
During the COVID-19 pandemic, legislation championed and signed into law by President Joe Biden significantly increased the federal subsidies provided to people receiving insurance on the exchange. Those increased subsidies led to many Mississippians — desperate for health care — turning to the exchange for help.
White, state Insurance Commissioner Mike Chaney, Gov. Tate Reeves and others have expressed concern that those people would lose their private health insurance and be forced to sign up for Medicaid if lawmakers vote to expand Medicaid.
They are correct.
But they do not mention that the enhanced benefits authored by the Biden administration are scheduled to expire in December 2025 unless they are reenacted by Congress. The incoming Donald Trump administration has given no indication it will continue the enhanced subsidies.
As a matter of fact, the Trump administration, led by billionaire Elon Musk, is looking for ways to cut federal spending.
Some have speculated that Medicaid expansion also could be on Musk’s chopping block.
That is possible. But remember congressional action is required to continue the enhanced subsidies. On the flip side, congressional action would most likely be required to end or cut Medicaid expansion.
Would the multiple U.S. senators and House members in the red states that have expanded Medicaid vote to end a program that is providing health care to thousands of their constituents?
If Congress does not continue Biden’s enhanced subsidies, the rates for Mississippians on the exchange will increase on average about $500 per year, according to a study by KFF, a national health advocacy nonprofit. If that occurs, it is likely that many of the 280,000 Mississippians on the exchange will drop their coverage.
The result will be that Mississippi’s rate of uninsured — already one of the highest in the nation – will rise further, putting additional pressure on hospitals and other providers who will be treating patients who have no ability to pay.
In the meantime, the Mississippi Today counter that tracks the amount of money Mississippi is losing by not expanding Medicaid keeps ticking up.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1911
Dec. 21, 1911
Josh Gibson, the Negro League’s “Home Run King,” was born in Buena Vista, Georgia.
When the family’s farm suffered, they moved to Pittsburgh, and Gibson tried baseball at age 16. He eventually played for a semi-pro team in Pittsburgh and became known for his towering home runs.
He was watching the Homestead Grays play on July 25, 1930, when the catcher injured his hand. Team members called for Gibson, sitting in the stands, to join them. He was such a talented catcher that base runners were more reluctant to steal. He hit the baseball so hard and so far (580 feet once at Yankee Stadium) that he became the second-highest paid player in the Negro Leagues behind Satchel Paige, with both of them entering the National Baseball Hame of Fame.
The Hall estimated that Gibson hit nearly 800 homers in his 17-year career and had a lifetime batting average of .359. Gibson was portrayed in the 1996 TV movie, “Soul of the Game,” by Mykelti Williamson. Blair Underwood played Jackie Robinson, Delroy Lindo portrayed Satchel Paige, and Harvey Williams played “Cat” Mays, the father of the legendary Willie Mays.
Gibson has now been honored with a statue outside the Washington Nationals’ ballpark.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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