Mississippi Today
Health care bills to watch in the 2024 Mississippi legislative session
Editor’s note: This list will be updated throughout the legislative session. It was last updated on Feb. 9.
Somewhere around 3,000 bills are expected to be filed for the 2024 session of the Mississippi Legislature. Likely only a third or so will become law. The deadline for introducing general bills and constitutional amendments is Feb. 19. Taxing and spending bills face later deadlines, with the session scheduled to end on May 5.
Mississippi health care — including the intertwined crises of hundreds of thousands of uninsured people and hospitals facing financial disaster — is front and center with lawmakers this year.
Here are some bills filed to date to address health care issues.
Scope of practice, facilities
Senate Bill 2064, authored by Sen. Angela Burks Hill, R-Picayune, would repeal the state’s certificate of need law. CON laws require health care providers to get permission from the state before adding or expanding some healthcare facilities or services. Proponents, including many hospital leaders, say they help control costs, ensure quality of care and availability of services such as emergency rooms. Opponents, including Gov. Tate Reeves, say they stifle free-market competition.
Senate Bill 2140, authored by Sen. J. Walter Michel, R-Ridgeland, would streamline “prior authorization,” the process by which insurance companies decide which medications and procedures are covered for consumers. It already passed unanimously in the Senate, and with a few revisions, also passed unanimously in the House. It will now go back to the Senate for approval of the revisions. But a similar prior authorization bill passed the Legislature last year, only to be vetoed by Gov. Reeves.
Senate Bill 2080, authored by Sen. Kevin Blackwell, R-Southaven, seeks to introduce the state’s first licensed midwifery program. As it stands, anyone can practice midwifery in Mississippi, but those who want certification have to go out of state — meaning Mississippi, a state riddled with health care deserts and the highest infant and maternal mortality rates, loses out on provider care.
Senate Bill 2079, authored by Sen. Kevin Blackwell, R-Southaven, would abolish nurse practitioner collaboration agreements. These agreements are financial contracts whereby NPs who want to practice in Mississippi must pay a physician with whom they are “in collaboration” with. These contracts can be expensive and sometimes have distance limitations, meaning rural areas lose out on care because NPs aren’t allowed to practice too far from their collaborating physicians — who are mostly based in urban areas.
House Bill 976 by Rep. Manly Barton, R-Moss Point, would expand podiatrists’ scope of practice to allow them to perform ankle surgeries, bringing Mississippi’s law in line with 48 other states.
Medicaid
House Bill 539, authored by Rep. Missy McGee, R-Hattiesburg, introduces presumptive eligibility for pregnant women. It passed the full House 117-5 last week and now advances to the Senate. If passed, it would allow low-income pregnant women to receive timely prenatal care while they wait for their Medicaid application to be officially approved — which can sometimes take months. Senate Medicaid Chair Kevin Blackwell, R-Southaven, has voiced his support of the policy, calling it a “serious issue for a lot of us on this side.”
Lawmakers are expected to address Medicaid expansion to cover the working poor, and several bills have already been filed, but the bills that will actually be used and debated are likely still forthcoming.
Reproductive health and rights
House Bill 32, authored by Rep. Becky Currie, R-Brookhaven, would direct the Mississippi State Department of Health to have a nurse practitioner available at each county health department at least one day a week to provide and prescribe contraception. The bill would also mandate that contraception be made affordable on a sliding scale, and that it be made available to minors who are parents, married, have the permission of their parent or legal guardian, or have been referred for the service by another physician, nurse practitioner, clergyman, family planning clinic, school or institution of higher learning, or any state agency.
Senate Bill 2163, by Sen. Joey Fillingane, R-Sumrall, would establish legal protections and rights for the parents of children born via surrogacy and in vitro fertilization.
Mental health
House Bill 336, by Rep. Kevin Felsher, R-Biloxi, would require counties to pay for psychiatric treatment for an indigent resident who has been ordered into treatment by a judge through the civil commitment process, if no publicly funded bed is available. It would cap the cost to the county at no more than the Medicaid reimbursement rate, and it would prohibit counties from jailing going through the commitment process someone solely because they lack a payor source.
House Bill 415, by Rep. Kevin Felsher, R-Biloxi, would prohibit counties from jailing someone without criminal charges while they go through the civil commitment process unless they are awaiting transportation to a medical facility and it is necessary for protective custody. Any such jail detentions would be limited to 72 hours.
Read Mississippi Today’s coverage of jail detentions during the civil commitment process here.
House Bill 990, by Rep. Sam Creekmore, R-New Albany, would create a tax on vape products and use the revenue to increase patient housing at the community mental health centers and to create a fund for the Department of Mental Health’s 988 Crisis Response System.
House Bill 1044, by Rep. Sam Creekmore, R-New Albany, would provide for the establishment and licensure of long-term adult supportive residential facilities for people with mental illness, and would direct Medicaid to cover the services at such facilities.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1875
Nov. 2, 1875
The first Mississippi Plan, which included violence against Black Americans to keep them from voting, resulted in huge victories for white Democrats across the state.
A year earlier, the Republican Party had carried a majority of the votes, and many Black Mississippians had been elected to office. In the wake of those victories, white leagues arose to challenge Republican rule and began to use widespread violence and fraud to recapture control of the state.
Over several days in September 1875, about 50 Black Mississippians were killed along with white supporters, including a school teacher who worked with the Black community in Clinton.
The governor asked President Ulysses Grant to intervene, but he decided against intervening, and the violence and fraud continued. Other Southern states soon copied the Mississippi plan.
John R. Lynch, the last Black congressman for Mississippi until the 1986 election of Mike Espy, wrote: โIt was a well-known fact that in 1875 nearly every Democratic club in the State was converted into an armed military company.โ
A federal grand jury concluded: โFraud, intimidation, and violence perpetrated at the last election is without a parallel in the annals of history.โ
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
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In a time when trusted journalists and media sources are disappearing, we believe the stakes couldn’t be higher. Without on-the-ground, trustworthy reporting, civic engagement suffers, accountability falters and corruption often goes unaddressed. But it doesn’t have to be this way.
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Every dollar raised strengthens our ability to serve you with fact-based journalism on issues that impact your everyday lifeโwhether it’s covering local election issues or reporting on decisions affecting schools, safety and economic growth in Mississippi. Your support makes it possible for us to stay rooted in the community, offering nuanced perspectives that help Mississippians understand and engage with what’s happening around them.
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We’ll examine what’s at stake if local newsrooms lose press freedoms and will discuss how you, as members of the public, can help protect it. This event is open to Mississippi Today and Verite News members as a special thank-you for supporting local journalism and standing with us in this mission. Donate today to RSVP!
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This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Hinds County loses fight over control of jail
The Hinds County sheriff and Board of Supervisors have lost an appeal to prevent control of its jail by a court-appointed receiver and an injunction that orders the county to address unconstitutional conditions in the facility.
Two members from a three-judge panel of the 5th U.S. Circuit Court of Appeals agreed with decisions by U.S. District Judge Carlton Reeves to appoint a receiver to oversee day-to-day jail operations and keep parts of a previous consent decree in place to fix constitutional violations, including a failure to protect detainees from harm.
However, the appeals court called the new injunction โoverly broadโ in one area and is asking Reeves to reevaluate the scope of the receivership.
The injunction retained provisions relating to sexual assault, but the appeals court found the provisions were tied to general risk of violence at the jail, rather than specific concerns about the Prison Rape Elimination Act. The court reversed those points of the injunction and remanded them to the district court so the provisions can be removed.
The court also found that the receiver should not have authority over budgeting and staff salaries for the Raymond Detention Center, which could be seen as โfederal intrusion into RDC’s budgetโ โ especially if the receivership has no end date.
Hinds County Board of Supervisors President Robert Graham was not immediately available for comment Friday. Sheriff Tyree Jones declined to comment because he has not yet read the entire court opinion.ย
In 2016, the Department of Justice sued Hinds County alleging a pattern or practice of unconstitutional conditions in four of its detention facilities. The county and DOJ entered a consent decree with stipulated changes to make for the jail system, which holds people facing trial.
โBut the decree did not resolve the dispute; to the contrary, a yearslong battle ensued in the district court as to whether and to what extent the County was complying with the consent decree,โ the appeals court wrote.
This prompted Reeves to hold the county in contempt of court twice in 2022.
The county argued it was doing its best to comply with the consent decree and spending millions to fix the jail. One of the solutions they offered was building a new jail, which is now under construction in Jackson.
The county had a chance to further prove itself during three weeks of hearings held in February 2022. Focuses included the death of seven detainees in 2021 from assaults and suicide and issues with staffing, contraband, old infrastructure and use of force.
Seeing partial compliance by the county, in April 2022 Reeves dismissed the consent decree and issued a new, shorter injunction focused on the jail and removed some provisions from the decree.
But Reeves didn’t see improvement from there. In July 2022, he ordered receivership and wrote that it was needed because of an ongoing risk of unconstitutional harm to jail detainees and staff.
The county pushed back against federal oversight and filed an appeal, arguing that there isn’t sufficient evidence to show that there are current and ongoing constitutional violations at the jail and that the county has acted with deliberate indifference.
Days before the appointed receiver was set to take control of the jail at the beginning of 2023, the 5th Circuit Court ordered a stay to halt that receiver’s work. The new injunction ordered by Reeves was also stayed, and a three-person jail monitoring team that had been in place for years also was ordered to stop work.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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