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Survey: Majority of lawmakers support postpartum Medicaid extension

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Survey: Majority of lawmakers support postpartum Medicaid extension

Though they haven’t been given the chance to vote on it, a majority of House members want to extend health care coverage for moms on Medicaid from two months to one year, a Mississippi Today survey shows.

Mississippi Today is polling all 174 lawmakers on the issue, which health care leaders say would save countless lives across the state that consistently ranks near last for maternal mortality and last for infant mortality.

More than a voting majority in both the House and Senate — including numerous Republicans — told Mississippi Today they support extending postpartum Medicaid coverage from two months to 12 months.

Additionally, several lawmakers who said they were still officially undecided on the issue and would not give a direct “yes” or “no” answer appeared willing to consider it.

“I’m undecided, but the reason I’m undecided is that the leadership, for whatever reason up to this point, has prevented that from being brought up so we can ask questions,” said Rep. Jay McKnight, R-Gulfport. “I have some questions both ways on it that I would like to hear the answers.”

READ MORE: Where each lawmaker stands on postpartum Medicaid extension

Though the support is evident, House members may not get the chance to vote on it.

Last year, the measure overwhelmingly passed the Senate, with Republican leaders in that chamber calling it “a no-brainer.” But it was killed by Speaker of the House Philip Gunn, who continues to say he has not seen data about how it would help save lives.

Gunn remains noncommittal this year about whether he will bring the issue to a vote, and he says he wants the Mississippi Division of Medicaid to take a position. State Medicaid officials, including executive director Drew Snyder, have refused to answer questions about the topic.

Several lawmakers — Republicans and Democrats in both the House and Senate — filed bills early this year to extend the coverage to one year. If passed, it would put Mississippi on the same page as 29 other states, including most of the Southeast. Eight additional states are currently considering full extended coverage or a limited extension of coverage.

The Senate, like last year, passed a postpartum extension bill out of committee before a key Jan. 31 deadline. But a similar House bill, filed by Republican Rep. Missy McGee, died in committee on deadline day without receiving a vote.

Rep. Joey Hood, a Republican from Ackerman who chairs the House Medicaid Committee, did not convene a single meeting of his committee before the Jan. 31 deadline, so the House bill died without a vote or even debate. Hood on Wednesday refused to say whether he supported the postpartum Medicaid extension.

The Senate bill, however, is expected to pass the full Senate chamber in coming days and move to the House, where Gunn and his leadership team will decide whether to bring it up in committee.

The Senate last year passed similar measures three times, and fairly broad Republican support in that chamber remains, according to the Mississippi Today survey.

“I’m pro-life, and I think being pro-life means you take care of these mothers and children,” said Sen. Chad McMahan, a Republican from Guntown. “I have voted for it three times and I plan to do so again.”

Gunn, who exerts broad control over the House chamber and legislation that moves through it, will have to designate the Senate bill to a House committee. Gunn’s hand-picked committee chair — perhaps Hood, the House Medicaid Committee leader — will then get to decide whether to take up the bill in committee. They could choose to let the bill die on the House committee calendar without consideration, or they could take it up in committee.

If a House committee passes the Senate postpartum bill, it would then move to the House floor for consideration and debate there. House leaders, including Gunn, could again decide to let the bill die on the House calendar without debate.

READ MORE:Pressure grows for lawmakers to pass postpartum Medicaid extension

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

Mississippi Today

On this day in 1997

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mississippitoday.org – Jerry Mitchell – 2024-12-22 07:00:00

Dec. 22, 1997

Myrlie Evers and Reena Evers-Everette cheer the jury verdict of Feb. 5, 1994, when Byron De La Beckwith was found guilty of the 1963 murder of Mississippi NAACP leader Medgar Evers. Credit: AP/Rogelio Solis

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.

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Medicaid expansion tracker approaches $1 billion loss for Mississippi

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mississippitoday.org – Bobby Harrison – 2024-12-22 06:00:00

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.

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On this day in 1911

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mississippitoday.org – Jerry Mitchell – 2024-12-21 07:00:00

Dec. 21, 1911

A colorized photograph of Josh Gibson, who was playing with the Homestead Grays Credit: Wikipedia

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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