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Q&A: Rep. Missy McGee calls postpartum Medicaid expansion ‘most impactful thing’ state can do for women and children

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Q&A: Rep. Missy McGee calls postpartum Medicaid expansion ‘most impactful thing' state can do for women and children

State Rep. Missy McGee, R-Hattiesburg, says it's her mission to advocate for women as one of few females in the Mississippi Legislature. Health Editor Kate Royals met with McGee to talk about her experiences as a lawmaker and her push to expand postpartum coverage for new moms in Mississippi.

Editor's note: This interview has been edited for clarity and length.

Kate Royals: Tell me a bit about yourself – as a woman, a mom, a relatively new lawmaker.

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Missy McGee: I was born and raised in Hattiesburg. I have a bachelor's and master's degree from Southern Miss. I spent a few years in Washington, D.C. after college and came back to Hattiesburg. I worked in my business, I was an adjunct instructor at Southern Miss, so I've been in that university environment.

I'm married and I have two grown boys that are 24 and 21, and I sort of found myself here (as a legislator). You know, it's a strange path and I think probably all of us would say the same, but I never expected to for public office. I was always a behind the scenes person on issues that were important to me or candidates who I felt like were the ones I thought we needed to . So, I enjoyed being a behind the scenes person.

But it's really been a great privilege and honor to get to represent my hometown, a that's been so good to me and my family. I was educated and raised in Hattiesburg. My children have been as well, so it's meaningful work to get to come to the Capitol and advocate for my district which is my home, my lifelong home. But hopefully to also move the needle for the state of Mississippi. It's been a great privilege and opportunity for me these past … this is my sixth session.

Royals: You introduced a bill in the House to extend postpartum Medicaid coverage for mothers in Mississippi from 2 months to 1 year. Why?

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McGee: You know, I just felt like there has never been a more timely opportunity than this session, in this post-Dobbs era especially – but it's been important for longer than that to introduce a Medicaid postpartum bill that would extend coverage to 12 months.

As a woman and as a mother, I couldn't let this issue pass without advocating it and really to push it forward.

Royals: How do you think it would benefit the women in your area and also women across the state of Mississippi?(Editor's note: This interview was conducted before McGee's bill, House Bill 426, died without being considered in committee.)

McGee: I think it is the most impactful thing that we can do for women, moms and babies. So we know that … 36,000 babies were born in Mississippi in 2019, and we know that 65% of the babies born in Mississippi are born to moms on Medicaid. That's not hard math to figure out; that's 23,000 women a year. That's 23,000 women that this can impact, which is 23,000 babies, which is 23,000 families.

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I really think that it is a pro-family position, certainly a pro-life position, to take care of these moms who are carrying and delivering and bringing these babies into the world – because healthy moms equal healthy babies. They go hand in hand, so I really believe it's currently the most impactful thing we can do for women and children.

Royals: You've got a hospital and a big health care community in your area – and they are in support of this?

McGee: Absolutely, they are. And it's not just the pediatricians and neonatologists who take care of these preemies in the NICU (who support extending postpartum coverage). But the ER docs are for it because … if a woman does not have health insurance and she's sick for whatever reason after a child, she shows up in the emergency room. So ER are supportive as well because they're seeing them, too.

I think it's safe to say the entire health care community knows this is important for the well being of moms and, again, babies.

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Royals: It looks like Alabama and North Dakota were just approved by CMS for 12 months postpartum Medicaid coverage, joining half the states with approvals so far. Mississippi is at present 1 of only 2 states without extended PP coverage or Medicaid expansion. As someone very much in the middle of the lawmaking process, do you have any insight into why this may be?

McGee: All I would say is that I hope that we won't be going forward. I hope we will join those states in extending coverage to these moms to 12 months. That's all I can say on that.

Royals: According to the Center for American Women and , you are one of 26 women in the entire state Legislature —26 out of 174. Can you tell me what that's like?

McGee: Yes, I believe I am one of 15 women in the House. So out of 122 members of the House of Representatives – and that number has changed a little bit. Well, you know, I feel like I have a greater responsibility to the women of Mississippi. We make up 50%, 51% of the state yet there are only 15 of 122 women in the House, so I do feel a greater responsibility to look out for the issues of women.

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That's not my only concern, certainly, but I do feel an added responsibility to the women of Mississippi. Everybody comes to this job coming from their own frame of reference. As a woman, as a mom, I have experiences that my male colleagues don't have, just like they have experiences I don't. So on issues like this I feel like, not to be repetitive, I feel a higher responsibility to champion important causes for the well being of women in our state.

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

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https://www.biloxinewsevents.com/?p=207411

Mississippi Today

Legislation to strip key power of PERS Board passes both chambers

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mississippitoday.org – Bobby Harrison – 2024-04-27 15:39:23

Legislation that strips significant power from the board that governs the state's public employee pension program has passed both chambers of the Legislature.

Under the legislation set to go to Gov. Tate Reeves during the final days of the 2024 , the Public Employees Retirement System Board would no longer have the authority to increase the contribution rate levied on governments (both on the state and local level) to help pay for the massive retirement system.

The legislation, which passed both chambers in recent days, was a reaction to the decision by the board to increase by 5% over a three-year period the amount local governments contribute to each employee's paycheck for their retirement. Under the PERS Board plan, the employer contribution rate would have been increased to 22.4% over three years, starting with a 2% increase on July 1.

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The board said the increase was needed to ensure the long-term financial stability of the system that pays retirement for most public employees on the state and local levels, staff of local school districts and universities and community colleges.

City and county in particular argued that the 5% increase would force them to cut government services and lay off employees.

Under the bill passed by the Legislature there still would be a 2.5% increase over five years — a .5% increase in the employer contribution rate each year for five years.

In addition, legislative leaders said they plan to put another $100 million or more in state tax dollars into the retirement system in the coming days during the appropriations .

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Under current , the PERS Board can act unilaterally to increase the amount of money governmental entities must contribute to the system. But under the new bill that passed both chambers, the board can only make a recommendation to the Legislature on increasing the employer contribution rate.

The PERS Board also would be required to include an analysis by its actuary and independent actuaries on the reason the increase was needed and the impact the increase would have on governmental entities.

In the 52-member Senate, 14 Democrats voted against the bill. Only one House member voted against the proposal.

Sen. David Blount, D-, said the bill failed to address the financial issues facing the system. He said a permanent stream is needed.

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Blount said, “You are moving in the wrong direction and weakening the system” with the bill the Legislature approved. “Is it painful? Is it going to cost more money? Yes, but we need to do it” to fix the system.

The system has assets of about $32 , but debt of about $25 billion. But Sen. Daniel Sparks, R-Belmont, and others argued that the debt was “a snapshot” that could be reduced by strong performance from the stock market. The system depends on its investments and contributions from employers and employees as sources of revenue.

The system has about 360,000 members including current public employees and former employees and retirees.

The legislation states that no changes would be made for current members of the system. The legislation does reference looking at possibly changing the system for new employees. But that would be debated in future legislative sessions.

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The bill does not include an earlier House proposal to dissolve the PERS Board, which consists primarily of people elected by the members of the system, and replace them with political appointees.

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

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Mississippi Today

A solution to the Republican impasse on Medicaid expansion

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mississippitoday.org – Adam Ganucheau – 2024-04-27 15:21:27

Kathleen O'Beirne knocked loudly on Sen. Kevin Blackwell's office door in the basement of the Mississippi State Capitol on Saturday morning.

O'Beirne, a Ridgeland resident and mother of two boys, has been closely tracking the back-and-forth debate on expansion, which Blackwell, as chairman of the Senate Medicaid Committee, is leading for the Senate. She and a group of other concerned citizens simply wanted a word with the Republican leader.

But there was no answer at the door, and there would be no conversation. So O'Beirne and the others took blank sheets of copy paper and began writing letters. When they finished writing, they taped the letters to Blackwell's door.

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“I'm here because of the human cost of not expanding care coverage to poor ,” O'Beirne said outside Blackwell's office. “But I'm also here because I'm a taxpayer. And I see that our senators are about to pass up literally billions in federal tax dollars that you and I and most other Mississippians already pay. We have the to bring all of that money back to the state of Mississippi, but we're about to walk away from it for no good reason.”

Kathy Knight, left, of Madison, and Kathleen O'Beirne of Ridgeland, hold a sign urging lawmakers to fully fund a Mississippi Medicaid expansion plan, while Jack Reed Jr., a former Tupelo and a long time northeast Mississippi businessman, right, joins a group of small business owners who urged the same during a Tuesday, April 23, 2024, news conference at the state Capitol in Jackson, Miss. (AP Photo/Rogelio V. Solis)

As O'Beirne and other Mississippians have closely followed, Blackwell has been as dug-in as any lawmaker during the Medicaid expansion fight. This , after agreeing to hold public conference committee meetings to debate Medicaid expansion, he refused to meet a second time with his House counterparts. He has seldom engaged with House Republican leaders in private, either.

He did, however, choose to speak to a gaggle of reporters on Friday after the Senate sent a compromise plan to the House for consideration. In the interview, he drew hard lines against any additional compromise with the House, specifically around a work requirement, and even doubted whether his own plan had the necessary from his Republican Senate colleagues.

READ MORE: Blackwell says Senate won't budge on Medicaid work requirement

Blackwell and some Republican senators have long maintained that any expansion deal must include a requirement that Medicaid recipients work, which is a conservative policy desire that the federal government has struck down in 13 previous expansion states. a stringent work requirement, health care advocates and legal scholars believe, would effectively kill any expansion plan.

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But in the plan the Senate put forward on Friday, they would still mandate the requirement. It would also force the state's attorney general to sue the feds over any rejection and hope that a conservative 5th Circuit Court of Appeals allows the work requirement to go into effect. Unless a work requirement was granted by either the federal Medicaid agency or the federal courts, expansion could not go into effect under the Senate plan.

READ MORE: The unlikely Mississippi politician who could tank Medicaid expansion

However, an earlier House proposal also included a work requirement but would allow expansion to go into effect if the state could not convince the federal government to allow it. House leaders have not yet publicly responded to the Senate plan they received on Friday, but the work requirement piece has been the main topic of deliberations on that side of the building. 

The House and Senate Republican remained at an apparent impasse as of midday Saturday and adjourned for the day without giving any public updates on expansion negotiations. Both chambers were working into the evening Saturday and will work again Sunday to hammer out final agreements on a $7 billion state budget.

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None of that sat right with O'Beirne, inspiring her to back to the Capitol on Saturday and make the unannounced visit to Blackwell's office. When asked what message she was trying to deliver to Blackwell, she said: “Well, a compromise.”

O'Beirne then summed up what she wrote in her note to Blackwell:

“I'm a recovering lawyer, so I'm used to resolving litigation. I think there's a very obvious compromise that the Senate and the House could come to if they were willing to do the work. 

My suggestion is to keep the Senate's work requirement. Keep the provision that says if CMS kicks back the work requirement, then the AG has to sue the feds. But also, keep the House provision that will allow Medicaid expansion to go into full effect, even if CMS kicks back the work requirement.

So you go on and you start pulling down those billions of federal dollars that help the state and people get health care coverage. Then in the meantime, let the lawyers and government officials sort out the work requirement business. To me, that's a win-win-win. 

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Now, I'm sure Lt. Gov. Hosemann, Sen. Blackwell and other leaders are mulling that over. Maybe they've already had that thought. To me, it's such an obvious compromise that takes full advantage of our tax dollars. It's not wasting our tax dollars. It's helping communities. It's helping hospitals. It's helping . It's helping needy patients. It is just an all around win that I sure hope they can get to.”

Kathleen O'Beirne

Such a compromise would require some careful drafting of the legislation, experts say, and whether it checks enough boxes for Blackwell and the hard-line senators is anyone's guess. But O'Beirne, a self-described “pragmatist,” felt led to share it with Blackwell on Saturday.

“I really do think there's a path here,” O'Beirne said. “It seems like a very simple solution right under our noses that Senate leaders are about to pass up. How frustrating would it be to come all this way to get nothing?”

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READ MORE: These Republicans wanted a Medicaid work requirement but couldn't get approval. So they got creative.

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

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Mississippi Today

Lawmakers send MAEP education funding formula rewrite to governor

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mississippitoday.org – Bobby Harrison – 2024-04-27 13:25:23

A new school formula has been approved by the that, like the long-standing Mississippi Adequate Education Program, will rely on an objective mechanism to determine how much funding is needed to operate schools.

The push to replace MAEP has been one of most contentious issues facing legislators in the final days of the 2024 . There have been efforts for years to replace the formula by those who say the state could not afford it.

On Saturday the 52-member Senate with three dissenting votes passed on to the governor a compromise proposal to replace MAEP. The House had unanimously passed it late Friday.

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“The whole point of us doing this is to make certain our school districts are treated as fairly and as best we could,” said House Education Chair Rob Roberson, R-Starkville. He said the new formula will provide additional money for poor districts and for low-income and special-needs .

Roberson's original bill did not include an objective funding formula, which had been the hallmark of MAEP. Senate Education Chairman Dennis DeBar, R-Leakesville, who was reluctant to rewrite MAEP, finally acquiesced, but was insistent that any rewrite include an objective formula that took out of the hands of politicians – namely legislators – the amount of money needed for the operation of local school districts.

On Saturday, DeBar told senators that if the Senate had not insisted on an objective funding formula, the Legislature could have “willy nilly” decided the level of education funding.

“This formula will allow for predictability over time. Whereas the House bill did not,” DeBar said. “It (the House plan) was a one-year thing where the Legislature could come in and decide to increase or decrease funding for education. This will hold our feet to the fire in the Legislature and ensure our schools are funded.”

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House Education Vice Chairman Kent McCarty, R-Hattiesburg, told House members that the objective funding formula made the original House proposal stronger.

“I think this is a good addition to the bill,” he said. Like MAEP, the formula will be recalculated every four years and in the intervening years there will be an factor added to the funding.

Under the new formula, schools will receive per student the average teacher salary divided by 14, which represents the average student-teacher statewide ratio. In addition schools will get another 20% of that amount for administrative costs, 30% for ancillary costs and money for operations and maintenance based on the three-year, per-square-foot average of the school district's operations and maintenance costs.

On top of that, the school districts will receive additional funds for students in certain categories, such as for special-education students, those living in poverty, or living in of high poverty and for students who do not speak English as their primary language. The additional money provided to categories of students was a key component of the original House bill.

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Like MAEP, local school districts will be required to pay a portion of the cost. But wealthier districts will be required to pay more than districts with a smaller local property tax base. No district will be mandated to pay more than 27% of the cost.

Sen. Hob , D-Amory, one of the architects of MAEP in 1997, was one of the three no votes.

While Bryan said there appeared to be good features to the new funding plan, more time was needed to study it.

“It is simply not possible to enact a funding formula for public education in this legislative session where we know what we are doing,” he said. “We don't have enough time for people to look at the new proposal, consider alternatives.”

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Bryan pointed out that if MAEP was unpredictable for school districts it was because of the Legislature's refusal to fully fund it. He said it is possible – even likely – that the same will occur with the new formula.

MAEP had language saying the formula “shall” be fully funded, But the full funding mandate was ignored every year since the program was fully enacted in 2003 except for twice.

Under the first year of the new formula, which goes into effect with the beginning of the new fiscal year on July 1, K-12 education is supposed to receive an additional $230 million.

The additional funding will bring the education budget to $2.94 – about $50 million less than MAEP would have provided if fully funded.

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DeBar said that based on inflation it will take about $50 million more in funds to fully fund the new formula next year.

The new formula will be called simply the Mississippi Student Funding Formula.

Sen. Angela Hill, R-, voted against the proposal because she feared that like MAEP the new formula would make a commitment over time the state could not afford. Plus, she said she was concerned about the money going to educate students who spoke English as a second language. Hill said she wanted more details on that feature of the bill.

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

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