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‘Transformative’ mental health bill awaits governor’s signature, funding

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‘Transformative' mental health bill awaits governor's signature, funding

A bill passed unanimously by the is expected to bring some reform to Mississippi's long-troubled mental system, which often strands people with mental health issues in jail with long delays in treatment and has been under scrutiny from federal authorities for years.

House Bill 1222 provides solid to national mental health issues and is so transformative that it could be a really strong model for other states to implement,” said Dr. Katherine Pannel, a psychiatrist, president elect of the Mississippi Psychiatric Association and longtime Mississippi mental health advocate.

The measure, authored by Rep. Sam Creekmore, R-New Albany, would mental health for Mississippi's law enforcement, often the first point of contact for those suffering illness. It would also expand a court-liaison program, helping families dealing with the court system. It also seeks to improve cooperation between county governments and regional commissions that oversee community mental health centers.

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The bill faced some realpolitik setbacks as it made its way through the Legislature. The initial version would have created a tax on vaping products that was expected to bring in $6.5 million a year, more than half of which would go to help counties house people people needed mental health services. But the GOP supermajority in the Legislature would not go for any new tax, so now the measure awaits lawmakers approval of a general appropriation. Creekmore expects the Legislature to provide about $4 million a year for the program.

At one point the bill was amended to include measures proposed by Rep. Kevin Felsher, R-, that would have set some stringent restrictions on people with mental illness being held in jail to await treatment. It would also have allowed counties to contract for people to private mental health services instead of waiting in jail, with counties paying rates capped at what Medicaid would pay. These measures faced political opposition and were removed, but supporters say the final bill is a major step in the right direction for mental health reform.

“It's not a panacea,” said Senate Public Health and Welfare Chairman Hob Bryan, D-Amory. “But one of the most important things that has happened in mental health here over the last several years is that there's attention being focused on the problem.”

Creekmore was tasked last year with leading a House subcommittee on mental health. He is credited with working to get mental health services, law enforcement, the courts and local governments on the same page in dealing with people with mental health issues in authoring “The Mississippi Collaborative Response to Mental Health Act.”

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The final version of the bill passed both the House and Senate unanimously, and awaits Gov. Tate Reeves' signature and approval of in the final days of the legislative . Creekmore said he is confident both will happen.

“Within eight years, every police officer in Mississippi will have a basic knowledge of how to deal with mental health issues, which will help keep them safer, and help others dealing with mental health crises,” Creekmore said. He said that similar training in Tennessee has greatly decreased the numbers of injuries to officers.

Mississippi Department of Mental Health Director Wendy Bailey said, “HB 1222 aims to provide assistance by both providing training for law enforcement and in helping expand programs that work to divert individuals from inpatient stays at state hospitals to community services near them.”

DMH provides Mental Health First Aid training for law enforcement. The bill would require all officers to receive this eight-hour training over the next eight years. Crisis intervention team officers would receive more intensive, 40-hour training. Creekmore said each law enforcement department would be required to have a CIT officer, or to contract with another nearby agency to have one it could call.

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The bill would expand the state's pilot court liaison program, requiring counties with 20 or more mental health commitments a year to have one, either in the local community mental health center or chancery clerk's office. These liaisons families as they approach the court system help find treatment options other than commitment to a hospital where appropriate. Bailey said, “We have already seen positive outcomes from the pilot court liaisons over the last year.”

Creekmore said the bill would also require better reporting of mental health cases and issues on the state and local level, and revamp requirements for the state mental health board and regional commissions that help oversee community mental health centers. This will help the state better track where issues are and be able to address them, and improve coordination.

“We believe that services and supports are the shared responsibility of state and local governments, communities, family members and service providers,” Bailey said. “We're in favor of anything that can strengthen communication, relationships and partnerships, and believe this bill aims to do exactly that.”

Bryan said: “One of the things that's in Sam's bill is based on something tried in Monroe, Itawamba and Lee counties. When a family member gets to the point they don't know what to do, they go to the county clerk's office, because they know they will do something — same as going to the emergency room, because you know they'll do something. That starts a legal process, and commitment is necessary in some cases, but to a large extent that's left over from a time when we didn't know better and didn't have any services. This will have someone from the community mental health center on call to go to the clerk's office and to the family, discuss some alternatives and what things are available in the community. That conversation has had a very good effect in reducing the number of commitments, and that's a good thing in and of itself.”

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Pannel said, “We have not seen our Legislature this active on mental health and substance abuse issues in a while.”

“Representative Creekmore has been a true mental health champion in Mississippi,” Pannel said.

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

Mississippi Today

Senate committee passes Medicaid ‘expansion’ bill that leaves hundreds of millions in federal dollars on table

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mississippitoday.org – Sophia Paffenroth and Taylor Vance – 2024-03-27 16:39:21

The only surviving Medicaid expansion bill in the passed the Senate Medicaid Committee Wednesday and is headed to the full Senate for a vote. 

But the proposal, as it passed the Senate committee, is not considered traditional “expansion” under the Affordable Care Act, and therefore would not qualify for the enhanced federal funding the law grants to newly-expanded states. It would the cost of the expanded coverage up to the .

The Senate committee passed the House Republican bill with a strike-all, meaning it replaced the bill's original language with its own plan, which Medicaid Committee Chairman Kevin Blackwell, R-Southaven, refers to as “expansion light.”

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Blackwell estimated about 80,000 people would be eligible under this version of expansion, and half of that would apply. The House plan was expected to cover more than 200,000 people.

When a draft of the Senate's bill was leaked on March 20, Blackwell stressed to that he and Senate leaders were still tweaking parts of the legislation. However, the legislation that passed the committee is essentially the same as what was outlined in the leaked draft. 

The Senate proposal would:

  • Cover working up to 99% of the federal poverty level. For an individual, that would be an annual income up to $15,060. For a family of four, that would be an annual income up to $31,200.
  • Not cover those making between 100% and 138% of the federal poverty threshold — not even through a private-care option. A plan that doesn't cover people making up to 138% is not considered “expansion” under the Affordable Care Act, meaning Mississippi wouldn't qualify for the 90% federal match rate that the Affordable Care Act grants to new expansion states, nor the additional, two-year 5% increase in match rate the federal provides to newly-expanded states under pandemic relief spending passed by Congress. Instead, as was the case with Georgia, Mississippi would only get its regular federal Medicaid rate of about 77%.
  • Leave the insurance exchange, the online marketplace that offers federally subsidized plans to people who make between 100% and 138% of the federal poverty level, intact. The Senate plan, unlike Arkansas' Medicaid expansion, would not provide extra subsidies from the state's federal Medicaid money available from the ACA.
  • Include a work requirement mandating at least 120 hours of employment a month in a position for which health insurance is not paid for by the employer. That's more stringent than Georgia's plan, which mandates 80 hours a month. There are several exemptions, such as for full-time students or parents who are the primary caregiver of a child under six years old.
  • Go into effect 30 days after the federal Centers for Medicare and Medicaid Services approves a waiver necessary for the work requirement. That's unlikely to happen under the Biden administration, which has rescinded work requirements previously approved for other states during the Trump administration and has not approved new ones. If the federal government denies the waiver, Mississippi would have to wait until a new administration took office, or sue the Biden administration. Georgia remains in litigation with the federal government over the work requirement issue, and has suffered low enrollment and missed out on millions in federal funds by not fully expanding coverage.
  • Require anyone who voluntarily dropped private insurance to wait 12 months before applying for Medicaid coverage.

Senate Democrats voiced several concerns about the administrative burden of the work requirement and the 120 hour a month minimum, which is even stricter than Georgia's plan – currently the strictest expansion plan in the country. 

Sen. David Blount, D-

Sen. David Blount, D-Jackson, asked Blackwell about the enhanced match from the federal government.

“So the federal government paying our match for two years and 90% after the two years – we would not qualify for that?” Blount asked.

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Blackwell said that is correct, and they would leave that money on the table.

Sen. John Horhn, D-Jackson, introduced two amendments: one to decrease the recertification requirements from four times a year to twice a year, and the other to reduce the work requirement hours from 120 hours a month to 80 hours a month. 

Both amendments were voted down by Republicans, who make up a majority of the committee's membership. Despite their amendments getting shot down, the Democrats still voted in favor of the bill. Only three Republican senators in the committee voted against the plan. 

When asked about the administrative burden of enforcing the work requirement, Blackwell said he is not worried and believes the Division of Medicaid has enough employees for its implementation. 

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But Georgia, the only state currently with a work requirement in its expansion plan, has spent $26 million taxpayer dollars to ensure a mere 3,500 people to date. More than 90% of that has gone to administrative and consulting costs. 

The bill is expected to be taken to a floor vote as early as Thursday, with a deadline of April 10. 

Since the Senate plan is drastically different than the House proposal – which is a mostly-traditional expansion plan insuring those who make up to 138% of the federal poverty level and would go into effect whether or not the federal government approves a work requirement waiver – a final version will likely be hammered out later in the in a conference committee.

Any final plan would realistically need a two-thirds majority from both chambers to show it has the potential to override a potential veto from Republican Gov. Tate Reeves, who has privately told lawmakers he plans to veto any Medicaid expansion bill.

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Reeves on Tuesday night hosted around 20 state senators at the Governor's Mansion in Jackson where he, again, reiterated his opposition to any form of Medicaid expansion, according to multiple people familiar with the situation. 

At the Tuesday night event, Reeves said he would veto the Senate's expansion plan if it reached his desk, though he reportedly said he approved the Senate's work requirement provisions. 

Shortly after the committee passed the expansion legislation, Reeves posted on social media that the Senate plan is “still bad policy” and he will oppose it.

“And so I will continue to do what I told the voters I would do – fight Obamacare Medicaid Expansion with every ounce of my being,” Reeves said.  

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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

Michael Guidry named Mississippi Today managing editor

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is pleased to announce Michael Guidry as managing editor.

Guidry, who joined the Mississippi Today staff in February 2024, manages the newsroom's day-to-day and plans broader editorial strategy.

He previously served as managing editor at Mississippi Public Broadcasting, where he developed skills in audio storytelling as a producer, writer and editor.

“Michael is a perfect fit for what we're building at Mississippi Today,” said Adam Ganucheau, Mississippi Today's editor-in-chief. “He's a proven newsroom leader, and he knows Mississippi. He also brings us a lot of digital and audio skills that readers can expect to see more of pretty quickly.”

A native of Destrehan, , Guidry moved to Mississippi to attend Millsaps College, where he earned a dual Bachelor of Arts in History and Theatre. After graduating, he worked as a public school teacher for more than a decade.

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Michael Guidry

While at MPB, Guidry helped a team that received recognitions from the Radio Television Digital Association, the Mississippi Association of Broadcasters and the Public Journalists Association.

MPB's special feature on – which he co-produced and co-narrated – received the 2023 Region 9 Edward R Murrow Award for Excellence in Diversity, Equity and Inclusion.

Guidry continues to host MPB's weekly politics show @Issue.

“As someone who spent years in a adjacent to Mississippi Today, it became evident the newsroom was quickly becoming a leader in local, nonprofit news,” Guidry said. “I could not be more excited to join a publication dedicated to elevating the voices of while holding power to account.”

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

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Geoff Pender named Mississippi Today politics editor

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is pleased to announce Geoff Pender as and Government Editor.

Pender, who first joined the Mississippi staff as senior political reporter in May 2020, will oversee the day-to-day reporting of Mississippi Today's politics team.

He brings more than 30 years of experience covering Mississippi politics to the new role.

“If you follow Mississippi politics, you know Geoff Pender,” said Adam Ganucheau, Mississippi Today's editor-in-chief. “He's been a vital member of our politics team since 2020, and we couldn't be more excited for him to now it. He's been a mentor to so many of our reporters, and he's led several impactful investigations for us. Readers can expect more of that from him in this new job— and if you're wondering, you'll also continue to see plenty of his analysis of the 's biggest stories.”

Geoff Pender

Before joining Mississippi Today, Pender was political and investigative editor at the Clarion Ledger, where he also penned a popular political column. He previously served as an investigative reporter and political editor at the Sun Herald, where he was a member of the Pulitzer Prize-winning team for Hurricane coverage.

A native of Florence, Pender is a journalism graduate of the of Southern Mississippi and has received numerous throughout his career for reporting, columns and of information efforts.

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“I truly appreciate this opportunity and appreciate being able to continue working with the great team of journalists at Mississippi Today providing in-depth coverage at such a crucial time for the state,” Pender said.

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

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