Mississippi Today
Proposal to create Delta health authority draws fire from area’s lawmakers
A proposal to manage hospitals and clinics in the Delta under a new authority — and give political power over it to the governor — was met with distrust from the area’s lawmakers this week.
Representatives from the Delta Council, an economic development organization that was one of the first non-health care groups to endorse Medicaid expansion, presented a plan Tuesday at a joint meeting between the House and Senate Public Health Committees intended to help preserve health care in the Delta, one of the state’s sickest regions.
But the proposal was received poorly by Delta lawmakers, who said this was the first time they were hearing of it.
“I’m just so sick and tired,” said Rep. Otis Anthony, D-Indianola, as murmurs of support echoed around the table. “This is my sixth session, and I’m just sick and tired of people outside of the Delta telling us what we need, and we’re not at the table.”
The plan presented by the Delta Council centers on creating a Delta Rural Health Authority, which would manage a consortium of hospitals and health care facilities in the region, including rural medical clinics and federal qualified health centers.
The health care facilities would “collaborate” and share resources in order to expand physician coverage and services in the Delta.
The authority would also have the power to consolidate health care services in the Delta, if it deems appropriate.
Some of the objectives of the authority, the plan says, include maintaining essential health care services and workers in the Delta, maximizing financial outcomes and reimbursement opportunities for the region’s health care facilities and, subsequently, improving health outcomes.
The plan would not create new facilities or hospitals, and communities would not be forced to participate.
The Delta Council’s Wade Litton started the presentation Tuesday by emphasizing that the proposal is not a result of a few weeks of work — it’s been in the works for over 16 months, he said.
The council is asking for $5 million to $10 million from the Legislature to establish the authority.
Baker Donelson lawyer Richard Cowart told legislators that three to five hospitals in the Delta are already interested in being part of the authority, mentioning towns such as Greenville, Greenwood and Clarksdale. The presentation showed three hospitals under the authority — one a critical access hospital, one a rural emergency hospital and the last an acute care hospital.
“Until they know what it is, they’re not going to commit to it,” he said. “You have the Delta leadership, health care leaders saying we would like … to take a different approach and we would like your permission to do it.”
Gary Marchand, interim chief executive officer of Greenwood Leflore Hospital, confirmed that the facility is involved with the plan and said hospital leaders have discussed the proposal since late summer last year.
He wouldn’t comment on the proposal’s promise, aside from saying that the hospital’s leaders “agree with efforts to evaluate healthcare service delivery in the Delta.”
Clarksdale is home to Northwest Regional Medical Center. Delta Health System, which spent about $26 million on uncompensated care costs in 2022, is based in Greenville.
Cowart said the authority board would be composed of nine to 12 people. He said the governor would appoint three members, the Legislature would appoint two and then each community, as they joined, would appoint members.
But a draft of a Senate bill establishing the regional authority provided to Mississippi Today shows that the governor would appoint five members to the board. Though a majority would have to be Delta residents, the rest would just have to live in Mississippi.
That clause is the heart of the Democratic lawmakers’ concern regarding the health authority — the power that Gov. Tate Reeves would have over it.
More regional health authorities may be established under the draft bill with the governor’s approval, and the governor would appoint five members of those authority boards, too. And while the bill says board appointments will “seek to create a competencies-based board that also reflects the racial and ethnic diversity of the region,” Delta lawmakers say that language means that’s not guaranteed.
A senator has not formally introduced a bill in the Legislature. The lawmakers’ criticism of the proposal also largely stems from what they believe is a lack of community input.
“How do you have a solution when you haven’t had community meetings or a broad approach that includes legislators, boards of supervisors, hospital workers and administrators?” Rep. John Hines, D-Greenville, said in an interview. “They haven’t been that inclusive. It’s old men getting in a room doing what they want to do to keep the money for themselves.”
Hines made note of the Delta’s racial composition and the history of decisions made by white people in the South negatively affecting Black people.
“When you live as a Black person in a part of the state where Black people are the majority, they are most in danger when the state has more power over your life than people at the local level,” he said. “Whenever you take the voice of people away from them … you always end up making a community weaker.”
Though the Delta is a historically Black region, the council’s 2023-2024 officers appear to be eight white men.
The council’s representatives admitted at the meeting that though they had engaged with community members, county supervisors and hospital officials in the Delta, none of the area’s legislators had been contacted about the plan.
“Don’t you think it would have made sense to have involved people who were investing in these communities to come to the table rather than coming and saying, ‘This is what y’all need to do to survive,’” Hines said at the hearing. “I have some concerns about this. I’m not against a regional approach, but the proposal you presented I do not agree with.”
State Health Officer Dr. Daniel Edney, a Delta native, wouldn’t comment on the Delta representatives’ opposition to the plan but said the region is running out of health care options.
“This regionalization has proven itself, and the Delta doesn’t have many other options to look at,” he said, in an interview following the hearing. “Everybody knows that health care in the Delta needs help. If this isn’t it, what is it?”
Anthony, along with other representatives, said Medicaid expansion is a solution to the Delta’s dwindling health care infrastructure.
Despite support from the majority of Mississippians and extensive research underlining the policy’s financial and health benefits, Gov. Tate Reeves and other Republican leaders have vehemently opposed expansion. Reeves has instead pitched other ideas as alternatives. Rep. Darryl Porter, D-Summit, told Mississippi Today that he believes this authority is the governor’s latest attempt to “sidestep Medicaid expansion.”
Forty other states have adopted Medicaid expansion, and researchers say it would generate billions of dollars and thousands of jobs by insuring 200,000 to 300,000 Mississippians.
“These are conversations the governor has refused to have,” Anthony said at the hearing. “We can tell you from the Delta what the problem is.”
Nearly half of the state’s rural hospitals are at risk of closure, largely due to uncompensated care costs, or money hospitals spend taking care of uninsured patients.
“The governor wants local hospitals to fail,” said Rep. Jeffrey Harness, D-Fayette, in an interview with Mississippi Today.
The council’s plan does not take into account the impact of Medicaid expansion but Cowart noted that the policy would be “very beneficial” to the region, in addition to the proposal.
Anthony said he was “appalled” to hear recommendations from various organizations about the region’s health care crisis when stakeholders have been clear about the problem “for the past 30 years.”
“We’ve been telling this state what we need, and the state has consistently robbed and taken economic opportunity from the Delta,” he said. “It’s very disrespectful, when we starve the region economically by not making major economic investments in that area and then coming back and saying, ‘I know what’s wrong.’”
Reeves called two special legislative sessions in the past two weeks for lawmakers to spend hundreds of millions of tax dollars to lure businesses to areas outside of the Delta.
While almost the entire Capitol approved the economic deals, several Delta lawmakers previously told Mississippi Today they believe Reeves is using the power of his office to choose which areas of the state thrive and which starve from a lack of economic investment. The governor’s office has denied these allegations.
It’s not clear who would formally introduce the bill yet, or what its final iteration would be. But as it stands, Hines said he and his colleagues do not support the authority’s establishment.
“We are sick and tired of people telling us what to do rather than asking us what we need help with,” he said.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Stories Videos
Mississippi Stories: Michael May of Lazy Acres
In this episode of Mississippi Stories, Mississippi Today Editor-at-Large Marshall Ramsey takes a trip to Lazy Acres. In 1980, Lazy Acres Christmas tree farm was founded in Chunky, Mississippi by Raburn and Shirley May. Twenty-one years later, Michael and Cathy May purchased Lazy Acres. Today, the farm has grown into a multi seasonal business offering a Bunny Patch at Easter, Pumpkin Patch in the fall, Christmas trees and an spectacular Christmas light show. It’s also a masterclass in family business entrepreneurship and agricultural tourism.
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.
Mississippi Today
On this day in 1921
Jan. 21, 1921
George Washington Carver became one of the first Black experts to testify before Congress.
His unlikely road to Washington began after his birth in Missouri, just before the Civil War ended. When he was a week old, he and his mother and his sister were kidnapped by night raiders. The slaveholder hired a man to track them down, but the only one the man could locate was George, and the slaveholder exchanged a race horse for George’s safe return. George and his brother were raised by the slaveholder and his wife.
The couple taught them to read and write. George wound up attending a school for Black children 10 miles away and later tried to attend Highland University in Kansas, only to get turned away because of the color of his skin. Then he attended Simpson College in Indianola, Iowa, before becoming the first Black student at what is now Iowa State University, where he received a Master’s of Science degree and became the first Black faculty member.
Booker T. Washington then invited Carver to head the Tuskegee Institute’s Agriculture Department, where he found new uses for peanuts, sweet potatoes, soybeans and other crops.
In the past, segregation would have barred Carver’s testimony before Congress, but white peanut farmers, desperate to convince lawmakers about the need for a tariff on peanuts because of cheap Chinese imports, believed Carver could captivate them — and captivate he did, detailing how the nut could be transformed into candy, milk, livestock feed, even ink.
“I have just begun with the peanut,” he told lawmakers.
Impressed, they passed the Fordney-McCumber Tariff of 1922.
In addition to this work, Carver promoted racial harmony. From 1923 to 1933, he traveled to white Southern colleges for the Commission on Interracial Cooperation. Time magazine referred to him as a “Black Leonardo,” and he died in 1943.
That same year, the George Washington Carver Monument complex, the first national park honoring a Black American, was founded in Joplin, Missouri.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Legislative recap: 2025 tax cut battle has been joined
After relatively brief debate and questioning given its magnitude, the state House passed the first meaningful legislation of the new session: House Bill 1, a measure that would eliminate the state income tax, trim taxes on non-prepared food and raise sales and gasoline taxes.
It would mark a sea change in state tax structure, a shift from income to consumption taxation.
“We are at a place where we can finally tell the hard-working people of Mississippi we can eliminate the tax on work,” House Ways and Means Chairman Trey Lamar, HB1’s author, told his colleagues.
The measure passed the House 88-24. It gained some Democratic support in the supermajority Republican House, with nine Democrats voting in favor, 24 against and 12 voting present.
The proposal garnered some bipartisan support because it includes at least a couple of items Democratic lawmakers have championed in the past: A gasoline tax to help fix crumbling roadways, and a reduction in the “grocery” tax, or the sales tax levied on unprepared food, of which Mississippi has the highest overall rate in the nation.
It still met with some Democratic opposition in part because it is a sea change toward more “regressive” taxation. Proponents say this is just, people should pay more for state services they use, such as roadways, and for things they buy as opposed to taxing income. Opponents say this places a proportionately higher tax burden on people of modest means.
“I would say the people hurt the most with this would be working people who have to put gas in their car to go to work or those who have to purchase materials to do a job,” House Democratic Leader Robert Johnson said.
Beyond that concern, opponents or skeptics worry that the foundation of the proposed tax overhaul would be built on shifting sands — a state economy that has been so rosy primarily from the federal government dumping billions of dollars in pandemic spending into Mississippi. With the federal spigot being cut off, some worry, the state economy could slump, and the massive tax cuts in this new plan could provide a state budget crisis, of which Mississippi has much experience, and underfunding of crucial services such as schools, roads, health care and law enforcement.
The largest hurdle Republican House leaders face in seeing their tax plan through to law is not in garnering bipartisan support. It’s internecine disagreement with the Senate Republican leadership, which still appears to harbor abovementioned concerns about overhauling tax structure in uncertain economic times and betting on growth to cover massive tax cuts.
Senate leaders have said they want to enact more tax cuts, but their plan has not yet been released. Lt. Gov. Delbert Hosemann has provided some details of what he wants to see, but it would appear he wants a more cautious approach on cuts. He has not publicly opined on the tax increases in the House plan.
Quote of the Week
“Have you ever worn a belt and suspenders, lady? It’s a belt and suspenders approach.” — Rep. Trey Lamar, R-Senatobia, to Rep. Omeria Scott, D-Laurel, during floor debate on Lamar’s bill to eliminate the state income tax and raise other taxes.
“No. I have not worn a belt and suspenders. I don’t know anyone who has worn a belt and suspenders,” Scott replied.
In Brief
House will renew push to legalize mobile sports betting
House Gaming Committee Chairman Casey Eure, R-Saucier, told Mississippi Today he plans on taking another crack at legalizing mobile sports betting in the state. In 2024, the House and Senate passed versions of legislation to permit online sports betting, but never agreed on a final proposal. Some lawmakers raised concerns that gambling platforms would have no incentive to partner with smaller casinos, and most of the money would instead flow to the Mississippi Gulf Coast’s already bustling casinos. Proponents say legalization would undercut the influence of illicit offshore sports betting platforms.
“I’ve been working on this bill for many years and I’m just trying to satisfy any concerns that the Senate may have so we can pass this and start collecting the tax dollars that the state deserves and not allowing everyone to place bets with these offshore accounts,” Eure said. “I feel like the state is losing between $40-$80 million a year in tax revenue.”
Sports wagering has been permitted in the state for years, but online betting has remained illegal amid fears the move could harm the bottom line of the state’s brick-and-mortar casinos. Mobile sports betting is legal in 30 states and Washington, D.C., according to the American Gaming Association. — Michael Goldberg
Hosemann makes Senate committee chair changes
Republican Lt. Gov. Delbert Hosemann last week named new chairmen of committees, after former state Sen. Jenifer Branning was sworn into office as a new justice on the Mississippi Supreme Court.
Sen. Chuck Younger, a Republican from Columbus, previously led the Senate Agriculture Committee and will replace Branning as chairman of the Transportation Committee. Sen. Neil Whaley, a Republican from Potts Camp, previously led the Senate Wildlife, Fisheries and Parks Committee, but will now lead the Senate Agriculture Committee.
Here are the other changes to Senate committees:
Sen. Ben Suber, a Republican from Bruce, will be the new chairman of the Senate Wildlife, Fisheries and Parks Committee
Sen. Bart Williams, a Republican from Starkville, is the new chairman of the Senate Public Property Committee
Sen. Scott DeLano, a Republican from Gulfport, will lead the Senate Technology Committee
Sen. Robin Robinson, a Republican from Laurel, will chair the Senate Labor Committee
Sen. Angela Turner Ford, a Democrat from West Point, will lead the Senate Drug Policy Committee. — Taylor Vance
What’s in a name? Democratic Rep. Scott hopes GOP majority will pass ‘Donald J. Trump Act’ bills
Perhaps tired of seeing many measures she authors ignored or shot down in flames by the Republican supermajority in the Mississippi Legislature, Democratic Rep. Omeria Scott of Laurel is trying a new strategy: naming bills after Republican President-elect Trump.
For this session, Scott has authored: House Bill 61, the “Donald J. Trump Voting Rights Restoration Act;” House Bill 62, the “Donald J. Trump Ban-The-Box Act … to prohibit public employers from using criminal history as a bar to employment;” and House Bill 249, the “Donald J. Trump Early Voting Act.” — Geoff Pender
More bills filed to criminalize abortion
Since the 2022 Dobbs Supreme Court decision overturned the constitutional right to an abortion, Mississippi lawmakers have proposed bills to criminalize workarounds to the state’s strict abortion ban – including criminalizing the abortion pill and out-of-state abortions. The 2025 legislative session is no exception.
Rep. William Tracy Arnold, R-Booneville, filed House Bill 616 that would make it a felony to manufacture or make accessible medication abortion. Anyone convicted of the crime would be subject to a fine between $1,000 and $5,000, as well as imprisonment between two and five years. Last year, about 250 Mississippians each month requested medication abortion from Aid Access, the only online telemedicine service supplying medication abortion via mail in the U.S.
Helping a minor receive an abortion would also be criminalized under House Bill 148 filed by Rep. Mark Tullos, R-Raleigh. That would include transporting a minor out of state to undergo an abortion, as well as helping a minor procure a medication abortion – both of which would be punishable by not less than 20 years in prison or a fine of not less than $50,000. — Sophia Paffenroth
By the Numbers
$1.1 billion
The estimated net annual cost of the House plan to eliminate the state income tax and raise sales taxes, once fully phased in. Proponents say economic growth would allow the state budget, currently about $7 billion a year, to absorb the cut. Eliminating the income tax would cost the state $2.2 billion in revenue, but the House plan would raise about $1.1 billion in other taxes in offset.
0
The amount of income tax Mississippians would pay after a 10-year phased in elimination of the state income tax. With previous cuts being phased in, state income taxes next year will already be reduced to 4%, among the lowest rates in the nation.
8.5 %
The new Mississippi sales tax, up from current 7%, under the House tax plan assuming most local governments would not opt out of adding a new 1.5% local sales tax.
13 cents more a gallon
The cost of the House’s proposed new 5% gasoline tax, based on last week’s average cost of gasoline in Mississippi of $2.62. The new 5% tax would be on top of the flat 18.4 cents a gallon current state excise on gasoline.
4%
The tax on unprepared food once a reduction of the current 7% would be phased in over a decade under the House plan. The state would over time reduce its sales tax on such groceries to 2.5%, but local governments would add a 1.5% sales tax to such items unless they opt out.
Full Legislative Coverage
Lawmakers must pass new legislation to improve access to prenatal care
Lawmakers will file another bill this session to help low-income pregnant women get into the doctor earlier – after the federal government rejected the program set up under last year’s law, because of discrepancies between what was written into state law and federal regulations for presumptive Medicaid eligibility. Read the story.
Proposal: eliminate income tax, add 5% tax on gas, allow cities, counties to levy local sales tax
House leaders last week unveiled a sweeping tax cut proposal that would eventually abolish the state income tax, slash taxes on groceries, increase local sales taxes and shore up funds for state and local road work. Read the story.
A new Mississippi law aims to limit jailing people awaiting mental health treatment. Is it working?
Officials say a new law to decrease the number of people being jailed solely because they need mental health treatment has led to fewer people with serious mental illness detained in jails – but the data is contradictory and incomplete. Lawmakers plan legislation to make more counties report the data. Read the story.
How soon we forget: Mississippi House push for record tax cuts revives fear of repeat budget crises
Eight years ago, from a combination of dozens of tax cuts the Legislature approved and a slumping economy, the state saw a budget crisis that resulted in severely underfunded schools, government layoffs, a near halt to building new roads and highways and problems maintaining the ones we have, too few state troopers on the highways and cuts to most major state services. Read the story.
NAACP legislative redistricting proposal pits two pairs of senators against each other
The Mississippi chapter of the ACLU has submitted a proposal to the courts to redraw the state’s legislative districts that creates two new majority-Black Senate districts and pits two pairs of incumbent senators against one another. Read the story.
Legislation to send more public money to private schools appears stalled as lawmakers consider other changes
Some top lawmakers in Mississippi’s Republican-controlled Legislature are prepared to make it easier for students to transfer between public schools but remain skeptical of sending more public money to private schools. Read the story.
House passes $1.1 billion income tax elimination-gas and sales tax increase plan in bipartisan vote
A bill that phases out the state income tax, cuts the state grocery tax and raises sales taxes and gasoline taxes passed the House of Representatives with a bipartisan vote on Thursday. Read the story.
Tate Reeves and other top Mississippi Republicans owe thanks to President Joe Biden
The tremendous cash surpluses that some state Republicans cite when defending their plan to eliminate the state’s income tax would not exist if not for the billions of dollars in federal funds that have been pumped into the state during Biden’s presidential tenure. Read the story.
Podcast: Mississippi transportation director discusses proposed new gasoline tax
Mississippi Department of Transportation Director Brad White tells Mississippi Today’s Geoff Pender and Taylor Vance he’s staying “in his lane” and out of the politics of a House tax overhaul that would eliminate the income tax and raise sales and gasoline taxes, but that he’s pleased lawmakers are trying to address the long running need for a steady new stream of money to help cover highway maintenance needs. Listen to the podcast.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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