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New Health Department program puts nurses in the homes of high-risk moms, babies in Mississippi

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Through a partnership between the state Health Department and the state Division of Medicaid, Healthy Moms, Healthy Babies program places registered nurse case managers in the homes of pregnant mothers undergoing high-risk pregnancies.

Since launching, it has expanded to 23 full-time nurses and 17 part-time nurses providing services to about 640 patients around the state.

State Health Officer Dr. Daniel Edney said the program is “plugging the gap” by bringing resources to small rural communities that aren’t there.

“With limited resources for mothers and babies, a lot of our efforts are going to be directed to our highest impacted areas to help the folks in the most desperate need the fastest,” Edney said.

The way resources are distributed across the state – sparsely in rural and remote areas but plentiful in certain others – means the program must take a targeted approach.

“We can not look at Mississippi as one organism. We are really six different regions when it comes to public health in terms of populations, demographics, resources available and challenges,” Edney explained. “I have to have different strategies for different areas. The one-size fits all strategy won’t work.”

Dr. Justin Turner, chief medical officer at the state Health Department, witnessed personally how important access to quality health care for mothers is.

Turner’s wife made 23 total visits to five different hospitals or emergency rooms during her last two pregnancies.

Seven out of 23 of those visits came during her pregnancy five years ago, and the remainder of the visits came during their second pregnancy in August 2022. During her last pregnancy, she experienced “uncharacteristic pain” around month five, requiring her to be supervised by her family 24 hours a day until she gave birth.

The pain would spiral out of control resulting in psychogenic nonepileptic seizures (PNES), previously known as pseudoseizures – emotional and stress-related episodes similar to epileptic seizures but not of neurological origin.

As the number of trips increased, Turner said he had a tough time reassuring his family and himself.

“I was thinking, 'how do I continue to do what I’m supposed to do as the chief medical officer and help assist the state as a whole, when I can’t even help my wife at home?'” Turner told Mississippi Today.

For Black women in Mississippi, the pregnancy-related mortality rate increased from 51.9 to 65.1 deaths per 100,000 live births, quadruple the rate of white women (16.2). With this data in mind, fears of the worst outcome flooded both Turner and his wife’s minds.

“It was natural for me to think that my wife was going to be another statistic,” Turner explained. “She would ask me things like, ‘Baby, am I going to die?’”

The pregnancy remained a challenge until the day that she delivered their child by cesarean section. Every day prior to her being pregnant was “a day of misery,” Turner said. After delivery, his wife never experienced another pseudoseizure episode.

Turner said fortunately for his wife, she had a husband who is a doctor, an OB-GYN, support from family and friends, and a great health care team.

However, he couldn't help but think of how many mothers in Mississippi lack support. Turner said the Healthy Moms, Healthy Babies program aims to add emotional support for mothers who may be in need of it.

“For a lot of women, they benefit from the nurturing and feeling like someone is listening,” Turner continued. “The more people that’s on their team, the better it helps them to endure the process of pregnancy itself.”

As services are being provided to participants, Turner said the health department, stakeholders, policy makers and community members must collaborate to improve outcomes for mothers and their babies.

“We need to find common ground in the areas that we can improve and make sure that we are providing our moms and babies a decent chance at having a healthy pregnancy and coming into this world,” Turner said.

As a Medicaid-reimbursed program, Healthy Moms, Healthy Babies allows mothers to receive monthly targeted case management, health education, and assessments by nurses, social workers and nutritionists at no direct cost to them.

For moms with Medicaid, the services are reimbursed. Edney said the program works with uninsured moms to help them enroll in Medicaid or, if they are not eligible, will provide the services for free.

The Mississippi State Health Department declined Mississippi Today's request to interview a mother who has participated in the program.

After making contact with a mom in need, the nurse consults with the mother’s doctor, who shares why she may be considered high-risk. Common high-risk conditions include preterm labor, diabetes, multiple pregnancy losses and starting prenatal care late.

The nurse then works to mitigate her symptoms by going to the mother's home and pairing her with a multidisciplinary team of resources, such as social workers and nutritionists.

The team of health care workers educate her on the importance of prenatal care, diet plans and how to limit her chances of becoming high-risk in the future. Edney said the program is “working aggressively” to support affected Medicaid moms.

“In our last reporting from the maternal mortality review committee, 87% of deaths were Medicaid moms, and out of all of our maternal deaths, 80% were preventable,” Edney told Mississippi Today. “That is unacceptable.”

Currently, 86% of the participating mothers are Medicaid beneficiaries.

Healthy Moms, Healthy Babies monitors not only high-risk mothers but also high-risk babies up to one year of age.

Daniel Edney, M.D., is the State Health Officer. Credit: Vickie D. King/Mississippi Today

A baby is considered high risk if they are born prior to 37 weeks of gestation, weigh less than 5 pounds 8 ounces at birth, have genetic disorders, experience nutritional deficiencies, infections, or live in unsafe conditions among other factors as well.

The average age of infants enrolled in the program is less than one month old.

The goal of the program is to increase the infant's chances of survival, Edney said. Mississippi leads the nation in its rate of infant mortality.

“I know that if we continue doing what we are doing, nothing is going to change. So, if we all agree we have a problem, which I think everybody does, then this has got to change,” Edney stated. “I don’t have to convince anybody that being 50th in the nation for dead babies is a good thing, because it isn’t.”

The Health Department plans to expand the program so that more women and babies in rural communities have access to necessary care.

Around 35% of babies were born to women living in rural counties of the state, but only a quarter of maternity care providers practice there, according to the latest March of Dimes’ report.

Jillian Harper-Peavy, the state program director for Healthy Moms, Healthy Babies, said partnerships with different individuals and organizations are critical for the program to expand.

Jillian Harper-Peavy, program director for Healthy Moms/Healthy Babies, at the 2023 Black Maternal Health Conference. Credit: Courtesy of MSDH

Those organizations include community health centers; hospitals; OB-GYN offices; pediatricians; managed care organizations; and other maternal and child health programs.

“We are prioritizing outreach and engagement of patients continually, as we do want to see the program serve more pregnant women and infants,” Harper-Peavy continued. “As additional patients are enrolled, we will continue to assess our staffing capacity and plan accordingly.”

However, financial constraints have hindered its expansion.

Earlier this year, Edney asked lawmakers to fund $9 million to hire nurses needed to fully staff county health departments and Healthy Moms, Healthy Babies. The request was denied.

Now, Edney said he is seeking to redirect the funding he has and cut back in every department possible to hire the 100 or so nurses he’s identified as potential job candidates.

“I’m trying to provide core public health services around this state with a battered workforce,” Edney explained. “I try to get people to understand that while everybody else may be over COVID-19, the health department is not. We were beaten to pieces, and we’re working hard to rebuild our workforce with the resources that we have.”

Susan Bates, nurse team lead in the northeastern region of the state, manages a team of nurses who serve patients in 11 counties, seven of which are maternal health deserts: Marshall, Benton, Tippah, Pontotoc, Prentiss, Tishomingo and Itawamba.

These counties have no hospitals or birthing centers that provide obstetric care, and no practicing OB-GYNs or certified nurse midwives.

Across the state, 51.2% of counties are defined as maternity care deserts, compared to 32.6% nationally.

Bates, who cares for an average of six to 10 mothers and babies each day, has encountered women experiencing preterm labor, preterm delivery, preeclampsia, anxiety and depression. She’s also cared for premature and low-birthweight babies.

With more than 26 years of nursing experience, Bates said she aims to make every patient feel respected, valued and heard. Her approach is to listen, understand and “not just focus on checking a box.”

“I feel that it is important to establish a relationship of trust between the mother and her doctors that way we can promote and foster communication. This allows us to provide a more comprehensive care and therefore improve our patients’ outcomes,” Bates continued. “So, when we meet our patients' needs, consistently and correctly, they develop trust in us as their caregiver.”

The Corinth native previously worked for the Mississippi State Health Department for 11 years as a public health nurse, promoting and protecting the health of populations using knowledge from nursing, social and public health science.

Bates, who is certified in pediatric advanced life support and neonatal advanced life support, said caring for high-risk mothers and babies requires a calm demeanor to help the family through what can be a scary time.

“If you look at the big picture, then it may seem overwhelming, but we can’t be stopped by that. We have to know that what we are doing makes a difference to each patient,” Bates explained. “One life at a time, we’re making a difference.”

Edney said that scoring poorly in maternal and infant mortality is a “heavy burden” that requires a “heavy lift” to flip the negative trend to a positive one.

“It’ll take years, but with the work that we’re going to do with the agency, I’m convinced that we will not only get off the bottom with infant mortality,” Edney stated, “we will get off the radar.”

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

Mississippi Today

Rate decision on hold as Wingate tracks down Siemens funds

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mississippitoday.org – @alxrzr – 2025-07-14 15:48:00


U.S. District Judge Henry Wingate is delaying approval of JXN Water’s proposed rate increase until he uncovers the whereabouts of about $90 million from a 2020 Siemens settlement over faulty water meters. While a third of the settlement covered legal fees, the city’s use of the remaining funds remains unclear. City Attorney Drew Martin is working to comply with a subpoena for a full accounting. JXN Water’s administrator, Ted Henifin, says the rate hike is necessary despite the settlement money, as the utility operates at a deficit and needs funding to continue operations. Wingate has subpoenaed the city, state, federal government, and law firms for details on the funds, with responses due in 30 days. The judge also reviewed Jackson’s history of pausing water shutoffs for nonpaying customers during Siemens meter issues and the COVID-19 pandemic.

U.S. District Court Judge Henry Wingate said he’s putting his decision on hold over whether to approve JXN Water’s proposed rate increase until after he finds out what happened with roughly $90 million from a settlement with Siemens.

In 2020, the city of Jackson settled its lawsuit with the German company over years of faulty metering for water services. While about a third of the $90 million went to legal fees, city officials couldn’t immediately say where the rest of those funds went during a status conference Monday.

City Attorney Drew Martin said he was working to comply with a subpoena Wingate issued last week looking for an accounting of the settlement dollars, adding that he would have those details within a day or two. While he couldn’t say for sure where the money went, Martin said the city spent about $50 million within a few months after the settlement, and that there was $8 million remaining as of 2022.

Ted Henifin speaks during a press conference at City Hall in Jackson, Miss., Monday, December 5, 2022. Henifin was appointed as Jackson’s water system’s third-party administrator.

Ted Henifin, who runs JXN Water and first proposed the rate increase in February, said the increase would still be necessary even if the utility received all the money from the Siemens settlement. He said the utility’s day-to-day management is operating at a deficit, and that the $60 million from the settlement — what Jackson received after paying its lawyers — would only cover losses for the next two years.

Henifin added that he’s asking the federal government to move around its funding to the city so he can spend more of it on operations and management. Without a boost to JXN Water’s finances, he said the utility would have to stop paying its contractors.

Wingate inquired about the settlement money during a two-day status conference last month. Henifin told the judge he had no idea what the city did with the funds. Wingate explained Monday that he wanted to make sure he was aware of all possible funding for JXN Water before approving a second rate increase in as many years.

It’s unclear how soon he’ll decide. In addition to Jackson officials, Wingate issued the subpoena on July 9 to the state and federal government as well as four different law firms. The subpoena gives the parties 30 days to produce any information on where the settlement funds went.

The judge also brought up the city’s history with shutting off nonpaying customers. Martin explained that the city, under then Mayor Tony Yarber, agreed to pause shutoffs for customers who had issues with Siemens’ water meters. Jackson prepared to bring back shutoffs in 2019, he said, but put them on hold again during the COVID-19 pandemic.

This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.

The post Rate decision on hold as Wingate tracks down Siemens funds appeared first on mississippitoday.org



Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.

Political Bias Rating: Centrist

This article maintains a factual, neutral tone focused on reporting the status of a legal and financial issue concerning Jackson’s water utility and the Siemens settlement funds. It presents statements from both the judge and city officials without editorializing or taking sides. The language is straightforward and balanced, emphasizing transparency and accountability rather than ideological framing. The article refrains from promoting any political viewpoint and instead centers on the procedural and fiscal aspects of the case, aligning it with neutral, centrist reporting.

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Mississippi Today

Donor aids Civil War battlefield in Vicksburg

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mississippitoday.org – @MSTODAYnews – 2025-07-14 14:58:00


Vicksburg National Military Park is set to receive over $5 million for restoration, including a $2.8 million private donation from Texas businessman John L. Nau III, matched by $2.5 million from the National Park Service’s Centennial Challenge program. Funds will restore the Illinois Memorial, honoring over 36,000 Illinois soldiers, and remove a building mistakenly built on core battlefield land that obscures the site’s history. The park commemorates the 1863 siege by Union forces led by Gen. Ulysses S. Grant, pivotal in the Civil War. Support from donors and volunteers remains crucial for the park’s upkeep.

Vicksburg National Military Park is receiving over $5 million toward restoring a key monument and removing a building that previously was used as a visitors’ center.

Friends of the Vicksburg National Military Park recently announced a $2.8 million private donation to the park by John L. Nau III, a Texas businessman and philanthropist who was a founding board member of the nonprofit Friends organization.

The National Park Service’s Centennial Challenge program will match the donation with $2.5 million in federal funds.

The money will go to restoring the Illinois Memorial and removing an unrelated building that was “erroneously constructed on core battlefield ground — an intrusion that obscures the story and sacrifices of the men who fought and died there in 1863,” according to the Friends.

“Standing on restored battlefield ground gives visitors a chance to truly understand the story of Vicksburg — not just read about it, but feel it,” Bess Averett, executive director of the Friends of Vicksburg National Military Park, said in a press release. “Visitors deserve to walk this hallowed ground and see it as Union and Confederate soldiers saw it during the siege.”

In 1863, Union forces led by Gen. Ulysses S. Grant laid siege to Vicksburg. After 47 days, the Confederate army surrendered, and the defeat turned the tide of the Civil War as the Union gained control of the Mississippi River.

Vicksburg National Military Park was established in 1899 at the battleground. It commemorates the siege and its role in the Civil War, as well as those who fought.

The Illinois Memorial is dedicated to more than 36,000 soldiers from that state who fought in Vicksburg. Both the stone and the inscriptions inside the building have worn down from weather exposure.

In the release, Friends of Vicksburg National Military Park said the park needs both public and private support, as the National Park Service manages over 400 units nationwide.

“We need donors and volunteers now more than ever before,” Averett said.

This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.

The post Donor aids Civil War battlefield in Vicksburg appeared first on mississippitoday.org



Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.

Political Bias Rating: Centrist

This article presents factual reporting on a private donation to Vicksburg National Military Park without evident ideological slant. The piece focuses on the historical significance of the park, the restoration efforts funded by both private and federal sources, and quotes from a nonprofit executive emphasizing the need for support. The language is neutral and informative, avoiding political framing or partisan commentary. It reports on the actions and statements of involved parties without promoting a particular political viewpoint, adhering to balanced coverage of the subject matter.

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Mississippi Today

Coast judge upholds secrecy in politically charged case. Media appeals ruling.

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mississippitoday.org – @MSTODAYnews – 2025-07-14 10:30:00


A Jackson County Chancery Court judge sealed a politically sensitive case involving a failed private business program that ticketed uninsured motorists in Mississippi using AI and cameras. Media outlets argue the sealing violates public access laws since no hearing was held, and the case file is completely inaccessible. The case centers on a business partnership between Mississippi consultants and Georgia-based Securix LLC, which sold the ticketing program to several cities before the Department of Public Safety ended the program in 2024. The media’s petition contends the public has a right to transparency, especially given the involvement of public functions and funds.

A Jackson County Chancery Court judge is denying the public access to a case that involves several politically connected Mississippians and their failed venture to ticket uninsured motorists using cameras and artificial intelligence.

Media companies Mississippi Today and the Sun Herald have filed for relief with the state Supreme Court, arguing that Chancery Judge Neil Harris improperly closed the court file without notice and a hearing to consider alternatives. The media outlets say the court file should be opened.

Mississippi Today in June filed its motion asking that Harris unseal the case, which he denied six days later. 

Gulfport attorney Henry Laird writes in the media companies’ petition for state Supreme Court review, “The Chancery Court sealing the entire court file both before and after Mississippi Today’s motion to unseal the file violates the public and press’ cherished right of openness and access to its public court system and records.” 

Mississippi judges have long followed a 1990 state Supreme Court decision that says, “A hearing must be held in which the press is allowed to intervene on behalf of the public and present argument, if any, against closure.” 

Instead, Harris said he found no hearing necessary after reviewing the pleadings to open the file. The case, he said, is between two private companies.

“There are no public entities included as parties,” he wrote, “and there are no public funds at issue. Other than curiosity regarding issues between private parties, there is no public interest involved.”

The case involves what is usually a public function: Issuing tickets to the owners of uninsured vehicles.  And, according to one party to the case, the Mississippi Department of Public Safety is owed $345,000 from the uninsured motorist program.

READ MORE: Private business ticketed uninsured Mississippi vehicle owners. Then the program blew up.

Since the entire court file is closed, the public is unable to see why the judge sealed the case. The Mississippians said in the Chancery Court case that they have  “substantial” business interests to protect and “a lot of political importance,” an attorney opposing them said in a related federal case that is not sealed.

Jackson County Chancery Judge Neil Harris

Georgia-based Securix LLC signed up its first Mississippi client in 2021, the city of Ocean Springs, an agreement with the city showed. Securix developed a program that uses traffic cameras, artificial intelligence and bulk data on insured motorists to identify the owners of vehicles without insurance.

To sign on other Mississippi cities, Securix enlisted three well-known consultants, Quinton Dickerson, Josh Gregory and Robert Wilkinson. Dickerson and Gregory are Republican political operatives in Jackson who have run numerous state and local campaigns and advise many of the state’s top elected officials. Wilkinson, a Coast attorney, has represented local governments and government agencies, including the city of Ocean Springs.

MS business partnership sours

In 2023, the Mississippians formed QJR LLC. Their company entered a 50-50 partnership with Securix called Securix Mississippi.

Securix Mississippi sold the cities of Biloxi, Pearl and Senatobia on the uninsured driver program. 

Fees collected from uninsured drivers were apportioned to the company, the cities and the Department of Public Safety, the operating agreement with Biloxi showed.

The citations offered three options, according to copies included in a federal lawsuit filed by three Mississippi residents who received them:

  • Call a toll-free number and provide proof of insurance.
  • Enter a diversion program that charges a $300 fee and includes a short online course and requires agreement that the vehicle will not be driven uninsured on public roadways.
  • Contest the ticket in court and risk $510 in fines and fees, plus the potential of a one-year driver’s license suspension.

The Securix Mississippi partnership soon soured.

Securix Chairman Jonathan Miller of Georgia said in a sworn court declaration submitted in the federal case that he was subjected around March 2024 to a “freeze out” by members and/or employees of QJR. They stopped giving him information, Miller said.

The Department of Public Safety in August pulled the plug on the controversial ticketing program, shutting off the company’s access to the insured driver database.

In September, QJR filed its Chancery Court lawsuit against Securix LLC. 

What is known about the case comes from documents in the federal court file. QJR claims the company and its members have been defamed by Miller and Securix and wants their 50-50 business partnership dissolved.

The Chancery Court case does not even show up when the parties are searched for by name. 

With a case number gleaned from the federal court file, a search of chancery records shows only that the case is under seal.

Normally, when a case is under seal, the docket would still be available. A docket lists all records and proceedings in a case. While sealed records are listed and described, they can’t be viewed. 

“There is no court file,” attorney Laird said in asking the Supreme Court to review Judge Harris’ decision to leave the file sealed. “There is no docket sheet. There is absolutely no access on the part of the public or press to their public court file in this case.”

Judge closes file without public notice

All Mississippi court files are presumed open unless they are closed with notice and a hearing under guidelines established in the 1990 case Gannett River States Publishing Co. vs. Hand.

“It appears that the judge ignored what has been settled law in Mississippi since 1990,” said retired Jackson attorney Leonard Van Slyke, who represented Gannett in the case and still advises the media.

He added, “Since that time, there have not been many efforts to close a courtroom or a court file because the rules are pretty clear as to when that can be done. It is obvious from the rules that this would be a rare occurrence.”

 A court file can be closed only if a party in the case requesting closure can show an “overriding interest” that would be prejudiced by publicity.

The Supreme Court said in 1990 that the public is entitled to at least 24 hours’ notice — on the court docket — before a judge considers closure. As a representative of the public, the media has a right to a hearing before a court file or proceeding is closed.

At the hearing, the judge must consider the least restrictive closure possible and reasonable alternatives. The judge also must make findings that explain why alternatives to closure were rejected.

The court wrote in Gannett vs. Hand:

“A transcript of the closure hearing should be made public and if a petition for extraordinary relief concerning a closure order is filed in this Court, it should be accompanied by the transcript, the court’s findings of fact and conclusions of law, and the evidence adduced at the hearing upon which the judge bases the findings and conclusions.”

Because Judge Harris held no hearing, the high court will have a scant record on which to base its review. Without a court record, Laird pointed out in his filing, the public can have no confidence the judge made a sound decision.

Kevin Goldberg, an attorney who serves as vice president and First Amendment expert at the nonpartisan, nonprofit Freedom Forum, said the First Amendment guarantees the public access to courts.

In the Securix case, he said, a private business was doing work normally performed by a police department or other public agency, and residents could be snared into legal proceedings when they received tickets and public funds were involved.

“These are not private people in a small town, going about their business,” Goldberg said. “These people’s business is the public’s business . . . I think that means they need to accept that they’re going to be scrutinized all the time, including when they voluntarily make a decision to go to court.”

This article was produced in partnership between the Sun Herald and Mississippi Today.

This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.

The post Coast judge upholds secrecy in politically charged case. Media appeals ruling. appeared first on mississippitoday.org



Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.

Political Bias Rating: Center-Left

This article maintains a largely factual and investigative tone, focusing on government transparency, judicial procedure, and public access to court records. It critiques the secrecy upheld by a judge in a politically sensitive case involving private companies executing public functions, highlighting concerns about accountability and public interest. The framing leans slightly toward advocating for open government and media rights, values often associated with center-left perspectives. However, it stops short of overt ideological framing or partisan language, striving to report the facts and legal context while underscoring the public’s right to scrutiny.

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