More than 15 bills that would have expanded Medicaid to provide health care coverage to primarily the working poor died on Tuesday night without debate or a vote.
No committee chair in either the Senate or House held a hearing on those Medicaid expansion bills. The House Medicaid Committee, where Speaker of the House Philip Gunn assigned all of the his chamber’s expansion bills, did not even meet a single time before the Jan. 31 deadline to consider general bills.
Legislative leaders killed the bills as a worsening hospital crisis grips the state and Mississippi continues to be among the unhealthiest states with the highest percentages of uninsured residents.
State Health Officer Dr. Daniel Edney told lawmakers in late 2022 that 38 hospitals across the state are in danger of closing, and all are facing financial hardships. Physicians and hospital leaders have said expanding Medicaid, which would result in more than $1 billion annually in additional federal health care dollars coming to the state, would help hospitals pay their bills. Beyond just helping hospitals, expanding Medicaid would provide health care coverage to many more Mississippians — up to 300,000, according to some studies.
But many in the Republican leadership of the state, primarily Gunn and Gov. Tate Reeves, have been adamant in their opposition to expanding Medicaid as 39 other states have done, including many led by Republican politicians.
Meanwhile, data shows that support for Medicaid expansion is growing among voters. A Mississippi Today/Siena College poll conducted in early January indicated that the vast majority of the general public, including 70% of Republican voters, favor expansion.
Rep. Robert Johnson, the House Democratic leader from Natchez, said the death of the bills this week was disappointing but not surprising.
Referring to Gov. Reeves’ State of the State speech earlier this week, Johnson pointed out that he spoke of health care alternatives rather than focusing on solutions for hospitals. Those could include stand-alone surgery centers, telemedicine and other alternatives.
“It seems he is talking about providing health care for selected people,” Johnson said, referring to those who would have health care alternatives that often require some type of insurance — either private or public like Medicaid.
While the Medicaid bills died, still alive is a more modest proposal to provide coverage for new mothers on Medicaid for a year instead of the current 60 days. The Senate is expected to pass the bill in the coming days and send it to the House for consideration.
Last year the Senate passed the bill to lengthen postpartum care from 60 days to one year, but it died in the House in large part because of opposition from Gunn and his health care leadership team, Public Health Chair Rep. Sam Mims of McComb and Medicaid Committee Chair Rep. Joey Hood of Ackerman.
While the Medicaid expansion bills all died, Johnson said there might be legislation that is alive where amendments could be offered to expand Medicaid.
“We will be vigilant in looking for every opportunity we can find to offer amendments to expand Medicaid and to provide needed money to hospitals in the short term,” Johnson said. “We have been here a month now and have not addressed that issue.”