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Coalition of 36 organizations pushes lawmakers for Medicaid expansion in Mississippi

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As Medicaid expansion remains a top political issue in Mississippi — and sure to be debated this legislative session — one group will be advocating for the policy on the front lines.

Care4Mississippi is a coalition of 36 partner organizations, and growing, focused on getting Medicaid expanded in Mississippi.

Co-chair Kimberly Hughes, who’s also the American Cancer Society Cancer Action Network’s government relations director, says this is the first time the coalition will be “active” during the legislative session, but the work on this issue began years ago.

Many of the coalition’s current partners were part of the Yes on 76 campaign, which was a statewide effort to get expansion of Medicaid on the 2022 ballot through the state’s ballot-initiative process.

However, the campaign was suspended in May 2021 after the Mississippi Supreme Court ruled that the state’s initiative process was invalid. Since then, efforts to reinstate it have failed.

There is currently no ballot initiative process in Mississippi, which is meant to allow citizens to circumvent politicians and place an issue on a statewide ballot for voter consideration.

Yes on 76 stakeholders took a few months off, Hughes said, before convening to create Care4Mississippi in 2022.

“We’ve tried to keep the issue alive and keep partners engaged, especially after we had to change our plans to more of a legislative campaign,” Hughes said.

The organization was less active in 2023 because it was an election year, she said, and focused its efforts on recruiting partners. It appeared many people were waiting to see who won the gubernatorial election, in which incumbent Republican Gov. Tate Reeves bested his pro-expansion Democratic opponent Brandon Presley, before deciding to get involved with the coalition, Hughes said.

Since the coalition spent the past year preparing for this legislative session, it’s coming armed with a trove of information on Medicaid expansion.

“We want to be that clearinghouse for information,” she said. “There’s momentum around this issue, in the public and the press and with some of our lawmakers, so we’ve been trying to get ready for that.”

Kimberly Hughes, a Care4Mississippi coalition member, looks at the county health and economic data map on the Care4MS’s website as she and other members discuss the organization and its mission on Thursday, Jan. 11, 2024, at the Mississippi Health Advocacy Program office in Jackson, Miss. Credit: Eric J. Shelton/Mississippi Today

The coalition’s website already features resources for people who want to learn more, including national and state research that underlines the policy’s benefits for Mississippi, as well as a data map created by the coalition that shows how Medicaid expansion would impact every county in Mississippi.

Researchers estimate somewhere between 200,000 and 300,000 Mississippians currently fall in Medicaid’s coverage gap — they make too much to qualify for Medicaid but can’t afford insurance on their own — and would be insured if the policy was expanded to the working poor as most other states have done.

Coalition leaders say information is essential to dispelling myths about expansion perpetuated by state officials and empowering Mississippians to advocate for the policy.

Reeves remains a staunch opponent and has referred to expanding Medicaid health coverage as adding more people to the state’s welfare rolls.

We want to be a credible center voice on the issue of creating a solution or covering those who have no affordable option for health insurance,” said Blair Ewing, the coalition’s program coordinator and lobbyist. “We want to challenge our leaders to work together to find solutions, stop hospital closures and create access to care for Mississippi families.”

Moving forward, Ewing said the coalition’s strategy will revolve around recruiting more partners and getting the word out as much as possible, which will include hosting a “Capitol Day” on Feb. 22. The coalition will have a table in the State Capitol’s rotunda to educate passersby about expansion and host a press event on the Capitol steps.

Hughes is hopeful about movement on expansion in Mississippi during this year’s legislative session, especially since new Speaker of the House Jason White says the House will at least consider the policy. His predecessor, Phillip Gunn, was an outspoken opponent and prevented the full House from voting on it during his tenure.

Ewing said that getting the policy passed starts with arming people with the information they need and stressed that anyone, organization or individual, can join on the coalition’s website. Some of its current members include the heavily involved Mississippi Health Advocacy Program, as well as the Mississippi Center for Justice, Mississippi Hospital Association, American Civil Liberties Union of Mississippi, Center for Mississippi Health Policy and American Heart Association.

“I think if constituents knew more, if there was more information out there and they actually started going to their congressman about it, then things would change,” she said. “There’s an unbelievable amount of support in the state for closing that Medicaid coverage gap — we know people want our legislators to do something about it.”

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

Mississippi Today

Hospitals see danger in Medicaid spending cuts

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mississippitoday.org – @MSTODAYnews – 2025-07-10 15:30:00


Mississippi hospitals could lose up to $1 billion over the next decade due to a new federal tax and policy law signed by President Trump. The law reduces Medicaid spending by tightening eligibility, including work requirements, potentially increasing uninsured rates by 160,000 in Mississippi and raising private insurance costs. Rural hospitals, vital to local communities and economies, risk closure or service cuts, especially as enhanced Medicaid reimbursements decline starting in 2028. Lawmakers are divided, with Democrats opposing the bill and Republicans largely supporting it. The law is projected to add $3.3 trillion to the national debt over 10 years.

Mississippi hospitals could lose up to $1 billion over the next decade under the sweeping, multitrillion-dollar tax and policy bill President Donald Trump signed into law last week, according to leaders at the Mississippi Hospital Association.

The leaders say the cuts could force some already-struggling rural hospitals to reduce services or close their doors.

The law includes the largest reduction in federal health and social safety net programs in history. It passed 218-214, with all Democrats voting against the measure and all but five Republicans voting for it. 

In the short term, these cuts will make health care less accessible to poor Mississippians by making the eligibility requirements for Medicaid insurance stiffer, likely increasing people’s medical debt. 

In the long run, the cuts could lead to worsening chronic health conditions such as diabetes and obesity for which Mississippi already leads the nation, and making private insurance more expensive for many people, experts say. 

“We’ve got about a billion dollars that are potentially hanging in the balance over the next 10 years,” Mississippi Hospital Association President Richard Roberson said Wednesday during a panel discussion at his organization’s headquarters. 

Richard Roberson, Mississippi Hospital Association president and CEO, discusses the impact of what the White House calls “One Big Beautiful Bill,” Wednesday, July 9, 2025, at the Mississippi Hospital Association Conference Center in Madison.

“If folks were being honest, the entire system depends on those rural hospitals,” he said.

Mississippi’s uninsured population could increase by 160,000 people as a combined result of the new law and the expiration of Biden-era enhanced subsidies that made marketplace insurance affordable – and which Trump is not expected to renew – according to KFF, a health policy research group. 

That could make things even worse for those who are left on the marketplace plans. 

“Younger, healthier people are going to leave the risk pool, and that’s going to mean it’s more expensive to insure the patients that remain,” said Lucy Dagneau, senior director of state and local campaigns at the American Cancer Society. 

Among the biggest changes facing Medicaid-eligible patients are stiffer eligibility requirements, including proof of work. The new law requires able-bodied adults ages 19 to 64 to work, do community service or attend an educational program at least 80 hours a month to qualify for, or keep, Medicaid coverage and federal food aid. 

Opponents say qualified recipients could be stripped of benefits if they lose a job or fail to complete paperwork attesting to their time commitment.

Georgia became the case study for work requirements with a program called Pathways to Coverage, which was touted as a conservative alternative to Medicaid expansion. 

Ironically, the 54-year-old mechanic chosen by Georgia Gov. Brian Kemp to be the face of the program got so fed up with the work requirements he went from praising the program on television to saying “I’m done with it” after his benefits were allegedly cancelled twice due to red tape. 

Roberson sent several letters to Mississippi’s congressional members in weeks leading up to the final vote on the sweeping federal legislation, sounding the alarm on what it would mean for hospitals and patients.

Among Roberson’s chief concerns is a change in the mechanism called state directed payments, which allows states to beef up Medicaid reimbursement rates – typically the lowest among insurance payors. The new law will reduce those enhanced rates to nearly as low as the Medicare rate, costing the state at least $500 million and putting rural hospitals in a bind, Roberson told Mississippi Today. 

That change will happen over 10 years starting in 2028. That, in conjunction with the new law’s  one-time payment program called the Rural Health Care Fund, means if the next few years look normal, it doesn’t mean Mississippi is safe, stakeholders warn. 

“We’re going to have a sort of deceiving situation in Mississippi where we look a little flush with cash with the rural fund and the state directed payments in 2027 and 2028, and then all of a sudden our state directed payments start going down and that fund ends and then we’re going to start dipping,” said Leah Rupp Smith, vice president for policy and advocacy at the Mississippi Hospital Association. 

Leah Rupp Smith, Mississippi Hospital Association general counsel and vice president for policy and advocacy, breaks down a timeline for what the White House calls “One Big Beautiful Bill,” during an event to discuss the impact of the law on health care in the state, Wednesday, July 9, 2025, at the Mississippi Hospital Association Conference Center in Madison.

Even with that buffer time, immediate changes are on the horizon for health care in Mississippi because of fear and uncertainty around ever-changing rules. 

“Hospitals can’t budget when we have these one-off programs that start and stop and the rules change – and there’s a cost to administering a program like this,” Smith said.

Since hospitals are major employers – and they also provide a sense of safety for incoming businesses –  their closure, especially in rural areas, affects not just patients but local economies and communities

U.S. Rep. Bennie Thompson is the only Democrat in Mississippi’s congressional delegation. He voted against the bill, while the state’s two Republican senators and three Republican House members voted for it. Thompson said in a statement that the new law does not bode well for the Delta, one of the poorest regions in the U.S. 

“For my district, this means closed hospitals, nursing homes, families struggling to afford groceries, and educational opportunities deferred,” Thompson said. “Republicans’ priorities are very simple: tax cuts for (the) wealthy and nothing for the people who make this country work.”

While still colloquially referred to as the One Big Beautiful Bill Act, the name was changed by Democrats invoking a maneuver that has been used by lawmakers in both chambers to oppose a bill on principle. 

“Democrats are forcing Republicans to delete their farcical bill name,” Senate Democratic Leader Charles Schumer of New York said in a statement. “Nothing about this bill is beautiful — it’s a betrayal to American families and it’s undeserving of such a stupid name.”

The law is expected to add at least $3.3 trillion to the nation’s debt over the next 10 years, according to the most recent estimate from the Congressional Budget Office.

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

The post Hospitals see danger in Medicaid spending cuts 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

This article reports on the negative impacts of a major federal tax and policy bill on Medicaid funding and rural hospitals in Mississippi. While it presents factual details and statements from stakeholders, the tone and framing emphasize the harmful consequences for vulnerable populations and health care access, aligning with concerns typically raised by center-left perspectives. The article highlights opposition by Democrats and critiques the bill’s priorities, particularly its effect on poor and rural communities, suggesting sympathy toward social safety net preservation. However, it maintains mostly factual reporting without overt partisan language, resulting in a moderate center-left bias.

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Crooked Letter Sports Podcast

Podcast: The Mississippi Sports Hall of Fame Class of ’25

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mississippitoday.org – @rick_cleveland – 2025-07-09 10:28:00

The MSHOF will induct eight new members on Aug 2. Rick Cleveland has covered them all and he and son Tyler talk about what makes them all special.

Stream all episodes here.


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

The post Podcast: The Mississippi Sports Hall of Fame Class of '25 appeared first on mississippitoday.org

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Mississippi Today

‘You’re not going to be able to do that anymore’: Jackson police chief visits food kitchen to discuss new public sleeping, panhandling laws

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mississippitoday.org – @MSTODAYnews – 2025-07-04 13:00:00


Jackson Police Chief Joseph Wade visited Stewpot Community Services to discuss new Mississippi laws addressing homelessness, which ban public sleeping, panhandling without permits, and camping on public property. The laws include the “Safe Solicitation Act,” requiring permits for panhandling with misdemeanor penalties, and the “Real Property Owners Protection Act,” expediting squatter removal. Wade emphasized respecting constitutional rights while enforcing the laws and noted challenges like managing belongings of those removed and jail capacity concerns. Community leaders support the laws for safety but oppose criminalizing homelessness. Locals highlighted the need for more employment opportunities to address homelessness root causes.

Diners turned watchful eyes to the stage as Jackson Police Chief Joseph Wade took to the podium. He visited Stewpot Community Services during its daily free lunch hour Thursday to discuss new state laws, which took effect two days earlier, targeting Mississippians experiencing homelessness.

“I understand that you are going through some hard times right now. That’s why I’m here,” Wade said to the crowd. “I felt it was important to come out here and speak with you directly.”

Wade laid out the three bills that passed earlier this year: House Bill 1197, the “Safe Solicitation Act,” HB 1200, the “Real Property Owners Protection Act” and HB 1203, a bill that prohibits camping on public property. 

“Sleeping and laying in public places, you’re not going to be able to do that anymore,” he said. “There’s a law that has been passed that you can’t just set up encampments on public or private properties where it’s a public nuisance, it’s a problem.”

The “Real Property Owners Protection Act,” authored by Rep. Brent Powell, R-Brandon, is a bill that expedites the process of removing squatters. The “Safe Solicitation Act,” authored by Rep. Shanda Yates, I-Jackson, requires a permit for panhandling and allows people to be charged with a misdemeanor if they violate this law. The offense is punishable by a fine not to exceed $300 and an offender could face up to six months in jail. Wade said he’s currently working with his legal department to determine the best strategy for creating and issuing permits. 

“We’re going to navigate these legal challenges, get some interpretations, not only from our legal department, but the Attorney General’s office to ensure that we are doing it legally and lawfully, because I understand that these are citizens,” he said. “I understand that they deserve to be treated with respect, and I understand that we are going to do this without violating their constitutional rights.” 

Homeless encampment located in the 1700 block of S. Gallatin Street in Jackson, Wednesday, June 2, 2025.

Wade said the Jackson Police Department is steadily fielding reports of squatters in abandoned properties and the law change gives officers new power to remove them more quickly. The added challenge? Figuring out what to do with a person’s belongings. 

“These people are carrying around what they own, but we are not a repository for all of their stuff,” he said. “So, when we make that arrest, we’ve got to have a strategic plan as to what we do with their stuff.” 

Wade said there needs to be a deeper conversation around the issues that lead someone to becoming homeless. 

“A lot of people that we’re running across that are homeless are also suffering from medical conditions, mental health issues, and they’re also suffering from drug addiction and substance abuse. We’ve got to have a strategic approach, but we also can’t log jam our jail down in Raymond,” Wade said. 

He estimates that more than 800 people are currently incarcerated at the Raymond Detention Center, and any increase could strain the system as the laws continue to be enforced.

“I think there’s layers that we have to work through, there’s hurdles that we are going to overcome, but we’ve got to make sure that we do it and make sure that my team and JPD is consistent in how we enforce these laws,” Wade said.

Diners applauded Wade after he spoke, in between bites of fried chicken, salad, corn and 4th of July-themed packaged cakes. Wade offered to answer questions, but no one asked any.

Rev. Jill Buckley, executive director of Stewpot, said that the legislation is a good tool to address issues around homelessness and community needs. She doesn’t want to see people who are homeless be criminalized, but she also wants communities to be safe.

“I support people’s right to self determine, and we can’t impose our choices on other people, but there are some cases in which that impinges on community safety, and so to the extent that anyone who is camping or panhandling or squatting and is a danger to themselves and others, of course, I fully support that kind of law. I don’t support homelessness being criminalized as such,” Buckley said. 

One of the homeless in Jackson panhandles at the intersection of U.S. 80 and Gallatin Street, Wednesday, June 2, 2025.

Many of the people Wade addressed while they ate Thursday said they have housing, don’t panhandle, and shouldn’t be directly impacted by the legislation. But Marcus Willis, 42, said it would make more sense if elected officials wanted to combat the negative impacts of homelessness that they help more people secure employment.

“There ain’t enough jobs,” said Willis, who was having lunch with his girlfriend Amber Ivy.

The two live in an apartment together nearby on Capitol Street, where Ivy landed after her mother, whom Ivy had been living with, suffered a stroke and lost the property. Similarly, Willis started coming to eat at Stewpot after his grandmother, whose house he used to visit for lunch, passed away.

Willis holds odd jobs – cutting grass, home and auto repair – so the income is inconsistent, and every opportunity for stable employment he said he’s found is outside of Jackson in the suburbs. The couple doesn’t have a car.

Making rent every month usually depends on their ability to find someone to help chip in, said Ivy, who is in recovery from substance abuse. She said she’s watched problems surrounding homelessness grow over the years in Jackson. Ivy grew up near Stewpot and has lived in various neighborhoods across the city – except for the times she moved out of state when things got too rough.

“There was just moments where I just had to leave,” Ivy said. “Sometimes if you hit a slump here, there’s almost no way for you to get out of it.”

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

The post 'You're not going to be able to do that anymore': Jackson police chief visits food kitchen to discuss new public sleeping, panhandling laws 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-Right

This article primarily reports on new laws in Jackson, Mississippi, targeting public sleeping, panhandling, and squatting, focusing on statements by Police Chief Joseph Wade and community perspectives. The coverage presents the legislative measures—authored by Republican and independent lawmakers—with a tone that emphasizes law enforcement challenges and community safety, reflecting a conservative approach to homelessness as a public order issue. While it includes voices concerned about criminalization and the need for social support, the overall framing centers on law enforcement and property protection. The article maintains factual reporting without overt editorializing but leans slightly toward a center-right perspective by highlighting legal enforcement as a solution.

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