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The post Marshall Ramsey: Maui appeared first on Mississippi Today.

The Lauderdale County Board of Supervisors decided this year not to award over $200,000 to the state health agency for the operation of the county health department as it had done the previous year.

But Lauderdale officials say that’s not because they don’t care about public health — in fact, they’re spending more than $2 million of their pandemic relief funds upgrading the facility’s air-conditioning system. 

They say it’s because the Mississippi State Department of Health couldn’t adequately answer what that money was going toward. 

County health departments are funded by a mixture of state and county money. Usually, the county provides a building, while the Health Department provides staffing, according to State Health Officer Dr. Daniel Edney. The facilities provide essential public health services such as vaccinations, STI testing, diabetes and hypertension care, pap smears, pregnancy testing and more. 

And as hospitals struggle amid a statewide health care crisis and more of the state’s wellbeing may fall on publicly funded health care, Edney has stressed the importance of these local clinics. 

The state Department of Health has been tasked with mounting responsibilities over the years, but their state funding has remained relatively stable. Health officials are still reeling from the pandemic, and 40% of positions at the agency were unfilled as of May.  

Edney acknowledged at last month’s state Board of Health meeting that his agency had dropped the ball with Lauderdale, and it may not be an isolated incident. 

“We did not do a good enough job with that board,” he said. “Fires break out — I personally have been going and putting those fires out — but we’re already talking internally about doing a better job on our regional level of our folks being at board of supervisors meetings, just going and saying, ‘Hello.’”

Chris Lafferty, administrator of Lauderdale County, isn’t aware of any changes at the county health department, so he didn’t realize there was a “fire.” His conversations with Mississippi Today this week was the first time he had heard of any issues, he said.

“The question of need comes up — was the money really needed? If it was, why didn’t they articulate that?” Lafferty said. “None of the local leadership has contacted us. Now they’re all over it. They’ve had a year.”

In 2022, Lafferty sent a letter to Susan Rigdon, a division director at the agency, informing her that the Board of Supervisors didn’t approve any funding for the agency. The previous year, the board had allocated $242,100 in its $65 million budget to the Department of Health.

Lafferty said he hadn’t heard back from the agency, nor did he hear any complaints, until Mississippi Today recounted a quote from Edney at a state Board of Health meeting on July 12, more than nine months later. 

“It was a $200,000-a-year appropriation that (Lauderdale County) defunded,” Edney said at the meeting. “They took us out of their budget totally.”

According to Lafferty, it wasn’t an easy decision. More than a year ago, the Board of Supervisors was determined to avoid a tax increase in Lauderdale, and Lafferty started looking at how to save dollars. 

So, he called David Caulfield, the Health Department’s regional administrator for the Central Public Health Region which includes Lauderdale and 27 other counties. Lafferty wanted him to explain where the nearly quarter of a million dollars was going – whether it was staying in Lauderdale County and what services it was funding. Caulfield couldn’t tell him, Lafferty said.

“I think those are reasonable questions,” he said. “I cannot in good conscience … ask the Board of Supervisors to give money to an organization that could not answer simple questions.”

Lafferty recommended to the Board of Supervisors, then, that the funding be cut, and Lauderdale County did not have a tax hike last year, he said.

According to Lafferty, no services have been cut or reduced at the county health department as a result – which begged the question, what did the Department of Health do with the $242,100 last year?

Mississippi Today reached out to the Health Department on July 31 with questions about Lauderdale County’s funding to their agency.

The agency replied with an emailed statement that said it provided the same information to Lauderdale County last year as it had in prior years, but it’s unclear what specific information that included. 

“Each year, information is provided to each county board of supervisors that includes overall budget information of each county health department and the services these funds support,” the emailed statement from spokesperson Liz Sharlot reads. “Our local administrators also meet with county officials, as needed, to answer any questions and provide additional information. This information was provided to Lauderdale last year as it had been provided in years past.”

The statement goes on to say that the money from Lauderdale was funding county health department personnel as well as equipment and supplies. 

Mississippi Today reached out to the state Health Department again on Tuesday with follow-up questions, including whether the Health Department provided the county officials with the information they sought regarding how the money was spent and how the supervisors’ decision not to award the agency any money impacted the county health department’s operations. 

Spokesperson Elizabeth Grey did not answer any specific questions, including if and how the Lauderdale County Health Department was impacted. She said on Thursday that Edney and Caulfield were working to schedule a meeting with the Lauderdale County Board of Supervisors to rectify the situation — after that meeting, the agency would respond to Mississippi Today’s questions, she said.  

Mississippi state law mandates that county supervisors “shall be authorized” to make necessary appropriations to the Department of Health to pay the salary of the employees of the county health department, as well as supplies. It goes on to say more clearly that the board “shall provide” an office, or building, for the health department. 

It’s not clear if most counties are providing additional funding beyond building costs for their health departments — the state Health Department did not respond to that question from Mississippi Today.

Jonathan Wells, president of the Lauderdale County Board of Supervisors, says the county provides a building — and more. 

“So, the Legislature says — and I would call it an unfunded mandate — that we supply the Department of Health a building,” he said. “Not only are we doing that, but we’re putting $2.5 million in ARPA (American Rescue Plan Act) money into a new HVAC system for that building.”

The county continues to pay for utilities in that building, security services as well as other general upkeep, Wells said. 

That won’t change next year, according to Lafferty — but neither will their zero-dollar allocation toward the State Health Department. 

On Wednesday, Caulfield visited Lafferty in his office, holding a budget request for the upcoming year in his hands, he said. Lafferty says he is still unclear what the county’s funding responsibilities are and will recommend that the Board of Supervisors continue to withhold funding to the state Department of Health.

The post No answers, no money: Lauderdale officials end funding to state health agency for county health department appeared first on Mississippi Today.

A sign perched on a shelf at Valour Cobbins’ Bread and Butter Shoppe reads, “If you cook, they will come.” 

How else to explain a booming business in the center of downtown Greenwood, a business that was supposed to be the resurrection of a winery that had closed?

“God had other plans … a different route for me,” said Cobbins, as she prepared a chicken salad sandwich for a customer. “This used to be The Winery at Williams Landing. I saw this wonderful space and that a kitchen had been added. However, seeing as how the whole wine making process takes quite a bit of time, I thought, you know I really love cooking. Why not make good, nutritional food and make money too while I get this winery going?”

Plot twist. 

Her love for cooking – gourmet cooking at that – and unexpected financial support started Cobbins on a path that would spotlight her culinary talents. 

“If you cook, they will come.”

And come they do.

On a whim, Cobbins says she applied for a grant she spotted while surfing Facebook. 

“I thought, why not? The process was simple enough.” 

Her whim turned into reality when Cobbins learned she had been chosen to receive a $5,000 Coalition to Back Black Businesses (CBBB) grant, along with a business coach. Optimum, along with parent company Altice USA, broadband communications and video services providers, in partnership with CBBB, also awarded Cobbins a $25,000 enhancement grant that “provides the Black business community with resources, funds, and mentorship opportunities.” 

“I’m telling you; it was a blessing. The grants were amazing, something we desperately needed. The pandemic almost put us under.”

“I officially opened in April of 2021. By September, the business was so busy, the winery was put on the back burner. It’s still on the back burner, but not out of the picture,” she said, heading outside to the rear of her shop with a few customers in tow to show off her garden.

“I love gardening too. And a lot of what I cook with, I grow right here in my little garden,” she says, while tending to her tomato plants. 

Located at intersection of Howard Street and Wright Place, the Bread and Butter Shoppe offers a variety of gourmet sandwiches, salads, wraps, specialty teas and smoothies, and fresh juices.

“I’m doing this. Me. And I love it … this … cooking for people,” Cobbins said, adding, “I call myself a ‘solopreneur.’” 

The post Photo essay: The Bread and Butter Shoppe appeared first on Mississippi Today.

GREENWOOD — Brandon Presley, the Democratic nominee for governor, recently challenged incumbent Republican Gov. Tate Reeves to a debate ahead of the November general election, possibly at the Republican official’s deer hunting camp. 

“He said he wanted to debate the governor of California at his deer camp,” Presley said of Reeves. “If he’ll give me his deer camp address, we’ll debate him there. We’ll debate him anywhere, any place, anytime.” 

Presley’s comments about the hunting camp are a reference to a Twitter exchange between Reeves and Democratic California Gov. Gavin Newsom about firearm rights and the 2nd Amendment. 

Newsom wrote on X, the company formerly known as Twitter, that he wants to add a 28th Amendment to the U.S. Constitution that raises the minimum gun purchasing age to 21, establishes background checks and bans the purchase of assault weapons. 

Reeves responded to Newsom’s post by challenging the California governor to a debate over firearm policy. 

“I know you would prefer the French Laundry….but let’s do the debate at my deer camp instead!” Reeves wrote. 

Reeves’ campaign didn’t respond to a request for comment about Presley’s debate challenge or if he’s willing to participate in a debate at all this year. 

The Republican nominee, in 2019, participated in two debates with Attorney General Jim Hood, the Democratic nominee for governor, twice that year — one in Hattiesburg and one in Columbus. 

It’s unclear if any media outlet or organization has formally offered a forum for the two candidates for governor to debate before the November 7 general election.

The post Debate at the deer camp? Brandon Presley says he’ll debate Gov. Tate Reeves ‘any place, anytime’  appeared first on Mississippi Today.

The Mississippi Supreme Court has denied former NFL quarterback Brett Favre’s attempts to escape a civil lawsuit over the Mississippi welfare scandal.

Favre first filed a motion to dismiss charges against him in the lawsuit, which has been ongoing for more than a year, in February. The judge in the case, Hinds County Circuit Court Judge Faye Peterson, denied the motion in April. It was her first major ruling in the case, a sprawling lawsuit with 47 defendants and pending motions that have been stale for months. Favre appealed the decision to the Mississippi Supreme Court in May.

Mississippi Department of Human Services is bringing the case in an attempt to recoup $77 million in misspent funds from the federal Temporary Assistance for Needy Families program, or TANF. This includes more than $7 million that went to Favre’s projects, a pharmaceutical startup company and a volleyball stadium at his alma mater University of Southern Mississippi.

As part of its complaint, the welfare agency alleges Favre benefitted from these fraudulent transfers, in part because Favre had agreed to fund the volleyball stadium construction himself. Favre’s attorneys argue that not only is MDHS wrong about that, but the agency’s whole theory about who should be liable in this case is faulty.

“MDHS’s theory would effectively place no limits on UFTA (Uniform Voidable Transactions Act) liability—anyone could be sued who could in any way be deemed to have reaped some undefined benefit from a transfer,” Favre’s original motion reads. “That of course is not the law in Mississippi or anywhere else.”

This was much of the basis for Favre’s appeal to the Mississippi Supreme Court. His attorneys argued that interlocutory review “would materially advance this case’s termination and enable the parties and the circuit court to avoid the exceptional expense of litigating meritless claims; avoid further unwarranted damage to Favre’s reputation; and facilitate the administration of justice in Mississippi.”

The justices declined to intervene, denying Favre’s appeal Wednesday.

“This will now allow the civil litigation to move forward, and MDHS is encourage by that prospect and by the Supreme Court’s ruling,” Mississippi Department of Human Services Director Bob Anderson said in a statement after the order came down.

MDHS had argued plainly in its answer to Favre’s appeal that the major orchestrators of the illegal welfare fraud scheme had already pleaded guilty to criminal charges and that the purpose of its civil lawsuit was to “recover the misspent TANF funds from those who aided these fraudsters and benefitted from their frauds.”

“Brett Favre is one of those people,” the attorney for MDHS wrote. “Favre took $1.1 million in TANF funds from Nancy New for speeches he never made. Favre repaid that, but he has neither repaid the $1.7 million he arranged for his drug company, Prevacus, to receive in exchange for giving Nancy New stock, nor the $5 million he orchestrated the USM Athletic Department to receive for a volleyball facility.”

Texts made public last year revealed that New, a nonprofit operator tasked with managing tens of millions of federal anti-poverty funds, had paid Favre $1.1 million under a promotional gig, but only so he could pass the funds to USM so the university could get started on constructing the athletic facility. The only evidence of work Favre conducted under this contract is one radio ad he cut for the anti-poverty program. Favre’s attorneys said he never did use the money he received on the volleyball project.

Favre is not facing criminal charges in the U.S. Attorneys Office’s parallel criminal case, which has produced no major public developments since the office indicted former WWE wrestler Teddy DiBiase Jr. in April.

The post Supreme Court blocks Brett Favre’s escape from welfare fraud lawsuit appeared first on Mississippi Today.

Mississippians selected their picks for legislative races on Tuesday in what became a history-making primary election.

Several races had not been called as of Wednesday afternoon as some votes were still being counted. For full live election results, click on the link below.

READ MORE: Mississippi primary election results

Rep. Jason White on his way to speakership

State Rep. Jason White overcame a key hurdle Tuesday in his quest to become the state’s next speaker of the House by comfortably winning his primary.

White, a West native, defeated GOP challenger Cliff Hayes on Tuesday with 80% of the votes in his central Mississippi House district. He is unopposed in the November general election.

White, the current House pro-tem and three-term legislator, is viewed as the likely successor to Speaker Philip Gunn, R-Clinton, who is not seeking reelection. No other candidate has emerged as a likely competitor to White for the post of speaker.

First Black Republican since 1800s elected

In an historic election, Rodney Hall of DeSoto County will become the first Black Republican member of the Mississippi Legislature since the 1800s. He won in the newly created House District 20 with 55% of the vote against Charlie Hoots.

Hall, a military veteran, previously served on the staff of U.S. Rep. Trent Kelly of Tupelo.

A second Black Republican candidate, Biloxi City Councilman Felix Gines, garnered enough support in Tuesday’s primary to force a runoff in the House District 115 race. Gines and Zachary Grady will square off on Aug. 29 for the seat currently held by retiring Rep. Randall Patterson.

Late in 2022, the Mississippi Republican Party announced an effort to boost its Black slate of candidates and membership.

Few House or Senate incumbents lost primaries

State Sen. Philip Moran, R-Kiln, was the only Senate incumbent to lose Tuesday. Philmon Ladner garnered 6,501 votes, or 54%, to defeat the three-term incumbent Moran in the Republican primary. Ladner is unopposed in the November general election.

Four years ago, the 2019 Republican primary included several shocking outcomes. Notably, two key members of the House leadership, Ways and Means Chair Jeff Smith of Columbus and Pro-Tem Greg Snowden of Meridian, were defeated in 2019.

There were no such surprises this year, as no key member of the House or Senate leadership was defeated Tuesday.

Four House incumbents, however, did lose their primaries.

• Rep. Brady Williamson of Oxford lost his District 10 Republican primary to Josh Hawkins.
• Rep. Perry Van Bailey of Calhoun County was defeated in the District 23 Republican Primary by Andrew Stepp.
• Legislative veteran Rep. Rufus Straughter of Belzoni was upended in the District 51 Democratic primary by Timaka James-Jones. Straughter is completing his seventh House term.
• Rep. Doug McLeod of Lucedale who was toppled in the District 107 Republican primary by Ronald Lott by eight points. McLeod, who was unopposed in 2019, was arrested that year on charges related to spousal abuse after the deadline for candidates to qualify to run for the post. McLeod later was found not guilty when his wife testified on his behalf.

At least two incumbents will likely advance to the Aug. 29 runoff after no candidates in their elections garnered a majority of the vote.

In one probable runoff, Rep. Nick Bain of Corinth earned just 48.1% of the vote in Tuesday’s primary and will face Brad Mattox, who captured 35.1%. A small number of votes still needed to be counted by Wednesday afternoon.

In the other runoff, incumbent Rep. Dale Goodin of Richton placed second in Tuesday’s District 105 Republican primary with 29.8% of the vote. He will face Elliott Burch, who earned 46.2% of the vote.

Incumbent Tracy Rosebud of Tutwiler appears to have avoided a runoff in the District 30 Democratic primary. With a small number of votes remaining to be counted, Rosebud had 50.8% as of Wednesday afternoon.

The post Legislative elections: Jason White on path for speakership, first Black Republican elected since 1800s, few incumbents lose appeared first on Mississippi Today.

Since launching, it has expanded to 23 full-time nurses and 17 part-time nurses providing services to about 640 patients around the state. 

State Health Officer Dr. Daniel Edney said the program is “plugging the gap” by bringing resources to small rural communities that aren’t there. 

“With limited resources for mothers and babies, a lot of our efforts are going to be directed to our highest impacted areas to help the folks in the most desperate need the fastest,” Edney said. 

The way resources are distributed across the state – sparsely in rural and remote areas but plentiful in certain others – means the program must take a targeted approach. 

“We can not look at Mississippi as one organism. We are really six different regions when it comes to public health in terms of populations, demographics, resources available and challenges,” Edney explained. “I have to have different strategies for different areas. The one-size fits all strategy won’t work.”

Dr. Justin Turner, chief medical officer at the state Health Department, witnessed personally how important access to quality health care for mothers is.  

Turner’s wife made 30 total visits to five different hospitals or emergency rooms during her last two pregnancies. 

Seven of those visits came during her pregnancy five years ago, and the remainder of the visits came during their second pregnancy in August 2022. During her last pregnancy, she experienced “uncharacteristic pain” around month five, requiring her to be supervised by her family 24 hours a day until she gave birth.

The pain would spiral out of control resulting in psychogenic nonepileptic seizures (PNES), previously known as pseudoseizures – emotional and stress-related episodes similar to epileptic seizures but not of neurological origin. 

As the number of trips increased, Turner said he had a tough time reassuring his family and himself.

“I was thinking, 'how do I continue to do what I’m supposed to do as the chief medical officer and help assist the state as a whole, when I can’t even help my wife at home?'” Turner told Mississippi Today. 

For Black women in Mississippi, the pregnancy-related mortality rate increased from 51.9 to 65.1 deaths per 100,000 live births, quadruple the rate of white women (16.2). With this data in mind, fears of the worst outcome flooded both Turner and his wife’s minds. 

“It was natural for me to think that my wife was going to be another statistic,” Turner explained. “She would ask me things like, ‘Baby, am I going to die?’”

The pregnancy remained a challenge until the day that she delivered their child by cesarean section. Every day prior to her being pregnant was “a day of misery,” Turner said. After delivery, his wife never experienced another pseudoseizure episode. 

Turner said fortunately for his wife, she had a husband who is a doctor, an OB-GYN, support from family and friends, and a great health care team. 

However, he couldn't help but think of how many mothers in Mississippi lack support. Turner said the Healthy Moms, Healthy Babies program aims to add emotional support for mothers who may be in need of it.

“For a lot of women, they benefit from the nurturing and feeling like someone is listening,” Turner continued. “The more people that’s on their team, the better it helps them to endure the process of pregnancy itself.”

As services are being provided to participants, Turner said the health department, stakeholders, policy makers and community members must collaborate to improve outcomes for mothers and their babies.

“We need to find common ground in the areas that we can improve and make sure that we are providing our moms and babies a decent chance at having a healthy pregnancy and coming into this world,” Turner said.

For moms with Medicaid, the services are reimbursed. Edney said the program works with uninsured moms to help them enroll in Medicaid or, if they are not eligible, will provide the services for free.

The Mississippi State Health Department declined Mississippi Today's request to interview a mother who has participated in the program.

After making contact with a mom in need, the nurse consults with the mother’s doctor, who shares why she may be considered high-risk. Common high-risk conditions include preterm labor, diabetes, multiple pregnancy losses and starting prenatal care late.

The nurse then works to mitigate her symptoms by going to the mother's home and pairing her with a multidisciplinary team of resources, such as social workers and nutritionists.

The team of health care workers educate her on the importance of prenatal care, diet plans and how to limit her chances of becoming high-risk in the future. Edney said the program is “working aggressively” to support affected Medicaid moms.

“In our last reporting from the maternal mortality review committee, 87% of deaths were Medicaid moms, and out of all of our maternal deaths, 80% were preventable,” Edney told Mississippi Today. “That is unacceptable.”

Currently, 86% of the participating mothers are Medicaid beneficiaries. 

Healthy Moms, Healthy Babies monitors not only high-risk mothers but also high-risk babies up to one year of age.

A baby is considered high risk if they are born prior to 37 weeks of gestation, weigh less than 5 pounds 8 ounces at birth, have genetic disorders, experience nutritional deficiencies, infections, or live in unsafe conditions among other factors as well. 

The average age of infants enrolled in the program is less than one month old.

The goal of the program is to increase the infant's chances of survival, Edney said. Mississippi leads the nation in its rate of infant mortality.

“I know that if we continue doing what we are doing, nothing is going to change. So, if we all agree we have a problem, which I think everybody does, then this has got to change,” Edney stated. “I don’t have to convince anybody that being 50th in the nation for dead babies is a good thing, because it isn’t.”

Around 35% of babies were born to women living in rural counties of the state, but only a quarter of maternity care providers practice there, according to the latest March of Dimes’ report. 

Jillian Harper-Peavy, the state program director for Healthy Moms, Healthy Babies, said partnerships with different individuals and organizations are critical for the program to expand.

Those organizations include community health centers; hospitals; OB-GYN offices; pediatricians; managed care organizations; and other maternal and child health programs.

“We are prioritizing outreach and engagement of patients continually, as we do want to see the program serve more pregnant women and infants,” Harper-Peavy continued. “As additional patients are enrolled, we will continue to assess our staffing capacity and plan accordingly.”

However, financial constraints have hindered its expansion. 

Earlier this year, Edney asked lawmakers to fund $9 million to hire nurses needed to fully staff county health departments and Healthy Moms, Healthy Babies. The request was denied.

Now, Edney said he is seeking to redirect the funding he has and cut back in every department possible to hire the 100 or so nurses he’s identified as potential job candidates. 

“I’m trying to provide core public health services around this state with a battered workforce,” Edney explained. “I try to get people to understand that while everybody else may be over COVID-19, the health department is not. We were beaten to pieces, and we’re working hard to rebuild our workforce with the resources that we have.” 

Susan Bates, nurse team lead in the northeastern region of the state, manages a team of nurses who serve patients in 11 counties, seven of which are maternal health deserts: Marshall, Benton, Tippah, Pontotoc, Prentiss, Tishomingo and Itawamba.

These counties have no hospitals or birthing centers that provide obstetric care, and no practicing OB-GYNs or certified nurse midwives.  

Across the state, 51.2% of counties are defined as maternity care deserts, compared to 32.6% nationally. 

Bates, who cares for an average of six to 10 mothers and babies each day, has encountered women experiencing preterm labor, preterm delivery, preeclampsia, anxiety and depression. She’s also cared for premature and low-birthweight babies.

With more than 26 years of nursing experience, Bates said she aims to make every patient feel respected, valued and heard. Her approach is to listen, understand and “not just focus on checking a box.” 

“I feel that it is important to establish a relationship of trust between the mother and her doctors that way we can promote and foster communication. This allows us to provide a more comprehensive care and therefore improve our patients’ outcomes,” Bates continued. “So, when we meet our patients' needs, consistently and correctly, they develop trust in us as their caregiver.”

The Corinth native previously worked for the Mississippi State Health Department for 11 years as a public health nurse, promoting and protecting the health of populations using knowledge from nursing, social and public health science.

Bates, who is certified in pediatric advanced life support and neonatal advanced life support, said caring for high-risk mothers and babies requires a calm demeanor to help the family through what can be a scary time. 

“If you look at the big picture, then it may seem overwhelming, but we can’t be stopped by that. We have to know that what we are doing makes a difference to each patient,” Bates explained. “One life at a time, we’re making a difference.”

Edney said that scoring poorly in maternal and infant mortality is a “heavy burden” that requires a “heavy lift” to flip the negative trend to a positive one.

“It’ll take years, but with the work that we’re going to do with the agency, I’m convinced that we will not only get off the bottom with infant mortality,” Edney stated, “we will get off the radar.”

Correction 8/9/2023: This story has been updated to reflect the correct number of hospital visits Turner's wife incurred over the span of two pregnancies.

The post New Health Department program puts nurses in the homes of high-risk moms, babies in Mississippi appeared first on Mississippi Today.

Dr. Justin Turner, chief medical officer of the Mississippi State Department of Health, talks about his wife’s pregnancy issues and how other Mississippians have similar experiences.

Mississippi health news you can’t get anywhere else.

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The post The Pulse: MSDH’s Chief Medical Officer Dr. Justin Turner appeared first on Mississippi Today.

A sure sign that the college football season is upon us: The USA Today Coaches Poll is out. The question for today: How accurate will it be? Well, last year it wasn’t accurate at all. Seventeen teams that were in the 2022 preseason poll were not in the post-season poll. Many of the preseason picks went on to have losing seasons.

Stream all episodes here.

The post Podcast: The Coaches college football poll is out! Can you trust it? appeared first on Mississippi Today.

The post Marshall Ramsey: Saw appeared first on Mississippi Today.