MHA Monday Report March 23, 2026

Mandatory Overtime, Assisted Outpatient Treatment Legislation Advances

Several key healthcare bills, including mandatory nurse overtime, assisted outpatient treatment, Certificate of Need and site-neutral payment policies, saw action in the legislature during the week of March 16. The Senate Regulatory Affairs …


Michigan Legislature Announces Commitment to Pass the IMLC Before March 28 Deadline

Following negotiations finalized March 19, Senate Majority Leader Winnie Brinks (D-Grand Rapids) announced plans to pass legislation authorizing Michigan’s continued participation in the Interstate Medical Licensure Compact (IMLC). The MHA thanks state lawmakers for their commitment …


MHA Shares Latest Medicare and Medicaid Enrollment Analysis

The MHA recently updated its analysis of Medicaid and Medicare enrollment based on February 2026 data. The analysis includes program enrollment as a percentage of each county’s total population and the split between fee-for-service and …


The MHA Annual Membership Meeting Offers Learning and Networking

The MHA membership will convene in person for the MHA Annual Membership Meeting June 24-26 on Mackinac Island. The event provides an opportunity to learn, network and celebrate …


Federal Court Pauses Vaccine Policy Changes

A U.S. District Court judge issued a ruling March 16 in American Academy of Pediatrics v. Robert F. Kennedy Jr. that places a hold on several changes to federal vaccine policy made over the past …


Health Access & Community Impact Office Hours Highlight 211 Data

The MHA will host the next Health Access & Community Impact Office Hours session on April 29 from noon to 12:45 p.m., featuring Michigan 211. The session, Understanding Regional Needs: A Data Driven Look at Michigan’s …


Applications Open for Governance Fellowship, Current Class Convenes

The MHA is now accepting applications for the Excellence in Governance Fellowship which will be held from October 2026 through June 2027. The comprehensive program is designed to support hospital and health system trustees in strengthening governance …


The State of Healthcare Leadership: Risks, Reality and Readiness

MHA Endorsed Business Partner AMN Healthcare and B.E. Smith recently released the Healthcare Leadership Trends for 2026 Report, based on a national survey of more than 700 healthcare executives across hospitals and health systems. The report …


Hospitals Help Michigan Students Pursue Healthcare Careers

Healthcare remains the state’s largest employer of direct, private-sector jobs. With this in mind, hospitals are finding innovative ways to give Michigan students the opportunity to gain real-world exposure to clinical and non-clinical healthcare roles. …


Keckley Report

Health Literacy: Out of Sight, Out of Mind in the Healthcare Industry

“Of industries monitored in the Bureau of Labor Statistics’ industry classifications (NAICS), healthcare is unique: its business model is based on business to business (B2B) transactions between suppliers (drugs, devices, technology, hospitals, ancillary facilities), intermediaries (GPOs, PBMs, insurers, brokers) and retail distributors (physicians, pharmacists, therapists, et al) in which end-users (consumers) have limited influence and unpredictable financial responsibility. The acceptance of low health literacy is institutionalized in state and federal regulatory oversight, labor rules and scope of practice determinations and funding by private investors, public appropriations, employer contributions and out-of-pocket payments by consumers. Its acceptance is inconsistent with aims to make it more accessible, affordable and effective. …

For too long, health literacy has been relegated to discussions among public health officials. Its neglect is harmful to every organization in healthcare and to its long-term sustainability. Boards should weigh in, and policymakers should act. Health literacy can ill-afford being out of sight, out-of mind in the U.S. health system and in the society we serve.”

Paul Keckley, March 15, 2026

Federal Court Pauses Vaccine Policy Changes

A U.S. District Court judge issued a ruling March 16 in American Academy of Pediatrics v. Robert F. Kennedy Jr. that places a hold on several changes to a federal vaccine policy made over the past year.

The decision reverses actions taken by the Centers for Disease Control and Prevention’s (CDC) Advisory Committee on Immunization Practices (ACIP) since summer 2025, including updates to the childhood vaccine schedule, changes to COVID-19 vaccine recommendations and a revised hepatitis B recommendation.

The court found that the CDC exceeded its authority by reducing the number of routinely recommended childhood vaccines without consulting ACIP, that newly appointed ACIP members did not meet the expertise requirements outlined in the committee’s charter and that changes to the vaccine schedule were not supported by evidence. The ruling states that established scientific and legal processes for developing vaccine policy were not followed.

As a result, vaccine recommendations in place prior to June 2025 are reinstated, new policy changes cannot be implemented and recent ACIP decisions are reversed. Previously revised vaccine recommendations return to prior status and insurance coverage at no cost to patients remains in place under federal law.

The ruling is a temporary stay, not a final decision, and the U.S. Department of Health and Human Services has said it will appeal.

Members with questions may contact Kelsey Ostergren at the MHA.

DIFS Releases Bulletin Protecting COVID-19 Vaccinations

The Michigan Department of Insurance and Financial Services (DIFS) issued a bulletin on Oct. 16 advising health insurers in the individual and small group markets to continue covering COVID-19 vaccinations without cost-sharing.

The bulletin was released in accordance with Gov. Whitmer’s Executive Directive 2025-7. The executive directive instructs the Michigan Department of Health and Human Services, DIFS and the Michigan Department of Licensing and Regulatory Affairs to work collaboratively to ensure COVID-19 vaccines are available to all Michiganders.

The DIFS bulletin states that under existing state law, all insurers in the individual and small group market must cover immunizations recommended by the federal Advisory Committee on Immunization Practices (ACIP). The ACIP continues to recommend the COVID-19 vaccine as of Oct. 16.

Members with questions regarding the bulletin should contact Megan Blue at the MHA.

HHS Replaces ACIP Members, Future Vaccine Policy Unclear

The U.S. Department of Health and Human Services Secretary Robert F. Kennedy Jr. announced June 9 the removal of all 17 members of the Advisory Committee on Immunization Practices (ACIP). This independent body is comprised of experts in infectious disease, epidemiology, pediatrics, internal medicine and public health. ACIP plays a central role in guiding U.S. vaccine policy through the evidence-based recommendations it puts forth to the Centers for Disease Control and Prevention (CDC), which directly influences vaccine schedules, insurance coverage, provider reimbursement and programs such as Vaccines for Children.

Kennedy announced eight replacements June 11 on social platform X. The appointments mark a potential significant change in the future of federal vaccine policy. While past ACIP recommendations and resources remain available through the CDC, it remains unclear how the new members and administration will guide national immunization practices.

The MHA remains committed to assisting members in increasing vaccine uptake and avoiding the spread of vaccine preventable diseases, as the evidence is indisputable that vaccines are the best tool available to prevent severe illness and save lives. The association continues to monitor the potential impacts that may result from the changes to ACIP.

Members are encouraged to share feedback on the impact of these changes to existing organizational vaccine policies with Kelsey Ostergren at the MHA.