Mississippi Today

Can a Mississippi governor expand Medicaid on his own? Depends on who you ask.

Published

2 years ago

August 23, 2023

Editor’s note: Mississippi Today interviewed two Deep South governors about why they chose to champion and pass Medicaid expansion in their states and what the outcomes have been. Those articles will publish on August 24.

Brandon Presley, the Democratic nominee for governor, has at times spoken of expanding Medicaid through executive action without approval of the Republican-controlled Mississippi Legislature should he win the November general election.

“Day 1, I’m going to expand Medicaid so that 220,000 working Mississippians can get access to affordable healthcare,” Presley wrote on social media in July.

At other times, perhaps recognizing the obstacles such a solo effort to expand Medicaid might face, Presley has indicated he would work with the Legislature, which he has said he believes would be amenable to Medicaid expansion.

As nearly half of the state’s rural hospitals are at risk of closing and hospitals across the state are laying off staff or cutting services because of budget problems, Medicaid expansion has become a key campaign issue in 2023.

Forty states and the District of Columbia have expanded Medicaid, a federal opt-in program that provides health care coverage to poor Americans who can’t otherwise afford it themselves. Two of Mississippi’s neighbors, Arkansas and Louisiana, have expanded Medicaid with great success and improved outcomes.

But leaders in Mississippi, the poorest state in America with one of the nation’s highest percentages of uninsured residents, have resisted expansion for more than 10 years — despite the fact that it would bring more than $1 billion per year in new funds to the state and directly help hospitals.

In some states, such as Louisiana, expansion was done through executive orders instead of by approval of the Legislature. But there are questions about whether a governor in Mississippi could expand Medicaid without legislative approval.

Republican Gov. Tate Reeves, who is seeking reelection and faces Presley in the November general election, has long opposed expanding Medicaid.

The Division of Medicaid, which is under the statutory direction and purview of the governor, takes the position that Medicaid expansion requires legislative approval.

“State law defines who can be eligible for Medicaid in Mississippi. Our understanding is that a governor is not authorized to unilaterally establish a new Medicaid coverage group through an executive order or a federal demonstration waiver,” said Matt Westerfield, a spokesperson for the state’s Division of Medicaid.

State Sen. Kevin Blackwell, R-Southaven, who chairs the Senate’s Medicaid Committee, referred questions about whether a governor could expand Medicaid on his or her own to the Division of Medicaid. His House counterpart, Joey Hood, R-Ackerman, could not be reached for comment.

Former state Rep. Steve Holland, who for years was considered one of the leading authorities in the Legislature on Medicaid issues as the longtime chair of Public Health Committee, said the governor has considerable authority over the Medicaid program. After all, Medicaid is a division within the governor’s office.

Still, Holland said, “We have the most codified Medicaid program in the country. We have put all the eligibility requirements in law … I know Brandon (Presley) as well as anyone. If he is fortunate enough to be elected governor, he is smooth enough and prepared enough to begin immediately to expand Medicaid. And I think he can work with the Legislature to do that.”

The Presley campaign has cited the ability of the Division of Medicaid — hence the governor — to seek a federal waiver to alter the state Medicaid program. A campaign spokesperson said the governor would have authority to seek the waiver under state law, though waivers are granted for only five years and they normally are granted in coordination with the Legislature, which often must provide funding to pay for the waiver.

Holland said state law provides the Division of Medicaid under the governor significant flexibility to seek waivers from the federal government to enact programs that are not codified in state law.

The bottom line is that if there was an effort to expand Medicaid through the waiver program, an appropriation by the Legislature to fund the program most likely still would be needed. But if a governor did expand Medicaid and figure out a way to pay for the program without the Legislature, it likely would result in litigation and be left to the state courts to determine whether it was legal.

Specific sections of state law define who is eligible for Medicaid based on income levels and health issues. In general terms, in Mississippi only poor pregnant women, poor children, the disabled, certain groups of the elderly and some groups who fall into extreme poverty categories and are providing care for family members on Medicaid are eligible for Medicaid coverage.

Most able-bodied people are not eligible for Medicaid in Mississippi.

With Medicaid expansion, those earning up to 138% of the federal poverty level — or about $18,750 annually — would be eligible for coverage. The intent with Medicaid expansion is to provide health care to primarily the working poor who cannot afford private insurance and who are not provided coverage by their employers.

The most clear cut way to expand Medicaid would be for the Legislature to approve a bill to incorporate the new eligibility requirements in state law.

Whether it would be feasible for the Legislature to agree to such a change in state law is the unknown question. If Presley is elected, Mississippians will find out.

At least in the current Legislature, there is a significant appetite to at least consider the merits of expansion. Last legislative session, Mississippi Today surveyed most of the 174 lawmakers and asked them directly if they supported Medicaid expansion.

In response, voting majority in the House said they either supported Medicaid expansion or remained undecided. One vote shy of a voting majority in the Senate said the same.

Just 21 of the House members surveyed, or 18% of the House, said they outright opposed Medicaid expansion. And just 18 of the Senate members surveyed, or 38% of the Senate, said they outright opposed it.

Holland, who served in the Legislature until 2020, says he believes Presley could get Medicaid expansion through the Legislature even with a Republican supermajority.

“Tate Reeves and (House Speaker) Philip Gunn were the two blocking it. Period.” said Holland. Gunn is not seeking re-election this year.

“In my final years in the House I had so many Republicans come to me and say expanding Medicaid is the right thing to do,” Holland said.

Another option would be for the Legislature to reauthorize the ballot initiative program that was ruled unconstitutional in 2021 by the state Supreme Court. Through the initiative process, people can gather signatures to bypass the Legislature and place issues directly on the ballot.

When the initiative process was ruled invalid, there was an effort underway to gather the required number of signatures to place Medicaid expansion on the ballot. The Mississippi Hospital Association was one of the sponsors of the Medicaid expansion initiative proposal and had hoped to have enough signatures to place the proposal on the 2022 ballot.

Multiple polls have indicated strong support among Mississippi voters for Medicaid expansion.

So far, legislative efforts to revive the initiative have been unsuccessful.

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

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Mississippi Today

Indicted Jackson prosecutor’s latest campaign finance report rife with errors

Published

8 hours ago

July 18, 2025

Staff Editor

mississippitoday.org – @ayewolfe – 2025-07-18 11:00:00

by Caleb Bedillion, The Marshall Project and Anna Wolfe, Mississippi Today
July 18, 2025

Tangled finances, thousands in personal loans and a political contribution from a supposed investor group made up of undercover FBI informants — this was all contained in a months-late campaign finance report from Hinds County District Attorney Jody Owens.

Owens, a second-term Democrat in Mississippi’s capital city region, is fighting federal bribery charges, to which he’s pleaded not guilty. At the same time, his recent campaign finance disclosure reflects a pair of transactions that correspond with key details in the government’s allegation that Owens took money from undercover informants to pay off a local official’s debt.

Regarding payments from Facility Solutions Team — the company name used in the FBI sting — to former Jackson City Councilwoman Angelique Lee, Owens allegedly stated the need to “clean it out,” according to the indictment, which was unsealed in November.

“[L]ike we always do, we’ll put it in a campaign account, or directly wire it,” he said, the indictment claims. “[T]hat’s the only way I want the paper trail to look.”

Agents recorded hundreds of hours of conversations with Owens and other officials, and after his arraignment last year, Owens responded to the charges, saying, “The cherry-picked statements of drunken locker room banter is not a crime.”

Throughout 2024, a non-election year during which federal authorities allege Owens funneled thousands of dollars in bribes to Jackson’s city officials, Owens loaned his campaign more than $20,000, according to his campaign committee’s finance report. He’d won reelection in late 2023.

Owens and his attorneys did not respond to questions about his campaign finance report.

Owens’ report, filed May 30 – months late and riddled with errors – is the latest example of how Mississippi politicians can ignore the state’s campaign finance transparency laws while avoiding meaningful consequences. It’s a lax legal environment that has led to late and illegible reports, untraceable out-of-state money that defied contribution limits, and, according to federal authorities, public corruption with campaign finance accounts serving as piggy banks.

Enforcement duties are divided among many government bodies, including the Mississippi Ethics Commission. The commission’s executive director, Tom Hood, has long complained that the state’s campaign finance laws are confusing and ineffective.

“It’s just a mess,” Hood said.

Owens filed the annual report months past the Jan. 31 deadline, after reporting from The Marshall Project – Jackson revealed he had failed to do so. He paid a $500 fine in April.

He was also late filing in previous years, paying fines in some years and failing to pay the penalties in other years, according to records provided by the Ethics Commission.

The report, which Owens signed, is full of omissions or miscalculations, with no way to tell which is which. The cover sheet of the report provides the total amount of itemized contributions and disbursements for the year — $44,000 in and $36,500 out. But the body of the report lists the line-by-line itemizations for each, and when the Marshall Project – Jackson and Mississippi Today summed the individual itemizations, the totals didn’t match those on the cover sheet.

Based on the itemized spending detailed in the body of the report, Owens’ campaign should have thousands more in cash on hand than reported. In the report’s cover sheet, Owens also reported that he received more in itemized contributions during the year than he received in total contributions, which would be impossible to do.

While the secretary of state receives and maintains campaign finance reports, it has no obligation to review the reports and no authority to investigate their accuracy. Under state law, willfully filing a false campaign finance report is a misdemeanor. Charges, however, are rare.

Owens is the only local official in the federal bribery probe — which is set to go to trial next summer — who remains in office. The government alleged that Owens accepted $125,000 to split between him and two associates in late 2023 from a group of men he believed were vying for a development project in downtown Jackson. Owens accepted several thousand dollars more to funnel to public officials for their support of the project, the indictment alleges. The use of campaign accounts was an important feature of the alleged scheme, according to the indictment.

Owens divvied up $50,000 from Facility Solutions Team, or FST, into checks from various individuals or companies — allegedly meant to conceal the bribe — to former Jackson Mayor Chokwe Lumumba’s reelection campaign, the indictment charged.

Lumumba accepted the checks during a sunset cruise on a yacht in South Florida, the indictment alleged. His campaign finance report, filed earlier this year, reflected five $10,000 contributions near the date of the trip, with no mention of FST.

Lumumba, who lost reelection in April, has pleaded not guilty.

While the indictment accused Owens of saying that public officials use campaign accounts to finance their personal lives, state law prohibits the use of political contributions for personal use.

The indictment alleges Owens accepted $60,000 — some for the purpose of funneling to local politicians — from the men representing themselves as FST in the backroom of Owens’ cigar bar on Feb. 13, 2024. On his campaign finance report, he listed a $12,500 campaign contribution from FST two days later, the same day the indictment alleges he paid off $10,000 of former Councilwoman Lee’s campaign debt. Lee pleaded guilty to charges related to the alleged bribery scheme in 2024.

Also on Feb. 15, 2024, the campaign finance report Owens filed shows a $10,000 payment to 1Vision, a printing company that used to go by the name A2Z Printing, for the purpose of “debt retirement.” Lee had her city paycheck garnished starting in 2023 to pay off debts to A2Z Printing, according to media reports. No mention of Lee was made in the campaign finance report filed by Owens. The printing company did not respond to requests for comment.

Campaigns are allowed to contribute money to other campaigns or political action committees. If Owens’ committee used campaign funds to pay off debt owed by Lee’s campaign, the transaction should have been structured as a contribution to Lee’s campaign and reported as such by both campaigns, said Sam Begley, a Jackson-based attorney and election law expert who has advised candidates about their financial disclosures.

The alleged debt payoff on behalf of Lee is not the first time Owens has described transactions on his campaign finance filings in ways that may obscure how his campaign is spending money. Confusing or unclear descriptions of spending activity are common on campaign finance reports across the state.

Owens previously reported that in 2023, he paid $1,275 to a staff member in the district attorney’s office who also worked on his campaign. The payment was labeled a reimbursement, which Owens explained in a May email to The Marshall Project – Jackson was for expenditures this person made on behalf of the campaign, “such as meals for volunteers/workers, evening/weekend canvassers, and election day workers.”

State law requires campaigns to itemize all contributions and expenses over $200. Begley said he believes Owens’ committee should have itemized any payments over $200 made by anyone on behalf of the campaign.

Upfront payments, with the expectation of repayment by the campaign, might also be considered a loan, according to a spokesperson for the secretary of state. Campaigns are barred from spending money to repay undocumented loans.

The state Ethics Commission has addressed undocumented loan repayments in several opinions, outlining the required documentation to make repayments legal.

Since 2018, the Ethics Commission has had the power to issue advisory opinions upon request to help candidates and campaigns sort through laws that Hood, the commission’s executive director, said aren’t always clear.

The commission has issued just six opinions in seven years.

“I was surprised in the first few years that there weren’t more,” Hood said. “But now it seems to be clear that for whatever reason, most people don’t think they need advice.”

This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.

The post Indicted Jackson prosecutor's latest campaign finance report rife with errors appeared first on mississippitoday.org

Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.

Political Bias Rating: Center-Left

The article critically examines the conduct of Hinds County District Attorney Jody Owens, a Democrat, and highlights systemic weaknesses in Mississippi’s campaign finance laws. While the reporting is grounded in factual evidence, legal documents, and expert commentary, the tone leans toward exposing flaws in enforcement and transparency—issues typically emphasized by center-left or reform-oriented journalism. The article does not display partisan rhetoric or ideological framing beyond its focus on accountability and legal integrity. Its publication by Mississippi Today and The Marshall Project, both known for investigative work with slight progressive leanings, further supports a Center-Left classification.

Mississippi Today

Whooping cough cases increase in Mississippi

Published

23 hours ago

July 17, 2025

Staff Editor

mississippitoday.org – @MSTODAYnews – 2025-07-16 11:25:00

by Gwen Dilworth, Mississippi Today
July 16, 2025

The Mississippi State Department of Health issued an alert Wednesday that cases of pertussis, or whooping cough, are climbing in the state.

The year-to-date number of cases in Mississippi ballooned to 80 as of July 10. That compares to 49 cases in all of 2024.

No whooping cough deaths have been reported. Ten people have been hospitalized related to whooping cough, seven of whom were children under 2 years old.

Cases have largely been clustered in northeast Mississippi. The region accounts for 40% of cases statewide.

The nation has also seen rising rates of whooping cough, though cases have been climbing less steeply than in Mississippi. About 15,000 whooping cough cases have been reported nationwide this year, according to the Centers for Disease Control and Prevention.

The highly contagious respiratory illness is named for the “whooping” sound people make when gasping for air after a coughing fit. It may begin like a common cold but can last for weeks or months. Babies younger than 1 year are at greatest risk for getting whooping cough, and can have severe complications that often require hospitalization.

Whooping cough cases fell in Mississippi after the COVID-19 pandemic began, but have since rebounded. This is likely due to people now taking fewer mitigation measures, like masking and remote learning, State Epidemiologist Renia Dotson said at the state Board of Health meeting July 9.

The majority of cases – 76% – have occurred in children. Of the 73 cases reported in people who were old enough to be vaccinated, 28 were unvaccinated. Of those 28 people, 23 were children.

“Vaccines are the best defense against vaccine preventable diseases,” State Health Officer Dr. Dan Edney said after the State Board of Health meeting.

Mississippi has long had the highest child vaccination rates in the country. But the state’s kindergarten vaccination rates have dropped since a federal judge ruled in 2023 that parents can opt out of vaccinating their children for school on account of religious beliefs.

The pertussis vaccination is administered in a five-dose series for children under 7 and booster doses for older children and adults. The health department recommends that pregnant women, grandparents and family or friends that may come in close contact with an infant should get booster shots to ensure they do not pass the illness to children, particularly those too young to be vaccinated.

Immunity from pertussis vaccination wanes over time, and there is not a routine recommendation for boosters.

State health officials also encourage vaccination against other childhood illnesses, like measles. While Mississippi has not reported any measles cases, Texas has had recent outbreaks.

The Mississippi Health Department offers vaccinations to children and uninsured adults at county health departments.

Correction 7/16/25: This story has been updated to reflect that the age of the seven hospitalized children is under 2 years old.

This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.

The post Whooping cough cases increase in Mississippi appeared first on mississippitoday.org

Political Bias Rating: Centrist

This article presents a straightforward, fact-based account of rising whooping cough cases in Mississippi without ideological framing. It cites official sources such as the Mississippi State Department of Health and the Centers for Disease Control and Prevention, offering context, statistics, and public health recommendations. While it mentions a 2023 federal court ruling that allowed religious exemptions to vaccinations—a potentially contentious topic—it does so factually without editorializing or assigning blame. The overall tone remains neutral and informative, aligning with public health reporting rather than political advocacy.

Mississippi Today

Driver’s license office moves to downtown Jackson

Published

1 day ago

July 17, 2025

Staff Editor

mississippitoday.org – @MSTODAYnews – 2025-07-17 12:31:00

by Simeon Gates, Mississippi Today
July 17, 2025

The driver’s license office in Jackson has moved downtown as the Mississippi Department of Public Safety prepares to shift its headquarters from the capital city to suburban Rankin County.

The department last month announced it was closing the license office that had operated for decades next to its headquarters just off Interstate 55 at Woodrow Wilson Avenue, near the VA Medical Center.

The new office is at 430 State St., near Jackson’s main post office and a few blocks from the Capitol.

A logo marks the main entry of a driver’s license office in downtown Jackson, Miss., on Tuesday, July 8, 2025.

“This location provides easier access for those who live and work in the area and ensures we can continue offering vital driver services in a more convenient and accessible space within the city of Jackson,” said Bailey Martin, spokesperson for the Department of Public Safety.

Mississippi has 35 driver’s licenses offices. The new Jackson office is in a former car dealership – an all-white building with floor-to-ceiling windows that fill the space with sunlight. On Wednesday, customers sat on black benches, chatting or scrolling on their phones while waiting to be called up to get or renew a license.

Carlos Lakes of Yazoo City speaks after renewing a driver’s license in Jackson, Miss., on Wednesday, July 16, 2025.

Carlos Lakes, 34, from Yazoo City, said he first went to the Richland office that issues commercial driver’s licenses but couldn’t get what he needed there. He said he then went to the old office on Woodrow Wilson and saw a note on the door showing the office had moved.

“So, it’s been about two hours of running around,” said Lakes, a truck driver.

He said the customer service at the new office was good, aside from the long wait time.

Medical student Seth Holton, 22, had a similar experience. He drove in from Flora, in Madison County, and went to the Woodrow Wilson location before finding the new office. He said it was his first time getting his license renewed.

Seth Holton of Flora waits to renew his driver’s license in Jackson, Miss., on Wednesday, July 16, 2025.

“I think it looks nice,” Holton said of the new location. “I think it’s organized. There’s good seating. It’s pretty quick, for the most part.”

Student Marquerion Brown, 19, posed for photos with a large cardboard frame of a driver’s license in the corner of the new office. He’d just passed his driver’s test for the first time.

“I’m just lucky and thankful to get this one this time,” Brown said. He hadn’t decided where he wanted to drive first. “I got a lot of places in mind.”

Marquerion Brown speaks after receiving his driver’s license in Jackson, Miss., on Wednesday, July 17, 2025.

The Department of Public Safety headquarters will open in Pearl within the next year, near the state’s crime lab, fire academy and emergency management agency.

Martin said the new headquarters will allow the department to have its divisions in one place – the highway patrol, bureau of investigation, bureau of narcotics, homeland security office and commercial transportation enforcement.

“As such, this move will enhance operational efficiency with other public safety partners, improve interagency collaboration, and position the department for future growth,” Martin said.

The headquarters move has been in the making for over five years. Public safety officials said the old building on Woodrow Wilson fell into disrepair after years of neglect.

Sen. David Blount asks questions during a TANF hearing at the State Capitol in Jackson, Miss., Thursday, December 15, 2022.

Sen. David Blount, D-Jackson, was part of a group of lawmakers who proposed moving the headquarters to a different location inside Jackson.

“I personally think that the state government should be based in the state capital,” he said.

This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.

The post Driver's license office moves to downtown Jackson appeared first on mississippitoday.org

Political Bias Rating: Centrist

This article from *Mississippi Today* offers a factual and neutral report on the relocation of the Jackson driver’s license office and the broader headquarters move by the Mississippi Department of Public Safety. It includes quotes from officials and everyday citizens without editorializing or promoting a specific viewpoint. The inclusion of Sen. David Blount’s comment presents a mild political contrast, but it is balanced and not framed in a confrontational or ideological way. The tone remains focused on public service logistics and community impact rather than political narrative.