Mississippi Today
Poll: 80% of Mississippians favor Medicaid expansion
Poll: 80% of Mississippians favor Medicaid expansion
A wide majority of Mississippians across partisan and demographic lines support expanding Medicaid to provide health coverage for the working poor, according to a newly released Mississippi Today/Siena College poll.
The poll showed 80% of respondents — including 70% of Republicans — either strongly agree or somewhat agree the state should “accept federal funds to expand Medicaid.”
The numbers appear to show a continued shift of voter sentiment in what has long been a partisan battle. Mississippi’s elected Republican governors and other leaders for the last decade have blocked Medicaid expansion via the Affordable Care Act and the billions in federal dollars that would have come with it. This resistance continues even as struggling hospitals and more citizens in the poorest, unhealthiest state cry for help.
“Yes, I support it,” said Joy Cevera, 60, a Republican voter from Oxford who said she generally supports Gov. Tate Reeves but disagrees with him on Medicaid expansion. Several poll respondents agreed to talk with Mississippi Today about their responses.
For Cevera, a disability-retired cook, the issue is personal.
“I used to be one of the working poor,” she said. “I watched my son suffer because I couldn’t afford medical care for him … He’s now 35, and I’m still watching him suffer because he’s one of the working poor. There’s got to be something done. If other states can do it, why can’t we?”
The poll showed large majorities across partisan and demographic lines strongly support the state’s hospitals, large and small, being adequately funded and a majority believe state government has a responsibility to help poor, working people pay for basic healthcare. Vast majorities, including 91% of Republican voters, agree every Mississippian should have access to good health care.
“I think we do have a responsibility as a society to help folks, and sometimes the folks you’re helping aren’t your favorite folks, but too bad,” said Brad Dickey, 58, an engineer from Southaven who said he votes Republican at least 90% of the time. “The right to live is a basic right … They should expand it. We are an unhealthy state … I tell my friends who say they don’t want to give money to people who don’t work or can’t afford insurance, ‘Yes, but they have children.’
“They have got to have something, otherwise what they do is go to the emergency room,” Dickey continued. “It would be much more affordable care if done another way. It stresses the hospitals, and yes, we end up paying for it anyway.”
Editor’s note: Poll methodology and crosstabs can be found at the bottom of this story. Click here to read more about our partnership with Siena College Research Institute.
Mississippi is one of 11 states to refuse expansion. The decision means the state is refusing about $1 billion a year in federal funding meant to help poor states provide healthcare, and leaving up to 300,000 working Mississippians without coverage.
Meanwhile, health officials say 38 rural hospitals are in danger of closure, in large part due to eating the cost of providing care to indigent patients. Some of those hospitals are larger regional care centers, such as Greenwood Leflore Hospital, and even larger metro area hospitals are struggling financially because of uncompensated care costs.
But 14% of voters, including 23% of Republicans, according to the poll, remain opposed to Medicaid expansion. Some of those, such as small business owner Joseph Allen, 42, of Brandon, see it as an issue of fairness and too much of their tax dollars going to social or entitlement programs.
“I pay for my own insurance myself, and it’s a lot of money,” Allen said. “… To me it’s like the same old broken record in America. The more you put in, the more you’re penalized. The harder you work, the more they take.”
Independent voter Michelle Dukes, 52, a homemaker and caregiver in Edwards, said previously working 15 years in the mental health services field showed Medicaid is a flawed program and “the system needs to be fixed before they expand it.”
For some voters, support of Medicaid expansion comes with caveats and limits.
“I support it, but in a very specific way,” said Robby Raymond, 47, a heavy equipment operator who supports Gov. Reeves and is friends with him from their hometown in Florence.
“I do believe we need to do more to help the working poor, or the retired,” Raymond said. “… But for the people who are able to work that don’t and think they need assistance — what they need is a job. That’s our big downfall in this whole country, that we don’t do enough to help the people that need help, and do too much for the people who don’t need it … I’ve been fortunate and always had a good job, made good money and had insurance. But there’s lots of people I know that struggle.
“I do disagree with Tate Reeves (on Medicaid expansion), but I still talk with him a couple of times a year, and I know that he also shares my viewpoint that we should do more to help our retired and our working poor,” Raymond said.
Tim Moore, president of the Mississippi Hospital Association and advocate for Medicaid expansion, said he was not surprised to see widespread support for expansion, but the numbers were a little higher than he would have expected.
“I have for a long time thought it’s at least 65%-70%, simply because of the high numbers we got on our last poll just with Republican voters,” Moore said. “An overwhelming majority of Mississippians support it. I don’t know how our leadership ignores that.”
Moore said MHA participated in polling in 2019, gearing up for a ballot initiative drive for voters to force Medicaid expansion over legislative reluctance. But the state Supreme Court, in a ruling on medical marijuana, invalidated the state’s ballot initiative system and lawmakers have yet to restore that right to voters.
Moore noted that South Dakota, like Mississippi, was long a hold out on Medicaid expansion because of partisan politics. South Dakota voted 56% to 44% last year to expand Medicaid.
“South Dakota is also a very red state,” Moore said. “Their governor made a public statement that she didn’t support it, but if that’s what South Dakotans wanted, she would put it in place.
“I am very encouraged by the numbers this new poll is reflecting,” Moore said. “Mississippi is seeing the need for change.”
State Rep. Tracy Arnold, a conservative Republican from Booneville, said he’s not surprised at the support the poll showed for Medicaid expansion. He recently did some informal polling of his constituents on Facebook, and said he estimates support was 90% to 95%, “As long as you’re talking about the working poor.”
“I’m not surprised, because that’s the only portion of our society that is left out of everything — working people and small business owners,” Arnold said. Arnold said he’s interested in “some sort of hybrid,” expansion, perhaps similar to that enacted by Arkansas.
“Maybe have some buy in, like normal insurance with copay for visits and medicines, or even a voucher to let them buy insurance on the private market,” Arnold said. He said he might also support helping seniors who struggle to pay for supplemental insurance for Medicare.
Arnold said that although the leadership has thwarted voting or debate on Medicaid expansion in recent years, he suspects it will be at least debated when other issues are brought up, such as the Senate’s push to expand postpartum coverage for mothers.
“I think people are a little more open minded about it than they were,” Arnold said. “We have a substantial amount of revenue now. We have to help save our struggling hospitals, and this would not only be giving hospitals more funding, it would hep the struggling taxpaying citizen.
“There’s only a few states left that haven done this, and it appears to be providing some benefit and services where they have,” Arnold said. “… My position is, I will listen to the people I represent.”
The Mississippi Today/Siena College Research Institute poll of 821 registered voters was conducted Jan. 8-12 and has an overall margin of error of +/- 4.6 percentage points. Siena has an A rating in FiveThirtyEight’s analysis of pollsters.
Click here for complete methodology and crosstabs relevant to this story.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Stories Videos
Mississippi Stories: Michael May of Lazy Acres
In this episode of Mississippi Stories, Mississippi Today Editor-at-Large Marshall Ramsey takes a trip to Lazy Acres. In 1980, Lazy Acres Christmas tree farm was founded in Chunky, Mississippi by Raburn and Shirley May. Twenty-one years later, Michael and Cathy May purchased Lazy Acres. Today, the farm has grown into a multi seasonal business offering a Bunny Patch at Easter, Pumpkin Patch in the fall, Christmas trees and an spectacular Christmas light show. It’s also a masterclass in family business entrepreneurship and agricultural tourism.
For more videos, subscribe to Mississippi Today’s YouTube channel.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1921
Jan. 21, 1921
George Washington Carver became one of the first Black experts to testify before Congress.
His unlikely road to Washington began after his birth in Missouri, just before the Civil War ended. When he was a week old, he and his mother and his sister were kidnapped by night raiders. The slaveholder hired a man to track them down, but the only one the man could locate was George, and the slaveholder exchanged a race horse for George’s safe return. George and his brother were raised by the slaveholder and his wife.
The couple taught them to read and write. George wound up attending a school for Black children 10 miles away and later tried to attend Highland University in Kansas, only to get turned away because of the color of his skin. Then he attended Simpson College in Indianola, Iowa, before becoming the first Black student at what is now Iowa State University, where he received a Master’s of Science degree and became the first Black faculty member.
Booker T. Washington then invited Carver to head the Tuskegee Institute’s Agriculture Department, where he found new uses for peanuts, sweet potatoes, soybeans and other crops.
In the past, segregation would have barred Carver’s testimony before Congress, but white peanut farmers, desperate to convince lawmakers about the need for a tariff on peanuts because of cheap Chinese imports, believed Carver could captivate them — and captivate he did, detailing how the nut could be transformed into candy, milk, livestock feed, even ink.
“I have just begun with the peanut,” he told lawmakers.
Impressed, they passed the Fordney-McCumber Tariff of 1922.
In addition to this work, Carver promoted racial harmony. From 1923 to 1933, he traveled to white Southern colleges for the Commission on Interracial Cooperation. Time magazine referred to him as a “Black Leonardo,” and he died in 1943.
That same year, the George Washington Carver Monument complex, the first national park honoring a Black American, was founded in Joplin, Missouri.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Legislative recap: 2025 tax cut battle has been joined
After relatively brief debate and questioning given its magnitude, the state House passed the first meaningful legislation of the new session: House Bill 1, a measure that would eliminate the state income tax, trim taxes on non-prepared food and raise sales and gasoline taxes.
It would mark a sea change in state tax structure, a shift from income to consumption taxation.
“We are at a place where we can finally tell the hard-working people of Mississippi we can eliminate the tax on work,” House Ways and Means Chairman Trey Lamar, HB1’s author, told his colleagues.
The measure passed the House 88-24. It gained some Democratic support in the supermajority Republican House, with nine Democrats voting in favor, 24 against and 12 voting present.
The proposal garnered some bipartisan support because it includes at least a couple of items Democratic lawmakers have championed in the past: A gasoline tax to help fix crumbling roadways, and a reduction in the “grocery” tax, or the sales tax levied on unprepared food, of which Mississippi has the highest overall rate in the nation.
It still met with some Democratic opposition in part because it is a sea change toward more “regressive” taxation. Proponents say this is just, people should pay more for state services they use, such as roadways, and for things they buy as opposed to taxing income. Opponents say this places a proportionately higher tax burden on people of modest means.
“I would say the people hurt the most with this would be working people who have to put gas in their car to go to work or those who have to purchase materials to do a job,” House Democratic Leader Robert Johnson said.
Beyond that concern, opponents or skeptics worry that the foundation of the proposed tax overhaul would be built on shifting sands — a state economy that has been so rosy primarily from the federal government dumping billions of dollars in pandemic spending into Mississippi. With the federal spigot being cut off, some worry, the state economy could slump, and the massive tax cuts in this new plan could provide a state budget crisis, of which Mississippi has much experience, and underfunding of crucial services such as schools, roads, health care and law enforcement.
The largest hurdle Republican House leaders face in seeing their tax plan through to law is not in garnering bipartisan support. It’s internecine disagreement with the Senate Republican leadership, which still appears to harbor abovementioned concerns about overhauling tax structure in uncertain economic times and betting on growth to cover massive tax cuts.
Senate leaders have said they want to enact more tax cuts, but their plan has not yet been released. Lt. Gov. Delbert Hosemann has provided some details of what he wants to see, but it would appear he wants a more cautious approach on cuts. He has not publicly opined on the tax increases in the House plan.
Quote of the Week
“Have you ever worn a belt and suspenders, lady? It’s a belt and suspenders approach.” — Rep. Trey Lamar, R-Senatobia, to Rep. Omeria Scott, D-Laurel, during floor debate on Lamar’s bill to eliminate the state income tax and raise other taxes.
“No. I have not worn a belt and suspenders. I don’t know anyone who has worn a belt and suspenders,” Scott replied.
In Brief
House will renew push to legalize mobile sports betting
House Gaming Committee Chairman Casey Eure, R-Saucier, told Mississippi Today he plans on taking another crack at legalizing mobile sports betting in the state. In 2024, the House and Senate passed versions of legislation to permit online sports betting, but never agreed on a final proposal. Some lawmakers raised concerns that gambling platforms would have no incentive to partner with smaller casinos, and most of the money would instead flow to the Mississippi Gulf Coast’s already bustling casinos. Proponents say legalization would undercut the influence of illicit offshore sports betting platforms.
“I’ve been working on this bill for many years and I’m just trying to satisfy any concerns that the Senate may have so we can pass this and start collecting the tax dollars that the state deserves and not allowing everyone to place bets with these offshore accounts,” Eure said. “I feel like the state is losing between $40-$80 million a year in tax revenue.”
Sports wagering has been permitted in the state for years, but online betting has remained illegal amid fears the move could harm the bottom line of the state’s brick-and-mortar casinos. Mobile sports betting is legal in 30 states and Washington, D.C., according to the American Gaming Association. — Michael Goldberg
Hosemann makes Senate committee chair changes
Republican Lt. Gov. Delbert Hosemann last week named new chairmen of committees, after former state Sen. Jenifer Branning was sworn into office as a new justice on the Mississippi Supreme Court.
Sen. Chuck Younger, a Republican from Columbus, previously led the Senate Agriculture Committee and will replace Branning as chairman of the Transportation Committee. Sen. Neil Whaley, a Republican from Potts Camp, previously led the Senate Wildlife, Fisheries and Parks Committee, but will now lead the Senate Agriculture Committee.
Here are the other changes to Senate committees:
Sen. Ben Suber, a Republican from Bruce, will be the new chairman of the Senate Wildlife, Fisheries and Parks Committee
Sen. Bart Williams, a Republican from Starkville, is the new chairman of the Senate Public Property Committee
Sen. Scott DeLano, a Republican from Gulfport, will lead the Senate Technology Committee
Sen. Robin Robinson, a Republican from Laurel, will chair the Senate Labor Committee
Sen. Angela Turner Ford, a Democrat from West Point, will lead the Senate Drug Policy Committee. — Taylor Vance
What’s in a name? Democratic Rep. Scott hopes GOP majority will pass ‘Donald J. Trump Act’ bills
Perhaps tired of seeing many measures she authors ignored or shot down in flames by the Republican supermajority in the Mississippi Legislature, Democratic Rep. Omeria Scott of Laurel is trying a new strategy: naming bills after Republican President-elect Trump.
For this session, Scott has authored: House Bill 61, the “Donald J. Trump Voting Rights Restoration Act;” House Bill 62, the “Donald J. Trump Ban-The-Box Act … to prohibit public employers from using criminal history as a bar to employment;” and House Bill 249, the “Donald J. Trump Early Voting Act.” — Geoff Pender
More bills filed to criminalize abortion
Since the 2022 Dobbs Supreme Court decision overturned the constitutional right to an abortion, Mississippi lawmakers have proposed bills to criminalize workarounds to the state’s strict abortion ban – including criminalizing the abortion pill and out-of-state abortions. The 2025 legislative session is no exception.
Rep. William Tracy Arnold, R-Booneville, filed House Bill 616 that would make it a felony to manufacture or make accessible medication abortion. Anyone convicted of the crime would be subject to a fine between $1,000 and $5,000, as well as imprisonment between two and five years. Last year, about 250 Mississippians each month requested medication abortion from Aid Access, the only online telemedicine service supplying medication abortion via mail in the U.S.
Helping a minor receive an abortion would also be criminalized under House Bill 148 filed by Rep. Mark Tullos, R-Raleigh. That would include transporting a minor out of state to undergo an abortion, as well as helping a minor procure a medication abortion – both of which would be punishable by not less than 20 years in prison or a fine of not less than $50,000. — Sophia Paffenroth
By the Numbers
$1.1 billion
The estimated net annual cost of the House plan to eliminate the state income tax and raise sales taxes, once fully phased in. Proponents say economic growth would allow the state budget, currently about $7 billion a year, to absorb the cut. Eliminating the income tax would cost the state $2.2 billion in revenue, but the House plan would raise about $1.1 billion in other taxes in offset.
0
The amount of income tax Mississippians would pay after a 10-year phased in elimination of the state income tax. With previous cuts being phased in, state income taxes next year will already be reduced to 4%, among the lowest rates in the nation.
8.5 %
The new Mississippi sales tax, up from current 7%, under the House tax plan assuming most local governments would not opt out of adding a new 1.5% local sales tax.
13 cents more a gallon
The cost of the House’s proposed new 5% gasoline tax, based on last week’s average cost of gasoline in Mississippi of $2.62. The new 5% tax would be on top of the flat 18.4 cents a gallon current state excise on gasoline.
4%
The tax on unprepared food once a reduction of the current 7% would be phased in over a decade under the House plan. The state would over time reduce its sales tax on such groceries to 2.5%, but local governments would add a 1.5% sales tax to such items unless they opt out.
Full Legislative Coverage
Lawmakers must pass new legislation to improve access to prenatal care
Lawmakers will file another bill this session to help low-income pregnant women get into the doctor earlier – after the federal government rejected the program set up under last year’s law, because of discrepancies between what was written into state law and federal regulations for presumptive Medicaid eligibility. Read the story.
Proposal: eliminate income tax, add 5% tax on gas, allow cities, counties to levy local sales tax
House leaders last week unveiled a sweeping tax cut proposal that would eventually abolish the state income tax, slash taxes on groceries, increase local sales taxes and shore up funds for state and local road work. Read the story.
A new Mississippi law aims to limit jailing people awaiting mental health treatment. Is it working?
Officials say a new law to decrease the number of people being jailed solely because they need mental health treatment has led to fewer people with serious mental illness detained in jails – but the data is contradictory and incomplete. Lawmakers plan legislation to make more counties report the data. Read the story.
How soon we forget: Mississippi House push for record tax cuts revives fear of repeat budget crises
Eight years ago, from a combination of dozens of tax cuts the Legislature approved and a slumping economy, the state saw a budget crisis that resulted in severely underfunded schools, government layoffs, a near halt to building new roads and highways and problems maintaining the ones we have, too few state troopers on the highways and cuts to most major state services. Read the story.
NAACP legislative redistricting proposal pits two pairs of senators against each other
The Mississippi chapter of the ACLU has submitted a proposal to the courts to redraw the state’s legislative districts that creates two new majority-Black Senate districts and pits two pairs of incumbent senators against one another. Read the story.
Legislation to send more public money to private schools appears stalled as lawmakers consider other changes
Some top lawmakers in Mississippi’s Republican-controlled Legislature are prepared to make it easier for students to transfer between public schools but remain skeptical of sending more public money to private schools. Read the story.
House passes $1.1 billion income tax elimination-gas and sales tax increase plan in bipartisan vote
A bill that phases out the state income tax, cuts the state grocery tax and raises sales taxes and gasoline taxes passed the House of Representatives with a bipartisan vote on Thursday. Read the story.
Tate Reeves and other top Mississippi Republicans owe thanks to President Joe Biden
The tremendous cash surpluses that some state Republicans cite when defending their plan to eliminate the state’s income tax would not exist if not for the billions of dollars in federal funds that have been pumped into the state during Biden’s presidential tenure. Read the story.
Podcast: Mississippi transportation director discusses proposed new gasoline tax
Mississippi Department of Transportation Director Brad White tells Mississippi Today’s Geoff Pender and Taylor Vance he’s staying “in his lane” and out of the politics of a House tax overhaul that would eliminate the income tax and raise sales and gasoline taxes, but that he’s pleased lawmakers are trying to address the long running need for a steady new stream of money to help cover highway maintenance needs. Listen to the podcast.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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