Mississippi Today
Remember Lt. Gov. Delbert Hosemann’s plan to save hospitals? Here’s where those bills stand.
Remember Lt. Gov. Delbert Hosemann’s plan to save hospitals? Here’s where those bills stand.
At the beginning of the 2023 legislative session, Lt. Gov. Delbert Hosemann announced a plan to save Mississippi’s failing rural hospitals.
The first-term Senate leader proposed a hodgepodge of grants and programs including four bills costing upwards of $100 million that would grant extra money to hospitals, remove legal barriers to consolidating small hospitals and incentivize the retention of nurses and doctors.
Months later, three of those bills have passed. One is being debated but appears on its way to passage.
The state of Mississippi’s rural health care infrastructure is tenuous. A third of the state’s rural hospitals are at risk of closure, and half of those in a few years, according to a report by the Center for Healthcare Quality and Payment Reform. Their closures could spell devastation for the communities they serve, in a state with some of the worst health outcomes in the country.
READ MORE: The death of rural hospitals could leave Mississippians ‘sick, sick, sick’
Hosemann said he spoke with statewide hospital and health care leaders in developing the plan. Notably, he steered away from floating Medicaid expansion, which would draw down more than a billion dollars from the federal government.
But he did voice support for extending postpartum Medicaid coverage and wanted to work with the state Division of Medicaid and Gov. Tate Reeves to increase reimbursements to hospitals. Both those goals were accomplished, with the Legislature extending postpartum coverage to 12 months in February, and reimbursements to hospitals have increased, though only by about $40 million, a far cry from the $230 million health care experts say they need. Hospital administrators are waiting to see if the difference will be made up by grants from the Legislature.
As of Tuesday, both chambers have passed Senate Bill 2372, which establishes the hospital grant program, and House Bill 271, the appropriations bill that funds it. Senate Medicaid Chairman Kevin Blackwell, R-Southaven, told lawmakers that $700,000 would go to the Department of Health to administer the program, and the rest, $103 million, would go to hospitals.
On the Senate floor on Monday, debate about the hospital grants turned into a debate about broader Medicaid expansion and how the proposed grant program doesn’t do enough to help hospitals. Several Democratic senators pointed out the $103 million could be just as easily spent as the state’s match for federal Medicaid dollars under expansion.
READ MORE: Mississippi leaving more than $1 billion per year on table by rejecting Medicaid expansion
“Less than 30 minutes ago, the governor of red North Carolina signed a bill to expand Medicaid,” Sen. David Blount, D-Jackson, said on Monday. “You can put $100 million in this fund for hospitals and have $100 million, or you can put $100 million over here, and have $1 billion for hospitals.”
As lawmakers enter the final few days of the 2023 legislative session, here’s where Hosemann’s legislation stands. Because the state budget hasn’t been finalized as of Tuesday, details about exact amounts are still subject to some change.
- Senate Bill 2371: Provide between $16 million and $25 million to help with hospital residency and fellowship programs, as well as a nursing/allied health community college grant program. The bill aims to help retain doctors — the majority of doctors remain in the places they do their residencies — and increase Mississippi’s nursing workforce. The bill passed in the Senate on Monday, but the amount of money going toward the programs is still not final.
- Senate Bill 2372: Establish the Mississippi Hospital Sustainability Grant Program, which would provide extra money to aid the state’s struggling hospitals. The Senate’s bill establishes rules and regulations for the grant program, while House Bill 271 will fund the program. Lawmakers decided Monday that they’d send $104 million to hospitals, up from $80 million the Senate approved earlier in the session. The details of the grant program laid out in the Senate bill were released and passed on Tuesday.
- Senate Bill 2373: Provide $6 million for a nurse loan repayment program, to aid the state’s substantial shortage. Mississippi’s nurse turnover and vacancy rates are at their highest in at least a decade. The bill was passed and signed into law by Gov. Tate Reeves in early March.
- Senate Bill 2323: Amend current laws to allow the consolidation of hospitals. Hosemann previously said the state’s health care system needs to be revamped to be more financially viable. The bill has passed and awaits Reeves’ signature or veto by March 30.
Mississippi Today’s Geoff Pender 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 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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