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Copays no longer required for Mississippians on Medicaid

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Mississippians who are insured by Medicaid no longer have to make copayments for health care services, the state’s Division of Medicaid announced.

The policy change, which went into effect May 1, includes copays for prescription medications as well as hospital and doctor’s office visits.

The Medicaid division will keep paying providers for their services, including copays — the only change is that beneficiaries will no longer be responsible, according to communications officer Matt Westerfield.

Copays are a form of cost sharing in health insurance plans. Insurance companies pay a portion of the bill, while the patient is responsible for a certain out-of-pocket amount.

Harold Miller, CEO of the Center for Healthcare Quality and Payment Reform, said copayments in Medicaid create problems for both policyholders and providers.

Copays can discourage people from getting the care they need because they cannot afford it, which can snowball into a worse, even more expensive health care issue, “which means the Medicaid program would end up paying more overall,” Miller said.

“For example, if an asthmatic child doesn’t get an inhaler because their parents can’t afford the copayment, they could end up in the hospital,” he said. “Sometimes people stretch out medications to reduce the number of refills, and that can cause problems.”

And then providers have to try and collect the copays.

“If the person can’t afford the copayment and the provider sees the patient anyway, the provider just gets paid less, and that can discourage physicians from taking on Medicaid patients,” Miller said. “In theory, the copayment discourages people from getting services they don’t need, but on balance, the problems they create by discouraging necessary care likely outweigh the advantages.”

In a month, Medicaid plans to submit a state plan amendment in pursuit of the change to the Centers for Medicare and Medicaid, which is required when a state plans to revise its policies. If approved, it will be retroactively effective to May 1. The amendment will be posted on the Medicaid agency’s website upon its submission.

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

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On this day in 1959, students marched for integrated schools

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On this day in 1959, students marched for integrated schools

mississippitoday.org – @MSTODAYnews – 2025-04-18 07:00:00

April 18, 1959

The Youth March for Integrated Schools on Oct. 25, 1958. A second march followed on April 18, 1959.

About 26,000 students took part in the Youth March for Integrated Schools in Washington, D.C. They heard speeches by Martin Luther King Jr., A. Phillip Randolph and NAACP leader Roy Wilkins. 

In advance of the march, false accusations were made that Communists had infiltrated the group. In response, the civil rights leaders put out a statement: “The sponsors of the March have not invited Communists or communist organizations. Nor have they invited members of the Ku Klux Klan or the White Citizens’ Council. We do not want the participation of these groups, nor of individuals or other organizations holding similar views.” 

After the march, a delegation of students went to present their demands to President Eisenhower, only to be told by his deputy assistant that “the president is just as anxious as they are to see an America where discrimination does not exist, where equality of opportunity is available to all.” 

King praised the students, saying, “In your great movement to organize a march for integrated schools, you have awakened on hundreds of campuses throughout the land a new spirit of social inquiry to the benefit of all Americans.”

This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.

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See how much your Mississippi school district stands to lose in Trump’s federal funding freeze

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mississippitoday.org – @MSTODAYnews – 2025-04-17 15:57:00

Mississippi school districts are grappling with the fallout of the Trump administration’s decision to freeze roughly $137 million in federal money and are hoping the U.S. Department of Education will reverse the decision. 

Around 70 school districts were relying on the federal Department of Education’s decision under the Biden administration to allow them to spend federal pandemic grant money through next year. 

But new U.S. Secretary of Education Linda McMahon notified state and local officials last month that the Trump administration was immediately cutting off the money. 

Schools were already spending the money on a range of initiatives, including literacy and mathematics programs, mental health services, construction projects for outdated school facilities, and technology for rural districts.

“We’re really counting on all of our state and federal leaders to understand the predicament that we’re in as local school districts and do whatever it takes to get the federal government to honor this extension,” said Lawrence Hudson, the superintendent of Western Line School District in the Delta. 

Hudson told Mississippi Today that his school district had already utilized federal money to renovate the heating and air systems in three old buildings in the district — two former Army barracks and a double-wide trailer — which had inferior ventilation. 

The district also planned to use the money to improve ventilation in another building. However, it was unable to complete the project by the original deadline because it needed to take place during the summer break when the kids were not in the building. 

Now those plans have been disrupted. Hudson said the district will have to find other money to pay for the project. 

Lance Evans, the Mississippi Superintendent of Education, wrote a letter to McMahan saying the federal government failed to provide adequate notice that it would cut off access to money committed to schools during the COVID-19 pandemic, and the action has put school districts like Hudson’s in a bind. 

Madi Biedermann, deputy assistant secretary for communications for the federal education department, told Mississippi Today in a statement that the COVID-19 pandemic is over and “school districts can no longer claim they are spending their emergency pandemic funds on ‘COVID relief.’” 

“The Department will consider extensions on an individual project-specific basis where it can be demonstrated that funds are being used to directly mitigate the effects of COVID-19 on student learning,” Biedermann said. 

Jackson Public School District, one of the largest districts in the state, has approximately $4.5 million in encumbered funds at risk due to the federal government’s decision, according to Earl Burke, the district’s Chief Operations Officer.

Of that amount, JPS had $3.6 million allocated for critical construction projects and just under $1 million designated for instructional support. 

“That said, despite our best efforts, it is important to note that some construction projects may not be completed by the start of the school year due to this shift in funding availability,” Burke said. 

The funding crunch also comes on the heels of Mississippi legislators voting to end their 2025 session without setting an annual budget. 

Mississippi is one of the most federally dependent states in the nation, and the Trump administration, through its Department of Government Efficiency, has made slashing government spending one of its priorities. 

Lt. Gov. Delbert Hosemann has said in recent interviews that legislative leaders might consider assisting state agencies that have been affected by federal funding cuts.

Whatever decisions federal and state leaders make, smaller school districts that received the federal money will be impacted. 

The Benton County School District, located in rural northeast Mississippi, completed a heating and air conditioning project for one of its buildings, according to Superintendent Regina Biggers. The district paid for the project but was banking on the federal government reimbursing it around $166,000, something that may not now happen. 

“This was a tremendous amount of money for a district our size,” Biggers said. 

This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.

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Crime lab sees increase in rape kits following new law

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Crime lab sees increase in rape kits following new law

mississippitoday.org – @MSTODAYnews – 2025-04-17 15:01:00

Twenty-seven percent more rape kits were sent to the state crime lab in 2024 than the year before in Mississippi.

The increase is thanks in part to a law passed in 2023 to streamline rape kit processing, which officials say resulted in more rape kits making it to the crime lab. However, because Mississippi has no complete rape kit inventory, it’s impossible to tell what impact it made on the backlog.  

While variation from year to year is normal, the crime lab has not seen an influx that large in previous years – likely signifying the legislation’s effect, explained Commissioner Sean Tindell of the Department of Public Safety. 

Mississippi Department of Public Safety Commissioner Sean Tindell at his office in Jackson, Miss., Tuesday, January 24, 2023.

But Tindell added that he could not say how many kits, if any, are still getting stalled along the way.

House Bill 485 mandated law enforcement pick up rape kits from hospitals within 24 hours of being contacted, and that they transport the kits to the forensic lab within seven calendar days. It also created a sexual assault task force, whose members designed a system for survivors to track their rape kit as it changes hands. 

The tracking system went into operation September 2024, Tindell said. Any rape victim who had a kit done after then can track the status of the kit by putting its serial number into the online system

The idea was that rape kits could would no longer sit indefinitely in hospital refrigerators or in the trunks of cop cars, and that survivors would be kept in the know – the way patients are for any other hospital procedure.

“They leave the hospital and they don’t know where their kit is, they never hear anything. Can you imagine getting a cancer test and nobody ever calls you back to tell you what it was? For months or years or ever?” asked Ilse Knecht, policy director at End the Backlog, an organization seeking justice for sexual assault survivors through policy work around rape kits. 

Forensic scientist Jenn Odom operates an automated DNA extraction instrument at the Mississippi Crime Laboratory in Pearl, Miss., on Wednesday, April 2, 2025. The system uses silica-coated magnetic particles to capture DNA, followed by a series of washing steps to purify it, processing up to 24 samples in about 17 minutes.

Backlogged rape kits have long been problem across the U.S. – one that first sparked public outcry in 1999 when it was discovered that New York City was sitting on 17,000 untested rape kits

“What happened later was that the mayor decided to test them all, which was a years-long process, and there were very important and interesting cases that came out of that,” explained Knecht. “And it started to catch on, the other states started to look at what they had. And we started to get a sense of what was going on across the country.”

The root of the problem isn’t as simple as underfunded crime labs or a lack of resources in law enforcement agencies, Knecht said. It’s also a matter of culture, with some kits never being tested because victims aren’t believed. 

“If they’re not the perfect victim, the case is going to be closed before it’s even opened.”

The Mississippi Prosecutors’ Association did not respond to a request for comment on whether the increase in submissions to the crime lab has led to an increase in prosecutions. 

Knecht, who has 25 years of experience working in this area, joined End the Backlog in 2015, when she helped develop the group’s policy directives. After collaborating with dozens of sexual assault survivors and various professionals handling rape kits, her team came up with six pillars intended to guide states toward policies to enact meaningful and feasible change.

Mississippi’s 2023 legislation led to the adoption of three of the six pillars End the Backlog recommends: mandating the timely testing of all new kits; implementing mechanisms for survivors to easily find out about the status of their kits; and creating a tracking system for victims. 

The other three pillars, which Mississippi does not have, are: implementing an annual statewide inventory of kits; mandating submission and testing of all backlogged kits; and allocating funding to submit, test and track kits.

The timeline the 2023 legislation imposed on law enforcement is more than reasonable, according to Ken Winter, executive director of the Mississippi Association of Chiefs of Police.

“It absolutely has not taken more staff or resources,” Winter said. “The only thing it’s taking is somebody paying attention to the process and making sure the evidence is handled in a timely manner – and they should be doing that anyways.”

Rep. Angela Cockerham, I-Magnolia, left, during a meeting of House Judiciary B Committee while committee member Jill Ford, R-Madison, listens, at the Capitol in Jackson, Miss., Tuesday, March 3, 2020. (AP Photo/Rogelio V. Solis)

House Bill 485 was a bipartisan effort led by Rep. Angela Cockerham, I-Magnolia, and co-authored by Reps. Dana McLean, R-Columbus; Jill Ford, R-Madison; and Otis Anthony, D-Indianola.

McLean said she believed the legislation was the first step to getting justice for sexual assault survivors. 

But she later became aware that some rape victims have trouble earlier in the process – getting a rape kit done in the first place. McLean fought to change that this past session, and successfully oversaw the passage of a bill requiring hospitals to stock and perform rape kits. 

What makes the problem still more complicated in Mississippi – and four other states – is that the state has not mandated an inventory of rape kits. There is no way to tell the extent of Mississippi’s backlog – or at what point in the process the kits are getting backlogged.

McLean said she hopes to make a mandatory statewide inventory her focus next legislative session. 

The issue is dimensional, said Knecht. But the message of the movement is simple: to tell survivors that what they did by receiving a rape kit mattered. 

“All of this was created to keep a promise to survivors,” Knecht said. “And to society because guess what – these kits represent dangerous people on the street. And when they’re not tested, we have 100 pages of stories of crimes that maybe could have been prevented if a rape kit had just been tested.”

This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.

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