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Legislative committee releases report on UMMC’s LGBTQ+ clinic

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A legislative committee on Friday released a report about an LGBTQ+ clinic at the University of Mississippi Medical Center that came under fire last year after lawmakers were angered to learn it had provided gender-affirming care to trans youth.

UMMC leadership ultimately decided the “Trustworthy, Evidence-based, Affirming, Multidisciplinary,” or TEAM, clinic should stop seeing trans kids last fall even though gender-affirming care for minors was legal at the time, according to emails obtained by Mississippi Today.

It wasn’t until earlier this year that lawmakers passed House Bill 1125, which banned the provision of gender-affirming care to trans minors in Mississippi. 

READ MORE: ‘Facing political pressure, UMMC cut care to trans kids before the Legislature banned doing so, emails show’

The purpose of Friday’s brief published by the Joint Committee on Performance Evaluation and Expenditure Review, or PEER, was to provide lawmakers with an overview of — and the sources of funding for — gender-affirming care at the TEAM clinic. The report also provides a summary of HB 1125.

It asks basic questions like “why did UMMC open the TEAM clinic,” “how does the TEAM clinic operate” and “what services are provided by the TEAM clinic?”

The answers paint a picture of a shoestring clinic without its own dedicated physical space that operated on private funds and was staffed by the goodwill of 18 employees who had other primary responsibilities at UMMC. The TEAM clinic, founded in 2015, sought to provide a slate of health services in an inclusive environment for LGBTQ+ Mississippians. That included primary care and more specialized services like mental health and gender-affirming care. 

Despite conservative lawmakers and blogs claiming that state funding was paying “for mutilation of children,” the TEAM Clinic mainly ran on patient revenue and grant funding from three sources: The Women’s Foundation of Mississippi, the LGBTQ Fund of Mississippi and the Manning Family Fund. 

The TEAM clinic did not provide surgery to patients under the age of 18. For adults, surgical referrals to UMMC’s Plastic Surgery Department were provided.

Most of the patient revenue that supported the clinic over a roughly three-year period beginning in fiscal year 2020 came from Blue Cross Blue Shield of Mississippi ($55,051) and other commercial insurances. The Mississippi Division of Medicaid paid out $24,122 in claims, according to the report, about 17% of the amount billed by UMMC for services at the TEAM clinic.

A very small portion of state funding — an estimated $1,215 in fiscal year 2022 — paid for the few hours that providers spent at the TEAM clinic on the first Friday of every month.

The miniscule amount of state funding is similar to what PEER discovered when it also sent inquiries to Mississippi Medicaid to determine how much the agency paid out in claims associated with gender identity disorder or gender dysphoria.

All told, it took approximately $25,000 a year to support the clinic’s operations, the PEER found.

The clinic saw less than 300 patients in the same three-year period, an estimate that might be “overinflated” due to the way UMMC maintained confidentiality in its patient count, the report found.

Just 221 people in that same period sought “gender transition services” at the TEAM Clinic, which the report appears to have counted as services ranging from “behavioral health” to prescriptions like puberty blockers and hormone therapy.

Over the three-year period, PEER estimated that just 53 patients under the age of 18 received gender transition services.

But the report says that “in FY 2024, the number of minors served in the Clinic should be zero.”

That number is due to HB 1125 but also to UMMC’s decision, made many months before the bill passed, to stop providing gender-affirming care like hormone therapy and puberty blockers to trans youth at the TEAM clinic. The PEER committee’s report may have been a factor in that decision.

The first inkling UMMC received of lawmakers’ interest in the clinic came on Aug. 31 when UMMC Vice Chancellor and Dean of the School of Medicine Dr. LouAnn Woodward was sent via hand mail a letter from the committee that was then forwarded to the TEAM clinic.

PEER’s letter requested “certain information regarding services provided by and payments provided to UMMC regarding gender transition services,” including how many services were provided to youth and adults and what amount had been subsidized by taxpayers or billed to Mississippi Medicaid.

Lawmakers had asked about the clinic in the past, but this time, PEER’s letter was followed by what Kristy Simms, UMMC’s point person with elected officials at the state and federal level, described as “dozens of inquiries,” according to emails obtained by Mississippi Today.

After Simms talked with lawmakers, emails show she proposed UMMC consider shutting down the clinic. She characterized her conversations with lawmakers, including Sam Mims, the chair of the House Public Health and Human Services Committee, as “hostile and slightly threatening.”

“It’s looking more and more like we have two options,” she wrote on Sept. 12. “Pause or shutter some/all of the work of the Center or be told to do so by the legislature in January.”

Staring in early October, the TEAM clinic began implementing leadership’s decision to stop providing gender-affirming care to trans kids, a move that impacted services across the hospital — and left parents and patients scrambling.

“Because it was such a welcoming environment, I couldn’t believe that they had just dropped patients like that,” Raymond Walker, a trans teenager who had sought care at the clinic, told Mississippi Today in April. “I was just completely blindsided.”

The emails also show UMMC leadership pondering if they should begin “dismantling” the TEAM in response to lawmakers’ inquiries. 

The PEER report ends with a recommendation for a way UMMC could do that.

“UMMC could consider integrating services provided by the TEAM Clinic back into UMMC’s regular care setting, similar to the way it did with services provided to minors, and offer optional LGBTQ training courses to all staff and students,” the report says.

Now law, HB 1125 provides that any Mississippian, including doctors, can be held civilly liable for “conduct” that aids and abets the provision of gender-affirming care for trans youth, but advocates and attorneys have noted it’s unclear what that looks like.

UMMC has yet to answer that, but PEER notes the hospital’s attorneys are working to understand if its providers “will be allowed to refer patients to providers outside of the state, or if that would be considered aiding or abetting as provided in the law.”

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

Mississippi Today

Central, south Mississippi voters will decide judicial runoffs on Tuesday

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mississippitoday.org – Taylor Vance – 2024-11-22 11:16:00

Some Mississippi voters head to the polls Tuesday to decide who should represent them on the state’s highest courts. 

Polls will be open from 7 a.m. to 7 p.m. on Tuesday. Absentee voting has begun, and in-person absentee voting at county circuit clerk’s offices ends at noon on Saturday. 

In the Jackson Metro area and parts of central Mississippi, incumbent Supreme Court Justice Jim Kitchens will compete against Republican state Sen. Jenifer Branning of Neshoba County. In areas on the Gulf Coast, Jennifer Schloegel and Amy St. Pé will face each other for an open seat on the Court of Appeals. 

Candidates for judicial offices in Mississippi are technically nonpartisan, but political parties and trade associations often contribute money to candidates and cut ads for them, which has increasingly made  them almost as partisan as other campaigns. 

In the Central District Supreme Court race, GOP forces are working to oust Kitchens, one of the dwindling number of centrist jurists on the high Court. Conservative leaders also realize Kitchens is next in line to lead the court as chief justice should current Chief Justice Mike Randolph step down.

Kitchens is one of two centrist members of the high court and is widely viewed as the preferred candidate of Democrats, though the Democratic Party has not endorsed his candidacy. 

Kitchens, first elected to the court in 2008, is a former district attorney and private-practice lawyer. On the campaign trail, he has pointed to his experience as an attorney and judge, particularly his years prosecuting criminals and his rulings on criminal cases. 

In an interview on Mississippi Today’s ‘The Other Side’ podcast, Kitchens said his opponent, who primarily practices real estate law, would be at a “significant disadvantage” because the state Supreme Court often reviews criminal cases and major civil lawsuits that are sent to them on appeal. 

“I’m sure she has an academic knowledge about the circuit courts that she perhaps learned in law school or perhaps has been to some seminars, but she does not have the hands-on trial experience that I have,” Kitchens said. “And that’s so important to the work that I do.” 

Branning, a private-practice attorney, was first elected to the Legislature in 2015. She has led the Senate Elections and Transportation committees. During her time at the Capitol, she has been one of the more conservative members of the Senate leadership, voting against changing the state flag to remove the Confederate battle emblem, voting against expanding Medicaid to the working poor and supporting mandatory and increased minimum sentences for crime.

While campaigning for the judicial seat, she has pledged to ensure that “conservative values” are always represented in the judiciary, but she has stopped short of endorsing policy positions — which Mississippi judicial candidates are prohibited from doing. 

Branning declined an invitation to appear on Mississippi Today’s podcast. 

“Mississippians need and deserve Supreme Court justices that are constitutionally conservative in nature,” Branning said in a recent interview with radio station SuperTalk Mississippi. “And by that, I mean justices that simply follow the law. They do not add or take away.”

The two candidates have collectively raised around $187,00 and spent $182,00 during the final stretch of the campaign, according to campaign finance reports filed with the Secretary of State’s office. 

Since she initially qualified in January, Branning has raised the most amount of money at $879,871, with $250,000 of that money coming from a loan she gave her campaign. She spent around $730,000 of that money. Several third party groups have supported her campaign. 

Kitchens has raised around $514,00 since he qualified for reelection. He’s spent roughly $436,000 of that money, and some of his top contributors have been trial attorneys. 

For the open Court of Appeals seat, Schloegel and St Pe, two influential names on the Gulf Coast, are working to turn out their voters in a close election. 

Schloegel is a Chancery Court judge in Harrison, Hancock and Stone counties. St. Pé  is an attorney in private practice, a municipal court judge in Gautier, and a city attorney for Moss Point. 

Schloegel has raised roughly $214,000 since she qualified, and has spent almost that same amount of money this election cycle. St. Pé has raised around $480,000 this year and spent approximately $438,067 during that timeframe. 

Whoever wins the race, it ensures that a woman will fill the open seat. After the election, half of the judges on the 10-member appellate court will be women, the most number of women who have served on the court at one time. 

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

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On this day in 1961

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mississippitoday.org – Jerry Mitchell – 2024-11-22 07:00:00

Nov. 22, 1961

Credit: Courtesy: Georgia Tourism & Travel

Five Black students, made up of NAACP Youth Council members and two SNCC volunteers from Albany State College, were arrested after entering the white waiting room of the Trailways station in Albany, Georgia. 

The council members bonded out of jail, but the SNCC volunteers, Bertha Gober and Blanton Hall declined bail and “chose to remain in jail over the holidays to dramatize their demand for justice,” according to SNCC Digital Gateway. The president of Albany State College expelled them. 

Gober became one of SNCC’s Freedom Singers and wrote the song, “We’ll Never Turn Back,” after the 1961 killing of Herbert Lee in Mississippi. The tune became SNCC’s anthem. 

After her release from jail, Gober joined other students, and police arrested her and other demonstrators. Back in the same jail, she sang to the police chief and mayor to open the cells, “I hear God’s children praying in jail, ‘Freedom, freedom, freedom.’” 

Albany State suspended another student, Bernice Reagon, after she joined SNCC. She poured herself into the civil rights movement and later formed the Grammy-nominated a cappella group Sweet Honey in the Rock to educate and empower the audience and community. 

“When I opened my mouth and began to sing, there was a force and power within myself I had never heard before,” a power she said she did not know she had. 

Other members of the Freedom Singers included Cordell Reagon, Bernice Johnson, Dorothy Vallis, Rutha Harris, Bernard Lafayette and Charles Neblett. On the third anniversary of the sit-in movement in 1963, they performed at Carnegie Hall. 

“This is a singing movement,” SNCC leader James Forman told a reporter. “The songs help. Without them, it would be ugly.” 

Today, the Albany Civil Rights Institute houses exhibits on these protesters, Martin Luther King Jr. and others who joined the Albany Movement.

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

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IHL deletes the word ‘diversity’ from its policies

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mississippitoday.org – Molly Minta – 2024-11-21 14:32:00

The governing board of Mississippi’s public universities voted Thursday to delete the word “diversity” from several policies, including a requirement that the board evaluate university presidents on campus diversity outcomes.

Though the Legislature has not passed a bill targeting diversity, equity and inclusion initiatives in higher education, the Institutions of Higher Learning Board of Trustees approved the changes “in order to ensure continued compliance with state and federal law,” according to the board book

The move comes on the heels of the re-election of former President Donald Trump and after several universities in Mississippi have renamed their diversity offices. Earlier this year, the IHL board approved changes to the University of Southern Mississippi’s mission and vision statements that removed the words “diverse” and “inclusiveness.”

In an email, John Sewell, IHL’s communications director, did not respond to several questions about the policy changes but wrote that the board’s goal was to “reinforce our commitment to ensuring students have access to the best education possible, supported by world-class faculty and staff.”

“The end goal is to support all students, and to make sure they graduate fully prepared to enter the workforce, hopefully in Mississippi,” Sewell added.

On Thursday, trustees approved the changes without discussion after a first reading by Harold Pizzetta, the associate commissioner for legal affairs and risk management. But Sewell wrote in an email that the board discussed the policy amendments in open session two months ago during its retreat in Meridian, more than an hour away from the board’s normal meeting location in Jackson.

IHL often uses these retreats, which unlike its regular board meetings aren’t livestreamed and are rarely attended by members of the public outside of the occasional reporter, to discuss potentially controversial policy changes.

Last year, the board had a spirited discussion about a policy change that would have increased its oversight of off-campus programs during its retreat at the White House Hotel in Biloxi. In 2022, during a retreat that also took place in Meridian, trustees discussed changing the board’s tenure policies. At both retreats, a Mississippi Today reporter was the only member of the public to witness the discussions.

The changes to IHL’s diversity policy echo a shift, particularly at colleges and universities in conservative states, from concepts like diversity in favor of “access” and “opportunity.” In higher education, the term “diversity, equity and inclusion” has traditionally referred to a range of efforts to comply with civil rights laws and foster a sense of on-campus belonging among minority populations.

But in recent years, conservative politicians have contended that DEI programs are wasteful spending and racist. A bill to ban state funding for DEI in Mississippi died earlier this year, but at least 10 other states have passed laws seeking to end or restrict such initiatives at state agencies, including publicly funded universities, according to ABC News.

In Mississippi, the word “diversity” first appeared in IHL’s policies in 1998. The diversity statement was adopted in 2005 and amended in 2013. 

The board’s vote on Thursday turned the diversity statement, which was deleted in its entirety, into a “statement on higher education access and success” according to the board book. 

“One of the strengths of Mississippi is the diversity of its people,” the diversity statement read. “This diversity enriches higher education and contributes to the capacity that our students develop for living in a multicultural and interdependent world.”

Significantly, the diversity statement required the IHL board to evaluate the university presidents and the higher learning commissioner on diversity outcomes. 

The statement also included system-wide goals — some of which it is unclear if the board has achieved — to increase the enrollment and graduation rates of minority students, employ more underrepresented faculty, staff and administrators, and increase the use of minority-owned contractors and vendors. 

Sewell did not respond to questions about if IHL has met those goals or if the board will continue to evaluate presidents on diversity outcomes.

In the new policy, those requirements were replaced with two paragraphs about the importance of respectful dialogue on campus and access to higher education for all Mississippians. 

“We encourage all members of the academic community to engage in respectful, meaningful discourse with the aim of promoting critical thinking in the pursuit of knowledge, a deeper understanding of the human condition, and the development of character,” the new policy reads. “All students should be supported in their educational journey through programming and services designed to have a positive effect on their individual academic performance, retention, and graduation.” 

Also excised was a policy that listed common characteristics of universities in Mississippi, including “a commitment to ethnic and gender diversity,” among others. Another policy on institutional scholarships was also edited to remove a clause that required such programs to “promote diversity.” 

“IHL is committed to higher education access and success among all populations to assist the state of Mississippi in meeting its enrollment and degree completion goals, as well as building a highly-skilled workforce,” the institutional scholarship policy now reads. 

The board also approved a change that requires the universities to review their institutional mission statements on an annual basis.

A policy on “planning principles” will continue to include the word “diverse,” and a policy that states the presidential search advisory committees will “be representative in terms of diversity” was left unchanged.

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

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