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Transcript: Gov. Tate Reeves delivers 2023 State of the State address

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Transcript: Gov. Tate Reeves delivers 2023 State of the State address

Gov. Tate Reeves, a first-term Republican, delivered his annual State of the State address on Jan. 30, 2023.

Below is the transcript of Reeves’ speech, which aired live on Mississippi Public Broadcasting.

Editor’s note: This transcript was submitted by Reeves’ staff and has not been formatted to match Mississippi Today’s style.

WATCH: Gov. Tate Reeves’ full State of the State address.


Thank you, Lieutenant Governor Hosemann and Speaker Gunn.

To the members of the legislature and other elected officials here tonight, thank you. Thank you for your continued partnership and thank you for the tireless work you do on behalf of our great state and her people.

I also have to take a moment to thank my beautiful wife and Mississippi’s outstanding First Lady, Elee. She’s an incredible wife, an awesome mom, and a wonderful representative for our state. I’m amazed daily by your grace and your kindness, and I’m so thankful to have you in my life every single day.

Finally and most importantly, I have to thank the three million Mississippians who have helped our state usher in an unprecedented period of economic growth, educational achievement, and freedom.

2022 was perhaps the best year in Mississippi’s history. Because, here in Mississippi and unlike in Washington, D.C., we still have the incredible capacity to work together and accomplish great things for our constituents.

The sense that our state is one big, small town binds us and it furthers a sense of optimism that we can still work together here and deliver results on behalf of our people.

The people of Mississippi are our state’s strength. It is because of your hard work that our state is primed and ready to face the challenges of tomorrow.

It is because of your work ethic and your commitment to excellence that more and more companies are choosing to do business in Mississippi and that our state’s brightest days lie in front of us.

It has been the privilege of a lifetime to serve as your governor over the last three years. I haven’t taken it for granted for one second, and I promise you that I never will. It is truly an honor to wake up each and every day and get to work on your behalf, and I look forward to making even bigger things happen in this great state.

Now, over these years some days have been more challenging than others. But no matter what’s thrown at Mississippi, I thank God each night that I have the chance to live, work, and serve alongside of you. There is no place I would have rather weathered tornadoes, floods, hurricanes, or a global pandemic than right here in Mississippi.

But Mississippi – and I think you’ll agree too – means more than simply a place to batten down the hatches during natural disasters.

Mississippi is all of our home. Our state is filled with natural beauty and friendly people. I, like so many of y’all today, am grateful to be raised in this loving community.

I’m proud to be a Mississippian, and I’m proud of the life lessons I’ve learned from the people I’ve met along the way.

One of those people, is my hero – my dad. Now, I don’t remember the first time I met him because I was only a few minutes old. But I do remember some of the lessons he taught me, especially when it comes to the value of hard work.

My father grew up in a two-room home with five brothers and five sisters in Bogue Chitto. He started a small business in the early 70’s and spent many, many nights sweeping the dirt floors and praying for his next clients.

Like entrepreneurs across Mississippi, he spent his life growing that business. Only in America could the son of that man stand here today as the governor of this great state. It is the American Dream, and the lessons I learned from him have inspired everything that I’ve done.

I’ve tried my best to take those lessons with me over the years and incorporate them into everything that I do. I’ve leaned on them when times were good, and I’ve leaned on them when times were bad.

They’ve helped to keep me grounded and to remember what’s really important in life. They’ve helped me govern, and they’ve helped me keep perspective.

Today, it’s a cold-hard-fact that really, really good things are happening in Mississippi. And it’s my honor to stand before you today and announce that the state of our state is stronger than ever.

Our state is strong because our people and my administration are laser focused on the issues that matter to Mississippians.

As you’ve heard me say before, the way we measure success is in the wages of our workers, the success of our students, and winning the war on our values.

Mississippi is hitting the target on all three of these fronts.

First, wages. Since 2019, we’ve raised per capita personal income in Mississippi by approximately $7,000 or almost 18%. We are boosting the money that Mississippi families are bringing home – especially right now, as we combat rising inflation from wasteful spending in Washington, D.C.

This wasn’t by accident. We were able to accomplish this momentous feat because we never wavered from the tried and true economic and fiscally conservative principles that have set up states for growth for generations. And we were able to accomplish this despite the left’s best attempts to grow government.

Our conservative reforms and sound budget management have laid the foundation for this economic boom. It’s the policies of yesterday that have paved the pathway to today’s prosperity.

It’s led us to a $4 billion budget surplus. $4 billion!

It’s led to investing a historic amount in jobs training, and because of that we have the lowest unemployment rate in our state’s history.

It resulted in a record $6 billion in new capital investment in 2022, which is more than seven times the previous average of approximately $900 million a year before I became governor.

And it helped us finalize the largest economic development project in Mississippi history – a $2.5 billion capital investment that will create 1,000 new jobs with an average salary of almost $100,000 a year.

But we had more than just one major economic deal. That grand slam was great, but there were dozens and dozens of projects impacting every corner of our state over the last year. The fact is that thanks to our singles and our doubles, Mississippi is starting to run up the scoreboard.

Last year we announced a $2 million investment that will create 117 new upholstery jobs in New Albany.

We announced a $79 million investment that will create 21 new operations jobs in Pelahatchie.

We announced a $51 million investment that will create 41 new manufacturing jobs in Winona.

Canton, Philadelphia, Bay Springs, Columbus, Starkville, Southaven, Meridian, Calhoun, Waynesboro, Vicksburg, Olive Branch, and Corinth – just to name a few of the places that we announced investments this last year.

My friends, when it comes to setting up our people and state for more economic prosperity, we are, by every objective standard, getting the job done.

We are boosting salaries and we are expanding the tax base. And we are investing in the areas that will provide our state with the highest return – our people.

I want our state to go even further in supporting Mississippians. Our state is in the best fiscal shape we’ve ever been in, and our state is in the best financial shape in history and our residents deserve to get a bigger piece of the pie.

We can and should do more to put additional dollars into the pockets of Mississippians. We will do this, by eliminating our state’s income tax once and for all.

We can do this and we can do this without raising other taxes. You’ve heard me say this before, but I’m going to keep saying it because it’s that important: government doesn’t have anything that it doesn’t first take from somebody else.

I believe that Mississippians not politicians or the government know best how to spend their dollars. I also believe that those who have competitive advantages win.

We have a competitive advantage in our people. We need to add another competitive advantage with our tax code.

To build the best possible environment for entrepreneurs, to combat President Biden’s runaway inflation, to compete with the likes of Florida, Tennessee and Texas, to continue making it easier for Mississippians to support their families, we must eliminate Mississippi’s income tax.

That’s why last year I was so proud to sign into law the largest tax cut in Mississippi history, which returned over half a billion dollars to Mississippians.

That’s more dollars in your pocket, more dollars in your kids’ college funds, more dollars put toward buying a home or retirement, and more dollars for you to spend on your priorities. Not politicians’ pet projects.

I’m proud of what we accomplished. But I’m even more fired up to keep the tax cuts coming. You have my word that as long as I’m governor, I’m going to continue relentlessly fighting for permanent, long-term tax relief that lets you keep more of your own hard-earned money.

But Mississippi isn’t just witnessing historic achievements in our state’s economy. We’re also seeing it in classrooms across our state.

A little over a week ago we announced – for the third time since I’ve been governor – that Mississippi’s high school graduation rate hit an all-time high and continues to be better than the national average.

And like our state’s economic growth, our education improvements didn’t happen by accident.

Our state’s stellar report card didn’t just appear out of thin air.

Mississippi insisted on getting kids back into school when other blue states stayed closed, and now we have the best education numbers in our state’s history!

The year Philip Gunn and I first presided over a State of the State in 2012, Mississippi was dead last in fourth grade math. Now, we’re above the national average at Number 23.

That means that over the last ten years since we passed education reform, Mississippi surpassed half the states in the nation.

We’ve gone from needs improvement to most improved.

We’ve led the nation in fourth grade reading and fourth grade math gains.

And students from all walks of life are finding more success in Mississippi. In 2003, Mississippi was among the worst performers when it came to test scores for Black students. Today we’re fifth in the entire nation when it comes to fourth grade reading test scores for Black students. Fifth in the entire nation!

So, when some people say, “Mississippi is last in education,” folks, they’re just not telling you the truth.

I want to personally thank all the legislators that played a role in helping to pass those education reforms. I also want to thank all the involved parents and dedicated teachers across Mississippi. We couldn’t have accomplished these goals without you.

Our state – unlike some others that have been in the news – recognizes that we have a duty to both. We should ensure that parents continue to play an active role in their kids’ education, and we should ensure that teachers are paid what they deserve.

It is my firm belief that Mississippi has some of the best teachers in the nation, and their salaries should reflect that.

That’s why I was proud to sign legislation giving Mississippi teachers the largest pay raise in state history. We elevated teacher salaries above not only the Southeastern average, but even above the national average!

Mississippi’s teachers earned those raises, and I was proud to sign them into law.

But regardless of the technology or textbooks we put in front of our kids, nothing is more influential to a child’s educational development than parents.

And when it comes to education, Mississippi should protect parents’ voices and their right to be involved in the classroom. Because at the end of the day, the state doesn’t run a child’s life – parents do. We need more transparency in schools in this country. We need more choice. We need more freedom. That will be the best way to protect our children.

I’ve been shocked to see how some states have embraced the misguided practice of pushing parents out of the classroom, pushing parents out of their children’s lives, and pushing parents out of the school board decision-making process.

Nobody, and I mean nobody, is more invested in the life and the future of a child than a parent. They shouldn’t be labeled as domestic terrorists for simply asking questions or for attending a school board meeting. They should be celebrated for being invested in their child’s education.

As a father myself, I want schools across Mississippi to complement the lessons parents are trying to teach at home, not reject them. That’s exactly why I am calling on the legislature to pass a Parents’ Bill of Rights this session.

Through the Parents’ Bill of Rights, we will reaffirm that in Mississippi, it is the state who answers to parents and not vice versa.

This Parents’ Bill of Rights would further cement that when it comes to the usage of names, pronouns, or health matters, schools will adhere to the will of parents. There is no room in our schools for policies that attempt to undercut parents and require the usage of pronouns or names that fail to correspond with reality.

I am proud to be governor, but the greatest pride in my life is being the dad of three wonderful girls. There are few things I love more than having the chance to cheer them on from the sidelines at their soccer or basketball games.

That’s why I’m especially proud to have signed legislation that ensured, that in Mississippi, we’re going to let boys play boys sports, and girls play girls sports. I didn’t do this just for my daughters, I did this for all of Mississippi’s daughters.

But we need to do even more to protect Mississippi’s children. We have a duty to keep pushing back against those that are taking advantage of children and using them to advance their sick and twisted ideologies.

There was a time in America when saying to kids ‘you can be whatever you want when you grow up’ meant that one day they could become a teacher, police officer, or fire fighter. A professional athlete, a doctor, or even a lawyer. That if you push yourself, there is nothing you can’t accomplish.

But today, there is a dangerous and radical movement that is now being pushed upon America’s kids. It threatens the very nature of truth. Across the country, activists are advancing untested experiments and persuading kids that they can live as a girl if they’re a boy, and that they can live as a boy if they’re a girl. And they’re telling them to pursue expensive, radical medical procedures to advance that lie.

These radical liberals are attempting to undermine objective, scientific truths. They’re trying to undermine how we view gender and even manipulate English words and grammar rules. From their illogical pronouns to their attempts at pushing the word Latinx onto the Hispanic community – they don’t care about the destruction they’re causing or whether they have the support of those they’re trying to group or label. Rather, they’re tyrannical in their approach to these issues and their unceasing attempts to have them adopted by society.

And let’s be honest, America stands essentially alone in the truly outrageous position that we’ve staked out on this issue. While some in our country push surgical mutilation onto 11 year olds even here in Mississippi, even liberal darlings like Finland, Denmark, and Sweden don’t allow these surgeries to be performed on kids who are under 18.

The fact is that we set age restrictions on driving a car and on getting a tattoo. We don’t let 11 year olds enter an R-rated movie alone, yet some would have us believe that we should push permanent body-altering surgeries on them at such a young age.

Mississippi must continue to do everything in our power to counter those who want to push their experiments on our kids. Time is of the essence, and we don’t have a second to waste. We must take every step to preserve the innocence of our children, especially against the cruel forces of modern progressivism which seek to use them as guinea pigs in their sick social experiments.

Let me be clear to those radical activists around the nation who want to do our kids harm.

Mississippi will not be trading compassion for compliance.

Our voices will not be silenced when it comes to science.

We will not be pressured into not asking questions.

And we will not give in to liberal intimidation when it comes to protecting our kids.

This is my promise to every Mississippian across our state.

There is also another way we are going to keep our kids safe, and it includes keeping their parents safe as well.

One of the most fundamental responsibilities of government is to ensure public safety and to uphold law and order.

I ran for governor to fix Mississippi’s problems, not to hide them. That’s why I’ve become increasingly concerned that, for three consecutive years now, homicides have numbered in the triple digits here in our capital city. We can and must do better.

The fact is, no matter how hard we try, there will always be evil in the world. There are those who lurk in the shadows seeking to hurt those around them. There are those who seek to inject drugs and crime into their communities, all so they can make a buck.

These actions undermine social cohesion and safety in our neighborhoods. They threaten the lives of our kids and the safety of our families.

To put it mildly, the crime situation in Jackson is unacceptable. Kids are getting killed in our streets and it’s time we put a stop to it.

Now, some have suggested that the response should be to undercut, defund, and dismantle the police. I couldn’t disagree more.

Many of us have family and friends who wear the badge. It’s worth constantly reminding ourselves that these individuals are the thin blue line which helps hold communities together.

In Mississippi we choose to fund the police. We choose to back the blue. We choose to celebrate the brave men and women who put on the badge every day and run towards danger. That’s exactly what Mississippi has done, and that’s exactly what Mississippi will continue to do.

Last year, the Mississippi Department of Public Safety conducted two major surges of law enforcement personnel – one in Jackson and one along our Gulf Coast. We flexed law enforcement in the areas and helped to shut down criminal elements in the regions. And while those surges proved to be successful, we still have more work to do.

That’s why this session, I’m calling on the legislature to make further investment into our Capitol Police by giving them the 150 officers and equipment they need to continue fulfilling their mission and continue pushing back on lawlessness in Jackson.

And let me say this as well, my administration will go after all crime within our jurisdiction. Regardless of the crime committed, regardless of who did it, regardless if it happened on the street or in an office building, my administration is and will continue to hold criminals accountable.

That’s why my administration remains committed to delivering justice and recouping every dollar possible from those who stole from Mississippians through the theft of TANF dollars.

Again, I ran for governor to fix Mississippi’s problems, not to hide them. Which brings me to my next area of focus – our state’s healthcare system.

Mississippi is not immune to the struggles facing healthcare systems across the country. Together, we should keep working to improve Mississippians’ access to quality healthcare, and together, we should keep working to ensure Mississippi’s healthcare system meets the needs of our people.

It starts with leveling the playing field. Most people do not know that it is illegal to open a new health care facility that competes with other institutions. We are all frustrated and worried by the threats that some hospitals may close. The first step should be allowing new ones to open! By reforming Mississippi’s Certificate of Need laws, we can root out anti-competitive behavior that blocks the formation of medical facilities and prevents the delivery of lifesaving healthcare to Mississippians.

We should continue to strengthen the pipeline of medical professionals by doubling and tripling down on our improved workforce development strategy, and we should pass legislation that levels the playing field for hospitals with expanded residency programs.

Because, at the end of the day, the real answers to our problems are not contained in the same old proposals that only serve to delay the inevitable at the expense of taxpayers. The real answer to our problems lies in innovation.

Technology is changing, and the way healthcare is delivered is changing. Our policies must adapt with the times and facilitate care that focuses not on institutions but on the patients we seek to support.

Throughout modern history we’ve witnessed innovation disrupt industries such as manufacturing, transportation, food, and entertainment. There was a time when people had to go to the theater to watch a movie. Today, they can watch them at home and on an airplane. On cable TV, Netflix, and every streaming service in between.

The fact of the matter is that technology and innovation lead to new opportunities. The same can be said of our healthcare system.

There was a time when if you needed medical services, you had to go to a large brick and mortar hospital – that was your only choice. But today, people are increasingly choosing new healthcare distribution channels over your traditional hospital. Today, people are accessing healthcare through telemedicine providers, micro-hospitals, urgent care facilities, and expanded care opportunities with nurse practitioners, pharmacists, and others.

This legislative session, I urge the legislature to think outside the box when it comes to improving Mississippi’s healthcare system. Don’t simply cave under the pressure of Democrats and their allies in the media who are pushing for the expansion of Obamacare, welfare, and socialized medicine.

Instead, seek innovative free market solutions that disrupt traditional healthcare delivery models, increase competition, and lead to better health outcomes for Mississippians.

Do not settle for something that won’t solve the problem because it could potentially and only temporarily remove the liberal media’s target on your back.

You have my word that if you stand up to the left’s push for endless government-run healthcare, I will stand with you.

For as dire as national politics sometimes seem, there’s still a tremendous amount of hope in Mississippi.

There really are incredible things happening here. And I’m talking about far more than our state winning its second college baseball national championship in a row, as incredible as that was.

Last year, Mississippi led the nation to overturn Roe v. Wade – the greatest accomplishment in the conservative movement in my lifetime.

Long story short, more innocent children will now have the chance to be born.

There are future doctors who now have the chance to be born. There are future teachers that now have the chance to be born. There are future nurses, future linemen, and future truckers. There are future fathers and future mothers, friends and family, brothers and sisters. They all now have the chance at life.

And there may very well even be a life that was saved who, a few years from now, will stand up here and give his or her update on the State of our State. What a wonderful blessing that would be.

But the fact is that being pro-life is about more than just being anti-abortion. We don’t just want to eliminate the taking of unborn children’s lives, we want to make it easier for parents to raise children and for mothers to give birth to happy and healthy kids.

Now some have said that too many children will be added to Mississippi’s population. I say what a wonderful problem to have. On this point I agree with Mother Teresa when she said, ‘How can there be too many children? That is like saying there are too many flowers.’

But I also recognize we are called to do more and to support these new moms and new babies.

And I want every element of our laws to reflect and facilitate this critical mission.

That’s why I’m also calling on the legislature to establish a New Pro-Life Agenda that helps make Mississippi the easiest place in the nation to raise a family.

Together, we can prove the country wrong just like we did in education. Just like we led the nation in overturning Roe, we can lead the nation in supporting mothers and babies.

This session, Mississippi should establish a childcare tax credit and allow Mississippi families to write off childcare supplies on state tax returns.

We should increase our support for pregnancy resource centers and thus help to care for expectant and new mothers, especially those who are struggling with poverty or isolation.

We should expand childcare opportunities by cutting red tape. There’s no reason that we should let government get in the way of parents accessing care for their children.

We should expand safe haven laws, so parents have every available opportunity to choose life.

We should reduce the existing adoption backlogs and make it easier and less expensive for parents to adopt kids into a loving forever home.

And we should update our child support laws so that fathers must support their children from the moment their life begins – at conception.

This is our New Pro-Life Agenda. As I’ve said before, it will not be easy, and it will not be free. But I know that together, we are going to get the job done and deliver the support Mississippi mothers and babies deserve.

My fellow Mississippians, it’s been quite the year for our state. We’ve had moments of triumph and moments of anguish. But through it all, we’ve emerged stronger, together.

We know where Mississippi has been, and we know where Mississippi is going. Regardless of the unfair stereotypes placed upon our state and her people, we know good things are happening here.

Is our state perfect? Of course not. But besides heaven, no place is.

We know what’s happening on the ground here. We know it because we are seeing it. Whether it’s the record investment or all-time low unemployment, the all-time high graduation rate or standing up to the radical left’s war on our values – Mississippi is winning, and our state is on the rise.

That’s why I urge all of you here today to stand with me and call out the lies when they are thrown at all of us.

We can never give into the cynics who seek to tear down our great state.

We can never give into Joe Biden and the national Democrats who seek to force feed us an unhealthy dose of progressivism because they view Mississippians as neanderthals.

And we can never give into those who want us to live in a perpetual state of self-condemnation.

My friends, I am proud to serve as Mississippi’s 65th governor but I’m even prouder to call myself a Mississippian.

The eyes of our state are turned to the future, and that’s why I will continue to reject those who would seek to divide and separate us. Instead, on behalf of all Mississippi, I am proud to pronounce once more that we are all Mississippians, committed to improving this home that we love.

We are blessed to live in a wonderful state. We are blessed to have wonderful neighbors. We are blessed by one common God who smiles down upon Mississippi.

I have no doubt that our future is brighter than ever before and that, together, we will continue to build this great state upwards.

God bless all of you. And may God continue to bless this great state that we all love, Mississippi.

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

Mississippi Today

On this day in 1898

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mississippitoday.org – Jerry Mitchell – 2025-02-22 07:00:00

Feb. 22, 1898

Lavinia Baker and her five surviving children. A white mob set fire to their house and fatally shot and killed her husband, Frazier Baker, and baby girl Julia on Feb. 22, 1898. Left to right: Sarah; Lincoln, Lavinia; Wille; Cora, Rosa Credit: Wikipedia

Frazier Baker, the first Black postmaster of the small town of Lake City, South Carolina, and his baby daughter, Julia, were killed, and his wife and three other daughters were injured when a lynch mob attacked

When President William McKinley appointed Baker the previous year, local whites began to attack Baker’s abilities. Postal inspectors determined the accusations were unfounded, but that didn’t halt those determined to destroy him. 

Hundreds of whites set fire to the post office, where the Bakers lived, and reportedly fired up to 100 bullets into their home. Outraged citizens in town wrote a resolution describing the attack and 25 years of “lawlessness” and “bloody butchery” in the area. 

Crusading journalist Ida B. Wells wrote the White House about the attack, noting that the family was now in the Black hospital in Charleston “and when they recover sufficiently to be discharged, they) have no dollar with which to buy food, shelter or raiment. 

McKinley ordered an investigation that led to charges against 13 men, but no one was ever convicted. The family left South Carolina for Boston, and later that year, the first nationwide civil rights organization in the U.S., the National Afro-American Council, was formed. 

In 2019, the Lake City post office was renamed to honor Frazier Baker. 

“We, as a family, are glad that the recognition of this painful event finally happened,” his great-niece, Dr. Fostenia Baker said. “It’s long overdue.”

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

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Mississippi Today

Memorial Health System takes over Biloxi hospital, what will change?

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mississippitoday.org – Roy Howard Community Journalism Center – 2025-02-21 15:22:00

by Justin Glowacki  with contributions from Rasheed Ambrose, Javion Henry, McKenna Klamm, Matt Martin and Aidan Tarrant

BILOXI – On Feb. 1, Memorial Health System officially took over Merit Health Biloxi, solidifying its position as the dominant healthcare provider in the region. According to Fitch Ratings, Memorial now controls more than 85% of the local health care market.

This isn’t Memorial’s first hospital acquisition. In 2019, it took over Stone County Hospital and expanded services. Memorial considers that transition a success and expects similar results in Biloxi.

However, health care experts caution that when one provider dominates a market, it can lead to higher prices and fewer options for patients.

Expanding specialty care and services

Kristian Spear, Hospital Administrator at Memorial Hospital Biloxi, speaks on the hospital’s acquisition and future goals for improvement. (RHCJC News)

One of the biggest benefits of the acquisition, according to Kristian Spear, the new administrator of Memorial Hospital Biloxi, will be access to Memorial’s referral network.

By joining Memorial’s network, Biloxi patients will have access to more services, over 40 specialties and over 100 clinics.

“Everything that you can get at Gulfport, you will have access to here through the referral system,” Spear said.

One of the first improvements will be the reopening of the Radiation Oncology Clinic at Cedar Lake, which previously shut down due to “availability shortages,” though hospital administration did not expand on what that entailed.

“In the next few months, the community will see a difference,” Spear said. “We’re going to bring resources here that they haven’t had.”

Beyond specialty care, Memorial is also expanding hospital services and increasing capacity. Angela Benda, director of quality and performance improvement at Memorial Hospital Biloxi, said the hospital is focused on growth.

“We’re a 153-bed hospital, and we average a census of right now about 30 to 40 a day. It’s not that much, and so, the plan is just to grow and give more services,” Benda said. “So, we’re going to expand on the fifth floor, open up more beds, more admissions, more surgeries, more provider presence, especially around the specialties like cardiology and OB-GYN and just a few others like that.”

For patient Kenneth Pritchett, a Biloxi resident for over 30 years, those changes couldn’t come soon enough.

Keneth Pritchett, a Biloxi resident for over 30 years, speaks on the introduction of new services at Memorial Hospital Biloxi. (RHCJC News) Credit: Larrison Campbell, Mississippi Today

Pritchett, who was diagnosed with congestive heart failure, received treatment at Merit Health Biloxi. He currently sees a cardiologist in Cedar Lake, a 15-minute drive on the interstate. He says having a cardiologist in Biloxi would make a difference.

“Yes, it’d be very helpful if it was closer,” Pritchett said. “That’d be right across the track instead of going on the interstate.”

Beyond specialty services and expanded capacity, Memorial is upgrading medical equipment and renovating the hospital to improve both function and appearance. As far as a timeline for these changes, Memorial said, “We are taking time to assess the needs and will make adjustments that make sense for patient care and employee workflow as time and budget allow.”

Unanswered questions: insurance and staffing

As Memorial Health System takes over Merit Health Biloxi, two major questions remain:

  1. Will patients still be covered under the same insurance plans?
  2. Will current hospital staff keep their jobs?

Insurance Concerns

Memorial has not finalized agreements with all insurance providers and has not provided a timeline for when those agreements will be in place.

In a statement, the hospital said:

“Memorial recommends that patients contact their insurance provider to get their specific coverage questions answered. However, patients should always seek to get the care they need, and Memorial will work through the financial process with the payers and the patients afterward.”

We asked Memorial Health System how the insurance agreements were handled after it acquired Stone County Hospital. They said they had “no additional input.”

What about hospital staff?

According to Spear, Merit Health Biloxi had around 500 employees.

“A lot of the employees here have worked here for many, many years. They’re very loyal. I want to continue that, and I want them to come to me when they have any concerns, questions, and I want to work with this team together,” Spear said.

She explained that there will be a 90-day transitional period where all employees are integrated into Memorial Health System’s software.

“Employees are not going to notice much of a difference. They’re still going to come to work. They’re going to do their day-to-day job. Over the next few months, we will probably do some transitioning of their computer system. But that’s not going to be right away.”

The transition to new ownership also means Memorial will evaluate how the hospital is operated and determine if changes need to be made.

“As we get it and assess the different workflows and the different policies, there will be some changes to that over time. Just it’s going to take time to get in here and figure that out.”

During this 90-day period, Erin Rosetti, Communications Manager at Memorial Health System said, “Biloxi employees in good standing will transition to Memorial at the same pay rate and equivalent job title.”

Kent Nicaud, President and CEO of Memorial Health System, said in a statement that the hospital is committed to “supporting our staff and ensuring they are aligned with the long-term vision of our health system.”

What research says about hospital consolidations

While Memorial is promising improvements, larger trends in hospital mergers raise important questions.

Research published by the Rand Corporation, a nonprofit, nonpartisan research organization, found that research into hospital consolidations reported increased prices anywhere from 3.9% to 65%, even among nonprofit hospitals.

Source: Liu, Jodi L., Zachary M. Levinson, Annetta Zhou, Xiaoxi Zhao, PhuongGiang Nguyen, and Nabeel Qureshi, Environmental Scan on Consolidation Trends and Impacts in Health Care Markets. Santa Monica, CA: RAND Corporation, 2022.

The impact on patient care is mixed. Some studies suggest merging hospitals can streamline services and improve efficiency. Others indicate mergers reduce competition, which can drive up costs without necessarily improving care.

When asked about potential changes to the cost of care, hospital leaders declined to comment until after negations with insurance companies are finalized, but did clarify Memorial’s “prices are set.”

“We have a proven record of being able to go into institutions and transform them,” said Angie Juzang, Vice President of Marketing and Community Relations at Memorial Health System.

When Memorial acquired Stone County Hospital, it expanded the emergency room to provide 24/7 emergency room coverage and renovated the interior.

When asked whether prices increased after the Stone County acquisition, Memorial responded:

“Our presence has expanded access to health care for everyone in Stone County and the surrounding communities. We are providing quality healthcare, regardless of a patient’s ability to pay.”

The response did not directly address whether prices went up — leaving the question unanswered.

The bigger picture: Hospital consolidations on the rise

According to health care consulting firm Kaufman Hall, hospital mergers and acquisitions are returning to pre-pandemic levels and are expected to increase through 2025.

Hospitals are seeking stronger financial partnerships to help expand services and remain stable in an uncertain health care market.

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Source: Kaufman Hall M&A Review

Proponents of hospital consolidations argue mergers help hospitals operate more efficiently by:

  • Sharing resources.
  • Reducing overhead costs.
  • Negotiating better supply pricing.

However, opponents warn few competitors in a market can:

  • Reduce incentives to lower prices.
  • Slow wage increases for hospital staff.
  • Lessen the pressure to improve services.

Leemore Dafny, PhD, a professor at Harvard and former deputy director for health care and antitrust at the Federal Trade Commission’s Bureau of Economics, has studied hospital consolidations extensively.

In testimony before Congress, she warned: “When rivals merge, prices increase, and there’s scant evidence of improvements in the quality of care that patients receive. There is also a fair amount of evidence that quality of care decreases.”

Meanwhile, an American Hospital Association analysis found consolidations lead to a 3.3% reduction in annual operating expenses and a 3.7% reduction in revenue per patient.

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

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Mississippi Today

Adopted people face barriers obtaining birth certificates. Some lawmakers point to murky opposition from judges

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mississippitoday.org – Michael Goldberg – 2025-02-21 10:00:00

When Judi Cox was 18, she began searching for her biological mother. Two weeks later she discovered her mother had already died. 

Cox, 41, was born in Gulfport. Her mother was 15 and her father didn’t know he had a child. He would discover his daughter’s existence only when, as an adult, she took an ancestry test and matched with his niece. 

It was this opaque family history, its details coming to light through a convergence of tragedy and happenstance, that led Cox to seek stronger legal protections for adopted people in Mississippi. Ensuring adopted people have access to their birth certificates has been a central pillar of her advocacy on behalf of adoptees. But legislative proposals to advance such protections have died for years, including this year.  

Cox said the failure is an example of discrimination against adopted people in Mississippi — where adoption has been championed as a reprieve for mothers forced into giving birth as a result of the state’s abortion ban. 

“A lot of people think it’s about search and reunion, and it’s not. It’s about having equal rights. I mean, everybody else has their birth certificate,” Cox said. “Why should we be denied ours?”

Mississippi lawmakers who have pushed unsuccessfully for legislation to guarantee adoptees access to their birth certificate have said, in private emails to Cox and interviews with Mississippi Today, that opposition comes from judges.

 “There are a few judges that oppose the bill from what I’ve heard,” wrote Republican Sen. Angela Hill in a 2023 email. 

Hill was recounting opposition to a bill that died during the 2023 legislative session, but a similar measure in 2025 met the same fate. In an interview this month, Hill said she believed the political opposition to the legislation could be bound up with personal interest.

“Somebody in a high place doesn’t want an adoption unsealed,” Hill said. “I don’t know who we’re protecting from somebody finding their birth parents,” Hill said. “But it leads you to believe some people have a very strong interest in keeping adoption records sealed. Unless it’s personal, I don’t understand it.”

In another 2023 email to Cox reviewed by Mississippi Today, Republican Rep. Lee Yancey wrote that some were concerned the bill “might be a deterrent to adoption if their identities were disclosed.”

The 2023 legislative session was the first time a proposal to guarantee adoptees access to their birth certificates was introduced under the state’s new legal landscape surrounding abortion.

In 2018, Mississippi enacted a law that banned most abortions after 15 weeks. The state’s only abortion clinic challenged the law, and that became the case that the U.S. Supreme Court used in 2022 to overturn Roe v. Wade, its landmark 1973 ruling that established a nationwide right to abortion.

Roe v. Wade had rested in part on a woman’s right to privacy, a legal framework Mississippi’s Solicitor General successfully undermined in Dobbs v. Jackson Women’s Health Organization. Before that ruling, anti-abortion advocates had feared allowing adoptees to obtain their birth certificates could push women toward abortion rather than adoption.

Abortion would look like a better option for parents who feared future contact or disclosure of their identities, the argument went. With legal access to abortion a thing of the past in Mississippi, Cox said she sees a contradiction.

“Mississippi does not recognize privacy in that matter, as far as abortions and all that. So if you don’t acknowledge it in an abortion setting, how can you do it in an adoption setting?” Cox said. “You can’t pick and choose whether you’re going to protect my privacy.”

Opponents to legislation easing access to birth certificates for adoptees have also argued that such proposals would unfairly override previous affidavits filed by birth parents requesting privacy.

The 2025 bill, proposed by Republican Rep. Billy Calvert, would direct the state Bureau of Vital Records to issue adoptees aged 21 and older a copy of their original birth certificate.

The bill would also have required the Bureau to prepare a form parents could use to indicate their preferences regarding contact from an adoptee. That provision, along with existing laws that guard against stalking, would give adoptees access to their birth certificate while protecting parents who don’t wish to be contacted, Cox said.

In 2021, Cox tried to get a copy of her birth certificate. She asked Lauderdale County Chancery Judge Charlie Smith, who is now retired, to unseal her adoption records. The Judge refused because Cox had already learned the identity of her biological parents, emails show.

“With the information that you already have, Judge Smith sees no reason to grant the request to open the sealed adoption records at this time,” wrote Tawanna Wright, administrator for the 12th District Chancery Court in Meridian. “If you would like to formally file a motion and request a hearing, you are certainly welcome to do so.”

In her case and others, judges often rely on a subjective definition of what constitutes a “good cause” for unsealing records, Cox said. Going through the current legal process for unsealing records can be costly, and adoptees can’t always control when and how they learn the identity of their biological parents, Cox added.

After Cox’s biological mother died, her biological uncle was going through her things and came across the phone number for Cox’s adoptive parents. He called them.

“My adoptive mom then called to tell me the news — just hours after learning I was expecting my first child,” Cox said.

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

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