Mississippi Today

Experts analyze House, Senate Medicaid expansion proposals, offer compromise plan

Published

1 year ago

April 16, 2024

As Mississippi lawmakers look for compromise between widely differing House and Senate Mississippi Medicaid expansion plans, experts with a health research group have projected the costs, savings and efficacy of the plans and offered a third, potential compromise plan.

The analysis shows that under each plan, the state would see net annual savings – ranging from tens of millions to hundreds of millions of dollars – by expanding the state-federal Medicaid program to cover working, poor and uninsured Mississippians. The plans, the study says, also vary widely in how many Mississippians would be covered – from around 50,000 to nearly 200,000.

The study was commissioned by the Center for Mississippi Health Policy and conducted by the Hilltop Institute at the University of Maryland, Baltimore County. Hilltop has studied Medicaid expansion nationwide and recently testified before the Mississippi House Medicaid Committee.

“We wanted to get some updated numbers based on publicly available data,” said Morgan Henderson, director of analytics and research for Hilltop. “We really want to make sure folks having these discussions have data points they need.”

The study takes the House and Senate plans at face value, even though both contain elements not likely to be approved by the federal Centers for Medicare and Medicaid Services. The Senate plan, for instance, includes a stringent work requirement for coverage that, besides potentially costing millions in administrative fees, isn’t likely to be approved by CMS.

Both the House and Senate plans contain another potential poison pill that could prevent expansion from being implemented. They have 12-month moratoriums on people who qualify for the expanded Medicaid coverage from dropping private coverage and applying for Medicaid. CMS is highly unlikely to approve this, and such moratoriums would probably not meet constitutional muster in a court.

The options

Mississippi Senate plan

One striking difference between the Senate plan and the House and compromise plans is the Senate one would turn down about $1 billion a year in federal money to cover more expansion costs. It also would forego nearly $700 million over the first two years in enhanced federal funding that some refer to as a “signing bonus” for states that fully expand Medicaid per the federal Affordable Care Act.

The Senate plan would provide coverage to people making up to 100% of the federal poverty level – about $15,000 a year for an individual. Hilltop estimates this plan would cover about 54,000 people, although Senate leaders said they estimate about 40,000 people would sign up.

The Senate plan would require participants to work 120 hours a month or be enrolled as a full-time student or in a workforce training program. It would exempt some from this requirement, including parents of children under 6, people mentally or physically unable to work or those who are caregivers to disabled family members.

Cost

The state’s upfront cost of the Senate plan would be paid by a 3% tax on Medicaid managed care providers.

Hilltop estimates the Senate plan would cost the state a little over $114 million per year, including $15 million in administrative costs. But when these costs are offset by the tax on providers, the economic stimulus of expansion and other offsets or revenue, Hilltop estimates a net savings to the state of $43.4 million a year.

Mississippi House plan

The House plan would provide Medicaid coverage for people making up to 138% of federal poverty level, a little more than $20,00 a year for an individual. Hilltop estimates this would cover about 134,000 Mississippians (again, factoring in the “moratorium” on leaving private coverage).

The House plan calls for work requirements – 20 hours a week or enrollment as a student or in workforce development – but would still go into effect without the requirements if CMS fails to approve them.

Under this plan, Mississippi would draw down about $1 billion a year in increased federal Medicaid payments, and over the first two years, another nearly $700 million in enhanced federal payments.

Cost

The state share of upfront costs for the House plan would be covered by a 4% tax on Medicaid managed care providers.

Hilltop estimates the House plan, with no work requirement approved, would cost a little over $115 million, including $8 million in administrative costs. But when these are offset by the tax on providers, economic stimulus and other offsets or revenue, Hilltop estimates an annual savings for the state of more than $404 million a year for the first two years, then $79.5 million a year for the third year and beyond.

House Speaker Jason White and others have noted that the enhanced federal payments to the state totaling nearly $700 million over the first two years would cover all state costs for the first four years of the House expansion plan. White also noted that the House plan, even if a work requirement is not approved, would require the managed care organizations to track employment and other data from those covered.

Compromise ‘hybrid plan‘

Hilltop’s “Mississippi MarketPlus Hybrid Plan” would offer expanded Medicaid coverage through the state’s managed care program for those making under 100% of the federal poverty level. For those making 100% to 138% (up to $20,000 for an individual) of poverty level, the plan would use federal money to provide assistance for them to buy private insurance plans through Mississippi’s marketplace exchange.

Hilltop estimates this plan would provide coverage for 197,000 Mississippians.

The plan would require managed care companies to provide employment support and require mandatory referral to workforce training. It would also require those covered to pay marketplace insurance co-pays, but would not include a work requirement or moratorium on people leaving private insurance.

Like the House plan, this plan is expected to qualify the state for enhanced federal Medicaid payments and the two-year “signing bonus” of nearly $700 million.

Cost

The plan, like the Senate’s, includes a 3% tax on Medicaid managed care providers to help cover state costs.

Hilltop estimates the upfront cost to the state for this plan would be a little more than $186 million, including $12 million in administrative costs (including work support). But these would be offset by the tax on providers, economic stimulus from expansion and other offsets or revenue. Hilltop estimates a net savings to the state for this plan of more than $356 million a year for the first two years, then $31.3 million a year in savings for years three and up.

The Hilltop study also noted this plan would allow the state to receive a 90% federal match for services currently funded only with state dollars, including hospital services for incarcerated people and some behavioral health services.

Credit: Chart courtesy of The Hilltop Institute at the University of Maryland, Baltimore County

Other findings

Hilltop’s report says that Medicaid work requirements – when they were previously allowed by the feds – have not shown to increase workforce participation. It said, “Moreover, the Arkansas experience demonstrates that the administrative burden in reporting work status can lead to Medicaid coverage loss for the working poor – thus hurting the exact individuals designed to be covered under work requirements.”

A Georgia program similar to the Mississippi Senate’s plan in several regards, has shown that stringent work requirements result in low enrollment and high administrative costs, the Hilltop study notes. As of recently, the Georgia program had enrolled only a few thousand people and over 90% of its costs to-date have been administrative costs and consulting fees. Georgia is still battling the federal government in court over its work requirements.

The Hilltop study found the Senate’s plan “contains high budget risk” to the state. Since the plan eschews extra federal funding available for expansion, “if enrollment exceeds estimates, there would be proportionally greater budget overruns in the Senate version than the alternative plans.” It noted that to protect state coffers, language could be inserted to the House or hybrid plan that rescinds the expansion should the enhanced federal match drop.

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.