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A legislative error derailed a plan that should’ve sent millions to struggling hospitals. Who messed up?

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An error made in the Senate Appropriations Committee and passed into law earlier this year is keeping most Mississippi hospitals from accessing $103 million intended to keep their doors open.

The Mississippi Hospital Sustainability Grant program, part of a package of plans championed by Lt. Gov. Delbert Hosemann to stem Mississippi’s health care crisis, was supposed to quickly send millions to hospitals to help them survive the year. One puts nearly half of rural hospitals in danger of closing because of budget concerns.

But now, months later, that money hasn’t gone out and only a few hospitals can qualify because lawmakers funded the program with federal pandemic money.

The problem, according to health care officials, is that lawmakers designated the for the program to from federal relief funds. Because of federal restrictions about how those funds can be administered, most hospitals do not qualify to receive them. Had lawmakers funded the program with dollars instead of federal dollars, hospitals likely could draw the funds without issue.

Here’s how the legislative process unfolded, and how lawmakers changed the funding source over time:

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  • House Bill 271 was authored by Republican Rep. Sam Mims of McComb and originally sought to fund the program with federal funds.
  • House leaders during the committee process amended the bill to instead be funded by state dollars via the Capital Expense Fund, where the Legislature’s excess revenue from prior fiscal years are housed. The House passed that version of the bill on February 16 and sent it to the Senate for consideration.
  • In the Senate Appropriations Committee on March 9, before the bill reached the Senate floor, leaders amended the bill to change the funding source to federal funds once more — despite a record state revenue surplus of about $3.6 .
  • That amended bill featuring the federal funding was later passed by the entire Senate on March 9.
  • The House sent the amended bill to a conference committee, where three leaders from both the House and the Senate met to hash out differences. The bill that made it through the conference committee process kept the federal funding source intact, and the total hospital grant program featured in the bill was upped to $103 million.
  • Both chambers of the Legislature passed that final version on March 31, and Gov. Tate Reeves signed the bill into law on April 17.

It’s not exactly clear which senator pushed for the change to the program’s funding from state to federal. While subcommittee meetings are open, closed door meetings, where major legislative proposals are often made, are common in the Legislature. The state budgeting process, in particular, routinely operates outside public view.

Sen. Kevin Blackwell, R-Southaven, presented House Bill 271 as the first piece of legislation the Senate Appropriations Committee discussed on March 9.

Blackwell said in that committee meeting that the bill’s funding would likely need to be increased. Sen. Briggs Hopson, R-Vicksburg, who chairs the powerful committee, then explained that additional funds might have to come from another source outside of the federal COVID-19 funds before the bill passed the committee.

A recording of the March 9 meeting shows that discussion about the bill was brief, and the amendment to the funding’s source was unanimously passed by the committee members.

Blackwell, Hopson, and Sen. John Polk, a Republican from Hattiesburg and the vice chair of the committee, did not answer calls or return requests for comment.

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Hosemann, who wields great influence over the legislative process as the president of the Senate, did not say when it became clear to him the federal funding was causing problems in the program.

“The intent of the Legislature was to provide $103 million to hospitals and Lt. Gov. Hosemann has committed to ensuring they receive it, even if the program or appropriation source has to be changed,” said Leah Smith, Hosemann’s deputy chief of staff.

Though the error was made in the Senate committee, there were multiple opportunities over several weeks and votes for legislative leaders, members of both the Senate and House, and Gov. Reeves to catch the problem.

In the months that have followed, it’s become clear how much the program — and hospitals — have been impacted by that error.

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State Health Officer Dr. Daniel Edney told legislators on Sept. 29 at a Joint Legislative Budget Committee meeting that just two-thirds of Mississippi hospitals have applied so far, and only half of them are eligible for the money. That’s because they’ve already received federal pandemic relief funds.

“You can’t double dip,” Edney explained to Mississippi earlier this week.

Edney told on Oct. 4 that the health department had been “given some possible hope that a workaround we had previously hoped for might be possible after all.” It’s not clear what that workaround is.

“We’re all still working on the problem,” he said.

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Even though the $103 million was much less than hospital leaders said they needed, they agreed any amount would help the state’s hospitals.

Edney said the health department raised concerns about the funding’s source during the session, but it appeared at the Sept. 29 meeting that lawmakers had previously been unaware of how widespread the accessibility issues were, and that the health department needed legislative direction before doling out the funds.

He made clear at the meeting that the health department, which was awarded $700,000 to disburse the funds, needs instruction from elected officials about what to do with the money — either send out the $103 million to a portion of hospitals now, or wait and fix the program in January.

It’s not clear how long some hospitals can hold on.

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At least one hospital has closed this year, and several others have applied for a federal designation that slashes services but increases reimbursements and monthly federal payments. Others, Edney said, have been forced to reduce or cut the services they offer.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

Mississippi Today

Mike Chaney is not the first state politico to call for his elected post to be eliminated

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mississippitoday.org – Bobby Harrison – 2024-09-22 06:00:00

Insurance Commissioner Mike Chaney is not Mississippi’s first statewide official to advocate for his job to be changed from an elected post to an appointed one.

Earlier this month, Chaney called on the to eliminate the elected insurance commissioner position and instead have the ‘s insurance industry regulated presumably by an appointee of the governor who is confirmed by the Senate. Chaney said he is willing to serve for a short period of time in an appointed position.

William Winter successfully proposed to the Legislature in the 1960s that his post as tax collector be eliminated and the duties incorporated into other positions. Winter’s actions did not end his political career. He went on to serve in multiple other statewide elected post, as governor from 1980 until 1984 and is viewed as one of Mississippi’s most significant political figures.

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In the 1970s, John Ainsworth ran for and was elected to the post of commissioner with the promise he would work to eliminate the position. One of his primary goals while eliminating the position was to ensure 16th Section land was properly managed to the benefit of . He succeeded and for his troubles was defeated when he later tried to run for lieutenant governor, though he is viewed favorably by many for his work in various areas of state , including in developing the state’s casino industry. The duties that the land commissioner had are now handled primarily by the secretary of state.

At least four previous statewide elected posts in Mississippi are either now appointed or have been eliminated. Besides the posts of land commissioner and tax collector being eliminated, the post of Supreme Court clerk was changed in 1976 so that the nine members of the Supreme Court appoint the clerk instead of the clerk being elected by Mississippians. And in the 1980s, the elected state superintendent of education was made appointed. The superintendent is now nominated by the Mississippi Board of Education and confirmed by the Senate.

While the state superintendent of education and Supreme Court clerk are in the constitution and required an amendment approved by the voters to be changed, the land commissioner and tax collector needed only action by the Legislature to be eliminated.

Currently, the statewide posts of governor, lieutenant governor, auditor, attorney general, secretary of state and treasurer are all in the constitution, so it would take a vote of the people to change how they are selected or to eliminate any of them. The positions of insurance commissioner and commissioner of agriculture and commerce would require only action of the Legislature and the governor’s signature to make a change.

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When Chaney first ran for and was elected as insurance commissioner in 2007, he said the post should be appointed. Since then, Chaney has been reelected four times. He does not plan to run in 2027 and is saying now is the time to change how the insurance commissioner is selected.

Chaney said recently he believes an appointee “can do a better job regulating the industry and protecting the consumers” than someone elected to the post.

“I have grave concerns about someone running for this as a stepping stone to another position,” said Chaney, age 80. “It is too important to do that.”

He said it “is borderline unethical” to take campaign funds from the industry being regulated.

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Chaney said in 39 states the person regulating the insurance industry is appointed instead of elected.

Mississippi has eight statewide posts — more than most states, but there are states with more. For instance, neighboring Alabama has 10, but that includes three public service commissioners, all of whom are elected statewide. Mississippi also has three public service commissioners, but they are elected regionally.

Another neighbor — Tennessee — only elects its governor statewide. The lieutenant governor is elected by the members of the Senate.

Mississippi Lt. Gov. Delbert Hosemann, who is elected statewide, recently said on Mississippi’s “The Other Side” that the Senate would look at state government structure in the coming session, including whether Mississippi should elect so many positions.

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While some posts have been changed from elected to appointed, Mississippi legislators often have been reluctant to take the vote away from the people.

In the early 2000s, the House led by then-Ways and Means Chair Billy McCoy passed legislation to make the Transportation Commission appointed instead of elected. The proposal did not survive the .

But in more recent times, legislators did vote to make all local school superintendents appointees of the local boards of education.

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This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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Mississippi Today

On this day in 1927

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mississippitoday.org – Jerry Mitchell – 2024-09-22 07:00:00

Sept. 22, 1927

Credit: Wikipedia

St. Louis native Josephine Baker became the first Black woman to star in a major motion picture. She played the role of Papitou in the French silent film, “Siren of the Tropics,” who, like Baker, found her true calling as a performer. 

The film’s led to other starring roles, an autobiography, the creation of a doll in her likeness and even a toothpaste commercial. 

At age 11, Baker had witnessed racial violence in East St. Louis, “watching the glow of the burning of Negro homes lighting the sky. We stood huddled together in bewilderment … frightened to with the screams of the Negro families running across this bridge with nothing but what they had on their backs as their worldly belongings.” 

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After working in some choruses on Broadway, she traveled to Paris, where she became the most successful American entertainer working in France. Picasso drew paintings of her, author Ernest Hemingway spent hours talking to her in Paris bars. During World War II, she aided the French Resistance by socializing with the Germans while secretly gathering information that she transmitted to England, sometimes writing the information in invisible ink on her sheet music. 

After the war, she received the Croix de Guerre, the medal of the Légion d’honneur and other medals. When she returned to the U.S., she refused to appear before segregated audiences, despite being offered up to $10,000 ($110,000 in ‘s money) to perform. She fought to prevent Willie McGee’s execution in Mississippi, and in 1951, the NAACP honored her with a “Josephine Baker Day” and a parade of 100,000 in Harlem. 

In 1963, she became the only official female speaker at the March on Washington. She adopted a dozen children in her lifetime from countries around the globe. She called her children the “Rainbow Tribe.” She played Carnegie Hall in 1973, the Royal Variety Performance in 1974 and a revue celebrating her 50 years in show business in 1975. 

After rave reviews, she died unexpectedly after experiencing a cerebral hemorrhage. More than 20,000 attended her funeral, where she received full French military honors. 

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Diana Ross portrayed Baker in her Tony-winning Broadway show, an HBO told her (for which Lynn Whitfield became the first Black actress to win an Emmy for Lead Actress in a Miniseries or Special), and she was depicted in the TV , “Lovecraft Country.” 

In 2021, Baker was inducted into the Panthéon in Paris — the first Black woman to this honor.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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Mississippi Today

On this day in 1955

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mississippitoday.org – Jerry Mitchell – 2024-09-21 07:00:00

Sept. 21, 1955

Moses Wright points at J.W. Milam as one of the kidnappers of his great-nephew, Emmett Till. Ernest Withers defied a judge’s orders and took this . Credit: Wikipedia

Moses Wright took the witness stand and identified the who kidnapped and killed his great-nephew, Emmett Till. 

“It was the first time in my I had the courage to accuse a white man of a , let alone something terrible as killing a boy,” Wright said later. “I just wanted to see justice done.” 

He worked as a sharecropper and was also a minister, whom the locals called “Preacher.” The two white men who abducted Till — J.W. Milam and his half-brother, Roy Bryant — threatened to kill Wright if he said anything. 

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“How old are you, Preacher?” Milam asked. Wright replied 64. “If you make any trouble, you’ll never to be 65,” Milam said. When the teen’s body was recovered from the Tallahatchie , Wright identified Till. Despite threats, Wright still took the witness stand. When the prosecutor asked him to point out Till’s abductors, he stood up, pointed his weathered finger at Milam and said, “There he is. That’s the man.” 

He testified that Bryant identified himself as “Mr. Bryant.” It may have been the first murder trial in Mississippi where a Black man testified against a white man. Even after the trial, the threats continued, and Wright left to join his in Chicago, where he had already sent them.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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