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Feds give Greenville grant for primary care clinic as Delta faces loss of health care services

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Feds give Greenville grant for primary care clinic as Delta faces loss of health care services

Greenville Errick Simmons, far left, with U.S. Congressman Bennie Thompson, far right, at the presentation of federal funds for a primary care clinic on Tuesday, Feb. 14, 2023.

Local leadership in the Delta says the region's crumbling system has been abandoned by the state – so they're figuring out how to fix it on their own with the help of federal funds.

Greenville's mayor and a local health clinic say they're working to give people in the Delta better access to and primary care, as hospitals around them shutter and strip back specialty care. As a result, the city of Greenville received $2 million in federal funds to construct a new health clinic in partnership with the Delta Health Center.

“This is a bottom-up action in response to the state's failure to act,” said Greenville Mayor Errick Simmons. “We went straight to the solution, and we will continue to do these types of projects to make sure our folks get the they need.”

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Simmons accepted a symbolic check from U.S. Congressman Bennie Thompson who helped secure the funds from a House spending bill earmarked for community projects during a Tuesday press conference. Thompson announced close to $18.8 million in federal funds for his district, which covers much of Western Mississippi.

“A lot of you have heard of the trouble that health care is having in the Delta,” Thompson said during the press conference. “Our governor, for some reason, doesn't want to help.”

Thompson was referring to Gov. Tate Reeve's firm stance against expansion, despite a mounting statewide hospital crisis. New data from mid-January shows that 38% of Mississippi hospitals are at risk of closing. Of the 28 rural hospitals at risk of closing, 19 are at risk of shuttering immediately.

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Reeves' office did not immediately respond to a request for comment from Mississippi Today.

Greenwood Leflore Hospital recently shuttered its labor and delivery unit, primary care clinic and reduced other services. Delta Health-The Medical Center in Greenville also closed its neonatal intensive care unit and cardiac rehabilitation department last year.

Simmons said he applied for the grant last year because he feared the Delta would continue to lose access to doctors. Already, he said, there is only one pediatrician for every 4,000 children in the region.

He hopes other cities may copy his approach to help fund sorely needed primary care options to lessen the burden on the hospital system, which continues to struggle against massive staffing shortages.

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“I think the Biden-Harris administration has a wealth of opportunities to begin grabbing pockets of money, working from local government to federal government, providing better access to quality health care to the folks that deeply need it,” Simmons said.

Delta Health Center CEO John Fairman said the new facility is projected to cost about $10 million to construct. He said he is in conversations with other sources and hopes to break ground on the new building before the end of the year.

The vision is for the clinic to better make use of telehealth options to connect rural residents who may not have internet access in their homes with specialists virtually. A nurse or a physician assistant would be in the room in person, too, helping facilitate care.

“Then they can make an assessment for intervention and as to whether or not they need to arrange transport to get to a specialist (in person),” Fairman said. “Once we get a better understanding of the data, we can have a specialist where the most acute cases are (scheduled weekly in person).”

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The new clinic would also have a pharmacy open until 11 p.m. – most Delta pharmacies close at 6 p.m.

Fairman said the future of health care in the Delta needs to be collaborative, and he's already in discussion with county hospitals on how to better partner. The Delta continues to be among the unhealthiest parts of the state with high percentages of uninsured residents. Fairman and Simmons want better health care intervention to prevent hospital visits.

“We need other ways to offer care after hours so people are not crowding up the emergency room, and we're preserving trauma centers and emergency rooms for the people who really need that,” Fairman said.

Medicaid expansion would mean between 200,000 and 300,000 more would have access to health insurance and hospitals would have an easier time being reimbursed for care rendered. More than 15 state bills that would have expanded Medicaid to provide coverage to the working poor died earlier this month without any debate or vote in the House or Senate.

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“Had Mississppi accepted the expansion nine years ago, they would have accrued about $14 dollars that would go toward health care,” Thompson said. “But somehow they think people don't need that.”

Simmons has little faith in the state stepping up to what his community needs. He hopes more mayors are emboldened to think creatively.

“An unhealthy child cannot go to school to learn; an unhealthy adult cannot work,” Simmons said. “This is a way for us to begin addressing an epic state failure.”

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 1951

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April 28, 1951

Ruby Hurley Credit: Wikipedia

Ruby Hurley opened the first permanent office of the NAACP in the South.

Her introduction to activism began when she helped organize Marian Anderson's 1939 concert at the Lincoln Memorial. Four years later, she became national youth secretary for the NAACP. In 1951, she opened the organization's office in Birmingham to grow memberships in Alabama, Florida, Georgia, Mississippi and Tennessee.

When she arrived in Mississippi, there were only 800 NAACP members. After the governor made remarks she disagreed with, she wrote a letter to the editor that was published in a Mississippi newspaper. After that step in courage, membership grew to 4,000.

“They were surprised and glad to find someone to the governor,” she told the Chicago Defender. “No Negro had ever challenged the governor before.”

She helped Medgar Evers investigate the 1955 murder of Emmett Till and other violence against Black Americans. Despite threats, she pushed on.

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“When you're in the middle of these situations, there's no room for fear,” she said. “If you have fear in your heart or mind, you can't do a good job.”

After an all-white jury acquitted Till's killers, she appeared on the front of Jet magazine with the headline, “Most Militant Negro Woman in the South.”

Months later, she helped Autherine Lucy become the first Black student at the of Alabama.

For her work, she received many threats, a bombing attempt on her home. She opened an NAACP office in Atlanta, where she served as a mentor for civil rights leader Vernon Jordan, with whom she worked extensively and who went on to serve as an adviser to President Bill Clinton.

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After learning of Evers' assassination in 1963, she became overwhelmed with sorrow. “I cried for three hours,” she said. “I shall always remember that pool of blood in which he lay and that spattered blood over the car where he tried to drag himself into the house.”

She died two years after retiring from the NAACP in 1978, and the U.S. Post Office recognized her work in the Civil Rights Pioneers stamp . In 2022, she was portrayed in the ABC miniseries, “Women of the Movement.”

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

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Mississippi Today

Rare open negotiations occur on important Medicaid expansion issue

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mississippitoday.org – Bobby Harrison – 2024-04-28 06:00:00

The curtain was pulled back last for the first time in years on the Mississippi 's often mysterious conferencing .

A conference committee consists of three representatives and three senators appointed to try to reach agreement when the two chambers pass differing versions of the same bill. Last week, a conference committee formed to try to reach agreement on expansion caused a stir by meeting in a public setting.

Even though the joint rules of the Mississippi Legislature call for an open conferencing process, the conferees seldom meet in public. They usually meet and negotiate their differences near the end of the behind closed doors.

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That was not always the case.

For a period in the late 1990s and early 2000s, the Legislature, under intense pressure from the Mississippi Press Association, made open conference committees the norm.

Some major issues have been played out in public conference committees. Notable open conferences include:

  • The infamous, excruciatingly long special session in 2002 where businesses received more protection from lawsuits.
  • Budget fights when Haley Barbour was governor when legislators often would reach an impasse in the negotiations process and spend the bulk of their time talking about their cars and eating candy.
  • The major rewrite of the state's economic package under then-Gov. Ronnie Musgrove called Advantage Mississippi.
  • The Mississippi Adequate Education Program, which for decades has provided the state's share for the basic operation of local school districts. It was hammered out in an open conference process in 1997 even before the joint rules mandated the open process.

Then-state Sen. Musgrove and former House Speaker Billy McCoy deserve credit or blame, according to one's perspective, for proving the open conference process could work. When they chaired their respective chamber's education committees, they insisted on having an open conference process.

But in more recent years, open conference committees have been few and far between. The joint rule has been largely ignored.

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The fact that the three House and three Senate conferees agreed to meet at least once in public on Medicaid expansion — one of the most pivotal issues facing the Legislature in recent years — drew considerable attention.

If nothing else, the open conference committee provided a raw and unedited view of how far apart the two chambers were at the time on an issue that would provide additional coverage to primarily the working poor.

The House wanted to provide coverage to those earning up to 138% of the federal poverty level, or about $20,000 annually for an individual, while the Senate had proposed providing coverage to those earning less than 100% of the federal poverty level, or about $15,000 per year.

According to various experts, the House plan would provide coverage to many more working Mississippians and cost less to the state than would the Senate plan. The reason for the lower cost to the state is that when expanding to 138%, the federal will pay 90% of the costs and provide the state an additional roughly $700 million over two years as an enticement to expand.

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Under the Senate plan, the federal government will pay 77% of the cost and offer no incentives. It is important to understand that in the expensive world of care, the difference in 77% of the cost and 90% means tens of millions to Mississippi state coffers.

The House conferees repeatedly pointed out those numbers — their plan covering more at less cost — during last week's open conference committee.

One of the reasons legislators through the years have not been enamored with an open conference process is that it has often turned into efforts by the negotiators to sell their position to the public.

Once the open conference process starts, the side that feels the most comfortable with its position wants to meet more often in full view of the public to make sure the public understands where each side stands.

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For whatever it is worth, the House conferees were more enthusiastic about continuing the open process after the initial Medicaid expansion conference committee.

And after that initial open conference, the Senate offered a compromise to those earning up to 138% of the federal poverty level — just as the House proposed.

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

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Mississippi Today

Legislation to strip key power of PERS Board passes both chambers

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mississippitoday.org – Bobby Harrison – 2024-04-27 15:39:23

Legislation that strips significant power from the board that governs the state's public employee pension program has passed both chambers of the .

Under the legislation set to go to Gov. Tate Reeves during the final days of the 2024 , the Public Employees Retirement System Board would no longer have the authority to increase the contribution rate levied on governments (both on the state and local level) to help pay for the massive retirement system.

The legislation, which passed both chambers in recent days, was a reaction to the decision by the board to increase by 5% over a three-year period the amount local governments contribute to each employee's paycheck for their retirement. Under the PERS Board plan, the employer contribution rate would have been increased to 22.4% over three years, starting with a 2% increase on July 1.

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The board said the increase was needed to ensure the long-term financial stability of the system that pays retirement for most public employees on the state and local levels, including staff of local school districts and universities and community colleges.

City and county government in particular argued that the 5% increase would force them to cut government services and lay off employees.

Under the bill passed by the Legislature there still would be a 2.5% increase over five years — a .5% increase in the employer contribution rate each year for five years.

In addition, legislative said they plan to put another $100 million or more in state tax dollars into the retirement system in the coming days during the appropriations .

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Under current , the PERS Board can act unilaterally to increase the amount of money governmental entities must contribute to the system. But under the new bill that passed both chambers, the board can only make a recommendation to the Legislature on increasing the employer contribution rate.

The PERS Board also would be required to include an analysis by its actuary and independent actuaries on the reason the increase was needed and the impact the increase would have on governmental entities.

In the 52-member Senate, 14 Democrats voted against the bill. Only one House member voted against the proposal.

Sen. David Blount, D-, said the bill failed to address the financial issues facing the system. He said a permanent stream is needed.

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Blount said, “You are moving in the wrong direction and weakening the system” with the bill the Legislature approved. “Is it painful? Is it going to cost more money? Yes, but we need to do it” to fix the system.

The system has assets of about $32 , but debt of about $25 billion. But Sen. Daniel Sparks, R-Belmont, and others argued that the debt was “a snapshot” that could be reduced by strong performance from the stock market. The system depends on its investments and contributions from employers and employees as sources of revenue.

The system has about 360,000 members including current public employees and former employees and retirees.

The legislation states that no changes would be made for current members of the system. The legislation does reference looking at possibly changing the system for new employees. But that would be debated in future legislative sessions.

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The bill does not include an earlier House proposal to dissolve the PERS Board, which consists primarily of people elected by the members of the system, and replace them with political appointees.

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

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