Concerns over uncompensated care costs, the specter of reductions in DSH payments and uncertainty about the reliability of federal health care policies — particularly the future division of just what the federal and state shares of Medicaid costs will be — have produced political stalemate in Mississippi on Medicaid authorization much less expansion.
But does a reduction in DSH payments by the Obama administration equate to punitive action against those states that relied on the Supreme Court’s ruling in not choosing to expand Medicaid? The high court ruling held that the feds couldn’t take punitive actions against states that didn’t expand Medicaid.
Gov. Phil Bryant believes cuts in DSH payments to states that chose not to expand Medicaid would violate the Supreme Court ruling. Proponents of Medicaid expansion believe the federal government can’t require states to expand Medicaid, but can choose to fund public health care as they deem appropriate.
Mississippi is no stranger to political stalemate over Medicaid, so settle in for another long battle.