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Speaker Philip Gunn will not block postpartum Medicaid extension from House passage

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Speaker Philip Gunn will not block postpartum Medicaid extension from House passage

House Speaker Philip Gunn on Monday said he won't block extension of postpartum Medicaid coverage for Mississippi mothers, following fellow Republican Gov. Tate Reeves' from Sunday.

House Medicaid Committee Chairman Joey Hood said he will call a committee meeting for Tuesday, the deadline to keep postpartum extension legislation alive by committee passage. The measure is expected to pass.

A Mississippi Today survey of House lawmakers in early February showed a majority extending Medicaid coverage for new mothers from 60 days to a year, but Gunn twice blocked the measure from coming to a House vote last year.

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“For a year, we've been asking the department of Medicaid to give us some guidance,” Gunn said. “I have this letter today, where they have said it is a suitable approach for Mississippi. They support doing it and they do not view it as Medicaid expansion — it's not adding new people onto the rolls. Those have been my two main concerns this whole time. I feel like we have been consistent.”

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

The Senate, led by fellow Republican Lt. Gov. Delbert Hosemann, has several times passed a bill to extend Medicaid postpartum coverage. But the proposal has died in the House without a vote under Gunn's direction. Gunn opposes Medicaid expansion and has said he was concerned the postpartum coverage extension would be considered such expansion.

Medicaid Director Drew Snyder had publicly declined taking a position on the issue, and Gunn and Hood said they have been unable to get guidance — hence their not taking it up in the House last year. But after Reeves, who oversees the Division of Medicaid, said on Sunday he supports postpartum coverage extension, Snyder sent Gunn a letter on Monday.

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It said: “… adopting a one-year coverage duration for postpartum pregnant women as set out in Senate bill 2212 is a suitable approach for Mississippi. It also is consistent with the approach followed by similarly situated Medicaid programs in our region such as Alabama, Florida, South Carolina and Tennessee … I would also note that establishing a 12-month coverage duration for already eligible Medicaid moms is different than expanding Medicaid to newly eligible adults under the Affordable Care Act.”

Gunn stressed that he's been “consistent” in saying he would not support postpartum extension until the Medicaid Division told him it supported the move. He said he suspects the agency sent him the letter because of Reeves' announcement of support. Previously, Reeves said he didn't have enough data to show that extending health services to mothers would help their health.

READ MORE: FAQ: What is postpartum Medicaid extension, exactly?

Reeves said Sunday that given the overturning of rights, with thousands more births expected in Mississippi with its high rates of infant and maternal mortality and problems, the should “go above and beyond” to help uninsured mothers.

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Gunn said he still opposes broader Medicaid expansion to the working poor, as 39 other states have done.

“I still believe there are good that don't involve ,” Gunn said. “Like the tax credits we've proposed, incentives for private-sector solution to help with , without expanding government.”

Rep. Bryant Clark, D-Pickens, a member of the House Medicaid Committee, said he believes the legislation will pass in the committee.

“I have mixed emotions,” Clark said. “I am extremely happy mothers are getting coverage. But it shows you how much play into the decisions that are made. If it the right thing to do now, which it is, then it was the right thing to do last year and it was the right thing to do earlier this session.

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“But I am extremely happy mothers will be covered.”

Clark also said he is pleased that the House Medicaid Committee will be meeting for the first time this session.

READ MORE: Gov. Tate Reeves unsure whether providing mothers health care would help their health

Mississippi Today's Bobby Harrison contributed to this report.

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

Mississippi Today

On this day in 1917

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mississippitoday.org – Jerry Mitchell – 2024-05-05 07:00:00

May 5, 1917

Eugene Jacques Bullard, seen here in uniform in World War I, was the first African-American combat pilot. Credit: Wikipedia

Eugene Jacques Bullard became the first Black American combat pilot. 

After the near lynching of his father and hearing that Great Britain lacked such racism, the 12-year-old Georgia native stowed away on a ship headed for Scotland. From there, he moved to Liverpool, England, where he handled odd jobs before becoming a boxer, traveling across Europe before he settled in Paris. 

“It seems to me that the French democracy influenced the minds of both White and Black Americans there and helped us all to act like brothers as near as possible,” he said. “It convinced me, too, that God really did create all equal, and it was easy to live that way.” 

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When World War I began, he was too young to fight for his adopted country, so he and other American expatriates joined the French Foreign Legion. Through a of battles, he was wounded, and believed he would never walk again. 

No longer able to serve in the infantry, an American friend bet him $2,000 that he could not get into aviation. Taking on the , he earned his “wings” and began fighting for the French Aéronautique Militaire. 

He addressed racism with words on his plane, “All Blood Runs Red,” and he nicknamed himself, “The Black Swallow of .” 

On his flights, he reportedly took along a Rhesus monkey named “Jimmy.” He tried to join the U.S. Air Service, only to be turned away because he was Black. He became one of France's most decorated war heroes, earning the French Legion of Honor. 

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After the war he bought a Paris nightclub, where Josephine Baker and Louis Armstrong performed and eventually helped French ferret out Nazi sympathizers. After World War II ended, he moved to Harlem, but his widespread fame never followed him back to the U.S. 

In 1960, when French President Charles de Gaulle visited, he told government officials that he wanted to see his old friend, Bullard. No one in the government knew where Bullard was, and the FBI finally found him in an unexpected place — working as an elevator operator at the Rockefeller Center in New York

After de Gaulle's visit, he appeared on “The Today Show,” which was shot in the same building where he worked. 

Upon his death from cancer in 1961, he was buried with honors in the French War ' section of the Flushing Cemetery in Queens, New York. 

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A sculpture of Bullard can be viewed in the Smithsonian National and Air in Washington, D.C., a statue of him can be found outside the Museum of Aviation, and an exhibit on him can be seen inside the National Museum of the U.S. Air Force, which posthumously gave him the rank of a second lieutenant. He is loosely portrayed in the 2006 film, “Flyboys.”

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

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Mississippi Today

A seat at table for Democrats might have gotten Medicaid expansion across the finish line

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mississippitoday.org – Bobby Harrison – 2024-05-05 06:00:00

The Mississippi Capitol is 171,000 square feet, granted a massive structure, but when it to communication between the two legislative chambers that occupy the building, it might as well be as big as the cosmos.

Such was the case in recent days during the intense and often combustible process that eventually led to the death of Medicaid expansion and with that the loss of the opportunity to care for 200,000 working poor with the federal paying the bulk of the cost.

Democrats in the state House came under intense pressure and criticism for blocking a Medicaid expansion compromise reached by Republican House and Senate negotiators.

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First of all, it would be disingenuous to argue that Democrats, who compose less than one-third of the membership of either chamber, blocked any proposal. Truth be known, should be able to pass anything they want without a solitary Democratic vote.

But on this particular issue, the Republican legislative leadership who finally decided that Medicaid expansion would be good for the state needed the votes of the minority party, which incidentally had been working for 10 years to pass Medicaid expansion. The reason their votes were needed is that many Republicans, despite the wishes of their leaders, still oppose Medicaid expansion.

The in the process could be attributed to the of the two presiding officers, House Speaker Jason White and Lt. Gov. Delbert Hosemann in the Senate, not to appoint a single Democrat to the all-important conference committee.

Conference committees are formed of three senators and three House members who work out the differences between the two chambers on a bill. Considering that Democratic votes were needed in both chambers to pass Medicaid expansion, and considering Democrats had been working on the issue for a decade while Republicans blocked it, it would have made sense that they had a seat at the table in the final negotiations process.

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One Democrat from each chamber on the conference committee could not have altered the outcome of the negotiations. But the two Democrats could have provided input on what their fellow legislative Democrats would accept and vote for.

In the eyes of the Democrats, the compromise reached without their voice being heard was unworkable and would not have resulted in Medicaid expansion.

The Republican compromise said Medicaid would not be expanded until the federal government provided a waiver mandating those on Medicaid expansion were working. Similar work requirement requests by other states have been denied. Under the compromise, if the work requirement was rejected by federal officials, Medicaid expansion would not occur in Mississippi.

After voicing strong objections to the work requirement, House Minority Leader Rep. Robert Johnson, recognizing the Senate would not budge from the work requirement, offered a compromise. The Johnson compromise to the compromise was to a provision mandating the state apply annually with federal officials for the work requirement.

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Instead, under Johnson's proposal, state Medicaid officials would be mandated to apply just once for the work requirement. If it was rejected, Medicaid expansion would not occur, but hopefully that would compel the to take up the issue of the work requirement and perhaps remove it.

“We just want the Legislature to come back and have a conversation next year if the federal government doesn't approve the work requirement. It's as simple as that,” Johnson said.

Senate leaders agreed that Johnson's proposal was a simple ask and something they might consider.

But Lt. Gov. Delbert Hosemann, who presides over the Senate, said he never heard Johnson's proposal until late in the process — too late in the process, as it turned out.

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Speaker Jason White, R-West, also said he never heard the proposal, though Johnson said he repeatedly discussed it with House leaders. He certainly was relaying the information to the media during the final hectic days before Medicaid expansion died.

And perhaps if Johnson or one of his Democratic colleagues had been on the conference committee, that information would have been heard by the right legislative people and perhaps Medicaid expansion would not have died.

After all, a conference room or an office where negotiators are meeting to hammer out a compromise is much smaller than the massive state Capitol, where communications often get lost in the cosmos.

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 1884

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May 4, 1884

of Ida B. Wells, circa 1893 Credit: Courtesy of National Park Service

Crusading journalist Ida B. Wells, an African-American native of Holly Springs, Mississippi, was riding a train from Memphis to Woodstock, Tennessee, where she worked as a teacher, when a white railroad conductor ordered her to move to another car. She refused.

When the conductor grabbed her by the arm, “I fastened my teeth in the back of his hand,” she wrote.

The conductor got from others, who dragged her off the train.

In response, she sued the railroad, saying the company forced Black Americans to ride in “separate but unequal” coaches. A local judge agreed, awarding her $500 in damages.

But the Tennessee Supreme Court reversed that ruling three years later. The upended her belief in the court system.

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“I have firmly believed all along that the was on our side and would, when we appealed it, give us justice,” she said. “I feel shorn of that belief and utterly discouraged, and just now, if it were possible, would gather my race in my arms and fly away with them.”

Wells knew about caring for others. At age 16, she raised her younger siblings after her and a brother died in a yellow fever epidemic. She became a teacher to her .

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

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