Mississippi Today
Reeves makes clear that cost is not his reason for opposing Medicaid expansion for working poor
The shroud of mystery has been removed on why Gov. Tate Reeves opposes expanding Medicaid.
It is not a matter of cost. The governor simply does not support expanding Medicaid to provide health care coverage for Mississippi’s working poor.
Reeves’ recent announcement of his plan to provide additional federal funds for struggling hospitals makes clear that the cost to the state is not the reason he opposes expanding Medicaid.
Reeves often has said he opposed Medicaid expansion because the state could not afford to put up 10% of the matching funds to draw down the federal fund. Under expansion, the feds would pay 90% of the health care costs for an estimated 300,000 Mississippians — mostly the working poor who would qualify.
Health care experts question whether Reeves’ recently announced complex plan to draw down additional federal Medicaid funds for hospitals would even work. But under his plan, the hospitals would pay an additional assessment or tax of $178 million per year as the state match to draw down the funds. If it works, the hospitals paying the assessment/tax would garner an estimated $680 million annually in federal Medicaid funds.
But there’s another option at the governor’s disposal. He could take a portion of that increased hospital assessment/tax (about $100 million) and draw down more than $1 billion annually in Medicaid expansion funds as 40 other states have done. Those funds would be used to provide health insurance to tens of thousands of the working poor. Medicaid expansion would allow hospitals to receive payments when they provide services to the working poor and would allow the working poor to access other medical services, such as primary care physicians, who might be able to prevent them from needing more expensive hospital care down the road.
It is important to remember that back in 2019, the Mississippi Hospital Association proposed paying an assessment/tax to provide the state match for Medicaid expansion. Reeves rejected that proposal then.
At last week’s announcement, Reeves reiterated that he has no interest in expanding Medicaid to provide health insurance for the poor.
“The question is … what is the difference in changing the payment methodology and adding approximately 300,000 Mississippians to the welfare rolls?” the governor said. “Mississippi has the lowest unemployment rate in our state’s history. We need more people in the work force … So, adding 300,000 able-bodied Mississippians to the welfare rolls I would argue is a bad idea.”
A study by the Kaiser Family Foundation found that 61% of Medicaid recipients work and another 30% of recipients are students, disabled or caregivers. Medicaid expansion is designed, in part, to provide health insurance for people who work in jobs where their employers do not provide health insurance and they do not earn enough to afford private insurance.
Mississippi’s current Medicaid program provides health insurance coverage for the disabled, poor pregnant women and children, a certain group of caregivers living in extreme poverty and a certain group of the elderly, but not the working poor.
A study by the Mississippi University Research Center found that Medicaid expansion would generate much more in federal funds — at a lower cost to the state — than the governor’s recently announced plan would.
Mississippi would receive $1.61 billion in federal funds for the first year of Medicaid expansion and $1.64 billion in the second year, according to a study authored by the state economist’s office. The office forecasted that Mississippi would collect $1.36 billion in year three, $1.38 billion in year four, and increasing by smaller percentages going forward.
That money could be used not only to help hospitals, but to provide access to health care for working poor Mississippians.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1908
Dec. 26, 1908
Pro boxing pioneer Jack Johnson defeated Tommy Burns, becoming the first Black heavyweight boxing champion.
Johnson grew up in Galveston, Texas, where “white boys were my friends and pals. … No one ever taught me that white men were superior to me.”
After quitting school, he worked at the local docks and then at a race track in Dallas, where he first discovered boxing. He began saving money until he had enough to buy boxing gloves.
He made his professional debut in 1898, knocking out Charley Brooks. Because prizefighting was illegal in Texas, he was occasionally arrested there. He developed his own style, dodging opponents’ blows and then counterpunching. After Johnson defeated Burns, he took on a series of challengers, including Tony Ross, Al Kaufman and Stanley Ketchel.
In 1910, he successfully defended his title in what was called the “Battle of the Century,” dominating the “Great White Hope” James J. Jeffries and winning $65,000 — the equivalent of $1.7 million today.
Black Americans rejoiced, but the racial animosity by whites toward Johnson erupted that night in race riots. That animosity came to a head when he was arrested on racially motivated charges for violating the Mann Act — transporting a woman across state lines for “immoral purposes.”
In fact, the law wasn’t even in effect when Johnson had the relationship with the white woman. Sentenced to a year in prison, Johnson fled the country and fought boxing matches abroad for seven years until 1920 when he served his federal sentence.
He died in 1946, and six decades later, PBS aired Ken Burns’ documentary on the boxer, “Unforgivable Blackness: The Rise and Fall of Jack Johnson,” which fueled a campaign for a posthumous pardon for Johnson. That finally happened in 2018, when then-President Donald Trump granted the pardon.
To honor its native son, Galveston has built Jack Johnson Park, which includes an imposing statue of Johnson, throwing a left hook.
“With enemies all around him — white and even Black — who were terrified his boldness would cause them to become a target, Jack Johnson’s stand certainly created a wall of positive change,” the sculptor told The New York Times. “Not many people could dare to follow that act.”
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Health department’s budget request prioritizes training doctors, increasing health insurance coverage
New programs to train early-career doctors and help Mississippians enroll in health insurance are at the top of the state Department of Health’s budget wish list this year.
The agency tasked with overseeing public health in the state is asking for $4.8 million in additional state funding, a 4% increase over last year’s budget appropriation.
The department hopes to use funding increases to start three new medical residency programs across the state. The programs will be located in south central Mississippi, Meridian and the Delta and focus on internal and family medicine, obstetric care and rural training.
The Office of Mississippi Physician Workforce, which the Legislature moved from UMMC to the State Department of Health last year, will oversee the programs.
The office was created by the Legislature in 2012 and has assisted with the creation or supported 19 accredited graduate medical education programs in Mississippi, said health department spokesperson Greg Flynn.
A $1 million dollar appropriation requested by the department will fund a patient navigation program to help people access health services in their communities and apply for health insurance coverage.
People will access these services at community-based health departments, said Flynn.
Patient navigators will help patients apply for coverage through Medicaid or the Health Insurance Marketplace, said Health Department Senior Deputy Kris Adcock at the Joint Legislative Budget Committee meeting on Sept. 26.
“We want to increase the number of people who have access to health care coverage and therefore have access to health care,” she said.
The Health Insurance Marketplace is a federally-operated service that helps people enroll in health insurance programs. Enrollees can access premium tax credits, which lower the cost of health insurance, through the Marketplace.
The department received its largest appropriation from the state’s general fund in nearly a decade last year, illustrating a slow but steady rebound from drastic budget cuts in 2017 that forced the agency to shutter county health clinics and lay off staff.
State Health Officer Dr. Daniel Edney said he is “begging for some help with inflationary pressure” on the department’s operations budget at the State Board of Health meeting Oct. 9, but additional funding for operations was not included in the budget request.
“They’re (lawmakers) making it pretty clear to me that they’re not really interested in putting more money in (operations) to run the agency, and I understand that,” he said.
State agencies present budget requests to the Joint Legislative Budget Committee in September. The committee makes recommendations in December, and most appropriations bills are passed by lawmakers in the latter months of the legislative session, which ends in April.
The Department of Health’s budget request will likely change in the new year depending on the Legislature’s preferences, Edney said Oct. 9.
The state Health Department’s responsibilities are vast. It oversees health center planning and licensure, provides clinical services to underserved populations, regulates environmental health standards and operates infectious and chronic disease prevention programs.
Over half of the agency’s $600 million budget is funded with federal dollars. State funding accounts for just 15% of its total budget.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1956
Dec. 25, 1956
Fred Shuttlesworth somehow survived the KKK bombing that took out his home next to the Bethel Baptist Church in Birmingham, Alabama.
An arriving policeman advised him to leave town fast. In the “Eyes on the Prize” documentary, Shuttlesworth quoted himself as replying, “Officer, you’re not me. You go back and tell your Klan brethren if God could keep me through this, then I’m here for the duration.’”
Shuttlesworth and Bethel saw what happened as proof that they would be protected as they pursued their fight against racial injustice. The next day, he boarded a bus with other civil rights activists to challenge segregation laws that persisted, despite a U.S. Supreme Court decision that ordered the city of Montgomery, Alabama, to desegregate its bus service.
Months after this, an angry mob of Klansmen met Shuttlesworth after he tried to enroll his daughters into the all-white school in Birmingham. They beat him with fists, chains and brass knuckles. His wife, Ruby, was stabbed in the hip, trying to get her daughters back in the car. His daughter, Ruby Fredericka, had her ankle broken. When the examining physician was amazed the pastor failed to suffer worse injuries, Shuttlesworth said, “Well, doctor, the Lord knew I lived in a hard town, so he gave me a hard head.”
Despite continued violence against him and Bethel, he persisted. He helped Martin Luther King Jr. found the Southern Christian Leadership Conference and was instrumental in the 1963 Birmingham Campaign that led to the desegregation of downtown Birmingham.
A statue of Shuttlesworth can be seen outside the Birmingham Civil Rights Institute, and Birmingham’s airport bears his name. The Bethel church, which was bombed three times, is now a historic landmark.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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