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How much will your hospital receive in state grant money?

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Lawmakers approved $104 million for Mississippi hospitals. Some say it's not nearly enough.

Mississippi hospital leaders have been begging for help for months, and the Legislature has answered the call — though some advocates and lawmakers say it's not nearly enough.

Both chambers on Tuesday approved a $103.7 million grant program that will be split by Mississippi's struggling hospitals.

The pandemic weakened the 's already-stressed — costs for supplies and workers went up, and reimbursements from insurance providers did not. Many of the state's hospitals have been bleeding out for the past few years, shutting floors and service lines one by one.

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Now, a third of Mississippi's rural hospitals are at risk of closure, and half of those within a couple of years. It's a situation poised to worsen outcomes in a state with already some of the worst in the country.

Both legislative chambers this week passed Senate Bill 2372, which establishes a grant program for hospitals, and House Bill 271, which funds it.

Previously, the Senate's version of the bill aimed to give $80 million to hospitals, focusing its efforts on rural health care providers. Instead, the House wanted to give the funds to larger hospitals.

After closed-door deliberations among six legislative Republicans, the two sides reached a compromise on Tuesday: They're distributing $103 million to hospitals through a hybrid funding model, using funds from the American Rescue Plan Act, according to the bill. The Mississippi Department of Health is receiving $700,000 to administer the program, according to Senate Medicaid Chairman Kevin Blackwell, R-Southaven.

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The compromise falls short of what hospital leaders and some rank-and-file lawmakers said was needed. The Mississippi Hospital Association projected early this year that hospitals would need $230 million in extra funds to stay afloat. Despite the increase in grants, they're still about $40 million short.

Negotiations of the grant program came as the state sits on a record revenue surplus of nearly $4 . And Republican lawmakers continue to more than $1 billion per year on the table by rejecting Medicaid expansion.

Tim Moore, president of the MHA, said on behalf of state hospitals that health care leaders are very appreciative of the actions taken by the Legislature to pass the measure, especially the creation of an allocation model that supports all hospitals, no matter the location or size.

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But he added the lower-than-needed total will not solve the ongoing hospital crisis — that new, recurring revenue will along with a remodeling of Mississippi's health care and payment infrastructure.

“The solution has not changed,” Moore said. “Payer issues and the burden of uncompensated care must be addressed. The Mississippi hospital system that provides care to all costs $23 million dollars a day to operate. Any sustainable business model must generate adequate revenues to cover expenses. Hospitals are no exception.

“If a long term solution is not developed, access to care will decline and fewer services will be offered at local community hospitals,” Moore said.

Legislative Democrats in January proposed a grant program that would appropriate $200 million to the struggling hospitals and used the opportunity to blast Republicans' inaction on the issue. This week, most House and Senate Democrats voted to approve the Republicans' $104 million grant program but used floor debate to argue that the state should be doing more.

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“It is particularly galling that in the same weekend when we saw Mississippians struggle to find emergency health care after a natural disaster, Republican leaders still felt it appropriate to allocate less than half of what hospitals have been begging for just to keep their doors open,” Rep. Robert Johnson, the House Democratic leader from Natchez, said on Tuesday. “They stood up and told all of us how awful the devastation of the tornado was, then they immediately turned around and refused to do the bare minimum.

“In one breath Republicans are telling us that we'll rebuild from the storm, that they are pro-life, that they want a better future for the state,” Johnson continued. “And in the next breath they're saying, ‘Take this and shut up.' All while they're telling us we're in the best financial shape we've ever been in. It would be shocking if it weren't so completely expected.”

Ahead of the final vote in the House and Senate on Tuesday, Republican lawmakers laid out the basic formula for the grant program. If a hospital has more than 100 beds, it will receive a base amount of $1 million.Hospitals with an emergency room and fewer than 100 beds will receive $625,000.

Specialty hospitals, such as Brentwood Behavioral Healthcare in Flowood which is an inpatient psychiatric treatment center, and critical access hospitals will get a base of $500,000. Critical access hospitals have very few inpatient beds but get more money for services they . Critical access hospitals, such as Sharkey Issaquena Community Hospital in Rolling Fork, are a designation a step below acute hospitals and are typically reimbursed by Medicare at a rate of 101%, theoretically allowing a 1% profit. Acute hospitals with no emergency rooms get $300,000 as a base amount.

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Then, hospitals get an extra $250,000 if they operate small rural emergency rooms and a little less than $2,000 for each bed they have.

The most any one hospital is receiving is $2.3 million, which is going to Hospitals & Health System. Some providers, such as Diamond Grove mental health clinic in Louisville, are receiving nothing. Others, like Jasper General Hospital, are receiving as little as $331,502.

Major hospital systems including Merit Health, North Mississippi Medical Center and Baptist Memorial are getting millions.

“In the original Senate bill, some hospitals received nothing,” Rep. Sam Mims, a Republican from Natchez and chair of the House Public Health and Human Services committee, said on the floor Tuesday. “This makes sure they all receive something.”

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Mims, who was one of the three House negotiators of the grant program, works for Merit Health.

Neshoba County General Hospital in Philadelphia, the county's only hospital, is getting just under $1 million in grant money. In recent months, the hospital has closed one of its acute floor wings and nurse stations — in the past decade, admissions have gone down by half.

Neshoba General Lee McCall said that the hospital's loss in the past five months is relatively equal to the extra grant money, and it's about $200,000 more than what he expected to receive from the state. The hospital projects a $2.5 million loss this year.

This amount and the Medicaid enhanced amounts will help significantly by cutting that deficit by more than half,” he said, referring to the extra money hospitals are receiving in supplemental MHAP payments, or payments hospitals receive to offset unequal reimbursement rates. “We are also implementing other cost cutting measures and initiatives to shrink the loss gap. It is much appreciated.”

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He stressed that the grant money will get the hospital to temporarily break even, but there are still seven months to go in the year — and the years beyond that.

“The one time grant funding is much appreciated, but doesn't fix the ongoing problems we're dealing with in hospitals,” McCall said.

The Delta's Greenwood Leflore Hospital is arguably in one of the most dire financial situations of all hospitals in the state. The hospital is also getting a little less than $1 million under the new program.

The hospital has already shuttered their neurology, urology and labor and delivery units, among others, in an effort to cut costs. They're months away from closing, according to their interim CEO Gary Marchand.

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“We appreciate the grant funds, and it will help in our efforts to continue operations in the short term,” Marchand said when reached by text Tuesday. “It will replace a portion of the cash reserves used during the pandemic.”

The legislation now goes to Gov. Tate Reeves for final approval. It's not clear when funds will be distributed. Spokespeople from the Mississippi State Department of Health did not answer questions by press time.

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

Mississippi Today

Supreme Court ruling sidesteps issue of spending public money on private schools

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mississippitoday.org – Bobby Harrison – 2024-05-02 16:06:09

The in a 7-2 ruling found that for does not have legal standing to the constitutionality of the state Legislature sending public money to private schools.

The opinion, released Thursday, did not address the issue of whether the $10 million appropriation made in 2022 by the Legislature to private schools was constitutional.

Justice Robert Chamberlin of Southaven, writing for the majority, concluded Parents for Public Schools did not have standing to bring the lawsuit, in part, because harm to the public schools could not be proven.

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Chamberlin wrote that the public education advocacy group says the legislative appropriation “will adversely affect the funding of public schools by legislating a competitive advantage to the independent schools who will the funds. This alleged future harm, however, is speculative and not sufficient to meet even Mississippi's permissive standing requirements.”

Coloring the ruling of the majority at least in part, is that the funds appropriated to the private schools were federal COVID-19 relief funds and not state money.

The office of state Lynn Fitch had argued that the case should be dismissed because of lack of standing. Fitch's office did not immediately respond to a request for comment about the court's ruling.

Will Bardwell, an attorney for Parents for Public Schools, told that the Thursday ruling was “outrageous” because the organization he represents had a “direct interest” in ensuring Mississippi's public schools were not undermined.

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“This is not how courts are supposed to operate,” Bardwell said. “This is not how courts are supposed to work. When lawmakers ignore the constitution, courts are supposed to stand in their way. Other than Justice Leslie king and Justice Jim Kitchens, seven members of the Mississippi Supreme Court didn't do that today. And that's sad.” 

The lawsuit revolved around Section 208 of the Mississippi Constitution, which declares simply that no public funds shall go to any school “that at the time of receiving such funds is not conducted as a public school.”

During oral arguments before the Court in February, attorneys for Parents for Public Schools contended that it made no difference whether the funds were state or federal funds, only that they were public funds.

Parents for Public Schools argued that it was a group composed of parents of public school children so it should have standing to pursue the lawsuit.

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Chancellor Crystal Wise Martin agreed with that argument, but the state's highest court overturned her ruling.

Chamberlin wrote that because the funds were federal, “state taxpayer standing
is untenable under the facts of this case.”

Justice Leslie King of Greenville argued that Parents for Public Schools did have standing. King, who was joined in his opinion by Justice James Kitchens of Crystal Springs, questioned whether anyone would have standing to file a lawsuit under the majority's opinion.

King wrote, “The majority's holding today flies in the face of our longstanding liberal standing jurisprudence and severely limits the ability of Mississippi citizens to challenge actions that violate the constitution.”

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Mississippi Today's Taylor Vance contributed to this report.

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

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Mississippi Today

IVF heir bill heads to governor’s desk

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mississippitoday.org – Sophia Paffenroth – 2024-05-02 15:08:05

A bill to correct an outdated law barring in vitro fertilization from next of kin inheritance passed both chambers Wednesday afternoon and now heads to the governor to be signed into law. 

This is the fifth year Rep. Dana McLean, R-Columbus, filed the measure to give inheritance rights to children conceived via IVF after the of one parent, as 27 other states have done. These bills died in the legislative process the last four years.

“What a relief … I am just so thrilled that after all this time we came to an agreement that will soon be law,” McLean said. “This will help countless families and children have the right to be able to these benefits as they should.”

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McLean's legislation was inspired by the personal story of one of her constituents, Katie Studdard, whose 5-year-old daughter has been denied Social Security benefits from her late biological father since birth. 

READ MORE: Five years later, this Mississippi mom is still fighting an outdated law blocking her child's inheritance

“And that's how a lot of bills that we end up sponsoring come to us – from stories, from an issue someone is having where we need to make adjustments to law,” McLean said.

Rep. Dana McLean, right, sits in the House Chamber during the Legislative at the Capitol in , Miss., Thursday, March 7, 2024. Credit: Eric J. Shelton/Mississippi Today

Studdard, who lives in Columbus, started fertility treatments with her late husband, Chris McDill, before he died of cancer. She did not have success with the embryos while her husband was alive, but decided to continue trying for a baby after her husband's death. She conceived her daughter Elyse a year after her husband died. 

House Bill 1542 passed the House unanimously in mid-March and overwhelmingly passed the Senate in mid-April at the eleventh hour. But the Senate passed it with a reverse repealer, referring it to conference in the hopes of expanding the bill beyond its original scope to protect in vitro fertilization and other forms of assisted reproduction, in the wake of recent calling fertility treatments into question in Alabama. 

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Ultimately, that was too big a task to take on at the end of the session, with pro-life groups coming out publicly to express concern about new language they didn't have time to vet, explained Sen. Joey Fillingane, R-Sumrall. Fillingane was one of the lawmakers tasked with debating the details of the bill in conference. 

House and Senate conferees reverted the bill back mostly to its original language and were able to achieve the primary goal of securing inheritance rights for posthumously-conceived children with the final version. In addition to that goal, Fillingane said, conferees were able to come up with a definition for “alternative reproduction,” which didn't previously exist in Mississippi. 

“I think Chairman (Brice) Wiggins and Chairman (Joey) Hood (of the Judiciary A committee where the bill was assigned) thought … ‘let's get this issue addressed for this family in Columbus that has waited (five) years … and let's at least get a definition in place sort of as a starting point to build a framework out hopefully over the next sessions to add to protect the IVF procedures and processes and surrogacy,'” said Fillingane.

Sen. Joey Fillingane, R-Sumrall, speaks about a bill concerning Medicaid expansion at the Capitol in Jackson, Miss., Thursday, March 28, 2024. Credit: Eric J. Shelton/Mississippi Today

Fillingane had two of his own children through surrogacy, but traveled to California to do so – because the state has clear statutory guidelines around parental rights in surrogacy cases. 

“I did not feel comfortable having my kids in Mississippi … there were absolutely no protections that the state of Mississippi offers for parents who have children this way. As a family lawyer, I was uniquely situated to see some of these things,” he said.

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Senate Judiciary A Chairman Brice Wiggins, R-Pascagoula, who was instrumental in getting the bill to the finish line, wasn't available for comment. 

Although it's been a trying few years, Studdard said she has a newfound appreciation for the . As a teacher, she has streamed floor debates during her lunch period at school, has become acquainted with the legislative language of various iterations of the bill, and talked extensively with lawmakers. She says that every time she hears a new legislative word that she doesn't know, she googles it.

“I've learned a lot,” she said. “I think anybody going through any life-changing , like I did with (my husband's) cancer, and then IVF, and now this bill …you gain a whole new appreciation and so much knowledge you never thought you'd know.”

Studdard is overjoyed that the Senate proposed naming the law after her late husband, Chris McDill, and is proud to model for her daughter and her students that it is possible for an everyday person to enact policy change. 

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Primarily, she hopes the benefits her daughter will start receiving next year will go toward her future education.

“I just think this financially will create so much security for her and her education, that's number one for me,” Studdard said. “I want her to not have to worry about taking out a student loan. I want her to have a good financial start to life when she goes to college. To be able to hand that to your child is a gift.”

When McLean first authored a bill to address Studdard's predicament, it was the first year of her first four-year term. Now, it's the first year of her second term, and she says it feels full circle. 

“When (Studdard) first told me about her little girl and being a single mom, at that time Elyse was just a baby, and it really hit home to me because I am also a single mother of a daughter, and I understood the significance of this and how we really need to protect children and women and mothers and families,” McLean reflected. “I felt like it was really something I could get behind.”

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

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Mississippi Today

 Belhaven man’s widow will decide what will be done with his remains, but independent autopsy will be done

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mississippitoday.org – Mina Corpuz – 2024-05-02 13:06:28

A Hinds County chancery judge has the brother of Dau Mabil from a lawsuit filed against the man's widow that would have him to gain access to his brother's body for an independent autopsy. 

Judge Dewayne Thomas issued two orders Thursday morning several days after a hearing in a lawsuit between Bul Mabil and Karissa Bowley, along with investigators, about what will happen to Dau Mabil's remains. 

In the hearing and court filings, Bowley said she will allow an independent autopsy to be conducted. 

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“I do feel relief that this part of things is over and we can move on to what we were doing before, which is continue to dig for information,” she said Thursday after the judge's orders were released. 

On March 25, the 33-year-old Belhaven went on a walk in his usual area without his phone. He was seen on video surveillance on Jefferson Street between Fortification and High Street, and at one point went to the Museum Trail in Belhaven Heights to check on corn he planted. 

About three weeks later, a fisherman spotted a body floating in the Pearl near Lawrence County, more than 50 miles away. By April 18, a preliminary autopsy revealed the body belonged to Mabil. The Lawrence County sheriff said there was no evidence of foul play.

In his order, Thomas imposed safeguards proposed by Bowley and the Department of Public Safety for the independent autopsy: It needs to be conducted after the state finishes its investigation and be conducted by someone who is a qualified pathologist with a certain medical degree and certification. 

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After the state finishes its investigation, official autopsy results shall be released only with consent of Bowley, as the surviving spouse and next of kin, according to the court order. 

Bowley is awaiting the from the first autopsy to shed more light on what happened and whether anyone from the public knows anything or has any video from the day Mabil disappeared, including video Bul Mabil's attorney mentioned that supposedly shows people at the Museum Trail moving that appears to be a body into a truck around the time Mabil was at there. 

The Department of Public Safety will hold Mabil's remains for 30 days after the state finishes its investigation so the independent autopsy can be done. 

Bul Mabil filed the lawsuit the night before his brother's body was identified because he believes it is the only way to know whether there was foul play in his brother's death. U.S. Rep. Bennie Thompson has asked the Justice Department to investigate.

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In a separate order, Thomas agreed that Bowley, as Mabil's surviving spouse, is Mabil's next of kin and the one who can direct what happens with his remains. 

He dismissed Bul Mabil as a plaintiff because he lacked standing in the matter. 

At a Tuesday hearing, his attorney, Lisa Ross, argued that he should be Dau Mabil's next of kin because his brother and Bowley had a strained relationship leading up to his disappearance. Ross said Mississippi has no existing case law that defines who is a surviving spouse, but referenced a New York case in which a wife separated from her husband was not allowed to cremate his body and interfere with the mother's request for an autopsy. 

He has also argued in court that he should remain in the case because he is the next of kin for Dau's child. 

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Ross could not be reached about whether she plans to appeal. 

The lawsuit has been renamed to reflect the new parties: Bowley v. Mississippi Department of Public Safety. 

Now that the judge has written the orders, Bowley said she feels relieved and has more to grieve her husband, including visiting places around the city where they went together. 

One of those is the patch along the Museum Trail where Mabil planted corn. Bowley said she's returned there to the plants and see them grow. 

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“It's a nice place to be reminded of him along with many others,” she said.

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

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