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Gov. Reeves announces 11th hour plan for hospital crisis. Opponents pan it as ‘too little, too Tate’

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After being criticized for months by his Democratic opponent for not having a plan to address Mississippi’s health care crisis, Gov. Tate Reeves on Thursday unveiled what he called “sweeping Medicaid reimbursement reforms.”

Reeves’ proposal, announced less than two months before the November election, includes pulling more federal dollars to increase Medicaid reimbursement to hospitals — a plan that Reeves’ own Medicaid administration advised GOP lawmakers and hospital leaders last year wouldn’t work.

Hospitals under the plan would pay an increase in “bed taxes,” but this would allow more federal dollars to be drawn down for a net to hospitals of $689 million, Reeves said. His plan also includes a measure to allow speedier prior insurance authorization of drugs or procedures, a measure lawmakers had passed but Reeves vetoed earlier this year.

Reeves’ plan does not include Mississippi accepting more than $1 billion a year in federal dollars to expand Medicaid to cover the working poor as 40 other states have done.

The governor’s plan was immediately panned on Thursday by supporters of Medicaid expansion and of his opponent, who dubbed his proposal, “too little, too Tate.” State political observers speculated Reeves’ new plan is a result of polling and of Mississippi’s GOP legislative leadership warming to the idea of Medicaid expansion.

READ MORELikely new Speaker Jason White says Medicaid expansion ‘will be on table’

Tim Moore, president of the Mississippi Hospital Association, on Thursday said, “Who would have ever thought donating $250,000 to a Democrat would have motivated a Republican so much?” He was referring to MHA’s PAC donating to Democratic gubernatorial candidate Brandon Presley.

Moore said he was appreciative of Reeves’ proposal, but “surprised by what was presented because they’re things we’ve proposed for years.”

“It still does nothing to help the low-wage earners in Mississippi who do not have the disposable income to pay for medical care,” Moore said. “What’s the difference in taking federal money to do this, and taking federal money to cover working poor people?”

Reeves reiterated his opposition to Medicaid expansion, which he referred to as “welfare,” as he gave a press briefing on his new plan, which would have to be approved by the federal Centers for Medicaid Services. Reeves said the plan was submitted to CMS on Thursday, and that approval or disapproval could take months.

“This will have a profound impact on the bottom line of hospitals across the state, large and small,” Reeves said Thursday. As for Mississippi’s highest-in-the-nation rate of people without insurance, Reeves reiterated that they need to get a job or better job.

“We need more people in the workforce,” Reeves said. “… I am focused on bringing better and higher paying jobs and providing opportunity for Mississippians to train for the jobs of tomorrow and have their insurance through their employer.”

READ MORE: Nearly half of rural hospitals at risk of closure in Mississippi, new data shows

Reeves’ proposal on Thursday was immediately blasted by his Democratic opponent Brandon Presley, who has made Medicaid expansion to cover the working poor with federal dollars a major plank in his platform.

“If Tate Reeves really cared about ending the hospital closure crisis he created, he would call a special session and expand Medicaid so working families can get the healthcare they need,” Presley said in a statement. “Tate Reeves has had 12 long years to do something about Mississippi’s hospital crisis and 47 days before an election is too little, too late for the hospitals that have cut essential services, lost jobs, or are on the brink of closing altogether. 

“Today’s announcement is nothing more than an election year stunt and just more proof that Tate Reeves is a craven, failed governor who will always look out for himself and his political career ahead of the health of Mississippi families,” Presley said.

Mississippi Democratic Chairman Cheikh Taylor (second right), State Rep. Daryl Porter (right) and Democrat supporters gathered at the Sillers Building to protest Gov. Tate Reeves unveiling of a hospital program, Thursday, Sept. 21, 2023. Credit: Vickie D. King/Mississippi Today

Other state Democratic leaders held a small rally outside Reeves’ office building after his announcement. They chanted, “Too little, too Tate,” and called for Medicaid expansion.

“Tate Reeves does not care about the $1 billion it would bring into our state or the 10,000 jobs it would create,” said state Democratic Party chairman and state Rep. Cheikh Taylor. “At the end of the day, Tate Reeves does not care. He cares about what his political position is in the final days of the election.”

Reeves proposal, if approved by CMS, would reimburse providers of Medicaid managed care services near the rate at which private insurers pay. It would reimburse hospitals for treating Medicaid fee-for-service patients at the upper level of what Medicare pays, higher than Medicaid’s normal rate. Hospitals would pay more in bed taxes to cover the state’s share of the higher rates, and lose some federal payments for treating uninsured patients, but would net an estimated $689.5 million, Reeves said.

Republican legislative leaders and the hospital association starting last year pushed a similar proposal to increase Medicaid reimbursements to hospitals, but were told by Reeves’ Medicaid administrators that it wouldn’t work — and would only bring in about $40 million — because the state’s rate of commercial insurance payments are so low.

When asked about this on Thursday, Reeves deferred the question to Medicaid Director Drew Snyder, who cryptically answered that the difference in projections this year versus last year is because, “We got the right people in the room.”

Republican Lt. Gov. Delbert Hosemann on Thursday said: “Last year, around this time, our office met with Medicaid and hospitals to discuss hospital payment initiatives, but we were told by Medicaid that these changes were not currently possible. The Legislature then turned to alternatives … We are always happy to discuss long-term solutions to stabilize hospitals in Mississippi and improve access to care.”

Gov. Tate Reeves announces his plans for a series of Medicaid reimbursement reforms during a press conference at the Walter Sillers Building in Jackson, Miss., on Thursday, September 21, 2023. Credit: Eric Shelton/Mississippi Today

Reeves presented his plan in a press conference flanked by several executives of the state’s largest hospitals. None of them spoke, and they were not made available for media questions in the briefing.

Gary Marchand is interim CEO of Greenwood Leflore Hospital, one of many small rural hospitals in Mississippi teetering on the brink of closure. Reeves, in his presser on Thursday, provided a sheet that showed Greenwood Leflore would receive an extra $10 million a year if his plan gets federal approval.

Marchand, contacted on Thursday, said he’s unsure how much of an impact the additional money would make, but he’s appreciative of “any efforts to provide additional cash resources in support of our operations.” He also added, “We are hopeful for a rapid approval process.”

Reeves on Thursday vowed his new plan is “just the beginning.”

“Our eyes are set on the future, and we aim to continue ushering in reforms that strengthen Mississippi’s healthcare system no matter where you live in the state,” Reeves said.

Mississippi Today reporter Devna Bose contributed to this story.

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

Mississippi Today

Podcast: Economist discusses Mississippi economy’s vulnerability

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mississippitoday.org – @MSTODAYnews – 2025-05-05 06:30:00

State Economist Corey Miller talks with Mississippi Today’s Geoff Pender and Bobby Harrison about the state of the state economy, chances of recession amid trade war, federal spending cuts and state tax overhaul. He declines to answer questions about MSU baseball.

READ MORE: As lawmakers look to cut taxes, Mississippi mayors and county leaders outline infrastructure needs

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

The post Podcast: Economist discusses Mississippi economy's vulnerability appeared first on mississippitoday.org

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Mississippi Today

How state law allows private schools to ‘double dip’ by using two public programs for the same students

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mississippitoday.org – @BobbyHarrison9 – 2025-05-04 06:00:00

The Mississippi Legislature’s insistence of not requiring oversight has resulted in a way for private schools to “double dip,” or receive money from two separate state programs to educate the same handful of students.

There is currently no mechanism in state law to allow state officials to determine whether double dipping is occurring. More importantly, there is nothing in state law to prevent double dipping from occurring.

So, maybe the private schools are double dipping and maybe they are not. And this is not an effort to demonize private schools — many of which are doing stellar work — but to point out the lack of state oversight and to question the wisdom of sending public funds to private schools.

There are two primary programs in Mississippi that provide public funds and state tax credit funds to private schools: the Education Scholarship Account and the Children’s Promise Act.

The programs overlap in terms of the children the private schools must educate to receive the state benefits. To receive money through an Education Scholarship Account of up to $7,829 per year to attend a private school, a student must be designated as a special needs student. The special needs designation could be the result of a physical, mental or emotional issue. An attention deficit disorder, for instance, could result in a special needs designation.

On the other hand, students who make private schools eligible to receive the Children’s Promise Act tax credit benefits must have “a chronic illness or physical, intellectual, developmental or emotional disability” or be eligible for the free lunch program or be a foster child.

No more than $3 million per year can be spent through the Education Scholarship Account while the Children’s Promise Act is capped at $9 million annually.

The bottom line is that state officials do not know how many students the private schools are serving through the Children’s Promise Act state tax credits.

The Mississippi Department of Revenue, which has a certain amount of oversight of the Children’s Promise Act funds, has said in the past it knew the number of children being served in the first year a school received the state tax credit funds, but the agency does not know whether the number of students being served in following years changes.

In short, there is nothing in state law that would prevent a private school from receiving the maximum benefit of $405,000 annually while enrolling only one child fitting the definition that would make the school eligible to receive the tax credit funds.

There is a little more oversight of the Education Scholarship Account funds, though that oversight has been slow and has only occurred after a legislative watchdog group pointed out the lax oversight.

If a school has fewer than 10 students receiving the ESA funds, the state Department of Education will not release the exact number, citing privacy concerns. But the Department of Education has released the amount of ESA funds each school received during the 2023-24 school year.

According to that information, multiple schools receiving those ESA funds but educating fewer than 10 ESA students also are receiving significant Children’s Promise Act tax credit funds. According to the Department of Revenue, as of January, six schools had received the maximum tax credit funds of $405,000 for calendar year 2024.

Three of those schools also received Education Scholarship Account funds for fewer than 10 students. For instance, one private school received $16,461 in Education Scholarship Account funds, or most likely money for two students.

If the students receiving the ESA funds were the same ones making the school eligible for the $405,000 in tax credit funds, that would mean the state was paying $210,730 per student whereas the average per pupil spending in the public schools is about $11,500 per pupil in state and local funding.

Of course, state law does not prohibit private schools from educating only one child with special needs and being eligible for the maximum tax credit benefit of $405,000 annually.

Perhaps it seems far-fetched that a private school would be educating only one child to be eligible to receive up to $405,000 in tax credit funds.

But it also seems far-fetched that for years the students receiving the Education Scholarship Account funds were mandated by state law to use the money to go to schools equipped to meet their special education needs. Yet, research by the Legislature’s Performance Evaluation and Expenditure Review Committee (PEER) found the students were going to private schools that in some instances did not have any special education teachers and in some cases the students were still getting those services from the public schools.

Perhaps the Legislature’s PEER Committee needs to do some more research to determine whether double dipping is occurring.

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

The post How state law allows private schools to 'double dip' by using two public programs for the same students 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: Centrist

The article presents a critical examination of Mississippi state law and the potential for private schools to receive funds from multiple public programs, with little oversight. The tone is analytical, raising questions about the effectiveness and transparency of the system, without offering a strong ideological stance. The language is factual, with a focus on state law and fiscal policy rather than promoting a political agenda. Although the article critiques the absence of proper oversight, it avoids demonizing private schools, instead advocating for more legislative scrutiny. The piece sticks to the reporting of facts, with a call for further investigation into the issue.

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Mississippi Today

On this day in 1850, Shadrach Minkins escaped from slavery

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mississippitoday.org – @MSTODAYnews – 2025-05-03 07:00:00

May 3, 1850

Shadrach Minkins, right, worked at the Cornhill Coffee House and Tavern, believed to have been located in the highlighted area.

Shadrach Minkins, already separated from his family, escaped from the Norfolk, Virginia, home, where he was enslaved. He made his way to Boston, where he did odd jobs until he began working as a waiter at Taft’s Cornhill Coffee House. 

Months later, Congress passed the Fugitive Slave Act, which gave authorities the power to go into free states and arrest Black Americans who had escaped slavery. 

A slave catcher named John Caphart arrived in Boston with papers for Minkins. While serving breakfast at the coffee house, federal authorities arrested Minkins. 

Several local lawyers, including Robert Morris, volunteered to represent him. Three days later, a group of abolitionists, led by African-American abolitionist Lewis Hayden, broke into the Boston courthouse and rescued a surprised Minkins. 

“The rescuers headed north along Court Street, 200 or more following like the tail of a comet,” author Gary Collison wrote. They guided him across the Charles River to the Cambridge home of the Rev. Joseph C. Lovejoy, whose brother, Elijah, had been lynched by a pro-slavery mob in Illinois in 1837. 

Another Black leader, John J. Smith, helped Minkins get a wagon with horses, and from Cambridge, Hayden, Smith and Minkins traveled to Concord, where Minkins stayed with the Bigelow family, which guided him to the Underground Railroad, making his way to Montreal, spending the rest of his life in Canada as a free man. 

Abolitionists cheered his escape, and President Millard Fillmore fumed. Morris, Hayden and others were charged, but sympathetic juries acquitted them. Meanwhile in Montreal, Minkins met fellow fugitives, married, had four children and continued to work as a waiter before operating his own restaurants. 

He ended his career running a barbershop before dying in 1875. A play performed in Boston in 2016 told the dramatic story of his escape.

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

The post On this day in 1850, Shadrach Minkins escaped from slavery 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: Centrist

The article presents a historical recount of Shadrach Minkins’ escape from slavery and the role abolitionists played in his rescue. The content is fact-based, focusing on a historical event without promoting a particular ideological stance. While it centers on the abolitionist movement and highlights the moral victory of Minkins’ escape, it does so in a narrative style rather than advocating for any contemporary political agenda. The tone is neutral, and the article adheres to factual recounting of historical events, making it centrist in its approach to the subject matter.

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