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How much will your hospital receive in state grant money?

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Lawmakers approved $104 million for Mississippi hospitals. Some say it’s not nearly enough.

Mississippi hospital leaders have been begging for help for months, and the Legislature has answered the call — though some advocates and lawmakers say it’s not nearly enough.

Both chambers on Tuesday approved a $103.7 million grant program that will be split by Mississippi’s struggling hospitals.

The pandemic weakened the state’s already-stressed health care infrastructure — costs for supplies and workers went up, and reimbursements from insurance providers did not. Many of the state’s hospitals have been bleeding out for the past few years, shutting floors and service lines one by one.

Now, a third of Mississippi’s rural hospitals are at risk of closure, and half of those within a couple of years. It’s a situation poised to worsen health outcomes in a state with already some of the worst in the country.

Both legislative chambers this week passed Senate Bill 2372, which establishes a grant program for hospitals, and House Bill 271, which funds it.

Previously, the Senate’s version of the bill aimed to give $80 million to hospitals, focusing its efforts on rural health care providers. Instead, the House wanted to give the funds to larger hospitals.

After closed-door deliberations among six legislative Republicans, the two sides reached a compromise on Tuesday: They’re distributing $103 million to hospitals through a hybrid funding model, using funds from the American Rescue Plan Act, according to the bill. The Mississippi Department of Health is receiving $700,000 to administer the program, according to Senate Medicaid Chairman Kevin Blackwell, R-Southaven.

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The compromise falls short of what hospital leaders and some rank-and-file lawmakers said was needed. The Mississippi Hospital Association projected early this year that hospitals would need $230 million in extra funds to stay afloat. Despite the increase in grants, they’re still about $40 million short.

Negotiations of the grant program came as the state sits on a record revenue surplus of nearly $4 billion. And Republican lawmakers continue to leave more than $1 billion per year on the table by rejecting Medicaid expansion.

Tim Moore, president of the MHA, said on behalf of state hospitals that health care leaders are very appreciative of the actions taken by the Legislature to pass the measure, especially the creation of an allocation model that supports all hospitals, no matter the location or size.

But he added the lower-than-needed total will not solve the ongoing hospital crisis — that new, recurring revenue will along with a remodeling of Mississippi’s health care and payment infrastructure.

“The solution has not changed,” Moore said. “Payer issues and the burden of uncompensated care must be addressed. The Mississippi hospital system that provides care to all Mississippians costs $23 million dollars a day to operate. Any sustainable business model must generate adequate revenues to cover expenses. Hospitals are no exception.

“If a long term solution is not developed, access to care will decline and fewer services will be offered at local community hospitals,” Moore said.

Legislative Democrats in January proposed a grant program that would appropriate $200 million to the struggling hospitals and used the opportunity to blast Republicans’ inaction on the issue. This week, most House and Senate Democrats voted to approve the Republicans’ $104 million grant program but used floor debate to argue that the state should be doing more.

“It is particularly galling that in the same weekend when we saw Mississippians struggle to find emergency health care after a natural disaster, Republican leaders still felt it appropriate to allocate less than half of what hospitals have been begging for just to keep their doors open,” Rep. Robert Johnson, the House Democratic leader from Natchez, said on Tuesday. “They stood up and told all of us how awful the devastation of the tornado was, then they immediately turned around and refused to do the bare minimum.

“In one breath Republicans are telling us that we’ll rebuild from the storm, that they are pro-life, that they want a better future for the state,” Johnson continued. “And in the next breath they’re saying, ‘Take this and shut up.’ All while they’re telling us we’re in the best financial shape we’ve ever been in. It would be shocking if it weren’t so completely expected.”

Ahead of the final vote in the House and Senate on Tuesday, Republican lawmakers laid out the basic formula for the grant program. If a hospital has more than 100 beds, it will receive a base amount of $1 million.Hospitals with an emergency room and fewer than 100 beds will receive $625,000.

Specialty hospitals, such as Brentwood Behavioral Healthcare in Flowood which is an inpatient psychiatric treatment center, and critical access hospitals will get a base of $500,000. Critical access hospitals have very few inpatient beds but get more money for services they provide. Critical access hospitals, such as Sharkey Issaquena Community Hospital in Rolling Fork, are a designation a step below acute hospitals and are typically reimbursed by Medicare at a rate of 101%, theoretically allowing a 1% profit. Acute hospitals with no emergency rooms get $300,000 as a base amount.

Then, hospitals get an extra $250,000 if they operate small rural emergency rooms and a little less than $2,000 for each bed they have.

The most any one hospital is receiving is $2.3 million, which is going to University Hospitals & Health System. Some providers, such as Diamond Grove mental health clinic in Louisville, are receiving nothing. Others, like Jasper General Hospital, are receiving as little as $331,502.

Major hospital systems including Merit Health, North Mississippi Medical Center and Baptist Memorial are getting millions.

“In the original Senate bill, some hospitals received nothing,” Rep. Sam Mims, a Republican from Natchez and chair of the House Public Health and Human Services committee, said on the floor Tuesday. “This makes sure they all receive something.”

Mims, who was one of the three House negotiators of the grant program, works for Merit Health.

Neshoba County General Hospital in Philadelphia, the county’s only hospital, is getting just under $1 million in grant money. In recent months, the hospital has closed one of its acute floor wings and nurse stations — in the past decade, admissions have gone down by half.

Neshoba General CEO Lee McCall said that the hospital’s loss in the past five months is relatively equal to the extra grant money, and it’s about $200,000 more than what he expected to receive from the state. The hospital projects a $2.5 million loss this year.

This amount and the Medicaid enhanced amounts will help significantly by cutting that deficit by more than half,” he said, referring to the extra money hospitals are receiving in supplemental MHAP payments, or payments hospitals receive to offset unequal reimbursement rates. “We are also implementing other cost cutting measures and initiatives to shrink the loss gap. It is much appreciated.”

He stressed that the grant money will get the hospital to temporarily break even, but there are still seven months to go in the year — and the years beyond that.

“The one time grant funding is much appreciated, but doesn’t fix the ongoing problems we’re dealing with in hospitals,” McCall said.

The Delta’s Greenwood Leflore Hospital is arguably in one of the most dire financial situations of all hospitals in the state. The hospital is also getting a little less than $1 million under the new program.

The hospital has already shuttered their neurology, urology and labor and delivery units, among others, in an effort to cut costs. They’re months away from closing, according to their interim CEO Gary Marchand.

“We appreciate the grant funds, and it will help in our efforts to continue operations in the short term,” Marchand said when reached by text Tuesday. “It will replace a portion of the cash reserves used during the pandemic.”

The legislation now goes to Gov. Tate Reeves for final approval. It’s not clear when funds will be distributed. Spokespeople from the Mississippi State Department of Health did not answer questions by press time.

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

Mississippi Stories Videos

Mississippi Stories: Michael May of Lazy Acres

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mississippitoday.org – rlake – 2025-01-21 14:51:00

In this episode of Mississippi Stories, Mississippi Today Editor-at-Large Marshall Ramsey takes a trip to Lazy Acres. In 1980, Lazy Acres Christmas tree farm was founded in Chunky, Mississippi by Raburn and Shirley May. Twenty-one years later, Michael and Cathy May purchased Lazy Acres. Today, the farm has grown into a multi seasonal business offering a Bunny Patch at Easter, Pumpkin Patch in the fall, Christmas trees and an spectacular Christmas light show.  It’s also a masterclass in family business entrepreneurship and agricultural tourism.

For more videos, subscribe to Mississippi Today’s YouTube channel.


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

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On this day in 1921

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mississippitoday.org – Jerry Mitchell – 2025-01-21 07:00:00

Jan. 21, 1921

George Washington Carver Credit: Wikipedia

George Washington Carver became one of the first Black experts to testify before Congress. 

His unlikely road to Washington began after his birth in Missouri, just before the Civil War ended. When he was a week old, he and his mother and his sister were kidnapped by night raiders. The slaveholder hired a man to track them down, but the only one the man could locate was George, and the slaveholder exchanged a race horse for George’s safe return. George and his brother were raised by the slaveholder and his wife. 

The couple taught them to read and write. George wound up attending a school for Black children 10 miles away and later tried to attend Highland University in Kansas, only to get turned away because of the color of his skin. Then he attended Simpson College in Indianola, Iowa, before becoming the first Black student at what is now Iowa State University, where he received a Master’s of Science degree and became the first Black faculty member. 

Booker T. Washington then invited Carver to head the Tuskegee Institute’s Agriculture Department, where he found new uses for peanuts, sweet potatoes, soybeans and other crops. 

In the past, segregation would have barred Carver’s testimony before Congress, but white peanut farmers, desperate to convince lawmakers about the need for a tariff on peanuts because of cheap Chinese imports, believed Carver could captivate them — and captivate he did, detailing how the nut could be transformed into candy, milk, livestock feed, even ink. 

“I have just begun with the peanut,” he told lawmakers. 

Impressed, they passed the Fordney-McCumber Tariff of 1922. 

In addition to this work, Carver promoted racial harmony. From 1923 to 1933, he traveled to white Southern colleges for the Commission on Interracial Cooperation. Time magazine referred to him as a “Black Leonardo,” and he died in 1943. 

That same year, the George Washington Carver Monument complex, the first national park honoring a Black American, was founded in Joplin, Missouri.

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

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Legislative recap: 2025 tax cut battle has been joined

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mississippitoday.org – Geoff Pender – 2025-01-20 12:00:00

After relatively brief debate and questioning given its magnitude, the state House passed the first meaningful legislation of the new session: House Bill 1, a measure that would eliminate the state income tax, trim taxes on non-prepared food and raise sales and gasoline taxes.

It would mark a sea change in state tax structure, a shift from income to consumption taxation.

“We are at a place where we can finally tell the hard-working people of Mississippi we can eliminate the tax on work,” House Ways and Means Chairman Trey Lamar, HB1’s author, told his colleagues.

The measure passed the House 88-24. It gained some Democratic support in the supermajority Republican House, with nine Democrats voting in favor, 24 against and 12 voting present.

The proposal garnered some bipartisan support because it includes at least a couple of items Democratic lawmakers have championed in the past: A gasoline tax to help fix crumbling roadways, and a reduction in the “grocery” tax, or the sales tax levied on unprepared food, of which Mississippi has the highest overall rate in the nation.

It still met with some Democratic opposition in part because it is a sea change toward more “regressive” taxation. Proponents say this is just, people should pay more for state services they use, such as roadways, and for things they buy as opposed to taxing income. Opponents say this places a proportionately higher tax burden on people of modest means.

“I would say the people hurt the most with this would be working people who have to put gas in their car to go to work or those who have to purchase materials to do a job,” House Democratic Leader Robert Johnson said.

Beyond that concern, opponents or skeptics worry that the foundation of the proposed tax overhaul would be built on shifting sands — a state economy that has been so rosy primarily from the federal government dumping billions of dollars in pandemic spending into Mississippi. With the federal spigot being cut off, some worry, the state economy could slump, and the massive tax cuts in this new plan could provide a state budget crisis, of which Mississippi has much experience, and underfunding of crucial services such as schools, roads, health care and law enforcement.

The largest hurdle Republican House leaders face in seeing their tax plan through to law is not in garnering bipartisan support. It’s internecine disagreement with the Senate Republican leadership, which still appears to harbor abovementioned concerns about overhauling tax structure in uncertain economic times and betting on growth to cover massive tax cuts.

Senate leaders have said they want to enact more tax cuts, but their plan has not yet been released. Lt. Gov. Delbert Hosemann has provided some details of what he wants to see, but it would appear he wants a more cautious approach on cuts. He has not publicly opined on the tax increases in the House plan.


“Have you ever worn a belt and suspenders, lady? It’s a belt and suspenders approach.” — Rep. Trey Lamar, R-Senatobia, to Rep. Omeria Scott, D-Laurel, during floor debate on Lamar’s bill to eliminate the state income tax and raise other taxes.

“No. I have not worn a belt and suspenders. I don’t know anyone who has worn a belt and suspenders,” Scott replied.

House will renew push to legalize mobile sports betting

House Gaming Committee Chairman Casey Eure, R-Saucier, told Mississippi Today he plans on taking another crack at legalizing mobile sports betting in the state. In 2024, the House and Senate passed versions of legislation to permit online sports betting, but never agreed on a final proposal. Some lawmakers raised concerns that gambling platforms would have no incentive to partner with smaller casinos, and most of the money would instead flow to the Mississippi Gulf Coast’s already bustling casinos. Proponents say legalization would undercut the influence of illicit offshore sports betting platforms.

“I’ve been working on this bill for many years and I’m just trying to satisfy any concerns that the Senate may have so we can pass this and start collecting the tax dollars that the state deserves and not allowing everyone to place bets with these offshore accounts,” Eure said. “I feel like the state is losing between $40-$80 million a year in tax revenue.”

Sports wagering has been permitted in the state for years, but online betting has remained illegal amid fears the move could harm the bottom line of the state’s brick-and-mortar casinos. Mobile sports betting is legal in 30 states and Washington, D.C.,  according to the American Gaming Association. — Michael Goldberg


Hosemann makes Senate committee chair changes

Republican Lt. Gov. Delbert Hosemann last week named new chairmen of committees, after former state Sen. Jenifer Branning was sworn into office as a new justice on the Mississippi Supreme Court. 

Sen. Chuck Younger, a Republican from Columbus, previously led the Senate Agriculture Committee and will replace Branning as chairman of the Transportation Committee. Sen. Neil Whaley, a Republican from Potts Camp, previously led the Senate Wildlife, Fisheries and Parks Committee, but will now lead the Senate Agriculture Committee. 

Here are the other changes to Senate committees: 

Sen. Ben Suber, a Republican from Bruce, will be the new chairman of the Senate Wildlife, Fisheries and Parks Committee 

Sen. Bart Williams, a Republican from Starkville, is the new chairman of the Senate Public Property Committee

Sen. Scott DeLano, a Republican from Gulfport, will lead the Senate Technology Committee 

Sen. Robin Robinson, a Republican from Laurel, will chair the Senate Labor Committee 

Sen. Angela Turner Ford, a Democrat from West Point, will lead the Senate Drug Policy Committee.  — Taylor Vance


What’s in a name? Democratic Rep. Scott hopes GOP majority will pass ‘Donald J. Trump Act’ bills

Perhaps tired of seeing many measures she authors ignored or shot down in flames by the Republican supermajority in the Mississippi Legislature, Democratic Rep. Omeria Scott of Laurel is trying a new strategy: naming bills after Republican President-elect Trump.

For this session, Scott has authored: House Bill 61, the “Donald J. Trump Voting Rights Restoration Act;” House Bill 62, the “Donald J. Trump Ban-The-Box Act … to prohibit public employers from using criminal history as a bar to employment;” and House Bill 249, the “Donald J. Trump Early Voting Act.” — Geoff Pender


More bills filed to criminalize abortion

Since the 2022 Dobbs Supreme Court decision overturned the constitutional right to an abortion, Mississippi lawmakers have proposed bills to criminalize workarounds to the state’s strict abortion ban – including criminalizing the abortion pill and out-of-state abortions. The 2025 legislative session is no exception. 

Rep. William Tracy Arnold, R-Booneville, filed House Bill 616 that would make it a felony to manufacture or make accessible medication abortion. Anyone convicted of the crime would be subject to a fine between $1,000 and $5,000, as well as imprisonment between two and five years. Last year, about 250 Mississippians each month requested medication abortion from Aid Access, the only online telemedicine service supplying medication abortion via mail in the U.S. 

Helping a minor receive an abortion would also be criminalized under House Bill 148 filed by Rep. Mark Tullos, R-Raleigh. That would include transporting a minor out of state to undergo an abortion, as well as helping a minor procure a medication abortion – both of which would be punishable by not less than 20 years in prison or a fine of not less than $50,000. — Sophia Paffenroth


$1.1 billion

The estimated net annual cost of the House plan to eliminate the state income tax and raise sales taxes, once fully phased in. Proponents say economic growth would allow the state budget, currently about $7 billion a year, to absorb the cut. Eliminating the income tax would cost the state $2.2 billion in revenue, but the House plan would raise about $1.1 billion in other taxes in offset.

0

The amount of income tax Mississippians would pay after a 10-year phased in elimination of the state income tax. With previous cuts being phased in, state income taxes next year will already be reduced to 4%, among the lowest rates in the nation.

8.5 %

The new Mississippi sales tax, up from current 7%, under the House tax plan assuming most local governments would not opt out of adding a new 1.5% local sales tax.

13 cents more a gallon

The cost of the House’s proposed new 5% gasoline tax, based on last week’s average cost of gasoline in Mississippi of $2.62. The new 5% tax would be on top of the flat 18.4 cents a gallon current state excise on gasoline.

4%

The tax on unprepared food once a reduction of the current 7% would be phased in over a decade under the House plan. The state would over time reduce its sales tax on such groceries to 2.5%, but local governments would add a 1.5% sales tax to such items unless they opt out.

Lawmakers must pass new legislation to improve access to prenatal care

Lawmakers will file another bill this session to help low-income pregnant women get into the doctor earlier – after the federal government rejected the program set up under last year’s law, because of discrepancies between what was written into state law and federal regulations for presumptive Medicaid eligibility. Read the story.


Proposal: eliminate income tax, add 5% tax on gas, allow cities, counties to levy local sales tax

House leaders last week unveiled a sweeping tax cut proposal that would eventually abolish the state income tax, slash taxes on groceries, increase local sales taxes and shore up funds for state and local road work. Read the story.


A new Mississippi law aims to limit jailing people awaiting mental health treatment. Is it working?

Officials say a new law to decrease the number of people being jailed solely because they need mental health treatment has led to fewer people with serious mental illness detained in jails – but the data is contradictory and incomplete. Lawmakers plan legislation to make more counties report the data. Read the story.


How soon we forget: Mississippi House push for record tax cuts revives fear of repeat budget crises

Eight years ago, from a combination of dozens of tax cuts the Legislature approved and a slumping economy, the state saw a budget crisis that resulted in severely underfunded schools, government layoffs, a near halt to building new roads and highways and problems maintaining the ones we have, too few state troopers on the highways and cuts to most major state services. Read the story.


NAACP legislative redistricting proposal pits two pairs of senators against each other

The Mississippi chapter of the ACLU has submitted a proposal to the courts to redraw the state’s legislative districts that creates two new majority-Black Senate districts and pits two pairs of incumbent senators against one another. Read the story.


Legislation to send more public money to private schools appears stalled as lawmakers consider other changes

Some top lawmakers in Mississippi’s Republican-controlled Legislature are prepared to make it easier for students to transfer between public schools but remain skeptical of sending more public money to private schools. Read the story.


House passes $1.1 billion income tax elimination-gas and sales tax increase plan in bipartisan vote

A bill that phases out the state income tax, cuts the state grocery tax and raises sales taxes and gasoline taxes passed the House of Representatives with a bipartisan vote on Thursday. Read the story.


Tate Reeves and other top Mississippi Republicans owe thanks to President Joe Biden

The tremendous cash surpluses that some state Republicans cite when defending their plan to eliminate the state’s income tax would not exist if not for the billions of dollars in federal funds that have been pumped into the state during Biden’s presidential tenure. Read the story.


Podcast: Mississippi transportation director discusses proposed new gasoline tax

Mississippi Department of Transportation Director Brad White tells Mississippi Today’s Geoff Pender and Taylor Vance he’s staying “in his lane” and out of the politics of a House tax overhaul that would eliminate the income tax and raise sales and gasoline taxes, but that he’s pleased lawmakers are trying to address the long running need for a steady new stream of money to help cover highway maintenance needs. Listen to the podcast.

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

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