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Reeves makes clear that cost is not his reason for opposing Medicaid expansion for working poor

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The shroud of mystery has been on why Gov. Tate Reeves opposes expanding .

It is not a matter of cost. The governor simply does not expanding Medicaid to coverage for Mississippi's working poor.

Reeves' recent announcement of his plan to provide additional federal funds for struggling hospitals makes clear that the cost to the state is not the reason he opposes expanding Medicaid.

Reeves often has said he opposed Medicaid expansion because the state could not afford to put up 10% of the matching funds to draw down the federal fund. Under expansion, the feds would pay 90% of the health care costs for an estimated 300,000 — mostly the working poor who would qualify.

Health care experts question whether Reeves' recently announced complex plan to draw down additional federal Medicaid funds for hospitals would even work. But under his plan, the hospitals would pay an additional assessment or tax of $178 million per year as the state match to draw down the funds. If it works, the hospitals paying the assessment/tax would garner an estimated $680 million annually in federal Medicaid funds.

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But there's another option at the governor's disposal. He could take a portion of that increased hospital assessment/tax (about $100 million) and draw down more than $1 billion annually in Medicaid expansion funds as 40 other states have done. Those funds would be used to provide health insurance to tens of thousands of the working poor. Medicaid expansion would allow hospitals to payments when they provide services to the working poor and would allow the working poor to access other medical services, such as primary care physicians, who might be able to prevent them from needing more expensive hospital care down the road.

It is important to remember that back in 2019, the Mississippi Hospital Association proposed paying an assessment/tax to provide the state match for Medicaid expansion. Reeves rejected that proposal then.

At last week's announcement, Reeves reiterated that he has no interest in expanding Medicaid to provide health insurance for the poor.

“The question is … what is the difference in changing the payment methodology and adding approximately 300,000 Mississippians to the welfare rolls?” the governor said. “Mississippi has the lowest unemployment rate in our state's history. We need more people in the work force … So, adding 300,000 able-bodied Mississippians to the welfare rolls I would argue is a bad idea.”

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A study by the Kaiser Family Foundation found that 61% of Medicaid recipients work and another 30% of recipients are students, disabled or caregivers. Medicaid expansion is designed, in part, to provide health insurance for people who work in where their employers do not provide health insurance and they do not earn enough to afford private insurance.

Mississippi's current Medicaid program provides health insurance coverage for the disabled, poor pregnant women and children, a certain group of caregivers living in extreme poverty and a certain group of the elderly, but not the working poor.

A study by the Mississippi Research Center found that Medicaid expansion would generate much more in federal funds — at a lower cost to the state — than the governor's recently announced plan would.

Mississippi would receive $1.61 billion in federal funds for the first year of Medicaid expansion and $1.64 billion in the second year, according to a study authored by the state economist's office. The office forecasted that Mississippi would collect $1.36 billion in year three, $1.38 billion in year four, and increasing by smaller percentages going forward.

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That money could be used not only to hospitals, but to provide access to health care for working poor Mississippians.

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

Crooked Letter Sports Podcast

Podcast: The NCAA Regional wrap-up.

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NCAA Super Regionals are this , but Mississippi will not be represented for the first time in a while. Both Mississippi and Southern Miss lost out in the finals of their prospective regionals. The Clevelands discuss all that, plus venerable Coastal Carolina coach Gary Gilmore's parting words to college .

Stream all episodes here.


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

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Mississippi Today

Does Mississippi have any campaign finance rules? Legislative inaction, AG’s statements leave doubt

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mississippitoday.org – Geoff Pender – 2024-06-05 08:32:04

An attempt to reform Mississippi's lax, antiquated and jacked-up campaign finance laws went over like a lead balloon with lawmakers in this year's legislative session, with Republicans and Democrats alike gutting and deriding the reform bill before killing it.

So, that leaves the Magnolia where it was, right? Weak laws. Little transparency for voters or enforcement for wrongdoers. Our susceptible to the corrosive influence of secretive big-money special interests.

No. It's worse.

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In her eleventh-hour hop onto the reform bandwagon, Attorney General Lynn Fitch, the state's top officer, publicly opined, in writing, that she can't legally enforce the laws we do have. Oh, and that a $1,000 a year limit on out-of-state corporate donations to our politicians that everyone believed was law for at least the last 30 years is null and void under her new interpretation. She put that part of her press release in italics, for emphasis.

Fitch's last-minute joinder of calling for reform was seen as deflection of the flak she was receiving for not enforcing what many, Lt. Gov. Delbert Hosemann, believed were flagrant violations of laws already on the books during last year's statewide elections. Millions of dollars in dark money poured into Mississippi campaigns and some candidates appeared to thumb their noses at what rules we do have.

Many chalked up Fitch's inaction on the complaints to not wanting to ruffle political feathers or sour relationships with potential donors for her own future political ambitions.

Despite Fitch lamenting, “We're allowing out-of-state influencers to determine and to pick who the candidates should be in our state … (and) We've got to have enforcement …,” a Mississippi Today analysis of her own campaign finance reports showed a majority of her campaign money came from out-of-state businesses: about $727,000 of $1.27 million.

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Also, Fitch appears to receive lots of money from out-of-state interests to whom she awards office contracts. Records show she signed at least nine AG contracts last year with out-of-state law firms that had donated more than $300,000 to her campaign.

There has never been traction in the Mississippi for “pay-to-play” campaign donation prohibitions like other states have enacted.

Fitch, the only official with clear legal authority to investigate and enforce campaign finance violations, in her Feb. 6 press release appeared to throw in the towel on her office enforcing current laws: “Last year, we were asked to investigate several instances of clearly unethical and immoral campaign behavior. But we discovered they were not criminal under our current laws.”

So, what now?

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Secretary of State Michael Watson helped lead the push for reform along with Hosemann and Senate Elections Chairman Jeremy England, R-Vancleave. The three have vowed to continue that push next legislative session.

In the meantime, Watson said he will continue to forward suspected violations to the AG's office, as the law prescribes. And, he said, he will continue to tell candidates there is (note the italics) a $1,000 a year limit on donations from both in-state and out-of-state corporations. He said this limit will remain in the written campaign finance guide the secretary of state's office has provided candidates for decades.

It's noteworthy that despite her Feb. 6 interpretation that no such limit applies to out-of-state corporations, Fitch appeared to think it did in August of 2023. After months of inaction on major campaign finance complaints, she announced then that she would investigate whether a PAC by unsuccessful lieutenant governor candidate Chris McDaniel's campaign treasurer tried “exceeding corporate contribution limits” by shuffling out-of-state money through PACs.

“We are going to continue along the lines we have practiced for years and years,” Watson said. “… And, we are not going to stop, we are going to keep pushing for campaign finance reform.

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“I don't have prosecutorial authority,” Watson said. “I can't prosecute so I have to have a willing and able attorney general working with me.”

Watson could hand off suspected campaign finance violations to local district attorneys. But Watson's office said that DAs typically would refer such misdemeanors down to county prosecutors, who don't have the resources to investigate or prosecute such violations. Plus, such complaints are often about districtwide or statewide candidates, often running in areas that extend beyond the jurisdiction of a county prosecutor or DA.

Watson said he believes current statute and definitions and decades of practice uphold the $1,000 limit and that other campaign finance laws — while in need of an overhaul — could still be enforced by the AG. But he did question her comments early this year.

“That was an interesting statement on her behalf, perhaps to dodge a little,” Watson said. “… If folks rely on her position, I do think it opens the door for outside dollars to flow in.”

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Lawmakers have not only been loath to strengthen campaign finance laws and increase penalties, they've not wanted to provide offices such as the secretary of state or the Ethics Commission clear duties on collecting finance and other reports and enforcing deadlines. Such laws have been piecemealed and tweaked over many years in the name of reform, but now they often conflict, with one part of statute giving Ethics a responsibility, another saying the same responsibility belongs to the secretary of state's office.

Watson has said he's not not seeking more power for his office, but last year said, “… when people do not do their , I will stand in the gap for ,” which appeared to be a dig at Fitch and a call for someone to be responsible for campaign finance enforcement.

Also, lawmakers have shown they not only don't want stronger campaign finance rules and enforcement, they don't want the citizenry to even be able to clearly see who donates to candidates and how much.

Most other states, including all those surrounding Mississippi, have searchable campaign finance databases. One can, for instance, type in the name of a donor and see all the campaigns to which the person donated and how much.

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Setting up such data would not require Mississippi candidates learn any real computer skills — they could simply type in donation information into fields in a form on the secretary of state's website.

But lawmakers have shot down any effort to require such electronic campaign finance reports, including this year when Watson pitched it as part of his proposed reforms. Instead, Mississippi politicians can still file paper reports and hand-write them, which many still do with varying degrees of legibility. While Watson's office puts reports online, they are PDFs — pictures of pages that a citizen would have to go through page by page to tally donations. Cross referencing donors across all campaigns or even inspection to make sure the reports were filled out properly would be a daunting task.

While lawmakers shot down England's reform bill, with many voicing dismay at the inclusion of an online campaign finance filing requirement, the Legislature did approve $3.9 million for an overhaul of the secretary of state's computer system. Watson said he believes he can still move forward on developing such a filing system, although he said he would still require legislative approval to make electronic filing mandatory.

“The (request for proposals) for that system is going out in June, and it will have a platform for online campaign finance ,” Watson said. “… I think we will get there eventually. I think we can educate (lawmakers) on how simple it will be to use.”

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Watson said he knows campaign finance reform and strengthening laws and penalties is a tough sell in the Legislature, but he believes change will come eventually. He noted that despite England's bill being shot down, “There were a large number of legislators who commented it was the right thing to do.”

He said eventually, campaign finance authority should be centralized, even if it's not under his office.

“I have no problem with that whatsoever,” Watson said recently. “That's what we told the Legislature — just centralize campaign finance under one roof. Mississippians deserve it. I don't want more authority, but I want the law to be followed.”

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 1963

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mississippitoday.org – Jerry Mitchell – 2024-06-05 07:00:00

JUNE 5, 1963

Cleve McDowell Arrives on campus at the of Mississippi In 1963. Credit: University of Mississippi Libraries

Cleve McDowell became the first Black American to attend the University of Mississippi School of . He and James Meredith roomed together on campus. But university expelled him after they caught him with a pistol for self-protection. He began carrying the weapon after federal marshals left campus, no longer protecting him or Meredith. 

McDowell went on to his law degree from Southern University in Houston and returned to the Mississippi Delta, where he served as field secretary for the Mississippi NAACP and later worked as a public defender. He and other argued that unpunished killers from the civil rights movement should be punished, just as Nazi war criminals had been. He died in 1997.

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

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