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Feds approve part of Gov. Reeves’ plan to help Mississippi hospitals

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A plan championed by Gov. Tate Reeves to draw down more money for the 's hospitals has been partially approved by the federal

Thanks to the stamp of approval, hospitals could payments within weeks.

For years as hospitals across the state have struggled, experts and hospital have been asking for , most calling for expansion. Instead, at a press conference announcing his plan in September, Reeves doubled down on his opposition to expansion and pitched a plan to draw more federal money to hospitals.

According to Reeves' office, the changes are estimated to infuse the state's hospitals with nearly $700 million in total.

The plan relies on two changes to hospital Medicaid reimbursements that increase supplemental payments to hospitals. This is extra money hospitals receive to offset low reimbursement rates from Medicaid and for uncompensated care, or money hospitals lose caring for people who are uninsured.

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The component of that plan approved by the Centers for Medicare and Medicaid Services, which reimburses hospitals for low Medicaid payments at an average commercial rate for services, will generate approximately $600 million, according to the press release. It's not clear what average commercial rate (state, regional or national) the plan utilizes to yield these results — Mississippi has a low average commercial rate, according to experts. 

The second component of the plan, which modifies another form of supplemental payments, has not yet been approved.

“This plan is going to strengthen our state's system and I'm glad that we could get it done for the people of Mississippi,” Reeves said in a press release. “This is the product of meetings with a range of medical professionals and healthcare leaders, and I'm truly thankful to all of them for helping to get us to .”

Experts say the reforms will bring more money to the state's hospitals, but it won't insure more people in Mississippi, one of the most uninsured states in America. Additionally, the hospitals that appear to benefit most from the plan appear to be larger facilities, not the small rural hospitals feeling the stress of the health care crisis most acutely.

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Former state hospital association director Tim Moore previously told Mississippi Today that Reeves' proposals do “nothing to help the low-wage earners in Mississippi who do not have the disposable income to pay for medical care.”

Researchers estimate the Medicaid expansion, by increasing the wage level that Mississippians would be eligible for Medicaid, would insure 200,000 to 300,000 people who currently don't qualify for Medicaid but don't make enough to pay for marketplace insurance.

While emergency rooms cannot turn down regardless of their insurance status, doctor's offices and clinics can. That means one of the only ways uninsured people can receive health care in Mississippi, one of the unhealthiest states in the country, is through emergency care. Preventative care, though, is inaccessible.

At the press conference, Reeves encouraged the population of Mississippians without health insurance to get a job or a better job and derisively referred to expansion as “welfare.”

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In other states that have adopted similar measures, experts say the policy reforms make the biggest difference when combined with Medicaid expansion.

The federal government is still considering the second proposal. It's not clear why the plan is being considered separately.

The changes are retroactively effective beginning July 1, so the Mississippi Division of Medicaid will deliver the first round of payments to hospitals in the coming weeks, according to the press release.

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

Did you miss our previous article…
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Mississippi Today

Podcast: The controversial day that Robert Kennedy came to the University of Mississippi

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Retired U.S. Bankruptcy Judge Edward Ellington talks with 's Bobby Harrison and Geoff Pender about former U.S. Robert Kennedy's speech at the University of Mississippi less than four years after the riots that occurred after the integration of the school. Ellington, who at the time headed the Speaker's as a school student, recalls the controversy leading up to the speech. 


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 1961

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mississippitoday.org – Jerry Mitchell – 2024-05-20 07:00:00

MAY 20, 1961

In this 1961 , leader John Lewis, left, stands next to James Zwerg, a Fisk student. Both were attacked during the Rides. Credit: AP

A white mob of more than 300, Klansmen, attacked Freedom Riders at the Greyhound Bus Station in Montgomery, Alabama. Future Congressman John Lewis was among them. 

“An angry mob came out of nowhere, hundreds of people, with bricks and balls, chains,” Lewis recalled. 

After beating on the riders, the mob turned on reporters and then Justice Department official John Seigenthaler, who was beaten unconscious and left in the street after helping two riders. 

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“Then they turned on my colleagues and started beating us and beat us so severely, we were left bloodied and unconscious in the streets of Montgomery,” Lewis recalled. 

As the mob headed his way, Freedom Rider James Zwerg said he asked for God to be with him, and “I felt absolutely surrounded by love. I knew that whether I lived or died, I was going to be OK.” 

The mob beat him so badly that his suit was soaked in blood. 

“There was nothing particularly heroic in what I did,” he said. “If you want to about heroism, consider the Black man who probably saved my . This man in coveralls, just off of work, happened to walk by as my beating was going on and said ‘Stop beating that kid. If you want to beat someone, beat me.' And they did. He was still unconscious when I left the hospital.” 

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To quell the violence, Robert Kennedy sent in 450 federal marshals.

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

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2024 Mississippi legislative session not good for private school voucher supporters

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mississippitoday.org – Bobby Harrison – 2024-05-19 14:11:52

Despite a recent Mississippi Supreme Court ruling allowing $10 million in public money to be spent on private schools, 2024 has not been a good year for those supporting school vouchers.

School-choice supporters were hopeful during the 2024 legislative session, with new House Speaker Jason White at times indicating support for vouchers.

But the Legislature, which recently completed its session, did not pass any new voucher bills. In fact, it placed tighter restrictions on some of the limited laws the has in place allowing public money to be spent on private schools.

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Notably, the Legislature passed a bill that provides significantly more oversight of a program that provides a limited number of scholarships or vouchers for special-needs to attend private schools.

Going forward, thanks to the new , to the vouchers a parent must certify that their child will be attending a private school that offers the special needs educational services that will the child. And the school must report information on the academic progress of the child receiving the funds.

Also, efforts to expand another state program that provides tax credits for the benefit of private schools was defeated. Legislation that would have expanded the tax credits offered by the Children's Promise Act from $8 million a year to $24 million to benefit private schools was defeated. Private schools are supposed to educate low income and students with special needs to receive the benefit of the tax credits. The legislation expanding the Children's Promise Act was defeated after it was reported that no state agency knew how many students who fit into the categories of poverty and other specific needs were being educated in the schools receiving funds through the tax credits.

Interestingly, the Legislature did not expand the Children's Promise Act but also did not place more oversight on the private schools receiving the tax credit funds.

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The bright spot for those supporting vouchers was the early May state Supreme Court ruling. But, in reality, the Supreme Court ruling was not as good for supporters of vouchers as it might appear on the surface.

The Supreme Court did not say in the ruling whether school vouchers are constitutional. Instead, the state's highest court ruled that the group that brought the lawsuit – for Public Schools – did not have standing to pursue the legal action.

The Supreme Court justices did not give any indication that they were ready to say they were going to ignore the Mississippi Constitution's plain language that prohibits public funds from being provided “to any school that at the time of receiving such appropriation is not conducted as a free school.”

In addition to finding Parents for Public Schools did not have standing to bring the lawsuit, the court said another key reason for its ruling was the fact that the funds the private schools were receiving were federal, not state funds.  The public funds at the center of the lawsuit were federal COVID-19 relief dollars.

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Right or wrong, The court appeared to make a distinction between federal money and state general funds. And in reality, the circumstances are unique in that seldom does the state receive federal money with so few strings attached that it can be awarded to private schools.

The majority opinion written by Northern District Supreme Justice Robert Chamberlin and joined by six justices states, “These specific federal funds were never earmarked by either the federal government or the state for educational purposes, have not been commingled with state education funds, are not for educational purposes and therefore cannot be said to have harmed PPS (Parents for Public Schools) by taking finite government educational funding away from public schools.”

And Southern District Supreme Court Justice Dawn Beam, who joined the majority opinion, wrote separately “ to reiterate that we are not ruling on state funds but American Rescue Plan Act (ARPA) funds … The ARPA funds were given to the state to be used in four possible ways, three of which were directly related to the COVID -19 health emergency and one of which was to make necessary investments in , sewer or broadband .”

Granted, many public school advocates lamented the , pointing out that federal funds are indeed public or taxpayer money and those federal funds could have been used to help struggling public schools.

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Two justices – James Kitchens and Leslie King, both of the Central District, agreed with that argument.

But, importantly, a decidedly conservative-leaning Mississippi Supreme Court stopped far short – at least for the time being – of circumventing state constitutional language that plainly states that public funds are not to go to private schools.

And a decidedly conservative Mississippi Legislature chose not to expand voucher programs during the 2024 session.

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

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