Mississippi Today
A solution to the Republican impasse on Medicaid expansion
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 Medicaid 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.
“I'm here because of the human cost of not expanding health care coverage to poor Mississippians,” 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 chance 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.”
As O'Beirne and other Mississippians have closely followed, Blackwell has been as dug-in as any lawmaker during the Medicaid expansion fight. This week, 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 support 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. Including a stringent work requirement, health care advocates and legal scholars believe, would effectively kill any expansion plan.
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.
None of that sat right with O'Beirne, inspiring her to come 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.
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 doctors. 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?”
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1968
MAY 11, 1968
The Poor People's Campaign arrived in Washington, D.C. A town called “Resurrection City” was erected as a tribute to the slain Martin Luther King Jr.
King had conceived the campaign, which was led by his successor at the head of the Southern Christian Leadership Conference, Ralph David Abernathy. Civil rights leader Jesse Jackson reached out to young Black men wanting vengeance for King's assassination.
“Jackson sat them down and said, ‘This is just not the way, brothers. It's just not the way,”' recalled Lenneal Henderson, then a student at the University of California at Berkeley. “He went further and said, ‘Look, you've got to pledge to me and to yourself that when you go back to wherever you live, before the year is out, you're going to do two things to make a difference in your neighborhood.' It was an impressive moment of leadership.”
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Lawmakers may have to return to Capitol May 14 to override Gov. Tate Reeves’ potential vetoes
Legislators might not have much notice on whether they will be called back to the Mississippi Capitol for one final day of the 2024 session.
Speaker Jason White, who presides over the House, and Lt. Gov. Delbert Hosemann, who presides over the Senate, must decide in the coming days whether to reconvene the Legislature for one final day in the 2024 session on Tuesday at 1 p.m.
Lawmakers left Jackson on May 4. But under the joint resolution passed during the final days of the session, legislators gave themselves the option to return on May 14 unless Hosemann and White “jointly determine that it is not necessary to reconvene.”
The reason for the possible return on Tuesday presumably is to give the Legislature the opportunity to take up and try to override any veto by Gov. Tate Reeves. The only problem is the final bills passed by the Legislature — more than 30 — are not due action by Reeves until Monday, May 13. And technically the governor has until midnight Monday to veto or sign the bills into law or allow them to become law without his signature.
Spokespeople for both Hosemann and White say the governor has committed to taking action on that final batch of bills by Monday at 5 p.m.
“The governor's office has assured us that we will receive final word on all bills by Monday at 5 p.m.,” a spokesperson for Hosemann said. “In the meantime, we are reminding senators of the possibility of return on Tuesday.”
A spokesperson for White said, “Both the House and Senate expect to have all bills returned from the governor before 5 p.m. on Monday. The lieutenant governor and speaker will then decide if there is a reason to come back on May 14.”
The governor has five days to act on bills after he receives them while legislators are in session, which technically they still are. The final batch of bills were ready for the governor's office one day before they were picked up by Reeves staff. If they had been picked up that day earlier, Reeves would have had to act on them by Saturday.
At times, the governor has avoided picking up the bills. For instance, reporters witnessed the legislative staff attempt to deliver a batch of bills to the governor's Capitol office one day last week, but Reeves' staff refused to accept the bills. They were picked up one day later by the governor's staff, though.
Among the bills due Monday is the massive bill that funds various projects throughout the state, such as tourism projects and infrastructure projects. In total, there are more than 325 such projects totaling more than $225 million in the bill.
In the past, the governor has vetoed some of those projects.
The governor already has taken action of multiple bills passed during the final days of the session.
He allowed a bill to strip some of the power of the Public Employees Retirement System Board to become law without his signature. The bill also committed to providing a 2-and-one-half percent increase in the amount governmental entities contribute to the public employee pension plan over a five year period.
A bill expanding the area within the Capitol Complex Improvement District, located in the city of Jackson, also became law without his signature. The CCID receives additional funding from the state for infrastructure projects. A state Capitol Police Force has primary law enforcement jurisdiction in the area.
The governor signed into law earlier this week legislation replacing the long-standing Mississippi Adequate Education Program, which has been the mechanism to send state funds to local schools for their basis operation.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 2007
MAY 10, 2007
An Alabama grand jury indicted former state trooper James Bonard Fowler for the Feb. 18, 1965, killing of Jimmie Lee Jackson, who was trying to protect his mother from being beaten at Mack's Café.
At Jackson's funeral, Martin Luther King Jr. called him “a martyred hero of a holy crusade for freedom and human dignity.” As a society, he said, “we must be concerned not merely about who murdered him, but about the system, the way of life, the philosophy which produced the murderer.”
Authorities reopened the case after journalist John Fleming of the Anniston Star published an interview with Fowler in which he admitted, despite his claim of self-defense, that he had shot Jackson multiple times. And Fleming uncovered Fowler's killing of another Black man, Nathan Johnson. In 2010, Fowler pleaded guilty to second-degree manslaughter and was sentenced to six months behind bars.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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