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Gov. Tate Reeves to announce his plan to help struggling hospitals

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After two terms as lieutenant governor and nearly one as governor, Tate Reeves on Thursday is expected to make his first major proposal to address Mississippi’s health care crisis.

Reeves is announcing his plan less than two months before the Nov. 7 general election, when he’ll face Democrat Brandon Presley, who has made a key part of his campaign expanding Medicaid to help alleviate the ongoing health care crisis. Reeves also is making his announcement as more Republicans have warmed to the idea of expanding Medicaid as proposed by Presley, but opposed by Reeves for the past decade.

READ MORE: Likely new Speaker Jason White says Medicaid expansion ‘will be on table’

Tim Moore, president of the Mississippi Hospital Association, said the state’s struggling hospitals would be appreciative of any financial help.

“At this time I am not familiar with any plan the governor may be presenting,” Moore said on Wednesday. “Considering the ongoing desperation of our health care system, I am hopeful the governor has developed a plan to mitigate the health care crisis in our state. I am trying to be optimistic that CMS (the federal Medicaid authority) would consider a significant plan or waiver that does not include increasing the number of covered lives. With that said, the hospital industry will be appreciative for any financial assistance that can be achieved. Mississippi health care for all Mississippians is on a critical path if left unaddressed.”

The Mississippi hospital crisis — and potential solutions to it — has been one of the main focuses of the 2023 campaign for governor.

Mississippi is one of 10 states to refuse federal tax dollars to expand Medicaid coverage to the working poor. Brandon Presley, the Democrat who is challenging Reeves in the November general election for governor, has endorsed Medicaid expansion. Reeves, on the other hand, has long opposed expansion in the state.

Meanwhile, leaders in one of the poorest, unhealthiest states are leaving more than $1 billion a year in federal funding on the table with the refusal, even as people and hospitals statewide struggle. More than half of the state’s rural hospitals are at risk of closure, and even larger hospitals have been forced to slash services for budget reasons.

While Reeves and other GOP leaders have adamantly opposed Medicaid expansion, they have offered few other specific solutions, and none approaching the magnitude of Medicaid expansion. Reeves, when questioned recently about the state’s health care crisis, has said more free-market competition for health services would help, and that he wants more Mississippians to have good jobs that provide health benefits.

In 2022 legislative hearings, lawmakers and health officials kicked around other ideas in lieu of Medicaid expansion to help hospitals. These included eliminating or temporarily halting the state “bed tax,” which hospitals pay to cover the state’s share of Medicaid costs.

Moore said eliminating this tax would help, and that the amount hospitals pay yearly runs from about $185 million to $300 million.

Another idea was to switch hospital reimbursements for the Medicaid care they now provide from a rate based on Medicare to a standard “commercial rate.” In other states, such as Louisiana, this change has resulted in much larger amounts paid to hospitals.

But Moore said this move, implemented last year, provided little benefit because Mississippi’s commercial rates for health services are so low.

“We picked up $40 million last year on outpatient, but because our inpatient rates are so low, we didn’t pick up anything,” Moore said. “… There’s just not that big a gap between what Medicare pays and the commercial rate.”

At the 2022 hearing, it was incorrectly estimated that the change would provide hospitals about $360 million annually. That was incorrect, Moore said, because the commercial rates are so low in Mississippi. In Louisiana, which has expanded Medicaid, the change produced about $900 million annually.

The only way to make the change more effective in Mississippi would be to pay hospitals more for Medicaid than they get for commercial rates. Moore said it is not likely that the federal government would approve such a scheme.

Quentin Whitwell, an executive with several rural Mississippi hospitals, said he is anxious to see the governor’s proposal Thursday.

“It’s no secret rural hospitals are struggling right now and we need all the help we can get,” Whitwell said. “It’s obvious that some form of Medicaid expansion, even if it is privatized, would be useful. But any other negotiations with CMS or Health and Human Services to forgo bed taxes or get more supplemental payments would be great, and we look forward to seeing any solutions proposed and look forward to the opportunity to provide positive input.”

The Mississippi Hospital Association, which is supporting Presley’s candidacy, and most other medical groups and providers in Mississippi have long supported Medicaid expansion as a major step toward fixing Mississippi’s ailing health care system and helping hundreds of thousands of uninsured, working-poor Mississippians receive care.

The political action committee for the state’s largest organization of doctors, the Mississippi Medical Association, has endorsed Reeves. In January of 2023, the medical association released commentary saying it supported a “raise in the income eligibility for Medicaid,” which is the definition of Medicaid expansion. It also said “the Arkansans model” should be considered where the funds the state received for Medicaid expansion would be used to help low income people purchase private health insurance. The Arkansas plan was approved by the federal government as a form of Medicaid expansion.

When asked if the medical association still supported some form of Medicaid expansion after endorsing Reeves, Dr. James Rish, chair of the group’s political action committee, responded: “We look forward to further discussion and engagement with Gov. Reeves to address the many healthcare challenges in our state, including improving accessibility, affordability, and the overall statewide healthcare delivery system for all Mississippians.”

On Wednesday morning, Mississippi Today asked the Reeves campaign about any proposals the governor might put forth to deal with the health case crisis, which includes multiple struggling hospitals across the state in danger of closing and the highest percentage of unhealthy people in the nation.

The Reeves campaign did not respond to the Mississippi Today inquiry, but instead announced intentions on Wednesday afternoon to unveil his plans in a Thurday press conference.

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

Mississippi Today

On this day in 1960

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mississippitoday.org – Jerry Mitchell – 2025-02-01 07:00:00

Feb. 1, 1960

The Greensboro Four (L-R: David McNeil, Franklin McCain, Ezell Blair, Joseph McNeil) walking in downtown Greensboro, North Carolina to protest the local merchant practices of refusing service to African-American customers. Credit: Jack Moebes/Wikipedia

Four Black freshmen students from North Carolina A&T — Franklin McCain, Joseph A. McNeil, David L. Richmond and Ezell A. Blair Jr. — began to ask themselves what they were going to do about discrimination. 

“At what point does a moral man act against injustice?” McCain recalled. 

McNeil spoke up. “We have a definite purpose and goal in mind,” he said, “and with God on our side, then we ask, ‘Who can be against us?’” 

That afternoon, they entered Woolworth’s in downtown Greensboro. After buying toothpaste and other items inside the store, they walked to the lunch counter and sat down. 

They ordered coffee, but those in charge refused to serve them. The students stood their ground by keeping their seats. 

The next day, they returned with dozens of students. This time, white customers shouted racial epithets and insults at them. The students stayed put. By the next day, the number of protesting students had doubled, and by the day after, about 300 students packed not just Woolworth’s, but the S.H. Kress Store as well. 

A number of the protesting students were female students from Bennett College, where students had already been gathering for NAACP Youth Council meetings and had discussed possible sit-ins. 

By the end of the month, 31 sit-ins had been held in nine other Southern states, resulting in hundreds of arrests. The International Civil Rights Center & Museum has preserved this famous lunch counter and the stories of courage of those who took part in the sit-ins.

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

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At least 96 Mississippians died from domestic violence. Bills seek to answer why

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mississippitoday.org – Mina Corpuz – 2025-01-31 15:29:00

At least 96 Mississippians died from domestic violence. Bills seek to answer why

Nearly 100 Mississippians, some of them children, some of them law enforcement, died last year in domestic violence-related events, according to data Mississippi Today collected from multiple sources. 

Information was pulled from local news stories, the Gun Violence Archive and Gun Violence Memorial and law enforcement to track locations of incidents, demographics of victims and perpetrators and any available information about court cases tied to the fatalities. 

But domestic violence advocates say Mississippi needs more than numbers to save lives. 

They are backing a refiled bill to create a statewide board that reviews domestic violence deaths and reveals trends, in hopes of taking preventative steps and making informed policy recommendations to lawmakers.

A pair of bills, House Bill 1551 and Senate Bill 2886, ask the state to establish a Domestic Violence Fatality Review Board. The House bill would place the board in the State Department of Public Health, which oversees similar existing boards that review child and maternal deaths, and the Senate version proposes putting the board under the Department of Public Safety.

“We have to keep people alive, but to do that, we have to have the infrastructure as a system to appropriately respond to these things,” said Stacey Riley, executive director of the Gulf Coast Center for Nonviolence and a board member of the Mississippi Coalition Against Domestic Violence

“It’s not necessarily just law enforcement, just medical, just this,” she said. “It’s a collaborative response to this to make sure that the system has everything it needs.”

Mississippi is one of several states that do not have a domestic violence fatality review board, according to the National Domestic Violence Fatality Review Initiative. 

Without one, advocates say it is impossible to know how many domestic fatalities and injuries there are in the state in any year. 

Riley said data can tell the story of each person affected by domestic violence and how dangerous it can be. Her hope is that a fatality review board can lead to systemic change in how the system helps victims and survivors. 

Last year, Mississippi Today began to track domestic violence fatalities similar to the way the board would be tasked to do. It found over 80 incidents in 2024 that resulted in at least 100 deaths.

map visualization

Most of the victims were women killed by current and former partners, including Shaterica Bell, a mother of four allegedly shot by Donald Demario Patrick, the father of her child, in the Delta at the beginning of that year. She was found dead at the home with her infant. One of her older children went to a neighbor, who called 911. 

Just before Thanksgiving on the Coast, Christopher Antoine Davis allegedly shot and killed his wife, Elena Davis, who had recently filed a protection order against him. She faced threats from him and was staying at another residence, where her husband allegedly killed her and Koritnik Graves. 

The proposed fatality review board would have access to information that can help them see where interventions could have been made and opportunities for prevention, Riley said. 

The board could look at whether a victim had any domestic abuse protection orders, law enforcement calls to a location, medical and mental health records, court documents and prison records on parole and probation. 

In 2024, perpetrators were mostly men, which is in line with national statistics and trends about intimate partner violence. 

Over a dozen perpetrators took their own lives, and at least two children – a toddler and a teenager – were killed during domestic incidents in 2024, according to Mississippi Today’s review. 

Some of the fatalities were family violence, with victims dying after domestic interactions with children, parents, grandparents, siblings, uncles or cousins. 

Most of the compiled deaths involved a firearm. Research has shown that more than half of all intimate partner homicides involve a firearm. 

A fatality review board is meant to be multidisciplinary with members appointed by the state health officer, including members who are survivors of domestic violence and a representative from a domestic violence shelter program, according to the House bill. 

Other members would include: a health and mental health professionals, a social worker, law enforcement and members of the criminal justice system – from prosecutors and judges to appointees from the Department of Public Safety and the attorney general’s office. 

The House bill did not make it out of the Judiciary B Committee last year. This session’s House bill was filed by the original author, Rep. Fabian Nelson, D-Byram, and the Senate version was filed by Sen. Brice Wiggins, R-Pascagoula. 

The Senate bill was approved by the Judiciary A Committee Thursday and will proceed to the full chamber. The House bill needs approval by the Public Health and Human Services Committee by Feb. 4. 

State Sen. Brice Wiggins, R-Pascagoula, during a Senate Corrections Committee meeting on Feb. 13, 2020, at the Capitol in Jackson. (AP Photo/Rogelio V. Solis)

“The idea behind this is to get at the root cause or at least to study, to look at what is leading to our domestic violence situation in the state,”  Wiggins said during the Judiciary A meeting. 

Luis Montgomery, a public policy and compliance specialist with the Mississippi Coalition Against Domestic Violence, has been part of drafting the House bill and is working with lawmakers as both bills go through the legislative process. 

He said having state-specific, centralized data can help uncover trends that could lead to opportunities to pass policies to help victims and survivors, obtain resources from the state, educate the public and see impacts on how the judicial system handles domestic violence cases. 

“It’s going to force people to have conversations they should have been having,” Montgomery said.

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

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Emergency hospital to open in Smith County

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mississippitoday.org – Gwen Dilworth – 2025-01-31 15:01:00

A new emergency-care hospital is set to open in Smith County early this year. It will house the rural county’s first emergency room in two decades. 

Smith County Emergency Hospital in Raleigh will provide 24-hour emergency services, observation care and outpatient radiology and lab work services. Raleigh is currently a 35-minute drive from the nearest emergency room. 

The hospital will operate as a division of Covington County Hospital. The Collins hospital is a part of South Central Regional Medical Center’s partnership with rural community hospitals Simpson General Hospital in Mendenhall and Magee General Hospital, all helmed by CEO Greg Gibbes.

The hospital’s opening reflects Covington County Hospital’s “deeply held mission of helping others, serving patients and trying to do it in a way that would create sustainability,” not just for its own county, but also for surrounding communities, said Gibbes at a ribbon-cutting ceremony Friday. 

Smith County Emergency Hospital is pictured in Raleigh, Miss., on Friday, Jan. 31, 2025. Credit: Eric Shelton/Mississippi Today

Renovations of the building – which previously housed Patients’ Choice Medical Center of Smith County, an acute-care facility that closed in 2023 – are complete. The facility now awaits the Mississippi Department of Health’s final inspection, which could come as soon as next week, according to Gibbes. 

The hospital hopes to then be approved as a “rural emergency hospital” by the Centers for Medicare and Medicaid Services. 

A rural emergency hospital status allows hospitals to receive $3.3 million from the federal government each year in exchange for closing their inpatient units and transferring patients requiring stays over 24 hours to a nearby facility. 

The program was created to serve as a lifeline for struggling rural hospitals at risk of closing. Six hospitals have closed in Mississippi since 2005, and 33% are at immediate risk of closure, according to the Center for Healthcare Quality and Payment Reform.

Gregg Gibbes, CEO of Covington County Hospital, right, joins others in cutting the ribbon during the Smith County Emergency Hospital ceremony in Raleigh, Miss., on Friday, Jan. 31, 2025. Credit: Eric Shelton/Mississippi Today

Receiving a rural emergency hospital designation will make the hospital more financially sustainable, said Gibbes. He said he has “no concerns” about the hospital being awarded the federal designation. 

Mississippi has more rural emergency hospitals than any other state besides Arkansas, which also operates five. Nationwide, 34 hospitals have received the designation, according to Centers for Medicare & Medicaid Services enrollment data. Over half of them are located in the Southeast. 

The hospital will have a “significant economic impact” of tens of millions of dollars and has already created about 60 jobs in Smith County, Gibbes said.

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

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