Mississippi
Original investigative reporting on Mississippi corruption, pharmaceutical benefit manager (PBM) policy, the HB-1665 fight, Medicaid managed care contracting, donor-appointee pipelines, and the rural pharmacy access crisis. Mississippi is the entry point. The national system is the story.
Mississippi officials map
2,886 officials. Click a person, then open the campaign report desk for that office. State, legislative, and judicial candidates file with the Secretary of State. County candidates file a paper report with the circuit clerk.
82 counties
What we cover in Mississippi
- HB-1665 / Section 86 — the PBM reform bill that passed the House 113–4 and was killed in Senate Public Health by a strike-all amendment in March 2026.
- Senator Rita Parks & Phoenix Assurance LLC — the legislator who chaired the committee that killed HB-1665 while employed as VP/Managing Partner of a Mississippi-licensed pharmaceutical supply company.
- Governor Tate Reeves & the Centene/Magnolia contract — $370,000+ in career contributions; $3.8B Medicaid managed care contract amendment executed in March 2026 while HB-1665 reform was in conference.
- The $55.5M Centene overbilling settlement — what it established, what it didn’t fix, and what oversight failed.
- Senator Kevin Blackwell’s pre-procurement letter — the December 3, 2021 communication to then-DOM Director Drew Snyder, now an open FOIA target.
- The DOM revolving door — Drew Snyder’s departure October 31, 2024 and subsequent move to Capitol Resources.
- Rural pharmacy closures — 312 independent pharmacies closed in Mississippi 2010–2024.
- State Health Plan regulatory void — the 160,000-person plan explicitly exempt from state PBM regulation, ERISA, and the strongest provisions of CAA 2026.
- Federal referrals filed — HHS OIG, FTC, DOJ Antitrust.
Investigative posture
Roach Roundup’s Mississippi coverage is nonpartisan. Corruption, conflicts of interest, undisclosed financial interests, and procurement irregularities are flagged regardless of party affiliation. The same standard of documentation is applied across the spectrum.
Standards
All allegations are labeled either VERIFIED (confirmed public record) or QUESTION RAISED (documented facts not yet adjudicated). No reporting on this page constitutes a legal brief, indictment, or finding of wrongdoing.

