Mississippi Today
Advocates say licensed midwives could help Mississippi’s maternity care desert. Bills appear dead
Advocates say licensed midwives could help Mississippi’s maternity care desert. Bills appear dead
Advocates say pending legislation on midwifery could help alleviate Mississippi’s lack of maternity health care and protect mothers and babies from those practicing without proper training.
But Senate Bill 2793 and House Bill 1081 are likely going to die without a vote in committee this session, as legislative leaders say they need more time to study the issue.
More than half of Mississippi’s 82 counties are considered “maternity care deserts,” with no hospitals providing obstetric care and no OB-GYNs. Advocates say trained midwives could help this shortage of care for low-risk pregnancies, but say the state should license and regulate them.
With the overturning of Roe v. Wade and a ban on abortions in Mississippi, advocates say trained midwives could help with the expected increase of thousands of deliveries a year for a health care system that is already woefully inadequate.
Mississippi is one of 14 states that does not regulate or license direct-entry midwives, those who practice without first becoming a nurse. Certified nurse midwives in the state are licensed as advanced practice registered nurses. There are only 26 certified nurse midwives in Mississippi, and only a few deliver babies, because only three hospitals allow them to.
Mississippi prevents free-standing, midwife-led clinics for low-risk births and prohibits certified nurse midwives from performing in-home births – both of which are popular in other states and in Europe. More mothers want personalized care at home or in a small clinic as opposed to giving birth in a larger hospital, and want natural birth instead of induced labor or non-necessary C-section surgeries for delivery that have become more and more common in hospitals.
But Mississippi’s lack of licensure or regulation also results in untrained or poorly trained people claiming to be midwives providing substandard – or dangerous – care to mothers and newborns at home.
“Anybody can say, ‘I’m a midwife,’ and nobody can stop them,” said Getty Israel, founder of Sisters in Birth, a nonprofit that pairs community health workers with low-income women, primarily Medicaid beneficiaries, to provide support during and after their pregnancies. Israel hopes to open Mississippi’s first birth center. Such centers in other states serve women with low-risk pregnancies, and provide compromise between hospital births and home births.
READ MORE: Bills to watch in the 2023 Mississippi legislative session
Israel said she supports midwifery and wants to see it become a viable alternative in Mississippi, but believes they should be state regulated and licensed.
Erin Raftery is with Better Birth Mississippi, a group advocating for the midwifery legislation. The group says, “Community-based midwifery is a key solution to the challenges faced by the maternity care system in Mississippi.” Trained midwives could help with health care shortages caused by closure of rural hospitals and help save Medicaid money by “minimizing the use of costly, ineffective interventions.”
“The goal of these bills is accountability,” Raftery said. “… This would provide protection for patients, and for midwives. This would also hopefully open the door for insurance coverage for midwife services, and help with the maternity desert.”
Raftery said her group knows of at least one infant death in Mississippi overseen by an unlicensed midwife, and that a similar instance a decade or so ago had also prompted proposed legislation. Raftery said licensure would help protect patients from the “select few” midwives practicing without training.
Senate Medicaid Chairman Kevin Blackwell, R-Southaven, authored the Senate midwife bill.
“I think we need to look at all our opportunities for health care in Mississippi,” Blackwell said. “We are last, and we won’t change. We need to look at all the other states that are changing the way they do things.”
Both Blackwell’s bill and a mirror one authored by Rep. Dana McLean, R-Columbus, would create a state board of licensed midwifery.
“There are community midwives already practicing in this state, and this would help legitimize them, provide some oversight, and I think our primary responsibility is to make sure those that are practicing are doing so with some standard of care and level of experience,” McLean said. “Safety for moms and babies is the first priority. But I think there’s also an issue of allowing for reimbursement for Medicaid and private insurance. They do require some sort of certification or licensure before they would reimburse for these services.
“Rural areas are closing maternity wards, and if this is an option that can help for low-risk births, then we need to explore that.”
But many physicians and hospital groups say child delivery should be overseen by trained physicians in hospital settings. Beyond these arguments, there has been a push by conservative groups and GOP lawmakers to reduce government agencies, boards and regulations, not create new licensing and a new regulatory board.
Nurse practitioners have also struggled for more autonomy and expanded scope of practice in Mississippi – with limited legislative success – saying they, too, could help with the state’s shortage of doctors and health services.
Israel said doctors and hospitals treat child birth as a “cash cow,” and that their lobbyists and influence at the Capitol prevent “progressive, evidence-based health care.”
The House and Senate bills are now in each chamber’s public health committee, facing a deadline for committee passage next week. That passage this year, or even a vote in committee, appeared unlikely days before the deadline.
House Public Health Chairman Sam Mims, R-McComb, asked Wednesday about the midwifery bill pending in his committee, said he was unaware of it.
“I’ll go look at it,” Mims said. “I will read it. I will go look at it. Thank you, though.”
Raftery said her group had met with Mims and his committee vice chair only a couple of weeks ago and outlined the bill. She said Mims told her he would be opposed because he’s against new government boards and licensing.
Senate Public Health Chairman Hob Bryan, D-Amory, said he doubts he will bring the bill up for a vote in his committee this year.
“It’s sort of late in the session, and I really wasn’t aware of this legislation before we got here,” said Senate Public Health Chairman Hob Bryan, D-Amory. “I don’t think the committee would have time to fully study this … I’ve met with two different midwife groups, and I try to listen to people. I learned that at least one group will assign someone to an individual, and they will stay with that person, work with them, throughout their pregnancy and after delivery, and be there for them to discuss other health care issues. I think that is a very good idea, that could perhaps carry over into other health care services, and I am interested in learning more.
“I am neither opposed to nor supportive (of the midwifery legislation), but I have an open mind,” Bryan said.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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Mississippi Today
‘Will you trust us?’: JPS plan for stricter cellphone policy makes some parents anxious
Superintendent Errick Greene wanted to be very clear with the roughly 50 parents who attended Thursday night’s community listening session: Jackson Public Schools already has a policy banning students from using cellphones at school.
But the leadership of Mississippi’s third-largest school district has decided that a new approach is in order, citing a series of incidents in recent years involving students using their cellphones to bully others, organize fights or text their parents inaccurate information about violence happening at or near their school.
“To be clear, it’s not the majority of our scholars, but I can’t look at a class and know who’s gonna be bullying today, who’s gonna be scheduling a meetup to cut up today,” Greene said toward the end of the hour-long meeting held at the JPS board room. “I can’t look at a group of scholars and say, ‘OK, yeah, you’re the one, let me take your phone, the rest of you can keep it.’”
Under the rewritten policy, students who take their phone out of their backpacks during the instructional day will lose it for five days for the first infraction, 10 days for the second and 45 days for the third. Currently, the longest the school will hold a phone is 10 days.
The Jackson school board is expected to consider the new policy at its meeting next week and the district hopes to implement the change when the new school year starts later this month, said Sherwin Johnson, the district’s communications director.
Students also currently have the option to pay up to a $25 fine to get their phone back, but the district wants to rescind that aspect of the policy.
“We’ve discovered that’s not equitable,” said Larrisa Harris, the JPS general counsel. “Not everybody has the resources to come and pay the fine.”
Support for the new policy among the parents who spoke at the listening session varied, but all had questions. How will students access the internet on their laptops if the WiFi is spotty at their school and they need to use their cellphone hotspot? If students are required to keep their phones in their backpacks during lunch, how will teachers prevent stealing? How will JPS enforce the ban on using cellphones on the bus?
One mother said she watches her daughter’s location while she rides the bus to Jim Hill High School so she knows her daughter made it safely.
“If they can’t have it on the bus, who’s gonna enforce that?” she said. “I’m just gonna be real, the bus driver got to drive.”
A common theme among parents was anxiety at the prospect of losing direct contact with their kids in the event of an emergency. A Pew Research survey found that most adults, regardless of political affiliation, support cellphone bans in middle and high school classes. But those who don’t say it’s because their child can use their phone during emergencies.
“If something happened, will we get an automatic alert to notify us? Because a lot of the time we see things on social media first,” said Ashley McIntyre, a mother of three JPS students. She attended the meeting with her eldest daughter, Aaliyah, who recently graduated from Powell Middle School.
Though JPS does have an alert system for parents, McIntyre said she didn’t know if it existed. She cited a bomb threat at Powell last year that she found out about because Aaliyah texted her, not through a school alert.
“We didn’t know what was going on, and she texted me, ‘Mom, I’m scared,’ so I went up there,” McIntyre said. “So that puts us on edge.”
Aaliyah said she uses her phone to text her mom and watch TikTok, but she feels like her classmates use their phones to be popular or to fit in. When a fight happens, she said many students pull out their phones to record instead of trying to get an adult who can stop it. Then the videos end up on Instagram pages dedicated to posting fights in JPS.
“Once the principal found out about the fight pages, they came around looking inside our videos and camera rolls,” she said. “It happened to me last year. They thought I had a fight on my phone.”
Toward the end of the meeting, Laketia Marshall-Thomas, the assistant superintendent for high schools, took the mic to respond to one parent who said she was concerned that older students would not come to school if they knew their phone could be taken.
“What we have seen is, it’s the older students—” Marshall-Thomas began.
“They are the problem,” someone from the audience chimed in.
“We’re not saying they cannot have them,” she continued. “We know that they have after school activities and they need to communicate with their moms … but we have had major, major issues with cellphones and issues that have even resulted in criminal outcomes for our scholars, but most importantly, our students … have experienced a lot of learning loss.”
While the district leadership did not go into detail about the criminal incidents, several pointed to instances where students have texted their parents inaccurate information, such as an unsubstantiated rumor there was a gun during a fight at Callaway High School or that a shooting outside Whitten Middle School occurred on school property.
“Having phones actually creates far more chaos than they help anyone,” Greene said.
While cellphones have been banned to varying degrees in U.S. schools for decades, youth mental health concerns have renewed interest in more widespread bans across the country. Cellphone and social media usage among school-aged kids is linked to negative mental health outcomes and instances of cyberbullying, research shows.
At least 11 states restrict or ban cellphone use in schools. After Mississippi’s youth mental health task force recommended that all school districts implement policies that limited cellphone and social media usage in classrooms, a bill that would’ve required school boards to create cellphone policies died during the legislative session. Still, several Mississippi school districts have passed their own policies, including Marshall County and Madison County.
Another concern about the ban was a belief among a couple of speakers at the meeting that cellphones can help parents hold the district accountable for misdeeds it may want to hide.
“I just saw a video today. It was not in JPS, but it was a child being yelled at by the teacher and had he not recorded it, his momma would have never known that this sweet lady that they go to church with is degrading her child like that,” one mother said.
Statements like these prompted responses from teachers and other parents who urged the skeptical attendees to be more trusting or to make sure the district has updated contact information for them in case school officials need to reach parents during an emergency.
“I think we have to trust the people watching over our children,” said one of the few fathers who spoke. “When I grew up, what the teacher said was gold.”
One teacher asked the audience, “Will you trust us?”
This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.
The post ‘Will you trust us?’: JPS plan for stricter cellphone policy makes some parents anxious appeared first on mississippitoday.org
Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.
Political Bias Rating: Centrist
The article presents a balanced report on Jackson Public Schools’ proposed stricter cellphone policy without taking a clear ideological stance. It fairly conveys the perspectives of school officials emphasizing discipline and safety, alongside parental concerns about communication and emergency access. The tone remains neutral, focusing on factual details such as policy changes, reasons behind them, and community reactions. While it includes some skepticism from parents and responses from district staff, the language does not endorse or oppose either side. Overall, the coverage adheres to neutral, factual reporting by presenting multiple viewpoints without editorializing.
Mississippi Today
Hospitals see danger in Medicaid spending cuts
Mississippi hospitals could lose up to $1 billion over the next decade under the sweeping, multitrillion-dollar tax and policy bill President Donald Trump signed into law last week, according to leaders at the Mississippi Hospital Association.
The leaders say the cuts could force some already-struggling rural hospitals to reduce services or close their doors.
The law includes the largest reduction in federal health and social safety net programs in history. It passed 218-214, with all Democrats voting against the measure and all but five Republicans voting for it.
In the short term, these cuts will make health care less accessible to poor Mississippians by making the eligibility requirements for Medicaid insurance stiffer, likely increasing people’s medical debt.
In the long run, the cuts could lead to worsening chronic health conditions such as diabetes and obesity for which Mississippi already leads the nation, and making private insurance more expensive for many people, experts say.
“We’ve got about a billion dollars that are potentially hanging in the balance over the next 10 years,” Mississippi Hospital Association President Richard Roberson said Wednesday during a panel discussion at his organization’s headquarters.
“If folks were being honest, the entire system depends on those rural hospitals,” he said.
Mississippi’s uninsured population could increase by 160,000 people as a combined result of the new law and the expiration of Biden-era enhanced subsidies that made marketplace insurance affordable – and which Trump is not expected to renew – according to KFF, a health policy research group.
That could make things even worse for those who are left on the marketplace plans.
“Younger, healthier people are going to leave the risk pool, and that’s going to mean it’s more expensive to insure the patients that remain,” said Lucy Dagneau, senior director of state and local campaigns at the American Cancer Society.
Among the biggest changes facing Medicaid-eligible patients are stiffer eligibility requirements, including proof of work. The new law requires able-bodied adults ages 19 to 64 to work, do community service or attend an educational program at least 80 hours a month to qualify for, or keep, Medicaid coverage and federal food aid.
Opponents say qualified recipients could be stripped of benefits if they lose a job or fail to complete paperwork attesting to their time commitment.
Georgia became the case study for work requirements with a program called Pathways to Coverage, which was touted as a conservative alternative to Medicaid expansion.
Ironically, the 54-year-old mechanic chosen by Georgia Gov. Brian Kemp to be the face of the program got so fed up with the work requirements he went from praising the program on television to saying “I’m done with it” after his benefits were allegedly cancelled twice due to red tape.
Roberson sent several letters to Mississippi’s congressional members in weeks leading up to the final vote on the sweeping federal legislation, sounding the alarm on what it would mean for hospitals and patients.
Among Roberson’s chief concerns is a change in the mechanism called state directed payments, which allows states to beef up Medicaid reimbursement rates – typically the lowest among insurance payors. The new law will reduce those enhanced rates to nearly as low as the Medicare rate, costing the state at least $500 million and putting rural hospitals in a bind, Roberson told Mississippi Today.
That change will happen over 10 years starting in 2028. That, in conjunction with the new law’s one-time payment program called the Rural Health Care Fund, means if the next few years look normal, it doesn’t mean Mississippi is safe, stakeholders warn.
“We’re going to have a sort of deceiving situation in Mississippi where we look a little flush with cash with the rural fund and the state directed payments in 2027 and 2028, and then all of a sudden our state directed payments start going down and that fund ends and then we’re going to start dipping,” said Leah Rupp Smith, vice president for policy and advocacy at the Mississippi Hospital Association.
Even with that buffer time, immediate changes are on the horizon for health care in Mississippi because of fear and uncertainty around ever-changing rules.
“Hospitals can’t budget when we have these one-off programs that start and stop and the rules change – and there’s a cost to administering a program like this,” Smith said.
Since hospitals are major employers – and they also provide a sense of safety for incoming businesses – their closure, especially in rural areas, affects not just patients but local economies and communities.
U.S. Rep. Bennie Thompson is the only Democrat in Mississippi’s congressional delegation. He voted against the bill, while the state’s two Republican senators and three Republican House members voted for it. Thompson said in a statement that the new law does not bode well for the Delta, one of the poorest regions in the U.S.
“For my district, this means closed hospitals, nursing homes, families struggling to afford groceries, and educational opportunities deferred,” Thompson said. “Republicans’ priorities are very simple: tax cuts for (the) wealthy and nothing for the people who make this country work.”
While still colloquially referred to as the One Big Beautiful Bill Act, the name was changed by Democrats invoking a maneuver that has been used by lawmakers in both chambers to oppose a bill on principle.
“Democrats are forcing Republicans to delete their farcical bill name,” Senate Democratic Leader Charles Schumer of New York said in a statement. “Nothing about this bill is beautiful — it’s a betrayal to American families and it’s undeserving of such a stupid name.”
The law is expected to add at least $3.3 trillion to the nation’s debt over the next 10 years, according to the most recent estimate from the Congressional Budget Office.
This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.
The post Hospitals see danger in Medicaid spending cuts appeared first on mississippitoday.org
Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.
Political Bias Rating: Center-Left
This article reports on the negative impacts of a major federal tax and policy bill on Medicaid funding and rural hospitals in Mississippi. While it presents factual details and statements from stakeholders, the tone and framing emphasize the harmful consequences for vulnerable populations and health care access, aligning with concerns typically raised by center-left perspectives. The article highlights opposition by Democrats and critiques the bill’s priorities, particularly its effect on poor and rural communities, suggesting sympathy toward social safety net preservation. However, it maintains mostly factual reporting without overt partisan language, resulting in a moderate center-left bias.
Crooked Letter Sports Podcast
Podcast: The Mississippi Sports Hall of Fame Class of ’25
The MSHOF will induct eight new members on Aug 2. Rick Cleveland has covered them all and he and son Tyler talk about what makes them all special.
Stream all episodes here.
This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.
The post Podcast: The Mississippi Sports Hall of Fame Class of '25 appeared first on mississippitoday.org
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