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Medicaid advisory committee again delayed over concerns about federal law compliance

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mississippitoday.org – Gwen Dilworth – 2024-11-12 12:59:00

The next meeting of a committee tasked with advising the Mississippi Division of Medicaid will be delayed further while the agency sorts out a possible discrepancy between state law and new federal regulations, despite the fact that the state is not required to comply with the new rules until July of next year.

The Division of Medicaid requested an official opinion on the conflicting federal and state guidelines for committee appointments from the Attorney General’s office on Nov. 1, according to the agency’s website. The division did not respond to Mississippi Today’s questions about why it sought the opinion.

The committee, made up of doctors and other Medicaid stakeholders, has not met statutory requirements for years. It has not produced mandatory annual reports since 2018 and has not held its required quarterly meetings since December 2023. 

Pediatrician Dr. David Reeves chaired the committee from July 2021 to the end of last year. No one told him the committee needed to produce annual reports, and when he followed up about a special meeting planned for January of this year, agency officials told him the committee’s term had expired, Reeves told Mississippi Today.

After committee members at the December 2023 meeting made a motion to recommend a policy that would allow eligible low-income pregnant women to get prenatal care earlier, then-Medicaid Executive Director Drew Snyder and committee member and Gulfport Memorial President and CEO Kent Nicaud said the agency had not had enough time to study the issue and suggested the committee reconvene in January. 

But Rep. Missy McGee, R-Hattiesburg and chair of the House Medicaid committee, had asked committee members and the Division of Medicaid to offer an opinion on the policy in advance of the 2024 legislative session in August 2023, Mississippi Today reported

The special meeting called for January never happened. The Legislature eventually passed the policy, called presumptive eligibility for pregnant women, in late February without feedback from the committee. 

Committee meetings this year were first stalled because appointments were not finalized until August of this year. Then, the agency canceled an October meeting without rescheduling it to give the division time to transition to new leadership after former Executive Director Drew Snyder announced his resignation

New federal regulations that require members of the Medicaid Advisory Committee – formerly known as the Medical Care Advisory Committee – to be selected by the director of the Division of Medicaid went into effect in July. But, the new rules are not applicable until 2025 to give states time to make changes.

In contrast, Mississippi law states that at least 11 committee members be appointed by the governor, lieutenant governor and Speaker of the House. Members serve four-year terms, concurrent with legislators.

“There is reasonable concern that some or all of the current Committee appointments may not be valid because members were appointed by state officials pursuant to Mississippi statute that may be contrary to federal regulation,” said Deputy Administrator of Health Services Tracy Buchannan in a letter to appointed committee members Nov. 1. 

The new federal policy seeks to heighten the role that beneficiaries play in shaping Medicaid programs and policy by mandating the creation of a Beneficiary Advisory Council composed of Medicaid members, their families and caregivers. Some of the members will serve on the Medicaid Advisory Committee. 

Mississippi Medicaid spokesperson Matt Westerfield previously told Mississippi Today the Division of Medicaid expects to begin selecting members for the council in coming months.

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

Mississippi Today

On this day in 1956

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mississippitoday.org – Jerry Mitchell – 2024-12-25 07:00:00

Dec. 25, 1956

Civil rights activist Fred Shuttllesworth Credit: Wikipedia

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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Mississippi Today

On this day in 1865

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mississippitoday.org – Jerry Mitchell – 2024-12-24 07:00:00

Dec. 24, 1865

The Ku Klux Klan began on Christmas Eve in 1865. Credit: Zinn Education Project

Months after the fall of the Confederacy and the end of slavery, a half dozen veterans of the Confederate Army formed a private social club in Pulaski, Tennessee, called the Ku Klux Klan. The KKK soon became a terrorist organization, brutalizing and killing Black Americans, immigrants, sympathetic whites and others. 

While the first wave of the KKK operated in the South through the 1870s, the second wave spread throughout the U.S., adding Catholics, Jews and others to their enemies’ list. Membership rose to 4 million or so. 

The KKK returned again in the 1950s and 1960s, this time in opposition to the civil rights movement. Despite the history of violence by this organization, the federal government has yet to declare the KKK a terrorist organization.

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

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An old drug charge sent her to prison despite a life transformation. Now Georgia Sloan is home

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mississippitoday.org – Mina Corpuz – 2024-12-24 04:00:00

CANTON –  Georgia Sloan is home, back from a potentially life-derailing stint in prison that she was determined to instead make meaningful. 

She hadn’t used drugs in three years and she had a life waiting for her outside the Mississippi Correctional Institute for Women in Pearl: a daughter she was trying to reunite with, a sick mother and a career where she found purpose. 

During 10 months of incarceration, Sloan, who spent over half of her life using drugs, took classes, read her Bible and helped other women. Her drug possession charge was parole eligible, and the Parole Board approved her for early release. 

At the end of October, she left the prison and returned to Madison County. The next day she was back at work at Musee, a Canton-based bath products company that employs formerly incarcerated women like Sloan and others in the community facing difficulties. She first started working at the company in 2021. 

“This side of life is so beautiful. I would literally hold on to my promise every single minute of the day while I was in (prison),” Sloan told Mississippi Today in December. 

Next year, she is moving into a home in central Mississippi, closer to work and her new support system. Sloan plans to bring her daughter and mother to live with her. Sloan is hopeful of regaining custody of her child, who has been cared for by her aunt on a temporary basis. 

“This is my area now,” she said. “This has become my family, my life. This is where I want my child to grow up. This is where I want to make my life because this is my life.” 

Additionally, Sloan is taking other steps to readjust to life after prison: getting her driver’s license for the first time in over a decade, checking in monthly with her parole officer and paying court-ordered fines and restitution. 

In December 2023, Sloan went to court in Columbus for an old drug possession charge from when she was still using drugs. 

Sloan thought the judge would see how much she had turned her life around through Crossroads Ministries, a nonprofit women’s reentry center she entered in 2021, and Musee. Her boss Leisha Pickering who drove her to court and spoke as a witness on Sloan’s behalf, thought the judge would order house arrest or time served. 

Circuit Judge James “Jim” Kitchens of the 16th District.

Instead, Circuit Judge James Kitchens sentenced her to eight years with four years suspended and probation. 

He seemed doubtful about her transformation, saying she didn’t have a “contrite heart.” By choosing to sell drugs, Kitchens said she was “(making) other people addicts,” according to a transcript of the Dec. 4, 2023, hearing. 

“I felt like my life literally crumbled before my eyes,” Sloan said about her return to prison. “Everything I had worked so hard for, it felt like it had been snatched from me.”

She was taken from the courtroom to the Lowndes County Detention Center, where she spent two months before her transfer to the women’s prison in Rankin County. 

Sloan found the county jail more difficult because there was no separation between everyone there. But the prison had its own challenges, such as violence between inmates and access to drugs, which would have threatened her sobriety. 

She kept busy by taking classes, which helped her set a goal to take college courses one day with a focus on business. Visits, phone calls and letters from family members and staff from Musee and Crossroads were her lifeline. 

“I did not let prison break me, I rose above it, and I got to help restore other ladies,” Sloan said. 

She also helped several women in the prison get to Crossroads – the same program that helped her and others at Musee. 

Sloan credits a long-term commitment to Crossroads and Musee for turning her life around – the places where she said someone believed in her and took a chance on her. 

Georgia Sloan, left, and Leisha Pickering, founder and CEO of Musee Bath, sit for a portrait at the Musee Bath facility in Canton, Miss., on Wednesday, Dec. 11, 2024. Pickering has supported Sloan through her journey of recovery and reentry, providing employment and advocacy as Sloan rebuilds her life after incarceration. Credit: Eric Shelton/Mississippi Today

Pickering, Musee’s CEO, said in the three years she’s known Sloan, she’s watched her grow and become a light for others. 

The bath and lifestyle company has employed over 300 formerly incarcerated women in the past dozen years, but Pickering said not everyone has had the same support, advocacy and transformation as Sloan. Regardless, Pickering believes each person is worth fighting for. 

When Sloan isn’t traveling for work to craft markets with Pickering, she shares an office with her Musee colleague Julie Crutcher, who is also formerly incarcerated and a graduate of Crossroads’ programs. She also considers Crutcher a close friend and mentor.

Sloan has traveled to Columbus to see her mother and daughter whom she spent Thanksgiving with. She will see them again for Christmas and celebrate her daughter’s 12th birthday the day after.

Her involvement with the criminal justice system has made Sloan want to advocate for prison reform to help others and be an inspiration to others.

“I never knew what I was capable of,” Sloan said.  “I never knew how much people truly, genuinely love me and love being around me. I never knew how much I could have and how much I could offer the world.”

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

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