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.
Crooked Letter Sports Podcast
Podcast: Ohio State won it all, but where would Ole Miss have been with Quinshon Jundkins?
Lots to talk about on the days after the national championship game, but in Mississippi, especially in Oxford, much of the talk is about what might have been had Judkins stayed at Ole Miss. Also, the Clevelands discuss Egg Bowl basketball, the grueling SEC schedule, the NFL playoffs, and John Wade’s saga at Southern Miss.
Stream all episodes here.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
With EPA support, the Corps is moving forward with the Yazoo Pumps
Barring any legal challenge, it appears the South Delta is finally getting its pumps.
The U.S Army Corps of Engineers announced last Friday it’s moving forward with an altered version of the Yazoo Pumps, a flood relief project that the agency has touted for decades. The project now also has the backing of the Environmental Protection Agency, whose veto killed a previous iteration in 2008 because of the pumps’ potential to harm 67,000 acres of valuable wetland habitat.
In a Jan. 8 letter, the EPA wrote that proposed mitigation components — such as cutting off the pumps at different points depending on the time of year, as well as maintaining certain water levels for aquatic species during low-flow periods — are “expected to reduce adverse effects to an acceptable level.”
South Delta residents have called for the project to be built for years, especially after the record-setting backwater flood in 2019. State lawmakers from the area rejoiced over last week’s news.
“It’s been a long time coming,” said Sen. Joseph Thomas, D-Yazoo City, explaining that most in his district support the pumps. “I’m sure there are some minuses and pluses (to the project), but by and large I think it needs to happen.”
Sen. Briggs Hopson, R-Vicksburg, recalled that almost half of his district was underwater in 2019.
“I’m very pleased that the Corps has issued this (decision),” Hopson told Mississippi Today on Tuesday.
Before the Corps’ latest proposal, the future of the pumps was in limbo for several years. Under President Trump’s first administration, the EPA in 2020 said the 2008 veto no longer applied to the proposal because of Corps research suggesting that the wetlands mainly relied on water during the winter months — a less critical period for the agriculture-dependent South Delta — to survive, and that using the pumps during the rest of the year would still allow the wetlands to exist.
The EPA then restored the veto under President Biden’s administration. But in 2023, the Corps agreed to work with the EPA on flood-control solutions which, as it turned out, still included the pumps.
While the public comment period is over and the project appears to be moving forward, the Corps has yet to provide a cost estimate for the pumps, which are likely to cost at least hundreds of millions of dollars. A 19,000 cubic-feet-per second, or cfs, pumping station in Louisiana cost roughly $1 billion to build over a decade ago, and the Corps is proposing a 25,000 cfs station for the South Delta.
Corps spokesperson Christi Kilroy told Mississippi Today that the project will move onto the engineering and design phase, during which the agency will come up with a price estimate. Mississippi Today asked multiple times if it’s unusual to wait until after the public has had a chance to comment to provide an estimate, but the agency did not respond.
Under the project’s new design, the pumps will turn on when backwater reaches the 90-foot elevation mark anytime during the designated “crop season” from March 25 to Oct. 15. During the rest of the year, the Corps will allow the backwater to reach 93 feet before pumping.
In last Friday’s decision, the Corps wrote that the project would have “less than significant effects (on wetlands) due to mitigation.” The project’s mitigation includes acquiring and reforesting 5,700 acres of “frequently flooded” farmland to compensate for wetland impacts.
In a statement sent to Mississippi Today, the EPA said that the “higher pumping elevations” — the Corps’ previous proposal started the pumps at 87 feet — and the “seasonal approach” to pumping will reduce the wetlands impact.
However conservationists, including a group of former EPA employees, are not convinced. The Environmental Protection Network, a nonprofit of over 650 former EPA employees, wrote in August that the latest proposed pumping station “has the potential to drain the same or similar wetlands identified in the 2008 (veto) and potentially more.”
“Similar to concerns EPA identified in the 2008 (veto)… EPN’s concerns with the potential adverse impacts of this version of the project remain,” the group wrote.
A coalition of other groups — including Audubon Delta, Earthjustice, Healthy Gulf and Mississippi Sierra Club — remain opposed to the project, arguing that hundreds of species rely on the wetlands during the “crop season” for migration, breeding and rearing.
“This action is a massive stain on the Biden Administration’s environmental legacy and undermines EPA’s own authority to protect our nation’s most important waters,” the coalition said in a statement last Friday.
When asked about potential legal challenges to the Corps’ decision, Audubon Delta’s policy director Jill Mastrototaro told Mississippi Today via email: “This project clearly violates the veto as we’ve documented in our comments. We’re carefully reviewing the details of the announcement and all options are on the table.”
In addition to the pumps, the project includes voluntary buyouts for those whose properties flood below the 93-foot mark, which includes 152 homes.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1906
Jan. 22, 1906
Pioneer aviator and civil rights activist Willa Beatrice Brown was born in Glasgow, Kentucky.
While working in Chicago, she learned how to fly and became the first Black female to earn a commercial pilot’s license. A journalist said that when she entered the newsroom, “she made such a stunning appearance that all the typewriters suddenly went silent. … She had a confident bearing and there was an undercurrent of determination in her husky voice as she announced, not asked, that she wanted to see me.”
In 1939, she married her former flight instructor, Cornelius Coffey, and they co-founded the Cornelius Coffey School of Aeronautics, the first Black-owned private flight training academy in the U.S.
She succeeded in convincing the U.S. Army Air Corps to let them train Black pilots. Hundreds of men and women trained under them, including nearly 200 future Tuskegee Airmen.
In 1942, she became the first Black officer in the U.S. Civil Air Patrol. After World War II ended, she became the first Black woman to run for Congress. Although she lost, she remained politically active and worked in Chicago, teaching business and aeronautics.
After she retired, she served on an advisory board to the Federal Aviation Administration. She died in 1992. A historical marker in her hometown now recognizes her as the first Black woman to earn a pilot’s license in the U.S., and Women in Aviation International named her one of the 100 most influential women in aviation and space.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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