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As health infrastructure shrinks, a daughter of the Delta cares for her community

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As health infrastructure shrinks, a daughter of the Delta cares for her community

To reach Gunnison, Mississippi, from Cleveland, the quickest path – though not the route with the best-paved streets – takes you off Highway 8, down miles of narrow roads slicing through some of the most fertile land on earth. In early December, the fields are still but not empty. Silvery water pools in gashes in the dirt, and cardinals settle on shoots of electric green gleaming in the gray light of winter.

When you reach Highway 1, you’ve arrived in Gunnison, with a population of 425 and only two businesses: a gas station and Healthy Living Family Medical Clinic, opened by Gunnison native Wyconda Thomas in 2019. The squat brick building is decorated for the season, with a wreath on the door and letters out front spelling “Merry Christmas.”

When Thomas decided to open her own practice, she chose the place where she saw the greatest need, which also happened to be the community that raised her.

Despite the town’s small population, the clinic is full every day.

“The statistics– it pointed to these areas,” Thomas said. “The Delta, the lack of resources– if you look at who suffers the most, it’s always these areas. That’s the place you should be treating.”

No region of the state has been harder hit by the decimation of Mississippi’s health infrastructure than the Delta. Kings Daughters Hospital in Greenville closed in 2005, and Patient’s Choice Medical Center in Belzoni followed in 2013. Now, Greenwood-Leflore Hospital is scrambling to find funding to stay open through the legislative session, when it hopes to persuade lawmakers to help.

Kings Daughters Hospital in Greenville on Wednesday, November 9, 2022. The hospital closed in March 2005.

Even if the money comes through, there is no long-term plan to ensure Delta residents have access to health care. The predominantly Black region is one of the poorest in the country, and like the state as a whole, it has high rates of diabetes, hypertension and heart disease.Earlier this year, state health officer Dr. Daniel Edney said the region’s health infrastructure is “very fragile” and six Delta hospitals are at risk of closure.

“No one’s coming to the rescue,” he said.

No one, that is, except for Thomas and people like her: Delta natives who have chosen to open their own small clinics close to home. People like Mary Williams, who runs Urgent and Primary Care of Clarksdale; Juliet Thomas, Antoinette Roby and Desiree Norwood of the mobile clinic Plan A; and Nora Gough-Davis, who operates clinics in Shaw and Drew.

They face policies that seem almost designed to punish them for trying. Nurse practitioners are reimbursed by Medicaid just 85% of what physicians receive for providing the same services. State regulations require them to have a collaborating physician, to whom they must pay a monthly fee that can reach over $1,000. The state’s failure to expand Medicaid means more of their patients lack insurance, and they may never see a penny for treating them.

“You have to give yourself,” said Gough-Davis, who trained Thomas and 25 other Delta nurse practitioners at her clinics. “It’s really like community service. We have patients with low, low health literacy. So our typical visit is going to require much more education than a visit with someone who doesn’t have health literacy issues. Education takes time.”

And payment structures don’t account for that time.

“It never comes close” to full compensation, Gough-Davis said of the typical reimbursement.

Owning her own practice, Thomas has had to learn how to handle paperwork and billing and dealing with reimbursement from Medicaid and insurance companies. She works from 8 a.m. to 6 p.m. most days, and spends weekends and evenings attending trainings and seminars. She sees everything from the flu and COVID-19 to anxiety and depression to birth control requests.

WIth the health department presence in Bolivar County shrinking and hospitals closing, clinics like Healthy Living are under pressure.

“The struggles are there,” she said. “Everything is being put onto family practice now.”

And yet Thomas struggles to imagine working anywhere else.

“The people here get me and I get them,” she said. “It’s rewarding to make a difference and to do this. I feel like I have God’s favor because of that.”

Nurse Practitioner Wyconda Thomas prepares to see a patient at her clinic, Healthy Living Family Medical Clinic, in Gunnison, Miss., Thursday, December 8, 2022.

‘A personal connection to her patients’

Just before 9 a.m. on a recent Thursday, Thomas prepared to see her first patient of the day: a 3-year-old boy at the clinic for a well-child exam.

She wore black scrubs, with a matching scarf and shiny shoes, and a tidy red manicure. The clinic’s rooms radiated the same warmth and cheerful competence that she did: In the lobby, posters advertise free sports physicals and family planning services. A Christmas tree was decorated with hot pink ornaments.

Clutching a clipboard, Thomas walked into the first exam room to see her patient, accompanied by his mom and grandfather.

“Come on, hop up here,” she said to him, gesturing to the table. “I think he might need some help.”

She lifted him up and he sat calmly on the table, his hands folded in his lap and his sneaker-clad feet dangling several feet off the floor.

Thomas told his family that he needed to be in a booster seat and wearing a helmet when riding a bike. She confirmed he had recently seen a dentist, and would need a vision screen today.

“How’s his diet?” Thomas asked. “Does he eat a lot of foods like rice, cereal, cheeseburgers?”

“That’s about the only thing he’ll eat,” his mom answered.

Thomas laughed. She checked the boy’s ears. He gazed calmly around the room, never fidgeting or whining.

“You such a good little patient!” she exclaimed.

She told his family that he had some fluid in his ears, so she would send a prescription over to their pharmacy.

Then her time with the boy was over. The visit hadn’t been complicated, but Thomas had been able to confirm the 3-year-old was healthy and growing well, and his vision was good – a particularly important finding as he approached kindergarten, which most Mississippi kids reach without ever having had a developmental screening.

A few hours later, a 57-year-old woman named Arlesia Mobley sat in a different exam room. She complained of a headache and dizziness.

“Been around anybody sick?” Thomas asked.

“My grandbaby,” Mobley said. “She had the flu.”

Nurse Practitioner Wyconda Thomas, left, examines Arlesia Mobley at her clinic, Healthy Living Family Medical Clinic, in Gunnison, Miss., Thursday, December 8, 2022.

Thomas checked her ears and saw fluid, which she explained was probably causing Mobley’s dizziness. She asked a nurse to conduct a flu swab but went ahead and ordered Tamiflu for her patient. She advised her to drink plenty of fluids, eat chicken noodle soup, and rest as much as possible.

A few days later, Mobley said she was feeling better, but still drained.

She had had to find a new doctor earlier this year because of her insurance. She lives in Rosedale, so Thomas was close by. She already feels like Thomas knows her.

“When she step into the room, she’s got that smile,” Mobley said later. “When she pass by you and you (are) sitting out in the waiting room, she got that smile. That makes me feel good, ‘cause I mean most doctors… especially in the waiting room, their mind wouldn’t be on you nowhere. But it seem like she got a personal connection to her patients.”

Opening a clinic in her hometown

Thomas is a daughter of the Delta, raised in Gunnison and Rosedale. Her parents both coached basketball, and she grew up in the gym. She was a star player at West Bolivar High School and then played for Delta State.

Her mom and dad, both Bolivar County natives, too, had high expectations for their daughter.

“When she was growing up, she couldn’t bring no C’s into my house,” said her mother, Will Ethel Hall. “I don’t want nothing but A’s, but we’ll talk about a B, because you was playing sports and maybe you didn’t get it that way. No C’s were allowed, and she knew that.”

“I was real hard on her,” said her father, Willie Thomas, who coached her at West Bolivar.

A few weeks ago, he ran into a woman in the store who was remembering how he had pushed his daughter. Thomas told her that looking back, he felt it had been too much, and he would do things differently if he could.

“She said, ‘Look how she turned out,’” Thomas said. “I said, ‘You right. I’d do it the same.’”

After college, she spent a year teaching biology before deciding she wanted to go into nursing and going back to school. She knew she’d like to open her own practice eventually, so she made a point of working in as many areas as she could – postpartum care, pediatrics, nursery, neonatal intensive care unit, home health and intensive care.

“You own your own practice in the Delta, you gotta be everything – resources are very, very limited, you know,” she said.

The Greenville NICU where Thomas trained closed earlier this year, leaving the Delta with no NICUs at all.

As soon as Thomas became a nurse practitioner in 2015, she started working on plans to open her own clinic. Her grandfather had owned the little building in Gunnison that had once been a county health facility, and the family left it to her for her business.

When she approached Gunnison leaders about opening a clinic there, they were elated.

“Our area is really underprivileged, and we just needed a clinic here in town to help our citizens,” said Mayor Frances Ward, who has known Thomas since she was born. “A lot of them don’t have transportation, and they had to pay people to carry them to Cleveland to the doctor. It’s really a blessing that she is here. And we’re very proud of her being from Gunnison, to come back and help her fellow people.”

Thomas opened Healthy Living on Jan. 2, 2019.

Gunnison residents like 70-year-old Ruby Hall, who works for Thomas as a nurse at the school-based clinics she runs in Rosedale, can’t recall a doctor or nurse coming back to the town in the last 60 years.

Tina Highsmith, executive director of the Mississippi Association of Nurse Practitioners, said that’s a common trajectory for Mississippians in their field.

“Even though I had moved to several other parts of the state, when I came back to open a clinic it was in my hometown,” she said. “Those NPs have already established relationships… And so the patients know them, they trust them.”

And Thomas knows her patients, often personally as well as through her work. That’s part of what drives her.

Her mother remembers missed lunch appointments because the clinic was so busy, and detours during drives to check up on patients at their homes or drop off medicine.

“It’s just a tie that I have here,” Thomas said. “They need me so bad. At least I feel like they do. That makes me stay here.

Gunnison, Miss., Thursday, December 8, 2022.

From 13 county health department clinics to one

At the only other business in Gunnison, Bassie’s Service Station, Charlette Brady slices cold cuts, makes sandwiches and rings up bottles of soda and beer.

“Really don’t much go on here,” she said.

The opening of Thomas’s clinic was a rare event. Before, Brady and her children traveled to Cleveland for doctors’ appointments. Now, the whole family goes to Healthy Living.

Inside the lobby of the clinic, a plaque commemorates the building’s history. Preserved in the cinderblock wall, the black sign with silver lettering reads: “Bolivar County Branch Health Center. Gunnison, Mississippi. 1960.”

The plaque also hints at how rural Mississippi’s health care resources have shrunk over the last several decades, because the Gunnison county health department site closed sometime in the 1980s. Before Thomas opened her clinic in 2019, it served as a polling location and a small restaurant before sitting vacant for years.

Bassie’s Serv. Station in Gunnison, Miss., Thursday, December 8, 2022.

In 1975, Bolivar County boasted 13 satellite clinics in addition to the main county health facility in Cleveland.

“We try, especially in the Cleveland office, to offer general health services every day of the week,” county health officer Dr. Dominic Tumminello, a Gunnison native, told the Clarion-Ledger that year. “When a person walks into our health clinic, we want to serve that person.”

The county health department building in Rosedale, a 10-minute drive away, closed in February 2016, along with eight other such facilities around the state. Today, there is only one county health department site in Bolivar, in Cleveland, and it is open only four days a week, with limited walk-ins and family planning services requiring a call ahead of time.

Rosedale’s pharmacy closed recently, too, when its owner retired.

The nearest hospital is 30 minutes away, in Cleveland.

The Delta’s population is declining and has declined dramatically since 1940– part of the reason why large hospitals built early in the 20th century are struggling.

In Bolivar County, 29% of adults lack health insurance. Thirty-six percent of county residents live in poverty, compared to 20% statewide.

The Bolivar County Health Center in Rosedale, pictured on Dec. 8, 2022, closed in February 2016, part of a wave of cuts at the state health department. Since 2015, 11 county health department sites have closed, though every county except Sharkey-Issaquena still has a county health department.

The combination of poverty, lack of insurance, serious health needs and a small, spread-out population makes health care in the Delta a puzzle that is only becoming more complicated.

Yet Thomas has found a way to make it work, by winning federal and state grants that allow her to offer services on a sliding scale, so that patients without insurance can still afford to see her. Healthy Living Family Medical Center was designated a Rural Health Clinic by the health department, which means the federal government reimburses the clinic for primary care services. Thomas also offers family planning services through the Title X grant, participates in a tobacco cessation program through the Institute of Minority Health, and offers free COVID-19 testing and vaccines.

Her husband, Jervis McGee, sees how hard she works, taking calls from patients after hours and reading up on health issues in her free time.

“A lot of people forget that she’s a normal person, too,” he said.

For Thomas, it feels critical to offer as many services as possible to a community that needs them. But it’s also exhausting to participate in so many programs, each with its own paperwork requirements, and to try to develop expertise in so many areas.

She noticed that many of her patients struggle with anxiety and depression, though they don’t always use those labels for their symptoms. She tries to refer them to psychiatrists, but availability is limited. Efforts to bring a psychiatric nurse practitioner to the clinic one day a month or to offer telemedicine haven’t panned out. So now she’s planning to go back to school to earn certification as a psychiatric nurse practitioner.

Nora Gough-Davis, the nurse practitioner and clinic owner who helped train Thomas, said operating an independent family practice clinic is no easy task. After a decade in business, Gough-Davis is hoping to sell the clinics and focus on her work teaching nursing at Delta State. She wants to make sure any buyer keeps them open.

“I’m tired,” she said. “I want to make sure that access doesn’t leave.”

And all around independent family practice owners in the Delta, the walls are closing in, as hospitals flounder and county health departments cut hours and offices.

One of Thomas’s patients that Thursday was a woman named Jennie Usry. Usry has had headaches and memory loss ever since a fall on the job in June, and she needs to see a neurologist. A specialist in Clarksdale didn’t take her insurance. And when she tried to make an appointment at Greenwood Leflore, she told Thomas, it was impossible.

“The hospital closing down, so they not taking new patients,” Usry said. “But you a doctor, so you call, it might be different.”

“I don’t know,” Thomas said. “I don’t know if that will… but I will try.”

(A spokesperson for Greenwood Leflore said the hospital’s neurology clinic is still open and accepting new patients. During negotiations with the University of Mississippi Medical Center, the clinic did not make new appointments because it was unclear whether any deal with UMMC would allow neurology services to continue. Negotiations have ended with no deal and Greenwood Leflore hopes the legislature will approve funding that will allow it to stay open.)

Nurse Practitioner Wyconda Thomas, left, examines Jennie Usry at her clinic, Healthy Living Family Medical Clinic, in Gunnison, Miss., Thursday, December 8, 2022.

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

Mississippi Today

Mississippi Legislature approves DEI ban after heated debate

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mississippitoday.org – @MSTODAYnews – 2025-04-02 16:34:00

Mississippi lawmakers have reached an agreement to ban diversity, equity and inclusion programs and a list of “divisive concepts” from public schools across the state education system, following the lead of numerous other Republican-controlled states and President Donald Trump’s administration.  

House and Senate lawmakers approved a compromise bill in votes on Tuesday and Wednesday. It will likely head to Republican Gov. Tate Reeves for his signature after it clears a procedural motion.

The agreement between the Republican-dominated chambers followed hours of heated debate in which Democrats, almost all of whom are Black, excoriated the legislation as a setback in the long struggle to make Mississippi a fairer place for minorities. They also said the bill could bog universities down with costly legal fights and erode academic freedom.

Democratic Rep. Bryant Clark, who seldom addresses the entire House chamber from the podium during debates, rose to speak out against the bill on Tuesday. He is the son of the late Robert Clark, the first Black Mississippian elected to the state Legislature since the 1800s and the first Black Mississippian to serve as speaker pro tempore and preside over the House chamber since Reconstruction.

“We are better than this, and all of you know that we don’t need this with Mississippi history,” Clark said. “We should be the ones that say, ‘listen, we may be from Mississippi, we may have a dark past, but you know what, we’re going to be the first to stand up this time and say there is nothing wrong with DEI.'”

Legislative Republicans argued that the measure — which will apply to all public schools from the K-12 level through universities — will elevate merit in education and remove a list of so-called “divisive concepts” from academic settings. More broadly, conservative critics of DEI say the programs divide people into categories of victims and oppressors and infuse left-wing ideology into campus life.

“We are a diverse state. Nowhere in here are we trying to wipe that out,” said Republican Sen. Tyler McCaughn, one of the bill’s authors. “We’re just trying to change the focus back to that of excellence.”

The House and Senate initially passed proposals that differed in who they would impact, what activities they would regulate and how they aim to reshape the inner workings of the state’s education system. Some House leaders wanted the bill to be “semi-vague” in its language and wanted to create a process for withholding state funds based on complaints that almost anyone could lodge. The Senate wanted to pair a DEI ban with a task force to study inefficiencies in the higher education system, a provision the upper chamber later agreed to scrap.

The concepts that will be rooted out from curricula include the idea that gender identity can be a “subjective sense of self, disconnected from biological reality.” The move reflects another effort to align with the Trump administration, which has declared via executive order that there are only two sexes.

The House and Senate disagreed on how to enforce the measure but ultimately settled on an agreement that would empower students, parents of minor students, faculty members and contractors to sue schools for violating the law.

People could only sue after they go through an internal campus review process and a 25-day period when schools could fix the alleged violation. Republican Rep. Joey Hood, one of the House negotiators, said that was a compromise between the chambers. The House wanted to make it possible for almost anyone to file lawsuits over the DEI ban, while Senate negotiators initially bristled at the idea of fast-tracking internal campus disputes to the legal system.   

The House ultimately held firm in its position to create a private cause of action, or the right to sue, but it agreed to give schools the ability to conduct an investigative process and potentially resolve the alleged violation before letting people sue in chancery courts.

“You have to go through the administrative process,” said Republican Sen. Nicole Boyd, one of the bill’s lead authors. “Because the whole idea is that, if there is a violation, the school needs to cure the violation. That’s what the purpose is. It’s not to create litigation, it’s to cure violations.” 

If people disagree with the findings from that process, they could also ask the attorney general’s office to sue on their behalf.

Under the new law, Mississippi could withhold state funds from schools that don’t comply. Schools would be required to compile reports on all complaints filed in response to the new law.

Trump promised in his 2024 campaign to eliminate DEI in the federal government. One of the first executive orders he signed did that. Some Mississippi lawmakers introduced bills in the 2024 session to restrict DEI, but the proposals never made it out of committee. With the national headwinds at their backs and several other laws in Republican-led states to use as models, Mississippi lawmakers made plans to introduce anti-DEI legislation.

The policy debate also unfolded amid the early stages of a potential Republican primary matchup in the 2027 governor’s race between State Auditor Shad White and Lt. Gov. Delbert Hosemann. White, who has been one of the state’s loudest advocates for banning DEI, had branded Hosemann in the months before the 2025 session “DEI Delbert,” claiming the Senate leader has stood in the way of DEI restrictions passing the Legislature. 

During the first Senate floor debate over the chamber’s DEI legislation during this year’s legislative session, Hosemann seemed to be conscious of these political attacks. He walked over to staff members and asked how many people were watching the debate live on YouTube. 

As the DEI debate cleared one of its final hurdles Wednesday afternoon, the House and Senate remained at loggerheads over the state budget amid Republican infighting. It appeared likely the Legislature would end its session Wednesday or Thursday without passing a $7 billion budget to fund state agencies, potentially threatening a government shutdown.

“It is my understanding that we don’t have a budget and will likely leave here without a budget. But this piece of legislation …which I don’t think remedies any of Mississippi’s issues, this has become one of the top priorities that we had to get done,” said Democratic Sen. Rod Hickman. “I just want to say, if we put that much work into everything else we did, Mississippi might be a much better place.”

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

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House gives Senate 5 p.m. deadline to come to table, or legislative session ends with no state budget

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mississippitoday.org – @MSTODAYnews – 2025-04-02 16:13:00

The House on Wednesday attempted one final time to revive negotiations between it and the Senate over passing a state budget.

Otherwise, the two Republican-led chambers will likely end their session without funding government services for the next fiscal year and potentially jeopardize state agencies.

The House on Wednesday unanimously passed a measure to extend the legislative session and revive budget bills that had died on legislative deadlines last weekend. 

House Speaker Jason White said he did not have any prior commitment that the Senate would agree to the proposal, but he wanted to extend one last offer to pass the budget. White, a Republican from West, said if he did not hear from the Senate by 5 p.m. on Wednesday, his chamber would end its regular session. 

“The ball is in their court,” White said of the Senate. “Every indication has been that they would not agree to extend the deadlines for purposes of doing the budget. I don’t know why that is. We did it last year, and we’ve done it most years.” 

But it did not appear likely Wednesday afternoon that the Senate would comply.

The Mississippi Legislature has not left Jackson without setting at least most of the state budget since 2009, when then Gov. Haley Barbour had to force them back to set one to avoid a government shutdown.

The House measure to extend the session is now before the Senate for consideration. To pass, it would require a two-thirds majority vote of senators. But that might prove impossible. Numerous senators on both sides of the aisle vowed to vote against extending the current session, and Lt. Gov. Delbert Hosemann who oversees the chamber said such an extension likely couldn’t pass. 

Senate leadership seemed surprised at the news that the House passed the resolution to negotiate a budget, and several senators earlier on Wednesday made passing references to ending the session without passing a budget. 

“We’ll look at it after it passes the full House,” Senate President Pro Tempore Dean Kirby said. 

The House and Senate, each having a Republican supermajority, have fought over many issues since the legislative session began early January.

But the battle over a tax overhaul plan, including elimination of the state individual income tax, appeared to cause a major rift. Lawmakers did pass a tax overhaul, which the governor has signed into law, but Senate leaders cried foul over how it passed, with the House seizing on typos in the Senate’s proposal that accidentally resembled the House’s more aggressive elimination plan.

The Senate had urged caution in eliminating the income tax, and had economic growth triggers that would have likely phased in the elimination over many years. But the typos essentially negated the triggers, and the House and governor ran with it.

The two chambers have also recently fought over the budget. White said he communicated directly with Senate leaders that the House would stand firm on not passing a budget late in the session. 

But Senate leaders said they had trouble getting the House to meet with them to haggle out the final budget. 

On the normally scheduled “conference weekend” with a deadline to agree to a budget last Saturday, the House did not show, taking the weekend off. This angered Hosemann and the Senate. All the budget bills died, requiring a vote to extend the session, or the governor forcing them into a special session.

If the Legislature ends its regular session without adopting a budget, the only option to fund state agencies before their budgets expire on June 30 is for Gov. Tate Reeves to call lawmakers back into a special session later. 

“There really isn’t any other option (than the governor calling a special session),” Lt. Gov. Delbert Hosemann previously said. 

If Reeves calls a special session, he gets to set the Legislature’s agenda. A special session call gives an otherwise constitutionally weak Mississippi governor more power over the Legislature. 

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

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Amount of federal cuts to health agencies doubles

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mississippitoday.org – @MSTODAYnews – 2025-04-02 14:48:00

Cuts to public health and mental health funding in Mississippi have doubled – reaching approximately $238 million – since initial estimates last week, when cancellations to federal grants allocated for COVID-19 pandemic relief were first announced.

Slashed funding to the state’s health department will impact community health workers, planned improvements to the public health laboratory, the agency’s ability to provide COVID-19 vaccinations and preparedness efforts for emerging pathogens, like H5 bird flu. 

The grant cancellations, which total $230 million, will not be catastrophic for the agency, State Health Officer Dr. Daniel Edney told members of the Mississippi House Democratic Caucus at the Capitol April 1. 

But they will set back the agency, which is still working to recover after the COVID-19 pandemic decimated its workforce and exposed “serious deficiencies” in the agency’s data collection and management systems.

The cuts will have a more significant impact on the state’s economy and agency subgrantees, who carry out public health work on the ground with health department grants, he said. 

“The agency is okay. But I’m very worried about all of our partners all over the state,” Edney told lawmakers. 

The health department was forced to lay off 17 contract workers as a result of the grant cancellations, though Edney said he aims to rehire them under new contracts. 

Other positions funded by health department grants are in jeopardy. Two community health workers at Back Bay Mission, a nonprofit that supports people living in poverty in Biloxi, were laid off as a result of the cuts, according to WLOX. It’s unclear how many more community health workers, who educate and help people access health care, have been impacted statewide.

The department was in the process of purchasing a comprehensive data management system before the cuts and has lost the ability to invest in the Mississippi Public Health Laboratory, he said. The laboratory performs environmental and clinical testing services that aid in the prevention and control of disease. 

Mississippi State Health Officer Dr. Dan Edney addresses lawmakers during the Democratic caucus meeting at the State Capitol in Jackson, Miss., on Tuesday, April 1, 2025. The discussion centered on potential federal healthcare funding cuts.

The agency has worked to reduce its dependence on federal funds, Edney said, which will help it weather the storm. Sixty-six percent of the department’s budget is federally funded. 

The Centers for Disease Control and Prevention pulled back $11.4 billion in funding to state health departments nationwide last week. The funding was originally allocated by Congress for testing and vaccination against the coronavirus as part of COVID-19 relief legislation, and to address health disparities in high-risk and underserved populations. An additional $1 billion from the Substance Abuse and Mental Health Services Administration was also terminated. 

“The COVID-19 pandemic is over, and HHS will no longer waste billions of taxpayer dollars responding to a non-existent pandemic that Americans moved on from years ago,” the Department of Health and Human Services Director of Communications Andrew Nixon said in a statement.

HHS did not respond to questions from Mississippi Today about the cuts in Mississippi.

Democratic attorneys general and governors in 23 states filed a lawsuit against the U.S. Department of Health and Human Services Tuesday, arguing that the sudden cancellation of the funding was unlawful and seeking injunctive relief to halt the cuts. Mississippi did not join the suit. 

Mental health cuts

The Department of Mental Health received about $7.5 million in cuts to federal grants from the Substance Abuse and Mental Health Services Administration. 

Phaedre Cole, president of the Mississippi Association of Community Mental Health Centers, speaks to lawmakers about federal healthcare funding cuts during the Democratic caucus meeting at the State Capitol in Jackson, Miss., on Tuesday, April 1, 2025.

Over half of the cuts were to community mental health centers, and supported alcohol and drug treatment services for people who can not afford treatment, housing services for parenting and pregnant women and their children, and prevention services. 

The cuts could result in reduced beds at community mental health centers, Phaedre Cole, the director of Life Help and President of Mississippi Association of Community Mental Health Centers, told lawmakers April 1. 

Community mental health centers in Mississippi are already struggling to keep their doors open. Four centers in the state have closed since 2012, and a third have an imminent to high risk of closure, Cole told legislators at a hearing last December. 

“We are facing a financial crisis that threatens our ability to maintain our mission,” she said Dec. 5. 

Cuts to the department will also impact diversion coordinators, who are charged with reducing recidivism of people with serious mental illness to the state’s mental health hospital, a program for first-episode psychosis, youth mental health court funding, school-aged mental health programs and suicide response programs. 

The Department of Mental Health hopes to reallocate existing funding from alcohol tax revenue and federal block grant funding to discontinued programs.

The agency posted a list of all the services that have received funding cuts. The State Department of Health plans to post such a list, said spokesperson Greg Flynn.

Health leaders have expressed fear that there could be more funding cuts coming. 

“My concern is that this is the beginning and not the end,” said Edney.  

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

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