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Lawmakers turn away billions in federal funds as they pour state funds into health care

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Lawmakers turn away billions in federal funds as they pour state funds into health care

As the Mississippi Senate recently was considering and passing legislation to provide $103 million for a grant program for the state’s beleaguered hospitals, Sen. Angela Hill, R-Picayune, asked a pertinent question.

She wanted to know if the $103 million would provide real help for the hospitals — many of which experts say are in danger of closing.

“Just looking at the totals, it looks to me like these individual hospitals will burn through this pretty fast,” she said during debate of the bill on the Senate floor. “So, I guess my question is was there any thought, if an aggregative amount of $103 million that has been split up by what looks like 100 hospitals or more, could that have had a greater impact in any other shape or form?”

Hill, a fiscal conservative, was looking for ways to get more bang for the buck. If only there were a way to do so.

Senate Medicaid Chair Kevin Blackwell, R-Southaven confessed to Hill that, “We didn’t look at any other funding mechanism.”

But both Hill and Blackwell had been told about other options — less than 24 hours earlier on the Senate floor, in fact.

“The most important thing Mississippi can do to help our hospitals is expand Medicaid under the Affordable Care Act,” said Sen. David Blount, D-Jackson. “The choice you are making with this legislation is you put $100 million in the fund and get $100 million, or you put $100 million in a fund allowing Medicaid expansion and you get $1 billion.”

Projections are that it would cost the state about $100 million annually to expand Medicaid to cover primarily the working poor. According to projections, that $100 million would be about the state match needed to pull down more than $1 billion in federal funds annually that Blount referenced.

And based on projections made by the University Research Center, Medicaid expansion would result in much more than $1 billion annually to the state for the first two years of Medicaid expansion. Because of incentives offered by the federal government under COVID-19 relief legislation, it is estimated the state would receive $1.61 billion the first year and $1.64 billion the second year of expansion. After the first two years of expansion, the incentives would go away, but the state still would be receiving more than $1 billion annually in federal funds.

READ MOREMississippi leaving more than $1 billion per year on table by rejecting Medicaid expansion

The theory is that the $1 billion would help health care providers, especially hospitals, because they would be treating fewer people with no insurance and no ability to pay.

Hill was not asking her question because she is touting Medicaid expansion. As a conservative Republican, she has long voiced her opposition to Medicaid expansion. Many conservative Republicans, including Gov. Tate Reeves and Speaker Philip Gunn, say they oppose the big government expansion.

And Blackwell could rightfully point out the $103 million being directed to the hospitals is from federal COVID-19 legislation and would not be available in the coming years to provide the required annual state match to expand Medicaid.

But the day before Hill asked her question, Sen. Hob Bryan, D-Amory, told members that Medicaid expansion would not cost the state anything.

Because of the multiplier effect of the federal fund and because of other factors, “the state treasury would make money. In theory there is a state match, but in practice there is not a match at all. In practice, the state treasury is doing without money because of the prohibition on Medicaid expansion.”

Various studies back up Bryan’s bold claim.

The 2021 University Research Center study, for instance, found that the 10% matching costs the state must provide if it expanded Medicaid would be more than covered by health care-related savings to the state and new tax revenue generated.

More and more states are reaching the conclusion that Medicaid expansion makes money for them. Forty states have expanded Medicaid, leaving Mississippi behind 80% of the country.

First it was just so-called blue or Democratic states expanding Medicaid under the Affordable Care Act. But in more recent years, red or Republican states have followed suit. States like Montana, Utah, North Dakota and South Dakota have expanded Medicaid. Those that have not, for the most part, are located across the Southeast.

But the number of Southern states not expanding Medicaid also is dwindling. Just in recent days, a Republican-controlled Legislature in North Carolina sent to Democratic Gov. Roy Cooper a bill he signed into law expanding Medicaid.

But instead of expanding Medicaid, Mississippi legislators continue to provide state funds to help hospitals and other health care providers one dollar at a time instead of using that dollar to get at least $9 in federal funds.

“This hospital grant program is putting a Band-Aid on a situation in this state that requires surgery,” said Sen. Derrick Simmons, D-Greenville.

READ MOREThe death of rural hospitals could leave Mississippians ‘sick, sick, sick’

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 1997

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mississippitoday.org – Jerry Mitchell – 2024-12-22 07:00:00

Dec. 22, 1997

Myrlie Evers and Reena Evers-Everette cheer the jury verdict of Feb. 5, 1994, when Byron De La Beckwith was found guilty of the 1963 murder of Mississippi NAACP leader Medgar Evers. Credit: AP/Rogelio Solis

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.

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Mississippi Today

Medicaid expansion tracker approaches $1 billion loss for Mississippi

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mississippitoday.org – Bobby Harrison – 2024-12-22 06:00:00

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.

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Mississippi Today

On this day in 1911

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mississippitoday.org – Jerry Mitchell – 2024-12-21 07:00:00

Dec. 21, 1911

A colorized photograph of Josh Gibson, who was playing with the Homestead Grays Credit: Wikipedia

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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