Mississippi Today
How much will your hospital receive in state grant money?
Lawmakers approved $104 million for Mississippi hospitals. Some say it’s not nearly enough.
Mississippi hospital leaders have been begging for help for months, and the Legislature has answered the call — though some advocates and lawmakers say it’s not nearly enough.
Both chambers on Tuesday approved a $103.7 million grant program that will be split by Mississippi’s struggling hospitals.
The pandemic weakened the state’s already-stressed health care infrastructure — costs for supplies and workers went up, and reimbursements from insurance providers did not. Many of the state’s hospitals have been bleeding out for the past few years, shutting floors and service lines one by one.
Now, a third of Mississippi’s rural hospitals are at risk of closure, and half of those within a couple of years. It’s a situation poised to worsen health outcomes in a state with already some of the worst in the country.
Both legislative chambers this week passed Senate Bill 2372, which establishes a grant program for hospitals, and House Bill 271, which funds it.
Previously, the Senate’s version of the bill aimed to give $80 million to hospitals, focusing its efforts on rural health care providers. Instead, the House wanted to give the funds to larger hospitals.
After closed-door deliberations among six legislative Republicans, the two sides reached a compromise on Tuesday: They’re distributing $103 million to hospitals through a hybrid funding model, using funds from the American Rescue Plan Act, according to the bill. The Mississippi Department of Health is receiving $700,000 to administer the program, according to Senate Medicaid Chairman Kevin Blackwell, R-Southaven.
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The compromise falls short of what hospital leaders and some rank-and-file lawmakers said was needed. The Mississippi Hospital Association projected early this year that hospitals would need $230 million in extra funds to stay afloat. Despite the increase in grants, they’re still about $40 million short.
Negotiations of the grant program came as the state sits on a record revenue surplus of nearly $4 billion. And Republican lawmakers continue to leave more than $1 billion per year on the table by rejecting Medicaid expansion.
Tim Moore, president of the MHA, said on behalf of state hospitals that health care leaders are very appreciative of the actions taken by the Legislature to pass the measure, especially the creation of an allocation model that supports all hospitals, no matter the location or size.
But he added the lower-than-needed total will not solve the ongoing hospital crisis — that new, recurring revenue will along with a remodeling of Mississippi’s health care and payment infrastructure.
“The solution has not changed,” Moore said. “Payer issues and the burden of uncompensated care must be addressed. The Mississippi hospital system that provides care to all Mississippians costs $23 million dollars a day to operate. Any sustainable business model must generate adequate revenues to cover expenses. Hospitals are no exception.
“If a long term solution is not developed, access to care will decline and fewer services will be offered at local community hospitals,” Moore said.
Legislative Democrats in January proposed a grant program that would appropriate $200 million to the struggling hospitals and used the opportunity to blast Republicans’ inaction on the issue. This week, most House and Senate Democrats voted to approve the Republicans’ $104 million grant program but used floor debate to argue that the state should be doing more.
“It is particularly galling that in the same weekend when we saw Mississippians struggle to find emergency health care after a natural disaster, Republican leaders still felt it appropriate to allocate less than half of what hospitals have been begging for just to keep their doors open,” Rep. Robert Johnson, the House Democratic leader from Natchez, said on Tuesday. “They stood up and told all of us how awful the devastation of the tornado was, then they immediately turned around and refused to do the bare minimum.
“In one breath Republicans are telling us that we’ll rebuild from the storm, that they are pro-life, that they want a better future for the state,” Johnson continued. “And in the next breath they’re saying, ‘Take this and shut up.’ All while they’re telling us we’re in the best financial shape we’ve ever been in. It would be shocking if it weren’t so completely expected.”
Ahead of the final vote in the House and Senate on Tuesday, Republican lawmakers laid out the basic formula for the grant program. If a hospital has more than 100 beds, it will receive a base amount of $1 million.Hospitals with an emergency room and fewer than 100 beds will receive $625,000.
Specialty hospitals, such as Brentwood Behavioral Healthcare in Flowood which is an inpatient psychiatric treatment center, and critical access hospitals will get a base of $500,000. Critical access hospitals have very few inpatient beds but get more money for services they provide. Critical access hospitals, such as Sharkey Issaquena Community Hospital in Rolling Fork, are a designation a step below acute hospitals and are typically reimbursed by Medicare at a rate of 101%, theoretically allowing a 1% profit. Acute hospitals with no emergency rooms get $300,000 as a base amount.
Then, hospitals get an extra $250,000 if they operate small rural emergency rooms and a little less than $2,000 for each bed they have.
The most any one hospital is receiving is $2.3 million, which is going to University Hospitals & Health System. Some providers, such as Diamond Grove mental health clinic in Louisville, are receiving nothing. Others, like Jasper General Hospital, are receiving as little as $331,502.
Major hospital systems including Merit Health, North Mississippi Medical Center and Baptist Memorial are getting millions.
“In the original Senate bill, some hospitals received nothing,” Rep. Sam Mims, a Republican from Natchez and chair of the House Public Health and Human Services committee, said on the floor Tuesday. “This makes sure they all receive something.”
Mims, who was one of the three House negotiators of the grant program, works for Merit Health.
Neshoba County General Hospital in Philadelphia, the county’s only hospital, is getting just under $1 million in grant money. In recent months, the hospital has closed one of its acute floor wings and nurse stations — in the past decade, admissions have gone down by half.
Neshoba General CEO Lee McCall said that the hospital’s loss in the past five months is relatively equal to the extra grant money, and it’s about $200,000 more than what he expected to receive from the state. The hospital projects a $2.5 million loss this year.
“This amount and the Medicaid enhanced amounts will help significantly by cutting that deficit by more than half,” he said, referring to the extra money hospitals are receiving in supplemental MHAP payments, or payments hospitals receive to offset unequal reimbursement rates. “We are also implementing other cost cutting measures and initiatives to shrink the loss gap. It is much appreciated.”
He stressed that the grant money will get the hospital to temporarily break even, but there are still seven months to go in the year — and the years beyond that.
“The one time grant funding is much appreciated, but doesn’t fix the ongoing problems we’re dealing with in hospitals,” McCall said.
The Delta’s Greenwood Leflore Hospital is arguably in one of the most dire financial situations of all hospitals in the state. The hospital is also getting a little less than $1 million under the new program.
The hospital has already shuttered their neurology, urology and labor and delivery units, among others, in an effort to cut costs. They’re months away from closing, according to their interim CEO Gary Marchand.
“We appreciate the grant funds, and it will help in our efforts to continue operations in the short term,” Marchand said when reached by text Tuesday. “It will replace a portion of the cash reserves used during the pandemic.”
The legislation now goes to Gov. Tate Reeves for final approval. It’s not clear when funds will be distributed. Spokespeople from the Mississippi State Department of Health did not answer questions by press time.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1961
Nov. 22, 1961
Five Black students, made up of NAACP Youth Council members and two SNCC volunteers from Albany State College, were arrested after entering the white waiting room of the Trailways station in Albany, Georgia.
The council members bonded out of jail, but the SNCC volunteers, Bertha Gober and Blanton Hall declined bail and “chose to remain in jail over the holidays to dramatize their demand for justice,” according to SNCC Digital Gateway. The president of Albany State College expelled them.
Gober became one of SNCC’s Freedom Singers and wrote the song, “We’ll Never Turn Back,” after the 1961 killing of Herbert Lee in Mississippi. The tune became SNCC’s anthem.
After her release from jail, Gober joined other students, and police arrested her and other demonstrators. Back in the same jail, she sang to the police chief and mayor to open the cells, “I hear God’s children praying in jail, ‘Freedom, freedom, freedom.’”
Albany State suspended another student, Bernice Reagon, after she joined SNCC. She poured herself into the civil rights movement and later formed the Grammy-nominated a cappella group Sweet Honey in the Rock to educate and empower the audience and community.
“When I opened my mouth and began to sing, there was a force and power within myself I had never heard before,” a power she said she did not know she had.
Other members of the Freedom Singers included Cordell Reagon, Bernice Johnson, Dorothy Vallis, Rutha Harris, Bernard Lafayette and Charles Neblett. On the third anniversary of the sit-in movement in 1963, they performed at Carnegie Hall.
“This is a singing movement,” SNCC leader James Forman told a reporter. “The songs help. Without them, it would be ugly.”
Today, the Albany Civil Rights Institute houses exhibits on these protesters, Martin Luther King Jr. and others who joined the Albany Movement.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
IHL deletes the word ‘diversity’ from its policies
The governing board of Mississippi’s public universities voted Thursday to delete the word “diversity” from several policies, including a requirement that the board evaluate university presidents on campus diversity outcomes.
Though the Legislature has not passed a bill targeting diversity, equity and inclusion initiatives in higher education, the Institutions of Higher Learning Board of Trustees approved the changes “in order to ensure continued compliance with state and federal law,” according to the board book.
The move comes on the heels of the re-election of former President Donald Trump and after several universities in Mississippi have renamed their diversity offices. Earlier this year, the IHL board approved changes to the University of Southern Mississippi’s mission and vision statements that removed the words “diverse” and “inclusiveness.”
In an email, John Sewell, IHL’s communications director, did not respond to several questions about the policy changes but wrote that the board’s goal was to “reinforce our commitment to ensuring students have access to the best education possible, supported by world-class faculty and staff.”
“The end goal is to support all students, and to make sure they graduate fully prepared to enter the workforce, hopefully in Mississippi,” Sewell added.
On Thursday, trustees approved the changes without discussion after a first reading by Harold Pizzetta, the associate commissioner for legal affairs and risk management. But Sewell wrote in an email that the board discussed the policy amendments in open session two months ago during its retreat in Meridian, more than an hour away from the board’s normal meeting location in Jackson.
IHL often uses these retreats, which unlike its regular board meetings aren’t livestreamed and are rarely attended by members of the public outside of the occasional reporter, to discuss potentially controversial policy changes.
Last year, the board had a spirited discussion about a policy change that would have increased its oversight of off-campus programs during its retreat at the White House Hotel in Biloxi. In 2022, during a retreat that also took place in Meridian, trustees discussed changing the board’s tenure policies. At both retreats, a Mississippi Today reporter was the only member of the public to witness the discussions.
The changes to IHL’s diversity policy echo a shift, particularly at colleges and universities in conservative states, from concepts like diversity in favor of “access” and “opportunity.” In higher education, the term “diversity, equity and inclusion” has traditionally referred to a range of efforts to comply with civil rights laws and foster a sense of on-campus belonging among minority populations.
But in recent years, conservative politicians have contended that DEI programs are wasteful spending and racist. A bill to ban state funding for DEI in Mississippi died earlier this year, but at least 10 other states have passed laws seeking to end or restrict such initiatives at state agencies, including publicly funded universities, according to ABC News.
In Mississippi, the word “diversity” first appeared in IHL’s policies in 1998. The diversity statement was adopted in 2005 and amended in 2013.
The board’s vote on Thursday turned the diversity statement, which was deleted in its entirety, into a “statement on higher education access and success” according to the board book.
“One of the strengths of Mississippi is the diversity of its people,” the diversity statement read. “This diversity enriches higher education and contributes to the capacity that our students develop for living in a multicultural and interdependent world.”
Significantly, the diversity statement required the IHL board to evaluate the university presidents and the higher learning commissioner on diversity outcomes.
The statement also included system-wide goals — some of which it is unclear if the board has achieved — to increase the enrollment and graduation rates of minority students, employ more underrepresented faculty, staff and administrators, and increase the use of minority-owned contractors and vendors.
Sewell did not respond to questions about if IHL has met those goals or if the board will continue to evaluate presidents on diversity outcomes.
In the new policy, those requirements were replaced with two paragraphs about the importance of respectful dialogue on campus and access to higher education for all Mississippians.
“We encourage all members of the academic community to engage in respectful, meaningful discourse with the aim of promoting critical thinking in the pursuit of knowledge, a deeper understanding of the human condition, and the development of character,” the new policy reads. “All students should be supported in their educational journey through programming and services designed to have a positive effect on their individual academic performance, retention, and graduation.”
Also excised was a policy that listed common characteristics of universities in Mississippi, including “a commitment to ethnic and gender diversity,” among others. Another policy on institutional scholarships was also edited to remove a clause that required such programs to “promote diversity.”
“IHL is committed to higher education access and success among all populations to assist the state of Mississippi in meeting its enrollment and degree completion goals, as well as building a highly-skilled workforce,” the institutional scholarship policy now reads.
The board also approved a change that requires the universities to review their institutional mission statements on an annual basis.
A policy on “planning principles” will continue to include the word “diverse,” and a policy that states the presidential search advisory committees will “be representative in terms of diversity” was left unchanged.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Closed St. Dominic’s mental health beds to reopen in December under new management
The shuttered St. Dominic’s mental health unit will reopen under the management of a for-profit, Texas-based company next month.
Oceans Behavioral Hospital Jackson, a 77-bed facility, will provide inpatient behavioral health services to adults and seniors and add intensive outpatient treatment services next year.
“Jackson continuously ranks as one of the cities for our company that shows one of the greatest needs in terms of behavioral health,” Oceans Healthcare CEO Stuart Archer told Mississippi Today at a ribbon cutting ceremony at its location on St. Dominic’s campus Thursday. “…There’s been an outcry for high quality care.”
St. Dominic’s 83-bed mental health unit closed suddenly in June 2023, citing “substantial financial challenges.”
Merit Health Central, which operates a 71-bed psychiatric health hospital unit in Jackson, sued Oceans in March, arguing that the new hospital violated the law by using a workaround to avoid a State Health Department requirement that the hospital spend at least 17% of its gross patient revenue on indigent and charity care.
Without a required threshold for this care, Merit Health Central will shoulder the burden of treating more non-paying patients, the hospital in South Jackson argued.
The suit, which also names St. Dominic’s Hospital and the Mississippi Department of Health as defendants, awaits a ruling from Hinds County Chancery Court Judge Tametrice Hodges-Linzey next year.
The complaint does not bar Oceans from moving forward with its plans to reopen, said Archer.
Oceans operates two other mental health facilities in Mississippi and over 30 other locations in Louisiana, Oklahoma and Texas.
“Oceans is very important to the Coast, to Tupelo, and it’s important right here in this building. It’s part of the state of Mississippi’s response to making sure people receive adequate mental health care in Mississippi,” said Lt. Governor Delbert Hosemann at the Nov. 21 ribbon cutting.
Some community leaders have been critical of the facility.
“Oceans plans to duplicate existing services available to insured patients while ignoring the underserved and indigent population in need,” wrote Hinds County Sheriff Tyree Jones in an Oct. 1 letter provided to Mississippi Today by Merit Health.
Massachusetts-based Webster Equity Partners, a private-equity firm with a number of investments in health care, bought Oceans in 2022. St. Dominic’s is owned by Louisiana-based Catholic nonprofit Franciscan Missionaries of Our Lady Health System.
Oceans first filed a “certificate of need” application to reopen the St. Dominic’s mental health unit in October 2023.
Mississippi’s certificate of need law requires medical facilities to receive approval from the state before opening a new health care center to demonstrate there is a need for its services.
The Department of Health approved the application under the condition that the hospital spend at least 17% of its patient revenue on free or low-cost medical care for low-income individuals – far more than the two percent it proposed.
Oceans projected in its application that the hospital’s profit would equal $2.6 million in its third year, and it would spend $341,103 on charity care.
Merit Health contested the conditional approval, arguing that because its mental health unit provides 22% charity care, Oceans providing less would have a “significant adverse effect” on Merit by diverting more patients without insurance or unable to pay for care to its beds.
Oceans and St. Dominic’s also opposed the state’s charity care condition, arguing that 17% was an unreasonable figure.
But before a public hearing could be held on the matter, Oceans and St. Dominic’s filed for a “change of ownership,” bypassing the certificate of need process entirely. The state approved the application 11 days later.
Merit Health Central then sued Oceans, St. Dominic and the State Department of Health, seeking to nullify the change of ownership.
“The (change of ownership) filing and DOH approval … are nothing more than an ‘end run’ around CON law,” wrote Merit Health in the complaint.
Oceans, St. Dominic’s and the Mississippi Department of Health have filed motions to dismiss the case.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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