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JACKSON, Miss. (AP) — Clarke Reed , a Mississippi businessman who developed the Republican Party in his home state and across the South starting in the 1960s, died Sunday at his home in Greenville, Mississippi. He was 96. Reed was chairman of the Mississippi Republican Party from 1966 to 1976, beginning at a time when Democrats still dominated in the region. During the 1976 Republican National Convention, delegates were closely divided between President Gerald Ford and former California Gov. Ronald Reagan. Reed united the Mississippi delegation behind Ford — a move that created a decadeslong feud with William D. “Billy” Mounger, another wealthy businessman who was prominent in the Mississippi Republican Party. Reed recalled in a 2016 interview with The Associated Press that delegates faced considerable pressure. Movie stars visited Mississippi's 30 delegates to push for Reagan, and Betty Ford called on behalf of her husband. Reagan met twice with the Mississippi delegation — once with his proposed running mate, Pennsylvania Sen. Richard Schweiker — and once without, according Haley Barbour, who was executive director of the Mississippi Republican Party in 1976 and served as the state's governor from 2004 to 2012. “Everybody was coming to see us," Reed said. “These poor people had never seen this before, the average delegate.” Mississippi delegates were showing the stress at a meeting away from the convention floor in Kansas City, Reed said. “I looked out, and about half of them were crying," he said. Reed initially supported Reagan, but said he moved into the Ford camp because he thought Reagan made “a hell of a mistake” by choosing a more liberal northeastern running mate in a gambit to win support of the unpledged Pennsylvania delegation. “In my opinion, Reagan was the best president of my lifetime. I didn’t know that then,” Reed said in 2016. “And had he been elected with Schweiker, he might’ve gotten a bullet one inch over and Schweiker would’ve been president.” Ford won the party nomination during the convention, then lost the general election to Jimmy Carter, the Democratic former governor of Georgia. Reed was born in Alliance, Ohio, in 1928, and his family moved to Caruthersville, Missouri, when he was about six months old. He earned a business degree from the University of Missouri in 1950. He and Barthell Joseph, a friend he had met at a high school boarding school, founded an agriculture equipment business called Reed-Joseph International, which used technology to scare birds away from farms and airports. Republican U.S. Sen. Roger Wicker of Mississippi said Monday that Reed was “a mentor, supporter and advisor to me for over 56 years." Wicker said he was 21 when Reed put him on the Republican Platform Committee in 1972. “There is no more significant figure in the development of the modern day Mississippi Republican Party than Clarke Reed,” Wicker wrote on social media. “Our state has lost a giant."

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Soccer background helps Windham’s football kicker come through in the clutchBy Noam N. Levey, KFF Health News Worried that President-elect Donald Trump will curtail federal efforts to take on the nation’s medical debt problem, patient and consumer advocates are looking to states to help people who can’t afford their medical bills or pay down their debts. “The election simply shifts our focus,” said Eva Stahl, who oversees public policy at Undue Medical Debt, a nonprofit that has worked closely with the Biden administration and state leaders on medical debt. “States are going to be the epicenter of policy change to mitigate the harms of medical debt.” New state initiatives may not be enough to protect Americans from medical debt if the incoming Trump administration and congressional Republicans move forward with plans to scale back federal aid that has helped millions gain health insurance or reduce the cost of their plans in recent years. Comprehensive health coverage that limits patients’ out-of-pocket costs remains the best defense against medical debt. But in the face of federal retrenchment, advocates are eyeing new initiatives in state legislatures to keep medical bills off people’s credit reports, a consumer protection that can boost credit scores and make it easier to buy a car, rent an apartment, or even get a job. Several states are looking to strengthen oversight of medical credit cards and other financial products that can leave patients paying high interest rates on top of their medical debt. Some states are also exploring new ways to compel hospitals to bolster financial aid programs to help their patients avoid sinking into debt. “There’s an enormous amount that states can do,” said Elisabeth Benjamin, who leads health care initiatives at the nonprofit Community Service Society of New York. “Look at what’s happened here.” New York state has enacted several laws in recent years to rein in hospital debt collections and to expand financial aid for patients, often with support from both Democrats and Republicans in the legislature. “It doesn’t matter the party. No one likes medical debt,” Benjamin said. Other states that have enacted protections in recent years include Arizona, California, Colorado, Connecticut, Florida, Illinois, Minnesota, Nevada, New Jersey, New Mexico, Oregon, Rhode Island, and Washington. Many measures picked up bipartisan support. President Joe Biden’s administration has proved to be an ally in state efforts to control health care debt. Such debt burdens 100 million people in the United States, a KFF Health News investigation found . Led by Biden appointee Rohit Chopra, the Consumer Financial Protection Bureau has made medical debt a priority , going after aggressive collectors and exposing problematic practices across the medical debt industry. Earlier this year, the agency proposed landmark regulations to remove medical bills from consumer credit scores. The White House also championed legislation to boost access to government-subsidized health insurance and to cap out-of-pocket drug costs for seniors, both key bulwarks against medical debt. Trump hasn’t indicated whether his administration will move ahead with the CFPB credit reporting rule, which was slated to be finalized early next year. Congressional Republicans, who will control the House and Senate next year, have blasted the proposal as regulatory overreach that will compromise the value of credit reports. And Elon Musk, the billionaire whom Trump has tapped to lead his initiative to shrink government, last week called for the elimination of the watchdog agency . “Delete CFPB,” Musk posted on X. If the CFPB withdraws the proposed regulation, states could enact their own rules, following the lead of Colorado, New York, and other states that have passed credit reporting bans since 2023. Advocates in Massachusetts are pushing the legislature there to take up a ban when it reconvenes in January. “There are a lot of different levers that states have to take on medical debt,” said April Kuehnhoff, a senior attorney at the National Consumer Law Center, which has helped lead national efforts to expand debt protections for patients. Kuehnhoff said she expects more states to crack down on medical credit card providers and other companies that lend money to patients to pay off medical bills, sometimes at double-digit interest rates. Under the Biden administration, the CFPB has been investigating patient financing companies amid warnings that many people may not understand that signing up for a medical credit card such as CareCredit or enrolling in a payment plan through a financial services company can pile on more debt. If the CFPB efforts stall under Trump, states could follow the lead of California, New York, and Illinois, which have all tightened rules governing patient lending in recent years. Consumer advocates say states are also likely to continue expanding efforts to get hospitals to provide more financial assistance to reduce or eliminate bills for low- and middle-income patients, a key protection that can keep people from slipping into debt. Hospitals historically have not made this aid readily available, prompting states such as California, Colorado, and Washington to set stronger standards to ensure more patients get help with bills they can’t afford. This year, North Carolina also won approval from the Biden administration to withhold federal funding from hospitals in the state unless they agreed to expand financial assistance. In Georgia, where state government is entirely in Republican control, officials have been discussing new measures to get hospitals to provide more assistance to patients. “When we talk about hospitals putting profits over patients, we get lots of nodding in the legislature from Democrats and Republicans,” said Liz Coyle, executive director of Georgia Watch, a consumer advocacy nonprofit. Many advocates caution, however, that state efforts to bolster patient protections will be critically undermined if the Trump administration cuts federal funding for health insurance programs such as Medicaid and the insurance marketplaces established through the Affordable Care Act. Trump and congressional Republicans have signaled their intent to roll back federal subsidies passed under Biden that make health plans purchased on ACA marketplaces more affordable. That could hike annual premiums by hundreds or even thousands of dollars for many enrollees, according to estimates by the Center on Budget and Policy Priorities, a think tank. And during Trump’s first term, he backed efforts in Republican-led states to restrict enrollment in their Medicaid safety net programs through rules that would require people to work in order to receive benefits. GOP state leaders in Idaho, Louisiana, and other states have expressed a desire to renew such efforts. “That’s all a recipe for more medical debt,” said Stahl, of Undue Medical Debt. Jessica Altman, who heads the Covered California insurance marketplace, warned that federal cuts will imperil initiatives in her state that have limited copays and deductibles and curtailed debt for many state residents. “States like California that have invested in critical affordable programs for our residents will face tough decisions,” she said. ©2024 KFF Health News. Distributed by Tribune Content Agency, LLC.

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