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‘Transformative’ mental health bill awaits governor’s signature, funding

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‘Transformative’ mental health bill awaits governor’s signature, funding

A bill passed unanimously by the is expected to bring some reform to Mississippi’s long-troubled mental 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 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 private mental health services instead of waiting in jail, with counties paying rates capped at what 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 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 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 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 โ€” 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 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

New health care coalition forms, including hospitals that left state hospital association

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mississippitoday.org – Gwen Dilworth – 2024-11-05 12:46:00

A new care alliance will unite several of Mississippi’s largest hospital systems โ€“ all of which left the state hospital association following controversy over expansion โ€“ under the umbrella of one of the ‘s largest and most influential lobbying firms.

The new group will be helmed by former Mississippi Medicaid Director Drew Snyder, who served under two Republican governors who thwarted Medicaid expansion and the flow of billions of federal dollars to provide health insurance to low-income Mississippians for over a decade. 

The new collaborative will focus on โ€œproviding sustainable solutions to challenges facing access to care,โ€ said a press release. It will include representatives from the state’s leading acute and trauma care hospitals, rural hospitals, mental health providers and primary care providers.

Critics, along with the Mississippi Hospital Association, say the new group’s formation is motivated by partisan politics.

A slew of hospitals left the hospital association after the organization’s political action committee made its largest-ever contribution to Democratic gubernatorial candidate Brandon Presley, a strong supporter of Medicaid expansion, in 2023. All but one have joined the new collaborative. 

This means lawmakers in 2025 will hear from two separate groups of hospitals and health care organizations, raising questions about whether their overall impact will be diluted without a unified voice.

Gov. Tate Reeves announces his plans for a series of Medicaid reimbursement reforms during a press conference at the Walter Sillers Building in Jackson, Miss., on Thursday, Sept. 21, 2023. Credit: Eric Shelton/

Snyder, who declined repeated requests for comment for this story, will lead the Mississippi Healthcare Collaborative under the umbrella of multi-state, Jackson-based lobbying firm Capitol Resources and its new health policy consulting division, Health Resources.

Capitol Resources is a strong supporter of Republican Gov. Tate Reeves. The firm’s political action committee has contributed nearly $75,000 to Reeves since 2018.

Five of Capitol Resources’ scores of Mississippi clients hold multi-million dollar contracts with the Division of Medicaid. 

A query to the Mississippi Ethics Commission published just days before Snyder announced his resignation from the Division of Medicaid sought an opinion on how a former head of an agency could work for a lobbying firm with clients in the same field as his or her public service without violating state law. Requests for opinions are anonymous.

The Ethics Commission ruled that the public official could not work for compensation on matters โ€œwhich he or she was directly or personally involved while working for the government,โ€ but would not be forbidden from working for a company that does. 

A national ethics expert told Mississippi that when public officials transition to private sector work, particularly in the same field as their public service, it can raise ethical issues. 

The knowledge and information public officials hold can be used as a โ€œleg up,โ€ which leads to unfairness in private companies’ and lobbying organizations’ business dealings with government entities, said professor John Pelissero, the director of Government Ethics at the Markkula Center for Applied Ethics at Santa Clara University.

Capitol Resources has for years represented Centene, a company that currently holds $5.2 billion worth of contracts for managing Medicaid beneficiaries care through its subsidiary Magnolia Health. The company has paid the lobbying firm $3.9 million over the last decade, according to the Secretary of State’s website.

Tim Moore, the former head of the Mississippi Hospital Association, said he has concerns about the conflict posed by a lobbying firm representing two health care organizations with competing interests. 

โ€œHow do you represent a managed care company and a bunch of hospitals at the same time?โ€ he said. 

Moore was ousted by the Mississippi Hospital Association’s Board of Governors following hospitals’ withdrawal from the organization.

Clare Hester, the founder and managing partner of Capitol Resources, did not respond to a request for comment by press time.

The evolution of the Mississippi Hospital Association

The Mississippi Hospital Association was for many years one of the most powerful lobbies at the Capitol. But that began to change with the passage of the federal Affordable Care Act, which created a partisan rift over whether or not the state should expand Medicaid. 

The trade association splintered in May 2023, starting with the departure of the state’s largest hospital system, , in May. Four additional hospitals, all led by Gregg Gibbes, left the association in 2024. 

Hospital leaders at the time declined to say what precipitated their decision to , other than to cite concerns about the hospital association’s leadership. But the exodus was widely interpreted as a rebuke of the association’s for Presley and, specifically, Medicaid expansion. 

Research has shown that Medicaid expansion would provide millions of dollars to Mississippi’s struggling hospital system. 

As Reeves faced an uphill reelection bid, due in part to his opponent’s support of Medicaid expansion and his adamant opposition, he worked with Snyder to create a new program to provide supplemental payments to hospitals to offset low Medicaid payments. While the program did not directly support low-income Mississippians, it was estimated to generate $700 million for the state’s largest hospitals. 

Republican House leaders pushing for Medicaid expansion in the last legislative session said the program prevented some large hospitals from being strong advocates for expansion, in part due to fear that Gov. Reeves would punish such a move by doing away with the expanded payments.

The Mississippi Hospital Association has 76 current hospital members, according to its online directory. Some are members of hospital systems. 

Richard Roberson, CEO of the Mississippi Hospital Association. Credit: Jerry Mitchell/MCIR

โ€œThe Mississippi Hospital Association will continue to be the trusted voice in health care and to offer education and quality advocacy solutions based on sound health care policy โ€“ and not politics โ€“ as we have successfully done for almost 100 years,โ€ president and CEO Richard Roberson told Mississippi Today. Roberson is the former head of TrueCare, a provider-led, nonprofit managed care organization that contracts with Medicaid.

Kent Nicaud, one of Reeves’ top campaign donors and the president and CEO of Memorial Hospital, will serve as chair of the collaborative’s board. Memorial Health System left the hospital association in 2023, and is a current client of Capitol Resources. 

Moore said two major health care trade associations in the state will โ€œcreate division among the industry, which is not good.โ€

โ€œ…The best thing for all hospitals is to be united in one voice, because they have similar issues, whether they’re a small hospital or a large hospital,โ€ he said. 

Along with hospitals that left the association, Mississippi Healthcare Collaborative incorporates several existing Capitol Resources clients, including the state’s 21 Federally Qualified Community Health Centers, and Universal Health Services, a company with five behavioral health centers in Mississippi. 

โ€œFor too long, too many health providers have been siloed in our advocacy. It’s time to sit down at the same table and work together,โ€ said Terrence Shirley, CEO of the Community Health Center Association of Mississippi, which represents the Federally Qualified Community Health Centers, in a press release. 

Other members of the new group include Methodist Rehabilitation Center and Northwest Regional Medical Center in Clarksdale.

The group’s members are based in 78 of Mississippi’s 82 counties.

Ochsner Medical Center, which left the Mississippi Hospital Association last year and is a client of Capitol Resources, is not listed as a member of the new collaborative. Ochsner did not respond to Mississippi Today by the time of publication.

Geoff Pender contributed .

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

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Mississippi Today

On this day in 1926

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mississippitoday.org – Debbie Skipper – 2024-11-05 07:00:00

Nov. 5, 1926

Victoria Gray Adams, Summer, 1964, Herbert Randall Freedom Summer Photographs. Credit: of Southern Mississippi

Victoria Gray Adams, one of the founding members of the Mississippi Freedom Democratic Party, was born near Hattiesburg, Mississippi. 

โ€œ(There are) those who are in the Movement and those who have the Movement in them,โ€ she said. โ€œThe Movement is in me, and I know it always will be.โ€ 

In 1961, this door-to-door cosmetics saleswoman convinced her preacher to open their church to the Student Nonviolent Coordinating Committee, which began pushing for voter registration. A year later, she became a field secretary for SNCC and led a boycott of businesses in Hattiesburg, later helping found the umbrella group, the Council of Federated Organization, for all the groups working in Mississippi. 

In 1964, she and other civil rights fought the Jim Crow laws and practices that kept Black from , marching to the courthouse in the chilly rain to protest. By the end of the day, nearly 150 had made their way to register to vote. 

Adams became the first known woman in Mississippi to for the U.S. Senate, unsuccessfully challenging longtime Sen. John . She also helped found the Mississippi Freedom Democratic Party. It was time, she said, to pay attention to Black Mississippians, โ€œwho had not even had the leavings from the American political table.โ€ 

In August 1964, she joined party members in challenging Mississippi’s all-white delegation to the Democratic National Convention. 

โ€œWe really were the true Democratic Party,โ€ she recalled in a 2004 interview. โ€œWe accomplished the removal of the wall, the curtain of fear in Mississippi for African-Americans demanding their rights.โ€ 

Four years later, the party that once barred her now welcomed her. 

She continued her activism and later talked of that success: โ€œWe eliminated the isolation of the African-Americans from the political . I believe that Mississippi now has the highest number of African-American elected in the nation. We laid the groundwork for that.โ€ 

In 2006, she died of cancer. 

โ€œWhen I met โ€ฆ that community of youthful civil rights activists, I realized that this was exactly what I’d been looking for all of my conscious existence,โ€ she said. โ€œIt was like coming home.โ€

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

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Vote today: Mississippi voters head to the polls. Hereโ€™s what you need to know

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mississippitoday.org – Geoff Pender – 2024-11-05 03:00:00

Polls in Mississippi will be open from 7 a.m. to 7 p.m. as voters make their picks for presidential, congressional, state judicial and some local races.

READ MORE: View Mississippi sample ballot

Voters are reminded to bring a identification. This can include a valid Mississippi driver’s license, an identification or employee identification card issued by any entity of the U.S. or state of Mississippi, a U.S. passport, a military photo ID card, a current student ID card issued by an accredited college or university or a Mississippi voter ID card. For more information on voter ID rules, check here.

READ MORE: Vote Tuesday: Candidates battle for seats on state’s highest courts

Those who do not have a valid ID can vote affidavit, but must return and present a photo ID within five days for their ballot to count. Voters waiting in line as polls close at 7 p.m. will still be to vote. If you vote absentee or affidavit, you can track the status of your ballot here.

POLLING PLACE LOCATOR: Use the secretary of state’s online locator to find where you vote

Stay tuned to for live results, starting after polls close.

LISTEN: Podcast: Mississippi’s top election official discusses Tuesday’s election

The Mississippi secretary of state’s office offers an online resource, My Election Day, where voters can locate or confirm their polling place, view sample ballots and view current office holders. Those with doubts or questions about their precinct locations are urged to contact their local election . Contact info for local election officials is also provided on the My Election Day site.

READ MORE: Mississippi Election 2024: What will be on Tuesday’s ballot?

The secretary of state’s office, U.S. attorney’s office and the state Democratic and Republican parties will have observers across the state monitoring elections and responding to complaints.

The secretary of state’s elections division can be contacted at 1-800-829-6786 or ElectionsAnswers@sos.ms.gov.

The U.S. attorney’s office investigates election fraud, intimidation or rights issues and can be contacted at 601-973-2826 or 601-973-2855, or complaints can be filed directly with the Department of Justice division at civilrights.justice.gov. Local enforcement primary jurisdiction and serves as a first responder for alleged crimes or emergencies at voting precincts.

The secretary of state’s office also provides some Election Day law reminders:

  • It is unlawful to campaign for any candidate within 150 feet from any entrance to a polling place, unless on private property.
  • The polling places should be clear of people for 30 feet from every entrance except for election officials, voters waiting to vote or authorized poll watchers.
  • Voters are prohibited from taking photos of their marked ballots.

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

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