Mississippi Today
Mississippi mothers are now guaranteed coverage for a year after giving birth. But they may not get the prenatal care they need.
Mississippi cleared a big hurdle after lawmakers extended postpartum Medicaid coverage this session, guaranteeing low-income women a year of health care coverage after having a baby.
Now experts say that Mississippi needs to turn its attention to what happens before these women give birth. Early prenatal care is vital to healthy moms, babies and pregnancies, but because of the state Division of Medicaid’s policies, it’s unknown if the majority of pregnant Mississippians are getting that care.
The division, which funds more than two-thirds of births in Mississippi, doesn’t monitor when people go to their first prenatal visit. And the absence of presumptive eligibility in Mississippi creates major delays for people seeking prenatal care.
Pregnancy presumptive eligibility allows people to receive care when they’re pregnant, even if they’re not on Medicaid. It’s presumed that they qualify, so their providers enroll them and start billing Medicaid, which reimburses providers immediately.
That means fewer delays when it comes to receiving care. They’re able to go to doctor’s offices and get the care they need quickly, without having to pay out of pocket.
The agency is hoping to eventually track when recipients go to prenatal visits, but Communications Officer Matt Westerfield could not provide a timeline for when that data might be available. And Medicaid Executive Director Drew Snyder has said he won’t take steps to make it easier for expecting mothers to get on Medicaid without legislative action.
Mississippi is one of the most dangerous states in the country to give birth in, and early intervention is key to successful pregnancies, according to Dr. Anita Henderson, former president of the Mississippi Chapter of the American Academy of Pediatrics.
The state’s dismal maternal mortality rate is getting worse, especially for Black people, and Mississippi has the highest infant mortality, preterm birth and low birthweight rates in the nation.
But as rural health care collapses and hospital closures loom, it’s getting harder to access health care for expecting Mississippians. Neonatal ICUs and labor and delivery units are closing, and county health departments stopped enrolling new maternity patients in 2016.
It’s a dangerous mix following the U.S. Supreme Court’s decision last summer to overturn abortion rights, which means the state is expecting thousands more pregnancies.
Care during the first trimester is crucial to a healthy pregnancy and healthy babies, especially for people with conditions that need to be managed like high blood pressure or diabetes.
“I think given the level of health concerns in our population that exists before pregnancy, we know too many people are going to start prenatal care with medical conditions that make that pregnancy high risk,” said Dr. Charlene Collier, an OB-GYN based in Mississippi. “The consequences are always snowballing when a person enters pregnancy with an untreated or complicated medical history.”
When people who are expecting can’t make it to a prenatal visit in a timely manner, the consequences can be deadly — and, often, preventable.
Collier cited the prevalence of congenital syphilis in Mississippi, which is at an all time high, to stress the importance of early care. She said there’s a limited time frame to prevent complications from syphilis.
Last month, the state health department implemented an emergency order requiring doctors to test pregnant patients for syphilis. Previously, Mississippi was one of six states in the country not to require the testing.
“Now that we’re seeing a rise in congenital syphilis, it’s even more important that people are in prenatal care, getting their blood work done and getting treatment so that infections like syphilis, which is easily treatable with penicillin, can be identified and treated early,” she said. “Any delays increase the chance of a really detrimental infection in a pregnancy.”
Another barrier to timely prenatal care is that it’s complicated to get pregnancy Medicaid coverage.
According to the Kaiser Family Foundation, Mississippi is one of 21 states as of January 2020 that doesn’t offer presumptive eligibility for pregnant people, which has significant benefits.
According to a study commissioned with the University of Mississippi Center for Population Studies by the Center for Mississippi Health Policy, preterm births are less likely for low-income people when they live in a state with presumptive eligibility and expanded Medicaid.
Mississippi is one of only three states in the country that has neither expanded Medicaid nor provides pregnancy presumptive eligibility.
And it takes the Mississippi Division of Medicaid about 24 days to approve pregnancy applications, Westerfield said in November. Until then, uninsured people who are expecting must foot the bills themselves, if a doctor sees them at all.
It’s a tedious process that even top officials in Mississippi are confused by.
At a recent press conference about Mississippi’s commitment to its “culture of life” following the overturning of abortion rights, Republican Gov. Tate Reeves said that the state has presumptive eligibility. But he was referring to hospital presumptive eligibility, which allows hospitals to assume patients’ Medicaid eligibility to provide care. It is not the same thing as presumptive eligibility for pregnant people, which allows them to get care at doctor’s offices just as they would if they were insured.
Reeves’ spokesperson Shelby Wilcher responded that pregnant women in Mississippi have presumptive eligibility at hospitals. After Mississippi Today clarified hospital presumptive eligibility was not the same thing as presumptive eligibility for pregnant women, Wilcher suggested further questions be directed to the Division of Medicaid.
She did not respond to a question asking if the governor would support establishing presumptive eligibility for pregnant women.
“Presumptive eligibility is, intentionally, a very loosely used umbrella term,” said John Dillon Harris, a health care systems and policy consultant at the Center for Mississippi Health Policy. “The question is who is presumed eligible and for what?”
At the last Medical Care Advisory Committee Meeting on Feb 24, Snyder said that the Division of Medicaid wouldn’t utilize pregnancy presumptive eligibility unless directed to by the Legislature.
Westerfield said in an email that position is to prevent the DOM from paying “providers for services for women who subsequently would not qualify for Medicaid.”
Rep. Missy McGee, R-Hattiesburg, introduced a bill this past session to establish presumptive eligibility for pregnant women, but it died after being referred to the Medicaid committee, which met just once last legislative session and only advanced two bills out of committee.
Collier said she recently had a patient who applied for Medicaid but hadn’t yet been approved. The patient delayed getting ultrasounds and other labs out of fear of running up a higher bill even though all her bills would be back-paid once she got on Medicaid.
“I do think the lack of insurance preceding pregnancy is a major barrier to initiating early prenatal care, particularly getting bloodwork done in a timely manner,” Collier said.
It’s a paradox — a confirmatory pregnancy test is required to qualify for Medicaid, but many doctor’s offices don’t provide care to people who are uninsured.
County health departments still offer these confirmatory tests for free, said Liz Sharlot, communications director at the Mississippi Department of Health.
“In fact, that is the most common reason women come in for the pregnancy tests is to confirm that pregnancy test and receive the confirmation letter to bring to the Regional Medicaid Offices in order to apply for Medicaid benefits during pregnancy,” she said.
Clinics that specifically serve uninsured and underserved populations such as the Hinds Comprehensive Health Center, where Dr. Jaleen Sims works as an OB-GYN, also provide these confirmatory pregnancy tests at low cost.
It’s not clear how many people are aware these services are offered at low or no cost at places other than primary care doctor’s offices. And if they are aware, transportation can be another issue.
“The patients who live in these areas need a ride or they have to take off work for a full day to drive to Jackson or their closest areas, spend time in the waiting room, have their visit and then drive back,” she said. “By the time you finish with that you’ve missed … a full day of work for the most part.”
According to a report from the March of Dimes, more than half the counties in Mississippi are considered maternity care deserts, with no OB-GYNs, certified midwives or hospitals providing obstetric care.
It also continues to be a challenge to recruit doctors, especially OB-GYNs, to Mississippi and keep them here. Of the five people who graduated from UMMC’s OB-GYN program in 2019, Sims was the only one to stay in Mississippi.
For the doctors who stay, their patient waitlists are long.
One of the nurses Sims works with had to use her health care connections to get into a doctor’s office. She had just missed her period and called to schedule an appointment, only to be told she had to wait four months.
“I’ll never judge a person again on coming late to prenatal care,” Sims said the nurse told her.
It’s hard work being pregnant in Mississippi, Sims said.
“It’s almost like you have this feeling of being defeated,” she said. “It’s like, ‘I’m trying everything that I can to take care of me and to take care of my baby. But I have all these barriers and hoops that I have to jump through just to get to that point.’”
Reporter Isabelle Taft contributed to this story.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
President Donald Trump on Tuesday nominated Baxter Kruger to become Mississippi’s new U.S. attorney in the Southern District and Scott Leary to become U.S. attorney for the Northern District.
The two nominations will head to the U.S. Senate for consideration. If confirmed, the two will oversee federal criminal prosecutions and investigations in the state.
Kruger graduated from the Mississippi College School of Law in 2015 and was previously an assistant U.S. attorney for the Southern District. He is currently the director of the Mississippi Office of Homeland Security.
Sean Tindell, the Mississippi Department of Public Safety commissioner, oversees the state’s Homeland Security Office. He congratulated Kruger on social media and praised his leadership at the agency.
“Thank you for your outstanding leadership at the Mississippi Office of Homeland Security and for your dedicated service to our state,” Tindell wrote. “Your hard work and commitment have not gone unnoticed and this nomination is a testament to that!”
Leary graduated from the University of Mississippi School of Law, and he has been a federal prosecutor for most of his career.
He worked for the U.S. Attorney’s Office in the Western District of Tennessee in Memphis from 2002 to 2008. Afterward, he worked at the U.S. Attorney’s Office for the Northern District of Mississippi in Oxford, where he is currently employed.
Leary told Mississippi Today that he is honored to be nominated for the position, and he looks forward to the Senate confirmation process.
This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.
The post Trump nominates Baxter Kruger, Scott Leary for Mississippi U.S. attorney posts 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
This article presents a straightforward news report on President Donald Trump’s nominations of Baxter Kruger and Scott Leary for U.S. attorney positions in Mississippi. It focuses on factual details about their backgrounds, qualifications, and official responses without employing loaded language or framing that favors a particular ideological perspective. The tone is neutral, with quotes and descriptions that serve to inform rather than persuade. While it reports on a political appointment by a Republican president, the coverage remains balanced and refrains from editorializing, thus adhering to neutral, factual reporting.
After more than 10 months closed due to mold, asbestos and issues with the air conditioning system, Thalia Mara Hall has officially reopened.
Outgoing Mayor Chokwe A. Lumumba announced the reopening of Thalia Mara Hall during his final press conference held Monday on the arts venue’s steps.
“Today marks what we view as a full circle moment, rejoicing in the iconic space where community has come together for decades in the city of Jackson,” Lumumba said. “Thalia Mara has always been more than a venue. It has been a gathering place for people in the city of Jackson. From its first class ballet performances to gospel concerts, Thalia Mara Hall has been the backdrop for our city’s rich cultural history.”
Thalia Mara Hall closed last August after mold was found in parts of the building. The issues compounded from there, with malfunctioning HVAC systems and asbestos remediation. On June 6, the Mississippi State Fire Marshal’s Office announced that Thalia Mara Hall had finally passed inspection.
“We’re not only excited to have overcome many of the challenges that led to it being shuttered for a period of time,” Lumumba said. “We are hopeful for the future of this auditorium, that it may be able to provide a more up-to-date experience for residents, inviting shows that people are able to see across the world, bringing them here to Jackson. So this is an investment in the future.”
In total, Emad Al-Turk, a city contracted engineer and owner of Al-Turk Planning, estimates that $5 million in city and state funds went into bringing Thalia Mara Hall up to code.
The venue still has work to be completed, including reinstalling the fire curtain. The beam in which the fire curtain will be anchored has asbestos in it, so it will have to be remediated. In addition, a second air-conditioning chiller needs to be installed to properly cool the building. Until it’s installed, which could take months, Thalia Mara Hall will be operating at a lower seating capacity of about 800.
“Primarily because of the heat,” Al-Turk said. “The air conditioning would not be sufficient to actually accommodate the 2,000 people at full capacity, but starting in the fall, that should not be a problem.”
Al-Turk said the calendar is open for the city to begin booking events, though none have been scheduled for July.
“We’re very proud,” he said. “This took a little bit longer than what we anticipated, but we had probably seven or eight different contractors we had to coordinate with and all of them did a superb job to get us where we are today.”
This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.
The post Jackson’s performing arts venue Thalia Mara Hall is now open 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 straightforward report on the reopening of Thalia Mara Hall in Jackson, focusing on facts and statements from city officials without promoting any ideological viewpoint. The tone is neutral and positive, emphasizing the community and cultural significance of the venue while detailing the challenges overcome during renovations. The coverage centers on public investment and future prospects, without partisan framing or editorializing. While quotes from Mayor Lumumba and a city engineer highlight optimism and civic pride, the article maintains balanced, factual reporting rather than advancing a political agenda.
Mississippi Today
‘Hurdles waiting in the shadows’: Lumumba reflects on challenges and triumphs on final day as Jackson mayor
On his last day as mayor of Jackson, Chokwe Antar Lumumba recounted accomplishments, praised his executive team and said he has no plans to seek office again.
He spoke during a press conference outside of the city’s Thalia Mara Hall, which was recently cleared for reopening after nearly a year of remediation. The briefing, meant to give media members a peek inside the downtown theater, marked one of Lumumba’s final forays as mayor.
Longtime state Sen. John Horhn — who defeated Lumumba in the Democratic primary runoff — will be inaugurated as mayor Tuesday, but Lumumba won’t be present. Not for any contentious reason, the 42-year-old mayor noted, but because he returns to his private law practice Tuesday.
“I’ve got to work now, y’all,” Lumumba said. “I’ve got a job.”
Thalia Mara Hall’s presumptive comeback was a fitting end for Lumumba, who pledged to make Jackson the most radical city in America but instead spent much of his eight years in office parrying one emergency after another. The auditorium was built in 1968 and closed nearly 11 months ago after workers found mold caused by a faulty HVAC system – on top of broken elevators, fire safety concerns and vandalism.
“This job is a fast-pitched sport,” Lumumba said. “There’s an abundance of challenges that have to be addressed, and it seems like the moment that you’ve gotten over one hurdle, there’s another one that is waiting in the shadows.”
Outside the theater Monday, Lumumba reflected on the high points of his leadership instead of the many crises — some seemingly self-inflicted — he faced as mayor.
He presided over the city during the coronavirus pandemic and the rise in crime it brought, but also the one-two punch of the 2021 and 2022 water crises, exacerbated by the city’s mismanagement of its water plants, and the 18-day pause in trash pickup spurred by Lumumba’s contentious negotiations with the city council in 2023.
Then in 2024, Lumumba was indicted alongside other city and county officials in a sweeping federal corruption probe targeting the proposed development of a hotel across from the city’s convention center, a project that has remained stalled in a 20-year saga of failed bids and political consternation.
Slated for trial next year, Lumumba has repeatedly maintained his innocence.
The city’s youngest mayor also brought some victories to Jackson, particularly in his first year in office. In 2017, he ended a furlough of city employees and worked with then-Gov. Phil Bryant to avoid a state takeover of Jackson Public Schools. In 2019, the city successfully sued German engineering firm Siemens and its local contractors for $89 million over botched work installing the city’s water-sewer billing infrastructure.
“I think that that was a pivotal moment to say that this city is going to hold people responsible for the work that they do,” Lumumba said.
Lumumba had more time than any other mayor to usher in the 1% sales tax, which residents approved in 2014 to fund infrastructure improvements.
“We paved 144 streets,” he said. “There are residents that still are waiting on their roads to be repaved. And you don’t really feel it until it’s your street that gets repaved, but that is a significant undertaking.”
And under his administration, crime has fallen dramatically recently, with homicides cut by a third and shootings cut in half in the last year.
Lumumba was first elected in 2017 after defeating Tony Yarber, a business-friendly mayor who faced his own scandals as mayor. A criminal justice attorney, Lumumba said he never planned to seek office until the stunning death of his father, Chokwe Lumumba Sr., eight months into his first term as mayor in 2014.
“I can say without reservation, and unequivocally, we remember where we started. We are in a much better position than we started,” Lumumba said.
Lumumba said he has sat down with Horhn in recent months, answered questions “as extensively as I could,” and promised to remain reachable to the new mayor.
This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.
The post 'Hurdles waiting in the shadows': Lumumba reflects on challenges and triumphs on final day as Jackson mayor 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
The article reports on outgoing Jackson Mayor Chokwe Antar Lumumba’s reflections without overt editorializing but subtly frames his tenure within progressive contexts, emphasizing his self-described goal to make Jackson “the most radical city in America.” The piece highlights his accomplishments alongside challenges, including public crises and a federal indictment, maintaining a factual tone yet noting contentious moments like labor disputes and governance issues. While it avoids partisan rhetoric, the focus on social justice efforts, infrastructure investment, and crime reduction, as well as positive framing of Lumumba’s achievements, aligns with a center-left perspective that values progressive governance and accountability.
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