27 Oct 2025
Please read the action item note at the bottom of this email. The note is after the email addresses and is in bold red typeface.
Letter #1 from an outside source Healthcare)
“New data from the Urban Institute reveals that Mississippi will be the most severely impacted state in the nation—particularly on a per-capita basis—if enhanced premium tax credits for Affordable Care Act marketplace coverage are allowed to expire at the end of 2025.”
According to the Urban Institute analysis, Mississippi faces:
$1 billion in healthcare spending decline – among the highest in the nation for a state of Mississippi's size
A 29.1% increase in uncompensated care – the second-highest increase in the country, translating to approximately $251 million in additional costs that hospitals and providers will be forced to absorb
More than half of subsidized Marketplace enrollment lost – Mississippi is one of only eight states projected to see enrollment fall by more than 50%
When converted to a per-capita basis by dividing these figures by Mississippi's population, Mississippi far exceeds all other states as the most harmed by the elimination of enhanced premium tax credits.
"These numbers are nothing short of catastrophic for Mississippi," said Cheikh Taylor, Chairman of the Mississippi Democratic Party. "At a time when our rural hospitals are already on the brink of collapse and Mississippians are struggling to afford healthcare, this crisis will devastate communities across our state. Mississippi will be hit harder than any other state in America, and that should be front-page news."
Chairman Taylor continued: "I am calling on Mississippi's media outlets to cover this story with the attention and urgency it deserves. When national policy changes disproportionately harm our state, Mississippians have a right to know. Our citizens deserve to understand that while Washington debates these subsidies, Mississippi's healthcare infrastructure hangs in the balance. This is not an abstract policy discussion—this is about whether hospitals in our communities will stay open, whether families can afford to see a doctor, and whether our most vulnerable neighbors will have access to care."
The enhanced premium tax credits, passed by Democrats in 2021 and extended through 2025 by the Inflation Reduction Act, have helped drive record enrollment in ACA marketplace plans. Congressman Bennie Thompson was the only member of Mississippi's congressional delegation to vote for the Inflation Reduction Act—every Mississippi Republican in Congress voted against it.
The Urban Institute analysis found that the effects will be "felt most acutely in states that have not expanded Medicaid," including Mississippi. Because Mississippi has refused to expand Medicaid, residents who rely on Marketplace coverage do not have alternative coverage options, making the state uniquely vulnerable to the elimination of these tax credits.
Healthcare providers across Mississippi, already struggling with $600 million in annual uncompensated care costs, will face an impossible financial situation. The projected 29% increase in uncompensated care comes at a time when 23 of Mississippi's rural hospitals are already at immediate risk of closure.
"Mississippians need to ask their elected officials: Why did you vote against the healthcare subsidies that are keeping our hospitals open?" Chairman Taylor said. "And they need to demand that our media hold those officials accountable." “
Email addresses:
https://www.blackburn.senate.gov/email-me
Once you’ve sent your letter(s), send an email to me with “Letter Committee” in the subject line. The only thing that needs to be in the body of the letter is the name of the recipient, the subject of your letter and the number of letters, postcards or emails you sent.
Example: Hyde-Smith: Gaza (1)
Hyde-Smith: Subject of letter (# of letters sent)
Wicker: Subject of letter (# of letters sent)
Kelly: Subject of letter (# of letters sent)
Thompson: Subject of letter (# of letters sent)
Reeves: Subject of letter (# of letters sent)
White: Subject of letter (# of letters sent)
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Stats to report: For Letter Committee Use Only
6 Oct 2025
This week’s tracking: 22 letters; 75 postcards
Blackburn: Subject of letter (# of letters sent)
Hyde-Smith: Roger
(DQ, PF, BT)
Hyde-Smith: Cancer Research
(BS)
Hyde-Smith: National Guard
(BT, BT)
Hyde-Smith: Shutdown
(BT,BT)