MHA Monday Report June 24, 2024

Help Protect 340B in Michigan: MHA Action Alert Available

Hospitals throughout Michigan rely on savings from the 340B Prescription Drug Pricing Program every day to spread scarce resources and care for those with limited or no access to healthcare. As manufacturers and other players at …


Registration Open for Workplace Violence Prevention Safe TableMHA Events

The MHA Keystone Center Patient Safety Organization (PSO) is hosting a Workplace Violence Prevention Safe Table from 12:30 to 4 p.m. Thursday, July 25 at the MHA Headquarters …



Update: Rural Cybersecurity Program

The White House held a briefing on June 14 with representatives from Google and Microsoft to elaborate on the cybersecurity program being offered to rural communities. These initiatives are designed to improve cybersecurity measures for rural hospitals across the United States …


Latest AHA Trustee Insights: Leadership at the System and Community Level

The June edition of Trustee Insights, the monthly digital package from the American Hospital Association, includes insights from four governing board chairs who respond to questions about the opportunities and challenges for the current and future state of health care and what inspires them as they chart the course ahead …


MHA Podcast Explores the Role of Artificial Intelligence (AI) in Healthcare

The MHA released a new episode of the MiCare Champion Cast exploring AI ‘s role in healthcare today and what it will look like in the future. The episode features Bruce Brandes, president of Care.ai and Monica Holmes, a PhD candidate in bioinformatics at the University of Michigan and a current member of the MHA AI Task Force …


The Keckley Report

The Healthcare Economy: Three Key Takeaways that Frame Public and Private Sector Response

“The health economy is expanding above the overall rates of population growth, overall inflation and the U.S. economy’s GDP.  Its long-term sustainability is in question unless monetary policies enable other industries to grow proportionately and/or taxpayers agree to pay more for its services. These data confirm its unit costs and prices are problematic.

As Campaign 2024 heats up with the economy as its key issue, promises to contain health spending, impose price controls, limit consolidation and increase competition will be prominent. Public sector actions will likely feature state initiatives to lower cost and spend taxpayer money more effectively. Private sector actions will center on employer and insurer initiatives to increase out of pocket payments for enrollees and reduce their choices of providers.

Thus, these reports paint a cautionary picture for the health economy going forward. Each sector will feel cost-containment pressure and each will claim it is responding appropriately. Some actually will. …”

Paul Keckley, June 17, 2024


News to Know

  • The MHA is hosting office hours virtually from 2 to 3 p.m. every Thursday through June 27 to assist hospitals in completing an application for The Joint Commission’s Maternal Levels of Care Verification. Members with questions about office hours should contact Ewa Panetta.
  • MHA Endorsed Business Partner CorroHealth will host a free webinar for members on June 26.

Help Protect 340B in Michigan: MHA Action Alert Available

Hospitals throughout Michigan rely on savings from the 340B Prescription Drug Pricing Program every day to spread scarce resources and care for those with limited or no access to healthcare. As manufacturers and other players at the state and federal level work to scale back the program, the MHA team is engaged in efforts to protect 340B and generate public awareness about the benefits it provides to Michigan patients and communities. Those interested in advocating for the 340B program are encouraged to contact House Insurance and Financial Services Committee members in a few quick steps through an MHA Action Alert.Two women hugging in a hospital setting with overlay text that reads, "340B Protects Access to Lifesaving Care" with text below that says learn more at MHA.org

The action alert requests committee members pass House Bill (HB) 5350, introduced by Rep. Alabas Farhat (D-Dearborn), to protect the 340B program and preserve healthcare cost-savings for Michigan hospitals and the communities they serve. The House Insurance and Financial Services Committee convened June 5 to hear testimony on the bill, allowing representatives from Henry Ford Health, Memorial Healthcare, McLaren Healthcare and Trinity Health to speak in support of the legislation.

Additionally, the MHA created a 340B webpage, downloadable infographic, digital ads and informational social media content. Targeted messages have been displayed more than 150,000 times to audiences in the downtown Lansing region.

Elizabeth Kutter, senior director of government and political affairs, MHA, provided first-hand insight on the strong impact of the 340B program in an MHA Rounds article.

“I’ve had countless conversations with our members about the benefits of 340B,” said Kutter. “The sentiment across the board – especially among rural hospitals and urban safety net hospitals – is that the program is essential for meeting patients where they are…every effort spent to manage the new onslaught of administrative burden created by manufacturers, is less savings going directly into communities in need of affordable care.”

The MHA continues to advocate for 340B and uplift the efforts of Michigan hospitals to expand access to quality, community-based care. Members with questions should contact Elizabeth Kutter at the MHA.

MHA Monday Report June 17, 2024

Cybersecurity Resources Available to Assist Rural Hospitals

The White House announced collaborative efforts June 10 aimed at strengthening cybersecurity for rural hospitals across the United States. Through this collaboration, Microsoft and Google announced a series of initiatives to provide free or discounted …


New Drug Linked to Overdose Deaths Across Michigan

The Michigan Department of Health and Human Services is warning Michigan residents and healthcare providers about medetomidine, a new drug identified in overdose deaths across the state. Medetomidine is a veterinary tranquilizer, similar to …



New Endorsed Business Partner Vault Verify Provides HR Data Solutions

The MHA’s Endorsed Business Partner (EBP) program promotes industry-leading firms. The EBP program connects member hospitals to solutions that alleviate pain points. The MHA recently endorsed Vault Verify, which is a leader in automated employment …


COMPACT Act Expands Emergent Suicide Care to Veterans

Effective January 2023, section 201 of the Veterans Comprehensive Prevention, Access to Care and Treatment (COMPACT) Act of 2020 allows eligible veterans to receive emergent suicide care in any Veterans Affairs (VA) or non-VA facility …


Protecting Community-based Care Through 340BMHA Rounds graphic, indicating thought leadership blog style post. Featuring Elizabeth Kutter pictured, woman with blonde hair smiling on the right.

Right now, a low-income patient in Northern Michigan is picking up a drug at a discounted price that they wouldn’t otherwise have access to. In another corner of the state, a cancer patient is receiving lifesaving treatment …


The Keckley Report

Can Medical Schools be Part of the Physician Discontent Solution?

“Friday, the House of Delegates of the American Medical Association began their Annual Meeting in Chicago where payment reforms will headline the meeting and resolutions to strengthen the profession voted on by the 1000 attendees. This meeting falls on the heels of welcome attention from Congress which seems sympathetic to physician pay issues as documented most recently in the Senate Finance Committee’s White Paper on Physician payment reforms. …

Modernizing medical school training to better prepare physicians for practice in the 21 century is needed in medical schools. As Deans are reducing lectures, implementing collaborative instructional methods, incorporating technology-enabled clinical decision support tools, expanding team-based learning experiences and expanding student exposure to non-hospital-based practice environments, resources should also be invested to prepare students to operate effectively as leaders and managers. …”

Paul Keckley, June 10, 2024


News to Know

  • MHA offices will be closed and no formal meetings will be scheduled June 19 in honor of Juneteenth.
  • The MHA is hosting office hours virtually from 2 to 3 p.m. every Thursday through June 27 to assist hospitals in completing an application for The Joint Commission’s Maternal Levels of Care  Verification.
  • MHA Endorsed Business Partner CorroHealth will host two free webinars for members to register.

Protecting Community-based Care Through 340B

MHA Rounds graphic, indicating thought leadership blog style post. Featuring Elizabeth Kutter pictured, woman with blonde hair smiling on the right.

MHA Rounds graphic, indicating thought leadership blog style post. Featuring Elizabeth Kutter pictured, woman with blonde hair smiling on the right. Byline: Elizabeth Kutter, Senior Director, Government & Political Affairs 

Right now, a low-income patient in Northern Michigan is picking up a drug at a discounted price that they wouldn’t otherwise have access to. In another corner of the state, a cancer patient is receiving lifesaving treatment, without having to make decisions between their care and their family’s needs.

Michigan hospitals care for our communities every day because of the savings they receive from the 340B Prescription Drug Pricing Program. Since being established by Congress in the early 1990s, this cost-saving program helps to spread scarce resources and provides a safety net to vulnerable patients and communities with limited or no access to healthcare.

The impact of 340B goes far beyond drug prices. It helps maintain community-based services at Federally Qualified Health Centers, cancer hospitals, HIV/AIDs clinics, critical access hospitals and tribal health centers among many other organizations. The program savings help eligible entities support mobile health clinics, cancer care access, financial assistance programs, meals on wheels, neonatal intensive care transports, behavioral health access and many other programs informed by the communities that benefit from the eligible program participants being in their backyard. 340B hospitals support community informed opportunities to positively impact public health.

In my role at the MHA, I’ve had countless conversations with our members about the benefits of 340B. The sentiment across the board – especially among rural hospitals and urban safety net hospitals – is that the program is essential for meeting patients where they are. The American Hospital Association shares a similar message, noting that 340B generates valuable savings for eligible hospitals to invest in programs that enhance patient services and access to care. The program’s design speaks directly to the ability for 340B covered entities to reflect on their community needs, it’s not a program that attempts to decide where savings need to go but instead focuses on the individual needs of every community being served resulting in increased quality of care and access to healthcare in all corners of Michigan.

Unfortunately, manufacturers and other players at the state and federal level are working to scale back the program and put arbitrary limits on program participation. The most recent and current attempt being to condition 340B contractual pharmacy relationships, harming the program’s ability to extend to patients in the places they live. Because of these attempts to frustrate the program, Michigan hospitals are at risk of losing their ability to provide affordable, accessible care to those in need. Every effort spent to manage the new onslaught of administrative burden created by manufactures, is less savings going directly into communities in need of affordable care.

Rarely are we presented with the opportunity to support meaningful access to drug cost reductions and affordable community care access, but House Bill 5350 allows us to do just that. The proposed legislation helps protect 340B at the state level to maintain healthcare cost-savings for our hospitals and the communities they serve. Contact your lawmaker and tell them how important 340B is to you, your community, and most importantly the patients you serve. Protecting our ability to care for our state’s most vulnerable patients is of the utmost importance, and HB 5350 does just that.

It’s our job to safeguard resources that advance the health of Michigan communities. I hope you’ll join me – and many others – in advocating for my favorite combination of numbers and letter: 340B.

Members with questions may contact me.

MHA Monday Report June 10, 2024

House Insurance Committee Hears Testimony on Bill to Protect 340B

The House Insurance and Financial Services Committee convened June 5 to hear testimony on House Bill 5350, introduced by Rep. Alabas Farhat (D-Dearborn), which would protect access to affordable prescription drugs and healthcare services …


Governor Signs Telehealth Parity & Behavioral Health Licensing Clarification Bills

Gov. Whitmer signed several MHA-supported bills during the week of June 3 related to telehealth services and behavioral health licensing. House Bills 4131, 4213, 4579 and 4580 (now referred to as Public Acts 51 – 53 of 2024) establish …


Maternal Levels of Care Toolkit Created to Assist with TJC Verification

A toolkit of resources is now available to assist hospitals with the application process for The Joint Commission’s (TJC’s) Maternal Levels of Care Verification. The toolkit contains resources from TJC and the Florida Perinatal …



MDHHS Distributes Funding to Michigan Universities to Support Behavioral Health Workforce

The Michigan Department of Health and Human Services (MDHHS) recently allocated $5 million to 12 Michigan universities to provide stipends to students pursuing a Bachelor of Social Work to Master of Social Work …


Expanded AMN Healthcare Partnership Offers Greater Member Solutions

The MHA’s Endorsed Business Partner program promotes industry-leading firms that can meet the most pressing needs of our member hospitals and health systems. The MHA recently endorsed a national leader in workforce solutions. The …


Health Facility State License Renewals Due July 31

The Michigan Department of Licensing and Regulatory Affairs announced the start of the 2024-2025 renewal cycle for health facilities operating under state licenses. This renewal applies to hospitals, psychiatric units, hospices, outpatient surgical facilities …


The Keckley Report

Handicapping the Players in the Quest for Healthcare Affordability

“As campaigns for November elections gear up for early voting and Congress considers bipartisan reforms to limit consolidation and enhance competition in U.S. healthcare, prospective voters are sending a cleat message to would-be office holders:

Healthcare Affordability must be addressed directly, transparently and now. …

Getting consensus to address affordability head on is hard, so not much is done by the sectors themselves. And none is approaching the solution in its necessary context—the financial security of a households facing unprecedented pressures to make ends meet. In all likelihood, the bigger, more prominent organizations in their ranks of these sectors will deliver affordability solutions well-above the lowest common denominators that are comfortable for most Thus, health care affordability will be associated with organizational brands and differentiated services, not the sectors from which their trace their origins. And it will be based on specified utilization, costs, outcome and spending guarantees to consumers and employers that are reasonable and transparent.”

Paul Keckley, June 3, 2024


MHA in the News

The MHA received media coverage the week of June 3 that includes coverage on the 340B drug pricing program and from the Mackinac Policy Conference on the healthcare workforce. Michigan Advance published an article June …

House Insurance Committee Hears Testimony on Bill to Protect 340B

Maureen D’Agostino, vice president of accreditation and regulatory CMS programs and provider and facility enrollment at McLaren Health Care testifying during The House Insurance and Financial Services Committee.

The House Insurance and Financial Services Committee convened June 5 to hear testimony on House Bill (HB) 5350, introduced by Rep. Alabas Farhat (D-Dearborn), which would protect access to affordable prescription drugs and healthcare services through the 340B Prescription Drug Pricing Program.

Testimony began with Marc Corriveau, JD, MHSA, vice president of corporate government affairs at Henry Ford Health, providing an overview of how savings from the 340B program allow vulnerable, uninsured patients to receive medical and behavioral healthcare services at little to no cost.

Sean Gehle, vice president of advocacy at Trinity Health Michigan, followed with additional examples of how the 340B program allows qualified safety net providers to extend scarce federal resources. Specifically, Gehle noted that the health system is able to provide financial assistance for prescription medications to patients in need.

Next, Ben Frederick, associate vice president of advocacy and government relations and Joseph Munroe, director of pharmacy at Memorial Healthcare, shared the impact the 340B Drug Pricing Program has in rural communities. Together, Frederick and Munroe explained how the program makes it possible for patients to receive routine and specialty care close to home including obstetrics, oncology, behavioral health and neurology care services.

Last to provide testimony was Maureen D’Agostino, vice president of accreditation and regulatory CMS programs and provider and facility enrollment at McLaren Health Care. D’Agostino overviewed how savings from the 340B program have helped McLaren offer comprehensive care for substance use disorder, cancer treatments and more. D’Agostino was accompanied by Deidra Wilson, vice president of government affairs at McLaren.

The MHA continues to advocate for the 340B program and uplift efforts by Michigan hospitals to expand access to quality, community-based care. Members with questions should contact Elizabeth Kutter at the MHA.

The Rural 340B Access Act of 2024 Introduced in the U.S. House

*This article was updated May 14 to accurately reflect current 340B eligibility requirements. 

The bipartisan Rural 340B Access Act of 2024 was introduced April 29 in the U.S. House of Representatives. Introduced by Reps. Jack Bergman (MI-01) and Debbie Dingell (MI-06), the legislation aims to enhance the Rural Emergency (REH) designation and ensure the continued operation of emergency department in rural areas through the expansion of 340B eligibility.

The Rural 340B Access Act addresses a previous oversight by Congress during the designation process, which excluded REHs from eligibility for the 340B drug discount program. This program is crucial for rural providers, including 20 hospitals in district 1 in Michigan.

The National Rural Health Association, the American Hospital Association and the MHA support this legislation.

Members with questions may contact Lauren LaPine at the MHA.

MHA Monday Report April 1, 2024

MHA Monday Report

Washington DC capitol buildingMHA Comments on SUSTAIN 340B Discussion

The MHA submitted comments to U.S. Sens. Debbie Stabenow (D-MI), John Thune (R-SD), Shelley Moore Capito (R-WV), Jerry Moran (R-KS), Tammy Baldwin (D-WI) and Benjamin L. Cardin (D-MD) on proposed changes to the 340B Drug Pricing Program. The discussion draft …


Behavioral Health Loan Repayment Program Available

The Michigan Department of Health and Human Services recently announced the upcoming Behavioral Health Loan Repayment program, offering up to $300,000 per award to repay educational debt. This program is offered as part of …


National Blood Collection and Utilization Survey: Response Requested

The CDC issued a National Blood Collection and Utilization Survey invitation to all U.S. blood collection centers and acute care hospitals that perform a minimum of 100 inpatient surgical procedures annually. The survey aims …


Latest AHA Trustee Insights Focuses on Importance of Children’s Health

The March edition of Trustee Insights, the monthly digital package from the American Hospital Association (AHA), outlines the array of challenges children are facing and the responsibility to help children reach their potential. Hospital strategic plans …


MHA Podcast Explores Important Role Hospitals Play in Public Health

The MHA released a new episode of the MiCare Champion Cast during National Public Health Week to explore how hospitals are engaged in public health. Featured guests include Julie Yaroch, D.O., president of ProMedica Charles and Virginia Hickman Hospital and senior vice …


MHA Rounds graphic with Brian PetersMHA CEO Report — Cybersecurity Takes Center Stage

So began a letter dated March 10 from Xavier Becerra, the Secretary of the U.S. Department of Health and Human Services (HHS), referencing what is emerging as one of the most extensive and impactful cyberattacks in U.S. history. …


The Keckley Report

Paul KeckleyIs Private Equity the Solution or the Problem in Healthcare?

“Of late, private equity investors in healthcare services have faced intense criticism that their business practices have compromised patient safety and raised costs for consumers. March 5, the FTC, DOJ and HHS announced the launch of an investigation into the inner workings of PE in healthcare. It comes on the heels of U.S. Senate investigations in their Finance, HELP and Budget Committees to explore legislative levers they might pull to address their growing concerns about affordability, competition and accountability in the industry. …

PE is part of healthcare’s solution to its poorly structured, perpetually inadequate and mal-distributed funding. But creating a level playing field through meaningful regulatory reform is necessary first. …”

Paul Keckley, March 25, 2024


News to Know

  • Registration is now open for the 2024 MHA Graduate Medical Education Capitol Day, scheduled from 8:30 a.m. to 3:30 p.m. Wednesday, May 1, at the MHA Capital Advocacy Center.
  • Registration is open for the 2024 Michigan Maternal Infant Health Summit scheduled June 17-18 at the Lansing Center.

MHA Comments on SUSTAIN 340B Discussion

Washington DC capitol building

Washington DC capitol buildingThe MHA submitted comments to U.S. Sens. Debbie Stabenow (D-MI), John Thune (R-SD), Shelley Moore Capito (R-WV), Jerry Moran (R-KS), Tammy Baldwin (D-WI) and Benjamin L. Cardin (D-MD) on proposed changes to the 340B Drug Pricing Program. The discussion draft circulated by this group follows their 2023 340B Request for Information, which also received comment from the MHA.

The Supporting Underserved and Strengthening Transparency, Accountability, and Integrity Now and for the Future of (SUSTAIN) 340B Act discussion draft includes several key provisions that would impact the 340B program. Specifically, the draft aims to address contract pharmacy arrangements, the definition of a patient for purposes of 340B, transparency, recognition of 340B child sites, program integrity, prevention of duplicate discounts, enhancing equitable treatment of program entities, user fees and implementation details. The MHA is pleased to be a part of these important discussions and appreciates the opportunities presented to weigh in on any changes to the program.

The MHA commentary on the discussion draft and suggested changes to the program include:

  • Ensuring 340B covered entities can contract with pharmacy partners to the extent that best serves their individual needs.
  • Opposing restrictions to a covered entity’s ability to contract with a pharmacy of their choosing.
  • Including a broad definition of patient to meaningfully impact drug affordability for individuals served by 340B hospitals.
  • Cautioning against new reporting or transparency requirements given existing requirements on participants and the need to protect against new administrative requirements and burdens on Michigan 340B hospitals. Covered entities should be able to share and tell their 340B stories and information in the manner that best fits each individual entity.
  • Broadly accepting child sites for purposes of the program. Healthcare delivery continues to evolve and child sites are an opportunity to deliver care to patients in a space that makes the most sense to both the program participant and the patient themselves. Recognition of child sites within the context of 340B improve and increase access to care for vulnerable populations.
  • Maintaining existing structure that allow covered entities to assess and prevent duplicate discounts. This includes partnership between all program participants when it comes to information sharing to ensure integrity while identifying both state and federal opportunities to better understand and streamline prevention of duplication of discount.
  • Opposing the implementation of a user fee while supporting appropriations for administration of the program.

Members with questions on 340B advocacy and engagement can reach out to Elizabeth Kutter at the MHA.