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.
โI thought it was an excellent presentation by the Hilltop Institute โฆ We are seeking information right now to make the best policy decisions that we can,โ 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 โ who replaced Gunn this year โ 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.ย
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 โ 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 โ first modeled in Arkansas and which has gained traction as conservative lawmakers consider expanding Medicaid in several Southern states.ย
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.
Mississippi Today
Mississippi Todayโs NewsMatch Campaign is Here: Support Journalism that Strengthens Mississippi
High-quality journalism like ours depends on reader support; without it, we simply couldn’t exist. That’s why we’re proud to join the NewsMatch movement, a national initiative aimed at raising $50 million for nonprofit newsrooms that serve communities like ours here in Mississippi, where access to reliable information has often been limited.
In a time when trusted journalists and media sources are disappearing, we believe the stakes couldn’t be higher. Without on-the-ground, trustworthy reporting, civic engagement suffers, accountability falters and corruption often goes unaddressed. But it doesn’t have to be this way.
Here at Mississippi Today we act as watchdogs, holding those in power accountable, and as storytellers, giving a platform to voices that have been ignored for too long. And we’re committed to keeping our stories free for everyone because information should be accessible when it’s needed most.
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This year’s NewsMatch campaign runs from November 1 through December 31, giving us a special opportunity to make each dollar you give go even further. Through matching funds provided by local foundations like the Maddox Foundation, and national funders like the MacArthur Foundation, the Rural Partner Fund and the Hewlett Foundation, your gift will be matched dollar for dollar up to $1,000. Plus, if 100 new donors join us, we’ll unlock an additional $2,000 in funding, bringing us even closer to our goal. Boiled down: your donation goes four times as far.
Every dollar raised strengthens our ability to serve you with fact-based journalism on issues that impact your everyday lifeโwhether it’s covering local election issues or reporting on decisions affecting schools, safety and economic growth in Mississippi. Your support makes it possible for us to stay rooted in the community, offering nuanced perspectives that help Mississippians understand and engage with what’s happening around them.
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We’ll examine what’s at stake if local newsrooms lose press freedoms and will discuss how you, as members of the public, can help protect it. This event is open to Mississippi Today and Verite News members as a special thank-you for supporting local journalism and standing with us in this mission. Donate today to RSVP!
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Thank you for believing in the power of journalism to strengthen the communities we loveโnot only during election season but year-round. With your help, we’ll keep Mississippi informed, engaged and connected for generations to come.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Hinds County loses fight over control of jail
The Hinds County sheriff and Board of Supervisors have lost an appeal to prevent control of its jail by a court-appointed receiver and an injunction that orders the county to address unconstitutional conditions in the facility.
Two members from a three-judge panel of the 5th U.S. Circuit Court of Appeals agreed with decisions by U.S. District Judge Carlton Reeves to appoint a receiver to oversee day-to-day jail operations and keep parts of a previous consent decree in place to fix constitutional violations, including a failure to protect detainees from harm.
However, the appeals court called the new injunction โoverly broadโ in one area and is asking Reeves to reevaluate the scope of the receivership.
The injunction retained provisions relating to sexual assault, but the appeals court found the provisions were tied to general risk of violence at the jail, rather than specific concerns about the Prison Rape Elimination Act. The court reversed those points of the injunction and remanded them to the district court so the provisions can be removed.
The court also found that the receiver should not have authority over budgeting and staff salaries for the Raymond Detention Center, which could be seen as โfederal intrusion into RDC’s budgetโ โ especially if the receivership has no end date.
Hinds County Board of Supervisors President Robert Graham was not immediately available for comment Friday. Sheriff Tyree Jones declined to comment because he has not yet read the entire court opinion.ย
In 2016, the Department of Justice sued Hinds County alleging a pattern or practice of unconstitutional conditions in four of its detention facilities. The county and DOJ entered a consent decree with stipulated changes to make for the jail system, which holds people facing trial.
โBut the decree did not resolve the dispute; to the contrary, a yearslong battle ensued in the district court as to whether and to what extent the County was complying with the consent decree,โ the appeals court wrote.
This prompted Reeves to hold the county in contempt of court twice in 2022.
The county argued it was doing its best to comply with the consent decree and spending millions to fix the jail. One of the solutions they offered was building a new jail, which is now under construction in Jackson.
The county had a chance to further prove itself during three weeks of hearings held in February 2022. Focuses included the death of seven detainees in 2021 from assaults and suicide and issues with staffing, contraband, old infrastructure and use of force.
Seeing partial compliance by the county, in April 2022 Reeves dismissed the consent decree and issued a new, shorter injunction focused on the jail and removed some provisions from the decree.
But Reeves didn’t see improvement from there. In July 2022, he ordered receivership and wrote that it was needed because of an ongoing risk of unconstitutional harm to jail detainees and staff.
The county pushed back against federal oversight and filed an appeal, arguing that there isn’t sufficient evidence to show that there are current and ongoing constitutional violations at the jail and that the county has acted with deliberate indifference.
Days before the appointed receiver was set to take control of the jail at the beginning of 2023, the 5th Circuit Court ordered a stay to halt that receiver’s work. The new injunction ordered by Reeves was also stayed, and a three-person jail monitoring team that had been in place for years also was ordered to stop work.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
2 out of 5 child care teachers make so little they need public assistance tosupport their families
This story about child care wages was produced by The Hechinger Report, a nonprofit,
independent news organization focused on inequality and innovation in education. Sign up for the Hechinger’s early childhood newsletter.
Caring for children during their first few years is a complex and critical job: A child’s
brain develops more in the first five years than at any other point in life. Yet in America,
individuals engaged in this crucial role are paid less than animal caretakers and
dressing room attendants.
That’s a major finding of one of two new reports on the dismal treatment of child care
workers. Together, the reports offer a distressing picture of how child care staff are
faring economically, including the troubling changes low wages have caused to the
workforce.
Early childhood workers nationally earn a median wage of $13.07 per hour, resulting in
poverty-level earnings for 13 percent of such educators, according to the first report, the
Early Childhood Workforce Index 2024. Released earlier this month by the Center for
the Study of Child Care Employment at the University of California, Berkeley, the annual
report also found:
? 43 percent of families of early educators rely on public assistance like
food stamps and Medicaid.
? Pay inequity exists within these low wages: Black early childhood
educators earn about $8,000 less per year than their white peers. The
same pay gap exists between early educators who work with infants and
toddlers and those who work with preschoolers, who have more
opportunities to work in school districts that pay higher wages.
? Wages for early educators are rising more slowly than wages in other
industries, including fast food and retail.
In part due to these conditions, the industry is losing some of its highest-educated
workers, according to a second new report, by Chris M. Herbst, a professor at Arizona
State University’s School of Public Affairs. That study compares the pay of child care
workers with that of workers in other lower-income professions, including cooks and
retail workers; it finds child care workers are the tenth lowest-paid occupation out of
around 750 in the economy. The report also looks at the โrelative quality’ of child care
staff, as defined by math and literacy scores and education level. Higher-educated
workers, Herbst suggests, are being siphoned off by higher-paying jobs.
That’s led to a โbit of a death spiralโ in terms of how child care work is perceived, and
contributes to the persistent low wages, he said in an interview. Some additional
findings from Herbst’s study:
? Higher-educated women increasingly find employment in the child care
industry to be less attractive. The share of workers in the child care
industry with a bachelor’s degree barely budged over the past few
decades, increasing by only 0.3 percent. In contrast, the share of those in
the industry who have 12 years of schooling but no high school degree,
quadrupled.
? Median numeracy and literacy scores for female child care workers
(who are the majority of the industry staff) fall at the 35 th and 36 th
percentiles respectively, compared to all female workers. Improving these
scores is important, Herbst says, considering the importance of education
in the early years, when children experience rapid brain development.
This doesn’t mean child care staff with lower education levels can’t be good early
educators. Patience, communication skills and a commitment to working with young
children also matter greatly, Herbst writes. However, higher education levels may mean
staff have a stronger background not only in English and math but also in topics like
behavior modification and special education, which are sometimes left out of
certification programs for child care teachers.
You can read Herbst’s full report here, and the 2024 workforce index here.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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