MHA Monday Report Feb. 9, 2026

IMLC Legislation Clears House, Continuing Education and Credentialing Bills Advance

The Michigan House of Representatives voted in support of House Bill 5455, sponsored by Rep. Rylee Linting (R-Grosse Ile Township), which would restore Michigan to the IMLC. The compact supports access to care, particularly in rural …


Former U.S. Senator Debbie Stabenow Addresses MHA Board

The MHA Board of Trustees’ Feb. 4 meeting featured a discussion with former U.S. Senator Debbie Stabenow, who is now a senior policy advisor with DC-based Liberty Partners Group, a bipartisan strategic consulting firm. Stabenow …


MHA Releases FAQ on Rural Health Transformation Program Funding

The MHA recently released a new frequently asked questions (FAQ) document to help members better understand allowable uses, limitations and compliance requirements related to Michigan’s Rural Health Transformation Program (RHTP). The FAQ clarifies that RHTP …


CMS Releases 2025 Occupational Mix Survey for Hospitals

The Centers for Medicare & Medicaid Services (CMS) recently released the 2025 occupational mix survey to collect data from hospitals paid under the Medicare inpatient prospective payment system. Survey results will be used to adjust …

 


MHA Reinforces Evidence-Based Vaccination Guidelines

The MHA is strengthening its commitment to evidence-based immunization practices under the guidance of the MHA Healthcare and Public Health Integration Council and chief medical and nursing leaders. Efforts include distributing educational resources, reaffirming alignment …


Initiative Seeks to Expand Perinatal and Infant Mental Health Services in Michigan

Providers who serve pregnant people, infants and families are encouraged to complete a brief survey to help build Michigan’s first statewide Perinatal and Infant Early Childhood Mental Health (PIECMH) Provider Directory. The initiative is led …


HHS Announces $100M Investment in Substance Use and Mental Health Treatment

U.S. Department of Health and Human Services (HHS) Secretary Robert F. Kennedy Jr. announced a $100 million investment to expand substance use disorder treatment, mental health services and housing-related supports under the administration’s Great American Recovery initiative. …

 


MDHHS Withdraws PIHP Procurement

The Michigan Department of Health and Human Services (MDHHS) has withdrawn its request for proposals (RFP) to competitively procure Prepaid Inpatient Health Plans (PIHPs), ending the planned rebid process. The decision follows a Jan. 8 …


Hospitals Help: Youth Safety Event Teaches UP Students Emergency Preparedness

Camp 911 is a hands-on, youth-focused safety event supported by Marshfield Medical Center-Dickinson hospital that is designed to teach school-aged children essential emergency response skills. The camp brings together professionals from various fields to demonstrate …


News to Know

  • MHA Endorsed Business Partner Wakely is hosting the webinar Summary and Impacts of the 2027 Medicare Advantage Advance Notice Feb. 12 from 1 – 2 p.m. ET.
  • The 2026 MHA Human Resources Conference, scheduled for March 24 at the Crowne Plaza Lansing, will convene human resources leaders and professionals who are shaping the future of the healthcare workforce.
  • MHA Endorsed Business Partner CyberForce |Q is hosting an in-person Coffee & Collab for Cybersecurity Leaders Feb. 10 from 8:30 – 10:00 a.m. ET at CyberForce|Q headquarters in Plymouth, MI.

MHA in the News

The Mining Journal published a statement from the MHA chief medical officer following the distribution of guidance to

Michigan families departing from established standards. Dr. Roth emphasizes the efficacy of vaccines and urges families to seek medical guidance from their providers. “Vaccines remain …

Initiative Seeks to Expand Perinatal and Infant Mental Health Services in Michigan

Providers who serve pregnant people, infants and families are encouraged to complete a brief survey to help build Michigan’s first statewide Perinatal and Infant Early Childhood Mental Health (PIECMH) Provider Directory. The initiative is led by the Michigan Council for Maternal and Child Health (MCMCH) in partnership with statewide maternal and early childhood organizations.

The directory will be designed for both families and providers and hosted on the Think Babies Michigan website. It will support stronger referral pathways, make it easier for families to find services and help identify gaps in care to inform advocacy and future funding opportunities.

Members are encouraged to share this survey with colleagues who provide maternal, perinatal and infant mental health services. Additional outreach materials, including newsletter language and a flyer, are available.

Members with questions may contact Lenise Freeman at the MHA.

HHS Announces $100M Investment in Substance Use and Mental Health Treatment

U.S. Department of Health and Human Services (HHS) Secretary Robert F. Kennedy Jr. announced a $100 million investment to expand substance use disorder treatment, mental health services and housing-related supports under the administration’s Great American Recovery initiative.

The funding will launch the Safety Through Recovery, Engagement, and Evidence-based Treatment and Supports (STREETS) initiative, which will support targeted outreach, psychiatric care, medical stabilization, crisis intervention and connections to stable housing for individuals experiencing homelessness and substance use disorder.

HHS also announced a $10 million Assisted Outpatient Treatment (AOT) grant program to support adults who have difficulty engaging in traditional outpatient care. The program uses court-ordered, community-based treatment as an alternative to hospitalization, homelessness or involvement with the criminal justice system.

In addition, HHS announced changes allowing states and tribes to receive a 50% federal match to provide medications for opioid use disorder, buprenorphine, methadone and naltrexone, to parents whose children are at risk of entering foster care. The medications are approved by the U.S. Food and Drug Administration and are intended to support recovery and family stability.

Members with questions may contact Lenise Freeman at the MHA.

MHA CEO Report — Launching Collaboratives to Improve Community Health

MHA Rounds graphic of Brian Peters

MHA Rounds image of Brian Peters“Coming together is a beginning, staying together is progress and working together is success.” — Henry Ford

In the healthcare community, we know that a person’s health is shaped outside the four walls of a hospital and our support must expand beyond acute care. The MHA recently launched community benefit collaboratives with this in mind and to improve outcomes in three critical areas: maternal health, behavioral health and chronic disease.

More than 50 of our member hospitals across Michigan are participating, with a focus on enhancing group prenatal care, improving perinatal mood disorder screening and support, preventing postpartum depression, and increasing food access and nutrition education.

The primary goal of the collaboratives is to create cross-sector and -system networks that advance the health and well-being of all Michiganders. These focus areas were carefully chosen after reviewing Community Health Needs Assessments and modeled after programs that are already making an impact in Michigan communities.

By scaling these proven efforts, we can help reduce barriers to care and improve health outcomes statewide.

Michigan hospitals serve rural, suburban and urban communities alike — and each system tailors care to the unique needs of its patients. The collaboratives were designed with flexibility in mind, offering components that can be adapted based on a hospital’s size, resources and populations served.

We’re excited to launch these collaboratives because they represent what our hospitals do best: caring for Michiganders — not just when they are in a hospital bed, but every day. By working in tandem with each other and with community partners, we can turn local success stories into a statewide movement for better health.

As always, I welcome your thoughts.

Michigan Hospital Collaboratives Launch to Improve Community Health

More than 50 Michigan hospitals are coming together to improve outcomes in maternal health, behavioral health and chronic disease across the state through new community benefit collaboratives launched by the Michigan Health & Hospital Association (MHA). The goal is to leverage community impact programming to maximize statewide improvements in these three areas.

The MHA will lead participating hospitals in implementing multi-year, scalable projects focused on enhancing group prenatal care, improving perinatal mood disorder screening and support, preventing postpartum depression and expanding food access and nutrition education. The collaborative topics were selected based on a review of all Community Health Needs Assessments completed by Michigan hospitals. Each collaborative is modeled after existing programs at Michigan hospitals and healthcare organizations designed to address healthcare barriers and improve health outcomes.

“This work reflects Michigan hospitals’ commitment to investing in their communities far beyond their four walls to improve population health,” said MHA CEO Brian Peters. “These collaboratives are designed to scale local success into making a statewide impact that advances the health and well-being of Michiganders where they live, work and grow.”

Each collaborative has various components that can be tailored to meet the unique needs of a hospital, depending on size, available resources and patient populations. The implementation of the collaboratives is supported by funding from the Michigan Health Endowment Fund. Public Policy Associates will facilitate program evaluations.

The list of participating hospitals for each collaborative is available below.

Behavioral Health Collaborative  

  • Henry Ford Health
  • MyMichigan Medical Center Alma
  • MyMichigan Medical Center Clare
  • MyMichigan Medical Center Gladwin
  • MyMichigan Medical Center Midland
  • MyMichigan Medical Center Mt. Pleasant
  • MyMichigan Medical Center Saginaw
  • MyMichigan Medical Center Sault
  • MyMichigan Medical Center Standish
  • MyMichigan Medical Center Tawas
  • MyMichigan Medical Center West Branch
  • ProMedica Monroe Regional Hospital
  • ProMedica Charles and Virginia Hickman Hospital
  • Trinity Health Ann Arbor
  • University of Michigan Health-Sparrow Lansing
  • University of Michigan Health-West

Chronic Disease Collaborative

  • Aspirus Iron River Hospital & Clinics
  • Aspirus Keweenaw Hospital & Clinics
  • Aspire Rural Health System Deckerville Community Hospital
  • Aspire Rural Health System Hills & Dales Healthcare
  • Aspire Rural Health System
  • Beacon Kalamazoo (formerly Borgess Hospital)
  • Bronson Battle Creek Hospital
  • Henry Ford Health
  • Kalkaska Memorial Health Center
  • Munson Medical Center
  • MyMichigan Medical Center Alma
  • MyMichigan Medical Center Clare
  • MyMichigan Medical Center Gladwin
  • MyMichigan Medical Center Midland
  • MyMichigan Medical Center Mt. Pleasant
  • MyMichigan Medical Center Saginaw
  • MyMichigan Medical Center Sault
  • MyMichigan Medical Center Standish
  • MyMichigan Medical Center Tawas
  • MyMichigan Medical Center West Branch
  • Scheurer Health
  • Schoolcraft Memorial Hospital

Maternal Health Collaborative  

  • Bronson Methodist Hospital
  • Corewell Health Lakeland Hospitals – St. Joseph Hospital
  • Henry Ford Health
  • MyMichigan Medical Center Alma
  • MyMichigan Medical Center Clare
  • MyMichigan Medical Center Gladwin
  • MyMichigan Medical Center Midland
  • MyMichigan Medical Center Mt. Pleasant
  • MyMichigan Medical Center Saginaw
  • MyMichigan Medical Center Sault
  • MyMichigan Medical Center Standish
  • MyMichigan Medical Center Tawas
  • MyMichigan Medical Center West Branch
  • Three Rivers Health Hospital (Beacon Health System)

To learn more about community benefit efforts across the state, visit the MHA Community Benefit webpage.

Based in Greater Lansing, the MHA is the statewide leader representing all community hospitals in Michigan. Established in 1919, the MHA represents the interests of its member hospitals and health systems in both the legislative and regulatory arenas on key issues and supports their efforts to provide quality, cost-effective and accessible care. The MHA’s mission is to advance the health of individuals and communities.

New PwC Report Warns of Rising Hospital Costs and Mounting Financial Pressure on U.S. Healthcare System

The Michigan Health & Hospital Association (MHA) is drawing attention to a new national report from PricewaterhouseCoopers (PwC) that outlines the severe financial challenges facing hospitals across the country that could soon jeopardize patient care if urgent policy action is not taken.

The report, Inflator: Hospital Costs, from Wages to Hospital Gowns, highlights the mounting pressures on hospitals due to surging costs, workforce shortages and skyrocketing demand for behavioral health services, all while proposed tax cuts and Medicaid funding reductions threaten to widen the gap between costs and revenue.

“This report confirms what hospitals in Michigan and across the country are living every day: skyrocketing costs, growing demand and shrinking margins,” said MHA CEO Brian Peters. “We cannot afford policies that slash Medicaid funding or shift more financial burden to hospitals and patients. Without sustainable support, hospitals – especially those in rural and underserved areas – face real threats of closure.”

Key findings from the PwC report include:

  • Hospital margins have plummeted, dropping from an average of 7% in 2019 to just 2.1% in 2024, with additional declines reported in early 2025.
  • Drug spending surged by $50 billion (11.4%) in 2024, more than double the increase seen in 2023, largely driven by high-cost therapeutics in chronic disease areas like oncology, obesity and diabetes.
  • Behavioral health claims soared, with inpatient claims increasing by 80% and outpatient claims by 40% over a two-year span, reflecting the intensifying behavioral health crisis.
  • Tariffs and supply chain challenges continue to drive up the cost of everyday medical supplies, compounding inflationary pressures.
  • Medicaid cuts and federal tax policies could force the closure of service lines at facilities that rely heavily on government payers, impacting access to care for all residents.

The report also outlines how hospitals are working to offset financial pressures by investing in revenue cycle improvements and value-based payment models. Still, the report emphasizes that system-wide stability will require collaboration between payers, providers, policymakers and employers, especially as rural hospitals face ongoing threats of closure.

The MHA is supporting Michigan hospitals facing these mounting challenges through the following actions:

  • Advocating to preserve and strengthen the federal 340B program, which enables hospitals to purchase outpatient medications at discounted rates, freeing up resources to serve low-income and uninsured patients.
  • Working with state policymakers to expand access to mental health and substance use treatment, reduce emergency department (ED) strain and support hospitals’ efforts to meet growing behavioral health needs. This includes Senate Bill 806, which expands the three-hour assessment responsibility by allowing clinically-qualified staff to conduct pre-admission screenings for behavioral health patients seeking care in the ED.
  • Leading efforts to expand the healthcare workforce pipeline through partnerships with post-secondary educators, awareness campaigns and recruitment and retention initiatives to help hospitals manage staffing costs while maintaining high-quality care.
  • Working to add Michigan to the Nurse Licensure Compact, allowing nurses to practice across state lines without the burden of obtaining additional licenses.
  • Advocating against Medicaid cuts and pushing for reimbursement rates that reflect the true cost of care, especially for safety net and rural hospitals that disproportionately rely on public payers.

The full report is available on the PwC website.

MHA CEO Report — A Year of Progress and Purpose

MHA Rounds image of Brian Peters

“There is no power for change greater than a community discovering what it cares about.” — Margaret J. WheatleyMHA Rounds graphic of Brian Peters

With another program year behind us, the MHA Annual Meeting served as a powerful reminder of our shared mission to advance the health and well-being of Michigan’s patients and communities. Despite an evolving political landscape, we’ve made meaningful progress and are moving ahead with clear purpose.

As you can imagine, the 2024-2025 MHA program year was marked by busy periods of state legislative activity and various developments at the federal level. We can attribute a tremendous amount of our success to Dr. Julie Yaroch, president of ProMedica Charles and Virginia Hickman Hospital, who served as board chair. Dr. Yaroch’s leadership, clinical expertise and passion for public health had significant impact across countless areas of work.

It’ll come as no surprise that ensuring access to quality healthcare for all Michiganders continued – and continues – to be a priority. This program year, the MHA successfully prevented proposed government mandated nurse staffing ratio legislation from receiving a committee vote. Advocacy efforts also continued around 340B to maintain access to community-based care and prevent drug manufacturer overreach. This resulted in strong bipartisan support for legislation that passed the Michigan Senate and collaboration at the federal level with Senator Debbie Stabenow on the SUSTAIN 340B Act.

I’d be remiss not to mention our response to proposed federal cuts to Medicaid. The MHA, alongside urban and rural members, has prioritized congressional meetings, grassroots communications, coalition efforts and collaboration with state executive leadership to send a strong, clear message: Michigan needs Medicaid.

All that said, playing defense didn’t define our program year. In an effort to grow and develop our healthcare workforce, the MHA successfully hosted the inaugural Healthcare Careers Conversation and led changes to the Michigan Reconnect Program. This resulted in 4,300 students enrolling in short-term healthcare programs, a complement to our ongoing MI Hospital Careers campaign work. Additionally, we pursued state legislation to address provider credentialing delays, secured key amendments to the Earned Sick Time Act and had a hand in proposed changes to the state’s unemployment compensation benefits, among many other employer-related policies.

I’m also incredibly proud to share that we worked with state legislators to design, draft and introduce legislation that makes assaulting a healthcare worker a felony, while tying it to appropriate criminal justice system diversions. Our MHA Keystone Center collaborated to offer active shooter trainings and workplace violence gap analyses to our members while serving as a founding partner of Lawrence Technological University’s Healthcare Violence Reduction Center (HVAC).

We were fortunate to see several MHA priorities included within the FY 2024 state budget, notably a large sum put toward mental and behavioral health. The MHA team successfully secured $8.3 million to launch a competitive grant program for hospital-based peer recovery coach (PRC) programs while leading the charge on a series of impactful prevention and data-driven efforts. Understanding that gaps in behavioral health continue to effect urban and rural hospitals alike, these successes lay the groundwork for what’s ahead.

Emerging technologies and the integration of artificial intelligence (AI) reinforced our commitment to addressing cybercrime and strengthening cybersecurity policy. With this in mind, the MHA worked directly with the Michigan Attorney General and state policy leaders to ensure hospitals are reflected as victims of cybersecurity events. Simultaneously, we engaged our MHA Service Corporation, MHA AI Task Force, CFO Council and industry experts to deploy a series of cybersecurity events and resources to members.

I’d like to applaud our teams for handling a handful of unforeseen challenges, including working over the course of many months to address critical supply chain needs following the devastating impacts of Hurricane Helene. We also saw impressive engagement across annual member events, from our MHA Human Resources Conference and MHA Keystone Safety & Quality Symposium to the Healthcare Leadership Academy and Excellence in Governance Fellowship.

These milestones are just a glimpse into what we accomplished together this program year. I’m deeply grateful to our MHA Board of Trustees, members, sponsors, business partners and dedicated MHA staff – your unity and unwavering dedication to this work continues to have a lasting impact.

As always, I welcome your thoughts.

MHA Monday Report June 23, 2025

Senate Health Policy Holds Testimony on Opioid Legislation

The Senate Health Policy Committee held testimony on legislation related to treating patients with opioid use disorders during the week of June 16. Collectively, Senate Bills 397–405 make numerous changes to improve coverage and access for Michiganders to receive …


MHA Shares Recent Medicare and Medicaid Enrollment Analysis

The MHA recently updated its analysis of Medicaid and Medicare enrollment based on May 2025 data. The analysis includes program enrollment as a percentage of each county’s total population and the split between fee-for-service and …


Recording and Materials Available from Medicare Quality Based Program Webinars

The MHA recently partnered with DataGen to host two webinars focused on the three Medicare fee-for-service (FFS) quality-based programs. These programs, mandated by the Affordable Care Act of 2010, can reduce hospital inpatient FFS payments …


MHA Guide to Behavioral Health Sites of Care Now Available

In an effort to help Michigan communities make informed decisions about where to seek behavioral healthcare services, the MHA has developed the Guide to Michigan’s Behavioral Healthcare Crisis Continuum. This material offers a broad overview of …


Michigan CNOs Convene at MHA Headquarters for Statewide Meeting

Chief nursing officers from across Michigan convened June 12 at the MHA headquarters in Okemos for a statewide, in-person meeting focused on healthcare policy, leadership and workforce safety. The meeting was led by Amy Brown, …


Latest AHA Trustee Insights Examines How Boards are Reimagining Workforce

The June edition of Trustee Insights, a monthly digital publication from the American Hospital Association, highlights how board members can support workforce planning and leverage innovation to strengthen healthcare delivery. One article outlines key questions …


Keckley Report

The May 2025 CPI Report: Good News, Bad News for Healthcare

“Last Wednesday, the Bureau of Labor Statistics issued its Consumer Price Index Report for May, 2025: “The Consumer Price Index for All Urban Consumers (CPI-U) increased 0.1% on a seasonally adjusted basis in May, after rising 0.2% in April. Over the last 12 months, the all-items index increased 2.4% before seasonal adjustment.” …

The public’s appetite to slow health spending, expose prices and costs and address the system’s waste, fraud and abuse is strong and growing. It’s certain to figure prominently in Congress’ budget negotiations and increasingly in household spending decisions.

The CPI is a lag indicator. It does not foretell the health economy of the future. That’s the discussion that’s needed.”

Paul Keckley, June 16, 2025


News to Know

MHA Endorsed Business Partner SUNRx is inviting 340B member hospitals to register for the Regional 340B Roundtable July 8 at Belterra Resort in Florence, IN.

 


MHA in the News

The Becker’s Healthcare Podcast published an episode June 16 that features MHA CEO Brian Peters joining host Scott Becker to discuss the current healthcare landscape and what the future looks like. Peters spent time discussing …

MHA Guide to Behavioral Health Sites of Care Now Available

MHA Guide to Michigan’s Behavioral Healthcare Crisis Continuum
MHA Guide to Michigan’s Behavioral Healthcare Crisis Continuum
MHA Guide to Michigan’s Behavioral Healthcare Crisis Continuum

In an effort to help Michigan communities make informed decisions about where to seek behavioral healthcare services, the MHA has developed the Guide to Michigan’s Behavioral Healthcare Crisis Continuum.

This material offers a broad overview of the behavioral health services available across the state, the populations they serve and a specific listing of inpatient and outpatient facilities by name. The guide specifically lists all known:

  • Mobile Crisis Units (MCUs)
  • Certified Community Behavioral Health Clinics (CCBHCs)
  • Emergency Psychiatric Assessment, Treatment and Healing (EmPATH) Units
  • Partial Hospitalization Programs (PHPs)
  • Crisis Stabilization Units (CSUs)
  • Psychiatric Residential Treatment Facilities (PRTFs)

Michigan hospitals are encouraged to make use of this resource and contact the MHA Policy Team with questions, feedback or additions to the guide.

Language, Trust and Care: Reflections from the AHA Behavioral Health Workshop

Byline: Lenise Freeman, Government Relations and Public Policy Fellow

I had the opportunity to attend at the end of April a Behavioral Health Workshop in New Orleans hosted by the American Hospital Association. This interactive event brought together hospital leaders, clinical teams and behavioral health professionals to co-design care strategies that improve outcomes, particularly for individuals managing mental health and substance use conditions.

The workshop focused on person-centered care, with the clear message of how we communicate with patients is just as important as the services we deliver. In one session, we discussed “how might we” questions, such as how to align care with patients’ language needs and how to involve families and caregivers in treatment planning.

We explored practical solutions like hiring staff who speak multiple languages, giving patients the option to search for providers based on language and adding visual tools and multilingual signage to clinical spaces. Among the discussion, the value of training teams to use clear, respectful language and to be mindful of different communication preferences from patients was highlighted.

One message that stood out to me was how often communication gaps point to broader challenges in the healthcare system. When patients don’t have access to language support or feel uncomfortable speaking up, it becomes harder to build trust and deliver effective care. Attendees raised long-standing issues such as staffing shortages, outdated licensing rules and underdeveloped data systems.

There was a shared urgency to address these concerns. Participants emphasized the need for national standards on language access, better career pathways for multilingual professionals and increased resources for staff training. Many also talked about the importance of building stronger relationships between providers and the communities they serve.

This discussion reminded me of Michigan hospitals’ commitment to prioritizing the patient voice. Across the state, hospitals continue to invest in patient advocacy and support services. The MHA has worked with several organizations through its Endorsed Business Partner Program to connect members with solutions that improve access to care, including tools and resources for language services.

My biggest takeaway is that thoughtful care requires intention at every level. From how we design spaces and prepare staff to how we listen and respond to patient feedback, every detail matters.

This workshop was a meaningful reminder that improving behavioral healthcare starts with listening and that progress is possible when we commit to clear, consistent action.