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Mississippi Lawmakers Negotiate Medicaid Expansion In Landmark Decision

Roy Campbell, a Jackson attorney, was among a group of small business owners who urged lawmakers to fully fund a Mississippi Medicaid expansion plan during a Tuesday, April 23, 2024, news conference a

Top Mississippi lawmakers have initiated negotiations on a potential plan to expand Medicaid coverage in the state, a move that could have significant implications for tens of thousands of residents. Mississippi, one of the poorest states in the U.S., has not yet expanded Medicaid under the federal health care overhaul signed into law in 2010.

Despite Republicans holding the majority in both the state House and Senate, reaching a compromise on the issue remains uncertain as the legislative session is set to conclude by early May. Governor Tate Reeves has been vocal about his opposition to increasing the number of individuals on government programs.

The discussion on Medicaid expansion has gained momentum this year, with the House showing bipartisan support for extending coverage to approximately 200,000 individuals earning up to 138% of the federal poverty level. In contrast, the Senate passed a more limited version that would cover those earning up to 100% of the federal poverty level.

House and Senate negotiating coverage for low-income residents.
Mississippi considering Medicaid expansion for the first time.
Governor Reeves opposes increasing government program enrollment.
House proposes covering individuals up to 138% of federal poverty level.
Senate suggests coverage up to 100% of federal poverty level.
Committees discussing maximizing federal funding for expansion.
Public meetings held to negotiate Medicaid expansion bill.
Bipartisan support in the House for extending coverage.
Senate emphasizes caution due to decision complexities.
200,000 Mississippians could benefit from potential Medicaid expansion.

House Medicaid Committee Chairwoman proposed a compromise that would maximize federal funding for expansion. The proposal includes coverage for individuals up to 100% of the federal poverty level under Medicaid, while those earning between 100% and 138% would receive subsidies to purchase insurance through a federal exchange.

While the Senate has not put forth any new proposals, discussions between the two chambers mark a significant step towards addressing Medicaid expansion. Senate Medicaid Committee Chairman emphasized the need for a cautious approach, highlighting the complexities involved in the decision-making process.

Legislators have opted for open meetings to negotiate the final version of the Medicaid expansion bill this year, a departure from their usual practice of private discussions. The high level of public interest was evident during the latest meeting, with attendees expressing a sense of urgency in addressing the healthcare needs of low-income Mississippians.

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