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Proof of income requirement may delay program to help low-income pregnant women get care

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mississippitoday.org – Sophia Paffenroth – 2024-09-26 18:42:11

The head of Mississippi Medicaid told lawmakers on Thursday that the agency is working with the federal government to get approval of a new law that allows uninsured, low-income women short-term Medicaid coverage while they wait for their application to be approved.

The program, called presumptive eligibility for pregnant women, has been hailed as a way to get pregnant women earlier access to prenatal care in states that have not expanded Medicaid and to mitigate bad health outcomes for mothers and babies.

Mississippi is one of 10 states in the nation not to expand Medicaid under the Affordable Care Act. 

Mississippi lawmakers wrote in the bill that women must provide proof of income before qualifying for presumptive eligibility, which is potentially at odds with federal regulations. 

“CMS (Centers for Medicare and Medicaid Services) does not like proof of income or proof of pregnancy,” Medicaid Executive Director Drew Snyder said Thursday in an annual legislative budget meeting. “To the current federal administration, a person’s word should be sufficient to get the temporary pregnancy coverage … I’m hopeful that we’ll be able to come to a resolution that is faithful to the state law and satisfies federal expectations.”

It’s not clear whether the state agency will be able to negotiate the details with the federal government or whether the Mississippi Legislature will need to rewrite the law during the 2025 legislative session.

Following the meeting, Snyder quickly left the building and refused to answer questions from a reporter about the status of the program. Mississippi Today has been allowed to communicate about pregnancy presumptive eligibility with the Division of Medicaid solely through email exchanges.

House Bill 539, spearheaded by Medicaid Chair Missy McGee, R-Hattiesburg, would allow low-income pregnant women to get prenatal care while waiting for an official Medicaid application to be approved. The way the bill is written, these women would need to bring proof of income, such as a paystub, to their doctor’s office. 

Federal guidelines, however, state that while the agency may require proof of citizenship or residency, it should not “require verification of the conditions for presumptive eligibility” – which are pregnancy and income. 

“It is my understanding that the Division of Medicaid is currently working with CMS for approval of our presumptive eligibility law, specifically with the language around proof of income,” McGee told Mississippi Today. “This is part of the process and I am optimistic that it will be approved.”

The Centers for Medicare and Medicaid Services, tasked with approving or denying the state’s plan for implementing presumptive eligibility, has until Oct. 9 to make a decision. 

CMS declined to comment on the status of Mississippi’s state plan amendment.

A spokesperson for Medicaid told Mississippi Today via email the agency is moving forward with implementation of the program despite the federal government’s concerns.

The Division is accepting applications from health care providers and conducting eligibility determination training sessions – the final requirement for providers before they can begin treating women under the new policy. Nine medical providers have had their applications approved so far, according to the Division of Medicaid. 

The Division hosted a training for participating Federally Qualified Health Centers Thursday and will be hosting a training for participating hospitals Oct. 10 and 11, according to a participating provider. 

In addition to the nine providers that have been accepted, the University of Mississippi Medical Center – the state’s largest public hospital and largest Medicaid provider – told Mississippi Today it submitted its application on Thursday. 

Below is a list of the nine providers that have been approved to participate as of Sept. 25: 

  • Physicians & Surgeons Clinic – Amory
  • Mississippi Department of Health, Dr. Renia Dotson – County Health Dept. (Family Planning Clinic)
  • Family Health Center – Laurel
  • Delta Health Center, Inc (Dr. H. Jack Geiger Medical Center) – Mound Bayou
  • G.A. Carmichael Family Health Center Providers – Belzoni, Canton, Yazoo City
  • Coastal Family Health Center, Inc. – Biloxi 
  • Delta Health System – Greenville
  • Delta Medical Group – Women’s Specialty Clinic – Greenville
  • Southeast MS Rural Health Initiative Inc. – Women’s Health Center – Hattiesburg

Gwen Dilworth contributed to this report.

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

Mississippi Today

On this day in 1865

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mississippitoday.org – Jerry Mitchell – 2024-12-29 07:00:00

Dec. 29, 1865

An 1837 copy of The Liberator Credit: Library of Congress

Months after the end of the Civil War, abolitionist leader William Lloyd Garrison produced the last issue of “The Liberator,” which he began publishing in 1831. 

In the first issue, he wrote, “I will be as harsh as truth, and as uncompromising as justice. On this subject [of slavery], I do not wish to think, or speak, or write, with moderation. No! No! Tell a man whose house is on fire to give a moderate alarm; tell him to moderately rescue his wife from the hands of the ravisher; tell the mother to gradually extricate her babe from the fire into which it has fallen; —but urge me not to use moderation in a cause like the present. I am in earnest – I will not equivocate – I will not excuse – I will not retreat a single inch – and I will be heard.” 

His fight to end slavery emanated from his deep faith, and he envisioned a world beyond bondage: “My Bible assures me that the day is coming when even the ‘wolf shall dwell with the lamb, and the leopard shall lie down with the kid, and the wolf and the young lion and the fatling together’; if this be possible, I see no cause why those of the same species—God’s rational creatures—fellow countrymen, in truth, cannot dwell in harmony together.” 

Garrison worked, too, with the Underground Railroad and Harriet Tubman, whom he nicknamed “Moses.” 

When the day came to celebrate the nation’s independence in 1854, Garrison and other members of the Massachusetts Anti-Slavery Society gathered for a picnic. He stood before them and chastised the U.S. Constitution, which regarded those enslaved as property, rather than people. He set a copy on fire and called it “a covenant with death and an agreement with hell.” He called for “amens” from the crowd, which exploded, “Amen!” 

A pro-slavery mob tried to lynch him and would have succeeded if some sympathizers hadn’t turned him over instead to authorities. A gallows was even erected outside his office, and he was burned in effigy. 

In addition to his work to end slavery, he became a leading advocate for women’s rights. With the last issue published, Garrison declared that his “vocation as an Abolitionist, thank God, has ended.” He continued to fight for the rights of African Americans and women. His works influenced Russian author Leo Tolstoy, Mahatma Gandhi and Martin Luther King Jr. A memorial in Boston now honors Garrison.

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

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Mississippi Today

Wicker’s key committee chairmanship is nothing new for Mississippi senators

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mississippitoday.org – Bobby Harrison – 2024-12-29 06:00:00

Roger Wicker is continuing a long tradition of Mississippians serving in powerful positions in the U.S. Senate.

It was expected when Republicans recaptured the Senate majority in the November general election that Wicker, a Tupelo Republican, would be tabbed to chair the Senate Armed Services Committee. So it was no surprise when incoming Majority Leader John Thune, a South Dakota Republican, confirmed recently that the Republican majority had selected Wicker to chair the influential committee when the new Senate convenes in January.

The Armed Services Committee provides oversight of the nation’s military and defense apparatus, including playing a key role in setting the budget for the Department of Defense. Wicker had said he wants to continue the tradition of former President Ronald Reagan of peace through strength — of having a military so powerful that it would deter military action by rival countries. It could be argued, though, that for decades the U.S. military has stood head and shoulders above other militaries in the world.

It makes sense that Wicker would chair the important committee. He served as a lieutenant colonel in the U.S. Air Force and later in the Air Force Reserves. In addition to his military service, Wicker has another valuable commodity: Senate seniority.

Wicker, age 73, has been in the Senate since 2007 — appointed to a vacant post on New Year’s Eve by then-Gov. Haley Barbour. Wicker won a special election in November 2008 to continue his service and has easily won reelection since then.

Other Mississippians have served in key Senate positions thanks at least in part to their seniority.

Thad Cochran, who stepped down in 2018, served in key posts, including as Appropriations chair. And of course, Trent Lott, who served alongside Cochran for most of his tenure, served as Senate majority leader.

Before Cochran and Lott, there were James Eastland and John Stennis representing Mississippi in the Senate. Eastland chaired the Judiciary Committee, and Stennis was the first chair of the Ethics Committee. Stennis also chaired Armed Services during the tumultuous Vietnam War and Appropriations late in his tenure.

For much of Stennis’ 42-year tenure, he served as the junior senator from Mississippi. Eastland won election to the Senate in 1942 compared to 1947 for Stennis.

At one point, Eastland and Stennis were the Senate’s longest serving duo.

The life expectancy in Mississippi is 74.6 years, according to the World Population Review. Based on that number, the average Mississippian has seen only six people serving in the two U.S. Senate slots in his or her lifetime.

There were Eastland/Stennis, followed by Cochran and Lott and now Wicker and Cindy Hyde-Smith.

Hyde-Smith was appointed to a vacant slot in 2018 by then-Gov. Phil Bryant. She was elected to the post in a special election later in 2018 and in a regular election in 2020. Her current term will end in 2026. Whether Hyde-Smith, age 65, will seek another term and try to continue the trend of Mississippians building up seniority in the U.S. Senate remains to be seen.

But needless to say, there is no more job security in Mississippi than being in the U.S. Senate.

A matter of fact, the same could be said for serving in any statewide elected post in Mississippi. The last statewide incumbent to be defeated was Insurance Commissioner George Dale in 2007. Before then, it was Gov. Ronnie Musgrove in 2003. Musgrove burst on the statewide political scene by upending Lt. Gov. Eddie Briggs in 1995.

The last incumbent Mississippi U.S. senator to lose a reelection bid was Wall Doxey in 1942.

Talk about job security.

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 1954

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mississippitoday.org – Jerry Mitchell – 2024-12-28 07:00:00

Dec. 28, 1954

Publicity photograph of Denzel Washington Credit: Paramount Pictures, photo by Mark Seliger

Two-time Oscar winner Denzel Washington was born in Mount Vernon, New York, the son of a beautician and Pentecostal preacher. 

Washington planned on pursuing a career in journalism, but while at Fordham University, he appeared in several student drama productions and became obsessed with acting. 

After his first paying gig in a summer stock theater production in Maryland, he began to pursue television and movie roles. He made his first big screen appearance in the 1981 film, “Carbon Copy,” and a year later won the role of Dr. Philip Chandler in NBC’s hit medical series “St. Elsewhere.” 

Washington continued to make films, including the 1984 film, “A Soldier’s Story,” where he drew critical notice for his performance. Five years later, he won an Academy Award for Best Supporting Actor for his work in the 1989 film “Glory” and later won for Best Actor in the 2001 film “Training Day.” 

In 2016, the Golden Globes honored him with the Cecil B. DeMille Lifetime Achievement Award, and three years later, the American Film Institute bestowed its Life Achievement Award. In 2022, he received the Presidential Medal of Freedom.

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

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