Mississippi Today
See running total of how much money Mississippi is turning down by not expanding Medicaid
Mississippi would receive an additional $2.04 billion the first year Medicaid was expanded to provide health care coverage for the working poor, according to projections compiled in June by the state’s University Research Center.
Based on that projection, Mississippi Today is unveiling a digital tracker that will run continuously displaying how much money the state is losing in federal funds by not expanding Medicaid. The tracker reflects the amount of money loss per millisecond for the year based on Medicaid expansion beginning on the start of the fiscal year, July 1st.
How much federal funding has Mississippi turned down this year?
The tracker is not exact: The amount of Medicaid money the state receives is based on a number of factors, primarily the health care needs of those covered by Medicaid. Medicaid provides funds to health care providers for rendering medical services to those who qualify for Medicaid.
The state might receive more federal Medicaid funds, for example, during a flu or COVID-19 outbreak because Medicaid recipients would be receiving more health care.
But for the sake of the tracker, it will be assumed the money received over a year – a projected $2.04 billion – would be distributed evenly.
The tracker presumes that Medicaid expansion would begin in Mississippi on July 1 – the first day of a new fiscal year.
It’s also helpful to explain how the University Research Center derived the projection the state would receive $2.04 billion the first year in federal funds for expanding Medicaid.
The bulk of the federal funds would come from taking the projected number of enrollees – nearly 250,000 — and multiplying that number by the estimated $6,139 expenditure per enrollee. The federal government pays 90% of that cost.
Included in that is money the state would receive by moving certain groups of people currently enrolled in Medicaid where the federal government pays 77.3% of the costs to the new expansion population where the federal government pays 90% of the costs.
In addition, the state would receive funds from the federal government paying a tax to the state – a 3% insurance tax on each new expansion enrollee.
And during the first two years of expansion, the state would receive an estimated $335.4 million in new funds the first year of expansion and an estimated $345.5 million in new funds the second year. The funds would be provided to the state as an incentive to expand Medicaid as 40 other states have done.
The amount of the incentive funds to expand Medicaid is derived by adding 5% to the federal match the state receives from the federal government for the traditional Medicaid program. The federal match Mississippi receives for the traditional Medicaid program is 77.3%. In other words, for every dollar spent on Medicaid, the federal government pays 77.3 cents. Mississippi receives the highest federal match for the traditional Medicaid program of any state in the nation because of multiple reasons, such as the state’s high poverty rate. If Mississippi expanded Medicaid, the federal match non-expansion enrollees would go to 82.3% for two years, resulting in $680 million to the state over two years.
After two years, the 5% increase in the federal match for the traditional Medicaid program would go away. With the removal of the 5% enhanced match, the University Research Center projects the total federal expenditure on Medicaid expansion would drop to $1.78 billion in year three.
At that point, if Medicaid is not expanded, Mississippi Today will have to recalculate its tracker.
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 1972
Nov. 16, 1972
A law enforcement officer shot and killed two students at Southern University in Baton Rouge after weeks of protests over inadequate services.
When the students marched on University President Leon Netterville’s office, Louisiana Gov. Edwin Edwards sent scores of police officers in to break up the demonstrations. A still-unidentified officer shot and killed two 20-year-old students, Leonard Brown and Denver Smith, who weren’t among the protesters. No one was ever prosecuted in their slayings.
They have since been awarded posthumous degrees, and the university’s Smith-Brown Memorial Union bears their names. Stanley Nelson’s documentary, “Tell Them We Are Rising: The Story of Black Colleges and Universities,” featured a 10-minute segment on the killings.
“They were exercising their constitutional rights. And they get killed for it,” former student Michael Cato said. “Nobody sent their child to school to die.”
In 2022, Louisiana State University Cold Case Project reporters, utilizing nearly 2,700 pages of previously undisclosed documents, recreated the day of the shootings and showed how the FBI narrowed its search to several sheriff’s deputies but could not prove which one fired the fatal shot. The four-part series prompted Louisiana Gov. John Bel Edwards to apologize to the families of the victims on behalf of the state.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Gloster residents protest Drax’s new permit request
GLOSTER — Drax, the United Kingdom-based wood pellet producer that’s violated air pollution limits in Mississippi multiple times, is asking the state to raise the amount of emissions it’s allowed to release from its facility in Gloster.
In September, the state fined Drax $225,000 for releasing 50% over the permitted limit of HAPs, or Hazardous Air Pollutants, from its facility Amite BioEnergy. In a pending permit application that it submitted to the Mississippi Department of Environmental Quality in 2022, the company is seeking to transition from a “minor source” of HAPs to a “major source.”
A “major source” permit would remove the limit over the facility’s total HAP emissions, but it would apply a new limit over the rate at which Drax could release the pollutants.
This year’s fine was its second penalty for violating Mississippi law around air pollution limits. In 2020, the state fined the company $2.5 million for releasing over three times the legal threshold of Volatile Organic Compounds, or VOCs, one of the largest such fines in state history. Drax underestimated its VOC releases since the facility opened in 2016, but didn’t realize it until 2018. The facility didn’t come into compliance until 2021.
The Environmental Protection Agency lists a variety of potential health impacts from exposure to HAPs, including damage to the immune system and respiratory issues. VOCs can also cause breathing problems, as well as eye, nose and throat irritation, according to the American Lung Association.
For years since Drax’s violations became public, nearby residents have attributed health issues to living near the facility. During a public hearing on Drax’s permit request Thursday in Gloster, attendees reiterated those concerns.
“We all experience headaches every day,” resident Christie Harvey said about her and her grandchildren. Harvey said she has asthma too, and her doctor was “baffled” by her symptoms. “Each week I have to take (my grandchildren) to the clinic for upper respiratory issues … It’s not fair that we have to go through this. Drax needs to lower the pollution as much as possible.”
Part of the public outcry is the proximity of people’s homes to the plant, which is within a mile of Gloster’s downtown.
“The wood pellet plant in Lucedale is situated in an industrial park outside of town,” Andrew Whitehurst of Healthy Gulf, an environmental group dedicated to protecting the Gulf of Mexico’s natural resources, said at the meeting. “The wood pellet plant that (Enviva is) trying to put in Bond will be situated north and west of the downtown area. Not like this when it’s right smack in the middle (of the city). It’s totally inappropriate. People can’t take it, they don’t deserve it.”
In a statement to Mississippi Today, Drax said it prioritizes the public health and environment in Gloster, adding that the permit modification is a part of standard business practice.
“When we first began operations, some of our original permits were not fit for purpose,” spokesperson Michelli Martin said via e-mail. “We are now working to acquire the appropriate permits for our operating output and to improve our compliance. Within these permits the requirements may change based on engineering data and industry standards. This permit modification is part of our ongoing plan to provide MDEQ with the most accurate data. Drax fully supports the resolution of our permitting request and looks forward to working with MDEQ to finalize the details.”
While researchers, including from Brown University, are studying the health symptoms of residents near the wood pellet plant, there is no proven connection between the facility’s emissions and those symptoms.
Erica Walker, a Jackson native who teaches epidemiology at Brown and who’s leading the study, spoke to Mississippi Today earlier this year. Regardless of the cause and effect, she said, the decision to put the plant near disadvantaged communities with poor health outcomes is concerning.
“We want to make sure we aren’t additionally burdening already burdened communities,” Walker said.
About 1,300 people live in the city, according to Census data, and 39% live below the poverty line.
Moreover, Gloster residents often have to travel hours, to cities such as McComb and Baton Rouge, to find the nearest medical specialist. Amite County, where Gloster is, has a higher rate of uninsured residents than the rest of the state, according to County Health Rankings, and the ratio of residents to primary care physicians is over three times greater in the county than Mississippi as a whole.
As part of its application, Drax is seeking a Title V permit under the Clean Air Act, which the EPA requires for major sources of air pollutants. This gives the EPA the opportunity to review Drax’s application and public comments submitted with it. The public can submit comments on the application until Nov. 26, and can do so through MDEQ’s website.
The Mississippi Environmental Quality Permit Board, which is made up of officials from several state agencies, will then decide whether or not to grant the new permits. A full overview of the process and Drax’s application is available online.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Mississippi receives ‘F’ rating on preterm birth rate
Mississippi received an F grade for its rate of preterm births in 2023 – those occurring before 37 weeks gestation – from the 2024 March of Dimes report card.
Mississippi’s preterm birth rate was 15%, the worst in the country. Any state with a rate greater than 11.5% also received an F. The U.S. average was 10.4%.
Preterm births in Mississippi have risen steadily over the last decade, increasingly nearly 2% since 2013. In Jackson, the state capital, nearly one in five babies are born preterm, according to the report.
“As a clinician, I know the profound impact that comprehensive prenatal care has on pregnancy outcomes for both mom and baby,” Dr. Amanda P. Williams, interim chief medical officer at March of Dimes, said in a press release. “Yet, too many families, especially those from our most vulnerable communities, are not receiving the support they need to ensure healthy pregnancies and births. The health of mom and baby are intricately intertwined. If we can address chronic health conditions and help ensure all moms have access to quality prenatal care, we can help every family get the best possible start.”
In addition to inadequate prenatal care, factors such as smoking, hypertension, diabetes and unhealthy weight can cause people to be more likely to have a preterm birth.
The report highlighted several other metrics, including infant mortality – in which Mississippi continues to lead the nation.
In 2022, 316 babies in the state died before their first birthday. Among babies born to Black mothers, the infant mortality rate is 1.3 times higher.
The state’s maternal mortality rate of 39.1 per 100,000 live births is nearly double the national average of 23.2.
Mississippi has yet to expand Medicaid – one of only 10 states not to do so – and tens of thousands of working Mississippians remain without health insurance. It also has not implemented paid family leave, doula reimbursement by Medicaid, or supportive midwifery policies – all of which March of Dimes says are critical to improving and sustaining infant and maternal health care.
The Legislature passed a law last session that would make timely prenatal care easier for expectant mothers, but more than four months after the law was supposed to go into effect, pregnant women still can’t access the temporary coverage.
“March of Dimes is committed to advocating for policies that make healthcare more accessible like Medicaid expansion, addressing the root causes of disparities, and increasing awareness of impactful solutions like our Low Dose, Big Benefits campaign, which supports families and communities to take proactive steps toward healthy pregnancies,” Cindy Rahman, March of Dimes interim president and CEO, said in a press release.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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