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The Pulse: Clarksdale Baby University

Director of Clarksdale Baby University Chelesa Presley talks about the eight-week program during the first class of the spring session in Clarksdale, Miss., Monday, April 3, 2023.

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Emergency order: Doctors must test for syphilis in Mississippi pregnancies

Mississippi now requires physicians to test patients for syphilis during pregnancy as a response to the alarming rate in the state of children being born with the infection, according to a recently issued emergency order.

Mississippi was one of six states that did not require syphilis screenings by law. Meanwhile, the state in six years ending in 2021 had more than a 900% increase in babies born with syphilis – a sexually transmitted disease that can be passed to an infant during pregnancy and lead to developmental issues and sometimes death. 

On Wednesday, the Mississippi Board of Health issued a 120-day emergency order with plans to permanently change testing rules in the state during that period. The board  will vote on those rule changes during their July meeting. 

“This is a winnable battle for us,” State Epidemiologist Dr. Paul Beyer told the Board of Health during Wednesday’s meeting. “We have seen a lot of ups and downs with syphilis over the years … we have shown before we can make an impact on the rates of syphilis.” 

The state’s order calls for physicians and practitioners offering prenatal care to test all pregnancies during the first trimester or during the first prenatal appointment and again in the third trimester and during delivery to ensure treatment for positive cases follows the Centers for Disease Control and Prevention guidelines and that cases found during pregnancy are reported to the state Department of Health.

Beyer said the repeated testing is to ensure “we’re not letting a case that can be treated … slip through the cracks.”

Without mandatory screenings, some mothers are shocked to learn they have the disease. Even if they don’t have symptoms, the infection can still detrimentally affect their child.

Penicillin treatments in the first trimester for someone with syphilis leads to the most positive outcome for the child at birth. Untreated, babies can be born with life-long complications and major malformations.

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Podcast: Talking The Masters and Mississippi college baseball.

It was John Rahm’s wet and windy world at The Masters and nobody could keep up with him. In college baseball, Ole Miss and Mississippi State get ready for their annual three-game series that the Rebels haven’t won since 2015.

Stream all episodes here.


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On this day in 1864

APRIL 12, 1864

The Fort Pillow Massacre took place when 2,500 members of a Confederate cavalry attacked the fort held by less than 700 Union soldiers. Confederate Gen. Nathaniel Bedford Forrest led the attack on the fort, about 40 miles north of Memphis, Tennessee, but the Union leader, Maj. William F. Bradford refused to surrender. 

Confederates overran the fort, killing as many as 300 Union soldiers, most of them Black. According to survivors’ accounts, Confederates massacred the Union troops even after they threw down their guns and surrendered. In response, many “madly leaped into the (Mississippi) River, while the rebels stood on the banks or part way up the bluff, and shot at the heads of their victims,” one survivor wrote. 

“I could plainly see this firing and note the bullets striking the water around the black heads of the soldiers, until suddenly the muddy current became red, and I saw another life sacrificed in the cause of the Union.” 

In his memoir, U.S. Gen. Ulysses Grant talked of the river being dyed with “the blood of the slaughtered for 200 yards.” Afterward, the massacre became a rallying cry for Black troops.

The post On this day in 1864 appeared first on Mississippi Today.

How the Jackson garbage standoff impacts local environment

Accumulating household waste continues to sit unbothered across the state’s largest city as local officials repeatedly fail to choose a garbage collector.

The city’s emergency contract with Richard’s Disposal, the company who the mayor and a minority of the city council are endorsing for a long-term contract, ended on April 1. Six days later, the state environmental department issued Jackson an official notice that the city was in violation of Mississippi pollution law.

The notice says that by not collecting garbage, “the City has caused wastes to be placed in locations where they are likely to cause pollution of the air and waters of the state,” violating state law, and opening Jackson up to $25,000 in fines for each day it doesn’t collect trash.

Jackson spokesperson Melissa Faith Payne said on Monday that, as far as she was aware, the Mississippi Department of Environmental Quality hasn’t yet levied any fines against the city. MDEQ spokesperson Jan Schaefer declined to comment on the agency’s enforcement.

While it’s unclear what punishments Jackson will face from MDEQ, the idle piles of garbage threaten local habitats as well as the creeks that flow through the city’s residential neighborhoods, a local conservation expert explained.

The feud between Jackson City Council members and Mayor Chokwe Antar Lumumba centers around the validity of the Mayor warding Richard’s Disposal, Inc., a trash pick-up contract for Jackson after the Council voted against Richard’s Disposal. Garbage pick-up by Richard’s was underway in the Bel-Air neighborhood, Monday, Apr. 11, 2022. Credit: Vickie D. King/Mississippi Today

“When we do our cleanups, a lot of the trash that enters the (Pearl River) comes from our storm drains from our neighborhoods, not just Jackson, but from all our neighborhoods,” said Abby Braman, executive director of Pearl Riverkeeper.

During heavy rain events like Jackson saw last week, rainwater carries trash left on the street towards the city’s storm drains. The waste then either blocks storm water from getting into the drains, or it goes into the drains and flows out into the city’s creeks. Once that happens, Braman explained, the garbage not only goes into the wildlife habitat in the creeks and the Pearl River, but it also creates a flood risk for Jackson residents.

“We have, depending on where you count from, about 11 creeks that run straight through Jackson into the river. All of those run through neighborhoods” she said. “A lot of them, particularly Lynch Creek, that creek’s already clogged up with debris, including trash. It’s already overtopping its banks several times a year and causing a lot of problems in that community, and destruction of public and private property.”

Lynch Creek starts just past Interstate 220 in west Jackson, and runs south near Ellis Avenue and the Washington Addition neighborhood before meeting the Pearl River just below Interstate 20.

The section of the river near Jackson, as well as several of the city’s creeks, are under a contact advisory from MDEQ because of overflows from the city’s overwhelmed and depleted sewer system.

When residential garbage pickup will return to Jackson is up in the air.

On Monday, city council members were unable to vote on a new contract for Richard’s Disposal after the mayor pulled the item from the agenda, after learning that Richard’s was readying a lawsuit against Jackson. The company is arguing it won the city’s bidding process and that the city council has wrongly voted against awarding Richard’s the contract, Mayor Chokwe Antar Lumumba explained.

The Pearl River looking north from U.S. 80 on Apr. 15, 2021. Credit: Vickie D. King/Mississippi Today

Lumumba has argued for the last year that Richard’s deserves the contract. Through the blind bidding process, Richard’s received the best score for options that include twice-a-week pickup and a trash bin for residents. The company’s bid was also the cheapest of any offering twice-a-week pickup.

Opposing city council members have made a wide-range of arguments against the Richard’s option: They argue that the company is less experienced than the previous vendor, Waste Management, and also that Lumumba is trying to steer the council towards his preferred choice. They’ve also argued that the 96-gallon bins included in that option would be a nuisance for residents.

Despite the majority opposition to Richard’s, Lumumba has refused to present another contract for the council to vote on. The mayor argued that not picking the “winning” bid would open the city to a lawsuit, since the city is legally required to use the bidding process to pick its vendor.

On Monday, Lumumba said he was meeting with MDEQ on Wednesday to explain the city’s position. He also hinted at calling another council meeting this week to vote on an emergency contract for Richard’s to collect garbage in the interim while the dispute lingers on.

The city last week opened a site at the Metrocenter Mall for residents to bring garbage during limited hours. Officials have yet to announce any drop-off times for this week. Some wards have offered alternate sites to bring trash.

This most recent standoff over garbage pickup comes a month after Jackson officials launched its citywide cleanup campaign, called “Stop Trashing Jackson.”

The post How the Jackson garbage standoff impacts local environment appeared first on Mississippi Today.

Blue slip process Sen. Hyde-Smith used to block federal judge began as an effort to preserve Jim Crow

The “blue slip” process Sen. Cindy Hyde-Smith is using to block the nomination of Scott Colom of Columbus to the federal judiciary began under a previous Mississippi senator who used the process to discriminate against Black Americans.

Starting in the 1950s, U.S. Sen. James Eastland of Mississippi was the first Senate Judiciary Committee chair to use the process to allow a single home-state senator to block a presidential nominee to the federal bench. Eastland used the process to block federal judges from being appointed in Southern states sympathetic to school desegregation, according to multiple accounts detailed in news stories and scholarly research articles.

A broad range of groups agree on Eastland’s role in the blue slip process.

In 2017, during his time as Senate Judiciary chair, conservative Sen. Chuck Grassley, a Republican from Iowa, wrote, “For the vast majority of the blue slip’s history, a negative or unreturned blue slip did not stop the Senate Judiciary Committee from holding a hearing and vote on a nominee. In fact, of my 18 predecessors as chairman of the committee, only two allowed home-state senators unilateral veto power through the blue slip. The first to do so, Sen. James Eastland (D-Miss.), reportedly adopted this policy to thwart school integration after the Supreme Court’s decision in Brown v. Board of Education.”

The progressive organization People for the American Way said Eastland’s actions “gave immense power to segregationist senators in Southern states to prevent judges who would take civil rights seriously.”

The process allows a single home-state senator to block the Senate confirmation of judicial nominees by not returning the “blue slip” voicing support. Under the current process, nominees to district courts, such as Colom to the Northern District of Mississippi, can be blocked but not nominees to the U.S. Court of Appeals. The way Eastland applied the process, nominees to both were blocked.

Sen. Roger Wicker, Mississippi’s senior U.S senator, returned his blue slip for Colom.

Various progressive groups are calling for current Judiciary chair, Democratic Sen. Dick Durbin of Illinois, to stop allowing the blue slip process to be used to block judicial nominees. A spokesperson for Durbin told Mississippi Today that the chair was “extremely disappointed” in Hyde-Smith’s actions and would be commenting “more fully” on those actions in the coming days.

Durbin, in the statement, called Colom “highly qualified.”

READ MORE: Senate chairman ‘extremely disappointed’ by Hyde-Smith’s effort to block judicial nomination

According to various accounts, starting sometimes in the 1910s, the blue slip process was initiated to give home-state senators more of a voice in the nomination and confirmation process. But it was not until Eastland in 1956 that the process was used to allow home-state senators to completely block the nominations. Under Eastland, if a blue slip was not returned, the Judiciary Committee normally would not even have a hearing on the nominee.

Under the process before Eastland, nominees opposed by a home-state senator normally still would receive a full vote before the Senate, but with a negative recommendation from the Judiciary Committee.

In a paper titled “The Collision of Institutional Power and Constitutional Obligations: The Use of Blue Slips in the Judicial Confirmation Process,” professors from Georgia, Michigan State and Wisconsin wrote, “When Senator Eastland took over as Judiciary chair (1956-1978), he significantly changed blue slipping policy. During his tenure, a negative blue slip or unreturned blue slip from a single home-state senator blocked any further action on the nomination. Why Eastland changed blue slipping policy is unclear, though racial politics likely had something to do with it, as Eastland could use committee rules to block pro-civil rights nominees from reaching the bench … While later Judiciary chairs would also alter their treatment of negative blue slips depending on political context, a single blue slip continues to impose a strong and negative effect on any nomination’s chance of success.”

Most Judiciary chairs since Eastland, including Democrats Joe Biden and Ted Kennedy and Republicans Orrin Hatch and Strom Thurmond, did not allow the process to be used as an absolute where one home-state senator could stop a nominee. Both political parties, though, have used the blue slip to prevent presidents from the other party from getting judicial appointments.

Hyde-Smith currently is blocking the nomination of Colom, the first African American elected as district attorney for the 16th District in north Mississippi. She cited Colom’s opposition to legislation to ban trans women from competing in women’s sports as a reason for opposing him.

While Colom has voiced general support for trans rights, he has never publicly commented on the issue of trans women competing in women sports.

Hyde-Smith also said she opposed Colom because a political action committee funded at least in part by billionaire George Soros spent funds on his first election to the office of district attorney in 2015. Soros, a New York billionaire, has supported criminal justice reform and other issues such as governmental transparency.

Colom did not receive any financial help from Soros in 2019.

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How much are Mississippi universities spending on DEI initiatives? State auditor wants to know

The Mississippi Office of the State Auditor has asked public universities in the state to detail spending on diversity, equity and inclusion initiatives, the latest attempt by officials to mimic Republican efforts across the country that take aim at “woke” policies. 

The request, obtained by Mississippi Today, was sent via email last week to public universities by Laura Gray, an employee in the office’s Government Accountability Division. Gray wrote that White’s office “is conducting a performance review of the diversity, equity and inclusion (DEI) programs/ activities administered by Mississippi’s public universities.” 

In higher education, the phrase “diversity, equity and inclusion” refers to a range of policies and programs that foster enrollment and retention of historically marginalized groups. 

Gray’s email instructed universities to fill out an attached spreadsheet, send it back to her and copy Casey Prestwood, an associate commissioner at the Institutions of Higher Learning (IHL), by April 20. 

IHL is the governing board for Mississippi’s eight public universities. Kim Gallaspy, IHL’s interim communications director, said IHL’s role is to provide the auditor’s office, which initiated the review, with information.  

Fletcher Freeman, a spokesperson for the auditor’s office, told Mississippi Today that the request was inspired by Gov. Ron DeSantis’s review of diversity, equity and inclusion programs at public universities in Florida earlier this year. 

“After seeing Florida’s review of DEI spending, we have decided to use the same model to review DEI spending at universities in Mississippi,” Freeman wrote in an email. 

Mississippi Today obtained a copy of the request sent to Delta State University on April 6. The attached spreadsheet asks for spending from fiscal year 2020 to present. The columns ask for a “brief description” of diversity, equity and inclusion initiatives, the total funding received from all sources, the number of full-time-equivalent employees and their titles, and how much in state funds was expended. 

It’s not evident from the request how White’s office plans to use this information, but the auditor, who is facing reelection this year, has become known for reports on topics like out-of-classroom spending or the economic impact of “fatherlessness.” White has denied these reports are politically motivated, though his office’s findings are often accompanied by conservative policy solutions, such as JROTC programs to combat “the dissolution of families.” 

White’s latest aim at diversity, equity and inclusion comes just a few months after similar efforts from Republican officials in other states. In January, DeSantis asked public universities in Florida to account for spending on diversity, equity and inclusion as part of his pledge to “eliminate all DEI and CRT bureaucracies” in the state, POLITICO reported. The State University System of Florida — which is similar to IHL — has supported DeSantis’s efforts. 

A few weeks later, Texas Gov. Greg Abbott went a step further, issuing a memo to state agencies and public university officials that diversity, equity and inclusion policies in hiring violate state and federal employment laws. 

In Mississippi, lawmakers have yet to touch diversity, equity and inclusion initiatives, so far only nominally banning the teaching of critical race theory in public K-12 schools and universities. 

Dan Durkin, a professor at University of Mississippi and the president of the United Faculty Senate Association of Mississippi, said the request caught him off guard but that he thinks the auditor should find diversity, equity and inclusion initiatives are money well-spent because it improves recruitment and retention. 

“In Mississippi, it’s particularly important, and with our university’s history, I think that makes it even more important in our mission to reach out to African American students,” Durkin said. “We want to bring students here, but we want to make sure that they feel at home while they’re here and that they feel supported.” 

Durkin added that he had recently spoken to Chancellor Glenn Boyce about diversity, equity and inclusion initiatives, and that Boyce was supportive of the initiatives. 

Universities across the state post on their websites statements about diversity, equity and inclusion. IHL has for years now given out an annual “diversity” award to faculty, staff and even House Speaker Philip Gunn in 2021 for his efforts to change the Mississippi state flag. 

The IHL Board of Trustees, a politically appointed body, recently asked applicants during the Delta State presidential search to submit a “written philosophy” of diversity, equity and inclusion.

The post How much are Mississippi universities spending on DEI initiatives? State auditor wants to know appeared first on Mississippi Today.

Mississippi Medicaid spent a tiny fraction of its budget on gender-affirming care before lawmakers banned it

The Mississippi Division of Medicaid spent months working to determine how much it paid in claims associated with gender identity disorder or gender dysphoria following an anonymous legislative request, according to emails obtained through a public records request. 

The answer: A maximum of $58,900.82 in taxpayer money over the last five years from the agency’s annual budget of $6 billion – nearly half of which paid for a mastectomy to treat a “life-threatening disease” that was not gender dysphoria. No money was paid to providers for intersex surgery for trans men or trans women.

Attorneys for Medicaid initially miscalculated the answer, but after many back and forths over email with a representative from a legislative committee, landed on this imperfect estimate. 

It is unclear from the documents how much Medicaid paid in reimbursements specifically for gender-affirming care for trans youth. It is also unclear which procedures are directly related to gender-affirming care. Some include descriptions of routine medical claims such as emergency room visits and lipid panels. Only one reimbursement could be more easily connected to gender-affirming care for trans children: $94.20 for “bone age studies.” 

In a letter to Mississippi Today, Medicaid noted that some claims “may not be directed related to” services for a patient’s primary diagnosis of gender dysphoria. 

The Division of Medicaid did not answer questions from Mississippi Today for this story. 

Earlier this year, Medicaid became the first state agency to take a public position on gender-affirming care for trans children as lawmakers sought to ban it. In mid-February, Executive Director Drew Snyder sent a letter stating that there is not enough medical literature to support that it is a “safe and effective treatment for gender dysphoria” for trans youth. 

Snyder’s letter did not mention Medicaid reimbursements for gender-affirming care. 

Rob Hill, the state director of Human Rights Campaign of Mississippi, said that Snyder’s letter contradicts Medicaid’s past actions of paying for gender-affirming care. Despite Medicaid’s letter, major medical associations support gender-affirming care for trans youth.

“I’ve always known Drew Snyder to be a fair-minded person, so I would say I was really disappointed to see this letter released that was not based on fact,” Hill said. “There is plenty of research that he or his folks in the department could’ve done. It’s easily found on the internet. I could have sent him a fact sheet.” 

For trans people, it can be challenging to get gender-affirming care covered by private health insurance. Trans people report being uninsured at a rate seven times higher than cis people, due in significant part to job discrimination and the employment-based health insurance model in the U.S., according to a report from the Center for American Progress. That same report found that 46% of trans respondents – and 56% of trans respondents of color – said their health insurance denied coverage for gender-affirming care. 

“Honestly, I’m glad to know that people have received (gender-affirming) care in Mississippi through Medicaid, through taxpayer dollars,” Hill said. “But I would like to see it be a lot more because this care is well-researched for decades and supported by all the major medical associations.” 

One of the first signs that gender-affirming care would become a flashpoint during the legislative session came last fall when the Mississippi Freedom Caucus, a far-right wing of the Legislature, published a blog post by Rep. Dana Criswell of Olive Branch that claimed public dollars were funding the “mutilation of children” at the University of Mississippi Medical Center. 

“You read that correctly, you, the taxpayers of Mississippi, are paying for children to receive hormone therapy and for mutilation of children,” the post read. 

But during the legislative session, lawmakers spent little time on the issue of state funds supporting gender-affirming care despite efforts to determine the amount. 

Lawmakers’ first inquiry to Medicaid came in mid-December from Lonnie Edgar, the deputy director of the Joint Legislative Performance Evaluation and Expenditure Review Committee. The PEER Committee is tasked with assisting legislators with requests for information and the results of its research are confidential. 

On Dec. 13, 2022, Edgar sent an email to Cody Smith, an attorney for Mississippi Medicaid, asking if the agency had reimbursed claims for gender-affirming care “anywhere else in the state besides UMMC.” Edgar noted that “this is similar to the request you all provided information on about Planned Parenthood facilities on September 13, 2022.”

Edgar told Mississippi Today he is not allowed to disclose who made the request or whether any similar requests have been made in the past. He also did not have an answer as to why the request excluded UMMC.

It could be that PEER already had information about the medical center. In August 2022, the PEER committee also sent an inquiry to UMMC asking if it had billed gender-affirming services to Medicaid. 

Smith responded to Edgar about two weeks later, writing that Medicaid had determined a total of $131,865.03 was paid for 47 visits. He noted that no payments were made to the Spectrum Clinic in Hattiesburg, the only clinic in the state that exclusively serves transgender patients. Medicaid’s research found that the agency has reimbursed providers across the state, including Singing River and UMMC, for care given to people with gender dysphoria.

After House lawmakers passed HB 1125 early in the session, the inquiries from Edgar continued.

“This request seems to change every iteration,” Edgar wrote on Jan. 26. “Based on the information you provided on Medicaid claims broken out by provider … can you also determine the amounts spent on puberty blocking hormones or cross sex hormone treatment?”

It doesn’t appear that Medicaid was able to determine that amount since Medicaid-enrolled prescribers are not required to give a diagnosis code to pharmacists.

Soon after, Smith and Brett Brown, a technology specialist at Medicaid, discovered an error in the initial accounting. 

Brown realized that the previous number Medicaid had provided lawmakers – $131,865.03 – was more than double the actual amount the agency had paid out because it included Medicaid “crossover claims.” Crossover claims occur for people who are eligible for both Medicare and Medicaid. Medicare, federal health insurance for people 65 or older, pays a portion of the claim, and Medicaid is billed for any remaining deductible or coinsurance.  

Hill said there’s “no number” that can be put on the positive impact gender-affirming care has on trans people and especially trans youth. 

“Anybody who suggests that it’s wasted money – one, I would think that they don’t have a heart,” he said, “and two, they’re just absolutely wrong.”

The post Mississippi Medicaid spent a tiny fraction of its budget on gender-affirming care before lawmakers banned it appeared first on Mississippi Today.

On this day in 1865

APRIL 11, 1865

Two days after Confederate Gen. Robert E. Lee surrendered at Appomattox, a joyous crowd gathered outside the White House, calling for President Abraham Lincoln. 

“Outside was a vast sea of faces, illuminated by the lights that burned in the festal array of the White House, and stretching far out into the misty darkness,” reporter Noah Brooks wrote. 

Lincoln obliged the crowd, stepping out into the darkness. Someone held a light so that Lincoln could read his speech. 

“We meet this evening, not in sorrow, but in gladness of heart,” he said. “The evacuation of Petersburg and Richmond, and the surrender of the principal insurgent army, give hope of a righteous and speedy peace whose joyous expression cannot be restrained. In the midst of this, however, He from whom all blessings flow must not be forgotten. … A call for a national thanksgiving is being prepared, and will be duly promulgated. … No part of the honor, for plan or execution, is mine. To Gen. Grant, his skillful officers, and brave men, all belongs.” 

He expressed his vision for the future: a united land free of slavery, public schools for Black and White that were truly equal, and support for Black voting. In the audience stood white supremacist John Wilkes Booth, who vowed this would be Lincoln’s last speech. He carried out his threat three days later, assassinating the President.

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