Mississippi Today
Legislators passed a bill that promised millions to hospitals. Months later, apparently only a third qualify.
Months after the Legislature passed a law directing millions to Mississippi’s struggling hospitals, not one has received that money, and far fewer than predicted will receive any money at all.
That’s because lawmakers erred in writing the statute, according to State Health Officer Dr. Daniel Edney.
Legislators in February established the Mississippi Hospital Sustainability Grant Program, which was supposed to disseminate $103 million in grant money to hospitals via the state Health Department. Despite a record state budget surplus, it was millions less than the state hospital association had asked for, but hospital leaders agreed it would help keep them afloat.
However, somewhere in the legislative process, the source of the funds was changed from the state’s general fund to federal COVID-19 relief dollars, which come with regulations. Because many of the state’s hospitals have already claimed some form of pandemic relief funds, those hospitals are ineligible for the money – an issue that lawmakers apparently did not consider.
“Unfortunately, you picked the wrong pot of money,” Edney told legislators at a Joint Legislative Budget Committee meeting on Sept. 29.
But lawmakers are placing the blame back on the Health Department, which was awarded $700,000 to disburse the money.
“Effectively you’re cutting out two-thirds of the hospitals,” Lt. Gov. Delbert Hosemann said.
“I’m not cutting out any,” Edney refuted. “The program is cutting out two-thirds.”
A spokesperson for the Mississippi State Health Department confirmed to Mississippi Today that 75 hospitals, about two-thirds of the state’s hospitals, have applied for the money.
Edney said at the meeting that only half of those facilities will receive anything.
Rep. Trey Lamar, a Republican from Senatobia, asked for a list of hospitals eligible to receive the money. Edney said it was “at the office,” before clarifying a few minutes later that he’d asked agency auditors and accountants to make an official document explaining the program and its challenges and would soon provide that to lawmakers.
When asked by Mississippi Today about the previously referenced “list,” Edney would not provide it and said it was still “fluid.”
“Let me be clear: Are you announcing to the public today that the hospitals, as it stands now, are not going to be awarded these funds we put in place?” Lamar asked. “Do the hospitals know this yet?”
Edney replied that he has been talking to hospital CEOs “one by one.”
Paul Black, the recently retired CEO of Winston Medical Center in Louisville, told Mississippi Today in May that he was disappointed in the failures of the grant program’s appropriations bill.
“Most everybody knows the challenge,” he said.
The challenges of the program apparently came as news to the legislators, though.
Lamar, the chairman of the powerful House committee that deals with tax policy, and Hosemann, who announced a broad plan during this year’s session to help the state’s failing rural hospitals that included this grant program, appeared especially frustrated.
“As recently as a month or two (after the session), I contacted your office and it was 85% (of hospitals) were gonna qualify,” Hosemann said. “So this has been some administrative change that we were not aware of either during the session or shortly thereafter.”
Lamar, too, questioned why these issues were coming up months after the program’s inception. The governor signed the bill in April.
“There was no secret what we were working on,” he said.
Edney maintained that the Health Department brought up concerns about the source of the money during the legislative process.
“Believe me, Mr. Chairman, I’m extremely frustrated with this,” Edney told Lamar.
Edney gave the lawmakers a few options.
They could wait to distribute funds after fixing the program when the 2024 Legislative session starts in January, or they could activate the program now and send out the money to the roughly 38 hospitals that qualify. Edney also claimed there was a way to get the federal American Rescue Plan Act funds to all hospitals, but the current statute would have to be changed to do that.
Hosemann previously told Mississippi Today that he would support legislation at the beginning of the next session to make up the difference between what hospitals were supposed to get and what they actually got from the program.
Edney’s recommendation at the meeting was to dole out the money to the hospitals that are eligible because of the state’s dire health crisis. Those hospitals report losses upwards of half a billion dollars, he said.
One report puts nearly half of the state’s rural hospitals at risk of closure. At least one hospital has already closed this year, and several have applied for a federal designation that would slash services in order for more money. He said many more hospitals are reducing the services they offer to cut costs.
But Edney was adamant that he could not make the final call.
“Y’all need to make that decision,” he said. “I need to be given direction.
“The heartburn for me is I know activating the program as it stands is not what y’all intended,” Edney told the committee, before Hosemann cut him off, asking for data from the agency to make an informed decision about what to do next.
Edney still hasn’t been told what to do, he said in an interview with Mississippi Today on Tuesday.
“I know that (the Legislature’s) desire is to get funding to hospitals the quickest way that they can,” he said. “The options are before them and they’ll decide. They’re still evaluating information being given.”
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1908
Dec. 26, 1908
Pro boxing pioneer Jack Johnson defeated Tommy Burns, becoming the first Black heavyweight boxing champion.
Johnson grew up in Galveston, Texas, where “white boys were my friends and pals. … No one ever taught me that white men were superior to me.”
After quitting school, he worked at the local docks and then at a race track in Dallas, where he first discovered boxing. He began saving money until he had enough to buy boxing gloves.
He made his professional debut in 1898, knocking out Charley Brooks. Because prizefighting was illegal in Texas, he was occasionally arrested there. He developed his own style, dodging opponents’ blows and then counterpunching. After Johnson defeated Burns, he took on a series of challengers, including Tony Ross, Al Kaufman and Stanley Ketchel.
In 1910, he successfully defended his title in what was called the “Battle of the Century,” dominating the “Great White Hope” James J. Jeffries and winning $65,000 — the equivalent of $1.7 million today.
Black Americans rejoiced, but the racial animosity by whites toward Johnson erupted that night in race riots. That animosity came to a head when he was arrested on racially motivated charges for violating the Mann Act — transporting a woman across state lines for “immoral purposes.”
In fact, the law wasn’t even in effect when Johnson had the relationship with the white woman. Sentenced to a year in prison, Johnson fled the country and fought boxing matches abroad for seven years until 1920 when he served his federal sentence.
He died in 1946, and six decades later, PBS aired Ken Burns’ documentary on the boxer, “Unforgivable Blackness: The Rise and Fall of Jack Johnson,” which fueled a campaign for a posthumous pardon for Johnson. That finally happened in 2018, when then-President Donald Trump granted the pardon.
To honor its native son, Galveston has built Jack Johnson Park, which includes an imposing statue of Johnson, throwing a left hook.
“With enemies all around him — white and even Black — who were terrified his boldness would cause them to become a target, Jack Johnson’s stand certainly created a wall of positive change,” the sculptor told The New York Times. “Not many people could dare to follow that act.”
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Health department’s budget request prioritizes training doctors, increasing health insurance coverage
New programs to train early-career doctors and help Mississippians enroll in health insurance are at the top of the state Department of Health’s budget wish list this year.
The agency tasked with overseeing public health in the state is asking for $4.8 million in additional state funding, a 4% increase over last year’s budget appropriation.
The department hopes to use funding increases to start three new medical residency programs across the state. The programs will be located in south central Mississippi, Meridian and the Delta and focus on internal and family medicine, obstetric care and rural training.
The Office of Mississippi Physician Workforce, which the Legislature moved from UMMC to the State Department of Health last year, will oversee the programs.
The office was created by the Legislature in 2012 and has assisted with the creation or supported 19 accredited graduate medical education programs in Mississippi, said health department spokesperson Greg Flynn.
A $1 million dollar appropriation requested by the department will fund a patient navigation program to help people access health services in their communities and apply for health insurance coverage.
People will access these services at community-based health departments, said Flynn.
Patient navigators will help patients apply for coverage through Medicaid or the Health Insurance Marketplace, said Health Department Senior Deputy Kris Adcock at the Joint Legislative Budget Committee meeting on Sept. 26.
“We want to increase the number of people who have access to health care coverage and therefore have access to health care,” she said.
The Health Insurance Marketplace is a federally-operated service that helps people enroll in health insurance programs. Enrollees can access premium tax credits, which lower the cost of health insurance, through the Marketplace.
The department received its largest appropriation from the state’s general fund in nearly a decade last year, illustrating a slow but steady rebound from drastic budget cuts in 2017 that forced the agency to shutter county health clinics and lay off staff.
State Health Officer Dr. Daniel Edney said he is “begging for some help with inflationary pressure” on the department’s operations budget at the State Board of Health meeting Oct. 9, but additional funding for operations was not included in the budget request.
“They’re (lawmakers) making it pretty clear to me that they’re not really interested in putting more money in (operations) to run the agency, and I understand that,” he said.
State agencies present budget requests to the Joint Legislative Budget Committee in September. The committee makes recommendations in December, and most appropriations bills are passed by lawmakers in the latter months of the legislative session, which ends in April.
The Department of Health’s budget request will likely change in the new year depending on the Legislature’s preferences, Edney said Oct. 9.
The state Health Department’s responsibilities are vast. It oversees health center planning and licensure, provides clinical services to underserved populations, regulates environmental health standards and operates infectious and chronic disease prevention programs.
Over half of the agency’s $600 million budget is funded with federal dollars. State funding accounts for just 15% of its total budget.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1956
Dec. 25, 1956
Fred Shuttlesworth somehow survived the KKK bombing that took out his home next to the Bethel Baptist Church in Birmingham, Alabama.
An arriving policeman advised him to leave town fast. In the “Eyes on the Prize” documentary, Shuttlesworth quoted himself as replying, “Officer, you’re not me. You go back and tell your Klan brethren if God could keep me through this, then I’m here for the duration.’”
Shuttlesworth and Bethel saw what happened as proof that they would be protected as they pursued their fight against racial injustice. The next day, he boarded a bus with other civil rights activists to challenge segregation laws that persisted, despite a U.S. Supreme Court decision that ordered the city of Montgomery, Alabama, to desegregate its bus service.
Months after this, an angry mob of Klansmen met Shuttlesworth after he tried to enroll his daughters into the all-white school in Birmingham. They beat him with fists, chains and brass knuckles. His wife, Ruby, was stabbed in the hip, trying to get her daughters back in the car. His daughter, Ruby Fredericka, had her ankle broken. When the examining physician was amazed the pastor failed to suffer worse injuries, Shuttlesworth said, “Well, doctor, the Lord knew I lived in a hard town, so he gave me a hard head.”
Despite continued violence against him and Bethel, he persisted. He helped Martin Luther King Jr. found the Southern Christian Leadership Conference and was instrumental in the 1963 Birmingham Campaign that led to the desegregation of downtown Birmingham.
A statue of Shuttlesworth can be seen outside the Birmingham Civil Rights Institute, and Birmingham’s airport bears his name. The Bethel church, which was bombed three times, is now a historic landmark.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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