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Medicaid expansion proposal was almost on Nov. ballot

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Mississippi officials did what South Dakota leaders couldn’t — block Medicaid expansion

The South Dakota Republican leadership, like many of their counterparts in Mississippi, oppose accepting federal funds to provide insurance for primarily the working poor.

In South Dakota, the Republican leadership tried to prevent approval of an upcoming citizen-sponsored ballot initiative that would mandate the expansion of Medicaid if passed by voters in November. In a preemptive move, South Dakota legislators placed a constitutional amendment on the June party primary election ballot that would have required any citizen-sponsored initiative going forward (such as Medicaid expansion on the November ballot) to garner the approval of 60% of voters instead of the customary majority vote to pass.

South Dakotans rejected the constitutional amendment earlier this month, setting the table for their likely approval in November of the citizen-sponsored initiative to expand Medicaid to provide health insurance for primarily the working poor.

In Mississippi, if not for the action of elected officials, a proposal to expand Medicaid also most likely would have been on the upcoming November ballot. But unlike in South Dakota, the aim of the elected officials in Mississippi was not to stop Medicaid expansion, though that was one result of their actions.

In May 2021, the ruled invalid a citizen-sponsored initiative to approve medical marijuana. In doing so, the 9-member elected Supreme Court also ruled invalid the entire initiative . That halted the effort of Medicaid expansion supporters, including the Mississippi Hospital Association, to garner the required number of signatures needed to place the initiative on the November 2022 ballot.

Legislators said during the 2022 they would fix the language that led to the Supreme Court ruling the initiative process invalid and reinstate it. But in the end, legislators could not agree on that fix and the session ended without legislators restoring the initiative process.

It would be easy to assume that legislators failed to restore the initiative process because they wanted to prevent another effort to place Medicaid expansion on the ballot. But the facts do not necessarily support that assumption.

One of the primary opponents of Medicaid expansion is House Speaker Philip Gunn. But Gunn was backing a proposal to restore the initiative process with essentially the same signature mandates as the original process.

Over in the Senate, Lt. Gov. Delbert Hosemann, the presiding officer, has indicated support for some form of Medicaid expansion. But it was Hosemann’s Senate leadership that was arguing for requiring a much greater number of signatures to place an issue on the ballot. The Senate’s proposal would have more than doubled the number of signatures needed to place an issue on the ballot, making it more difficult for the Medicaid expansion supporters to succeed. In the end the two sides could not reach agreement on the mandated number of signatures.

In essence, the House, where Gunn opposes Medicaid expansion, was fighting not to make it more difficult to place issues on the ballot while the Senate, where Hosemann has indicated some support for Medicaid expansion, was advocating for making it much more difficult to place issues on the ballot.

Unless Gunn was using some super Jedi mind where he was tricking the Senate with reverse psychology, his intent was not to block the initiative from being used for Medicaid expansion.

But it would make sense that those opposed to Medicaid expansion would be leery of the initiative process. After all, voters in six Republican states have subverted the wishes of their elected officials and expanded Medicaid.

As mentioned, South Dakota will likely be the seventh this November. And polls indicate would have approved Medicaid expansion had it reached the ballot this fall.

The only where the ballot initiative to expand Medicaid was not successful thus far, other than Mississippi, is Florida. And in that case, legislators were successful in changing the rules of signature gathering mid-stream and throwing up legal obstacles to the effort to expand Medicaid through the ballot initiative.

Thus far, 38 states have expanded Medicaid. The North Carolina Legislature is considering a Medicaid expansion proposal. Of those states that have not expanded Medicaid, only three — South Dakota, Wyoming and Florida — have mechanisms for citizens to bypass the Legislature and place initiatives on the ballot.

Perhaps there will be efforts again in the 2023 Legislature to restore the initiative process in Mississippi and give Medicaid supporters another to place the issue before voters.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

Mississippi News

Mississippi sees 5th largest increase in fatal crashes: study

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www.wjtv.com – Garret Grove – 2024-11-02 12:25:00

SUMMARY: A recent study highlights a troubling rise in road fatalities in Mississippi, with a nearly 31% increase in fatal accidents from 2012 to 2021, ranking it fifth highest in the country. The reported a spike during the 2024 Labor Day , responding to seven fatal crashes resulting in 15 deaths, to only three crashes and six deaths in 2021. Additionally, a 2023 showed Mississippi had the highest per capita fatal crashes during the Christmas period. Young drivers are particularly affected, as Mississippi ranks fifth for teenage driving fatalities nationwide.

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Mississippi News

Vicksburg man charged with assaulting woman in domestic dispute

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www.wjtv.com – Kaitlin Howell – 2024-11-02 11:33:00

SUMMARY: In Vicksburg, Mississippi, a domestic assault led to the hospitalization of a man and woman on November 2. were alerted by Merit Region after a 28-year-old man, Daron Evans, arrived with a stab wound. Authorities dispatched to the scene found the woman, who had also been assaulted. After receiving treatment, Evans was and charged with aggravated assault domestic violence; he is held without bond until his court appearance. The woman is in stable at the of Mississippi Medical Center. An investigation is ongoing.

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Mississippi News

Cloudy and humid weekend – Home – WCBI TV

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www.wcbi.com – Sadie Morris – 2024-11-02 10:13:00

SUMMARY: In Columbus, Mississippi, humid and cloudy weather is expected, with temperatures remaining above average in the lower 80s for the upcoming . Rain is forecasted for Election Day on Tuesday, continuing into the week with isolated showers likely. This Saturday will see patchy fog in the morning, clearing by midday, with a high around 80 degrees. Sunday will bring similar humidity, with a high in the lower 80s and mild overnight lows in the mid-60s. Throughout the week, expect persistent clouds and humidity alongside mild temperatures.

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