IMLC Moves Through Committee & Executive Budget Recommendation Presented

Several noteworthy healthcare issues saw attention the week of Feb. 3 by state lawmakers and policymakers, including the Interstate Medical Licensure Compact (IMLC) moving through the Senate Health Policy Committee, a reintroduction of the Momnibus bill package and Gov. Whitmer presenting her executive budget recommendation.

The Senate Health Policy Committee heard testimony and voted unanimously in support of Senate Bill (SB) 60 on Feb. 5. SB 60 removes the sunset on the Interstate Medical Licensure Compact, which streamlines the licensing process and allows physicians licensed in one state to practice in multiple, participating states. With the compact set to expire on March 28, the MHA is working quickly with legislators to re-introduce and pass this important legislation to maintain the agreement.

Also, the Michigan Senate reintroduced the Momnibus, a group of bills designed to improve health outcomes and accountability in prenatal and maternal healthcare during the week of Feb. 3. The legislation includes SBs 2939, which focus on addressing access barriers, improving access to care and ensuring better patient outcomes for all birthing individuals, particularly those from African American and Brown communities.

The Momnibus makes several changes aimed at improving maternal healthcare, including creating opportunities for patients to directly engage in their treatment experience, implementing policies that support patient rights and provide coverage for certain perinatal and gynecological services. The bills also expand midwifery services, improve data transparency about maternal health outcomes and protect patient rights related to pregnancy and childbirth.

The bills have been referred to respective Senate committees. The MHA worked closely with the bill sponsors to improve access to maternal care and support SBs 29, 30, 31, 36, 38 and 39.

The final and major highlight of the week was the executive budget recommendation released by Gov. Whitmer and Budget Director Jen Flood on Feb. 5 for fiscal year 2026. The governor’s budget expands on essential funding for Medicaid, behavioral health services and substance use disorder prevention and treatment programs. The expansion of Medicaid funding allows more elderly and disabled beneficiaries to meet eligibility requirements without having to spend down their own assets to do so. In addition, it includes continued funding and resources dedicated to maternal and infant health.

MHA CEO Brian Peters released a media statement in support of the executive budget recommendation, applauding Gov. Whitmer’s commitment to being a healthcare champion.

Members with questions may contact Adam Carlson at the MHA.

MHA Monday Report Feb. 3, 2025

Important Healthcare Workforce Bills Reintroduced & Committee Assignments Announced

Important healthcare workforce bills related to the interstate medical licensure compact prohibitions on non-compete agreements were reintroduced from the past legislative session by the Michigan Legislature during the week of Jan. 27. In addition, committee …


MHA Webinar to Review 2025 MI-AIM Eligibility Requirements

The MHA will host an informational webinar at 2 p.m. Thursday, Feb. 6 to review 2025 eligibility requirements for hospital birthing units to receive maternal health quality payments through the Michigan Department of Health and …


BEAD Program Opens to Support Broadband Access in Michigan

The Broadband Equity, Access, and Deployment (BEAD) program recently opened its two-step application process through 4 p.m. April 9, 2025, with pre-applications required for submission by 4 p.m. March 10. The program is part of …


Speaking Health Care™ Guide Assists with Understanding Language

Orientating new trustees extends far beyond a single session. New members usually require months to get fully up-to-speed on strategic priorities and the basic expectations for trustees. A daunting challenge is interpreting language about operations, clinical care, …


Keckley Report

Bill Maher Rant is Shared by Most

“Last Friday (January 24), comedian Bill Maher offered a perspective on the murder of UnitedHealth Executive Brian Thompson on HBO’s Real Time with Bill Maher. With characteristic profanity-laced sarcasm, he assailed insurers, hospitals, drug companies, doctors and enablers as complicit in BT’s death because “the system” has abandoned any semblance of concern about caring for people. …

Healthcare insiders now face an unwelcome reality: outsiders aren’t happy and they’re acting on their discontent. Outsiders–employers, consumers, community leaders, state and federal elected officials, news organizations and even volunteer members of non-profit healthcare organizations– believe systemic reform is needed. Recent polling by Hart and KFF indicate increased transparency about healthcare prices is their starting point: they’re worried about affordability but don’t think insiders care. …

Like Bill Maher and the majority of outsiders, they think the system stinks. Healthcare—every sector– needs to fresh start with outsiders. Transparency means more than posting charges, discounted prices, out-of-pocket estimates and premiums. It about underlying direct and indirect costs, margins, how leaders are compensated, how clinical processes and clinical decisions are made, how clinician performance is measured, how denials are adjudicated, how consumers are heard, how non-financial results matter to the organization and much more. That’s a start.”

Paul Keckley, Jan. 27, 2025


News to Know

  • The Michigan Society of Healthcare Risk Management is now accepting nominations for the Paul Venzke Award for Outstanding Performance in the field of Healthcare Risk Management.
  • The MHA is hosting a series of free webinars focused on healthcare workforce challenges, featuring insights from MHA Endorsed Business Partners.

MHA CEO Brian Peters

MHA in the News

MHA CEO Brian Peters was quoted by media outlets the week of Jan. 27 discussing federal healthcare issues. Bridge published an article Jan. 27 about the temporary pause of external communications from federal health agencies. …

Important Healthcare Workforce Bills Reintroduced & Committee Assignments Announced

Important healthcare workforce bills related to the interstate medical licensure compact and prohibitions on non-compete agreements were reintroduced from the past legislative session by the Michigan Legislature during the week of Jan. 27. In addition, committee assignments were announced for the Michigan House of Representations.

House Bill 4032, sponsored by Rep. Rylee Linting (R-Grosse Ile), was introduced and referred to the Health Policy Committee. This legislation is a re-introduction from last term to eliminate the sunset on the interstate medical licensure compact, which streamlines the licensing process and allows physicians licensed in one state to practice in multiple, participating states.

By removing additional licensing requirements for physicians seeking to practice across state lines, patients experience increased access to care, especially in rural and underserved areas, by physicians included in the compact. In addition, states involved in the compact can share disciplinary and investigative information through the state medical board to strengthen public protection for patients and the program itself. Michigan’s participation in the compact is currently set to expire on March 28, 2025. The MHA supports this legislation and is working quickly with legislators to move it through the legislative process before the compact’s current expiration date.

Also, House Bill 4040 was reintroduced by Rep. Denise Mentzer (D-Mount Clemens) to prohibit employers from requiring employees agree to certain noncompete agreements. The bill has been referred to the Committee on Economic Competitiveness. The MHA is opposed to this legislation.

Another key legislative update from the week was the announcement of full House committee assignments. There are 18 Standing Committees this term, with notable committees including Appropriations, Education and Workforce, Health Policy, Insurance, Oversight and Regulatory Reform.

New to this term are the subcommittees on Oversight and traditional MDHHS appropriations. Both committees now include specific subcommittees addressing items like public health, while the Appropriations subcommittee is divided into three separate subcommittees on Human Services, Medicaid and Behavioral Health, and Public Health. Finally, there is a newly created Select Committee on Protecting Michigan Employees and Small Businesses. The MHA looks forward to working with legislators serving on these committees to best represent MHA members during the 2025-2026 legislative term.

Members with questions may contact Adam Carlson at the MHA.

MHA Monday Report Jan. 27, 2025

Legislation on Maternal Healthcare Access and Preserving Healthy Michigan Plan Coverage Becomes Law

Gov. Whitmer signed several bills Jan. 21 aimed at improving maternal healthcare access, equity and outcomes, as well as preserving eligibility for those under the Healthy Michigan Plan. The MHA worked extensively with bill sponsors …


Legislative Policy Panel Acts on AI & Credentialing Policy

The MHA Legislative Policy Panel met virtually Jan. 22 to develop recommendations on legislative and policy issues impacting Michigan hospitals. The meeting began with Carlos Jackson from The Cornerstone Group, the MHA’s Washington DC-based government …


Now Accepting Nominations for the 2025 MHA Ludwig Community Benefit Award

The MHA is now accepting nominations for its 2025 MHA Ludwig Community Benefit Award. Michigan hospitals and health systems have a long-standing commitment to offering a wide range of services that enhance the health and …


Medicare and Medicaid Enrollment Update

The MHA updated its analysis of Medicaid and Medicare enrollment based on December 2024 data. The analysis includes program enrollment as a percentage of each county’s total population and the split between fee-for-service and …


Registration Open for 2025 Human Resources Conference

Registration is now open for the 2025 MHA Human Resources Conference, scheduled for March 25 from 8:30 a.m. to 3:30 p.m. at the Crowne Plaza Lansing. The event offers attendees an opportunity to expand their …


YesRx Hosts Cancer Medication Donation Drive

The MHA is committed to efforts that expand access to services and mitigate barriers to timely and effective treatments. YesRx is a statewide cancer drug repository program, accepting donations of unopened cancer medications through partnerships …


MHA Podcast Explores Strategies to Enhance Workplace Safety, Security

The MHA released a new episode of the MiCare Champion Cast exploring the latest on healthcare workplace safety with Brian Uridge, MPA, CPP, CHPA, CTM, senior director at the University of Michigan Department of Public …


Keckley Report

Game On: Team Trump aims to Shake up Healthcare with Rules, Laws, Appointments and Swagger

“Hovering over Team Trump’s agenda is the reality that Americans think the country is heading in the wrong direction and trust in its institutions including the health system is at a historic low. Restoring confidence will be a gargantuan task.

Team Trump will use Executive Orders, personnel appointments, court challenges, and legislation to advance its healthcare agenda powered by its ‘take no prisoners’ operating mode whereby the ends are justified by means. Every sector in healthcare will be impacted, some more than others. … Reacting to changes in the current environment of U.S. healthcare resulting from Team Trump is necessary and time-consuming, but neglecting thoughtful consideration about the system’s long-term future and its role in “improving the state of the world” is fatalistic.  Both need attention.”

Paul Keckley, Jan. 20, 2024


News to Know

The MHA will host the webinar How Federal Grant Funding Covers IT Department Costs Feb. 7 with Endorsed Business Partner Scaled Data Health to share how government funding, along with their innovative programs, can save hospitals significant dollars.

Legislation on Maternal Healthcare Access and Preserving Healthy Michigan Plan Coverage Becomes Law

Gov. Whitmer signed several bills Jan. 21 aimed at improving maternal healthcare access, equity and outcomes, as well as preserving eligibility for those under the Healthy Michigan Plan. The MHA worked extensively with bill sponsors during the 2023-24 legislative term to share feedback and make language changes reflecting the importance of increasing access to care and improving equitable health outcomes, while maintaining essential partnerships with hospitals across Michigan.

Public Act (PA) 252 of 2024, sponsored by Rep. Laurie Pohutsky (D-Livonia), creates a licensure structure for freestanding birth centers. The MHA worked closely with the bill sponsor to incorporate changes allowing for hospitals to be valued collaborators and important partners with birth centers. These changes include allowing a hospital to own a birth center, requiring partnership and notification of a hospital and ensuring licensure structure in the state protects individuals that choose birth centers for their care.

PA 256 of 2024, sponsored by Rep. Mai Xiong (D-Warren), creates a doula scholarship program awarding one-time scholarships of up to $3,000 for Michigan residents seeking to become a doula. The MHA supported this legislation.

PA 244 of 2024 and PA 245 of 2024, sponsored by Rep. Cynthia Neeley (D-Flint) and Rep. Kimberly Edwards (D-Eastpointe), respectively, require coverage of blood pressure monitors for pregnant and postpartum women. The MHA supported these bills throughout the legislative process.

PAs 246, 247, 248, 249 and 250 of 2024, sponsored by Reps. Rachel Hood (D-Grand Rapids), Brenda Carter (D-Pontiac), Kristian Grant (D-Grand Rapids), Carol Glanville (D-Walker) and Kara Hope (D-Holt), respectively, create a multitude of changes in accessing maternal healthcare. The MHA worked extensively with the sponsors of each of these bills to address maternal health screenings (PAs 246 and 247), maternal levels of care (PA 249) and newborn insurance enrollment (PA 250). The MHA supported this legislation following changes that allow hospitals to address maternal health needs and effectively serve pregnant and postpartum individuals.

PA 251 of 2024, sponsored by Rep. Julie Rogers (D-Kalamazoo), eliminates the requirement that regular breast milk donors be tested every three months for HIV. This legislation maintains initial screening requirements as it relates to breast milk donations, while removing unnecessary barriers for both donors and hospitals. The MHA supported this legislation.

Lastly, PA 253 of 2024, also sponsored Rep. Rogers, removes workforce requirements under the Healthy Michigan Plan. A U.S. District Court issued a decision in 2020 invalidating Medicaid work requirements in Michigan. The MHA was relieved by this previous ruling and therefore supportive of this legislation codifying the court’s decision. With this legislation enacted, tens of thousands of Healthy Michigan Plan recipients can continue to receive coverage, allowing hospitals to continue to provide preventive care and help improve health outcomes for patients under this plan.

In addition to the slew of bills signed that impact maternal and infant health, as well as Medicaid recipients, the Michigan House of Representatives acted on the first bills introduced in the 103rd Legislature. After swift action last week in the House Select Committee on Protecting Michigan Employees and Small Businesses, the chamber voted 67-38 to adopt House Bill (HB) 4002, sponsored by Rep. Jay DeBoyer (R-Clay). The legislation makes important clarifications to the voter initiative petition on earned sick time that is scheduled to go into effect Feb. 21, 2025. HB 4002 provides vital clarifications regarding time accruals, employee notice provisions, sick time pay rates and exempts independent contractors and part-time employees. The MHA will continue to support this legislation as it moves onward to the Senate.

Members with questions may contact Adam Carlson at the MHA.

Legislative Policy Panel Acts on AI & Credentialing Policy

Carlos Jackson with The Cornerstone Group provides a federal update during the MHA Legislative Policy Panel Jan. 22.

The MHA Legislative Policy Panel met virtually Jan. 22 to develop recommendations on legislative and policy issues impacting Michigan hospitals.

The meeting began with Carlos Jackson from The Cornerstone Group, the MHA’s Washington DC-based government affairs representation providing a federal update. Carlos focused on policy changes being enacted and considered by the new administration and Congress.

The MHA advocacy team then shared a state legislative update, including a recap of the 2024 lame duck session, in particular the MHA successfully prevented harmful government-mandated nurse staffing ratio legislation and harmful changes to Michigan’s medical liability system. The panel also received an update on introduced legislation that would affect the Earned Sick Time Act, as well as the 340B drug pricing program.

The Panel chose to act on two issues, making recommendations related to artificial intelligence (AI) and credentialing policy. The first recommendation directs the MHA AI Task Force to asses any AI legislation to ensure bill language does not impact hospital usage of AI in care delivery. The second recommendation focused on improving the provider credentialing process.

For more information on the MHA Legislative Policy Panel, members may contact Adam Carlson at the MHA.

House Committee Advances Earned Sick Time Act Changes

The House Select Committee on Protecting Michigan Employees and Small Businesses voted unanimously to report House Bill (HB) 4002 during the week of Jan.13. The bill, introduced by Rep. Jay DeBoyer (R-Clay), makes important clarifications to the voter initiative petition on earned sick time that is scheduled to go into effect Feb. 21, 2025.

The Earned Sick Time Act, as enacted Public Act 338 of 2018, applies to all employers and requires that an employee be provided one (1) hour of earned sick time for every 30 hours worked. That sick time may carry over year-to-year and allows increased usage of paid earned sick time for an employee of up to 72 hours per year.

The MHA joined in a coalition of other business, employer and healthcare groups to call for legislative clarifications to the Earned Sick Time Act. HB 4002 provides vital clarifications regarding time accruals, employee notice provisions, sick time pay rates and exempts independent contractors and part time employees. The MHA supported bill now moves to the House floor and the MHA will advocate for a quick vote by the full chamber.

Members with questions may contact Adam Carlson at the MHA.

Medical Liability Highlights Healthcare Issues That Receive Legislative Attention

A large collection of healthcare bills, including one that seeks to change medical liability, received attention by the Michigan Legislature during the week of Dec. 2.

The House Judiciary Committee reported out House Bill (HB) 6085 to the full Michigan House of Representatives. The MHA strongly opposes the bill sponsored by Rep. Carrie Rheingans (D-Ann Arbor), which would increase caps for non-economic damages, create exemptions to the caps and increase the number of individuals who qualify to claim damages for medical liability claims. The MHA expected the Committee action and will now fight HB 6085 to prevent House passage. The MHA also opposes the companion bill, HB 6086, which remains in the Judiciary Committee. HB 6086 would have put in place a statutory recovery mechanism for lost wages for individuals who did not have an income at the time of the injury.

The House Families, Children, and Seniors Committee took testimony on and unanimously reported out HB 5833, which adds Michigan to numerous other states allowing family members to step in and make medical decisions in alignment with a loved one’s wishes, if they are incapable. The legislation, sponsored by Rep. Kelly Breen (D-Novi), ensures patients in Michigan without a patient advocate or other advanced directive in place can have appropriate family members or close loved ones make emergency medical decisions on their behalf. Surrogate consent laws act as a safety net and do not replace or supersede appointed medical decision-makers. This law will bring Michigan in line with other states and protect patient wishes and values. The MHA worked directly with the bill sponsor and the Michigan Elder Justice Initiative on this legislation and proudly supports the bill, which will allow patients to receive timely care in the most appropriate setting.

The House Health Policy Committee took testimony on and reported out numerous bills impacting healthcare access. The committee took testimony on HB 5964 (Conlin), which eliminates the sunset on the Interstate Medical Licensure Compact (IMLC). Currently, the IMLC is set to expire and Michigan will be required to exit the compact in March 2025. This legislation is integral to the state’s continued membership in the compact and the MHA supports this work to preserve Michigan’s participation in an important opportunity to recruit and retain the physician workforce.

In addition to the testimony on HB 5964, the committee reported HB 5636 (Pohutsky) and HB 4833 (Puri). HB 5636 creates a new facility licensure for freestanding birth centers. The MHA worked closely with the bill sponsor to ensure that hospitals were included as trusted partners with birth centers and that hospital voices were at the table as we navigate licensure for facilities that will care for the state’s residents. The MHA remains engaged and will continue to report on further progress of this legislation. Finally, the committee advanced HB 4833, which removes duplicative and unnecessary licensure for entities otherwise licensed to provide psychological, medical or social services; a licensed hospital; or a licensed psychiatric hospital or unit. The important clarifications made in HB 4833 remove duplicate licensure burden for hospitals that offer substance use treatment and rehabilitative services and are already otherwise licensed. The MHA supports this legislation.

The state Senate introduced, reported from committee and the Senate passed legislation designed to protect reproductive health data. Senate Bill (SB) 1082 (McMorrow) endeavors to protect reproductive healthcare data from erroneous use and empowers individuals who own the data to have additional controls over it. The MHA engages directly on legislation that impacts any exchanges of, or alterations to, ownership over personal health data and is working with the bill sponsor to ensure this legislation balances HIPAA compliance and the importance of complete patient health records resulting in high quality patient outcomes.

The state Senate also approved SBs 651654, led by Sen. Sam Singh (D-East Lansing). The bills are spearheaded by the Keep Michigan Kids Tobacco Free Alliance and would create new licensing for establishments that sell tobacco products, while enhancing the penalties on those retailers for selling to individuals under age 21. The legislation also removes punitive penalties on youth to reduce barriers for those who are seeking help for nicotine addiction. The MHA supports the legislation to improve Michigan’s public health as it now awaits action in the State House.

Unemployment legislation also saw action as SBs 962 (Cherry), 975 (Singh), 976 (Cherry) and 981 (Cavanagh), which would modernize the state’s unemployment insurance practices, were voted out of the state Senate. The legislation makes several changes at the request of the Unemployment Insurance Agency, as well as stakeholders, including the MHA. The changes include issues the MHA raised in response to hospital employers, concerns identified by employee groups and updates to the state law that address recent court interpretations. Additionally, SB 40 (Wojno) was added to the package. That bill would increase the duration of unemployment benefits from 20 to 26 weeks and increases the weekly maximum benefit over three years to a weekly total of $614, with the amount adjusted for inflation thereafter. The full package of bills now goes to the state House for its consideration.

Finally, the state Senate advanced SB 1022 (Singh). The bill expands consumer protection act provisions for elder residents and was part of a larger package amending the state’s Consumer Protection Act to eliminate the exemption to the act for highly regulated entities, such as doctors and hospitals. The Senate did not advance the primary bill of the package, which the MHA firmly opposes, that would eliminate the exemption for regulated and licensed professional entities, such as healthcare professionals and hospitals. The MHA remains opposed to SB 1022 over concerns of additional lawsuits related to care for the elderly and will work to oppose as it awaits action in the state House.

Members with questions on state legislation can contact Adam Carlson at the MHA.

MHA CEO Report — Election Season

MHA Rounds image of Brian Peters

“You want a friend in Washington? Get a dog.”  – Harry S. Truman

MHA Rounds graphic of Brian PetersElection ads and coverage are everywhere, regardless of whether you’re watching television or scrolling on your phone. I don’t have to tell you the presidential election is today, Nov. 5, but I will always remind people of the importance and value of each vote. Elections have consequences and as an advocacy organization, we deal with those consequences daily. The outcome of the 2024 election will determine not just who occupies the White House, but also our state and federal lawmakers, administrative leaders, state supreme court justices and an assortment of local issues and ordinances. Each new legislative session brings new policymakers, who bring with them their plans on potential reform and change.

Michigan clearly took center stage in this election cycle. Nearly every day, one of the presidential candidates, their running mates, spouses or other proxies have made campaign stops throughout the state. We also have some of the most expensive congressional races in the country, particularly our U.S. Senate seat and the 7th and 8th  U.S. House districts. With this extra attention can come hyper-partisan headlines, added emotion and fatigue. During this time, it’s important to remember that there are healthcare champions on both sides of the aisle. Access to quality healthcare is not a partisan issue and its important candidates hear from their clinicians, healthcare workers, administrators, trustees, volunteers and others about the issues impacting healthcare at home. Politics are local and advocacy, at its core, is about relationship building. As Adam Carlson, our MHA Senior Vice President of Advocacy likes to say, “You must be present to win.”

Education and awareness are key during election season. The MHA has been active in making sure our hospitals have all the tools necessary. This includes election posters, a candidate guide, Race of the Week features on our website, multiple podcast episodes and regularly previewing the election throughout our committee, council and task force meetings.

My friend Rick Pollack, president and CEO of the American Hospital Association, joined me in one of our latest podcasts and made an important point that regardless of the election outcome, issues like affordability, drug pricing and value-based payments are not going away. However, what will change are those decision-makers working on these topics and we have a role in both deciding who those individuals are and then educating them and being a resource.

If you have not done so already, please vote today. In preparation, listen to our latest podcast with MHA Executive Vice President Laura Appel to understand all that is at risk this election cycle. And once you’re ready, drop off an absentee ballot, visit your clerk’s office for early voting or plan to stop by your voting precinct on Election Day. Remember, your vote matters – and your engagement in the process well beyond election day matters too. I have a dog and agree with President Truman – they are great. But I would encourage all of us to make friends in the political world as well. Our healthcare future depends on it.

As always, I welcome your thoughts.

First Legislative Policy Panel Meeting of New Program Year

The MHA Legislative Policy Panel held their first meeting of the MHA program year at the MHA Capital Advocacy Center Oct. 30 to develop recommendations on legislative issues impacting Michigan hospitals.

Chad Tuttle, SVP, clinical shared services, Corewell Health, chairs the panel this year with Amanda Shelast, president, Marshfield Medical Center – Dickinson, serving as vice chair. Carlos Jackson with Washington D.C.-based Cornerstone Government Affairs provided a federal update, covering what is at stake in the 2024 election and post-election lame-duck healthcare priorities. MHA CEO Brian Peters also reviewed the MHA 2024-25 strategic action plan.

The Panel took two action items on cybersecurity and pediatric long-term care.

The Panel adopted a position of neutrality on Senate Bills (SB) 888892. The Panel directed the MHA to continue conversations with legislators regarding new requirements related to cybersecurity to recognize and support hospitals as victims of these attacks. SBs 888 – 892 require entities that have access to Michigan resident’s personal information to maintain security procedures for the protection of that information. It also establishes processes for notifying the state and impacted residents of data breaches.

The Panel also heard an update on House Bill (HB) 5974 related to the creation of prescribed pediatric extended care facilities. The Panel asked several questions about the purpose and effectiveness of the legislation. Reintroduction of HB 5974 is likely in the 2025-26 legislative session, giving the Panel another opportunity to consider the concept as introduced, as well as alternatives.

For more information on the MHA Legislative Policy Panel, members may contact Adam Carlson at the MHA.