Mississippi Today
Mississippi Medicaid expansion bill moves forward in GOP-led House over governor’s opposition

The state’s Republican-led House is expected to vote on Mississippi Medicaid expansion as soon as Wednesday after a committee unanimously approved it Tuesday.
House Bill 1725, authored by Republican House Speaker Jason White and Medicaid Chairwoman Missy McGee, R-Hattiesburg, has bipartisan support in the House, even as the state’s Republican governor continues to oppose the policy.
The morning after Gov. Tate Reeves didn’t mention health care or Medicaid expansion once during his State of the State address, he posted on Twitter “Count me amongst those ‘extreme MAGA Republicans’ who think Government should not run health care.”
During Tuesday’s meeting, McGee explained to committee members that Mississippi during the first two years of expansion would receive an extra $600 million in federal money for Medicaid. She said that amount would cover the state’s share of expansion for four years. After that, under the House plan, hospitals and managed care organizations would pay more taxes to cover the state’s 10% match, with federal funds covering 90% of expansion costs.
“You could almost look at it like the government is giving us a free pilot program, to run for four years,” McGee said during the committee meeting. McGee said hospitals and MCOs would start paying the increased tax in the first year and the state could bank that money, perhaps in a health fund.
The bill, which expands Medicaid eligibility to adults without dependents between the ages of 19 and 65, has a built-in repealer, meaning it would automatically end after four years if lawmakers chose not to renew it.
Currently, low-income, adult Mississippians fall into the “coverage gap,” which experts believe is a leading cause of Mississippi’s poor public health metrics – such as leading the nation in preventable deaths, infant and maternal mortality, and lowest life expectancy. Mississippi remains one of only 10 states not to expand Medicaid. Expansion would provide health care to about 200,000 to 250,000 Mississippians, experts said.
The bill would expand Medicaid income eligibility to 138% of the federal poverty level. For a family of four, that would be an annual household income up to about $43,000.
The House bill has some strict limitations. It would not cover those who are offered health insurance from their employer — even if they couldn’t afford the sometimes very expensive deductibles — and would make those who drop coverage even from the Affordable Care Act exchange wait 12 months before being eligible.
“If it doesn’t work out, if we decide that our health outcomes have not improved, if it costs too much for the state, if for any reason we do not believe that it is doing the things that we want it to do, the program will simply repeal in 2029,” McGee said.
The bill passed committee the day after it was assigned. But that’s after 10 years of debate and GOP leaders in the poorest, unhealthiest of states eschewing “Obamacare” Medicaid expansion. Reeves and his Republican predecessor, Phil Bryant, likened the state-federal health coverage to welfare and voiced opposition to taking more federal tax dollars from it, even as Mississippi remains one of the most federal funding reliant states in the nation.
Meanwhile, lawmakers in the Republican-led Senate are moving at their own pace.
McGee and Blackwell say the House and Senate will be working together, but they haven’t met yet. Their expansion bills are quite different – and coming to an agreement would involve heavy concessions from one or both sides.
“They can rush it all they want on their side,” Medicaid Chairman Kevin Blackwell, R-Southaven, said Tuesday. “We’ve got our own pace. So they can pass it today and send it over tomorrow. It’s going to sit in my committee until we get ours in.”
While both bills are expected to have a work requirement, the House bill’s work requirement is only a “best-case scenario.” The bill has a “Section 2” provision that states that if the waiver necessary for federal Medicaid authorities to allow a Mississippi work requirement is not granted by Sept. 30, 2024, Medicaid would still be fully expanded to people up to 138% of the federal poverty level.
But the Senate bill, which as of right now is only a skeletal bill bringing forth Medicaid code sections to start, would according to Blackwell be entirely contingent on the federal government approving a waiver for a work requirement.
During the Biden administration, Centers for Medicaid Services has rescinded work requirement waivers previously granted under the Trump administration, and has not approved new ones. It is unlikely the administration would grant Mississippi’s 1115 waiver – which Blackwell says is a must for him.
“If no work requirements, no expansion,” Blackwell said about the bill he calls “expansion light.”
McGee said she hopes the House doesn’t back down on its provision to expand Medicaid even if the Biden administration doesn’t grant the waiver.
“I think that Section 2 provides an opportunity for us to still get this across the finish line if for some reason CMS does not approve the work requirement,” McGee said. “I think that we still want to help working Mississippians find a way to have health insurance. I would really hope we would leave Section 2 in the bill as a backstop in case we cannot get the waiver done, we still have an opportunity to provide the program and not delay another year in making this happen.”
The Senate Medicaid Committee is still working on language and Blackwell said it “will have something next week,” after which he said Senate leaders will sit down with the House and “see where the differences lie.”
Blackwell, who said he didn’t necessarily expect to author an expansion bill this session, is still adamantly opposed to full Medicaid expansion — which he calls “socialized medicine” and “welfare” — without work requirements and a private insurance option.
Republican Lt. Gov. Delbert Hosemann, who oversees the Senate, said he would also like to see a work requirement in any expansion bill, as well as a premiums payment plan.
“When I get a plan that covers working people,” Hosemann said, “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.”
Blackwell has said he would not author a bill that allowed expansion without a work requirement and a premiums plan. At that point, he says, expansion becomes “palatable” — especially when thinking about the labor force participation rate.
“It’s becoming a bigger need when you take a look at the hospital situation which was really highlighted during COVID,” Blackwell said. “With what we’re doing from an economic development standpoint, bringing in these large development projects, we need to have a healthy workforce. So from that standpoint, I can tolerate it.”
Blackwell said he believes that with a work requirement, expansion would have the support it needs in the Senate to be veto-proof. That is, the Senate could muster a two-thirds vote to override a Reeves veto.
House Democratic Leader Robert Johnson III, said Tuesday morning at a press conference that Democrats are not in favor of a work requirement, as it would delay things and likely not be approved by federal authorities. But Johnson said House Democrats would accept a work requirement in a bill if it was the only way Medicaid expansion could pass. That was evident Tuesday as no Democrats offered amendments in committee and all voted to move the bill forward.
“The vast majority of people are already working or are not able to do so,” Johnson said. “Far fewer people just choose not to work than our Republican colleagues would have you believe.”
Johnson has also authored House Bill 38, which would create a commission to run Medicaid and take it out from under the governor. He said he knows it’s not likely to pass.
“People’s health care should not be politicized,” Johnson said. “If we had a commission running it 10 years ago, we would already have expansion … I hope it at least starts a conversation about taking the politics out of health care.”
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Early voting proposal killed on last day of Mississippi legislative session
Mississippi will remain one of only three states without no-excuse early voting or no-excuse absentee voting.
Senate leaders, on the last day of their regular 2025 session, decided not to send a bill to Gov. Tate Reeves that would have expanded pre-Election Day voting options. The governor has been vocally opposed to early voting in Mississippi, and would likely have vetoed the measure.
The House and Senate this week overwhelmingly voted for legislation that established a watered-down version of early voting. The proposal would have required voters to go to a circuit clerk’s office and verify their identity with a photo ID.
The proposal also listed broad excuses that would have allowed many voters an opportunity to cast early ballots.
The measure passed the House unanimously and the Senate approved it 42-7. However, Sen. Jeff Tate, a Republican from Meridian who strongly opposes early voting, held the bill on a procedural motion.
Senate Elections Chairman Jeremy England chose not to dispose of Tate’s motion on Thursday morning, the last day the Senate was in session. This killed the bill and prevented it from going to the governor.
England, a Republican from Vancleave, told reporters he decided to kill the legislation because he believed some of its language needed tweaking.
The other reality is that Republican Gov. Tate Reeves strongly opposes early voting proposals and even attacked England on social media for advancing the proposal out of the Senate chamber.
England said he received word “through some sources” that Reeves would veto the measure.
“I’m not done working on it, though,” England said.
Although Mississippi does not have no-excuse early voting or no-excuse absentee voting, it does have absentee voting.
To vote by absentee, a voter must meet one of around a dozen legal excuses, such as temporarily living outside of their county or being over 65. Mississippi law doesn’t allow people to vote by absentee purely out of convenience or choice.
Several conservative states, such as Texas, Louisiana, Arkansas and Florida, have an in-person early voting system. The Republican National Committee in 2023 urged Republican voters to cast an early ballot in states that have early voting procedures.
Yet some Republican leaders in Mississippi have ardently opposed early voting legislation over concerns that it undermines election security.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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Mississippi Today
Mississippi Legislature approves DEI ban after heated debate
Mississippi lawmakers have reached an agreement to ban diversity, equity and inclusion programs and a list of “divisive concepts” from public schools across the state education system, following the lead of numerous other Republican-controlled states and President Donald Trump’s administration.
House and Senate lawmakers approved a compromise bill in votes on Tuesday and Wednesday. It will likely head to Republican Gov. Tate Reeves for his signature after it clears a procedural motion.
The agreement between the Republican-dominated chambers followed hours of heated debate in which Democrats, almost all of whom are Black, excoriated the legislation as a setback in the long struggle to make Mississippi a fairer place for minorities. They also said the bill could bog universities down with costly legal fights and erode academic freedom.
Democratic Rep. Bryant Clark, who seldom addresses the entire House chamber from the podium during debates, rose to speak out against the bill on Tuesday. He is the son of the late Robert Clark, the first Black Mississippian elected to the state Legislature since the 1800s and the first Black Mississippian to serve as speaker pro tempore and preside over the House chamber since Reconstruction.
“We are better than this, and all of you know that we don’t need this with Mississippi history,” Clark said. “We should be the ones that say, ‘listen, we may be from Mississippi, we may have a dark past, but you know what, we’re going to be the first to stand up this time and say there is nothing wrong with DEI.'”
Legislative Republicans argued that the measure — which will apply to all public schools from the K-12 level through universities — will elevate merit in education and remove a list of so-called “divisive concepts” from academic settings. More broadly, conservative critics of DEI say the programs divide people into categories of victims and oppressors and infuse left-wing ideology into campus life.
“We are a diverse state. Nowhere in here are we trying to wipe that out,” said Republican Sen. Tyler McCaughn, one of the bill’s authors. “We’re just trying to change the focus back to that of excellence.”
The House and Senate initially passed proposals that differed in who they would impact, what activities they would regulate and how they aim to reshape the inner workings of the state’s education system. Some House leaders wanted the bill to be “semi-vague” in its language and wanted to create a process for withholding state funds based on complaints that almost anyone could lodge. The Senate wanted to pair a DEI ban with a task force to study inefficiencies in the higher education system, a provision the upper chamber later agreed to scrap.
The concepts that will be rooted out from curricula include the idea that gender identity can be a “subjective sense of self, disconnected from biological reality.” The move reflects another effort to align with the Trump administration, which has declared via executive order that there are only two sexes.
The House and Senate disagreed on how to enforce the measure but ultimately settled on an agreement that would empower students, parents of minor students, faculty members and contractors to sue schools for violating the law.
People could only sue after they go through an internal campus review process and a 25-day period when schools could fix the alleged violation. Republican Rep. Joey Hood, one of the House negotiators, said that was a compromise between the chambers. The House wanted to make it possible for almost anyone to file lawsuits over the DEI ban, while Senate negotiators initially bristled at the idea of fast-tracking internal campus disputes to the legal system.
The House ultimately held firm in its position to create a private cause of action, or the right to sue, but it agreed to give schools the ability to conduct an investigative process and potentially resolve the alleged violation before letting people sue in chancery courts.
“You have to go through the administrative process,” said Republican Sen. Nicole Boyd, one of the bill’s lead authors. “Because the whole idea is that, if there is a violation, the school needs to cure the violation. That’s what the purpose is. It’s not to create litigation, it’s to cure violations.”
If people disagree with the findings from that process, they could also ask the attorney general’s office to sue on their behalf.
Under the new law, Mississippi could withhold state funds from schools that don’t comply. Schools would be required to compile reports on all complaints filed in response to the new law.
Trump promised in his 2024 campaign to eliminate DEI in the federal government. One of the first executive orders he signed did that. Some Mississippi lawmakers introduced bills in the 2024 session to restrict DEI, but the proposals never made it out of committee. With the national headwinds at their backs and several other laws in Republican-led states to use as models, Mississippi lawmakers made plans to introduce anti-DEI legislation.
The policy debate also unfolded amid the early stages of a potential Republican primary matchup in the 2027 governor’s race between State Auditor Shad White and Lt. Gov. Delbert Hosemann. White, who has been one of the state’s loudest advocates for banning DEI, had branded Hosemann in the months before the 2025 session “DEI Delbert,” claiming the Senate leader has stood in the way of DEI restrictions passing the Legislature.
During the first Senate floor debate over the chamber’s DEI legislation during this year’s legislative session, Hosemann seemed to be conscious of these political attacks. He walked over to staff members and asked how many people were watching the debate live on YouTube.
As the DEI debate cleared one of its final hurdles Wednesday afternoon, the House and Senate remained at loggerheads over the state budget amid Republican infighting. It appeared likely the Legislature would end its session Wednesday or Thursday without passing a $7 billion budget to fund state agencies, potentially threatening a government shutdown.
“It is my understanding that we don’t have a budget and will likely leave here without a budget. But this piece of legislation …which I don’t think remedies any of Mississippi’s issues, this has become one of the top priorities that we had to get done,” said Democratic Sen. Rod Hickman. “I just want to say, if we put that much work into everything else we did, Mississippi might be a much better place.”
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
House gives Senate 5 p.m. deadline to come to table, or legislative session ends with no state budget
The House on Wednesday attempted one final time to revive negotiations between it and the Senate over passing a state budget.
Otherwise, the two Republican-led chambers will likely end their session without funding government services for the next fiscal year and potentially jeopardize state agencies.
The House on Wednesday unanimously passed a measure to extend the legislative session and revive budget bills that had died on legislative deadlines last weekend.
House Speaker Jason White said he did not have any prior commitment that the Senate would agree to the proposal, but he wanted to extend one last offer to pass the budget. White, a Republican from West, said if he did not hear from the Senate by 5 p.m. on Wednesday, his chamber would end its regular session.
“The ball is in their court,” White said of the Senate. “Every indication has been that they would not agree to extend the deadlines for purposes of doing the budget. I don’t know why that is. We did it last year, and we’ve done it most years.”
But it did not appear likely Wednesday afternoon that the Senate would comply.
The Mississippi Legislature has not left Jackson without setting at least most of the state budget since 2009, when then Gov. Haley Barbour had to force them back to set one to avoid a government shutdown.
The House measure to extend the session is now before the Senate for consideration. To pass, it would require a two-thirds majority vote of senators. But that might prove impossible. Numerous senators on both sides of the aisle vowed to vote against extending the current session, and Lt. Gov. Delbert Hosemann who oversees the chamber said such an extension likely couldn’t pass.
Senate leadership seemed surprised at the news that the House passed the resolution to negotiate a budget, and several senators earlier on Wednesday made passing references to ending the session without passing a budget.
“We’ll look at it after it passes the full House,” Senate President Pro Tempore Dean Kirby said.
The House and Senate, each having a Republican supermajority, have fought over many issues since the legislative session began early January.
But the battle over a tax overhaul plan, including elimination of the state individual income tax, appeared to cause a major rift. Lawmakers did pass a tax overhaul, which the governor has signed into law, but Senate leaders cried foul over how it passed, with the House seizing on typos in the Senate’s proposal that accidentally resembled the House’s more aggressive elimination plan.
The Senate had urged caution in eliminating the income tax, and had economic growth triggers that would have likely phased in the elimination over many years. But the typos essentially negated the triggers, and the House and governor ran with it.
The two chambers have also recently fought over the budget. White said he communicated directly with Senate leaders that the House would stand firm on not passing a budget late in the session.
But Senate leaders said they had trouble getting the House to meet with them to haggle out the final budget.
On the normally scheduled “conference weekend” with a deadline to agree to a budget last Saturday, the House did not show, taking the weekend off. This angered Hosemann and the Senate. All the budget bills died, requiring a vote to extend the session, or the governor forcing them into a special session.
If the Legislature ends its regular session without adopting a budget, the only option to fund state agencies before their budgets expire on June 30 is for Gov. Tate Reeves to call lawmakers back into a special session later.
“There really isn’t any other option (than the governor calling a special session),” Lt. Gov. Delbert Hosemann previously said.
If Reeves calls a special session, he gets to set the Legislature’s agenda. A special session call gives an otherwise constitutionally weak Mississippi governor more power over the Legislature.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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