Mississippi Today
Health Department cuts clinical services at some county clinics following insufficient funding from Legislature

After the Legislature failed to give the state health department the funding it needed to fully staff county health departments, some no longer offer clinical services and the agency may close others.
County health departments now offer one of three levels of care as a part of a plan to ensure their sustainability in the face of limited and unpredictable funding.
Eight county health departments no longer offer the clinical services they have traditionally provided, like immunizations, preventive screening and reproductive health services. Instead, they serve as a connection point to other health departments with higher levels of care.
The reorganization is the county health departments’ “pathway for survival,” State Health Officer Dr. Daniel Edney told Mississippi Today.
Previously, clinicians rotated between county health departments, he said. The new system establishes consistent levels of care.
“That didn’t work,” he said. “But this is working.”
Health departments are now classified into three levels:
- Level 3 clinics, or “super clinics,” have a doctor or nurse practitioner on staff. They offer a full range of services, including family planning, immunizations, disease screenings and programming for mothers and children.
- Level 2 clinics have a nurse on staff and offer limited family planning services, immunization, disease screenings, programming for mothers and children and telehealth appointments.
- Level 1 clinics do not have a clinician on staff, and offer referrals, record services, federal programming for women and children and help people schedule rides to higher level clinics.
Some clinics offer Level 2 services on some days of the week and Level 3 services on others.
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The new system aims to concentrate resources and ensure that every region of Mississippi has access to needed health services, said Dr. Renia Dotson, Mississippi’s state epidemiologist and the director of the recently created Center for Public Health Transformation, the health department division responsible for overseeing the changes.
It utilizes telehealth and transportation services – like the department’s partnership with Uber – to ensure that patients can access a doctor or nurse practitioner even in health department locations without one on staff.
In just over one year, the health department doubled the number of nurse practitioners it employs to over 30 and increased the number of Level 3 clinics to 15, said Dotson. She said the health department aims to continue expanding the number of Level 3 clinics.
Drastic budget cuts in 2017 forced the agency to shutter county health departments and lay off staff. The agency has spent the last eight years rebounding from the cuts.
In 2023, the Legislature denied the health department’s $9 million budget request to hire the nurses needed to fully staff county health departments and a program that puts nurses in the homes of low-income pregnant women with high-risk pregnancies.
The Mississippi State Department of Health began implementing a tiered approach to county health departments’ level of care not long afterwards. The agency has been making the changes for the past 18 months, said Edney.
No county health departments have yet been closed as a result of the changes, said Dotson, but there may be some areas where it is not possible to continue operating a county health department. The agency is currently in the process of evaluating the level of care that is needed and that the department is able to support in each county, and considering other health services offered in an area when making determinations on need.
“We’ll make an effort to maintain a presence in every county if that is feasible,” she said.
The agency’s website does not currently include information about the reorganization or provide information about which level of care each county health department provides.
The Department of Health made a meager budget request this year of just $4.8 million to train early-career doctors and help Mississippians enroll in health insurance. It did not include any specific requests for county health department funding or funding positions for doctors or nurses.
The agency is working to create margins in a tight budget by reducing its overhead, Edney told Mississippi Today.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1977
On this day in 1977
March 8, 1977

Henry L. Marsh III became the first Black mayor of the former capital of the Confederacy, Richmond, Virginia.
Growing up in Virginia, he attended a one-room school that had seven grades and one teacher. Afterward, he went to Richmond, where he became vice president of the senior class at Maggie L. Walker High School and president of the student NAACP branch.
When Virginia lawmakers debated whether to adopt “massive resistance,” he testified against that plan and later won a scholarship for Howard University School of Law. He decided to become a lawyer to “help make positive change happen.” After graduating, he helped win thousands of workers their class-actions cases and helped others succeed in fighting segregation cases.
“We were constantly fighting against race prejudice,” he recalled. “For instance, in the case of Franklin v. Giles County, a local official fired all of the black public school teachers. We sued and got the (that) decision overruled.”
In 1966, he was elected to the Richmond City Council and later became the city’s first Black mayor for five years. He inherited a landlocked city that had lost 40% of its retail revenues in three years, comparing it to “taking a wounded man, tying his hands behind his back, planting his feet in concrete and throwing him in the water and saying, ‘OK, let’s see you survive.’”
In the end, he led the city from “acute racial polarization towards a more civil society.” He served as president of the National Black Caucus of Elected Officials and as a member of the board of directors of the National League of Cities.
As an education supporter, he formed the Support Committee for Excellence in the Public Schools. He also hosts the city’s Annual Juneteenth Celebration. The courthouse where he practiced now bears his name and so does an elementary school.
Marsh also worked to bridge the city’s racial divide, creating what is now known as Venture Richmond. He was often quoted as saying, “It doesn’t impress me to say that something has never been done before, because everything that is done for the first time had never been done before.”
He died on Jan. 23, 2025, at the age of 91.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Judge tosses evidence tampering against Tim Herrington

A Lafayette County circuit judge ended an attempt to prosecute Sheldon Timothy Herrington Jr., the son of a prominent north Mississippi church family who is accused of killing a fellow University of Mississippi student named Jimmie “Jay” Lee, for evidence tampering.
In a March 7 order, Kelly Luther wrote that Herrington cannot be charged with evidence tampering because of the crime’s two-year statute of limitations. A grand jury indicted the University of Mississippi graduate last month on the charge for allegedly hiding Lee’s remains in a well-known dumping ground about 20 minutes from Herrington’s parent’s house in Grenada.
“The Court finds that prosecution for the charge of Tampering with Physical Evidence commenced outside the two-year statute of limitations and is therefore time-barred,” Luther wrote.
In order to stick, Luther essentially ruled that the prosecution should have brought the charges against Herrington sooner. In court last week, the prosecution argued that it could not have brought those charges to a grand jury without Lee’s remains, which provided the evidence that evidence tampering occurred.
The dismissal came after Herrington’s new counsel, Jackson-area criminal defense attorney Aafram Sellers, filed a motion to throw out the count. Sellers did not respond to a request for commend by press time.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
JXN Water is running out of operating money, set to raise rates again

JXN Water is losing money at a rate it can’t sustain, according to a financial outlook it released last week, as the federal dollars it received to run day-to-day operations are set to run out next month.
Ted Henifin, who manages the third-party provider, told Mississippi Today on Thursday that the funding shortfall may extend repair times for line breaks, and that the utility will look to once again raise rates on customers’ water bills. Henifin explained that various factors — such as debt payments, higher-than-expected operating costs, and slower-than-expected collections gains — have left the water utility in a precarious position where it’s now losing $3 million a month.
“Gone from a water disaster to a bit of financial disaster or so,” Henifin described.

The federal government set aside a historic $800 million for Jackson to fix its water and sewer systems in 2022, with $600 million of that tied specifically to the water system. That included $150 million of “flexible” funding, which JXN Water has used mostly for line repairs as well as on a contract with Jacobs to run the day-to-day operations of the system. The rest of the $600 million was intended for bigger, capital projects.
But the $150 million, Henifin said, is on track to run out in April. He said JXN Water will look for grants and low-interest loans to hold its operations together, as well as work with Congress to free up some of the $450 million — the amount intended for larger projects — for operations spending.
The water provider is also set to impose an almost 12% rate increase on customers’ water bills this spring — just under $9 per month for the average resident — the second rate hike in as many years (the utility a year ago raised rates on average $10 per month). While the 2022 federal order requires it to put rate increases before the Jackson City Council, JXN Water only needs the approval of overseeing U.S. District Judge Henry Wingate.

In addition to higher-than-expected operating costs, such as fixing line breaks, Henifin said the utility was also unsuccessful in retiring some of the city’s debt due to federal constraints over how it spends the $450 million pot. As a result, JXN Water is paying $1.5 million a month, or half of its total losses, in debt services.
Meanwhile, the utility’s revenue collection rate of 70% is an improvement from a year ago, when it was under 60%, but it’s still far below the national average. Last year, Henifin told Mississippi Today in order to make the water system self-sustainable by the time federal funding runs out, the rate needs to reach 80% in 2025 and 90% in 2026. The financial report says there are 14,000 accounts that receive water but aren’t paying bills.
Henifin admitted on Thursday, though, that even if collection rates were at 100%, JXN Water would still be losing money.
“It’s really the running out of the federal funds and not having closed that gap on local revenues,” he said. “Error on our part maybe that we didn’t focus on this earlier, but we were really trying to get the water system working.”
Last week’s financial plan added that a decision from the 5th U.S. Circuit Court of Appeals over whether to release SNAP recipient data is expected within the next two months. JXN Water last year introduced a first-of-its-kind discount for SNAP recipients, but both federal and state officials appealed an order from Wingate to release the names of those recipients, preventing the utility from automatically applying those discounts.

To help free up funding for the utility, Rep. Chris Bell, D-Jackson, wrote a bill which would allow JXN Water to become a water authority for the purpose of accessing tax-exempt bonds or loans. The bill now just needs to pass a floor vote in the Senate.
Henifin added that, after some initial uncertainty, JXN Water’s current funding won’t be impacted by the Trump administration’s recent freezing of federal grant funds.
He also said the funds they do have access to are being used to make major improvements, such as fixing the membrane trains, filters and sediment basins at the O.B. Curtis treatment plant.
“I think it’s a pretty bright future,” Henifin said. “If we can just get over this little cashflow hump we’re in good shape.”
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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