This report presents a fiscal and economic analysis of Medicaid expansion in Mississippi. In summary, the analysis by the Tax-PI model from REMI, Inc., finds that the economic impacts to Mississippi from entering Medicaid expansion will positively impact state revenues and the overall economy. Between 2022 and 2027 we estimate the most the state will receive in additional annual revenues as a result of Medicaid expansion is around $44 million in a given year, a relatively a modest increase, with the largest portion of these additional revenues coming from the increase in individual income tax revenues.