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Governor Reeves makes first vetoes of the 2023 legislative session

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The two bills were insurance related, providing changes to the prior authorization process and setting of rate reimbursements for insurers.

Governor Tate Reeves (R) has vetoed the first two bills for the 2023 Legislative session. The vetoes will for SB 2224 and SB 2622, two bills that pertain to insurance.

Provider Reimbursement Rates

SB 2224 would authorize the Commissioner of Insurance to adopt rules and regulations regarding certain provider reimbursement rates. The department could examine and change any inequalities regarding provider reimbursement rates paid by insurers, subcontractors or any other third-party payer administration.

Senator Kevin Blackwell

“Mississippi, along with the rest of the nation, is in a healthcare crisis. Unfortunately, patients and healthcare providers in Mississippi are further penalized do to the low reimbursement rates paid by health insurance companies,” said Senator Kevin Blackwell (R), author of the bill. “Mississippi rates are the lowest in the nation. SB 2224 simply allowed the Commissioner of Insurance to adapt rules and regulations relative to provider reimbursement to ensure our providers are appropriately compensated.”

The bill passed the Senate 52 to 0 and was approved in the House 111 to 5. It again passed the Senate on concurrence 52 to 0.

Commissioner of Insurance Mike Chaney (R) also expressed his frustration over the Governor’s veto.

Insurance Commissioner Mike Chaney

“I am certainly disappointed in the Governor’s veto message for SB 2224 and SB 2622. Both of these bills are consumer-friendly bills that would benefit healthcare providers and consumers in our state,” said Commissioner of Insurance Mike Chaney. “The Governor is sadly mistaken that SB 2224 would have affected Medicare and Medicaid plans as the Department of Insurance does not have jurisdiction over these plans and the bill did not expand that jurisdiction. Senate Bill 2224 would give the Department of Insurance the important tools necessary to ensure that Mississippians would continue to have access to quality healthcare at reasonable rates.”

Chaney went on to add that he has worked to protect consumers and healthcare providers in the state, and will continue to do that, despite the veto. However, he said one of those ways is by leveling the playing field for all insurance carriers in Mississippi.

In Governor Reeves’ veto letter, he notes that the Commissioner would have the authority to mandate that a higher reimbursement rate be set in contracts between insurers and healthcare providers. A $10,000 penalty was included in the legislation for a service provided at a perceived inequitable rate.

“The first one would basically give the Insurance Commission the ability to set rates for all health insurance. They can massively fine private insurance if they aren’t ‘equitable’ enough,” said Reeves when announcing the vetoes on social media. “It’s not what you expect in Mississippi, but that’s why we read every bill closely!”

Reeves goes on to say that the fine would be a violation of Article 3, Section 28 of the Mississippi Constitution which currently prohibits “excessive fines.”

The Governor also addressed concerns that the ability for the Commissioner to set those rates, saying it would contradict federal law when it comes to Medicare and Medicaid. Currently, federal law provides that rates for Medicaid recipients are set through the Centers for Medicare and Medicaid (CMS) and Mississippi’s Medicaid reimbursement is set by the State Plan which is subject to the Legislature.

“SB 2224 has the potential to unwisely increase this tax burden beyond the breaking point in the name of equity,” said Reeves.

Governor Reeves said he believes the legislation was influenced by the dispute between Mississippi Blue Cross Blue Shield and the University of Mississippi Medical Center. He stands firm that the bill would have violated several provisions of the U.S. and Mississippi Constitutions.

Prior Authorization Reform

The second piece of legislation drawing a veto from Governor Reeves is SB 2622 which addressed several technical components of the Medicaid program, particularly the one related to prior authorization.

Prior authorization is the process that is used to determine if the cost of medical care or medication is under an insurance plan. The bill put forward attempted to implement a streamlined process for obtaining that authorization.

“This bill would force insurance companies to give an answer more quickly, which is positive. However, it also had some unintended consequences,” Reeves wrote on social media.

The bill mandated that health insurers make disclosures pertaining to what services require that authorization, the process for obtaining it, and clinical review criteria. It would have required an accessible list of prior authorization procedures and a peer review by specialists in a doctor’s particular field if a procedure was denied. The bill passed overwhelmingly in both chambers by a vote of 49 to 0 in the Senate and 108 to 5 in the House.

“Everybody I’ve talked to was very happy with it, it was a good pro-patient piece of legislation. It’s good for the doctor, it’s good for the patients. It outlines the terms under which a patient is to get their care delivered,” said Senator Walter Michel (R), author of the bill.

Senator Walter Michel (R)

Michel added that the bill would in no way limit what an insurance provider could put on the list of prior authorization list, saying it would simply allow doctors to have beforehand knowledge of what procedures will require it.

However, Governor Reeves wrote in his veto letter, that while reforming prior authorization is a worthy goal, he had concerns in the way this particular structure was set up. He firstly disagreed with the legislation allowing the Mississippi State Department of Health (MSDH) to manage rules and regulations of prior authorizations, an action he says they do not have experience in.

“Thus, Senate Bill 2622 has the potential to create an untenable situation in which the Mississippi Department of Health would be called on to make a determination on a request for prior authorization for a procedure or medication being recommended by a medical provider employed by the MSDH and providing care at a county health department,” wrote Reeves in the veto letter.

The Governor went on to say lawmakers should instead empower the Department of Insurance to provide oversight not MSDH.

Senator Michel said he had no problem with changing that provision and putting the regulatory oversight to the Department of Insurance. He said those were actually conversations that came up during the discussions on the bill.

“We originally had the Gold Card provision in this bill and when the provision was in it, that’s why it was under the Department of Health. Then we took that out. It would be fine with me if the insurance commissioner would like to oversee the program,” said Michel.

Governor Reeves also expressed issues regarding the Department of Insurance investigating healthcare fraud as well as unintended negative impacts on the current prior authorization process by limiting parties to an insurance contract and unnecessary administrative expenses. In addition, he noted concerns with mandating health insurers to utilize a team of qualified specialists to evaluate all requests for prior authorization on a specific time frame.

Senator Michel said the Legislature thought it was important that if a particular doctor, like an orthopedic specialist, was recommending a procedure that would require prior authorization and was denied, they should have the ability to speak with another orthopedic trained specialist who was representing the insurance provider.

Michel said the origin of the bill came from a group of physicians who were attempting to get their needs addressed when providing care for patients.

“What they’ve seen in some instances if a person is denied, denied, denied, long enough, then the person will just give up on the procedure being performed. In that instance, I guess you could say the insurance company won the game,” said Senator Michel.

Michel told Magnolia Tribune that it would be up to Lt. Governor Delbert Hosemann to call for an override vote of the veto by the body but he did not indicate whether that was likely to happen or not prior to the end of session.

As for the two vetoes, Governor Reeves said he was hired to closely review every bill as the “last stop” for legislation, something he takes seriously.

“We’re closely reviewing every bill, because that’s what you hired me to do! 76 bills this week – just 2 vetoes! Good folks can sometimes let bad things past the goalie, and we’re the last stop before disastrous consequences like massively increased healthcare costs,” Reeves said. “Glad to do it!”

The post Governor Reeves makes first vetoes of the 2023 legislative session appeared first on Magnolia Tribune.

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By: Sarah Ulmer
Title: Governor Reeves makes first vetoes of the 2023 legislative session
Sourced From: magnoliatribune.com/2023/03/16/governor-reeves-makes-first-vetoes-of-the-2023-legislative-session/?utm_source=rss&utm_medium=rss&utm_campaign=governor-reeves-makes-first-vetoes-of-the-2023-legislative-session
Published Date: Thu, 16 Mar 2023 18:30:00 +0000

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Staring mortality in the face at Christmas

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1 year ago

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December 16, 2023

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My friend Jarrod is dying after an eight year battle with cancer. He’s lived a life worth celebrating, one that has drawn people to Christ.

I was going about my business this week when I received a text that stopped me in my tracks. A college friend was being moved to hospice care.

Jarrod Egley was diagnosed with colorectal cancer in early 2017. In the fall of 2018, tests revealed the cancer had spread to his lungs and Jarrod’s cancer was classified as Stage IV.

For almost eight years from the date of the original diagnosis, he’s fought. Through surgeries, radiation, endless rounds and cycles of chemotherapy, and experimental immunotherapies, he’s fought.

Last year, I flew out to California and spent some time with Jarrod and his wife, Emily. We sat outside one night. He acknowledged to me that it was not a question of ‘if’, but ‘when’ the cancer would claim his life. I told him I was sorry, because what else is there to say?

We talked about our faith, about the trials of Job, about Jacob wrestling with God, about Paul’s affliction. But mostly we reflected on our time together in school, on the good things, and the mundane things, that happened since.

Jarrod and I met at Tulane University. One Sunday morning in the Spring of my freshman year, I rose from my dorm room bed, dressed, and began walking down Saint Charles Avenue in New Orleans with no particular agenda. I walked until I came across First Baptist Church and the thought flickered in the vacuous recesses of my brain to enter.

Some would say it was a lark. The Calvinist in me says providence. The walk that morning changed the trajectory of my time at Tulane and my life on the whole. Intervarsity Christian Fellowship and the Baptist Collegiate Ministry became central to my life and put me in regular league with Jarrod. I met him first at the BCM and we ultimately ended up attending church together.

Jarrod was a faithful servant on and off campus. He helped organize a group of us that would weekly make our way down to the Esplanade seawall on the backside of the French Quarter to feed the homeless. On Friday nights, he could be found at chapel with a small cadre of students foregoing Bourbon Street for early 2000s worship music.

Jarrod was a loyal friend in those years. Never rude or biting. Not prone to an insult for an easy laugh. Persistently encouraging. An engineering student, his mind worked linearly and was oriented to problem solving. There were never a lot of wasted words — always a lot of deliberative questions when he disagreed or did not understand a point. He exhibited intelligence, empathy, and the kind of moral conviction that sets someone apart.

He also had a wry and dry sense of humor and a penchant for beating people at Madden football. He was fair-to-midland on the ultimate frisbee pitch. Along the way, there were crawfish boils, Mardi Gras outtings, poorly attended Tulane football games, and more than a decent amount of wing eating.

After college, I lost touch with Jarrod. He moved back to his home state of California. He got married to his college sweetheart, who could not have anticipated her husband’s journey, but has been a steady and constant helpmate throughout. Jarrod became a very successful engineer and a bourbon connoisseur. One of his bucket list trips took him to Kentucky, where he got to meet and became friends with bourbon “Hall of Famer” Freddie Johnson of Buffalo Trace acclaim.

Jarrod at Buffalo Trace Distillery (Spring 2022).

Sitting in his backyard nearly 20 years after graduating from Tulane, I saw many of the same qualities I had grown to admire when we were students together. I saw a husband who doted on and supported Emily’s passions. But I also saw someone whose body had been beaten to hell and back, who was tired, and who, like Jacob, had been wrestling with God. We quickly fell back into friendship, which perhaps is the mark of good friendship.

We all have aspirations in our youth — for the kind of spouse or parent we might be, for what we might accomplish, for what we might experience. Along the way, dreams are satisfied, modified, or they die on the vine. The clock inevitably works against all of us. That night in Oceanside, California, Jarrod, a numbers guy, saw that time was not on his side. He believed, as we all would, that he still had more to give, more impact to be made, and more things to see and experience.

After that trip, Jarrod and I stayed in touch, most frequently triggered by news of his cancer. It has been mostly the bad variety in recent months. Now spread throughout his body, down to his bones, he has lived in constant pain for months. Not even a steady diet of morphine and an implanted pain pump solve for it. Jarrod’s been hospitalized twelve times just in 2023.

But his matter of fact sense of humor and way of seeing the world remains in tact. So too does his faith that despite these trials, he has always been safe in the hands of Christ.

There are people in the world who believe that life is random, disordered, and without reason. I am not among them. I think my friend is staring mortality in the face at Christmas for a reason.

For thousands of years before Christ came, there was darkness and despair. Sin and shame gripped the hearts of men. Until one holy night, God, in His infinite love, mercy and wisdom, sent His son to save. Jesus is the light of the world and the hope of man. He has won victory over death and Jarrod’s will not be the exception. Jesus came for Jarrod, and for you.

For thousands of years since Jesus’s death, burial, and resurrection, His disciples have been used as divine instruments to point the way to God. Jarrod is among them. If life expectancies were the measure, Jarrod would be at the midway point for most people. He’s made a lifetime of impact for the Kingdom and on other people.

So, to my friend Jarrod, you were placed here with a purpose. You have run your race. You are loved. And when this chapter closes, you will hear “well done, my good and faithful servant.” There is no greater evidence of a life well lived.

While Jarrod and Emily have been fortunate to have health insurance, their portion of the medical bills so far in 2023 have eclipsed $30,000, and Emily is facing additional uncovered expenses during Jarrod’s hospice care, including a night nurse that costs over $400 a night. If you would like to help defray the cost, a contribution can be made at their Go Fund Me page.

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By: Russ Latino
Title: Staring mortality in the face at Christmas
Sourced From: magnoliatribune.com/2023/12/16/staring-mortality-in-the-face-at-christmas/?utm_source=rss&utm_medium=rss&utm_campaign=staring-mortality-in-the-face-at-christmas
Published Date: Sat, 16 Dec 2023 15:05:22 +0000

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Magnolia Tribune

Magnolia Mornings: December 15, 2023

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1 year ago

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December 15, 2023

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Important state and national stories, market and business news, sports and entertainment, delivered in quick-hit fashion to start your day informed.

In Mississippi

1. Laurin St. Pe’ named CEO of Singing River Health System

Laurin St. Pe

The Board of Trustees of Singing River Health System announced the immediate appointment of Laurin St. Pe’ as the Chief Executive Officer on Thursday.

“We are thrilled to announce Laurin St. Pe as the new CEO of Singing River,” said Steve Ates, Board President in a statement. “His wealth of healthcare experience and proven track record make him the ideal leader to steer our health system toward its next phase of growth and success.”

St. Pe’, who has been serving as Interim CEO since July 2023, said he is honored to assume the role of CEO at Singing River. He has worked at Singing River as Administrator of Singing River Health System’s Pascagoula Hospital and Gulfport Hospital, in addition to overseeing program service lines throughout the entire system to his subsequent appointment as Chief Operating Officer of Singing River.

The health system says St. Pe played a crucial role in the financial revitalization of Singing River Health System while steering the organization toward financial stability.

2. Gulfport-Biloxi airport, Stennis evacuated after threats

The Gulfport-Biloxi International Airport was evacuated on Thursday morning “out of an abundance of caution,” airport officials said, after receiving an emailed threat to certain transportation entities across the state.

The airport was thoroughly security swept, cleared and reopened in just over two hours. Gulfport-Biloxi is now operating regularly.

The threat was also sent to Stennis International Airport. Their staff and personnel were also evacuated until the facilities could be swept and cleared.

Any passenger whose travel was affected by the evacuation is encouraged to contact their respective air carrier.

3. Cassidy arrested in Iowa for beheading Satanic Temple statue

Former Mississippi congressional and legislative candidate Michael Cassidy was arrested this week in Iowa for beheading a statue at the state’s Capitol erected by The Satanic Temple.

Cassidy reportedly decapitated the statue and turned himself to police on Thursday. He was charged with fourth degree criminal mischief. He then started an online legal defense fund where he’s raised upwards of $20,000 as of Thursday night, according to his X account.

4. “Serial fraudster” ordered to cease offering investments into companies

According to the Mississippi Secretary of State’s office, on October 26, 2023, Secretary Michael Watson and the Securities Division issued an order against Stephone N. Patton. The SOS says Patton is a serial fraudster with multiple criminal convictions in Mississippi and Florida.

Through business filings with the SEC and Mississippi, Patton has held himself to be the CEO of various companies, including Star Oil and Gas Company, Inc., North Gulf Energy Corporation, Inc., Patton Oilfield Services, Inc., and Patton Farms, LLC.

The SOS says using these business filings and company websites, Patton claimed to have raised hundreds of billions of dollars through investment opportunities. Through investigative efforts and collaboration with the SEC, the SOS discovered none of Patton’s companies are operational, have any assets, or generate any revenues. Account records show Patton spent investors’ funds almost as soon as he received them on personal expenses. The total amount of known investments made to Patton’s fraudulent companies is over $80,000. Further, none of Patton’s investment offerings have been registered or notice filed with the Mississippi Secretary of State’s Office.

The SOS order requires Patton to cease and desist from offering investments with his companies, requiring Patton to permanently deactivate his companies’ websites to prevent any further dissemination of his false or misleading information. Patton is also ordered to pay an administrative penalty of $25,000 to the Mississippi Secretary of State’s Office for these violations, in addition to restitution owed to all his Mississippi investors.

National News & Foreign Policy

1. Congressional retirements mounting as 2024 election cycle nears

Retirement and departure announcements are piling up ahead of the start to the 2024 election cycle. The New York Times has developed a Retirement Tracker that currently shows 22 Democrats and 11 Republicans who are in Congress now will not be seeking re-election next year.

“Dozens of members of Congress have announced plans to leave their seats in the House of Representatives, setting a rapid pace for congressional departures, with more expected as the 2024 election draws closer,” the NY Times reports. “Given Republicans’ razor-thin House majority, the wave of exits has the potential to lead to a significant shake-up next year.”

You can find the tracker here.

2. Texas, Daily Wire, The Federalist sue U.S. State Department over media censorship

The U.S. State Department’s Global Engagement Center has come under fire as Texas Attorney General Ken Paxton along with The Daily Wire and The Federalist have filed a federal lawsuit alleging that the department funded technology that could “render disfavored press outlets unprofitable.” They claim that the department has helped social media – Facebook, YouTube and X (formerly Twitter) – to censor free speech while funding technologies used to censor right-leaning news outlets such as theirs.

New Civil Liberties Alliance is representing The Daily Wire and The Federalist. Paxton and the outlets claim the Global Disinformation Index (GDI), a British think tank, received a $100,000 grant from the State Department in 2021, and NewsGuard, which rates the “misinformation” levels of news outlets, received $25,000 from the State Department in 2020, according to the lawsuit.

According to the State Department’s website, the Global Engagement Center’s mission is to direct, lead, synchronize, integrate, and coordinate U.S. Federal Government efforts to recognize, understand, expose, and counter foreign state and non-state propaganda and disinformation efforts aimed at undermining or influencing the policies, security, or stability of the United States, its allies, and partner nations.

As reported by Reuters, the lawsuit cited a GDI-produced list from December 2022 that ranked The Daily Wire and The Federalist as among the 10 “riskiest sites” for news while the least-risky included The New York Times, Associated Press and NPR. Reuters notes that the lawsuit alleges such “blacklists” are reducing revenues to The Daily Wire and The Federalist along with their visibility on social media and ranking results from browser searches.

Sports & Entertainment

1. SEC releases 2024 schedules

Wednesday evening, the Southeastern Conference released the 2024 football schedules for its member schools, including of interest in the Magnolia State the schedules for Ole Miss and Mississippi State.

It is the first schedule that includes new conference members University of Oklahoma and University of Texas, bringing the conference to 16 schools. Each SEC team will play eight conference football games plus at least one required opponent from the ACC, Big Ten, Big 12, Pac 12 or major independent, each team will have two open dates.

The 2024 season will be the first year the SEC will play a schedule without divisional competition since 1991. The top two teams in the league standings based on winning percentage will play in the 33rd SEC Football Championship Game in Mercedes-Benz Stadium in Atlanta on Saturday, December 7.

2. White, Jesiolowski, Jones honored by MAIS

John White

The Midsouth Association of Independent Schools (MAIS) in Mississippi, comprised of non-public schools, announced this week that Madison-Ridgeland Academy’s senior quarterback John White was named the 6A Player of the Year while Hartfield’s Reed Jesiolowski and Hartfield Chris Jones were named the MAIS 6A Offensive and Defensive Players of the Year, respectively.

All three have committed to play college football at the University of Mississippi.

White is Mississippi’s all-time leader in career passing yards with 15,259 yards, a record he broke during the 2023 season.

MAIS, like the Mississippi High School Activities Association (MHSAA) for public schools, is broken down into classifications, from 1A to 6A. However, MHSAA added a 7A this season.

Markets & Business

1. Consumer retail sales up as energy, gas prices move down

The U.S. Bureau of Labor Statistics reported this week that the Consumer Price Index rose 0.1% in November after being unchanged in October. Retail sales rose 0.3% in November after rising 0.2% in October, meaning consumers continue to spend at the start of the holiday season.

The CPI or inflation rate is 3.1%, higher than the Federal Reserve target of 2% but below the 9% peak in 2022 which reached a 40-year high.

As for the energy index, BLS reported that it fell 2.3% in November after decreasing 2.5% in October. The gasoline index decreased 6% in November, following a 5% decrease in the previous month.

The index for fuel oil fell in November, decreasing 2.7%. However, the natural gas index rose 2.8% over the month after rising 1.2% the previous month. The index for electricity also rose 1.4% in November, after increasing 0.3% in October.

The energy index fell 5.4% over the past 12 months. The gasoline index decreased 8.9%, the natural gas index declined 10.4%, and the fuel oil index fell 24.8% over this 12-month span.

2. Week’s market rally continues into Friday

At close of trading on Thursday, the U.S. markets continued the week’s rally, pushing the Dow up 158 points to 37,248 while the Nasdaq and S&P also made gains, 27 points and 12 points, respectively, to close at 14,761 and 4,719.

The record high for the Dow on Thursday moved futures up 102 points.

According to CNBC, the major averages are headed for their seventh straight positive week. As of Thursday, the Dow is higher on the week by 2.8%. The S&P 500 is up by 2.5%, while the Nasdaq Composite rose 2.5% this week.

Stocks rallied after the Federal Reserve left rates unchanged this week while members look towards cuts in the new year and beyond.

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By: Magnolia Tribune
Title: Magnolia Mornings: December 15, 2023
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Published Date: Fri, 15 Dec 2023 13:00:00 +0000

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New water rates expected in Jackson come 2024; those who don’t pay face shut off

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1 year ago

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December 15, 2023

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Interim Third-Party Director Ted Henifin said this week that only about 59% of the City of Jackson’s water customers are paying their bills.

JXN Water has announced new rates and fees coming in 2024. Those who are not paying will be at risk of shut offs.

The company, which was established by federal appointed interim Third-Party Director Ted Henifin, has been overseeing the city’s water system for the better part of a year.

Officials estimated that the average cost for water in the city was $76 per month for residents. Henifin clarified that JXN water will not attempt to recoup any charges prior to November 29, 2022, and will work with those who have failed to pay since that time.

He said only about 59 percent of the city’s water customers are paying their bills.

“You can’t forgive bills, so we have to be creative in how we part that,” said Henifin in reference to Mississippi’s laws that prevent giving away water.

According to a release by JXN Water announcing the rate changes, residents in single family households with small meters that use up to 748 gallons daily would see a bill increase of roughly .30 cents per day. Research indicates that the average U.S. family uses 300 gallons per day.

SNAP customers will have a new rate tier that could lower their bill by up to .69 cents per day, on average.

“Those who need to save the most benefit from saving money by drinking tap water. This new rate structure makes water affordability possible for 12,500 JXN Water customers who receive SNAP benefits,” said Henifin in the release.

Read more about the anticipated rate changes here.

New fees will also be implemented, including a new service fee of $50, service deposit of $100, returned check fee of $25, service restoration fee of $100, and meter tampering charge of $500. 

JXN Water has continued to encourage residents to use the water, with Henifin going on the record in a federal status hearing saying that the water “was safe to drink.”

More conversation regarding the billing process is expected to come at next week’s Jackson City Council meeting.

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By: Sarah Ulmer
Title: New water rates expected in Jackson come 2024; those who don’t pay face shut off
Sourced From: magnoliatribune.com/2023/12/15/new-water-rates-expected-in-jackson-come-2024-those-who-dont-pay-face-shut-off/?utm_source=rss&utm_medium=rss&utm_campaign=new-water-rates-expected-in-jackson-come-2024-those-who-dont-pay-face-shut-off
Published Date: Fri, 15 Dec 2023 20:00:00 +0000

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