Mississippi Today
Mississippi Senate votes again to extend postpartum care. House vote remains uncertain
Mississippi Senate votes again to extend postpartum care. House vote remains uncertain
For the fourth time in two years, the Republican-led Mississippi Senate voted to extend postpartum Medicaid coverage to mothers from 60 days to one year.
Supporters, including Lt. Gov. Delbert Hosemann, call the move a “pro-life” effort to deal with the state’s new abortion ban and long-running high rates of death for infants and mothers.
It heads now to the House, where Republican Speaker Philip Gunn killed the measures without a vote last year, and where a similar House bill this year died in committee without a vote. But a recent survey of lawmakers by Mississippi Today shows a majority of House members said they support extending the coverage, as 28 other states have done and eight others are considering.
READ MORE: Survey: Majority of lawmakers support postpartum Medicaid extension
There was no debate Tuesday on Senate Bill 2212, which the Senate passed 40 to 11.
“This is the same exact bill we passed last session 45-5,” said Senate Medicaid Chairman Kevin Blackwell, R-Southaven.
Seven Republican senators who voted either “yea” or did not vote last year voted “no” on Tuesday: Sens. Michael McClendon of Hernando, Benjamin Suber of Bruce, Chris Caughman of Mendenhall, Neil Whaley of Potts Camp, Philip Moran of Kiln, and Mike Seymour of Vancleave.
The other “no” votes on Tuesday were also “no” votes last year: Sens. Jenifer Branning of Philadelphia, Kathy Chism of New Albany, Angela Burks Hills of Picuyune, Melanie Sojourner of Natchez and Chris McDaniel of Ellisville.
On the floor Tuesday, Sen. Barbara Blackmon, D-Canton, to amend the bill to include broader Medicaid expansion to cover the working poor per the federal Affordable Care Act. Mississippi is one of 11 GOP-led states to refuse to accept federal money to expand the state-federal health program. Although Hosemann and a growing number of Republican lawmakers say they are at least open to expansion, Gunn, Gov. Tate Reeves and many other Republicans remain opposed.
After Blackwell warned colleagues that if they voted for Blackmon’s expansion amendment, “you in essence have killed this (postpartum) bill,” the amendment died with a 15-36 vote.
In Mississippi, with high rates of poverty and uninsured people, about 65% of babies are born to mothers on Medicaid. Because of lag times in being approved for coverage and the current 60-day cutoff, mothers often do not receive the prenatal and postpartum care they need — care that could prevent many major problems, many doctors and experts have testified to lawmakers.
The cost of extending the postpartum coverage is estimated at $6 million to $7 million per year. Many medical officials and advocates have told lawmakers extending the coverage would likely produce a net savings for the state by preventing dire medical conditions later from lack of treatment.
Blackwell, at a recent hearing on the issue, said: “The relatively minimal amount to provide this care compared to the cost later — it’s a no-brainer in my mind.”
But opponents of extending postpartum coverage — most of whom lump it in with broader Medicaid expansion — often criticize it as socialized medicine or welfare.
In his Jan. 30 State of the State address, Gov. Reeves urged lawmakers: “Don’t simply cave under the pressure of Democrats and their allies in the media who are pushing for the expansion of Obamacare, welfare, and socialized medicine … You have my word that if you stand up to the left’s push for endless government-run healthcare, I will stand with you.”
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1997
Dec. 22, 1997
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.
Mississippi Today
Medicaid expansion tracker approaches $1 billion loss for Mississippi
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.
Mississippi Today
On this day in 1911
Dec. 21, 1911
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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