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Governor’s allies on advisory board thwart effort to give poor moms timely health care

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The state Medicaid director and a hospital — neither of them doctors — bucked recommendations from care professionals and delayed a vote that could have made it easier for expecting Mississippians to receive timely prenatal care.

The move just days after the release of a maternal mortality report that shows Mississippi is still one of the most dangerous places in the country to give birth.

The Mississippi Medical Care Advisory Committee heard presentations from Dr. Anita Henderson, former president of the state pediatric association, and Dr. Jaleen Sims, a -based OB-GYN. The two said at the committee's Friday meeting that establishing pregnancy presumptive eligibility for Medicaid could make it easier to receive timely prenatal care in Mississippi.

The committee —made up of 11 members appointed by the governor, lieutenant governor and speaker of the House — is tasked by state to advise the Division of Medicaid, which covers most births in Mississippi. The committee's recommendation to the state Legislature this past year to extend postpartum Medicaid coverage was influential in the legislation's subsequent passage.

Medicaid Director Drew Snyder, appointed by former Gov. Phil Bryant and reappointed by Gov. Tate Reeves, has opposed Medicaid expansion and was reluctant to endorse expanding postpartum care to mothers despite the urging of doctors this past year, in line with Reeves. On Friday, Snyder urged the committee to hold off on recommending presumptive Medicaid eligibility for expectant mothers. Kent Nicaud, a hospital CEO who is a strong political supporter of Reeves, aided Snyder in the effort by amending a motion that would have recommended the policy's adoption.

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Pregnancy presumptive eligibility allows people to receive health care when they're pregnant, even if they're not on Medicaid because it's presumed that they qualify.

It's an important step to reducing barriers to timely care. It can be complicated to get pregnancy Medicaid coverage, and those complications can mean the difference between a preventable pregnancy-related death and a safe delivery.

Though Medicaid policy states a person can qualify by simply attesting they are pregnant, most doctors and expecting people are under the impression a pregnancy test from a health care provider is required to be covered. Sims previously told that despite the division's policy, her applying for Medicaid have been asked for further confirmation to verify they're pregnant.

That means Mississippians generally must pay out-of-pocket for a doctor's pregnancy test test because they're not presumed eligible for Medicaid. Then they must wait for their Medicaid application to be approved to receive care, unless they're willing to continue paying out-of-pocket. Some doctors won't even see them before they're insured.

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The division does retroactively reimburse prenatal care after applications are approved, but Matt Westerfield, spokesperson for the Division of Medicaid, told Mississippi Today last year that it takes the agency about 24 days to approve pregnancy applications.

the doctors' presentations at the committee meeting, State Health Officer Dr. Daniel Edney made a motion for the committee to recommend the adoption of pregnancy presumptive eligibility to the Legislature or the division.

“Give these women a chance to have their babies,” Edney said. “Why wouldn't we do it if we're in such a crisis?”

After the motion was seconded, however, Snyder spoke up in opposition.

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“Twenty minutes of discussion from two presenters is not enough on this complex issue,” Snyder said. “Rather than saying, ‘Let's do everything we can,' let's do what's smart and what works and what's actually connected to improving outcomes.”

Snyder, an attorney, asked the committee if the division could consider and research the policy and return to the committee with their findings.

Dr. Billy Long, a gastroenterologist based in Madison, then expressed confusion about who had the power to establish the policy.

“I thought I heard you say, ‘Medicaid could not make this ,'” he said to Snyder.

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Snyder replied, “That's correct, we need to send this to the Legislature,” and then immediately declined to get into the “nuances.”

It's not clear what agency has the power to establish presumptive eligibility. Snyder, appointed Medicaid director by former Gov. Phil Bryant and reappointed by Reeves, has said previously that the Division of Medicaid wouldn't utilize pregnancy presumptive eligibility unless directed to by the Legislature. Westerfield previously told Mississippi Today that position is to avoid paying “providers for services for women who subsequently would not qualify for Medicaid.”

Nicaud then suggested that Medicaid bring more information to the committee at a special meeting in January and repeatedly stressed that “educating” patients might be more helpful to improving outcomes for mothers and babies in Mississippi than presumptive eligibility.

Nicaud, who also doesn't have a medical degree, is the president and CEO of 's Memorial Health System and has donated almost $125,000 to Reeves since 2017.

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Nicaud encouraged Edney to modify his motion, which Edney declined to do.

“We endorse the concept of presumptive eligibility unless there's a reason we cannot,” Edney said. “If there's an extra meeting, I'd be happy to attend.”

Nicaud then amended Edney's motion to call a special meeting to discuss presumptive eligibility further and then make the committee's recommendation to the division or Legislature.

Following the meeting, Snyder quickly left the Capitol chamber where the meeting was held and refused to take questions.

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Henderson later expressed disappointment about the committee's decision.

“Personally, I think it's a no brainer,” she said. “I think this is an issue everyone should be on board with. If the rest of the country is, why aren't we?”

Mississippi is one of 21 states as of January 2020 that doesn't offer presumptive eligibility for pregnant people, according to KFF, and Mississippi is one of just three states that has not expanded Medicaid nor established presumptive eligibility.

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.

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Sen. Kevin Blackwell, R-Southaven, and Sen. Nicole Boyd, R-Oxford, say they will co-author a bill this upcoming Legislative session about presumptive eligibility for pregnant women. A previous attempt to establish presumptive eligibility by Rep. Missy McGee, R-Hattiesburg, did not make it out of committee this past session.

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

Mississippi Today

PSC axes solar programs in light of EPA funds, advocates file lawsuit

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mississippitoday.org – Alex Rozier – 2024-05-15 12:10:31

Advocates from some of the 's conservation groups — such as Audubon Delta, Mississippi Sierra Club and Steps Coalition — spoke out Wednesday against a recent decision by the to suspend several solar programs, including “Solar for Schools,” less than two years after the previous commission put them in place.

“This is particularly disappointing because the need for these incentives in the state of Mississippi is significant,” said Jonathan Green, executive director of Steps Coalition. “Energy costs in the South, and in particular the region known as the Black Belt, are higher than those in other parts of the country for a number of reasons. These regions tend to have older energy generation infrastructure, and housing that has not been weatherproofed to modern standards. For many low- to moderate-income in the state of Mississippi, energy burden and energy insecurity represent real daily economic challenges.”

The PSC voted 2-1 at its April docket meeting to do away with the programs, reasoning in part that new funds through the Inflation Reduction Act would be available to the state. About 10 days later, the Environmental Protection Agency awarded $62 million to the state, through the Hope Enterprise Corporation, to help low-income Mississippians afford adding solar power to their homes. The funds are part of the Biden Administration's Solar for All program, one of the several recent federal initiatives aimed at reducing greenhouse gas emissions.

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The PSC decision ended three programs the previous commission put in place to encourage wider adoption of solar power through the two power companies it regulates, Entergy Mississippi and Mississippi Power: “Solar for Schools,” which allowed school districts to essentially build solar panels for in exchange for tax credits, as well as incentives for low-income customers and battery storage.

Last Friday, the Sierra Club filed lawsuits in chancery courts in Hinds and Harrison counties against the commission, arguing the PSC broke state by not providing sufficient reasoning or public notice before making the changes. Advocates also argued that new going to Hope Enterprise won't go as far without the PSC's low-income incentives.

The programs were part of a 2022 addition to the state's net metering rule, a system that allows homeowners to generate their own solar power and earn credits for excess energy on their electric bills. Mississippi's version is less beneficial to participants than net metering in most states, though, because it doesn't reimburse users at the full retail cost. Mississippi's net metering program itself is still in tact.

Northern District Commissioner Chris Brown said that, while he supported efforts to expand solar power, he didn't think programs that offer incentives from energy companies were fair to other ratepayers.

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Solar panels on the roof of the performing arts center at North Forrest High School. Credit: Mike Papas / Forrest County School District

“It's the subsidy that we take issue with,” Brown said at the meeting. “It's not the solar, it's not the helping the schools. We just don't think it's good policy to spread that to the rest of the ratepayers.”

Brown and Southern District Commissioner Wayne Carr voted to end the programs, while Central District Commissioner De'Keither Stamps voted against the motion. All three are in their first terms on the PSC. Brown's position is in line with what the power companies as well as Gov. Tate Reeves have argued, which is that programs like net metering forces non-participants to subsidize those who participate.

Robert Wiygul, an attorney for the Mississippi Sierra Club, countered that argument during Wednesday's press conference, saying that net metering actually helps non-participants by adding more power to the grid and reducing the strain on the power companies' other infrastructure. Moreover, he said, the PSC hasn't offered actual numbers showing that non-participants are subsidizing the program.

“Look, if the commission wants to about that, we are ready to talk about it,” Wiygul said. “But what we got here is a situation where these two commissioners just decided they were going to do this. We don't even know what that claim is really based on because it hasn't been through the public notice and hasn't been through the public comment process.”

While no schools had officially enrolled in “Solar for Schools,” which went into effect in January of last year, Stamps told Mississippi Today that there were places in his district getting ready to participate in the very programs the PSC voted to suspend.

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Mississippi Public Service Central District Commissioner De'Keither Stamps, discusses current agency operations across the state during an interview at district headquarters, Friday, Feb. 23, 2024, in . Credit: Vickie D. King/Mississippi Today

“My issue was we should have talked to the entities that were going through the process to (understand what they were doing) to participate in the programs before you eliminate the programs,” he said.

Several school districts in the state are already using solar panels thanks to funding from a past settlement with Mississippi Power. Officials there told Mississippi Today that the extra power generated from the panels has freed up spending for other educational needs. During the public comment period for the 2022 net metering update, about a dozen school district superintendents from around the state wrote in to support the initiative. Ninety-five school districts in the state would have been eligible for the program because they receive power from Entergy Mississippi or Mississippi Power.

Former commissioner Brent Bailey, who lost a close reelection bid in November to Stamps, was an advocate for the schools program that the PSC created while he was there. At the April docket meeting, he pleaded with the new commission to reconsider, arguing that the new federal funding won't have the same impact without those programs.

“My ask is to at least give this program a chance, see where it goes, and hear from stakeholders that have participated,” Bailey said. The solar programs, he added, weren't just about expanding renewable energy, but taking advantage of a growing around solar power as well: “We can just stand by and watch it go by, or we can participate in this and bring economic to the state.”

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

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Crooked Letter Sports Podcast

Podcast: In or out (of the NCAA Tournament)?

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College 's regular season is in its last , which means baseball bracketology is a popular activity. needs to finish strong to become a Regional host. Southern Miss probably has already punched its ticket as a 2- or 3-seed. , playing its best baseball presently, needs victories, period. Meanwhile, the State High School softball tournament is this week in Hattiesburg, and the state baseball tournament to Trustmark Park in Pearl next week.

Stream all episodes here.


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

Did you miss our previous article…
https://www.biloxinewsevents.com/?p=358148

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Mississippi Today

Reeves again blocks funds for LeFleur’s Bluff project in Jackson

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mississippitoday.org – Bobby Harrison – 2024-05-15 10:02:34

For the third consecutive year legislative efforts to direct state money to renovate LeFleur's Bluff in have been stymied, thanks in large part to Gov. Tate Reeves.

Earlier this week, the Republican governor vetoed a portion of a bill that directed $14 million to the office of Secretary of State Michael Watson for work on developing and improving a nature trail connecting parks and museums and making other tourism-related improvements in the LeFleur's Bluff area.

It is not clear whether the Legislature could take up the veto during the 2025 , which begins in January, though, that's not likely. The Legislature had the option to return to Jackson Tuesday to take up any veto, but chose not to do so.

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Of the project, Watson said, “Our office was approached late in the session about helping with a project to revitalize LeFleur's Bluff. As Mississippi's state land commissioner, I was more than happy to help lead this effort not just because it's a natural fit for our office, but also because I believe Mississippi needs a thriving capital city to retain our best and brightest. Investing state funds in state property on a project to enhance the quality of in Jackson makes good sense.

“Unfortunately, some only it when it equates to campaign contributions. Sadly, through the line-item veto of the appropriation, Mississippians will once again wait another year for the opportunity to benefit from state investments for the greater public good.”

READ MORE: Gov. Reeves warns Mississippi: Challenge my vetoes, and it could jeopardize hundreds of projects

Various groups, such as representatives of the Mississippi 's Museum and many other community have been working on the project for years. The area already is the home of the Children's Museum, Museum of Natural History, Mississippi Hall of Fame and Museum and a state park.

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The issues with LeFleur's Bluff first arose in 2022 when Reeves vetoed a $14 million appropriation that in part was designed to redesign and create a new golf course in the area. Previously, there had been a nine-hole, state-owned golf course operated by the Department of Wildlife, at LeFleur's Bluff State Park.

In 2022, the LeFleur's Bluff project was one of literally hundreds of projects funded by the Legislature – many of which was tourism projects like LeFleur's Bluff. The governor only vetoed a handful of those projects.

When issuing the LeFleur's  Bluff veto, Reeves said the state should not be involved in funding golf courses.

Then last year $13 million was directed to the Department of Wildlife, Fisheries and Parks to spend on the LeFleur's Bluff project. But legislative leaders said state money would not go toward a golf course.

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Lawmakers opted to transfer the project to the Secretary of State's office late in the 2024 session, apparently in part because they felt the Department of Wildlife, Fisheries and Parks had not made enough of an effort to begin the project.

Lynn Posey, executive director of Wildlife, Fisheries and Parks, said that before moving forward with the project, “We felt like we needed to do engineering work and see what the situation was. We never got a to move forward” because the Legislature redirected the money.

Posey said an engineer's report was needed because “it is a unique piece of land.” He said much of the land is prone to flooding.

He said before that work could begin the Legislature switched the authority to the Secretary of State's office. Posey was appointed to his current position by Reeves, whose office had no comment on the veto.

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Lt. Gov. Delbert Hosemann said after the governor's veto, “Projects like the LeFleur's Bluff development are critical to the Capital City, the wider metropolitan area, and our state. Public parks add to the quality of life for our citizens. I am hopeful the individuals involved in this project, including those at the Mississippi Children's Museum, will continue their work to improve this state asset.” 

While the Constitution instructs the governor to to the Legislature a reason for any veto, Reeves did not do so this year when vetoing the money going to the Secretary of State's office.

On Monday, the governor also vetoed a portion of another bill dealing with appropriations for specific projects. But in this case, the veto was more of a technicality. The bill was making corrections to language passed in previous sessions. In that language were five projects the governor vetoed in 2022.

The language, as it was written, would not have revived those previously vetoed projects, the governor said. But Reeves said he vetoed the five projects out of caution. He did the same in 2023 when those five projects, which included money appropriated in 2022 for the Russell C. Davis Planetarium in Jackson, were carried forward in a bill also making corrections to previously passed legislation.

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

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