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MAP: Mississippi makes it uniquely hard for low-income new moms to get health care

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MAP: Mississippi makes it uniquely hard for low-income new moms to get health care

Low-income women in Mississippi have less access to in the months after giving birth than their counterparts in every state except Wyoming.

Mississippi and Wyoming are now the only two states in the country that have neither expanded eligibility to low-income working adults, nor extended postpartum Medicaid coverage for new mothers beyond 60 days after birth, according to data compiled by the health nonprofit KFF.

The other nine states that have not expanded Medicaid eligibility have all sought to extend postpartum coverage in recent years. Seven of them, including Alabama, Tennessee, Georgia and South Carolina, have extended coverage to a year after birth. and Wisconsin have sought federal approval to implement shorter extensions of six months and 90 days, respectively.

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“We know infant mortality and maternal are challenges for our state,” said Tennessee Gov. Bill Lee, a Republican who opposes Medicaid expansion, when he introduced his proposal to extend postpartum coverage in 2020. “One in two Tennessee births are covered through our Medicaid program.”

In Mississippi, that number is higher: about six in 10 births are covered by Medicaid.

During the ongoing COVID-19 federal public health emergency, states are not to kick anyone off Medicaid. As a result, women who have given birth since March 2020 will have coverage until the emergency is lifted, potentially as soon as early 2023.

But ordinarily, a Mississippi woman with two kids and a partner together earning $3,000 a month, for example, would lose her Medicaid coverage two months after her baby is born.

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The same woman living in Alabama, which has not expanded Medicaid eligibility but approved a 12-month postpartum coverage extension earlier this year, would have health insurance until her baby is a year old. And the same woman living in Arkansas, which has expanded Medicaid but not extended postpartum coverage, would have health insurance before and after her pregnancy, because she would be eligible based solely on her income.

In Mississippi, women whose pregnancies are covered by Medicaid lose the ability to go to check-ups, get treatment for postpartum depression, and receive care for chronic conditions when their babies are just two months old.

(AP /Rogelio V. Solis)

House Speaker Philip Gunn, R-Clinton, has repeatedly rejected postpartum Medicaid extension, which easily passed the Senate last . He has described the proposal as Medicaid expansion, though it would not make more people eligible for Medicaid. Almost every other state that has refused to expand Medicaid has nevertheless extended postpartum coverage.

Last , some of the state's leading doctors told the Senate Medicaid Committee that extending postpartum Medicaid would not only improve abysmal maternal and infant health outcomes but also save money.

Mississippi has the country's highest infant mortality rate and highest rate of premature births. Dr. Anita Henderson, a pediatrician and president of the Mississippi Chapter of the American Academy of Pediatrics, said the hospital cost of delivering a healthy baby at full term is typically around $5,000 to $6,000. But an extremely preterm baby requires a long stay in a neonatal intensive care unit (NICU), at an average cost of $600,000.

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State Health Officer Dr. Daniel P. Edney mentioned that Mississippi is one of just two states that has neither extended postpartum coverage nor expanded Medicaid eligibility.

“What I would beg us to consider is the fact it makes much more economic sense to let Medicaid pay for this rather than the state to pay for it – either state agencies such as the health department paying, or hospitals paying for it with uncompensated care,” he said.

Pregnant women in Mississippi qualify for Medicaid as long as their family income is below 194% of the federal poverty level– about $4,600 per month for a family of four.

But after giving birth, a Mississippian with kids qualifies for Medicaid only if she has a very low income, earning $578 or less monthly for a family of four.

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With such a strict income eligibility requirement, it's all but impossible for anyone with a full-time job to qualify for Medicaid coverage. (And healthy adults without kids never qualify for Medicaid in Mississippi.)

In states that have expanded Medicaid, including Louisiana and Arkansas, adults with incomes below 138% of the federal poverty level, or about $3,200 for a family of four, qualify for health insurance.

An analysis by the consulting firm Manatt found that expanding eligibility for Medicaid would cut enrollment in pregnancy Medicaid by about half, because many women would qualify based on income alone.

Wil Ervin, deputy administrator for health policy for Mississippi Medicaid, told the Senate Medicaid Committee last week that extending postpartum coverage to a year would cost the state about $7 million.

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

Mississippi Today

Pro-Palestinian protest at University of Southern Mississippi ends without confrontation

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mississippitoday.org – Molly Minta – 2024-05-07 16:57:17

HATTIESBURG — A pro-Palestinian protest at the University of Southern Mississippi ended after an hour, with the roughly 50 students and faculty who silently held signs facing no counter-protesters or arrests — a sharp contrast to the demonstration five days earlier at the University of Mississippi. 

According to a social media post, the hoc group, called USM for Palestine, were calling on the university to divest if it is invested in Israeli companies, echoing demands made by students across the country in the wake of the Israel-Hamas War. A university spokesperson said information about USM's investments would not be available by press time. 

“All members of the University community conducted themselves peacefully and respectfully,” Nicole Ruhnke wrote in an email. 

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It marked the second pro-Palestine protest at a Mississippi university since students at Columbia University set up an encampment about two weeks ago with protests touching over 40 campuses across the country. On May 2, police broke up a similar protest at the University of Mississippi after some 200 of mainly white, male counter-protesters heckled, chased and threw food-related items at pro-Palestinian students. 

Videos of the Ole Miss protest went viral, and the university has said it is investigating the conduct of at least one student. The Phi Delta Theta fraternity expelled from membership a student who was filmed making monkey noises at a Black female student protester. 

At USM, there are significantly less Greek students, but the specter of what could happen seemed to haunt campus . About 20 minutes before the protest was slated to start, the university police chief, Rusty Keyes, was already patrolling Shoemaker Square, the campus -speech zone.

Keyes pulled aside a legal observer from the to say the students would only be allowed to protest for an hour because they had not followed university policy.

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“Now, I'm not happy with them,” Keyes told the legal observer. “They have to go by the rules. I have the ability to (approve) time, manner and place, okay? … That's my authority, off the policy.”

“If we're going to do this … it's going to be right there so I can protect them,” he added, gesturing to a patch of grass next to a brick building to the side of the square. “There's a lot things they could've done to make it a lot easier on theirselves (sic). And the policy works with them. But they're doing everything in their power to work against it. If they would just work, they can have everything they want. But they gotta go by the policy. That's why policies and laws are in place. It's to protect everybody. And I'm going to make sure everybody is protected.” 

Rusty Keyes, University of Southern Mississippi's chief of police, issues instructions to pro-Palestine protesters at the University of Southern Mississippi in Hattiesburg, Miss., on Tuesday, May 7, 2024. Credit: Eric Shelton/

Then Keyes asked how many people were going to show up, before gesturing at a photographer on the other side of the fountain. 

“They called this photographer, they called that photographer,” he said, “and that shows right there — I mean, what's your intent, you know?” 

“Their intent is just to exercise their free speech,” the legal observer replied. 

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“I hope so,” Keyes said. “I hope so. I want to provide that for them. But they've got to go by my instructions for their safety, okay? And then this ends at 1 o'clock, okay? By 1 o'clock. And they gotta disperse.” 

When Mississippi Today tried to to Keyes, he said he wasn't commenting for the university and asked a reporter to delete her recording. 

A few feet away, Sirena Cantrell, the dean of students, stood with her arms crossed. Student groups aren't typically allowed to hold events during finals, she noted, so the protest wasn't fair. And she was concerned that what happened at Ole Miss could happen at USM, especially because the police were stretched thin preparing for graduation. Since the protest was silent, she hoped it would be pointless to counter-protest. 

“We had actually asked the group not to do this, cause of finals weeks,” she said.

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Cantrell added she had tried to talk with a student from USM for Palestine, but it wasn't productive, which was, she added, “unfortunate.” 

“I didn't really have a discussion with her,” Cantrell said. “I just told her the policy, and she said ‘okay,' and then I never heard from her again.” 

By 12 p.m., had stationed themselves at all four corners of the fountain. Police cars blocked off the sidewalks to prevent people from walking too close to the protesters. 

Students wearing keffiyehs began to trickle in, holding signs that said “Save Gaza,” “Nothing Justifies Genocide” and “Humanity Above .” After speaking to Keyes, they shuffled over to the grass. 

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The protest was so silent, chirping birds could be heard over the water fountain. So could the laughter of a group of mostly male students who stood to the side. 

University of Southern Mississippi students gather at the university's Shoemaker Square during a pro-Palestine protest at the campus in Hattiesburg, Miss., on Tuesday, May 7, 2024. Credit: Eric Shelton/Mississippi Today

“Because if Israel sees their signs, they'll stop shooting at Palestine,” one of the students said to snickers. He wore a blue ball cap, a gray shirt and gave his name as Tim, then “Binky.” 

Rumors about the protest had been all over social media, “Binky” said, and he had been looking forward to it. But so far, he was disappointed. 

“I kind of wanted it to be wild,” he said. “I was excited to watch them look stupid.” 

“I think there's no sense in yelling at each other, though,” responded his friend, who wouldn't give his name. Cantrell, he added, had told them “we can't raise havoc, just like they (the protesters) couldn't.” 

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“The stuff at Ole Miss got taken too far,” another added. “It was funny but like, some of the shit was way too far.” 

The protest was only supposed to last an hour, someone else said, and they all started laughing again. 

“That's gonna stop what's going on over there,” he said. “An hour of sign holding.” 

The silent protest was an attempt to follow university policy and avoid replicating the confrontational atmosphere of Ole Miss' protest, said Willem Myers, a 22-year-old social work major who was acting as USM for Palestine's spokesperson. 

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A protester a pro-Palestine sign during a protest at the University of Southern Mississippi in Hattiesburg, Miss., on Tuesday, May 7, 2024. Credit: Eric Shelton/Mississippi Today

Though they hadn't anticipated the Keyes' restrictions, Myers noted the mood was calmer than at a protest he attended at Tulane University in New Orleans, where police broke up an encampment and arrested 14 people, including him. Myers had to get permission to leave the city, where he lives, to be on campus that morning for an exam. 

The goal was to Palestinians, said Myers, who is Jewish. He disagrees with the idea that Israel “speaks for or is in the best interest of the Jewish people.”  

“What we're seeing overwhelmingly from people who are on the frontlines and who are in Rafah is that they are emboldened by and given hope by the actions of student protesters throughout the world right now,” he said. “The fact is that we don't exist in a vacuum, we're not an island here at USM or in Mississippi. We're part of the larger U.S. imperialist project, and we are firmly standing against it … to have it on record that USM students do not stand with the ongoing genocide and violence against Palestinians.” 

At 1 p.m., the protest was over. Students clapped briefly, then started packing up. 

As police watched, a white student in a blue shirt walked up to them. He asked what “the rules” were and why he wasn't allowed to talk to the protesters, “because it's a public university.” 

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“If you want to communicate with them, wait till they leave,” Keyes responded. “We just want to keep this area safe.” 

Though the student, a 23-year-old finance major who declined to give his name, was friends with the group that was making jokes, he said he actually wanted to have an open dialogue with the protesters. He would've liked to ask what their “end goal” was. 

He said he already knew their answer would be a ceasefire, but he wasn't sure that was possible in the Middle East where, he said, “it's built into their culture not to like each other.” 

But it's like that here, too, he said. In America, political beliefs are becoming more polarized due to “Big Tech” and misinformation. Though he identifies as a conservative, is in a fraternity and plans to vote for Donald Trump, the student said he also opposes the military industrial complex — but where else, except for a protest like this, would he have an opportunity to actually talk with people on the other side? 

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“I guess I do,” he said, when asked if he agreed with the protesters. “I guess I do, in a way. I think I saw a big sign that said ‘‘ceasefire.' Yeah, I do agree with that. I agree with a ceasefire. Of course. Why would I want more people to die?” 

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

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Mississippi Today

State revenue is sluggish, but interest from federal COVID-19 money is buoying budget

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Mississippi is collecting enough money to fund the current year's budget passed by the in 2023 — largely due to interest earnings on federal money — but tax collections remain sluggish.

April's revenue, just released by the staff of the Legislative Budget Committee, was $6.87 million or 0.65% over the estimate. But actual tax collections were $1.3 million below the estimate.

The reason total revenue for April was above the estimate is the interest earnings the is garnering on its surplus money. For the month of April, interest earnings were $8.2 million above the estimate, thanks to the unprecedented amount of surplus money largely from federal COVID-19 spending and because of high interest rates.

Through April, the first 10 months of the fiscal year, interest earnings are $93.4 million above the estimate. Interest earnings are more than half of the total collections above the estimate of $185.8 million for the year.

For the fiscal year to date, revenue is .39% or $24.7 million above the previous year. Without interest earnings, the state would be collecting less revenue that it did the previous year.

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The sluggish collections for April was released just as the Legislature was finalizing a budget for the upcoming fiscal year, which begins July 1.

For the upcoming fiscal year, the budget, all state funds, will be $7.28 or $583.2 million more than was budgeted for the current fiscal year. That number excludes the use of surplus funds to pay for one-time construction projects throughout the state.

Kindergarten through 12th grade education will $246 million or 8% of the increased funds while universities will receive an additional $60.8 million or 7.5% more than they received for the current year. Community colleges will receive an additional 18% or $53 million.

The Legislature is in an unusual position of being able to make record expenditures even as revenue collections appear to be slowing, thanks, in large part to COVID-19 relief funds and other federal funds.

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But many legislative said during the just completed that they will continue to monitor collections that could impact budgeting in future years if the trend continues.

For the year, state income taxes are down $131.2 million or 6.6%. That, according to state Economist Corey Miller, is attributed at least in part to the $525 million income tax cut that currently is being phased in over a four-year period. Sales tax collections are up $71.7 million or 3.2%.

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

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Mississippi Today

Ex-Mississippi sheriff admits lying to the FBI

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mississippitoday.org – Jerry Mitchell and Ilyssa Daly – 2024-05-07 11:40:49

As sheriff, Terry Grassaree stoked fear into the citizens of Noxubee County by imitating his idol, wrestler “Stone Cold” Steve Austin.

On Tuesday, the 61-year-old former law enforcement officer spoke in a soft voice to District Judge Daniel P. Jordan III as he pleaded guilty to lying to the FBI when he denied that he made a jailed woman take and share sexually explicit photos and of herself.

He faces up to five years in prison and a $250,000 fine when he is sentenced on Aug. 7.

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Assistant U.S. Attorney Kimberly Purdie told District Judge Daniel P. Jordan III that Grassaree lied to an FBI agent on July 13, 2020, about making a woman behind bars take and share nude photos and videos in exchange for favorable treatment, which included making her a jail trusty.

After she texted the photos from a contraband cell phone, he responded, “Butt is great” and “Body looks perfect.”

Standing next to his attorney, Abram Sellers of Jackson, Grassaree admitted all of what Purdie had said was true.

Grassaree was also charged with destroying evidence and wire fraud. If he had pleaded guilty to all of his charges, he could have faced up to 90 years in prison.

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But his story goes far beyond what the former sheriff pleaded guilty to on Tuesday.

The Mississippi Center for Investigative at and The New York Times highlighted Grassaree in its , “Unfettered Power: Mississippi Sheriffs,” which showed how sheriffs can rule like kings in rural counties. They answer to no one and typically face little press or prosecutorial scrutiny.

The investigation published April 11, 2023, revealed that the allegations of wrongdoing against Grassaree have been far more wide-ranging and serious than his federal charges suggest. The investigation included a of nearly two decades of lawsuit depositions and a previously undisclosed report by the Mississippi of Investigation.

At a minimum, the documents detail gross mismanagement at the Noxubee County jail in Macon that repeatedly put female inmates in harm's way. At worst, they tell the story of a sheriff who operated with impunity, even as he was accused of abusing the people in his custody, turning a blind eye to women who were raped and trying to it up when caught.

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Over nearly two decades, as allegations mounted and Noxubee County's insurance company paid to settle lawsuits against Grassaree, state prosecutors brought no charges against him or others accused of abuses in the jail. A federal investigation dragged on for years and finally led to charges in fall 2022.

In a 2020 lawsuit, Elizabeth Layne Reed accused two deputies, Vance Phillips and Damon Clark, of coercing her into having sex. She said the men gave her a cellphone and other perks in exchange for sexual encounters inside and outside the jail. Deputies even put a sofa in her cell.

According to her lawsuit, Grassaree knew all about his deputies' “sexual contacts and shenanigans,” but the sheriff did nothing to “stop the coerced sexual relationships.” 

Grassaree has previously denied any knowledge of what his deputies were doing. “Are you a boss?” he asked. “Do your employees tell you everything they do?”

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Instead of intervening, the lawsuit alleged, the sheriff “sexted” her and demanded that she use the phone the deputies had given her to send him “a continuous stream of explicit videos, photographs and texts” while she was in jail. She also alleged in the lawsuit that Grassaree touched her in a “sexual manner.”

The lawsuit was settled for an undisclosed amount.

No date has been set for the sentencing of one of those deputies, Phillips, who pleaded guilty last year to bribery, which experts say could have been the perks the woman says she received. Prosecutors asked for his sentencing to be postponed “pending a resolution of another criminal matter,” an obvious reference to Grassaree's case.

The other deputy, Vance, wasn't charged. “I never coerced Reed into sex,” he wrote in his response to the lawsuit, but he never answered whether he had sex with her.

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Under Mississippi law, it is a for to have sex with those behind bars, and the felony carries up to five years in prison.

Nearly two decades ago, Grassaree faced allegations of rape inside the jail that he supervised and lawsuits claiming that he covered up the episodes. At least five people, including one of his fellow deputies, accused him of beating others or choking them with a police baton.

In 2006, after Grassaree and his staff left jail cell keys hanging on a wall, male inmates opened the doors to the cell of two women inmates and raped them, according to statements the women gave to state investigators. One of the women said Grassaree pressured her to sign a false statement to cover up the crimes, according to the state police report.

About a year later, in a lawsuit, four people who had been gave sworn statements accusing Grassaree of violence. Two of the people said he choked or beat them while they were in his custody. A third said he pinned her against a wall and threatened to let a male inmate rape her.

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All told, at least eight men — including four deputies and Grassaree himself — have been accused of sex abuse by women inmates who were being held in the Noxubee County jail while Grassaree was in charge.

Now, 18 years after a woman first said that he pressured her to lie about being raped, the former sheriff faces possible prison time.

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

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