Mississippi’s Governor Rejects Medicaid Expansion for Working-Class Constituents

The state is passing on roughly $600 million in federal funding to prevent residents from getting Medicaid.

Mississippi Gov. Tate Reeves.Rogelio V. Solis/AP

Fight disinformation: Sign up for the free Mother Jones Daily newsletter and follow the news that matters.

During the pandemic, Mississippi has had the highest COVID-19 death rate of any state outside the Northeast. On Friday, the stateā€™s Republican governor, Tate Reeves, said he remained committed to denying access to Medicaid for constituents near the poverty line, even though expanding eligibility would make money for Mississippi as a result of the new stimulus bill. 

ā€œMy position has not changed. I am opposed to expanding Medicaid in Mississippi,ā€ Gov. Reeves said during a press conference covered by the Mississippi Free Press. When asked by Vox if the prospect of additional funding might make him reconsider his opposition to Medicaid expansion, Reeves said, ā€œNo, sir, it will not.ā€

As part of Obamacare, the federal government covers 90 percent of the cost of expanding Medicaid to people who make up to 138 percent of the federal poverty line, or about $30,000 for a family of four. Twelve Republican-led states have refused that offer, leaving about 2.2 million of their constituents without health insurance. 

On top of the 90 percent match, the stimulus bill President Joe Biden signed Thursday would give Mississippi, the poorest state in the country, an estimated $600 million over two years to expand Medicaid to the roughly 200,000 to 300,000 people in the state who would be eligible. Nearly 60 percent of people whoā€™d gain health insurance as a result of Medicaid expansion in Mississippi would be people of color. The vast majority of those people are Black. 

The Kaiser Family Foundation estimated that Medicaid expansion would cost Mississippi $290 million over two years before including the roughly $600 million in new stimulus money. In essence, Reeves is forfeiting hundreds of millions of dollars to deny his constituents health care in the middle of a pandemic. In an interview with Mississippi Today, Senate Public Health Committee Chair Hob Bryan, a Democrat, stressed that there ā€œwill be more money in the state treasury if we expand Medicaid than if we donā€™t.ā€

ā€œFor a number of years, the federal government has been offering us $1 million a day to take care of sick people,ā€ Bryan said. ā€œNow they are offering $1 million a day to take that other $1 million a day. You canā€™t make this stuff up.ā€

Instead of providing health insurance, Reeves is targeting transgender people. As my colleague Laura Thompson reported, Reeves signed a bill on Thursday that blocks transgender athletes from competing on womenā€™s sports teams. Mississippi is the first state to enact such a law.

WE'LL BE BLUNT

It is astonishingly hard keeping a newsroom afloat these days, and we need to raise $253,000 in online donations quickly, by October 7.

The short of it: Last year, we had to cut $1 million from our budget so we could have any chance of breaking even by the time our fiscal year ended in June. And despite a huge rally from so many of you leading up to the deadline, we still came up a bit short on the whole. We canā€™t let that happen again. We have no wiggle room to begin with, and now we have a hole to dig out of.

Readers also told us to just give it to you straight when we need to ask for your support, and seeing how matter-of-factly explaining our inner workings, our challenges and finances, can bring more of you in has been a real silver lining. So our online membership lead, Brian, lays it all out for you in his personal, insider account (that literally puts his skin in the game!) of how urgent things are right now.

The upshot: Being able to rally $253,000 in donations over these next few weeks is vitally important simply because it is the number that keeps us right on track, helping make sure we don't end up with a bigger gap than can be filled again, helping us avoid any significant (and knowable) cash-flow crunches for now. We used to be more nonchalant about coming up short this time of year, thinking we can make it by the time June rolls around. Not anymore.

Because the in-depth journalism on underreported beats and unique perspectives on the daily news you turn to Mother Jones for is only possible because readers fund us. Corporations and powerful people with deep pockets will never sustain the type of journalism we exist to do. The only investors who wonā€™t let independent, investigative journalism down are the people who actually care about its futureā€”you.

And we need readers to show up for us big timeā€”again.

Getting just 10 percent of the people who care enough about our work to be reading this blurb to part with a few bucks would be utterly transformative for us, and that's very much what we need to keep charging hard in this financially uncertain, high-stakes year.

If you can right now, please support the journalism you get from Mother Jones with a donation at whatever amount works for you. And please do it now, before you move on to whatever you're about to do next and think maybe you'll get to it later, because every gift matters and we really need to see a strong response if we're going to raise the $253,000 we need in less than three weeks.

payment methods

WE'LL BE BLUNT

It is astonishingly hard keeping a newsroom afloat these days, and we need to raise $253,000 in online donations quickly, by October 7.

The short of it: Last year, we had to cut $1 million from our budget so we could have any chance of breaking even by the time our fiscal year ended in June. And despite a huge rally from so many of you leading up to the deadline, we still came up a bit short on the whole. We canā€™t let that happen again. We have no wiggle room to begin with, and now we have a hole to dig out of.

Readers also told us to just give it to you straight when we need to ask for your support, and seeing how matter-of-factly explaining our inner workings, our challenges and finances, can bring more of you in has been a real silver lining. So our online membership lead, Brian, lays it all out for you in his personal, insider account (that literally puts his skin in the game!) of how urgent things are right now.

The upshot: Being able to rally $253,000 in donations over these next few weeks is vitally important simply because it is the number that keeps us right on track, helping make sure we don't end up with a bigger gap than can be filled again, helping us avoid any significant (and knowable) cash-flow crunches for now. We used to be more nonchalant about coming up short this time of year, thinking we can make it by the time June rolls around. Not anymore.

Because the in-depth journalism on underreported beats and unique perspectives on the daily news you turn to Mother Jones for is only possible because readers fund us. Corporations and powerful people with deep pockets will never sustain the type of journalism we exist to do. The only investors who wonā€™t let independent, investigative journalism down are the people who actually care about its futureā€”you.

And we need readers to show up for us big timeā€”again.

Getting just 10 percent of the people who care enough about our work to be reading this blurb to part with a few bucks would be utterly transformative for us, and that's very much what we need to keep charging hard in this financially uncertain, high-stakes year.

If you can right now, please support the journalism you get from Mother Jones with a donation at whatever amount works for you. And please do it now, before you move on to whatever you're about to do next and think maybe you'll get to it later, because every gift matters and we really need to see a strong response if we're going to raise the $253,000 we need in less than three weeks.

payment methods

We Recommend

Latest

Sign up for our free newsletter

Subscribe to the Mother Jones Daily to have our top stories delivered directly to your inbox.

Get our award-winning magazine

Save big on a full year of investigations, ideas, and insights.

Subscribe

Support our journalism

Help Mother Jones' reporters dig deep with a tax-deductible donation.

Donate