Will Gov. Tate Reeves have to flip position on Medicaid expansion to keep pace with Trump?

Medicaid has been expanded as is allowed under the ACA in 40 states, and a record number of Americans (20 million) have health insurance through another component of the ACA, the marketplace exchange. An estimated 250,000 Mississippians have health insurance — most receiving federal financial help — through the ACA marketplace exchange. And the Mississippi Legislature has taken steps to embrace the exchange by passing a bill to create a state exchange that will still depend on federal subsidies to operate and adhere to federal regulations and guidelines. Former Gov. Phil Bryant blocked earlier efforts to create the state exchange as is allowed by the ACA. But in the 2024 session, the Legislature passed a bill to create the ACA’s state exchange.