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The post Marshall Ramsey: Forces of Nature appeared first on Mississippi Today.

Mississippi Governor Tate Reeves has issued a state of emergency following a string of severe storms that have caused at least six deaths in the Magnolia State.

Governor Reeves in a social media post on Saturday evening said “tragically, as of now, 6 deaths have been reported – one in Covington County, two in Jeff Davis County, and three in Walthall County.”

Reeves went on to acknowledge a number of injuries and reports of missing persons.

“Also, as of now, three additional people are currently missing – two from Covington County and one from Walthall County. Preliminary reports indicate 29 injuries statewide – 15 in Covington County, two in Jeff Davis County, two in Pike County and 10 in Walthall County.”

Two separate likely tornadoes hit Walthall County on Saturday afternoon, killing three people near Darbun along Bethlehem Loop Road, according to the county’s Emergency Management Director Royce McKee.

Walthall County Sheriff Kyle Breland told WLBT there are also injuries, collapsed homes, and trees blocking roadways in the county.

The National Weather Service in Jackson on Saturday afternoon had issued a tornado emergency for two separate tornadoes that moved through Walthall County. That rare official designation of a “large and dangerous tornado” continued into Marion, Lawrence and Jefferson Davis counties. Numerous other tornado warnings were issued before storms cleared out of the state by Saturday late afternoon.

Before sunrise early Saturday morning, a likely tornado ripped through the Elliott community in Grenada County, destroying several homes and damaging other buildings. No fatalities were reported in that storm.

“All of a sudden, it got like a freight train,” Robert Holman told FOX Weather of the Elliott storm. “Then all of a sudden, we just heard stuff just falling all on the house.”

The storms knocked out power to about 25,000 people across the state.

Though Mississippi was in the Saturday bullseye for the tornado outbreak, the same storm system affected much of the U.S. over the weekend.

The number of fatalities increased after the Kansas Highway Patrol reported eight people died in a highway pileup caused by a dust storm in Sherman County Friday. At least 50 vehicles were involved.

Missouri recorded more fatalities than any other state as it withstood scattered twisters overnight that killed at least 12 people, authorities said. The deaths included a man who was killed after a tornado ripped apart his home.

“It was unrecognizable as a home. Just a debris field,” said Coroner Jim Akers of Butler County, describing the scene that confronted rescuers. “The floor was upside down. We were walking on walls.”

Dakota Henderson said he and others rescuing people trapped in their homes Friday night found five dead bodies scattered in the debris outside what remained of his aunt’s house in hard-hit Wayne County, Missouri.

“It was a very rough deal last night,” he said Saturday, surrounded by uprooted trees and splintered homes. “It’s really disturbing for what happened to the people, the casualties last night.”

Henderson said they rescued his aunt from a bedroom that was the only room left standing in her house, taking her out through a window. They also carried out a man who had a broken arm and leg.

Officials in Arkansas said three people died in Independence County and 29 others were injured across eight counties as storms passed through the state.

“We have teams out surveying the damage from last night’s tornadoes and have first responders on the ground to assist,” Arkansas Gov. Sarah Huckabee Sanders said on X.

She and Georgia Gov. Brian Kemp declared states of emergency. Kemp said he was making the declaration in anticipation of severe weather moving in later Saturday.

On Friday, meanwhile, authorities said three people were killed in car crashes during a dust storm in Amarillo in the Texas Panhandle.

Tornadoes hit amid storm outbreak

The Storm Prediction Center said fast-moving storms could spawn twisters and hail as large as baseballs on Saturday, but the greatest threat would come from winds near or exceeding hurricane force, with gusts of 100 miles per hour possible.

Significant tornadoes continued to hit Saturday. The regions at highest risk stretch from eastern Louisiana and Mississippi through Alabama, western Georgia and the Florida panhandle, the center said.

Bailey Dillon, 24, and her fiance, Caleb Barnes, watched a massive tornado from their front porch in Tylertown, Mississippi, about half a mile (0.8 km) away as it struck an area near Paradise Ranch RV Park.

They drove over afterward to see if anyone needed help and recorded a video depicting snapped trees, leveled buildings and overturned vehicles.

“The amount of damage was catastrophic,” Dillon said. “It was a large amount of cabins, RVs, campers that were just flipped over — everything was destroyed.”

Paradise Ranch reported on Facebook that all its staff and guests were safe and accounted for, but Dillon said the damage extended beyond the ranch itself.

“Homes and everything were destroyed all around it,” she said. “Schools and buildings are just completely gone.”

Some of the imagery from the extreme weather has gone viral.

Tad Peters and his dad, Richard Peters, had pulled over to fuel up their pickup truck in Rolla, Missouri, Friday night when they heard tornado sirens and saw other motorists flee the interstate to park.

“Whoa, is this coming? Oh, it’s here. It’s here,” Tad Peters can be heard saying on a video. “Look at all that debris. Ohhh. My God, we are in a torn …”

His father then rolled up the truck window. The two were headed to Indiana for a weightlifting competition but decided to turn around and head back home to Norman, Oklahoma, about six hours away, where they encountered wildfires.

Wildfires elsewhere in the Southern Plains threatened to spread rapidly amid warm, dry weather and strong winds in Texas, Kansas, Missouri and New Mexico.

A blaze in Roberts County, Texas, northeast of Amarillo, quickly blew up from less than a square mile (about 2 square kilometers) to an estimated 32.8 square miles (85 square kilometers), the Texas A&M University Forest Service said on X. Crews stopped its advance by Friday evening.

About 60 miles (90 kilometers) to the south, another fire grew to about 3.9 square miles (10 square kilometers) before its advance was halted in the afternoon.

High winds also knocked out power to more than 200,000 homes and businesses in Texas, Oklahoma, Arkansas, Missouri, Illinois, Indiana and Michigan, according the website poweroutage.us.

Extreme weather encompasses a zone of 100 million people

The deaths came as a massive storm system moving across the country unleashed winds that triggered deadly dust storms and fanned more than 100 wildfires.

Extreme weather conditions were forecast to affect an area home to more than 100 million people. Winds gusting up to 80 mph (130 kph) were predicted from the Canadian border to Texas, threatening blizzard conditions in colder northern areas and wildfire risk in warmer, drier places to the south.

The National Weather Service issued blizzard warnings for parts of far western Minnesota and far eastern South Dakota starting early Saturday. Snow accumulations of 3 to 6 inches (7.6 to 15.2 centimeters) were expected, with up to a foot (30 centimeters) possible.

Winds gusting to 60 mph (97 kph) were expected to cause whiteout conditions.

Evacuations were ordered in some Oklahoma communities as more than 130 fires were reported across the state. Nearly 300 homes were damaged or destroyed. Gov. Kevin Stitt said at a Saturday news conference that some 266 square miles (689 square kilometers) had burned in his state.

The State Patrol said winds were so strong that they toppled several tractor-trailers.

Experts said it’s not unusual to see such weather extremes in March.

Mississippi Today editors contributed to this Associated Press report. Bruce Shipkowski reported from Toms River, New Jersey. Julie Walker reported from New York. Rebecca Reynolds contributed from Louisville, Kentucky. Jeff Roberson in Wayne County, Missouri, Eugene Johnson in Seattle and Janie Har in San Francisco contributed.

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A bill that would make it easier for K-12 students to transfer to other public schools outside their home districts, one of the last “school choice” measures to remain alive this session, died in the House this week.

That came after Senate leaders said House legislation easing public-to-public transfers, or “portability,” did not have the votes to pass that chamber.

The House initially responded to the Senate with a last ditch attempt to keep the measure alive by inserting language from the legislation into an unrelated bill. But Rep. Jansen Owen, the bill’s sponsor, said he knew the move would be challenged with a parliamentary point of order. Owen said opposition to portability, which he called the most basic of school choice measures, was rooted in outdated arguments.

“The opposition, they were citing things like the change in school culture and property values, which sounds a lot like the 1960s segregationist movement,” Owen said. “The only thing we were doing here was telling the school district they can’t tell me ‘no’ when I want to send my kid to another public school district. But that’s too much for Nancy Loome.”

Nancy Loome, director of the public education advocacy group, The Parents Campaign, said the measure would have harmed public school students because transportation was not provided. Few children would have real “choice,” and many would be left in schools with further reduced resources, Loome argued.

Republican House Speaker Jason White has been angered by the Senate killing most of the House’s education agenda this session, and has criticized fellow Republican Lt. Gov. Delbert Hosemann, who oversees the Senate.

“No need to send a milquetoast, very lame Senate Education agenda back to the House, it’s not even worthy of discussion,” White said in a social media post responding to a Magnolia Tribune report. “… We showed the Senate what Mississippi’s education future looks like with the House bills, and they wholeheartedly rejected them without so much as a whisper. Mississippians are beginning to take notice of the Lt. Governor and his Senate leaders doing the bidding of the status quo.”

Bills remain alive this session that would increase tax credits available to private schools through the Children’s Promise Act.

White vowed to try other measures again next year.

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Editor’s note: This essay is part of Mississippi Today Ideas, a new platform for thoughtful Mississippians to share fact-based ideas about our state’s past, present and future. You can read more about the section here.

Mississippi leaders say they are taking steps to protect the lives of our babies. One way they can do that is by ensuring they get a healthy, strong start.

About 100 babies are born in Mississippi each day — about one per county. Each of these new lives is full of potential and as a state we have a responsibility to support them during this crucial stage. From the very beginning, early relationships with parents and caregivers shape brain connections that lay the foundation for lifelong learning and relationships.

Given the importance of this window of time, it is exciting that the Mississippi Legislature has passed a bill that is pending the signature of Gov. Tate Reeves to provide six weeks of paid leave to state employees who are primary caregivers of newborns or adopted children. While research shows that at least eight weeks of paid leave for new or adoptive parents can strengthen babies’ brain development, reduce infant mortality, and improve overall child health outcomes, six weeks will still be beneficial. Additionally, any amount of leave can ease the burden on the child care system while also enhancing employee retention and productivity. By allowing families to spend time with their newborns during this pivotal time, Mississippi can create lasting benefits for both children and the workforce.

I was fortunate to have eight weeks of paid leave with my children, followed by an additional month at half pay. This time together was invaluable for my children’s  development, school readiness and overall health. Today, they are thriving– emotionally stable, socially engaged and eager learners in first and fifth grade.

However, not all children receive this time with and support from a parent or caregiver. In Mississippi, only 20% of workers have access to paid leave, and many mothers return to work just two weeks after giving birth.

This early separation can take a serious toll since the first eight weeks of life are a crucial period for brain growth and bonding. By two weeks, babies recognize their parents’ voices; by five weeks, they respond to faces with excitement; and by eight weeks, they find comfort in familiar caregivers. These early interactions lay the foundation for lifelong emotional and cognitive development, making paid leave not just a benefit, but a necessity for families and the future of our children.

Paid leave is more than just a brain-boosting tool—it’s a proven way to save infant lives. In 2024, Mississippi ranked last nationally in infant mortality, highlighting an urgent need for solutions. Research shows that 10 weeks of paid maternity leave is linked to about a 10% reduction in neonatal, infant and under-5 mortality.

Paid leave gives parents the time to attend critical medical appointments, receive guidance from doctors on how to care for and protect their babies, ensure proper vaccinations, and respond to health concerns before they become life-threatening. By providing paid leave, Mississippi can take a crucial step toward improving infant survival rates.

I believe that any amount of paid leave is valuable for children, but at least eight weeks of leave ensures that our babies remain safe and healthy when parents return to work. The CDC recommends that infants get most of their necessary vaccines at eight weeks–not before – and without these vaccinations they are not able to attend child care programs since they are susceptible to dangerous diseases. Without any paid leave, however, many parents must choose between caring for and protecting  their newborn’s health and avoiding financial hardship—a choice no parent should have to make.

Paid leave can also assist with Mississippi’s critical child care shortage. Many mothers struggle to find available infant care, forcing them to reduce work hours or leave their jobs entirely. According to Mississippi State University’s Systems Change Lab, in 2023 there were only enough child care slots for about two-thirds of Mississippi children. Infant care, the most limited and expensive form of care, is particularly scarce.

Paid leave alleviates pressure on the child care system by reducing immediate demand for infant slots and allowing families time to secure the best arrangements for their needs.

My own experience with paid leave allowed me to care for my newborns, ensure they received necessary vaccinations, and transition them into child care so I could return to work. Without this opportunity, I might have had to leave a job I loved, costing my employer money to recruit and train my replacement. Instead, I was able to return and contribute to my team. By offering paid leave to state employees, the state can retain new parents and save these same costs.

By offering paid leave, we can protect our state’s babies while also saving money and boosting efficiency by retaining state employees. More importantly, we can allow families to care for their newborns in ways that lay a strong foundation for their future– building their brains, supporting their health, and encouraging wellbeing—without jeopardizing their livelihoods.

Now is the time for the state to make this commitment for the sake of Mississippi and our babies.

Biz Harris is the executive director of the Mississippi Early Learning Alliance. She is also an alumna of Teach for America’s Mississippi Delta Region where she began her career in education as a teacher in Marks.

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Mississippi women who work in government don’t get a single day of paid time off after giving birth or adopting a child. That’s about to change. 

A bill that cleared the Legislature Friday will give six weeks of paid family leave to primary caregivers who are state employees. It now heads to the governor to be signed into law.

“This is a great day for Mississippi,” said Rep. Kevin Felsher, R-Biloxi, author of the bill. “We’re placing the value on mothers and children in a post-Roe vs. Wade society. And it’s time we put our money where our mouths are.” 

House Bill 1063 will apply to state employees who adopt or give birth to a child and are the primary caregiver for that child. It applies to employees working for state government agencies but does not include public school teachers. 

The bill passed the House unanimously with a vote of 118-0. 

The original version of the House bill included eight weeks of paid leave for primary caregivers and two weeks of paid leave for secondary caregivers before it was amended by the Senate.

Felsher said he would consider expanding paid leave provisions in the future after seeing how effective it is. 

“I’ve been strong for pro-life and for mothers and children, and also fathers, so I’m all about the family. And so if this is something we can continue discussions on in the future and it’s successful, I would gladly lead the charge on that.”

The policy has garnered wide support from leadership in both chambers. Speaker of the House Jason White and Lt. Gov. Delbert Hosemann have championed it. Attorney General Lynn Fitch has also publicly spoken out in support of it. 

Proponents say it acts as a recruitment and retention tool for the public sector, which tends to pay less than the private sector. 

“We have trouble retaining workers because our pay sometimes is not as competitive as the private sector, so this is just one more tool to allow us to retain folks,” said Felsher. 

Sen. Jeremy England, R-Vancleave, authored a similar bill which has also had overwhelming support this year. For him, the issue was personal – and simple. 

“The exhaustion of having a new baby at home, and the joy of doing that – it’s something that you’ll never get back,” England said. “And so for that reason, as a father, it was very important for me to do that.”

England said he was surprised to learn that this policy didn’t already exist.

“We’ve had state employees that have children, and we celebrate with them, and I just had no idea they weren’t getting that time,” he said. 

Mississippi will now join 36 other states in offering dedicated paid family leave for state employees, according to A Better Balance, a national nonprofit advocating for better work-life balance. 

“The cost of living, the turmoil in the world … you look around and I imagine you do think ‘Wow, is it a great time to be a parent?’ And this should not be one thing that you have to think about, in my opinion,” Felsher said. “If you want to be a parent, we as a state need to be here in that role as an employer and say: ‘We’ll stand behind you being a parent and having a healthy child.’”

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Highly pathogenic avian influenza – commonly known as bird flu – has been detected in a commercial chicken flock in Noxubee County. 

Birds from the infected flock, which were being raised for meat, have not entered the food system. 

This is the third case of avian influenza uncovered in commercial poultry in Mississippi since the spring of 2023. The virus, which is widespread in wild birds worldwide, has also been detected in migratory waterfowl in multiple areas of Mississippi since November 2024. 

The public health risk associated with avian influenza in birds remains low, and poultry and eggs are safe to eat when they are handled and cooked properly, according to the Centers for Disease Control and Prevention. Poultry and eggs should be cooked to an internal temperature of 165°F to kill bacteria and viruses. 

The U.S. Department of Agriculture’s National Veterinary Services Laboratory notified the Mississippi Board of Animal Health that the poultry tested positive for avian influenza after testing samples from the flock at a laboratory in Mississippi and confirming the samples at a national laboratory in Iowa. 

The area has been quarantined and birds on the property have been killed to prevent spread of the virus.

The Mississippi Board of Animal Health is working with the poultry industry to heighten monitoring of chicken flocks statewide.

There has been one death associated with avian influenza in Louisiana and 70 human cases reported in the United States since 2024. There have been no reported cases in humans in Mississippi. 

Most reported cases have been mild, and cases generally last from a few days to less than two weeks. Symptoms include eye redness and irritation, fever, cough and a sore throat, though some symptoms can be more severe. 

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They play the SEC Basketball Tournament this week in Nashville. The weather calls for pleasant springtime weather until Saturday when there is a 100 percent chance of rain and the forecast calls for thunderstorms that are likely to be severe.

And you ask: Why the hell does that matter? They play basketball indoors.

Well, let me tell you, there was one March when it really did matter. Boy, did it matter. 

We’re talking Atlanta and the Georgia Dome. 2008. It was a Friday night, March 14, although Friday the 13th should have been much appropriate. This was the quarterfinal round, last game of the night. Mississippi State vs. Alabama. Hell of a game. I was covering for the Clarion Ledger with my sidekick Kyle Veazey. We were on a fairly tight deadline, which is to say the newspaper was going to hold the presses until we filed our stories.

Of course, Alabama hit a desperation three-pointer to send the game into overtime. And now, State led 64-61 with two minutes, 11 seconds remaining. Just steps away from us, Bama’s Mykal Riley, who had hit the game-tying shot at the buzzer, dribbled the ball near the sideline with State’s Ben Hansbrough guarding him closely. Suddenly, we all heard this incredible roaring sound, really, like a freight train coming straight through the building, which began to shake. 

I looked at Veazey, and managed this: “Tornado?”

Kyle replied, wide-eyed, “Earthquake?”

Riley stopped dribbling. Hansbrough quit guarding. Both looked up at the ceiling. They were so close to us, we heard Hansbrough say to Riley, “Sounds like a tornado.”

It was.

Astonished and frightened fans all stood and looked all around, trying to figure out what was happening. Some rushed for the exits. A catwalk, hanging far above us, menacingly swung back and forth as if it might fall any second. Veazey and I didn’t know whether we should hide under the press table, check our britches, or run like hell. Suddenly, deadline pressure was the least of our worries.

As it turned out, the winds had torn off a huge section of fabric siding, leaving a gaping hole near the ceiling on one end of the building. Rain blew through that. The Georgia Dome cooled considerably in just minutes. Nature provided a lot more air conditioning than needed.

On the State bench, Coach Rick Stansbury looked into the stands and finally spotted his wife, Meo, and one of their three sons. He texted her and asked where the other two sons were. She texted back that they were sitting down on the bench with him.

“I had a little lapse there,” Stansbury later told us.

We all did.

The delay lasted about an hour. The Bulldogs – Hail State and all that – eventually claimed a two-point victory. Alabama’s Riley launched a 3-pointer at the buzzer from nearly the same spot where he had been dribbling when Mother Nature so rudely interrupted. The ball went in the basket, then rattled out.

What came next was a waiting game. SEC officials and athletic directors met behind closed doors for a couple hours before a decision was made the tournament would be continued the next day at Georgia Tech. The Georgia Dome was declared unsafe.

Several of us reporters already knew before the announcement came. How? We were walking around near the loading docks when we saw workers loading up all the cameras and production equipment on the TV trucks.

“Where y’all headed?” we asked.

“Georgia Tech’s gym,” one of them answered.

To make a long, long story short, the tournament was finished on Saturday and Sunday in the much smaller Georgia Tech arena. The SEC lost hundreds of thousands of dollars – if not more – on ticket refunds. As fate did have it, Georgia, one of the two lowest seeds, shocked everyone but perhaps themselves by winning the whole thing. Dennis Felton’s Bulldogs, who had upset Ole Miss by two points in the first round, defeated Kentucky, Mississippi State and then Arkansas. They heroically won those last three games over two days (30 hours). Georgia had entered the tournament with a 13-16 record. The Bulldogs entered the NCAA Tournament with the SEC’s automatic bid at 17-16.

It was weird, by far the weirdest SEC Tournament on record.

Thankfully, nobody died. In retrospect, many might have perished or been badly injured if not for Mykal Riley’s shot that sent the Alabama-Mississippi State game into overtime. Had Riley not made that shot, thousands of fans would have been exiting the arena – or already out on the sidewalks and streets – when the tornado roared through downtown Atlanta.

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When representatives of Alcorn State University, one of the oldest historically Black colleges in the state, came to the Capitol recently to recognize Hiram Revels’ importance in Mississippi history, members of the House of Representatives offered a round of applause during the presentation.

The special recognition came after the majority-GOP House unanimously passed a resolution honoring Revels, a Natchez resident, the first president of Alcorn State and the first Black person to sit as a member of Congress in Washington.  

“In 1868, Revels became a delegate to the Mississippi State Republican Convention where he played a pivotal role in advocating for the rights of freedmen and ensuring their participation in the political process,” Democratic Rep. Gregory Hollaway of Hazelhurst said in his remarks about the groundbreaking figure. 

But legislation pending in that same chamber could honor Revels more prominently. Yet, House leadership has declined to advance it out of a committee and will likely let it die, as they have for the past several years. 

Rep. Robert Johnson III, the Democratic leader, authored a resolution to replace Mississippi’s two statues of Jefferson Davis and J.Z. George in the U.S Capitol’s National Statuary Hall Collection with statues of civil rights icon Fannie Lou Hamer and Revels. 

Johnson told Mississippi Today he is open to other replacements or other proposal to replaces the statues. 

House Rules Chairman Fred Shanks, who could advance the measure, told Mississippi Today last year he would consider legislation to replace the statues during the 2025 session, but he recently said he does not plan to address the issue this year. 

“There hasn’t been a lot of talk about it,” Shanks said. “The big thing leadership is pushing this year is tax cuts.” 

Each U.S. state is allowed to place two statues of people “illustrious for their historic renown” or “distinguished civil or military services,” after Congress passed a federal law in the mid-nineteenth century establishing the national collection. 

Some Democratic House members who participated in the event honoring Revels noticed that the measures to install a statue of Revels in Washington have stalled during the session. 

“It would speak volumes about our state racially and historically if we honored him with a statue in Washington,” Democratic Rep. Grace Bulter-Washington of Jackson said of Revels.   

Senate Rules Committee Chairman Dean Kirby, a Republican from Pearl, also let two Senate measures that would have replaced the statues in the U.S. Capitol die in his committee. 

Mississippi remains an outlier for its statues, even among other Southern states. The Magnolia State is currently the only state in the nation to honor two Confederate leaders in the National Statuary Hall Collection. 

Several Southern states have replaced their original statues with more inclusive figures. 

Alabama replaced a statue of Jabez Lamar Monroe Curry, a Confederate officer, with one of Helen Keller, a political activist and disability rights advocate.

Florida approved a measure to replace Confederate Gen. Edmund Kirby Smith with Mary McLeod Bethune, a civil rights activist and founder of a Florida university.  

Arkansas replaced statues of Uriah Milton Rose, a Confederate sympathizer, and James Paul Clarke, a former U.S. senator, with statues of civil rights activist Daisy Bates and musician Johnny Cash.

But Mississippi, whose leaders often fret that the rest of the nation does not recognize the state for its many contributions to music, literature, and civil rights activism, continues to honor the legacy of people who fought to maintain slavery and white supremacy during their day. 

Both Davis and George were leaders of the Confederacy, and their vivid racism is well documented.

Davis served in the U.S. House and Senate from Mississippi before becoming the first and only president of the Confederate States of America, which fought to preserve slavery. Davis later said in a speech to the Mississippi Legislature that if he had the chance to change his past actions about secession, he would not do anything differently.

George was a member of Mississippi’s Secession Convention in 1861, and he signed the secession ordinance that included these words: “Our position is thoroughly identified with the institution of slavery — the greatest material interest of the world.”

George served in the Confederate Army and was also the architect of the 1890 Constitution that sought to reestablish white supremacy in the state and disenfranchise Black citizens from voting or holding elected office.

Mississippi’s legislative leaders could easily replace the two statues, as many Southern states have done. 
To change a statue, federal law requires a majority of lawmakers in both legislative chambers to vote to approve the replacement, and the state is required to pay for the costs of replacing the two statues.

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The Senate passed a bill Wednesday that would increase the regulation and transparency of pharmacy benefit managers, which advocates argue will protect patients and independent pharmacists. 

The legislation, authored by Sen. Rita Parks, R-Corinth, beefs up a House of Representatives bill focusing on the transparency of pharmacy benefit managers by adding language to tighten appeal procedures, bar the companies from steering patients to affiliate pharmacies and prohibit spread pricing – the practice of paying insurers more for drugs than pharmacists in order to inflate pharmacy benefit managers’ profits. 

Parks said the bill, which passed 46-4, has the support of the House, which can now send it to the governor’s desk to sign or go to conference with the Senate to negotiate changes. 

“This is the furthest we’ve been in two years,” said Parks. “We’re bringing fairness to the patient and to independent pharmacists.” 

The bill’s passage came after a strong showing of support for reform from independent pharmacists, who have warned that if legislators do not pass a law this year to regulate pharmacy benefit managers, which serve as middlemen in the pharmaceutical industry, some pharmacies may be forced to close. They say that the companies’ low payments and unfair business practices have left them struggling to break even.

The Senate’s original bill died in the House, but the body revived most of its language by inserting it into a similar House bill, House Bill 1123, which was authored by House Speaker Jason White. 

The Senate made several concessions in the most recent version of the legislation, including forgoing a provision that would have required pharmacy benefit managers to reimburse prescription discount card claims within seven days. These claims are currently paid within 60 to 90 days, which pharmacists argue is a burdensome timeframe. 

The bill is a “good start” to real pharmacy benefit manager reform and transparency, said Robert Dozier, the executive director of the Mississippi Independent Pharmacy Association.

“The independent pharmacists are pleased with the current form of House Bill 1123,” he said. “They did not get everything they wanted, but they got what they needed.” 

The bill also gives the Mississippi Board of Pharmacy more tools to conduct audits and requires drug manufacturers, pharmacy benefit managers and health insurers to submit data to the Mississippi Board of Pharmacy, which will be available to the public. 

Sen. Jeremy England, R-Ocean Springs, said he is concerned the bill will lead to higher health insurance costs for employers, including the state itself, which provides health insurance to state employees. 

Pharmacy benefit managers negotiate rebates, or cost savings, for employers, and some critics of pharmacy benefit manager reform argue that regulating the companies’ business practices will lead to higher insurance costs for employers. 

England said that Mississippi employers stand to lose tens of millions of dollars and that regulation could deter new businesses from coming to the state. 

“This language that we are trying to put into state law here goes too far, in fact it goes to the point where it could end up costing jobs,” he said.

A vote requested by England to determine if a fiscal note is necessary for the bill failed. 

Parks said she disagreed that the bill would raise state health insurance costs and called England’s concerns a “scare tactic” meant to deter legislators from passing the bill.

England also proposed an amendment to the bill to remove self-funded insurance plans, or health plans in which employers assume the financial risk of covering employees’ health care costs themselves, from a section of the bill that prohibits pharmacy benefit managers from steering patients to specific pharmacies and interfering with their right to choose a particular pharmacy. 

Self-funded health plans often use pharmacy benefit managers to administer prescription drug benefits and process claims. 

Parks argued that excluding self-funded health plans from those guidelines would remove the fundamental protections the bill affords pharmacies and patients. 

England’s amendment failed. 

“Mississippi’s been a beacon in where we have stood with PBM,” Parks said. “We need to continue to be that beacon and not go backwards.”

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