Struck = removed from the bill ·
added = the amendment's new text.
MISSISSIPPISenate LEGISLATUREAmendments REGULARto SESSIONHouse 2025Bill By:No.
Representatives1741 Deweese,TO Read,THE Bennett,CLERK To:OF THE HOUSE:
AppropriationsTHIS C;IS TO INFORM YOU THAT THE SENATE HAS ADOPTED THE AMENDMENTS SET OUT BELOW:
CreekmoreAMENDMENT IV, Currie, McGee, Mickens, Scott, Appropriations A Turner HOUSE BILL NO.
17411 ANAmend ACTby MAKINGstriking ANall APPROPRIATIONafter FORthe THEenacting PURPOSEclause OFand DEFRAYINGinserting THEin EXPENSESlieu OFthereof THEthe STATEfollowing: DEPARTMENT OF HEALTH FOR THE FISCAL YEAR 2026.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MISSISSIPPI:
H.SECTION 3.
B.Of the funds appropriated under the provisions of Sections 1 and 2, Seven Million Twenty-six Thousand One Hundred Two Dollars ($7,026,102.00) shall be derived from the State PAGE 11741 General Fund and Eleven Million Three Hundred Twenty-eight Thousand Seven Hundred Eighty-three Dollars ($11,328,783.00) shall be derived from the Health Care Expendable Fund, created in Section 43-13-407, Mississippi Code of 1972, for the support and maintenance of the State Department of Health.
No.
1741 *HR13/A301* ~ OFFICIAL ~ A1/2 25/HR13/A301 PAGE 1 SECTION 3.
Of the funds appropriated under the provisions of Sections 1 and 2, Seven Million Twenty-six Thousand One Hundred Two Dollars ($7,026,102.00) shall be derived from the State General Fund and Eleven Million Three Hundred Twenty-eight Thousand Seven Hundred Eighty-three Dollars ($11,328,783.00) shall be derived from the Health Care Expendable Fund, created in Section 43-13-407, Mississippi Code of 1972, for the support and maintenance of the State Department of Health.
Of the General Fund court assessments provided in Section 1, Thirteen Million Twenty-three Thousand One Hundred Ninety-seven Dollars ($13,023,197.00) shall be allocated for Trauma Care Systems and One Million Eight Hundred Five H.Thousand Eight Hundred Fifty-nine Dollars ($1,805,859.00) shall be allocated for Emergency Medical Services.
B.
No.
1741 *HR13/A301* ~ OFFICIAL ~ 25/HR13/A301 PAGE 2 Thousand Eight Hundred Fifty-nine Dollars ($1,805,859.00) shall be allocated for Emergency Medical Services.
The State Department of Health may transfer a portion of Trauma Care System funds to the Division of PAGE 21741 Medicaid for the development and implementation of an enhanced reimbursement fee program related to trauma care and services, used to match federal funds, under a cooperative agreement between the State Department of Health and the Division of Medicaid.
H.University of Mississippi Medical Center Cancer Institute.................................$ 4,250,000.00 Department of Education - Mary Kirkpatrick Haskell – Mary Sprayberry Public School Nurse Program.............................$ 3,060,000.00 PAGE 31741 Attorney General's Office - Alcohol and Tobacco Enforcement Unit..................$ 680,000.00 University of Mississippi Medical Center – A Comprehensive Tobacco (ACT) Center....................................$ 595,000.00 Mississippi Health Care Alliance - ST Elevated Myocardial Infarction Program (STEMI), Sepsis, and Stroke System of Care Plan....$ 595,000.00 Mississippi Qualified Health Center Grant Program......................$ 3,400,000.00 Mississippi Health Department Programs.........$ 7,420,000.00 Of the funds appropriated in this section, the State Department of Health is authorized to expend funds to create and administer the Office of Tobacco Control within the department as outlined and created in Section 41-113-3, Mississippi Code of 1972.
B.
No.
1741 *HR13/A301* ~ OFFICIAL ~ 25/HR13/A301 PAGE 3 University of Mississippi Medical Center Cancer Institute.................................$ 4,250,000.00 Department of Education - Mary Kirkpatrick Haskell – Mary Sprayberry Public School Nurse Program.............................$ 3,060,000.00 Attorney General's Office - Alcohol and Tobacco Enforcement Unit..................$ 680,000.00 University of Mississippi Medical Center – A Comprehensive Tobacco (ACT) Center....................................$ 595,000.00 Mississippi Health Care Alliance - ST Elevated Myocardial Infarction Program (STEMI), Sepsis, and Stroke System of Care Plan....$ 595,000.00 Mississippi Qualified Health Center Grant Program......................$ 3,400,000.00 Mississippi Health Department Programs.........$ 7,420,000.00 Of the funds appropriated in this section, the State Department of Health is authorized to expend funds to create and administer the Office of Tobacco Control within the department as outlined and created in Section 41-113-3, Mississippi Code of 1972.
Mississippi Health Care Alliance - ST Elevated H.Myocardial Infarction Program (STEMI), Sepsis, and Stroke System of Care Plan............$ 279,400.00 Mississippi Qualified Health Center Grant Program.............................$ 600,000.00 Mississippi Health Department Programs.........$ 223,515.00 PAGE 41741 SECTION 7.
B.
No.
1741 *HR13/A301* ~ OFFICIAL ~ 25/HR13/A301 PAGE 4 Myocardial Infarction Program (STEMI), Sepsis, and Stroke System of Care Plan............$ 279,400.00 Mississippi Qualified Health Center Grant Program.............................$ 600,000.00 Mississippi Health Department Programs.........$ 223,515.00 SECTION 7.
It is the Legislature’s intention that no employee H.salary falls below the minimum salary established by the Mississippi State Personnel Board.
B.
No.
1741 *HR13/A301* ~ OFFICIAL ~ 25/HR13/A301 PAGE 5 salary falls below the minimum salary established by the Mississippi State Personnel Board.
It shall be the responsibility of the agency head to ensure that actual personnel expenditures for Fiscal Year 2026 do PAGE 51741 not exceed the data provided by the Legislative Budget Office.
H.None of the funds herein appropriated shall be used in violation of the Internal Revenue Service’s Publication 15-A relating to the reporting of income paid to contract employees, as interpreted by the Office of the State Auditor.
B.
No.
1741 *HR13/A301* ~ OFFICIAL ~ 25/HR13/A301 PAGE 6 None of the funds herein appropriated shall be used in violation of the Internal Revenue Service’s Publication 15-A relating to the reporting of income paid to contract employees, as interpreted by the Office of the State Auditor.
It is the intention of the Legislature that the State Department of Health shall maintain complete accounting and personnel records related to the expenditure of all funds appropriated under this act and that such records shall be in the PAGE 61741 same format and level of detail as maintained for Fiscal Year 2025.
FY2026 Performance Measures Target Health Services State Infant Mortality Rate (per 1,000 H.Live Births) 8.80 Percent of Women who Received Prenatal Care in First Trimester 75.80 Percent of Live Births Delivered Prior to 37 Weeks of Gestation 15.50 Teenage Live Birth Rate Age 15-19 Years (per 1,000 Women Age 15-19) 22.20 Percent of Newborns with Positive and Inconclusive Genetic Screens who PAGE 71741 Received Recommended Follow-Up 100.00 Percent of Adults who are Obese (Body Mass Index of 30 or More, Regardless of Sex) 39.10 Health Protection Percent of Mississippi Population Receiving Water From a Public Water Supply 92.00 Percent of Mississippi Population Receiving Optimally Fluoridated Water 50.00 Transfer Time of Level III and IV Trauma Centers to Appropriate Facilities for Treatment (Minutes) 129.00 Communicable Disease Primary and Secondary Syphilis:
B.Case Rate per 100,000 27.14 Tuberculosis:
No.
1741 *HR13/A301* ~ OFFICIAL ~ 25/HR13/A301 PAGE 7 Live Births) 8.80 Percent of Women who Received Prenatal Care in First Trimester 75.80 Percent of Live Births Delivered Prior to 37 Weeks of Gestation 15.50 Teenage Live Birth Rate Age 15-19 Years (per 1,000 Women Age 15-19) 22.20 Percent of Newborns with Positive and Inconclusive Genetic Screens who Received Recommended Follow-Up 100.00 Percent of Adults who are Obese (Body Mass Index of 30 or More, Regardless of Sex) 39.10 Health Protection Percent of Mississippi Population Receiving Water From a Public Water Supply 92.00 Percent of Mississippi Population Receiving Optimally Fluoridated Water 50.00 Transfer Time of Level III and IV Trauma Centers to Appropriate Facilities for Treatment (Minutes) 129.00 Communicable Disease Primary and Secondary Syphilis:
Case Rate per 100,000 27.14 H.
B.
No.
1741 *HR13/A301* ~ OFFICIAL ~ 25/HR13/A301 PAGE 8 Tuberculosis:
4:3:1:3:3:1:4 series - 19 to 35 months) 74.00 Tobacco Control Percent of Current Smokers Among Public Middle School Students 1.50 PAGE 81741 Percent of Current Smokers Among Public High School Students 2.10 Percent of Current Smokers Among Adults 18 Years and Older 17.20 Public Health Emerg Prep/resp Time Required for Command Staff to Report to Emergency Operations Center in Response to a National or Man-Made Disaster (Minutes) 30.00 Admin & Support Services Percent of Mississippi Population Living in an Area Designated as a Health Professional Shortage Area:
Mental Health 74.00 Percent of Mississippi Population Living H.in an Area Designated as a Health Professional Shortage Area:
B.
No.
1741 *HR13/A301* ~ OFFICIAL ~ 25/HR13/A301 PAGE 9 in an Area Designated as a Health Professional Shortage Area:
Primary Care 50.00 Medical Cannabis Number of Conditions Added to the List of Debilitating Medical Conditions 2 Number of Qualifying Patients Approved 55,000 Number of Designated Caregivers Approved 190 PAGE 91741 Number of Registry Identification Cards Revoked 25 Total Number of Patients with a Registry Identification Card 50,000 Number of Licensed Medical Practitioners 350 Number of Licensed Cannabis Cultivation Facilities 120 Number of Licensed Cannabis Processing Facilities 35 Number of Licensed Cannabis Testing Facilities 4 Number of Licensed Cannabis Waste Disposal Entities 7 Number of Licensed Cannabis H.Transportation Entities 20 Percent of Applications Approved 95 A reporting of the degree to which the performance targets set above have been or are being achieved shall be provided in the agency's budget request submitted to the Joint Legislative Budget Committee for Fiscal Year 2027.
B.
No.
1741 *HR13/A301* ~ OFFICIAL ~ 25/HR13/A301 PAGE 10 Transportation Entities 20 Percent of Applications Approved 95 A reporting of the degree to which the performance targets set above have been or are being achieved shall be provided in the agency's budget request submitted to the Joint Legislative Budget Committee for Fiscal Year 2027.
PAGE 10741 SECTION 11.
The purpose of these funds is to provide funds necessary to match projected federal funds available through the following federal fiscal year from the annual Clean Water State Revolving H.Fund (CWSRF) appropriations and from the supplemental Infrastructure Investment and Jobs Act (IIJA) appropriations.
B.
No.
1741 *HR13/A301* ~ OFFICIAL ~ 25/HR13/A301 PAGE 11 Fund (CWSRF) appropriations and from the supplemental Infrastructure Investment and Jobs Act (IIJA) appropriations.
PAGE 11741 ................................................$ 175,050,130.00.
The Legislature shall determine the agency’s personal services appropriation, which the State Personnel Board H.shall publish.
B.
No.
1741 *HR13/A301* ~ OFFICIAL ~ 25/HR13/A301 PAGE 12 shall publish.
It shall be the responsibility of the agency head to PAGE 12741 ensure that actual personnel expenditures for Fiscal Year 2026 do not exceed the data provided by the Legislative Budget Office.
The Department of Finance and Administration shall not provide written H.approval to escalate any funds for salaries and/or positions without proof of availability of new or additional funds above the appropriated level.
B.
No.
1741 *HR13/A301* ~ OFFICIAL ~ 25/HR13/A301 PAGE 13 approval to escalate any funds for salaries and/or positions without proof of availability of new or additional funds above the appropriated level.
Of the funds appropriated in Section 2, One Million Dollars ($1,000,000.00) shall come from the Department of Human Services, Child Care Development Fund or other appropriate PAGE 13741 special funds for the purpose of child care licensure.
It is the intention of the Legislature that the State Department of Health shall expend not more than Fifty Thousand Dollars ($50,000.00) of the funds appropriated herein for providing the oil known as "Lorenzo's Oil" for the treatment of the genetic disorder adrenoleukodystrophy (ALD), to children and Mississippi residents over the age of twenty-one (21) who have the H.genetic disorder adrenoleukodystrophy and for whom Medicaid does not reimburse the cost of providing the oil.
B.
No.
1741 *HR13/A301* ~ OFFICIAL ~ 25/HR13/A301 PAGE 14 genetic disorder adrenoleukodystrophy and for whom Medicaid does not reimburse the cost of providing the oil.
In addition to all other funds heretofore appropriated, the following sum, or so much thereof as may be necessary, is appropriated out of any money in the State General Fund not otherwise appropriated, for the purpose of defraying the expenses of the Mississippi Medical Cannabis Act at the Department PAGE 14741 of Health for the fiscal year beginning July 1, 2025, and ending June 30, 2026.....................................$ 7,787,845.00.
34 With the funds herein appropriated, it shall be the agency’s responsibility to make certain that funds required for Personal Services for Fiscal Year 2027 do not exceed Fiscal Year 2026 funds H.appropriated for that purpose unless programs or positions are added to the agency’s Fiscal Year 2026 budget by the Mississippi Legislature.
B.
No.
1741 *HR13/A301* ~ OFFICIAL ~ 25/HR13/A301 PAGE 15 appropriated for that purpose unless programs or positions are added to the agency’s Fiscal Year 2026 budget by the Mississippi Legislature.
Additionally, the State Personnel Board shall determine and publish the projected annualized payroll costs based on current PAGE 15741 employees.
Any transfers or escalations shall be made in accordance with the terms, conditions, and procedures established by law or H.allowable under the terms set forth within this act.
B.
No.
1741 *HR13/A301* ~ OFFICIAL ~ 25/HR13/A301 PAGE 16 allowable under the terms set forth within this act.
In addition to all other funds heretofore appropriated, the following sum, or so much thereof as may be PAGE 16741 necessary, is appropriated out of any money in the State Treasury to the credit of the Mississippi Burn Care Fund which is comprised of special source funds collected by or otherwise available to the department, for the purpose of funding reimbursement for uncompensated medical care to Mississippi burn victims through the trauma care system at in-state burn facilities including the Baptist Medical Center, the University of Mississippi Medical Center, and any designated Burn Center associated with a Level I H.Trauma Center in the Mississippi Trauma Care System or for uncompensated aero medical transportation to out-of-state qualified United States Burn Care facilities, and such other provisions necessary to provide burn care for Mississippi residents, including reimbursement for travel, lodgings, meals and other reasonable travel-related expenses incurred by burn victims, family members and/or caregivers, for the fiscal year beginning July 1, 2025, and ending June 30, 2026...........$ 5,000,000.00.
B.
No.
1741 *HR13/A301* ~ OFFICIAL ~ 25/HR13/A301 PAGE 17 Trauma Center in the Mississippi Trauma Care System or for uncompensated aero medical transportation to out-of-state qualified United States Burn Care facilities, and such other provisions necessary to provide burn care for Mississippi residents, including reimbursement for travel, lodgings, meals and other reasonable travel-related expenses incurred by burn victims, family members and/or caregivers, for the fiscal year beginning July 1, 2025, and ending June 30, 2026...........$ 5,000,000.00.
PAGE 17741 SECTION 22.
H.SECTION 24.
B.
No.
1741 *HR13/A301* ~ OFFICIAL ~ 25/HR13/A301 PAGE 18 SECTION 24.
The Mississippi Department of Health is authorized to obtain a line of credit through the State Treasurer from the Working Cash-Stabilization Fund or any other special source funds maintained in the State Treasury in an amount not exceeding Ten Million Dollars ($10,000,000.00) to fund shortfalls which, from time to time, may occur due to insufficient working PAGE 18741 cash spent in anticipation of receiving federal reimbursement.
Any such loans shall be repaid from the first available H.funds received by the department in the manner of and subject to the same terms provided in this section.
B.
No.
1741 *HR13/A301* ~ OFFICIAL ~ 25/HR13/A301 PAGE 19 funds received by the department in the manner of and subject to the same terms provided in this section.
It is the intent of the Legislature that the Chairman of the Board of Health may appoint an official PAGE 19741 replacement or representative with voting privileges to the Advisory Board of the Office of Mississippi Physician Workforce.
It is further the intention of the Legislature that the State Health Officer shall submit written justification for the transfer to the H.Legislative Budget Office and the Department of Finance and Administration on or before the fifteenth of the month prior to the effective date of the transfer.
B.
No.
1741 *HR13/A301* ~ OFFICIAL ~ 25/HR13/A301 PAGE 20 Legislative Budget Office and the Department of Finance and Administration on or before the fifteenth of the month prior to the effective date of the transfer.
It is the intent of the Legislature that the Mississippi State Department of Health shall have authority to escalate the various budgets in both funds and positions, with the approval of the State Fiscal Officer, from any special funds collected or available for HIV medical or support services, PAGE 20741 clinical quality management, and administrative expenses not to exceed Five Million Dollars ($5,000,000.00), to the agency for expenditure.
The Executive Director of the Mississippi State Department of Health shall submit to the Department of Finance and H.Administration a certified statement providing a detailed explanation for any escalation, including a justification for the establishment of any new positions or reclassification of existing positions.
B.
No.
1741 *HR13/A301* ~ OFFICIAL ~ 25/HR13/A301 PAGE 21 Administration a certified statement providing a detailed explanation for any escalation, including a justification for the establishment of any new positions or reclassification of existing positions.
It is the intention of the Legislature that the State Department of Health is hereby authorized to escalate, budget and expend funds for salaries and positions, with the approval of the State Fiscal Officer, from fund numbers 5331400000, 5331500000, and 5820130100, for the purpose of operating the State Department of Health programs as authorized by law, in accordance with rules and regulation of the Department of Finance and Administration in a manner consistent with the escalation of federal funds and when grant requirements have PAGE 21741 changed that result in staffing needs but do not result in new or additional funds.
The Executive Director of the State Department of Health or designee shall submit to the Department of Finance and Administration a certified statement providing a detailed explanation for any escalation, including a justification for the H.establishment of any new positions or reclassification of existing positions.
B.
No.
1741 *HR13/A301* ~ OFFICIAL ~ 25/HR13/A301 PAGE 22 establishment of any new positions or reclassification of existing positions.
and the State Fiscal PAGE 22741 Officer shall issue his warrants upon requisitions signed by the proper person, officer or officers, in the manner provided by law.
This act shall take effect and be in force from and after July 1, 2025, and shall stand repealed from and after June 30, 2025.
H.Further, amend by striking the title in its entirety and inserting in lieu thereof the following:
B.AN ACT MAKING AN APPROPRIATION FOR THE PURPOSE OF DEFRAYING THE EXPENSES OF THE STATE DEPARTMENT OF HEALTH FOR THE FISCAL YEAR 2026.
No.SS15\HB1741A.J Amanda White Secretary of the Senate PAGE 23741
1741 *HR13/A301* ~ OFFICIAL ~ 25/HR13/A301 ST:
Appropriation;
Health, Department of.
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