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House health care committee leadership changes signal Medicaid expansion debate

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Speaker Jason White on Friday appointed new people to lead the two House committees with jurisdiction over health policy, signaling a desire to shift the focus of health care debate in a state plagued by dire health outcomes.

“The selections for chairs and vice chairs directly reflect our desire and drive to elevate Mississippi,” White said in a statement. “I am enthusiastic to work with these Republican, Democrat, and independent chairs and vice chairs as we address our state’s challenges and opportunities through a conservative lens to build a better, brighter Mississippi.”

The new speaker appointed Sam Creekmore IV, a Republican from New Albany, to chair the Public Health and Human Services Committee and Missy McGee, a Republican of Hattiesburg, to chair the Medicaid Committee, a notable shift from more conservative respective chairs of the previous four-year term.

Both Creekmore and McGee come from the more moderate wing of the state GOP and have been involved in previous efforts to reform aspects of health care. Both have told Mississippi Today they support Medicaid expansion under the Affordable Care Act.

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

Creekmore, only a second-term lawmaker, successfully passed legislation last year to provide more mental health services while McGee, a third-term legislator, has been a vocal advocate for increasing postpartum Medicaid benefits for new mothers.

“I was very much surprised,” Creekmore told Mississippi Today of the committee chair assignment. “I was thinking that if I got a chair it would not be Public Health, though that would have been my first choice. I have been passionate about it. I did not ask for it. I wasn’t expecting anything major like Public Health.”

When asked about possible priorities as chair of Public Health, Creekmore said he wanted to put Medicaid expansion “on the table.”

“Let’s have a conversation,” he said. “I know that is what the speaker wants to do, too. We have not discussed it other than just in passing. But whatever we do has to be what is best for the hospitals, the people and the state.”

White had said earlier he wanted to conduct a serious study of expanding Medicaid to provide health care for primarily to working poor as 40 other states have done. In the past, the Republican leadership of the Legislature has refused to even consider Medicaid expansion, which is still opposed by Gov. Tate Reeves.

READ MORE: Few Mississippi lawmakers in 2023 outright opposed Medicaid expansion

White also appointed four Democrats to chair less visible committees. During the past term, then-Speaker Philip Gunn, who chose not to run for reelection, did not appoint any Democrats as committee chairs. The four Democratic chairs are Carl Mickens over Housing; Cedric Burnett over Interstate Cooperation; Karl Gibbs on State Library and Otis Anthony over Youth and Family Affairs.

Even though there were four Democrats selected as chairs and 21 as vice chairs, Robert Johnson III of Natchez, the House Democratic leader, said there were few Democrats placed in positions to have major impacts.

“I was hoping for more given the statements the speaker had made,” Johnson said. He added he is still hopeful of cooperation given the conversations he has had with White and new House Pro-Tem Manly Barton.

Johnson also praised White’s appointments of Creekmore as Public Health chair and McGee as Medicaid chair.

While Johnson said he would liked to have seen a Democrat in one of those posts, both Creekmore and McGee have “shown the willingness to work across the aisle to do what is best for the state. I am encouraged by their appointments.”

White opted to keep Republican John Read of Gautier as Appropriations Committee chair and Republican Trey Lamar of Senatobia as Ways and Means chair, the two committees responsible for tax policy and crafting the state budget.

The speaker appointed only four Democrats to lead committees, but those committees, in reality, are not powerful and a majority of Republicans will still make up the majority of the members on those committees.

The speaker will soon begin referring bills to committees for consideration. The deadline for leaders to pass bills out of their committees is March 5.

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

Mississippi Today

On this day in 1961

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mississippitoday.org – Jerry Mitchell – 2025-02-06 07:00:00

Feb. 6, 1961

Credit: Courtesy of Friendship 9

The civil rights “jail-in” movement began when eight Black students and a civil rights organizer who became known as the “Friendship Nine” in Rock Hill, South Carolina, were arrested for requesting service at a “whites-only” lunch counter. 

They served jail time rather than pay fines, challenging the legitimacy of the laws. 

Martin Luther King Jr. wrote to the nine and others who joined them in jail, including Charles Sherrod and Diane Nash: “You have inspired all of us by such demonstrative courage and faith. It is good to know that there still remains a creative minority who would rather lose in a cause that will ultimately win than to win in a cause that will ultimately lose.” 

The “Jail, No Bail” strategy became the model for the Freedom Riders months later. 

In 2015, Circuit Court Judge John C. Hayes III threw out the convictions of the Friendship Nine, who had been convicted of trespassing and protesting at the McCrory store in Rock Hill. Hayes, the nephew of the original judge who sentenced the Friendship Nine to jail, told them, “We cannot rewrite history, but we can right history.” 

The nine were represented by Ernest A. Finney Jr., who defended their case 54 years earlier and went on to become the first Black chief justice of the South Carolina Supreme Court since Reconstruction.

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

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Black women in the Delta with cervical cancer more likely to die because of health system failures

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mississippitoday.org – Simeon Gates – 2025-02-06 04:00:00

Systemic failures have led Black women in the Mississippi Delta to have disproportionately high death rates from cervical cancer, a new report concludes.

The Southern Rural Black Women’s Initiative for Economic & Social Justice and Human Rights Watch collaborated on the report. It is the result of publicly available information, and interviews with 49 experts and 159 Black women from Bolivar, Washington and Humphreys counties.

Oleta Fitzgerald, the initiative’s co-founder and regional administrator, explained the significance of the issue. “It is a cancer that is preventable and highly treatable if people have access to the right kind of medical professionals and screenings and the HPV vaccination,” she said. “It is also a cancer that is rampant and particularly and indiscriminately in Black women in the rural areas where we work, and there is something we can do about it.”

The American Cancer Society predicts about 4,320 women will die from cervical cancer in 2025. Black women are 75% more likely to die from cervical cancer than white women. 

The report found that issues such as lack of access to health care, poverty, racism and lack of education are the main culprits. 

A panel discussion titled “No Excuse – Inadequate Cervical Cancer Prevention and Care for Black Women in the Mississippi Delta,” explored the impact of the disease on women in the Delta, the lack of care and the impact of racism regarding that care. It was held at the Jackson Medical Mall, Tuesday, Jan. 28, 2025. Credit: Vickie D. King/Mississippi Today

Mississippi is one of the poorest states in the nation with some of the worst health indicators, and has one of the highest rates of uninsured people. According to KFF, 9.5% of Americans between zero and 64 years old were uninsured in 2023. In Mississippi, it’s 12.6%. 

The Mississippi Cancer Registry found that between 2017 and 2021, the cervical cancer death rate for Black women in the Delta was 1.4 times higher than white women’s.

The report found that the lack of Medicaid expansion led to people not having health care coverage, a situation exacerbated by a  shortage of OB-GYNs and more rural hospital closures. Eight of the 18 Delta counties are maternity care deserts.

Without health insurance or Medicaid, many women can’t afford regular check-ups, cancer screenings and follow-ups necessary to catch cervical cancer early. They may also not have transportation, public or private, to get to the doctor’s office. 

Dr. Thomas Dobbs, the former state health officer, explained that the lack of OB/GYNs is part of a national trend. “There’s been a transition in the medical environment where physicians coming out to practice don’t locate to rural areas as much,” said  Dobbs, now dean of the school of population health at the University of Mississippi Medical Center. 

The Association of American Medical Colleges Research and Action Institute found that states with strict abortion bans, like Mississippi, get fewer applicants for residency programs.

Racial discrimination in the health care system has caused Black women to distrust medical providers. Leland resident and substitute teacher Stacy Wiggins recalled how many people she knew avoided going to the doctor because of how poorly they were treated. She didn’t understand what they meant until she had her own battles with cancer.

“When I got down sick, that’s when I saw that the health care in my area is not equipped to handle a lot of situations,” she said. 

Wiggins survived both thyroid and ovarian cancer. Before being diagnosed with cancer, she had health insurance through her job at Family Dollar. She did not qualify for Medicaid or the low premiums under the Affordable Care Act.

Before her cancer diagnosis, her doctor advised her to seek treatment outside of the county. She took the physician’s advice, and was treated for both cancers in Jackson. She believes if she hadn’t, she would not be alive today.

Wiggins, whose cancer is in remission, gets assistance from Medicaid’s Elderly and Disabled Medicaid Waiver program, which covers transportation and an aide.

There is also a dearth of education on reproductive and sexual health. One of the strongest tools against cervical cancer is the HPV vaccine. Some HPV infections can lead to certain cancers. It’s recommended that children ages 9 to 14 get two doses over 6 to 12 months, and three doses over six months at ages 15 to 26. People can receive the vaccine up to age 45.

Mississippians have some of the lowest HPV vaccination rates in the country. In 2023, about 38% of Mississippi teens received all doses of the HPV vaccine. 

Greenville nurse practioner Patricia Barber, who was attending to her patients, joined the discussion at the Jackson Medical Mall via virtual call, exploring the impact of cervical cancer on women in the Delta, the lack of care and the impact of racism regarding that care. It was held at the Jackson Medical Mall, Tuesday, Jan. 28, 2025. Credit: Vickie D. King/Mississippi Today

Greenville family nurse practitioner Dr. Patricia Barber said that a lack of awareness is a serious problem. “I really think a lot of it is a lack of information because every time I talk to my patients about the HPV vaccine, they’re very receptive,” she said.

The Delta’s demographics also play a role. Census data from 2023 shows that in the three counties studied, Black residents make up 64 to over 73% of the population, and women make up over 53%. The counties’ combined population is 75,130.

The report makes several recommendations for state lawmakers. Expanding Medicaid, adopting “rights-based, scientifically accurate” sex education in schools, and increasing awareness of HPV vaccines were among them. They also support more funding and improvements for telehealth, community-based health centers and county health departments.

Advocates are still pushing for Medicaid expansion in the current legislative session. The House and the Senate both passed Medicaid expansion “dummy” bills. These bills are meant to be placeholders while state lawmakers wait to act until the Trump administration weighs in.

Fitzgerald says that members of Southern Rural Black Women’s Initiative are part of the efforts to expand Medicaid and will continue working to improve outcomes across the state.

“This environment will be more difficult because policymakers are moving in lock-step with the national policy agenda,” she said. “But we never give up.”
Dobbs recommended that people take advantage of the Mississippi Medicaid Family Planning Waiver, a limited benefit that pays for women’s health care, including pap smears. The Mississippi Department of Health also has a program that covers breast and cervical cancer screenings for women who meet income and age requirements.

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

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‘This is a stupid bill’: Mississippi House advances DEI ban

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mississippitoday.org – Michael Goldberg – 2025-02-05 17:41:00

Mississippi House Republican lawmakers advanced a bill that would shutter DEI programs in all of the state’s public schools, ban certain concepts from being taught in classrooms and dictate how schools define gender. 

The sweeping legislation would impact all public schools from the K-12 to community colleges and universities. It threatens to withhold state funds based on “complaints” that anyone could lodge. It would empower people to sue schools accused of violating the law.

And it drew impassioned opposition from House Democrats, almost all of whom are Black, in the state with the nation’s highest percentage of Black residents.

“House Bill 1193 is not just another piece of legislation,” said Rep. Jeffery Harness, D-Fayette. “It is a direct attack on the hard-fought battles that African Americans, other minorities, women and marginalized communities have waged for centuries. It is a cowardly attempt to sanitize history, to pretend that racism no longer exists, and to maintain the status quo of privilege of those who have always held power in this country.

The state house approved House Bill 1193, sponsored by Rep. Joey Hood, R-Ackerman, in a 74-41 vote. The bill would eliminate diversity training programs that “increase awareness or understanding of issues related to “race, sex, color, ethnicity, gender identity, sexual orientation, religion or national origin.” It also bans school officials from asking job applicants to submit diversity statements on such issues in the hiring process.

Hood said his proposal is necessary for ensuring employment decisions and student activities are based solely on individual merit without consideration of one’s views on DEI. He also said the bill targets programs and academic concepts that many people find objectionable and that no one group would be singled out.

“I haven’t heard anybody stand up and tell me that one of these divisive concepts are wrong,” Hood said. “I don’t think it’s unfair. I think these statements apply equally to all individuals.”

The legislation goes further than regulating hiring and training procedures in educational settings. It also meddles with classroom instruction, barring universities from offering courses that promote “divisive concepts,” including “transgender ideology, gender-neutral pronouns, heteronormativity, gender theory, sexual privilege or any related formulation of these concepts.” 

Schools would not be able to “promote” the ideas above, but the law does direct them to promote a definition of gender.

The bill was updated in committee to add a provision that forces all public schools to teach and promote there are two genders, male and female. The move mirrors an executive order signed by President Donald Trump calls for the federal government to define sex as only male or female. Another order Trump signed also eliminated DEI in the federal government.

If the legislation were to become law, any public school or state-accredited nonpublic school that receives more than two complaints alleging a violation could lose state money.

DEI programs have come under fire mostly from conservatives, who say the programs divide people into categories of victims and oppressors, exacerbate antisemitism and infuse left-wing ideology into campus life. DEI also has progressive critics, who say the programs can be used to feign support for reducing inequality without actually doing so.

But proponents say the programs have been critical to ensuring women and minorities aren’t discriminated against in schools and workplace settings. They say the programs are necessary to ensure that institutions meet the needs of increasingly diverse student populations.

Hood said there are already federal laws in place that protect minorities from discrimination.

Democrats said the bill could dissuade student-athletes from attending universities in Mississippi and chill freedom of speech. They also said the bill wouldn’t eliminate favoritism in college admissions and hiring.

Democratic Rep. Omeria Scott introduced an amendment banning “legacy admissions” — the practice of favoring applicants with family ties or connections to alumni. That amendment was defeated.

Rep. Willie Bailey, D-Greenville, argued against the bill, saying, “The Bible could not be taught under this bill — it talks about diversity, it talks about equity, it talks about inclusion.”

“This is a stupid bill,” Bailey said.

The bill now heads to the Senate for consideration, which is expected to take up a proposal of its own restricting DEI.

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

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