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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 coverage for moms on Medicaid from two months to one year, a Mississippi survey shows.

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

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

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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-. “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.

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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 , 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.

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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-, 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.”

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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.

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Mississippi Today

Senate committee passes Medicaid ‘expansion’ bill that leaves hundreds of millions in federal dollars on table

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mississippitoday.org – Sophia Paffenroth and Taylor Vance – 2024-03-27 16:39:21

The only surviving Medicaid expansion bill in the Legislature passed the Senate Medicaid Committee Wednesday and is headed to the full Senate for a vote. 

But the proposal, as it passed the Senate committee, is not considered traditional “expansion” under the Affordable Care Act, and therefore would not qualify for the enhanced federal the to newly-expanded states. It would leave the cost of the expanded coverage up to the .

The Senate committee passed the House Republican bill with a strike-all, meaning it replaced the bill's original language with its own plan, which Medicaid Committee Chairman Kevin Blackwell, R-Southaven, refers to as “expansion light.”

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Blackwell estimated about 80,000 people would be eligible under this version of expansion, and half of that would apply. The House plan was expected to cover more than 200,000 people.

When a draft of the Senate's bill was leaked on March 20, Blackwell stressed to Mississippi Today that he and Senate leaders were still tweaking parts of the legislation. However, the legislation that passed the committee is essentially the same as what was outlined in the leaked draft. 

The Senate proposal would:

  • Cover working Mississippians up to 99% of the federal poverty level. For an individual, that would be an annual income up to $15,060. For a family of four, that would be an annual income up to $31,200.
  • Not cover those making between 100% and 138% of the federal poverty threshold — not even through a private-care option. A plan that doesn't cover people making up to 138% is not considered “expansion” under the Affordable Care Act, meaning Mississippi wouldn't qualify for the 90% federal match rate that the Affordable Care Act grants to new expansion states, nor the additional, two-year 5% increase in match rate the federal provides to newly-expanded states under pandemic relief spending passed by Congress. Instead, as was the case with Georgia, Mississippi would only get its regular federal Medicaid rate of about 77%.
  • Leave the health insurance exchange, the online marketplace that offers federally subsidized plans to people who make between 100% and 138% of the federal poverty level, intact. The Senate plan, unlike Arkansas' Medicaid expansion, would not extra subsidies from the state's federal Medicaid money available from the ACA.
  • Include a work requirement mandating at least 120 hours of employment a month in a position for which health insurance is not paid for by the employer. That's more stringent than Georgia's plan, which mandates 80 hours a month. There are several exemptions, such as for full-time or parents who are the primary caregiver of a child under six years old.
  • Go into effect 30 days after the federal Centers for Medicare and Medicaid Services approves a waiver necessary for the work requirement. That's unlikely to happen under the Biden administration, which has rescinded work requirements previously approved for other states during the Trump administration and has not approved new ones. If the federal government denies the waiver, Mississippi would have to wait until a new administration took office, or sue the Biden administration. Georgia remains in litigation with the federal government over the work requirement issue, and has suffered low enrollment and missed out on millions in federal funds by not fully expanding coverage.
  • Require anyone who voluntarily dropped private insurance to wait 12 months before applying for Medicaid coverage.

Senate Democrats voiced several concerns about the administrative burden of the work requirement and the 120 hour a month minimum, which is even stricter than Georgia's plan – currently the strictest expansion plan in the country. 

Sen. David Blount, D-Jackson

Sen. David Blount, D-Jackson, asked Blackwell about the enhanced match from the federal government.

“So the federal government paying our match for two years and 90% after the two years – we would not qualify for that?” Blount asked.

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Blackwell said that is correct, and they would leave that money on the table.

Sen. John Horhn, D-Jackson, introduced two amendments: one to decrease the recertification requirements from four times a year to twice a year, and the other to reduce the work requirement hours from 120 hours a month to 80 hours a month. 

Both amendments were voted down by , who make up a majority of the committee's membership. Despite their amendments getting shot down, the Democrats still voted in favor of the bill. Only three Republican senators in the committee voted against the plan. 

When asked about the administrative burden of enforcing the work requirement, Blackwell said he is not worried and believes the Division of Medicaid has enough employees for its implementation. 

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But Georgia, the only state currently with a work requirement in its expansion plan, has spent $26 million taxpayer dollars to ensure a mere 3,500 people to date. More than 90% of that has gone to administrative and consulting costs. 

The bill is expected to be taken to a floor vote as early as Thursday, with a deadline of April 10. 

Since the Senate plan is drastically different than the House proposal – which is a mostly-traditional expansion plan insuring those who make up to 138% of the federal poverty level and would go into effect whether or not the federal government approves a work requirement waiver – a final version will likely be hammered out later in the session in a conference committee.

Any final plan would realistically need a two-thirds majority from both chambers to show it has the potential to override a potential veto from Republican Gov. Tate Reeves, who has privately told lawmakers he plans to veto any Medicaid expansion bill.

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Reeves on Tuesday night hosted around 20 state senators at the Governor's Mansion in Jackson where he, again, reiterated his opposition to any form of Medicaid expansion, according to multiple people familiar with the situation. 

At the Tuesday night , Reeves said he would veto the Senate's expansion plan if it reached his desk, though he reportedly said he approved the Senate's work requirement provisions. 

Shortly after the committee passed the expansion legislation, Reeves posted on social media that the Senate plan is “still bad policy” and he will oppose it.

“And so I will continue to do what I told the voters I would do – fight Obamacare Medicaid Expansion with every ounce of my being,” Reeves said.  

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

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Mississippi Today

Michael Guidry named Mississippi Today managing editor

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Mississippi is pleased to announce Michael Guidry as managing editor.

Guidry, who joined the staff in February 2024, manages the newsroom's day-to-day and plans broader editorial strategy.

He previously served as managing editor at Mississippi Public Broadcasting, where he developed skills in audio storytelling as a producer, writer and editor.

“Michael is a perfect fit for what we're building at Mississippi Today,” said Adam Ganucheau, Mississippi Today's editor-in-chief. “He's a proven newsroom leader, and he knows Mississippi. He also brings us a lot of digital and audio skills that can expect to see more of pretty quickly.”

A native of Destrehan, , Guidry moved to Mississippi to attend Millsaps College, where he earned a dual Bachelor of Arts in History and Theatre. After graduating, he worked as a public school teacher for more than a decade.

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Michael Guidry

While at MPB, Guidry helped lead a team that received recognitions from the Radio Television Digital News Association, the Mississippi Association of Broadcasters and the Public Journalists Association.

MPB's special feature on Memorial Day – which he co-produced and co-narrated – received the 2023 Region 9 Edward R Murrow Award for Excellence in Diversity, Equity and Inclusion.

Guidry continues to host MPB's weekly politics show @Issue.

“As someone who spent years in a adjacent to Mississippi Today, it became evident the newsroom was quickly becoming a leader in local, nonprofit news,” Guidry said. “I could not be more to join a publication dedicated to elevating the voices of while holding power to account.”

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

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Mississippi Today

Geoff Pender named Mississippi Today politics editor

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is pleased to announce Geoff Pender as Politics and Editor.

Pender, who first joined the Mississippi Today staff as senior political reporter in May 2020, will oversee the day-to-day reporting of Mississippi Today's politics team.

He brings more than 30 years of experience covering Mississippi politics to the new role.

“If you follow Mississippi politics, you know Geoff Pender,” said Adam Ganucheau, Mississippi Today's editor-in-chief. “He's been a vital member of our politics team since 2020, and we couldn't be more for him to now it. He's been a mentor to so many of our reporters, and he's led several impactful investigations for us. can expect more of that from him in this new job— and if you're wondering, you'll also continue to see plenty of his analysis of the 's biggest stories.”

Geoff Pender

Before joining Mississippi Today, Pender was political and investigative editor at the Clarion Ledger, where he also penned a popular political column. He previously served as an investigative reporter and political editor at the Sun Herald, where he was a member of the Pulitzer Prize-winning team for Hurricane coverage.

A native of Florence, Pender is a journalism graduate of the University of Southern Mississippi and has received numerous awards throughout his career for reporting, columns and of information efforts.

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“I truly appreciate this and appreciate being able to continue working with the great team of journalists at Mississippi Today providing in-depth coverage at such a crucial time for the state,” Pender said.

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

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