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FAQ: What is postpartum Medicaid extension, exactly?

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FAQ: What is postpartum Medicaid extension, exactly?

Postpartum extension is the of Mississippi this week, with lawmakers, statewide and candidates debating the merits of passing the policy designed to help mothers after they give birth.

Lawmakers face a key deadline this week to keep the proposed policy alive, and there is much disagreement about whether it's right for Mississippi. There have been several rallies and press conferences at the state Capitol this session focused on the issue, and it will continue to emerge as a key theme of the 2023 election cycle.

We've compiled answers to some frequently asked questions to help you understand what it is, what it isn't, and how its potential passage could impact Mississippians.

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What is postpartum Medicaid extension, exactly?

Postpartum Medicaid extension is proposed legislation to extend the length of health care coverage for Mississippians on Medicaid who give birth. Postpartum visits can include care of chronic health conditions, such as diabetes and hypertension, as well as mental health issues that might arise after giving birth, such as postpartum depression.

Federal mandates that states provide postpartum Medicaid coverage for at least 60 days, which is the current limit in Mississippi. After 60 days, most Medicaid patients lose postpartum health care coverage, and this period of time is often most deadly for mothers. Most states, however, have passed measures to extend postpartum Medicaid coverage to one full year post-birth — which is what the currently proposed Mississippi legislation would do.

READ MORE: Senate votes to extend postpartum care. Here's what the bill would do.

Would postpartum Medicaid extension provide cash directly to mothers?

No. Mississippi opting into the program would simply send additional federal funds to the state's Division of Medicaid, which would then reimburse health care providers directly for any care they provide to qualified mothers. Many politicians, however, have tried to equate Medicaid programs — including the postpartum Medicaid extension — with direct cash assistance in efforts to sow discontent among those opposed to more government spending.

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Is postpartum care extension the same thing as Medicaid expansion?

No, postpartum Medicaid extension is not the same thing as Medicaid expansion, despite what prominent elected officials and candidates have said. The proposed postpartum extension would simply extend the length of time Mississippians who already qualify can access postpartum services. Medicaid expansion, which has never been seriously considered by Mississippi's legislative , would broadly cover health care services for hundreds of thousands of additional Mississippians. “Medicaid expansion,” as it's commonly referred to by politicians, is a completely separate issue from “postpartum Medicaid extension.”

FAQ: What is Medicaid expansion, really?

What's the background of this debate, and why does it matter right now?

Mississippi has one of the highest maternal mortality rates in the country, and it's getting worse. The state also has the highest infant mortality rate, preterm birth rate and low birthweight rate in the country. Despite these problems, neonatal ICUs and labor and delivery units continue to close in the state — and the state is expecting thousands more births following the U.S. Supreme Court's decision to overturn abortion rights last summer.

Because two-thirds of babies born in Mississippi are born to people on Medicaid, extending postpartum coverage would boost the access to care and health outcomes of thousands of Mississippians, health care officials and researchers say. Doctors, nurses and major medical associations in the state have joined a growing chorus of everyday Mississippi this legislative session calling for postpartum Medicaid extension.

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READ MORE: ‘Mississippi moms can't wait': Doctors urge legislators to extend postpartum coverage

Who qualifies for postpartum Medicaid coverage?

In Mississippi, pregnant people under 19 years old automatically qualify for pregnancy Medicaid, as well as pregnant people with income under 194% of the federal poverty level, or $2,255 of monthly income for a of one.

How long are Mississippians who are expecting covered now?

Mississippians on Medicaid have postpartum coverage for two months after giving birth. However, regardless of what postpartum needs they might have beyond 60 days, they lose coverage after that. Research shows that drastic health problems for mothers exist and continue to develop well after two months postpartum.

Have other states extended postpartum Medicaid?

Yes, 29 other states have extended postpartum Medicaid coverage to one year, and seven additional states are planning to offer the extension imminently. States that have also extended postpartum care include contiguous neighbors Alabama, Louisiana and Tennessee. Mississippi and Wyoming are the only two states that have neither extended postpartum coverage nor expanded Medicaid more broadly.

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Why hasn't it passed yet in Mississippi?

Though the Mississippi Senate has passed postpartum Medicaid extension four times in two years (and most recently on Feb. 7 of this year), the legislation has been killed by the House of Representatives — and specifically, by Speaker of the House Philip Gunn. The House Medicaid Committee appears to not have met once this session, an important note considering the postpartum Medicaid extension legislation must pass through that committee to go into effect.

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

The chair of the House Medicaid Committee, Rep. Joey Hood, refused to answer last week when asked about whether his committee will meet or take up the Senate bill. Gov. Tate Reeves, who has for months voiced his opposition to the legislation, reversed course and urged lawmakers to pass it on Feb. 26. As recently as Feb. 22, Gunn said he would not allow the legislation to be brought to the House floor because he believes it is Medicaid expansion, which he staunchly opposes.

READ MORE: How Rep. Joey Hood could save the lives of countless Mississippi mothers

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Who supports it and why?

Statewide organizations and health professionals have advocated for the policy change, including State Health Officer Dr. Dan Edney, the Mississippi State Medical Association, the Mississippi Medical Care Advisory Committee and the Mississippi Economic Council. Additionally, a Mississippi Today survey conducted this session showed that a majority of lawmakers — including members of the House — the policy measure. Recent polling of Mississippi voters shows that more than two-thirds of the state supports the measure. Advocates say it will widely improve health outcomes in Mississippi.

READ MORE: Survey: Majority of lawmakers support postpartum Medicaid extension

What would the economic impact of passing it be?

Officials and advocates have said that postpartum Medicaid extension would result in net savings for the state by preventing costly medical conditions from lack of treatment. Premature babies can cost the state more than half a million dollars more than babies born at term. It's estimated that extending postpartum Medicaid coverage in Mississippi would cost about $6 million to $7 million per year, which is a marginal total considering the state's current $3.9 billion surplus.

Who can extend postpartum Medicaid?

It's still not clear if Gov. Reeves could pass the policy on his own as head of the state's Division of Medicaid, though legislative leaders have long said that Reeves has the power to extend postpartum Medicaid coverage without their approval. Reeves recently said if the Legislature passed the bill, he would sign it into law, but he did not address the stated fact that he could pass it himself.

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READ MORE: Gov. Tate Reeves, after months of resistance, asks lawmakers to pass postpartum Medicaid extension

What's next?

If Rep. Joey Hood doesn't call a House Medicaid Committee meeting and pass the Senate bill by midnight on Feb. 28, the measure will die for the second straight year in the House. It is possible (but perhaps unlikely) lawmakers could revive the measure later in the session, which is to end on April 2.

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

Crooked Letter Sports Podcast

Podcast: In or out (of the NCAA Tournament)?

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College 's regular season is in its last , which means baseball bracketology is a popular activity. needs to finish strong to become a Regional host. Southern Miss probably has already punched its ticket as a 2- or 3-seed. , playing its best baseball presently, needs victories, period. Meanwhile, the State High School softball tournament is this week in Hattiesburg, and the state baseball tournament to Trustmark Park in Pearl next week.

Stream all episodes here.


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

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Reeves again blocks funds for LeFleur’s Bluff project in Jackson

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mississippitoday.org – Bobby Harrison – 2024-05-15 10:02:34

For the third consecutive year legislative efforts to direct state money to renovate LeFleur's Bluff in Jackson have been stymied, thanks in large part to Gov. Tate Reeves.

Earlier this week, the Republican governor vetoed a portion of a bill that directed $14 million to the office of Secretary of State Michael Watson for work on developing and improving a nature trail connecting parks and museums and making other -related improvements in the LeFleur's Bluff area.

It is not clear whether the could take up the veto during the 2025 session, which begins in January, though, that's not likely. The Legislature had the option to return to Jackson Tuesday to take up any veto, but chose not to do so.

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Of the project, Watson said, “Our office was approached late in the session about helping with a project to revitalize LeFleur's Bluff. As Mississippi's state land commissioner, I was more than happy to lead this effort not just because it's a natural fit for our office, but also because I believe Mississippi needs a thriving capital city to retain our best and brightest. Investing state funds in state property on a project to enhance the quality of life in Jackson makes good sense.

“Unfortunately, some only support it when it equates to campaign contributions. Sadly, through the line-item veto of the appropriation, Mississippians will once again wait another year for the opportunity to benefit from state investments for the greater public good.”

READ MORE: Gov. Reeves warns Mississippi: Challenge my vetoes, and it could jeopardize hundreds of projects

Various groups, such as representatives of the Mississippi Children's and many other community have been working on the project for years. The area already is the home of the Children's Museum, Museum of Natural History, Mississippi Sports Hall of Fame and Museum and a state park.

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The issues with LeFleur's Bluff first arose in 2022 when Reeves vetoed a $14 million appropriation that in part was designed to redesign and create a new golf course in the area. Previously, there had been a nine-hole, state-owned golf course operated by the Department of Wildlife, at LeFleur's Bluff State Park.

In 2022, the LeFleur's Bluff project was one of literally hundreds of projects funded by the Legislature – many of which was tourism projects like LeFleur's Bluff. The governor only vetoed a handful of those projects.

When issuing the LeFleur's  Bluff veto, Reeves said the state should not be involved in golf courses.

Then last year $13 million was directed to the Department of Wildlife, Fisheries and Parks to spend on the LeFleur's Bluff project. But legislative leaders said state money would not go toward a golf course.

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Lawmakers opted to transfer the project to the Secretary of State's office late in the 2024 session, apparently in part because they felt the Department of Wildlife, Fisheries and Parks had not made enough of an effort to begin the project.

Lynn Posey, executive director of Wildlife, Fisheries and Parks, said that before moving forward with the project, “We felt like we needed to do engineering work and see what the situation was. We never got a to move forward” because the Legislature redirected the money.

Posey said an engineer's report was needed because “it is a unique piece of land.” He said much of the land is prone to .

He said before that work could begin the Legislature switched the authority to the Secretary of State's office. Posey was appointed to his current position by Reeves, whose office had no comment on the veto.

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Lt. Gov. Delbert Hosemann said after the governor's veto, “Projects like the LeFleur's Bluff development are critical to the Capital City, the wider metropolitan area, and our state. Public parks add to the quality of life for our citizens. I am hopeful the individuals involved in this project, including those at the Mississippi Children's Museum, will continue their work to improve this state asset.” 

While the Constitution instructs the governor to to the Legislature a reason for any veto, Reeves did not do so this year when vetoing the money going to the Secretary of State's office.

On Monday, the governor also vetoed a portion of another bill dealing with appropriations for specific projects. But in this case, the veto was more of a technicality. The bill was making corrections to language passed in previous sessions. In that language were five projects the governor vetoed in 2022.

The language, as it was written, would not have revived those previously vetoed projects, the governor said. But Reeves said he vetoed the five projects out of caution. He did the same in 2023 when those five projects, which included money appropriated in 2022 for the Russell C. Davis Planetarium in Jackson, were carried forward in a bill also making corrections to previously passed legislation.

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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’s Jefferson Davis statue has new neighbor in U.S. Capitol: Arkansas civil rights leader

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mississippitoday.org – Jerry Mitchell – 2024-05-15 09:40:57

A week ago, Arkansas officials unveiled a new statue at the National Statuary Hall to represent the , civil rights leader Daisy Bates.

Her statue now stands next to Jefferson Davis, the president of the Confederacy, one of two statues representing Mississippi.

“This is absolutely embarrassing to the Mississippi that I love,” said Al Price, who has called for changing the state's statues ever since he saw them in 2012 in Washington, D.C. He sought unsuccessfully in 2017 to get state Sen. Lydia Chassaniol, R-Winona, to sponsor a bill to do so.

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He recommends that author William Faulkner and civil rights leader Fannie Lou Hamer represent the state. “This would be a profound statement by the state of Mississippi,” he said. “It would a lot of the negative stereotypes about the state and would go a long way to healing a lot of wounds.”

Since 2000, 17 states have installed new statues or moved to replace existing statues at the hall in the U.S. Capitol.

Alabama now has Helen Keller. Arizona has Barry Goldwater. California has Ronald Reagan. Kansas has Amelia Earhart and Dwight D. Eisenhower. Michigan has Gerald Ford. Missouri has Harry Truman. Ohio has Thomas Edison. And North Carolina will add Billy Graham on Thursday.

Mississippi, however, has the same statues that were erected almost a century ago, both of them leaders.

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Some Southern states are replacing Confederate icons with more modern heroes. Arkansas now has Bates; Virginia, Barbara Johns; and Florida, Mary McLeod Bethune, one of the most important Black educators of the 20th century. Congress has added Rosa Parks as well.

The contributions of Native Americans have also been recognized in a number of states, including Nebraska, New Mexico, North Dakota and Wyoming.

A state can change its statues through a resolution that is adopted by the and approved by the governor. 

“We just need to have someone courageous enough in the Legislature to do so,” Price said.

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In 2019, Arkansas voted to replace both of its statues, Uriah Rose, who supported Arkansas seceding from the Union, and former U.S. Sen. James Paul Clarke, who vowed to uphold “white supremacy.”

Their replacements are Bates, a mentor to the Little Rock Nine, and music legend Johnny Cash, whose statue is slated to arrive in September.

At the same time Arkansas is switching out the statues that represent the state in Washington, Mississippi has not seriously considered such a change.

During his time as Mississippi's governor, Phil Bryant talked of Elvis Presley and B.B. King as “good possibilities” for possible replacements for a statue.

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Mississippi's most controversial statue is that of Davis, who believed, like many of his Southern peers, that those of African descent were meant to serve the white race.

“We recognize the fact of the inferiority stamped upon that race by the Creator, and from cradle to grave, our , as a civil institution, marks that inferiority,” he declared in an 1860 speech.

The state's other statue is a political figure that many Mississippians may not recognize — J.Z. George, who fought in the and later became the charging force in disenfranchising Black Mississippians through the 1890 state constitution and restoring “white supremacy” to government.

James K. Vardaman, the racist governor and U.S. senator who aided George in that fight, said the constitution was adopted “for no other purpose than to eliminate the n—– from politics.” White supremacy had to be maintained, even if it meant every Black Mississippian had to be lynched, he said.

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Within a decade, the number of Black registered voters fell from more than 130,000 to less than 1,300. 

Credit: Courtesy of Charles Sims

George's great-great-great grandson, Charles Sims, recently recommended that his ancestor's statue be moved from Statuary Hall back to Mississippi, where he said it belongs.

“We cannot erase the past, but neither should we be a prisoner of it, either,” Sims said. “I think the statue should be from the Capitol because we cannot honor racial hatred.”

Statuary Hall still holds the statues of six Confederate leaders, a third of them representing the Magnolia State.

In a recent online poll, 592 gave their top votes for possible statues to Mississippi NAACP leader Medgar Evers, who was assassinated in 1963 and who was honored recently with the Presidential Medal of Honor, as the top choice with 40% of the votes. Hamer received 26%; Faulkner, 21%; crusading journalist Ida B. Wells, 16%; music icon Elvis Presley, 15%; author Eudora Welty, 12%; former Gov. William Winter, 11%; and blues legend B.B. King, 9%.

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Kevin Greene, history professor at the University of Southern Mississippi, said his nomination would be Evers, who fought for his country, first on the battlefield against the Nazis and later on the battlefield against Jim Crow, he said. “All of the good things embedded in America are embedded in Medgar Evers.”

He suggested discussions across communities regarding what statues should represent the state. “Mississippi needs to lead the way in these conversations,” he said. “These are opportunities to teach and to reconcile our past as some nations ought to and haven't.”

Pam Junior, former director of the History of Mississippi and the Mississippi Civil Rights Museum, said the state is supposed to have experienced this paradigm shift, starting with the state flag, “but we keep going backwards and allow statues like these to continue to represent Mississippi.”

As a replacement, she suggests “Medgar Wiley Evers, who was for all people, not just one group of people,” she said. “Until we make that paradigm shift, we're never going to move up. We have to start with us.”

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

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