Mississippi Today
‘Transformative’ mental health bill awaits governor’s signature, funding
‘Transformative’ mental health bill awaits governor’s signature, funding
A bill passed unanimously by the Legislature is expected to bring some reform to Mississippi’s long-troubled mental health care system, which often strands people with mental health issues in jail with long delays in treatment and has been under scrutiny from federal authorities for years.
“House Bill 1222 provides solid solutions to national mental health issues and is so transformative that it could be a really strong model for other states to implement,” said Dr. Katherine Pannel, a psychiatrist, president elect of the Mississippi Psychiatric Association and longtime Mississippi mental health advocate.
The measure, authored by Rep. Sam Creekmore, R-New Albany, would provide mental health training for Mississippi’s law enforcement, often the first point of contact for those suffering illness. It would also expand a court-liaison program, helping families dealing with the court system. It also seeks to improve cooperation between county governments and regional commissions that oversee community mental health centers.
The bill faced some realpolitik setbacks as it made its way through the Legislature. The initial version would have created a tax on vaping products that was expected to bring in $6.5 million a year, more than half of which would go to help counties house people people needed mental health services. But the GOP supermajority in the Legislature would not go for any new tax, so now the measure awaits lawmakers approval of a general appropriation. Creekmore expects the Legislature to provide about $4 million a year for the program.
At one point the bill was amended to include measures proposed by Rep. Kevin Felsher, R-Biloxi, that would have set some stringent restrictions on people with mental illness being held in jail to await treatment. It would also have allowed counties to contract for people to receive private mental health services instead of waiting in jail, with counties paying rates capped at what Medicaid would pay. These measures faced political opposition and were removed, but supporters say the final bill is a major step in the right direction for mental health reform.
“It’s not a panacea,” said Senate Public Health and Welfare Chairman Hob Bryan, D-Amory. “But one of the most important things that has happened in mental health here over the last several years is that there’s attention being focused on the problem.”
Creekmore was tasked last year with leading a House subcommittee on mental health. He is credited with working to get mental health services, law enforcement, the courts and local governments on the same page in dealing with people with mental health issues in authoring “The Mississippi Collaborative Response to Mental Health Act.”
The final version of the bill passed both the House and Senate unanimously, and awaits Gov. Tate Reeves’ signature and approval of funding in the final days of the legislative session. Creekmore said he is confident both will happen.
“Within eight years, every police officer in Mississippi will have a basic knowledge of how to deal with mental health issues, which will help keep them safer, and help others dealing with mental health crises,” Creekmore said. He said that similar training in Tennessee has greatly decreased the numbers of injuries to officers.
Mississippi Department of Mental Health Director Wendy Bailey said, “HB 1222 aims to provide assistance by both providing training for law enforcement and in helping expand programs that work to divert individuals from inpatient stays at state hospitals to community services near them.”
DMH provides Mental Health First Aid training for law enforcement. The bill would require all officers to receive this eight-hour training over the next eight years. Crisis intervention team officers would receive more intensive, 40-hour training. Creekmore said each law enforcement department would be required to have a CIT officer, or to contract with another nearby agency to have one it could call.
The bill would expand the state’s pilot court liaison program, requiring counties with 20 or more mental health commitments a year to have one, either in the local community mental health center or chancery clerk’s office. These liaisons families as they approach the court system help find treatment options other than commitment to a hospital where appropriate. Bailey said, “We have already seen positive outcomes from the pilot court liaisons over the last year.”
Creekmore said the bill would also require better reporting of mental health cases and issues on the state and local level, and revamp requirements for the state mental health board and regional commissions that help oversee community mental health centers. This will help the state better track where issues are and be able to address them, and improve coordination.
“We believe that services and supports are the shared responsibility of state and local governments, communities, family members and service providers,” Bailey said. “We’re in favor of anything that can strengthen communication, relationships and partnerships, and believe this bill aims to do exactly that.”
Bryan said: “One of the things that’s in Sam’s bill is based on something tried in Monroe, Itawamba and Lee counties. When a family member gets to the point they don’t know what to do, they go to the county clerk’s office, because they know they will do something — same as going to the emergency room, because you know they’ll do something. That starts a legal process, and commitment is necessary in some cases, but to a large extent that’s left over from a time when we didn’t know better and didn’t have any services. This will have someone from the community mental health center on call to go to the clerk’s office and talk to the family, discuss some alternatives and what things are available in the community. That conversation has had a very good effect in reducing the number of commitments, and that’s a good thing in and of itself.”
Pannel said, “We have not seen our Legislature this active on mental health and substance abuse issues in a while.”
“Representative Creekmore has been a true mental health champion in Mississippi,” Pannel said.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1997
Dec. 22, 1997
The Mississippi Supreme Court upheld the conviction of white supremacist Byron De La Beckwith for the 1963 murder of Medgar Evers.
In the court’s 4–2 decision, Justice Mike Mills praised efforts “to squeeze justice out of the harm caused by a furtive explosion which erupted from dark bushes on a June night in Jackson, Mississippi.”
He wrote that Beckwith’s constitutional right to a speedy trial had not been denied. His “complicity with the Sovereignty Commission’s involvement in the prior trials contributed to the delay.”
The decision did more than ensure that Beckwith would stay behind bars. The conviction helped clear the way for other prosecutions of unpunished killings from the Civil Rights Era.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Medicaid expansion tracker approaches $1 billion loss for Mississippi
About the time people ring in the new year next week, the digital tracker on Mississippi Today’s homepage tabulating the amount of money the state is losing by not expanding Medicaid will hit $1 billion.
The state has lost $1 billion not since the start of the quickly departing 2024 but since the beginning of the state’s fiscal year on July 1.
Some who oppose Medicaid expansion say the digital tracker is flawed.
During an October news conference, when state Auditor Shad White unveiled details of his $2 million study seeking ways to cut state government spending, he said he did not look at Medicaid expansion as a method to save money or grow state revenue.
“I think that (Mississippi Today) calculator is wrong,” White said. “… I don’t think that takes into account how many people are going to be moved off the federal health care exchange where their health care is paid for fully by the federal government and moved onto Medicaid.”
White is not the only Mississippi politician who has expressed concern that if Medicaid expansion were enacted, thousands of people would lose their insurance on the exchange and be forced to enroll in Medicaid for health care coverage.
Mississippi Today’s projections used for the tracker are based on studies conducted by the Institutions of Higher Learning University Research Center. Granted, there are a lot of variables in the study that are inexact. It is impossible to say, for example, how many people will get sick and need health care, thus increasing the cost of Medicaid expansion. But is reasonable that the projections of the University Research Center are in the ballpark of being accurate and close to other studies conducted by health care experts.
White and others are correct that Mississippi Today’s calculator does not take into account money flowing into the state for people covered on the health care exchange. But that money does not go to the state; it goes to insurance companies that, granted, use that money to reimburse Mississippians for providing health care. But at least a portion of the money goes to out-of-state insurance companies as profits.
Both Medicaid expansion and the health care exchange are part of the Affordable Care Act. Under Medicaid expansion people earning up to $20,120 annually can sign up for Medicaid and the federal government will pay the bulk of the cost. Mississippi is one of 10 states that have not opted into Medicaid expansion.
People making more than $14,580 annually can garner private insurance through the health insurance exchanges, and people below certain income levels can receive help from the federal government in paying for that coverage.
During the COVID-19 pandemic, legislation championed and signed into law by President Joe Biden significantly increased the federal subsidies provided to people receiving insurance on the exchange. Those increased subsidies led to many Mississippians — desperate for health care — turning to the exchange for help.
White, state Insurance Commissioner Mike Chaney, Gov. Tate Reeves and others have expressed concern that those people would lose their private health insurance and be forced to sign up for Medicaid if lawmakers vote to expand Medicaid.
They are correct.
But they do not mention that the enhanced benefits authored by the Biden administration are scheduled to expire in December 2025 unless they are reenacted by Congress. The incoming Donald Trump administration has given no indication it will continue the enhanced subsidies.
As a matter of fact, the Trump administration, led by billionaire Elon Musk, is looking for ways to cut federal spending.
Some have speculated that Medicaid expansion also could be on Musk’s chopping block.
That is possible. But remember congressional action is required to continue the enhanced subsidies. On the flip side, congressional action would most likely be required to end or cut Medicaid expansion.
Would the multiple U.S. senators and House members in the red states that have expanded Medicaid vote to end a program that is providing health care to thousands of their constituents?
If Congress does not continue Biden’s enhanced subsidies, the rates for Mississippians on the exchange will increase on average about $500 per year, according to a study by KFF, a national health advocacy nonprofit. If that occurs, it is likely that many of the 280,000 Mississippians on the exchange will drop their coverage.
The result will be that Mississippi’s rate of uninsured — already one of the highest in the nation – will rise further, putting additional pressure on hospitals and other providers who will be treating patients who have no ability to pay.
In the meantime, the Mississippi Today counter that tracks the amount of money Mississippi is losing by not expanding Medicaid keeps ticking up.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1911
Dec. 21, 1911
Josh Gibson, the Negro League’s “Home Run King,” was born in Buena Vista, Georgia.
When the family’s farm suffered, they moved to Pittsburgh, and Gibson tried baseball at age 16. He eventually played for a semi-pro team in Pittsburgh and became known for his towering home runs.
He was watching the Homestead Grays play on July 25, 1930, when the catcher injured his hand. Team members called for Gibson, sitting in the stands, to join them. He was such a talented catcher that base runners were more reluctant to steal. He hit the baseball so hard and so far (580 feet once at Yankee Stadium) that he became the second-highest paid player in the Negro Leagues behind Satchel Paige, with both of them entering the National Baseball Hame of Fame.
The Hall estimated that Gibson hit nearly 800 homers in his 17-year career and had a lifetime batting average of .359. Gibson was portrayed in the 1996 TV movie, “Soul of the Game,” by Mykelti Williamson. Blair Underwood played Jackie Robinson, Delroy Lindo portrayed Satchel Paige, and Harvey Williams played “Cat” Mays, the father of the legendary Willie Mays.
Gibson has now been honored with a statue outside the Washington Nationals’ ballpark.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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