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Reeves signs bill banning gender-affirming care for trans minors

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Reeves signs bill banning gender-affirming care for trans minors

Gov. Tate Reeves signed into Tuesday a bill banning gender-affirming care for trans minors in Mississippi, calling it part of “a war on objective scientific truth” and “basic biology.”

Effective immediately, Mississippi's estimated 2,400 trans will no longer be able to receive gender-affirming care like puberty blockers and hormone therapy from in-state providers. The legal risk for trans children and their families seeking care out of state is unclear.

House Bill 1125, called the “Regulate Experimental Adolescent Procedures (REAP) Act, would strip who provide this care of their medical license and tort claim protections. Anyone who aids and abets this care for trans children could be liable for civil damages for up to 30 years after a child receives gender-affirming care. Insurers and Medicaid would be prohibited from reimbursing families for this care.

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Reeves cast the law as a way to protect Mississippi's children but during a press conference would not say if he had spoken with a single child in Mississippi who had been harmed by gender-affirming care.

“I'm not going to reveal private conversations that I've had, but I will tell you that I don't have to,” he said. “I think it's just intuitive to them that it's happening here, and if you listen to some of these children that allow themselves to go through this and to them five years later, talk to them 10 years later, what you're going to find is, it has been harmful to them in ways.”

Gender-affirming care is evidence-based and research has shown it significantly reduces suicidality in trans youth who receive it.

Advocates and providers like Stacie Pace, a nurse practitioner who owns the only clinic in the state that provided gender-affirming care to trans kids this year, have warned that HB 1125's passage will harm the mental of trans youth in Mississippi. 

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“The number one thing, if this bill goes into effect? A lot of dead kids,” Pace told Mississippi Today earlier this month. “This law goes into effect, it is, in my opinion, the direct cause of youth suicide.”

HB 1125 is part of a wave of anti-trans legislation this year in Mississippi and across the country. It was one of more than 30 anti-LGBTQ+ bills introduced by lawmakers this . Its signing makes Mississippi the third state to ban gender-affirming care for minors this year after Utah and South Dakota.

Similar legislation passed in Arkansas and Alabama has been stayed by the courts. It's unclear if there will be a legal challenge to HB 1125 in Mississippi.

“To trans youth in Mississippi, we love you, I love you, you have ,” said Jensen Luke Matar, a trans activist who joined a small protest on the steps of the Walter Sillers Building. “Don't give up. Be strong. Be exactly who you are, because you are beautiful and perfect.”

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Reeves was joined at the press conference by Wire columnist Matt Walsh, who gave a short speech, as well as several Republican activists and representatives from the Alliance Defending Freedom and County Moms for Liberty.

Walsh said he was encouraged to see Mississippi join the national movement that he has helped build against “gender ideology madness.” He said the ban on gender-affirming care is similar to other accesses that American society denies children, like alcohol, credit card accounts and mortgages.

“The kids cannot choose any of this,” he said. “They cannot consent to it. They can't understand what they're doing, and what the long-term effects or even short term effects are gonna be.”

Reeves echoed Walsh later in the press conference about the importance of age restrictions.

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“I'm highly against 30-year-olds and 40-year-olds getting these types of surgeries, but the Libertarian in me kind of says if that's what you want to do to your body, okay, but not to children,” he said.

The ban on puberty blockers for trans children, Reeves said, will likely apply even in cases in which a trans child needs medication for a non-gender-dysphoria related like precocious puberty. Reeves did not speak in detail when asked by a reporter if it will now be more risky for doctors to prescribe puberty blockers to any Mississippi child simply because they might be trans.

Also in attendance were the co-authors of the bill, Rep. Gene Newman, R-Pearl, Rep. Nick Bain, R-Corinth, and House Speaker Philip Gunn. Sen. Joey Fillingane, who handled the bill's passage in the Senate, joined the press conference in time to take a photo with Reeves and other lawmakers.

READ MORE: Mississippi lawmaker cited trans teen surgeries that never actually happened

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

Mississippi Today

On this day in 1964

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mississippitoday.org – Jerry Mitchell – 2024-05-02 07:00:00

May 2, 1964

Moore is holding a 1964 photograph of him and his younger brother, Charles, shortly before his brother was kidnapped and killed by Klansmen, along with Henry Hezekiah Dee. Credit: David Ridgen.

Henry Hezekiah Dee and Charles Eddie Moore, two 19-year-old Black Americans, were simply to get a ride back home. Instead, Klansmen abducted them, took them to the Homochitto National Forest, where they beat the pair and then drowned them in the Mississippi

When their bodies were found in an old part of the river, FBI agents initially thought they had found the bodies of three missing workers, James Chaney, Andrew Goodman and Michael Schwerner. 

Thanks to the work of Moore's brother, Thomas, and Canadian filmmaker David Ridgen, federal authorities reopened the case in 2005. Two years later, a federal jury convicted James Ford Seale. He received three sentences and died in prison. 

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Ridgen did a on the case for the CBC , “Somebody Knows Something.”

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

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Lt. Gov. Delbert Hosemann shuts down House Republican idea to let voters decide Medicaid expansion

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mississippitoday.org – Taylor Vance – 2024-05-01 20:01:39

After House asked Senate leaders to agree to a proposal that would place Medicaid expansion on November's statewide ballot, Senate leader Lt. Gov. Delbert Hosemann said the idea had no legs in his chamber and added that expansion talks were likely done for the year.

House Speaker Jason White, a Republican from , announced the idea in a statement Wednesday night and pointed out it had become clear over the last few days that House and Senate Republicans were still far from agreement over the best way to expand Medicaid coverage.

The bill narrowly escaped death on Wednesday afternoon until House Democrats forced a procedural vote that granted everyone more time to find compromise.

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“This proved that a consensus has formed and we all share the same goal: to healthcare access to low-income Mississippians,” White said. “Creating a referendum for this issue is a clear direction forward. We hope that our colleagues in the Senate will take this opportunity to finally hear from the electorate once and for all.”

About an hour after White announced the referendum idea, Hosemann poured cold water on the idea with a statement of his own.

“We had some discussions with senators about the possibility of a non-binding referendum on the ballot and the idea was not well received,” Hosemann said. “We are disappointed in the outcome this year, but value the discussions which occurred this session — the first time this has seriously considered healthcare reform in our state.

“I remain committed to finding ways to increase access for working Mississippians who otherwise do not have the resources for a simple check-up or an extended hospital stay,” Hosemann continued. “A strong work requirement, with necessary exceptions, is a bottom line for many Senators. We look forward to continuing the conversation on access to healthcare in the future.”

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READ MORE: Lawmakers buy one more day to reach Medicaid expansion compromise

The House's full proposal was not made available on Wednesday night, but White's statement said the proposed referendum would be two-fold: Voters would decide if they think Medicaid should be expanded to the working poor and if the program should include work requirements for recipients.  

House Democratic caucus leadership supported the House Republican effort, saying in a statement Wednesday night that if the language in the House's referendum is “very clear” and allows working Mississippians to get the “ we know that they need,” then they would likely support the new proposal. 

“We are about the opportunity to finally give the people of this state a chance to voice what we know to be — that they want this, and they want it as quickly as possible,” read a statement from Reps. Robert Johnson and Daryl Porter, the House Democratic leaders.

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The statewide ballot referendum idea was seen late Wednesday as a renewed chance for Republicans to find an expansion agreement — something that had become elusive during the first legislative session that expansion was earnestly considered.

At the heart of the Senate and House disagreement was a requirement that mandated Medicaid recipients work — a provision that the federal had blocked in 13 other states.

House and Senate Republican negotiators earlier in the week agreed to a deal that would expand Medicaid only if a strict work requirement was approved by the federal government. House Republicans, who had previously proposed an expansion program that would go into effect even without federal approval of a work requirement, caved late Monday and agreed to the Senate Republicans' demand to include the make-or-break work requirement provision.

But House Democrats, who had for weeks vowed to not support any expansion plan that included a work requirement, fulfilled that promise on Wednesday and threatened to vote against the Republican bill on the House floor. The Democrats' dug-in position against the bill would likely have killed the proposal, which needed a three-fifths majority vote to pass.

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Rep. Bryant Clark, D-Ebenezer, said he was one of 29 Democrats who would not vote for the agreement as it stood on Wednesday. He said he was unsure whether he would support the issue going to a statewide referendum.

“I think we as a Legislature should do it — that's what people hired us to do,” Clark said. “I wouldn't be just totally opposed to that idea, but sometimes the devil is in the details. What would be put before the people? Would it be a clean expansion proposal, or something else? I am 85% sure the citizens of Mississippi would pass something that is a clean Medicaid expansion proposal.”

Note: This article will be updated.

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

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Lawmakers buy one more day to reach Medicaid expansion compromise

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mississippitoday.org – Geoff Pender, Bobby Harrison, Taylor Vance, Sophia Paffenroth and Adam Ganucheau – 2024-05-01 17:34:04

Facing a late Wednesday deadline, the House and Senate procedurally voted to give themselves at least one more day to deliberate a proposal that could make Mississippi the 41st to expand under the Affordable Care Act.

House and Senate Republican negotiators earlier in the week agreed to a deal that would expand Medicaid only if a strict work requirement for recipients was approved by the federal . House , who had previously proposed an expansion program that would go into effect even without federal approval of a work requirement, caved late Monday and agreed to the Senate Republicans' demand to include the make-or-break work requirement provision.

But House Democrats, who had for weeks vowed to not any expansion plan that included a work requirement, fulfilled that promise on Wednesday and threatened to vote against the Republican bill on the House floor. The Democrats' dug-in position against the bill would likely have killed the proposal, which needed a three-fifths majority vote to pass.

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With the federal Centers for Medicare and Medicaid Services under the Biden administration unlikely to approve Mississippi's Medicaid expansion plan with a work requirement, Senate Republican leaders have expressed optimism that Donald Trump would be reelected and that he would approve Mississippi's plan.

However, the realpolitik is that Trump has loudly voiced his opposition to Medicaid expansion, and his approval of Mississippi's work requirement would usher expansion in for the Magnolia state over the wishes of a Republican governor (Tate Reeves) whom he supports. When he was president, the Trump administration approved Medicaid work requirements for some states, but only as a means of limiting participation where it had already been expanded, not to a state implement expansion.

Waiting on approval from CMS under either Biden or Trump could keep Mississippi's expansion of coverage as it now stands in limbo indefinitely.

“We will vote for Medicaid expansion,” Rep. Robert Johnson III, the House minority leader, said after the recommittal on Wednesday. “This is not Medicaid expansion. At least we got a do-over.”

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Johnson said that shy of going back to the original House position — or removing the work requirement the Senate demanded — House Democrats want to remove language that says the state would reapply for work requirements each year while expansion remains in limbo until such time as a work requirement is approved. He said the Democrats told the Republican leadership that they would agree to the work requirement, but not reapplying on an annual basis for the work requirement wavier. Instead, he said the state should apply once for the work requirement and if it is rejected by federal officials the should act to remove the requirement.

“We're not saying we are against the work requirement,” he said, adding House Democrats oppose it because it would keep Medicaid from being expanded,

Johnson added, “We're saying fine, we will try that once and show you it will not work, then we move on (removing the work requirement and expanding the program).”

When it was clear the House Democrats' dissension might kill the expansion program, House Republicans moved to recommit the bill to conference committee. The Senate Republicans followed suit a few minutes later, effectively extending the deadline for a final plan to be hammered out between House and Senate negotiators until 8 p.m. Thursday.

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House and Senate Republican leaders declined to comment about what they may bring to the negotiations or what the next few hours may look like. House Democrats claimed a small victory and reiterated their desire to pass an expansion plan that would actually go into effect and provide coverage to an estimated 200,000 .

As news of the recommittal spread quickly through the Capitol on Wednesday afternoon, many people floated the notion of placing a Medicaid expansion issue on a statewide ballot, where voters could mandate what they wanted lawmakers to do.

“I have heard talk about that, but it would confuse voters with a work requirement,” Johnson said, adding he would support placing Medicaid expansion without a work requirement on the ballot.

Rep. Bryant Clark, D-Ebenezer, said he was one of 29 Democrats who would not vote for the agreement as it stood on Wednesday. He said he is unsure whether he would support the issue going to a statewide referendum.

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“I think we as a Legislature should do it — that's what people hired us to do,” Clark said. “I wouldn't be just totally opposed to that idea, but sometimes the devil is in the details. What would be put before the people? Would it be a clean expansion proposal, or something else? I am 85% sure the citizens of Mississippi would pass something that is a clean Medicaid expansion proposal.”

As the extraordinary played out on Wednesday, dozens of clergy and other citizens came to the Capitol to express their support of expansion. Many Capitol attendees specifically said they did not support the compromise plan that included the work requirement.

“There are people in Mississippi who are sick, hurting, in pain and broken,” said the Rev. Dawn Douglas Flowers, a minister at Parkway Hills United Methodist Church. “We have a way to enter into that brokenness and offer healing right away. I hope lawmakers can find a way to compromise and allow Medicaid expansion to happen now because what they've come up with is just a delay. The work requirement will not allow us to get help to people who need help today. We can't just kick the can down the road any longer.”

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

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