Republican Mississippi House advances Medicaid expansion proposal goes Senate

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Mississippi’s Republican-led House handed a invoice Wednesday that will broaden Medicaid advantages to tons of of hundreds extra residents in one of many poorest states within the U.S. — a landmark shift after state leaders refused to think about the coverage for years.

The invoice’s passage was greeted by applause within the House chamber following a bipartisan 98-20 vote. It now heads to the state Senate, the place its destiny stays unsure as lawmakers are anticipated to introduce a competing proposal that would function a basis for additional negotiations.

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The transfer follows years of opposition from Republicans, together with Gov. Tate Reeves, to the expansion allowed below the Affordable Care Act, a 2010 federal well being overhaul signed by then-President Barack Obama. The invoice’s Republican sponsor, Rep. Missy McGee, stated lawmakers had a “moral imperative” to place ideology apart to enhance Mississippi’s poor well being outcomes.

“It is a topic that should transcend politics and economics. For at its core, it’s about the well-being and dignity of every Mississippian,” McGee stated. “Sometimes, it’s OK to do the right thing, because it’s the right thing.”

Mississippi has the best fee of preventable deaths within the U.S. Its prime well being official has stated it ranks on the backside of just about each well being care indicator and on the prime of each disparity. Hospitals are struggling to stay open. The state additionally has one of many nation’s lowest labor power participation charges. Expansion proponents have stated the coverage might assist ameliorate these circumstances.

Missy McGee, Clay Mansell

Mississippi House Medicaid Committee Chairwoman Rep. Missy McGee, R-Hattiesburg, proper, asks a query of the representatives from the Hilltop Institute, a nonpartisan analysis group, unseen, who offered a short on the financial affect of Medicaid expansion in Mississippi, to the committee, media and lobbyists on the state Capitol in Jackson, Miss., Tuesday, Feb 20, 2024. Committee member State Rep. Clay Mansell, R-Clinton, left, was among the many legislators who attended the briefing. (AP Photo/Rogelio V. Solis)

Opponents of Medicaid expansion say this system would foster authorities dependency, enhance wait occasions for well being providers and push individuals off non-public insurance coverage. In a social media publish on Wednesday earlier than the vote, Reeves repeated these criticisms and tied the invoice to the objectives of distinguished Democrats.

“Representative McGee keeps saying — over and over — that her bill is for working people,” Reeves stated. “The truth is this: her bill passed by the House committee yesterday is straight Obamacare Medicaid Expansion.”

The proposal would enhance eligibility for Medicaid, a medical insurance program that covers low-income individuals. Those making as much as 138% of the federal poverty degree, or $20,120 yearly for a single individual, can be eligible below the proposal. Mississippi has about 3 million residents, and its Medicaid program coated 754,585 individuals in January. McGee stated it might prolong advantages to about 200,000 individuals.

At a committee listening to Wednesday, McGee touted a monetary incentive for increasing Medicaid supplied by Congress within the American Rescue Plan. The bonus helped with the passage of Medicaid expansion in North Carolina. In Mississippi, the inducement and different value offsets like elevated tax revenues would pay for this system for about 4 years, McGee stated.

House Democratic Leader Robert Johnson stated he was shocked by the lopsided vote in favor of the invoice. The end result introduced again recollections of when Mississippi voted in 2020 to take away the Confederate battle emblem from its state flag.

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“The last time I felt this good I cried because we changed the flag for the state of Mississippi,” Johnson stated. “Today is a great day for working Mississippians.”

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