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Gov. Roy Cooper, the most recent state leader to expand Medicaid, has advice for Mississippi lawmakers

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mississippitoday.org – Adam Ganucheau – 2024-03-26 13:43:36

No one more deeply understands the fraught of pushing Medicaid expansion in a red than North Carolina Gov. Roy Cooper.

When the Democrat moved to expand Medicaid in 2017, the state's legislative Republicans sued him in federal court to block him. Their years-long opposition to expansion, much like the sustained GOP blockade here in Mississippi, was rooted in little more than blind politics.

The expansion program, of course, runs through the Affordable Care Act, perhaps the biggest legacy of President Barack Obama. The all-too-familiar logic of North Carolina's Republicans in opposing Cooper's expansion effort: Obamacare is bad, Republican power is good.

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Unsuccessful at first, Cooper got to work. He traveled his state to listen to constituents, and for years he led a coordinated pro-expansion effort. He pieced together a bipartisan coalition that became too powerful for the GOP lawmakers to ignore. Business lobbied, health professionals pleaded, religious leaders prayed.

At long last, in 2023, North Carolina became the 40th and most recent state to expand Medicaid. An overwhelming majority of legislative Republicans — yes, even most of the loudest earlier opponents — ultimately voted yea.

“That was one of the greatest days of my ,” Cooper told me in an interview on Tuesday. “It was a day that changed so many lives, and the people of North Carolina are better off today for it in every way.”

Cooper has been following the high-profile debate of Medicaid expansion in the Mississippi Capitol this year. Here in , House Republicans overwhelmingly passed an expansion proposal on Feb. 29. But Senate Republicans are stalling and proposing their own plan — one that is so watered down and ineffectual that Mississippi wouldn't be considered an expansion state if it passes.

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As major deadlines approach and the politics heat up, expansion in Mississippi is still far from reality.

The North Carolina governor said he noticed a recent tweet from Republican Gov. Tate Reeves using yet another one of those tired “Obama is bad” lines.

“It's really quite sad, isn't it?” Cooper asked me rhetorically.

READ MORE: Hospitals, business leaders suffering FOT — Fear of Tate — on Medicaid expansion

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Truthfully, Mississippi Republicans have little reason to care what Cooper has to say. But before you write off his words, know this: Two different times, North Carolinians elected Cooper on the same ballot that Republican Donald Trump won. Let that sink in: A majority of North Carolina voters elected a Democratic governor while casting votes for Trump on the same ballot. He's clearly trusted and respected by many Republican voters in his state. Few politicians in America could claim that level of crossover these days.

His popularity, many in the Tar Heel State believe, got Medicaid expanded and will coverage to an estimated 600,000 North Carolinians.

So when I got a few minutes with the political savant this week, I couldn't but ask: What would he say to Mississippi lawmakers as they're considering expansion?

“Listen to your constituents instead of the partisan rhetoric,” Cooper responded. “You'll hear from small business owners that they're having a hard time affording health insurance for their employees. You'll hear from rural county commissioners and local government officials that their rural hospitals are in danger of closing. You'll hear from local law enforcement officers that they're spending a lot of time dealing with people who are mentally ill or have substance use disorder. If you listen to doctors and health care providers, they'll tell you they're having a difficult time treating indigent . And if you talk to people who are working hard, making a living and just can't afford health insurance, they'll tell you this is a great deal for Mississippi.”

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Did you catch that? Cooper doesn't care if Mississippi lawmakers listen to him; he just wants them to listen to their constituents. Considering the vast support for expansion among Mississippi health care leaders, business leaders and voters of all party affiliations, that fundamental political concept has clearly been shelved here in recent weeks.

READ MORE: Senate Medicaid expansion plan shows generosity to the poor — but mostly in other states

North Carolina expansion went into effect in December 2023, so it's still early days. But what are the effects so far?

“Already we're seeing thousands of prescriptions being filled, so obviously there were a lot of people who were not getting the regular preventative drugs that they should have,” Cooper said, which one could easily take as a nod toward Mississippians being consistently ranked the unhealthiest populous in the nation.

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He continued: “And look, this will help the private sector. It's one of the reasons we had a number of local chambers of commerce endorse Medicaid expansion. When you have indigent patients who get treated and providers can't recover the money, they go to the private sector. Studies have been overwhelming in showing that Medicaid expansion can help control private health care costs.”

There's logic in that answer that mirrors the numerous studies showing expansion in Mississippi would have similar effects. But in this Mississippi debate, logic has too often taken a backseat to pure, unadulterated politics. This is, perhaps, where we could use Cooper's unique perspective most.

So I ask: Many so-called conservatives in Mississippi are making this exclusively about politics, arguing simply that expansion is not conservative enough. Knowing what you know on the other side of this fight, what would you say to them?

“It saves people money, so it's conservative. It saves businesses money, so it's conservative. It saves lives, so it's conservative,” he said. “… It's been hard to find people in North Carolina who are against it after we passed it. And it was an overwhelming majority of legislators from both parties who supported this at the end of the day.”

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Mississippi lawmakers can listen to Cooper or not. But the guy has been down the very road they find themselves on right now. And the stakes for so many Mississippians couldn't be higher.

READ MORE: Senate Republicans should know: This is literally life-or-death.

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

Mississippi Today

On this day in 1928

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mississippitoday.org – Jerry Mitchell – 2024-05-09 07:00:00

MAY 9, 1928

First NFL with an all-Black officiating crew on Nov. 23, 2020. Burl Toler, pictured far right, was remembered. Credit: NBC

Burl Toler was born in Memphis. The first Black official in any major sport in the U.S., he defeated prejudice at each turn. 

In 1951, Toler starred for the legendary undefeated of San Francisco Dons. Prejudice kept the integrated team from playing in the Gator Bowl, but the team found anyway. Nine players went to the NFL, three of them later inducted into the Professional Football Hall of Fame. Their best player may have been Toler, who was drafted by Cleveland but suffered a severe knee injury in a college all-star game that ended his playing days. 

Toler decided to make his way into professional football through officiating. The NFL hired him in 1965 — a year before Emmett Ashford became the first Black umpire in Major League and three years before Jackie White broke the color barrier in the NBA. 

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He rose above the racism he encountered, working as a head linesman and field judge for a quarter-century. He officiated Super Bowl XIV, where the Pittsburgh Steelers defeated the Los Angeles Rams in 1980. Two years later, he officiated the “Freezer Bowl,” where the Cincinnati Bengals defeated the San Diego Chargers in the AFC Championship Game. The game marked the coldest temperatures of any game in NFL history — minus 59 degrees wind chill — and Toler suffered frostbite. 

In addition to his NFL work, he worked as an educator, becoming the first Black secondary school principal in the San Francisco district. He died in 2009. Two area schools and a hall on the University of San Francisco campus have been renamed in his honor. On Nov. 23, 2020, Toler was remembered again when the NFL had its first all-Black officiating crew.

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

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Mississippi Today

EPA absolves MDEQ, Health Department of discrimination in funding Jackson water

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mississippitoday.org – Alex Rozier – 2024-05-08 15:42:36

About a year and half ago, on the heels of Jackson's infamous system failure, advocates and politicians from Mississippi began publicly questioning the mechanisms that are supposed to such systems.

In October 2022, U.S. Reps. Bennie Thompson and Carolyn Maloney wrote Gov. Tate Reeves, grilling him over an apparent disparity in how federal funds were allocated to Jackson versus other parts of the .

Then days later, the Environmental Protection Agency's office opened an investigation into two state agencies — the Mississippi Department of Environmental Quality and the Mississippi Department of — in response to the NAACP's claims of discrimination under Title VI of the Civil Rights Act of 1964. Title VI prohibits discrimination — based on race, color or national origin — in providing federal assistance.

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On Monday, though, the EPA announced it had ended the probe after finding no evidence the agencies had short-changed Jackson's water system. In its investigation, the EPA looked at the funding amounts and racial demographics of that received water funding from MDEQ and the Health Department and determined there was no correlation between the two factors.

A scatter plot from the EPA's analysis comparing the levels of funding cities received with their percent of Black residents.

“The evidence overwhelmingly shows that the Mississippi Department of Environmental Quality did everything right,” MDEQ Executive Director Chris Wells said in a press release the EPA's announcement.

The two agencies are in charge of disbursing funds from the EPA called “state revolving loan,” or SRF, funds, which are meant to help cities make infrastructure improvements. MDEQ handles SRF funds related to wastewater infrastructure, while the Health Department handles SRF funds for drinking water.

But the claims against the agencies were only part of the 2022 complaint the NAACP filed with the EPA. The federal agency did not address another complaint: The group also focused on the state , which has denied attempts in recent years by Jackson to raise money for its water system, such as creating a new 1% tax.

Click here for the EPA's full responses to MDEQ and Health Department.

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

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Mississippi Today

MSGOP Chair Bordeaux stepping down. Mike Hurst endorsed as successor

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mississippitoday.org – Taylor Vance and Geoff Pender – 2024-05-08 12:25:40

Mississippi Republican Party Chairman Frank Bordeaux announced on Wednesday that he will not seek reelection to his post and endorsed former U.S. Attorney Mike Hurst to succeed him. 

Bordeaux, an insurance executive, wrote on Facebook that he's had a great tenure as the party's chairman, but it was time to “pass the torch” to a “new leader with a fresh perspective.” 

“We've seen a lot of ,” Bordeaux said. “We've elected more in the last few years to local, , and federal offices than at any point in history. With every election, we've gained seats and put more conservatives in positions to improve the lives of Mississippians.” 

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Republican Gov. Tate Reeves in September 2020 backed Bordeaux, a longtime Coast , to replace former GOP Chairman Lucien Smith, a move that likely proved crucial to the governor transforming the Coast into a political firewall of support during the 2023 statewide election. 

It's typical for a sitting Republican governor, as head of the state party, to pick a new chairman. While the executive committee technically elects a GOP chairman, a governor's choice is typically installed by acclamation. There has been no major executive committee challenge to a Republican governor's chairman nomination in recent history.

Reeves did not immediately make a statement after Bordeaux' announcement on social media, but Hurst in a statement on Wednesday indicated he has Reeves' support.

“I want to thank Gov. Tate Reeves for his support, Chairman Frank Bordeaux for his incredible leadership, and the staff of the MSGOP, who have all raised our party to new heights and have achieved so much for our conservative principles over the last number of years,” Hurst said.

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Gov. Tate Reeves signs qualifying paperwork to for reelection, as his wife Elee Reeves, left, and party chairman Frank Bordeaux look on at the Mississippi Republican Headquarters in Jackson, Miss., Tuesday, Jan. 3, 2023. Credit: Eric Shelton/Mississippi

“Our future is bright in Mississippi and, if elected chairman, I hope I can play a small role in making our state and our party even better in the future,” Hurst added.

READ MORE: Lucien Smith out as MSGOP chair; Gov. Reeves backs Gulf Coast businessman to replace him

Republican Lt. Gov. Delbert Hosemann in a statement Wednesday said: “Being chairman is a tough, uncompensated job which takes a significant amount of personal time. Frank's leadership through part of the pandemic and the recent statewide election has been pivotal to bringing organization, unity, and success to the Republican Party across the state. We appreciate his service and look forward to continuing his efforts under the guidance of Mike Hurst.”

Hurst has been involved in state and national Republican for years. He is currently a partner in the Phelps Dunbar firm's Jackson office. Hurst served as the U.S. attorney for the Southern District of Mississippi under 's administration from 2017 to 2021, and previously served as an assistant U.S. attorney. 

Prior to his presidential appointment, Hurst was the founder and director of the Mississippi Justice Institute, a division of the Mississippi Center for Public Policy. He also previously served as a legislative director and counsel to then-U.S. Rep. Chip Pickering, and served as counsel to the Constitution Subcommittee of the U.S. House Judiciary Committee.

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Hurst's wife, Celeste Hurst, was elected last year to the state House District 77 seat, representing , Rankin and Scott counties.

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

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