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Mississippi Legislature· HB 1908Approved by Governor (Chapter 79)

Appropriation; Health, Department of., the official text

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MISSISSIPPI LEGISLATURE

2026 Regular Session

To: Appropriations C; Appropriations A

By: Representatives Deweese, Read, Bennett, Creekmore IV,
Currie, McGee, Mickens, Scott, Turner

House Bill 1908

(As Sent to Governor)

AN ACT MAKING AN APPROPRIATION FOR THE PURPOSE OF DEFRAYING
THE EXPENSES OF THE STATE DEPARTMENT OF HEALTH FOR THE FISCAL YEAR 2027.

BE IT ENACTED BY THE
LEGISLATURE OF THE STATE OF MISSISSIPPI:

SECTION 1.  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
State Department of Health for the fiscal year beginning
July 1, 2026, and ending June 30, 2027........................................

............................................ $    61,633,807.00.

SECTION 2.  The following sum, or so much thereof
as may be necessary, is appropriated out of any money in any special fund in
the State Treasury to the credit of the State Department of Health which is
comprised of special source funds collected by or otherwise available to the
department, for the purpose of defraying the expenses of the department for the
fiscal year beginning July 1, 2026, and ending
June 30, 2027..................................................

............................................ $
529,451,161.00.

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.  The funds provided in this
section shall be allocated as follows:

Magnet Community Health Disparity Program... $
2,000,000.00

Early Intervention Program................. $
2,000,000.00

Breast and Cervical Cancer Program.......... $
100,000.00

Maternal and Child Health Care Program...... $
1,242,943.00

Mississippi Health Care Alliance for the ST

Elevated Myocardial Infarction Program

(STEMI), Sepsis, and the Stroke System

of Care Plan.......................... $     250,000.00

Health Department Programs................. $
12,761,942.00

SECTION 4.  Of the
funds appropriated in this act, Thirty-four Million Dollars ($34,000,000.00) is
allocated to the Trauma Care System.  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 Thousand Eight Hundred Fifty-nine
Dollars ($1,805,859.00) shall be allocated for Emergency Medical Services.  All
additional funds are appropriated in Section 2.  The State Department of Health
may transfer a portion of Trauma Care System funds to the Division of 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.

It is the intention of the
Legislature that none of the funds authorized herein for the Trauma Care System
shall be expended to the benefit of any hospital located outside the boundaries
of the State of Mississippi, unless otherwise excepted in this paragraph.  Funds
shall be expended by the Mississippi Department of Health for distribution to
the Regional Medical Center or Le Bonheur Children's Hospital at Memphis,
located in Memphis, Tennessee, or the University of South Alabama Medical
Center located in Mobile, Alabama, or the Joseph M. Still Burn Centers, Inc.,
located in Augusta, Georgia, or any affiliates or any other Level 1 Trauma
Center, or Tertiary Pediatric Trauma Center that participates in the
Mississippi Trauma Care System, as determined by the Mississippi Department of
Health.

SECTION 5.  Of the
funds appropriated in Section 2, Twenty Million Dollars ($20,000,000.00) shall
be derived from the Tobacco Control Program Fund, created in Section 41-113-11,
Mississippi Code of 1972, and shall be allocated as follows:

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.

SECTION 6.  Of the funds appropriated in Section
1, One Million One Hundred Two Thousand Nine Hundred Fifteen Dollars
($1,102,915.00) shall be allocated as follows:

Mississippi Health Care Alliance - ST Elevated

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.  Of the
funds appropriated under the provisions of this act, not more than the
following amount of funds, with the exception of the provisions in this
section, shall be expended only for "Personal Services," which
includes "Vacancy Funding," for the following authorized number of
employment headcount:

FUNDING:

General Funds:              $
13,953,860.00

Special Funds:              $
138,036,972.00

Total Funds:               $
151,990,832.00

PERSONAL SERVICES:

Employee Salaries,
Wages and

Fringe Benefits:          $
144,391,290.00

Progressions:              $
0.00

Vacancy Funding:            $
7,599,542.00

Total Personal
Services:    $  151,990,832.00

AUTHORIZED HEADCOUNT:

Permanent:
678

Time-Limited:                1,394

As used in this section, the
term "Personal Services" shall mean funds provided under the major
object of expenditure category Personal Services for Salaries, Wages, and
Fringe Benefits.  Funds in this category shall not be transferred to any other
category.

It is the intention of the Legislature
to ensure compliance with the Variable Compensation Plan, as outlined in
Section 25-9-147, Mississippi Code of 1972.  Payment from these funds shall be
in accordance with the Variable Compensation Plan promulgated by the
Mississippi State Personnel Board.  It is the Legislature's intention that no
employee's salary falls below the minimum salary established by the Mississippi
State Personnel Board.

The State Personnel Board
shall determine and publish the projected annual cost of "Personal Services"
based on monthly and year-to-date payroll expenditures in compliance with the
provisions of this act.

With the funds herein
appropriated, it shall be the agency's responsibility to ensure that no single
personnel action or combination of personnel actions, when annualized, exceeds
the Fiscal Year 2027 appropriation for "Personal Services" with the
exception of escalated funds. Further, it shall be the agency's responsibility
to ensure that funds required to be appropriated for "Personal
Services" for Fiscal Year 2028 do not exceed Fiscal Year 2027 funds
appropriated for that purpose unless programs or positions are added to the
agency's Fiscal Year 2027 budget by the Mississippi Legislature.

If, at the time the agency
takes any action to change "Personal Services," the State Personnel
Board determines that the agency has taken or will take an action that would
cause the agency to exceed the funds appropriated in this act when annualized
for Fiscal Year 2027 or increase the need for "Personal Services" for
Fiscal Year 2028, when annualized, the State Personnel Board shall process no
salary actions until such time as the requirements of the provisions of this
section are met with the exception of new hires determined to be essential for
the agency.

When used in this section,
"Vacancy Funding" shall mean funds included in the Total Personal
Services amount listed above and designated for approved vacancies in Fiscal
Year 2027.  These funds are to be utilized to increase the number of filled headcounts
that were authorized but unfilled as of the last day of Fiscal Year 2026.  If
the agency fills additional headcounts after March 1, 2026, until the end of
Fiscal Year 2026, the amount of available Vacancy Funding may be proportionally
adjusted to reflect the updated number of filled headcounts.  The agency shall
be responsible for ensuring that "Vacancy Funding" is used to
increase headcounts and not for promotions, title changes, in-range salary
adjustments, or any other mechanism for increasing salaries for current
employees.

Any transfers or escalations
shall be made in accordance with the terms, conditions, and procedures
established by law or allowable under the terms set forth within this act.  The
State Personnel Board shall not escalate positions or increase the Personal
Services total without written approval from the Department of Finance and
Administration. The Department of Finance and Administration shall not provide
written approval to escalate any funds for salaries and/or headcounts without
proof of availability of new or additional funds above the appropriated level.
Unless specifically noted, all Fiscal Year 2026 escalated headcounts have been
accounted for and shall be converted to authorized time-limited headcounts.

No general funds authorized
to be expended herein shall be used to replace federal funds and/or other
special funds used for salaries authorized under the provisions of this act and
which are withdrawn and no longer available.

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.

If the agency's total
authorized headcount decreases from Fiscal Year 2026 to Fiscal Year 2027, it
will be the agency's discretion as to what headcounts are removed.

SECTION 8.  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 same
format and level of detail as maintained for Fiscal Year 2026.  It is further
the intention of the Legislature that the agency's budget request for Fiscal
Year 2028 shall be submitted to the Joint Legislative Budget Committee in a
format and level of detail comparable to the format and level of detail
provided during the Fiscal Year 2027 budget request process.

SECTION 9.  In
compliance with the "Mississippi Performance Budget and Strategic Planning
Act of 1994," it is the intent of the Legislature that the funds provided
herein shall be utilized in the most efficient and effective manner possible to
achieve the intended mission of this agency.  Based on the funding authorized,
this agency shall make every effort to attain the targeted performance measures
provided below:

FY2027

Performance Measures                                      Target

Health Services

State Infant Mortality Rate
(per 1,000

Live Births)                                       9.30

Percent of Women who
Received Prenatal

Care in First Trimester                           74.30

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)                       22.10

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                                           95.00

Percent of Mississippi
Population

Receiving Optimally
Fluoridated Water              40.00

Transfer Time of Level III
and IV Trauma

Centers to Appropriate
Facilities for

Treatment (Minutes)                              140.00

Communicable Disease

Primary and Secondary
Syphilis:  Case

Rate per 100,000                                  27.60

Tuberculosis:  Number of
Cases                            57

Tuberculosis:  Case Rate per
100,000                    1.94

HIV Disease:  Number of
Cases                            540

HIV Disease:  Case Rate per
100,000                    18.30

Rate of Two Year Old
Children Fully

Immunized (National
Immunization Survey:

4:3:1:3:3:1:4 series -
19 to 35 months)            75.00

Tobacco Control

Percent of Current Smokers
Among Public

Middle School Students                             1.50

Percent of Current Smokers
Among Public

High School Students                               2.10

Percent of Current Smokers
Among Adults

18 Years and Older                                15.20

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)                                60.00

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

in an Area Designated
as a Health

Professional Shortage
Area:  Dental                47.00

Percent of Mississippi
Population Living

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                    0

Number of Qualifying
Patients Approved                31,700

Number of Designated
Caregivers Approved                 388

Number of Registry
Identification Cards

Revoked                                             25

Total Number of Patients
with a Registry

Identification Card                              73,000

Number of Licensed Medical
Practitioners                 240

Number of Licensed Cannabis
Cultivation

Facilities                                         120

Number of Licensed Cannabis
Processing

Facilities                                          35

Number of Licensed Cannabis
Testing

Facilities                                           3

Number of Licensed Cannabis
Waste

Disposal Entities                                     6

Number of Licensed Cannabis

Transportation Entities                              19

Percent of Applications
Approved                       99.00

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 2028.

SECTION 10.  It is
the intention of the Legislature that with the funds provided herein, the State
Department of Health may provide and administer without charge, Hepatitis B
vaccinations to Emergency Medical Services (EMS) personnel who are in need of
such vaccinations through job related exposure.

SECTION 11.  In addition to all other sums
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 to the credit of the Local Governments and Rural Water
Systems Emergency Loan Fund, and the Local Governments and Rural Water System
Improvements Revolving Loan Fund as authorized in Chapter 521, Laws of 1995, to
the State Department of Health for the purpose of defraying the expenses of the
Local Governments and Rural Water Systems Improvements Board, for the fiscal
year beginning July 1, 2026, and ending June 30, 2027............................ $
8,300,000.00.

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 Fund (CWSRF) appropriations and from the supplemental Infrastructure
Investment and Jobs Act (IIJA) appropriations.

SECTION 12.  In addition to all other sums
heretofore appropriated, the following sum, or so much thereof as may be
necessary, is appropriated out of any money in the State Treasury to the credit
of the Local Governments and Rural Water Systems Emergency Loan Fund, and the
Local Governments and Rural Water System Improvements Revolving Loan Fund as
authorized in Chapter 521, Laws of 1995, to the State Department of Health for
the purpose of defraying the expenses of the Local Governments and Rural Water
Systems Improvements Board, for the fiscal year beginning July 1, 2026,
and ending June 30, 2027..........................

............................................. $
176,837,437.00.

SECTION 13.  Of the
funds appropriated under the provisions of this act, not more than the
following amount of funds, with the exception of the provisions in this
section, shall be expended only for "Personal Services," which
includes "Vacancy Funding," for the following authorized number of
employment headcount:

FUNDING:

General Funds:               $
0.00

Special Funds:               $
2,670,477.00

Total Funds:                 $
2,670,477.00

PERSONAL SERVICES:

Employee Salaries,
Wages, and

Fringe Benefits:            $
2,670,477.00

Progressions:                $
0.00

Vacancy Funding:             $
0.00

Total Personal
Services:      $  2,670,477.00

AUTHORIZED HEADCOUNT:

Permanent:
8

Time-Limited:                14

As used in this section, the
term "Personal Services" shall mean funds provided under the major
object of expenditure category Personal Services for Salaries, Wages, and
Fringe Benefits.  Funds in this category shall not be transferred to any other
category.

It is the intention of the
Legislature to ensure compliance with the Variable Compensation Plan, as
outlined in Section 25-9-147, Mississippi Code of 1972.  Payment from these
funds shall be in accordance with the Variable Compensation Plan promulgated by
the Mississippi State Personnel Board.  It is the Legislature's intention that
no employee's salary falls below the minimum salary established by the
Mississippi State Personnel Board.

The State Personnel Board
shall determine and publish the projected annual cost of "Personal Services"
based on monthly and year-to-date payroll expenditures in compliance with the
provisions of this act.

With the funds herein
appropriated, it shall be the agency's responsibility to ensure that no single
personnel action or combination of personnel actions, when annualized, exceeds
the Fiscal Year 2027 appropriation for "Personal Services" with the
exception of escalated funds.  Further, it shall be the agency's responsibility
to ensure that funds required to be appropriated for "Personal
Services" for Fiscal Year 2028 do not exceed Fiscal Year 2027 funds
appropriated for that purpose unless programs or positions are added to the
agency's Fiscal Year 2027 budget by the Mississippi Legislature.

If, at the time the agency
takes any action to change "Personal Services," the State Personnel
Board determines that the agency has taken or will take an action that would
cause the agency to exceed the funds appropriated in this act when annualized
for Fiscal Year 2027 or increase the need for "Personal Services" for
Fiscal Year 2028, when annualized, the State Personnel Board shall process no
salary actions until such time as the requirements of the provisions of this
section are met with the exception of new hires determined to be essential for
the agency.

When used in this section,
"Vacancy Funding" shall mean funds included in the Total Personal
Services amount listed above and designated for approved vacancies in Fiscal
Year 2027.  These funds are to be utilized to increase the number of filled headcounts
that were authorized but unfilled as of the last day of Fiscal Year 2026.  If
the agency fills additional headcounts after March 1, 2026, until the end of
Fiscal Year 2026, the amount of available Vacancy Funding may be proportionally
reduced to reflect the updated number of filled headcounts.  The agency shall
be responsible for ensuring that "Vacancy Funding" is used to
increase headcounts and not for promotions, title changes, in-range salary
adjustments, or any other mechanism for increasing salaries for current
employees.

Any transfers or escalations
shall be made in accordance with the terms, conditions, and procedures
established by law or allowable under the terms set forth within this act.  The
State Personnel Board shall not escalate positions without written approval
from the Department of Finance and Administration.  The Department of Finance
and Administration shall not provide written approval to escalate any funds for
salaries and/or headcounts without proof of availability of new or additional funds
above the appropriated level.  Unless specifically noted, all Fiscal Year 2026
escalated headcounts have been accounted for and shall be converted to
authorized time-limited headcounts.

No general funds authorized
to be expended herein shall be used to replace federal funds and/or other
special funds used for salaries authorized under the provisions of this act and
which are withdrawn and no longer available.

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.

If the agency's total
authorized headcount decreases from Fiscal Year 2026 to Fiscal Year 2027, it
will be the agency's discretion as to what headcounts are removed.

SECTION 14.  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 special funds for the purpose of child care licensure.  These funds
are to be transferred to the State Department of Health no later than July 31,
2026.  The State Department of Health shall make a complete accounting of the
uses of these funds to the Department of Human Services.

SECTION 15.  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
genetic disorder adrenoleukodystrophy and for whom Medicaid does not reimburse
the cost of providing the oil.  The department may also provide needed
pathology and biannual MRI exams.

SECTION 16.  Of the
funds appropriated in Section 1, Seven Hundred Thousand Dollars ($700,000.00)
are provided for the purpose of purchasing AIDS drugs and other necessary AIDS
related medical services.

SECTION 17.  Of the
funds appropriated herein, Two Hundred Fifty Thousand Dollars ($250,000.00) is
provided for the Breast and Cervical Cancer Program.

SECTION 18.  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 of Health for the fiscal
year beginning July 1, 2026, and ending June 30, 2027.... $
7,787,845.00.

SECTION
19.  Of the funds appropriated under the provisions of this act, not
more than the following amount of funds, with the exception of the provisions
in this section, shall be expended only for "Personal Services,"
which includes "Vacancy Funding," for the following authorized number
of employment headcount:

FUNDING:

General Funds:               $  2,410,715.00

Special Funds:               $
0.00

Total Funds:                 $
2,410,715.00

PERSONAL SERVICES:

Employee Salaries,
Wages, and

Fringe Benefits:            $
2,410,715.00

Progressions:                $
0.00

Vacancy Funding:             $
0.00

Total Personal
Services:      $  2,410,715.00

AUTHORIZED HEADCOUNT:

Permanent:
0

Time-Limited:                34

As used in this section, the
term "Personal Services" shall mean funds provided under the major
object of expenditure category Personal Services for Salaries, Wages, and
Fringe Benefits.  Funds in this category shall not be transferred to any other
category.

It is the intention of the
Legislature to ensure compliance with the Variable Compensation Plan, as
outlined in Section 25-9-147, Mississippi Code of 1972.  Payment from these
funds shall be in accordance with the Variable Compensation Plan promulgated by
the Mississippi State Personnel Board.  It is the Legislature's intention that
no employee's salary falls below the minimum salary established by the
Mississippi State Personnel Board.

The State Personnel Board
shall determine and publish the projected annual cost of "Personal
Services" based on monthly and year-to-date payroll expenditures in
compliance with the provisions of this act.

With the funds herein
appropriated, it shall be the agency's responsibility to ensure that no single
personnel action or combination of personnel actions, when annualized, exceeds
the Fiscal Year 2027 appropriation for "Personal Services" with the
exception of escalated funds.  Further, it shall be the agency's responsibility
to ensure that funds required to be appropriated for "Personal Services"
for Fiscal Year 2028 do not exceed Fiscal Year 2027 funds appropriated for that
purpose unless programs or positions are added to the agency's Fiscal Year 2027
budget by the Mississippi Legislature.

If, at the time the agency
takes any action to change "Personal Services," the State Personnel
Board determines that the agency has taken or will take an action that would
cause the agency to exceed the funds appropriated in this act when annualized
for Fiscal Year 2027 or increase the need for "Personal Services" for
Fiscal Year 2028, when annualized, the State Personnel Board shall process no
salary actions until such time as the requirements of the provisions of this
section are met with the exception of new hires determined to be essential for the
agency.

When used in this section,
"Vacancy Funding" shall mean funds included in the Total Personal
Services amount listed above and designated for approved vacancies in Fiscal
Year 2027.  These funds are to be utilized to increase the number of filled
headcounts that were authorized but unfilled as of the last day of Fiscal Year
2026.  If the agency fills additional headcounts after March 1, 2026, until the
end of Fiscal Year 2026, the amount of available Vacancy Funding may be
proportionally adjusted to reflect the updated number of filled headcounts.
The agency shall be responsible for ensuring that "Vacancy Funding"
is used to increase headcounts and not for promotions, title changes, in-range
salary adjustments, or any other mechanism for increasing salaries for current
employees.

Any transfers or escalations
shall be made in accordance with the terms, conditions, and procedures
established by law or allowable under the terms set forth within this act.  The
State Personnel Board shall not escalate positions or increase the Personal
Services total without written approval from the Department of Finance and
Administration.  The Department of Finance and Administration shall not provide
written approval to escalate any funds for salaries and/or headcounts without
proof of availability of new or additional funds above the appropriated level.
Unless specifically noted, all Fiscal Year 2026 escalated headcounts have been
accounted for and shall be converted to authorized time-limited headcounts.

No general funds authorized
to be expended herein shall be used to replace federal funds and/or other
special funds used for salaries authorized under the provisions of this act and
which are withdrawn and no longer available.

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.

If the agency's total
authorized headcount decreases from Fiscal Year 2026 to Fiscal Year 2027, it
will be the agency's discretion as to what headcounts are removed.

SECTION 20.  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 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 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, 2026, and ending
June 30, 2027.......... $   3,000,000.00.

SECTION 21.  It is
the intention of the Legislature that whenever two (2) or more bids are
received by this agency for the purchase of commodities or equipment, and
whenever all things stated in such received bids are equal with respect to
price, quality and service, the Mississippi Industries for the Blind shall be
given preference.  A similar preference shall be given to the Mississippi
Industries for the Blind whenever purchases are made without competitive bids.

SECTION 22.  It is
the intention of the Legislature that the Mississippi Department of Health shall
implement same day service to receive birth and death certificates.

SECTION 23.  It is
the intention of the Legislature that the Mississippi State Department
of Health shall provide the Joint Legislative Budget Committee a report of all
grants received by September 15, 2026.  This notification will consist of the
name of the grant and agency or nonprofit making the award, the award amount,
and a short list of goals to be achieved.

SECTION 24.  It is
the intention of the Legislature that the Mississippi State Department of
Health shall be the fiscal agent in all allowable grants awarded.

SECTION 25.  Of the
funds appropriated in Section 2, Seven Hundred Thousand Dollars ($700,000.00)
shall come from the Department of Education for the purpose of maintenance of
effort for the Early Intervention Program.  These funds are to be transferred
to the State Department of Health no later than December 31, 2026.  The State
Department of Health shall make a complete accounting of the uses of these
funds to the Department of Education.

SECTION 26.  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 cash spent in anticipation
of receiving federal reimbursement.  The length of indebtedness under this
provision shall not carry past the end of the quarter following the loan
origination.  Loan proceeds shall be received by the State Treasurer and shall
be placed in a Mississippi Department of Health designated special fund
account.  The division may pledge as security for such interim financing future
funds that will be received by the division.  Any such loans shall be repaid
from the first available funds received by the department in the manner of and
subject to the same terms provided in this section.

SECTION 27.  It is
the intention of the Legislature that the funds herein appropriated shall be
expended in compliance with Section 27-104-25, Mississippi Code of 1972, that
no state agency shall incur obligations or indebtedness in excess of their
appropriation and that the responsible officers, either personally or upon
their official bonds, shall be held responsible for actions contrary to this
provision.

SECTION 28.  With the
funds appropriated herein, it is the intention of the Legislature that the
Mississippi Department of Health is authorized to set the compensation of all
nurse PINs, Epidemiologists and Disease Intervention Specialist Series based on
the education and experience of the incumbent not to exceed the end salary as
established by the State Personnel Board.

SECTION 29.  It is
the intent of the Legislature that the Chairman of the Board of Health may
appoint an official replacement or representative with voting privileges to the
Advisory Board of the Office of Mississippi Physician Workforce.

SECTION 30.  It is
the intention of the Legislature that the State Health Officer shall have the
authority to transfer cash from one special fund treasury fund to another
special fund treasury fund under the control of the Department of Health.  It
is further the intention of the Legislature that the State Health Officer shall
submit written justification for the transfer to the 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.

SECTION 31.  Of the
funds appropriated in Sections 1 and 2 of this act, One Million Three Hundred
Eighty-two Thousand Two Hundred Fifty Dollars ($1,382,250.00) is provided for
the Office of Mississippi Physician Workforce as described in Section 41-123-5,
Mississippi Code of 1972.

SECTION 32.  Of the
funds appropriated in Section 1, it is the intention of the Legislature that
Eight Hundred Fifty-nine Thousand Nine Hundred Three Dollars ($859,903.00)
shall be allocated to the Domestic Violence program that is supported from
General Fund court assessments.

SECTION 33.  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, clinical
quality management, and administrative expenses not to exceed Five Million
Dollars ($5,000,000.00), to the agency for expenditure.  Upon such approval,
the Mississippi State Department of Health may expend such funds in the manner
authorized by law.  Funds may be made available to local HIV/AIDS service
providers.

The Executive Director of
the Mississippi State Department of Health shall submit to the Department of
Finance and 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.

SECTION 34.  Notwithstanding any other provision,
the Department of Health shall have the authority to escalate its headcount for
any additional operational needs related to Coronavirus State Fiscal Recovery
Funds, upon approval of the Department of Finance and Administration and the
State Personnel Board.

SECTION 35.  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 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 establishment
of any new positions or reclassification of existing positions.

SECTION 36.
Of the funds appropriated in Section 1, Ten Million Three Hundred Thousand
Dollars ($10,300,000.00) is allocated for the purpose of providing reimbursable
grants from the Office Against Interpersonal Violence as described in this
section.

The funds appropriated under this section shall be
expended by the State Department of Health as a reimbursable grant.  In
determining reimbursable expenses, the State Department of Health shall use
allowable costs as defined by the Office Against Interpersonal Violence.  Of the
funds in this section, up to Three Hundred Thousand Dollars ($300,000.00) may
be used by the department for administration of these funds.

SECTION 37.  Of the funds appropriated under the
provisions of Section 2 of this act, Four Million Five Hundred Sixty Thousand
Seven Hundred Sixty-five Dollars ($4,560,765.00) shall be derived from the
Opioid Settlement Fund as created in Section 27-103-305, Mississippi Code of
1972.  The abatement funds provided in this section shall be allocated as
follows:

Funding for the Opioid and Substance Use Disorder Program...

................................................ $
4,500,000.00

Funding for Delta Health Center to implement a
comprehensive Opioid Harm Reduction Program designed to prevent opioid-related
deaths in six (6) counties in the Mississippi Delta...........................

............................................... $     60,765.00.

SECTION 38.  As a condition of receiving and
expending the funds appropriated to the Mississippi Department of Health under
Section 37, a recipient designated under this section shall certify in writing
and under oath to the Department that no contract of compensation dependent on
the success or failure of legislation or executive action prohibited under
Section 5-8-13, Mississippi Code of 1972, has been entered into by the
recipient, with any individual or entity, in pursuance of such funding.  None
of the funds appropriated by this act shall be disbursed to a recipient or used
by a recipient who fails to make such certification or is found to be in
violation of such certification.

SECTION 39.  The following sum, or so much thereof
as may be necessary, is reappropriated out of any money in the Capital Expense
Fund not otherwise appropriated, for the Mississippi Department of Health for
the purpose of reauthorizing the expenditure of Capital Expense Funds as
authorized in House Bill No. 46, 2025 First Extraordinary Session, to provide
for the City of Jackson water litigation for the fiscal year beginning July 1,
2026, and ending June 30, 2027 $   3,770,690.00.

Notwithstanding the amount
reappropriated under the provisions of this section, in no event shall the
amount expended exceed the unexpended balances as of June 30, 2026. In
addition, this reappropriation shall not change the purpose for which the funds
were originally authorized.

SECTION 40.  Of the
funds appropriated in Section 1, One Million Dollars ($1,000,000.00) is
provided by the Legislature with the intention of providing funds in order to
develop capacity and infrastructure for the following public health
priorities:  obesity management, hypertension, heart disease, remote patient
monitoring, cancer screenings for individuals without health insurance, and for
the Obstetrical System of Care to address maternal and infant mortality.

SECTION
41.  The money herein appropriated shall be paid by the State Treasurer
out of any money in the State Treasury to the credit of the proper fund or
funds as set forth in this act, upon warrants issued by the State Fiscal
Officer; and the State Fiscal Officer shall issue his warrants upon
requisitions signed by the proper person, officer or officers, in the manner
provided by law.

SECTION 42.  This act
shall take effect and be in force from and after July 1, 2026.
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