Investigation · PBM Reform · Mississippi

Mississippi Sen. Rita Parks chairs Public Health. She is Vice President and Managing Partner of a pharmaceutical logistics company moving $1.3B in drugs a year. Her PAC donors include Molina Healthcare (which holds $3.8B in Mississippi Medicaid contracts) and UnitedHealth Group (parent of OptumRx, the largest PBM in America). Then she hijacked the only PBM reform bill in the state — using a fiscal estimate supplied by the state health plan’s own PBM, CVS Caremark. Here is the full file.

By Rebecca Bruckner · Roach Roundup · Rebecca@RoachRoundup.com
$3.8B
Molina’s active MS Medicaid managed-care contract. Molina gave Parks $500 — nine weeks before her strike-all.
$34M
The fiscal estimate cited in Senate debate — built using data attributed to CVS Caremark, the state health plan’s own PBM.
“Employee”
What her SEI says she is. VoteSmart · ZoomInfo · ContactOut all say VP & Managing Partner.

01The Short Version

Mississippi was the only state with an active Pharmacy Benefit Manager reform bill alive in the 2026 session. HB-1665, authored by Rep. Hank Zuber (R-Ocean Springs), cleared the House 79-38 on February 4, 2026 with anti-steering protections independent pharmacists had been demanding for three years.

It reached the Senate Public Health & Welfare Committee. The chair, Sen. Rita Parks (R-Corinth), introduced a “strike-all” amendment that gutted the bill. She removed the anti-steering ban. She imposed a mandatory $11.29 per-prescription dispensing fee that the Legislative Budget Office projected at $34–$50 million a year against the State Health Insurance Plan. The Trump White House opposed it. The Mississippi Business Alliance opposed it. Speaker Jason White opposed it. Sen. Jeremy England opposed it on the Senate floor.

Parks passed it anyway, 44-7. The House refused to concur. HB-1665 died March 26, 2026. Mississippi still has no PBM reform.

What didn’t make the news coverage:

  • Sen. Parks is Vice President and Managing Partner of Phoenix Assurance LLC — a pharmaceutical logistics company moving ~$1.3B in drug product a year through the former Hikma distribution center in Memphis. She listed herself as “Employee” on her Statement of Economic Interest.
  • The $34M fiscal estimate her opponents tried to use was supplied by CVS Caremark — the state health plan’s own PBM. Sen. Daniel Sparks said so on the Senate floor.
  • Parks’ PAC donors in the 12 months before the strike-all include Molina Healthcare ($500) — holder of an active $3.8B Mississippi Medicaid contract — and UnitedHealth Group ($500) — parent of OptumRx, the largest PBM in America.
  • Her 2023-to-2024 cash-on-hand jumps $16,403 with no corresponding contribution entries to explain it.

02Who Rita Parks Is

Rita Potts Parks represents Senate District 4 in the Mississippi Senate — parts of Alcorn and Tippah counties in the northeast corner of the state. Republican. In office since January 2012. Current term through January 4, 2028.

Her education is in biology (A.A. Northeast Mississippi Community College, B.S. University of Mississippi). Ballotpedia describes her career politely: “working as a quality and regulatory manager for a major pharmaceutical corporation.” That sentence is doing a lot of work — it is not the whole truth.

The “quality manager” framing is a 38-year pharma career

Her VoteSmart biography documents the actual path: Schering-Plough (1987-1997), CCI Custom Manufacturing (1997-2000), ACT Manufacturing (2000-2001), Marietta Corp (2001-2004), Baxter International (2004-2011), Hikma Pharmaceuticals/West-Ward (2011-2019), and Vice President / Managing Partner at Phoenix Assurance LLC since May 2019.

She is not observing the pharmaceutical industry. She is deeply embedded in it. And she is simultaneously the state senator who chairs Mississippi’s Public Health and Welfare Committee. She is also a listed member of the Parenteral Drug Association (PDA) — the global trade association for injectable and IV drug manufacturers.

03The Job She Downgrades on Paper

Phoenix Assurance LLC is a pharmaceutical third-party logistics provider at 4750 Pleasant Hill Road, Memphis, Tennessee 38118 — the former distribution center of West-Ward Pharmaceutical (now Hikma Pharmaceuticals), where Parks worked until 2019.

From Phoenix Assurance’s own marketing: the Memphis Distribution Center averages $1.3 billion annually in pharmaceutical product shipped. The company website states the managing partners “collectively have over 75 years’ experience in the pharmaceutical industry and previously worked for one of the top 20 generic prescription medication providers in the U.S.” That description is Hikma.

Her title is verified in three independent professional databases: VoteSmart, ZoomInfo, and ContactOut — all list her as Vice President and Managing Partner. Phoenix Assurance also holds Mississippi Board of Pharmacy License #18503.

She is a Vice President and Managing Partner. Three databases agree. Her Mississippi Statement of Economic Interest says “Employee.”

05The SEI Discrepancy

Mississippi requires elected officials to file an annual Statement of Economic Interest. Miss. Code 25-4-27 requires disclosure when the filer is an officer of a business. Vice President is an officer. Managing Partner is an ownership/leadership role. Her SEIs for 2019 forward list her employer as some variation of “Phoenix Assurance” and her position as “Employee.”

Filing Anomaly Two pairs of back-to-back SEI filings carry identical form numbers. 2019 SEI and 2020 SEI both carry form number 2021068382. 2021 SEI and 2022 SEI both carry form number 2022074237.

The potentially operative Mississippi statutes are Miss. Code 25-4-105 (use of office for benefit) and 25-4-107 (complaints, removal, jury trial rights).

06The Committees She Controls

Committee Role What It Governs
Public Health & Welfare Chairman Every PBM, pharmacy, and public-health bill passes through this committee
Medicaid Member MississippiCAN managed care; pharmacy reimbursement
Business & Financial Institutions Member Insurance commissioner jurisdiction
Appropriations Member Funding for Division of Medicaid, Board of Pharmacy, Insurance Dept
County Affairs Member Local pharmacy closures; rural health infrastructure
Investigate State Offices Member Oversight of state agencies regulating pharmacy

The chair of the committee that writes pharmacy law is the Vice President of a pharmaceutical logistics company.

07HB-1665: The Hijack, Step by Step

In Mississippi legislative practice, a “strike-all” amendment replaces the entire text of a bill with new language while keeping the original bill number. What Parks did to HB-1665 is not normal legislative give-and-take. It is a procedural maneuver — a strike-all amendment that replaced every word of an already-passed House bill with entirely new Senate text.

What the strike-all actually did

  • Removed the anti-steering prohibition. Parks confirmed this directly: her amendment did remove steering language from the House version.
  • Imposed an $11.29 mandatory dispensing fee that the LBO projected at $34–$50M annually against the State Health Insurance Plan.
  • Preserved Board of Pharmacy jurisdiction instead of the House-specified Insurance Commissioner oversight.
  • Reinstated the Senate’s own failed PBM framework from three prior sessions.

08The CVS Caremark Fiscal Estimate

On the Senate floor on March 10, 2026, Sen. Daniel Sparks (R-Belmont) asked a direct question:

“I just want to make sure that your fiscal note was not prepared by PBMs.”

— Sen. Daniel Sparks, Mississippi Senate floor, March 10, 2026

It had been. The $34 million LBO fiscal note was based on cost data attributed to the state health plan’s pharmacy benefit manager. The state health plan’s PBM — confirmed in the 2025 State and School Employees’ Health Plan Document — is CVS Caremark, one of the three PBMs controlling roughly 79% of all U.S. prescription drug claims.

CVS Caremark had a direct financial interest in the outcome of HB-1665. The anti-steering ban would have constrained its vertically integrated model — CVS owns the insurer (Aetna), the PBM (Caremark), and the pharmacy (CVS retail). The cost data CVS supplied became part of the legislative argument against the House bill’s version of PBM regulation.

Sources: Mississippi Today, Mar 10, 2026.

09The NADAC Conflict

NADAC stands for “National Average Drug Acquisition Cost.” By definition, it is the average price at which pharmaceutical wholesalers sell drugs to pharmacies — a wholesale-to-pharmacy pricing benchmark.

Parks authored SB-2677 (2025) and strike-all amendments to HB-1123 and HB-1665 that set NADAC as the statutory minimum pharmacy reimbursement floor for Mississippi Medicaid.

Phoenix Assurance’s clients are pharmaceutical wholesalers. Parks authored legislation writing the wholesalers’ own pricing benchmark into Mississippi Medicaid law — a federally funded program.

Read that chain carefully: The state senator who chairs Public Health & Welfare is Vice President of a pharmaceutical logistics company serving pharmaceutical wholesalers. She authored legislation making those wholesalers’ pricing the floor of Medicaid reimbursement.

Federal Medicaid statute (18 U.S.C. 666) addresses self-dealing by officials with regulatory authority over federally funded programs. These facts raise questions that fall within HHS-OIG’s jurisdiction.

10Follow the Money — Her PAC Donors

Editorial note: No public record reviewed for this report establishes a direct causal connection between these contributions and any specific legislative action by Sen. Parks. The filings reflect what they reflect — a pattern of contributions from entities with direct financial stakes in PBM regulation, recorded in the months preceding legislation that materially affected those entities’ business models.

Donor Amount Date Why It Matters
Molina Healthcare $500 Dec 18, 2025 Holds active $3.8B Mississippi Medicaid managed-care contract through 2028 (awarded Aug 12, 2024). 79 days before the strike-all.
UnitedHealth Group $500 Dec 31, 2024 Parent of OptumRx — one of the three largest PBMs in America.
Ten One PAC $1,000 2025 Registered Mississippi lobbying firm. Client list for 2025 is the key question.
Math gap Across Parks’ reports there is a $16,403 jump in cash on hand between the end of 2023 ($57,542) and the start of 2024 ($73,945). No contribution entries visible in her 2023–2024 reports account for the difference.

11The Husband in the Record Gap

Rita Parks is married to Mike Parks. Mike Parks does not appear in any publicly searchable pharmaceutical, healthcare, or lobbying record under that name connected to Corinth, Kossuth, or Alcorn County. His occupation is not publicly disclosed in any source reviewed.

That absence is a structural problem with Mississippi’s disclosure law: Mississippi’s financial disclosure laws for legislators do not require spouses’ employment to be reported.

13What She Said vs. What She Did

Rita Parks said What her amendment actually did
“This bill ensures that patients in rural communities can access health care from independent pharmacists.” Removed the anti-steering ban — the provision that stops PBMs from directing patients away from rural independent pharmacists.
Cited the LBO’s $34M cost estimate as fiscal proof. Sen. Sparks exposed on the Senate floor that the estimate was built using data attributed to CVS Caremark — the state health plan’s own PBM.
After the bill died: “This wasn’t about policy — it was about power.” Said by the senator who used a strike-all amendment — the most power-concentrating procedural tool in any legislature.

14The Pattern: Three Bills, Three Kills

2026 is not a one-off. Parks has been the lead Senate author on PBM legislation for three consecutive sessions: 2024 (Senate PBM effort, died in conference), 2025 (SB-2677 and HB-1123, did not become law), 2026 (HB-1665 strike-all, died March 26). Parks said it out loud: the strike-all “essentially reinstated PBM reform language the Senate has introduced for the past three years.”

16Open Questions for Regulators and Reporters

For the Mississippi Ethics Commission — (601) 359-1285

  • Was Parks’ disclosure of “Employee” at Phoenix Assurance LLC compliant with Miss. Code 25-4-27‘s officer-disclosure requirement?
  • Explain the duplicate SEI form numbers for 2019/2020 and 2021/2022.
  • Has Parks ever filed a formal recusal from any pharmacy-, PBM-, Medicaid-, or pharmaceutical-related vote?

For HHS Office of Inspector General

  • A state legislator authoring statutory language that embeds a wholesale pricing benchmark (NADAC) into a federal Medicaid reimbursement floor, while simultaneously serving as VP of a pharmaceutical logistics company downstream of those wholesalers, warrants review.

For Mississippi Attorney General Lynn Fitch

  • Does Miss. Code 25-4-105 (use of office for benefit) warrant review in this case?

She did not just vote on PBM policy. She built PBM policy — from a chair she holds in a state Senate, writing rules for an industry in which she serves as Vice President, in a legislative session funded in part by donors with direct stakes in Mississippi Medicaid, against a bill whose cost estimate was built on data from the state’s own PBM. Four positions. One senator. One dead bill. Readers can finish the sentence.

— Roach Roundup

Investigation: Roach Roundup · Rebecca Bruckner, Investigative Reporter

Contact: Rebecca@RoachRoundup.com · 404-580-4415

Full hub: roachroundup.com · Follow: @RoachRoundup on X

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