Mississippi Today
House panel holds hearing on previously taboo topic: benefits of Mississippi Medicaid expansion
Experts told a panel of lawmakers Tuesday that expanding Mississippi Medicaid would bring a large influx of federal dollars — costing the state nothing for the first two years and little in the years after.
In providing health coverage to poor, working uninsured Mississippians, it would also boost the economy, generate thousands of jobs and help struggling hospitals.
It’s nothing that experts, health providers and economists haven’t been saying for years — but it’s the first time in recent years House Republicans have offered them a platform to speak.
The House Medicaid Committee heard from speakers from the Hilltop Institute, a nonpartisan research group that partnered with the Center for Mississippi Health Policy on several Medicaid economics reports.
“I thought it was an excellent presentation by the Hilltop Institute … We are seeking information right now to make the best policy decisions that we can,” Medicaid Chairwoman Missy McGee, R-Hattiesburg, said.
The hearing marks a sea change for the Mississippi Legislature.
Republican legislative leaders are for the first time in a decade are at least considering Medicaid expansion. Mississippi remains one of only 10 states not to expand the federal-state program to cover hundreds of thousands of Mississippians who cannot afford private insurance. The issue has been a political third rail for Republicans in Mississippi. GOP state leaders, including former House Speaker Philip Gunn, blocked even serious discussion or hearings on the issue in recent years.
Republican Gov. Tate Reeves has remained steadfast in opposition to what he calls “Obamacare” and “Welfare” even as polls show a wide majority of people in Mississippi support expansion.
Reeves on Tuesday in a social media post criticized Republican lawmakers for considering the program, and said “for those wondering how I feel, I offer you the words of President Trump” — with a screenshot of a Trump post saying “Obamacare Sucks!!!”.
New Republican House Speaker Jason White – who replaced Gunn this year – has been outspoken about the state’s health care crisis and has authored a soon to be made public expansion bill. Republican Lt. Gov. Delbert Hosemann said the Senate has drafted its own Medicaid expansion plan, which would likely also include people paying premiums through a private care option and a work requirement.
During Tuesday’s hearing, Data scientist Morgan Henderson outlined the results of a 2021 study on the economic effects of a hypothetical expansion program in Mississippi. He covered three sets of impact: cost to the state, impact on the state economy, and impact on state hospitals.
The study estimated:
- There would be about 210,000 new enrollees from expansion.
- Of these, 95% are expected to be newly eligible and not currently insured – despite critics predicting that expansion would incentivize people to get off private insurance and move to Medicaid.
- The first two years of adopting the program would cost the state nothing.
- The third year would cost the state roughly $3 million.
- For state- and locally-owned hospitals, which make up about 40% of Mississippi hospitals, there would be a reduction in uncompensated care costs by about 60% each year.
- Expansion would stimulate the economy, putting about $1.2 billion into circulation that the state would not otherwise see.
- Expansion would create an additional 11,000 new jobs.
- Expansion would improve hospital aggregate performance by up to 2.4%
The study was based on a traditional expansion model, as opposed to one including a private care option – first modeled in Arkansas and which has gained traction as conservative lawmakers consider expanding Medicaid in several Southern states.
House Democrats, in the minority, recently unveiled an expansion plan that included a private care option that would allow Mississippians who make up to twice as much as the federal poverty level to qualify for Medicaid.
The House Republican bill authored by White, and the Senate expansion bill both had yet to be assigned to committee or publicly posted late Tuesday, but leaders in both chambers said they were filed before a Monday night deadline.
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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