Mississippi lawmakers have agreed to expand Medicaid, providing health coverage to 200,000 low-income residents. The proposal extends coverage to those earning up to 138% of the poverty level but includes a work requirement. Despite potential obstacles, including opposition from the governor and federal resistance to work mandates, the agreement reflects a shift in Mississippi's political landscape. The move is seen as historic and a breakthrough for a state with dire health outcomes and struggling rural hospitals. While some concerns remain, the proposal represents the closest Mississippi has come to Medicaid expansion.