Federal Issues

Federal Policy and Advocacy

The MHA works with our Congressional Delegation in Washington, DC to represent Michigan hospitals and their patients and communities. The association’s work in our nation’s capitol focuses on healthcare funding, access to affordable services and treatments, developing the future healthcare workforce and affordable health coverage.

ACA Repeal and Replace

Congress is working at a fast pace to repeal and replace the Affordable Care Act, and proposed replacement legislation would have a big impact on hospitals and patients. Learn more about Repeal and Replace.


The 340B Drug Pricing Program provides financial relief to safety-net hospitals from high prescription drug costs. Section 340B of the Public Health Service Act requires pharmaceutical manufacturers participating in Medicaid to sell outpatient drugs at discounted prices to health care organizations that care for uninsured and low-income patients. Learn more about 340B.


The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 makes sweeping changes to how Medicare will pay for physician services. The legislation repeals the flawed Medicare physician sustainable growth rate (SGR) formula and, instead, provides predictable payment increases. Learn more about MACRA.