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Mississippi leaving more than $1 billion per year on table by rejecting Medicaid expansion

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Mississippi leaving more than $1 billion per year on table by rejecting Medicaid expansion

Note: This article is part of Mississippi Today’s ongoing Mississippi Health Care Crisis project.Read more about the project by clicking here.

Mississippi would receive $1.61 billion in federal funds for the first year of Medicaid expansion and $1.64 billion in the second year, according to a study authored by the state economist's office.

The state's top economists forecasted that Mississippi would collect $1.36 billion in year three, $1.38 billion in year four, and increasing by smaller percentages going forward.

The study, released by state economist Corey Miller and senior economist Sondra Collins of the University Research Center in September 2021, assessed the financial effects if state leaders expanded Medicaid in 2022. Choosing to opt into the expanded federal Medicaid program would not only provide more than 200,000 primarily working Mississippians with basic health care coverage, but it would be a boon to the state's economy, the experts found.

Importantly, the economists found that the 10% matching costs the state must cover if it expanded Medicaid would be more than covered by health care-related savings to the state and new tax revenue generated.

Q&A:What is Medicaid expansion, really?

But of course, the expansion the economists forecasted in the 2021 study did not happen. State leaders, primarily Gov. Tate Reeves and House Speaker Philip Gunn, continue to block efforts to expand Medicaid. Thirty-eight other states have expanded Medicaid, and South Dakota is expected to become the 39th after voters there approved a Medicaid expansion measure on the November ballot.

The Mississippi study pointed out that federal COVID-19 relief legislation, the American Rescue Plan, provides states that have not expanded Medicaid a greater financial incentive to do so. The study estimates that the incentive would result in an additional $306.4 million for Mississippi the first year and $316.2 million the second year.

After two years, the incentives go away. In the University Research Center study, those two years of incentives are included for 2022 and 2023. But under the American Rescue Plan, Mississippi would get those incentives the first two years of Medicaid expansion, regardless of the years that expansion occurred.

READ MORE: Who’s opposed to Mississippi Medicaid expansion and why?

Based on the study, which looks an expansion beginning in 2022, the amount of federal funds would decline starting in 2024 because the incentives would go away. But the state would receive similar federal funds on a yearly basis whenever it expands Medicaid. It is just losing out on those funds the longer it waits to adopt the expansion.

The federal Medicaid money coming into the state, whether for the traditional Medicaid program or for expansion, in reality goes to health care providers to pay for services rendered to Medicaid beneficiaries. This would directly help hospitals across the state, which are battling rising health care costs and struggling to cover care for uninsured patients. The federal funds would not stay in state coffers for legislators to dole out in other non-health care areas and it does not go to beneficiaries. But the two years of ARPA-related incentives to expand Medicaid could be used, various studies have pointed out, to mitigate state costs for Medicaid expansion in future years.

The federal government pays 90% of the health care costs for the people receiving benefits through Medicaid expansion. The state is responsible for the additional 10% and for administrative costs.

Those who earn less than 138% of the federal poverty level ($18,754 for an individual) qualify for Medicaid expansion. The state pays a higher matching rate for people on the traditional Medicaid program. Those receiving traditional Medicaid benefits are primarily the disabled, poor pregnant women, poor children and some poor senior citizens.

Even with the state’s mandated match, the University Research Center study concludes that the economic boom caused by Medicaid expansion, based on the billions of dollars in federal funds flowing into Mississippi, will grow the state’s coffers as much as $44 million annually, increase the state’s gross domestic product, modestly grow the state’s population and increase jobs on average of 11,300 per year over a five-year period.

“However, the state would need to increase its current supply of employees in the health care field to realize these job gains,” according to the study.

READ MORE: State economist refutes politicians’ claim that Mississippi cannot afford Medicaid expansion

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

Mississippi Today

Mississippi school superintendents indicted on fraud charges

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mississippitoday.org – @devnabose – 2025-06-27 15:58:00


Two Mississippi school superintendents—Earl Joe Nelson of Leake County and Mario D. Willis of Hollandale—and a consultant, Moneka M. Smith-Taylor, have been indicted on four federal counts including conspiracy to commit embezzlement, theft, and bribery. The indictment alleges Nelson and Willis paid each other tens of thousands in school funds for consulting services never performed between November 2021 and June 2023. Smith-Taylor reportedly received over \$250,000 from Willis for fraudulent consulting, returning part as a cash kickback. The superintendents’ current employment status and legal representation remain unclear.

The superintendents for Leake County and Hollandale school districts and a consultant have been indicted on four federal counts of conspiracy to commit embezzlement, theft and bribery.

According to the indictment, Earl Joe Nelson, while superintendent of Clarksdale Municipal School District and now Leake County School District, and Mario D. Willis, as superintendent of Hollandale School District, allegedly paid each other tens of thousands of dollars in school funds for consultant services that were never rendered from November 2021 until at least June 2023.

Additionally, the duo is accused of stealing U.S. Department of Education funds that were intended for their respective districts. 

A St. Louis-based consultant and teacher, Moneka M. Smith-Taylor, has also been indicted on bribery charges in connection with the case. She allegedly received more than $250,000 from Willis for consulting services that were never provided over the course of two years.

She returned part of that money to Willis in the form of a cash kickback in return for the consulting contract, the indictment says.

A spokesperson for the Mississippi State Department of Education directed Mississippi Today to local school boards, who make personnel decisions for their respective districts, for comment.

The job status of the two superintendents is unclear. District officials could not be reached by presstime, but Willis is still listed as the superintendent of Hollandale School District and Nelson is still listed as the superintendent of Leake County School District in the state education department’s online directory.

It’s also unclear whether the defendants have a lawyer who could speak on their behalf.

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

The post Mississippi school superintendents indicted on fraud charges 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 reports on the indictment of two Mississippi school superintendents and a consultant on federal fraud charges in a straightforward, factual manner. It presents the legal allegations without editorializing or taking a stance. The language is neutral and focused on relaying verified information from the indictment and official sources, without suggesting guilt or innocence. There is no evident ideological framing or advocacy; rather, the piece sticks to reporting the details of the case and the status of the individuals involved. Thus, the article adheres to objective journalistic standards without discernible political bias.

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Mississippi Today

Defendant in auditor’s ‘second largest’ embezzlement case in history goes free

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mississippitoday.org – @ayewolfe – 2025-06-26 13:14:00


Four years ago, Tunica nonprofit leader Mardis Jones was arrested in Mississippi’s second-largest embezzlement case, accused of stealing \$750,000 from a home rehab program meant for needy residents. Despite the state auditor’s office claiming only 20% of funds went to repairs, a local jury found Jones not guilty last month. His defense argued poor administration and a backlog caused delays, not theft, and prosecutors lacked evidence he used funds personally. Though the auditor demanded Jones repay over \$1 million, the attorney general has not pursued civil action yet. The auditor’s office recently confirmed the demand letter was finally received by prosecutors.

Four years ago, agents from the state auditor’s office arrested Tunica nonprofit operator Mardis Jones in what the office trumpeted as the second-largest embezzlement case in its history and demanded Jones return over $1 million to the state.

The charges accused Jones of stealing $750,000 from a home rehabilitation program he was supposed to be administering while turning away needy rural residents living in crumbling houses.

But his defense attorney attacked holes in the case, and last month, a local jury found Jones not guilty of the criminal charges. Now, the state has made no indication it will bring a civil case to try to claw back the money from him.

Jones’ nonprofit Tunica County Housing Inc. secured a subcontract with the county through the North Delta Regional Housing Authority in 2014 to run the county’s home rehabilitation program funded with casino revenue. For his work, vetting applications and managing expenses, Jones earned $12,000 a month.

At the core of the criminal case were “strange money transfers” and a finding that several of the people whose applications for home rehab were approved allegedly never received any repairs to their homes. According to the auditor’s office, investigators found less than 20% of the nearly $2 million Jones’ nonprofit received went to the contractors working to rehab homes.

“Once again, an arm of government trusted a private organization to run a government program, and a large percentage of the program’s spending was flat out stolen,” State Auditor Shad White said in a press release after the arrest.

Attorney General Lynn Fitch echoed White, saying, “These funds – hundreds of thousands of dollars – were meant to help the elderly, handicapped, and poverty stricken. But the funds never got to the vulnerable citizens who needed it most.”

Jones’ lawyer Carlos Tanner explained to Mississippi Today that the program operated with an extreme backlog, and that “some of the people they were claiming didn’t get their houses done actually did” by the time the trial was held this year.

The program was poorly administered, Tanner said, meaning that even if a person’s application was approved and a rehab contract prepared, county officials could direct Jones to put someone else’s repair job ahead of his or hers.

“But just because it was run like a first weekend lemonade stand does not mean Mardis Jones stole money,” Tanner said.

Tanner said the investigators gathered paltry evidence, only looking at details that fit their narrative. While Jones did earn a large salary through his contract, Tanner said prosecutors never presented evidence that Jones converted money that was supposed to be used on home rehabilitation to his personal use.

Investigators got a warrant to seize Jones’ electronics, Tanner said, but “they never bothered to search it.”

“The two OSA (Office of the State Auditor) officials who were running the investigation, I questioned them about it during trial, and neither of them could tell me where the computer was, where the phone was, or what the contents were,” Tanner said.

Jacob Walters, a spokesperson for the auditor’s office, defended the way the investigators handled the case, saying, “The state auditor’s office is never going to turn a case we investigated over to a prosecutor unless we’re fully confident in the work that we did.”

At the time the auditor’s office announced the Jones arrest, it also said it delivered a demand letter ordering Jones to repay over $1 million, the money it alleged he stole plus interest and investigative expenses.

It’s up to the attorney general or local district attorney to decide how to prosecute auditor investigations, or in Jones’ case, what happens to the civil demand now that a jury found him not guilty in the criminal case.

When a person receives a demand alongside his or her arrest, regardless of what happens with criminal charges, the claw back can be enforced through civil litigation — much like the case against several defendants in a stunning Mississippi Department of Human Services fraud case, which began in 2020 and has yet to be resolved. Walters said the demand against Jones is still the office’s next-largest in history, second only to the welfare scandal.

The government might choose to pursue civil litigation, even if criminal prosecution is unsuccessful, because there is a lower burden of proof to win civil cases.

But the attorney general’s office told Mississippi Today last month that it had not received the Jones demand letter from the auditor, meaning it has nothing left to enforce.

Walters said the auditor’s office sent the letter along with the case file four years ago, but that with a turnover in attorneys prosecuting the case, the auditor had to resend the file last year. If the attorney general’s office no longer possesses the demand document, Walters said, “it’s an incredibly easy problem to resolve.”

“Just reach out to us with a single phone call or email and we can get it to you,” Walters said.

After the interview, the auditor’s office sent the demand letter by email, and the attorney general’s office confirmed it was received.

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

The post Defendant in auditor’s ‘second largest’ embezzlement case in history goes free 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

This article presents a factual and balanced account of the embezzlement case involving Mardis Jones without overt ideological framing. It reports statements from both government officials criticizing the alleged misconduct and the defense attorney’s rebuttals, highlighting weaknesses in the prosecution’s case. The tone remains neutral, avoiding partisan language or loaded terms. It focuses on the procedural aspects, jury verdict, and potential civil actions without advocating for a political viewpoint. The article provides context from multiple perspectives, adhering to objective reporting rather than promoting a specific ideological stance.

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Mississippi Today

JPD called ICE on Miss. father, who faces deportation

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mississippitoday.org – @MSTODAYnews – 2025-06-25 14:46:00


Kerlin Moreno-Orellana, a Mississippi contractor and father of four, faces deportation after being arrested by Jackson police for illegal dumping—a misdemeanor typically punishable by a fine. Despite having worker authorization documents and a municipal court ordering his release, ICE placed a detainer on him, leading to his transfer from local custody to an ICE detention center. Jackson police called ICE after the arrest, a recent practice in the city. Moreno-Orellana, originally from Honduras, has lived in Mississippi over 16 years and is the sole family provider. His possible deportation threatens his family’s stability.

Kerlin Moreno-Orellana is facing deportation over a misdemeanor charge that usually results in a fine. He was picked up by Immigration and Custom Enforcement agents on Thursday morning and transferred from the Raymond Detention Center to an ICE detention center in Louisiana.

On June 16, Jackson police arrested Moreno-Orellana, a contractor, in south Jackson along with his employer Christy Parker, who was showing him one of the old properties she worked on. Both were charged with illegal dumping, but Parker claims they did not dump anything. 

After detaining them, Jackson police called a local TV outlet, 16 WAPT News, to come shoot the scene of the arrest. Parker said they were kept in the police car for over an hour, waiting for the news crew. The WAPT newsroom explained that the Jackson police routinely asks them to  cover arrests related to illegal dumping or other high profile cases, in order to “dissuade people.”

Once at the station, the Jackson Police Department called ICE on the 35-year-old father of four, who had worker authorization documents. He was kept in jail overnight, while Parker was released hours after their arrest.

“He didn’t do anything I didn’t do,” Parker said in an interview with Mississippi Today. “But because I’m white, I’m here?”

A municipal court ordered Moreno-Orellana’s release the day after, but ICE placed a detainer on him – a formal request to keep a non-citizen in custody for 48 hours, while the agency investigates. It is not an arrest warrant. However, a state law passed in 2016 mandates that all local law enforcement comply with ICE detainers placed on undocumented immigrants. 

“What we are doing today is no different than what we’ve always operated when the detainer is sent by ICE to the jail,” said Hinds County Sheriff Tyree Jones. “Nothing has changed.”

While the Hinds County Sheriff’s Department has historically worked with ICE, Jackson police actively seeking out ICE to detain people is a fairly recent occurrence, said Mississippi-based immigration attorney Jeremy Litton. Jackson police did not respond to a request for comment.

ICE picked up Moreno-Orellana with hours left on his detainer, and he now faces deportation. ICE spokesperson Lindsay Williams said that Moreno-Orellana violated the conditions of a past bond agreement by being arrested for a new charge. He had already spent over a month in ICE custody in 2019, after getting arrested by park rangers for speeding and driving without a license.

Still, a minor misdemeanor charge – like illegal dumping – is normally insufficient for ICE to threaten to deport someone with worker authorization paperwork. Removal of a person with documentation is usually justified if the person is deemed a threat to public safety or national security.

“This does feel like a result of the elevated focus on deporting people from the Trump administration,” said Matt Steffey, professor at the Mississippi College School of Law.

Moreno-Orellana, who is from Honduras, has three boys and a girl, the youngest of whom is less than a year old. He has lived in Mississippi for over 16 years. Colleagues describe him as a valuable worker and a good friend.

“All he ever did was work and go home,” Parker said. “He was always willing to give somebody help.”

The possibility of his deportation is leaving his family in a precarious situation. Moreno-Orellana was the sole breadwinner of the family, and his wife worries about sustaining herself and their children without him.

“I’ve always dedicated myself to taking care of my kids at home, and he’s the one who brings food to the table,” his wife said in Spanish. “I’m afraid of staying, being without my children’s father. Not so much for me, but because they need him.”

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

The post JPD called ICE on Miss. father, who faces deportation 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 primarily reports on the actions of law enforcement and ICE with a focus on the human impact of deportation on a Mississippi family. While the reporting remains factual, the framing and choice of quotes highlight concerns about racial disparities, immigration enforcement policies, and potential overreach by authorities, suggesting a subtle critical tone toward current immigration enforcement practices. The article’s emphasis on the family’s hardship and the legal nuances involved positions it slightly left-of-center, sympathetic to immigrant rights and critical of aggressive ICE actions. However, it avoids overt ideological language, maintaining largely balanced coverage.

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