Connect with us

Mississippi Today

Mississippi mothers are now guaranteed coverage for a year after giving birth. But they may not get the prenatal care they need.

Published

on

Mississippi cleared a big hurdle after lawmakers extended postpartum Medicaid coverage this session, guaranteeing low-income women a year of health care coverage after having a baby.

Now experts say that Mississippi needs to turn its attention to what happens before these women give birth. Early prenatal care is vital to healthy moms, babies and pregnancies, but because of the state Division of Medicaid’s policies, it’s unknown if the majority of pregnant Mississippians are getting that care.

The division, which funds more than two-thirds of births in Mississippi, doesn’t monitor when people go to their first prenatal visit. And the absence of presumptive eligibility in Mississippi creates major delays for people seeking prenatal care.

Pregnancy presumptive eligibility allows people to receive care when they’re pregnant, even if they’re not on Medicaid. It’s presumed that they qualify, so their providers enroll them and start billing Medicaid, which reimburses providers immediately.

That means fewer delays when it comes to receiving care. They’re able to go to doctor’s offices and get the care they need quickly, without having to pay out of pocket.

The agency is hoping to eventually track when recipients go to prenatal visits, but Communications Officer Matt Westerfield could not provide a timeline for when that data might be available. And Medicaid Executive Director Drew Snyder has said he won’t take steps to make it easier for expecting mothers to get on Medicaid without legislative action.

Mississippi is one of the most dangerous states in the country to give birth in, and early intervention is key to successful pregnancies, according to Dr. Anita Henderson, former president of the Mississippi Chapter of the American Academy of Pediatrics.

The state’s dismal maternal mortality rate is getting worse, especially for Black people, and Mississippi has the highest infant mortality, preterm birth and low birthweight rates in the nation.

But as rural health care collapses and hospital closures loom, it’s getting harder to access health care for expecting Mississippians. Neonatal ICUs and labor and delivery units are closing, and county health departments stopped enrolling new maternity patients in 2016.

It’s a dangerous mix following the U.S. Supreme Court’s decision last summer to overturn abortion rights, which means the state is expecting thousands more pregnancies.

Care during the first trimester is crucial to a healthy pregnancy and healthy babies, especially for people with conditions that need to be managed like high blood pressure or diabetes.

“I think given the level of health concerns in our population that exists before pregnancy, we know too many people are going to start prenatal care with medical conditions that make that pregnancy high risk,” said Dr. Charlene Collier, an OB-GYN based in Mississippi. “The consequences are always snowballing when a person enters pregnancy with an untreated or complicated medical history.”

When people who are expecting can’t make it to a prenatal visit in a timely manner, the consequences can be deadly — and, often, preventable.

Collier cited the prevalence of congenital syphilis in Mississippi, which is at an all time high, to stress the importance of early care. She said there’s a limited time frame to prevent complications from syphilis.

Last month, the state health department implemented an emergency order requiring doctors to test pregnant patients for syphilis. Previously, Mississippi was one of six states in the country not to require the testing.

“Now that we’re seeing a rise in congenital syphilis, it’s even more important that people are in prenatal care, getting their blood work done and getting treatment so that infections like syphilis, which is easily treatable with penicillin, can be identified and treated early,” she said. “Any delays increase the chance of a really detrimental infection in a pregnancy.”

Another barrier to timely prenatal care is that it’s complicated to get pregnancy Medicaid coverage.

According to the Kaiser Family Foundation, Mississippi is one of 21 states as of January 2020 that doesn’t offer presumptive eligibility for pregnant people, which has significant benefits.

According to a study commissioned with the University of Mississippi Center for Population Studies by the Center for Mississippi Health Policy, preterm births are less likely for low-income people when they live in a state with presumptive eligibility and expanded Medicaid.

Mississippi is one of only three states in the country that has neither expanded Medicaid nor provides pregnancy presumptive eligibility.

And it takes the Mississippi Division of Medicaid about 24 days to approve pregnancy applications, Westerfield said in November. Until then, uninsured people who are expecting must foot the bills themselves, if a doctor sees them at all.

It’s a tedious process that even top officials in Mississippi are confused by.

At a recent press conference about Mississippi’s commitment to its “culture of life” following the overturning of abortion rights, Republican Gov. Tate Reeves said that the state has presumptive eligibility. But he was referring to hospital presumptive eligibility, which allows hospitals to assume patients’ Medicaid eligibility to provide care. It is not the same thing as presumptive eligibility for pregnant people, which allows them to get care at doctor’s offices just as they would if they were insured.

Reeves’ spokesperson Shelby Wilcher responded that pregnant women in Mississippi have presumptive eligibility at hospitals. After Mississippi Today clarified hospital presumptive eligibility was not the same thing as presumptive eligibility for pregnant women, Wilcher suggested further questions be directed to the Division of Medicaid.

She did not respond to a question asking if the governor would support establishing presumptive eligibility for pregnant women.

“Presumptive eligibility is, intentionally, a very loosely used umbrella term,” said John Dillon Harris, a health care systems and policy consultant at the Center for Mississippi Health Policy. “The question is who is presumed eligible and for what?”

At the last Medical Care Advisory Committee Meeting on Feb 24, Snyder said that the Division of Medicaid wouldn’t utilize pregnancy presumptive eligibility unless directed to by the Legislature.

Westerfield said in an email that position is to prevent the DOM from paying “providers for services for women who subsequently would not qualify for Medicaid.”

Rep. Missy McGee, R-Hattiesburg, introduced a bill this past session to establish presumptive eligibility for pregnant women, but it died after being referred to the Medicaid committee, which met just once last legislative session and only advanced two bills out of committee.

Collier said she recently had a patient who applied for Medicaid but hadn’t yet been approved. The patient delayed getting ultrasounds and other labs out of fear of running up a higher bill even though all her bills would be back-paid once she got on Medicaid.

“I do think the lack of insurance preceding pregnancy is a major barrier to initiating early prenatal care, particularly getting bloodwork done in a timely manner,” Collier said.

It’s a paradox — a confirmatory pregnancy test is required to qualify for Medicaid, but many doctor’s offices don’t provide care to people who are uninsured.

County health departments still offer these confirmatory tests for free, said Liz Sharlot, communications director at the Mississippi Department of Health.

“In fact, that is the most common reason women come in for the pregnancy tests is to confirm that pregnancy test and receive the confirmation letter to bring to the Regional Medicaid Offices in order to apply for Medicaid benefits during pregnancy,” she said.

Clinics that specifically serve uninsured and underserved populations such as the Hinds Comprehensive Health Center, where Dr. Jaleen Sims works as an OB-GYN, also provide these confirmatory pregnancy tests at low cost.

It’s not clear how many people are aware these services are offered at low or no cost at places other than primary care doctor’s offices. And if they are aware, transportation can be another issue.

“The patients who live in these areas need a ride or they have to take off work for a full day to drive to Jackson or their closest areas, spend time in the waiting room, have their visit and then drive back,” she said. “By the time you finish with that you’ve missed … a full day of work for the most part.”

According to a report from the March of Dimes, more than half the counties in Mississippi are considered maternity care deserts, with no OB-GYNs, certified midwives or hospitals providing obstetric care.

It also continues to be a challenge to recruit doctors, especially OB-GYNs, to Mississippi and keep them here. Of the five people who graduated from UMMC’s OB-GYN program in 2019, Sims was the only one to stay in Mississippi.

For the doctors who stay, their patient waitlists are long.

One of the nurses Sims works with had to use her health care connections to get into a doctor’s office. She had just missed her period and called to schedule an appointment, only to be told she had to wait four months.

“I’ll never judge a person again on coming late to prenatal care,” Sims said the nurse told her.

It’s hard work being pregnant in Mississippi, Sims said.

“It’s almost like you have this feeling of being defeated,” she said. “It’s like, ‘I’m trying everything that I can to take care of me and to take care of my baby. But I have all these barriers and hoops that I have to jump through just to get to that point.’”

Reporter Isabelle Taft contributed to this story.

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

Mississippi Today

‘Make it happen’: Legislature pushes to ban DEI as political pressure mounts

Published

on

mississippitoday.org – Michael Goldberg – 2025-01-28 18:01:00

With President Donald Trump elevating bans of diversity, equity and inclusion programs to the top of national Republicans’ education agenda, Mississippi lawmakers are working to shutter DEI across the state’s higher education system.

Lawmakers in Mississippi’s Republican-dominated Legislature have for months considered the issue and met with university officials. Now, legislators will decide how far they will go in rooting out DEI in the state’s colleges and universities. They are determining what academic concepts count as “divisive” and what legal recourse to provide students and faculty who feel wronged by DEI-related initiatives.   

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 every facet of campus life. DEI also has progressive critics, who say the programs can be used to feign support for reducing inequality without actually doing so. Proponents say the programs are necessary to ensure that institutions meet the needs of increasingly diverse student populations.

Trump promised in his 2024 campaign to root out DEI in the federal government. One of the first executive orders he has signed did that. Some Mississippi lawmakers introduced bills in the 2024 session to restrict DEI, but the proposals never made it out of committee. With the national headwinds at their backs and several other DEI bans in Republican-led states to use as models, Mississippi lawmakers are poised in 2025 to move forward with legislation targeting the programs. 

In the House, Republican Reps. Donnie Scoggin, Joey Hood and Becky Currie have introduced bills to clamp down on DEI. Scoggin, Chair of the House Universities and Colleges Committee, said negotiations around the proposals are ongoing, but Hood’s bill is the leading contender to move forward.   

Hood’s bill would eliminate diversity training programs that “increase awareness or understanding of issues related to race, sex or other federally protected classes.” It would also seek to regulate academic 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.” 

Scoggin said the Legislature should settle on a finished product that is “semi-vague” in its language to protect universities from a flurry of legal challenges and funding cuts by the state. 

“There may be a professor that gets out here in left field somewhere. Well, the administration may not know it until they’re notified,” Scoggin said. “It’s about trying to be vague enough that we’re not hurting the college, yet strong enough that we’re getting the message across.”

After falling short with little discussion at the Capitol in 2024, the push to write DEI restrictions into state law picked up steam after a growing chorus of lawmakers said voluntary moves by universities to limit DEI programs were insufficient, Scoggin said. 

He said he and Sen. Nicole Boyd, R-Oxford, chairwoman of the Senate Universities and Colleges Committee, made it clear to university administrators that DEI programs, excluding those that benefit groups such as veterans and disabled students, needed to be whittled down.  

“We met with the college presidents and said ‘OK we would like, and when I say we, I mean myself and Sen. Boyd, we would like for y’all to govern yourselves and do what you want to do. But you know what you’ve got to do,” Scoggin said. “Make it happen.”

Over the summer, after other states banned DEI, the University of Mississippi restructured its Division of Diversity and Community Engagement. Other Mississippi universities also made changes to their diversity offices.

Scoggin and Boyd both said in interviews with Mississippi Today that they consulted campus administrators when writing their proposals to restrict DEI.

There are two bills in the Senate aimed at regulating DEI, one from Boyd and the other from Sen. Angela Hill, R-Picayune. Boyd’s proposal will be the vehicle for action in the chamber, as Hill’s bill was “double referred” to two committees for first consideration, a likely indication it won’t move forward.

Unlike some other proposals, Boyd’s legislation does not create a private cause of action that might encourage students to sue employees or administrators accused of violating the law. It would instead require universities and community colleges to adopt a confidential complaint and discipline process for employees of an institution who violate the law.

“I looked for us to create a procedure where a college student who thought that they were not being judged on their own merit because of various policies, that they didn’t have to go to court and file a lawsuit to do that, and that they could use the policies and procedures in the administration to go and object,” Boyd said.

Her bill also includes language that would increase data collection on enrollment and graduation rates at state institutions.

The policy details are unfolding amid the early stages of a potential Republican primary matchup in the 2027 governor’s race between State Auditor Shad White and Lt. Gov. Delbert Hosemann.

White, who has been one of the state’s loudest advocates for banning DEI, has branded Hosemann “DEI Delbert,” claiming the Senate leader has stood in the way of DEI restrictions passing the Legislature. Sen. John Polk, R-Hattiesburg, a Hosemann ally, chided White last week for contracting with a management consulting firm that maintains a robust DEI practice.

The Senate Universities and Colleges Committee could take up DEI legislation as soon as its Thursday committee meeting.

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

Continue Reading

Mississippi Stories

Mississippi Stories: Landon Bryant

Published

on

mississippitoday.org – Marshall Ramsey – 2025-01-28 16:36:00

Landon Bryant is a top-notch educator. Whether it is in an art classroom or on Instagram discussing one of the South’s little idiosyncrasies, he has an ability to explain things in a hilarious way.  Known online as LandonTalks, he and his wife Kate have created clever short videos that have tickled the nation’s funny bone. I visited him in his hometown of Laurel (where it all began and continues to this day.)  We traveled to the Lauren Rogers Museum and toured downtown, all while he gave us a glimpse into his brilliant imagination. No longer in the classroom, Landon fills his time as a stand-up comic, author, podcaster, and commentator on all things Southern. It’s fun to watch good people succeed.  And in this episode, you’ll get to know the good man behind the meteoric success story. 

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.

Continue Reading

Mississippi Today

State lawmakers propose strict new rules on Taser use by police

Published

on

mississippitoday.org – Nate Rosenfield – 2025-01-28 14:30:00

Two state lawmakers in Mississippi have introduced bills to restrict the use of Tasers by police following an investigation by Mississippi Today and The New York Times that revealed lax oversight and dangerous use of the weapons across the state. 

The bills, both sponsored by Democrats, are likely to face pushback from law enforcement officials and significant hurdles in a legislature controlled by Republicans. 

One, House Bill 1596, proposed by Rep. Omeria Scott of Laurel, would ban police in Mississippi from using Tasers. The other, Senate Bill 2317, introduced by Sen. Bradford Blackmon of Canton, would allow Taser use only in circumstances where deadly force by police officers is justifiable. It would also bar officers from shocking people who are elderly, pregnant, mentally ill or intoxicated.

Sen. Blackmon said he drafted his bill after learning from recent reporting by Mississippi Today and The Times that there are no statewide guidelines for how law enforcement officers use Tasers. 

The news organizations found that departments in Mississippi have developed a patchwork of outdated Taser policies that often do not address whether officers can shock children or people with known medical conditions. Most do not bar officers from using Tasers against someone in handcuffs. 

Few departments aggressively monitor Taser use, even though the devices keep an electronic log of every activation. Reporters used those logs, gathered from departments across the state, to uncover hundreds of suspicious Taser incidents, including some where the person was shocked for far longer than experts consider safe.

In 2023, one of the state’s most extreme examples of Taser abuse was uncovered when Mississippi Today and Tthe New York Times found that a group of sheriff’s deputies in Rankin County, some of whom called themselves the Goon Squad, used their Tasers for years to torture people they suspected of using drugs.

Blackmon said that similar abuses could be prevented by his bill, which requires officers to receive additional training and provide detailed reports of the circumstances that led to each Taser deployment.

“That type of activity could be erased,” Blackmon said. “Or at least caught a whole lot earlier than after you terrorize a whole county for as long as they did.” 

After six former officers associated with the Goon Squad were sentenced to decades in prison for torturing three men last year, the Justice Department announced it was investigating a possible pattern of civil rights abuses at the Rankin County Sheriff’s Department. 

However, the new leadership of the Justice Department under President Donald Trump has circulated a memo, obtained by the New York Times, pausing new civil rights investigations into law enforcement agencies, raising doubts about whether the case will proceed. 

Scott said that because Mississippi has neglected to create safety standards around officer Taser use for so long, she drafted a bill that would take the weapon away.

Developing a standard is “the least that should be done,” Scott said. “We’ve had people tortured at the hands of law enforcement using these weapons.” 

Mississippi Public Safety Commissioner Sean Tindell said that Tasers are critical tools that help prevent injuries to the public and police. 

“I just think an outright ban would not be good policy,” Tindell said, adding that limiting Taser use to deadly force encounters or banning their use on potentially vulnerable groups would put undue pressure on officers making split-second decisions with limited information. 

However, requiring officers throughout the state to report their Taser use and mandating additional training were ideas Tindell said he thought were worth discussing.

Tindell plans to address the issue at the next meeting of the state’s Board on Law Enforcement Officer Standards and Training. He said that if Mississippi law enforcement leaders and community stakeholders thought a statewide Taser standard could be beneficial, he would consider what rules would be helpful to establish. 

Pearl Police Chief Nick McLendon rejected the idea of banning the weapon, saying “Tasers have been one of the best advances in technology in modern-day policing.” 

But he noted that some statewide reforms could be helpful, including requiring all departments to document when their officers use Tasers and providing cadets at the state’s law enforcement academy with Taser training, which individual agencies currently must provide.. 

Beverly Padgett, whose son died after being shocked by Simpson County sheriff’s deputies, said she supports measures to bring more accountability to Taser use by law enforcement. 

In 2023, her 34-year-old son, Jared Padgett, said he was hallucinating, so the family called the Simpson County Sheriff’s Department to help transport him to the hospital. Beverly said that rather than helping Jared, who was unarmed and following commands, one deputy shot him with a Taser, causing Jared to flee. 

Taser logs show deputies deployed their Tasers 17 times for 94 seconds during the incident, which ended in Jared Padgett being fatally shot by police after he drove off in an officer’s vehicle. 

“I hope the bills pass,” Beverly Padgett said. “You can’t just repeatedly put someone through that amount of pain and not help them. Their job is to protect and serve, not to hurt people.” 

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

Continue Reading

Trending