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‘Mississippi moms can’t wait.’ Doctors urge legislators to extend postpartum coverage

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‘Mississippi moms can’t wait.’ Doctors urge legislators to extend postpartum coverage

Flanked by residents and student physicians from all over the state, Mississippi doctors and the Mississippi State Medical Association had one ask for Speaker of the House Phillip Gunn on Wednesday.

“We’re simply asking the speaker to allow (Senate Bill) 2212 to be brought for a vote,” said Dr. Anita Henderson, a pediatrician from Hattiesburg.

Last year, Gunn killed the legislation before it could be brought to a vote on the House floor. He has been noncommittal as to whether he will allow his chamber to vote on it this session.

In a press conference hosted on the second floor of the Capitol, Mississippi doctors emphasized the importance of extending postpartum care in the state and at times spoke directly to the House, asking them to pass SB 2212 to extend Medicaid postpartum coverage from 60 days to 12 months.

According to a Mississippi Today poll of House lawmakers conducted this session, a majority support extending the health insurance coverage for moms on Medicaid.

Currently, Mississippi women who have Medicaid have health insurance coverage for two months after giving birth. But many women in Mississippi and other states who have not expanded Medicaid lose coverage after that, despite complications associated with recovering from pregnancy continuing past that point.

Wyoming’s Senate and Utah’s House are currently considering similar legislation. Mississippi and Wyoming are the only two states with neither extended postpartum coverage nor expanded Medicaid.

“I know that those moms are suffering, and I know that those babies are likely to suffer as well,” Henderson said. “Babies need their mothers, and their mothers need health care.”

Dr. Anita Henderson, a pediatrician at The Pediatric Clinic, speaks in support of Senate Bill 2212 during a press conference at the Capitol in Jackson, Miss., Wednesday, February 22, 2023. The bill would extend postpartum coverage from two months to one year.

SB 2212 was passed by the full Senate on Feb. 7. It’s the second time in four years the Republican-led Senate has voted in favor of extending postpartum care.

The bill now goes to the House, where Speaker Phillip Gunn’s office will likely assign it to the House Medicaid Committee.

In spite of urging from health professionals for years, state leaders like Gov. Tate Reeves and Gunn have remained steadfast in their opposition.

Gunn has repeatedly referred to the bill as Medicaid expansion, another hotly contested Mississippi legislative issue. He indicated to WAPT on Wednesday he would not allow the bill to come up for a vote for that reason.

But the bill doesn’t expand Medicaid eligibility —it extends coverage for those already on Medicaid. Gunn has also said that he’s waiting on the state Division of Medicaid to take a stance on the issue, which they’ve refused.

“It’s really not a right versus left issue,” Henderson said. “It’s a right versus wrong issue.”

Reeves last week said he needs more data to support that the legislation will help mothers.

Donning a button that said “The Kids Sent Me,” Henderson presented lots of data on Thursday: Two-thirds of babies born in Mississippi are born to mothers on Medicaid, and the state’s already-dismal maternal mortality rate is worsening. Mississippi has the highest infant mortality rate, preterm birth rate and low birthweight rate in the country.

Things are only set to get worse: The state’s neonatal ICUs and labor and delivery units are closing. With the U.S. Supreme Court’s decision to overturn abortion rights last summer, the state is expecting thousands more births.

And when a baby is born prematurely, it can cost the state more than half a million dollars more.

Every medical organization and the state economic council supports the extension of postpartum care for a reason, Henderson said.

Dr. John Cross, president of the Mississippi State Medical Association, speaks in support of Senate Bill 2212 during a press conference at the Capitol in Jackson, Miss., Wednesday, February 22, 2023. The bill would extend postpartum coverage from two months to one year.

“Children are 25% of our population, but 100% of our future,” Henderson said. “What I’m here to tell you is the future of Mississippi is being born right now … and if we want Mississippi to look differently in 10 years, in 20 years, we need to address maternal mortality, and we need to tackle the problem of prematurity.”

Dr. Michelle Owens, an OB-GYN board-certified in maternal fetal medicine, said the situation is dire.

“The process of transitioning back to a non-pregnant state is not arbitrarily cut off at 60 days, or at two months,” Owens said. “It takes almost a year to have a baby. It takes almost a year to get back.”

Henderson said she frequently sees mothers who are suffering from postnatal conditions like postpartum depression, hypertension and cardiomyopathy long after they give birth.

When she screens new mothers and they present complications after 60 days, there’s not much she can do.

Owens said the extension of coverage has the potential to be “transformative.”

“Mississippi moms can’t wait, and Mississippi has waited long enough,” she said.

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

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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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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