Completed State Budget Highlights Healthcare Champions

The following statement can be attributed to Brian Peters, CEO of the Michigan Health & Hospital Association.

The passage of Michigan’s state budget highlights the healthcare champions in our state who protected important healthcare funding that maintains access to care for Michiganders and supports our healthcare workers, including our local nurses, doctors, support techs and service workers. Champions like Gov. Gretchen Whitmer, Senate Majority Leader Winnie Brinks, Senate Appropriations Chair Sarah Anthony and House Minority Leader Ranjeev Puri are why Michigan hospitals can always care for their communities and advance our state forward.

We thank those state lawmakers who recognized the need to support the Healthy Michigan Plan and Michigan’s Medicaid health plans, obstetrical services, care at rural and critical access hospitals and more in this year’s budget.

Michiganders count on our hospitals to be there during our time of need, whether that be in the middle of the night or on a holiday, and on our state lawmakers to maintain access to healthcare. This state budget allows hospitals to continue to care for everyone who walks through their doors, at all hours of the day, every day of the year.

Hospitals Defend Healthcare Access in House Government Operations Committee

The following statement can be attributed to Brian Peters, CEO of the Michigan Health & Hospital Association.

Michigan hospitals made clear in testimony this morning in the House Government Operations Committee that House Bills 6116–6119 would act as an accelerant toward the affordability crisis and harm healthcare access throughout the state. If enacted, these bills will increase costs and threaten access to care by forcing service cuts, workforce reductions and hospital closures, especially in rural communities.

Michigan hospitals are already under severe financial strain, with nearly a quarter operating at a loss and several at risk of closing. This legislation would double the number of hospitals operating in the red to a total of 54. Existing cuts to Medicaid reimbursement and reductions in enrollment are already projected to slash more than $6.5 billion from hospitals in the next six years. Adding duplicative government price controls and administrative burdens will only intensify these challenges, while removing an additional $2.3 billion from Michigan hospitals every year. This translates into an estimated loss of 21,600 hospital jobs, including 9,000 fewer than expected registered nurses.

The shareholders of Michigan hospitals are their communities. Reinvestment is measured in quality and access. We urge lawmakers to reject House Bills 6116–6119 and prioritize working with providers on solutions that lower costs without putting patient care and local economies at risk.

MHA Issues Statement in Response to State House Hospital Proposal

The following statement can be attributed to Brian Peters, CEO of the Michigan Health & Hospital Association.

The MHA and our members are reviewing this proposal and remain engaged with legislators on opportunities to strengthen healthcare delivery without reducing access to care in rural communities, destabilizing local healthcare systems or increasing costs for patients and families.

Providing accessible, affordable healthcare remains the top priority for Michigan hospitals. However, proposals that introduce additional administrative burdens and arbitrary government price controls would exacerbate the affordability challenges they seek to address. Neighboring states that have adopted similar policies face significantly higher costs than Michigan, which ranks third lowest in the country for hospital prices relative to Medicare. The reality is hospitals continue to operate despite a challenging financial environment, where real consequences are hospital closures, as we recently saw this week with the closure of a 101-year-old rural nonprofit Michigan hospital facility.

Our members are committed to ongoing dialogue with lawmakers to ensure policy proposals are evaluated with a clear understanding of their real-world impact on patients, providers and local healthcare systems.

Michigan hospitals continue to support policies and collaborative initiatives that reduce administrative waste, lower prescription drug costs, expand insurance options and promote healthier communities.

Media Recap: Coverage Highlights Medicaid, Behavioral Health Transportation

MHA CEO Brian Peters discusses the importance of Medicaid for Michigan residents during an AARP-sponsored segment.

MHA CEO Brian Peters recently appeared in an AARP-sponsored segment that aired in the Grand Rapids and Lansing markets to discuss the importance of Medicaid for Michigan residents. Peters highlighted concerns that changes outlined in H.R. 1 would create new barriers to coverage, including Medicaid work requirements set to take effect Jan. 1, 2027. He also stressed the importance of protecting Medicaid as Michigan hospitals prepare to absorb an estimated $6 billion reduction in federal funding over the next decade.

The MHA also received coverage in MIRS on June 8 for its role in helping craft bipartisan legislation that would allow Medicaid coverage of behavioral health transportation using specialized vehicles. The legislation would provide a safer, more appropriate alternative to ambulance transport while reducing costs and preserving emergency resources.

Members with questions regarding media requests should contact Elise Gonzales at the MHA.

Michigan Hospital Leaders Discuss Key Healthcare Issues at Mackinac Policy Conference

Healthcare leaders from across the state joined Rich Helppie, host of The Common Bridge Podcast, May 27 at the 2026 Mackinac Policy Conference to discuss key healthcare issues impacting Michigan hospitals and the communities they serve.

The first round of interviews published, include:

Conversation covered healthcare affordability, state and federal policy priorities, Medicaid changes, rural health issues, workforce support, advancements in healthcare technology and more.

Full interviews are available across MiCare Champion Cast streaming platforms (Apple PodcastsSpotify and SoundCloud), with video available on the MHA’s YouTube channel.

The MHA will continue to publish Mackinac Policy Conference interviews as they are available. Members with questions may contact John Karasinski at the MHA.

CEO Report — No One Knows Healthcare Better than Hospitals

MHA Rounds image of Brian Peters

“The price of greatness is responsibility.” — Winston Churchill.

Skyrocketing healthcare costs are impacting families and communities across the state. No one is more committed to addressing this problem than those providing care around the clock.MHA Rounds image of Brian Peters

Despite being on the frontlines, hospitals are under fire. What’s worse is that conversations around healthcare affordability often involve those who don’t understand how policy decisions will play out in practice. When legislators listen to hospital voices, they gain firsthand insight on the needs of Michigan communities while better understanding the barriers that providers face.

Addressing healthcare affordability starts with taking a closer look at the largest cost drivers, many of which are beyond hospitals’ control. While they are often blamed, hospitals do not manufacture or determine drug prices. Similarly, reimbursement rates are ultimately determined by public and private insurers. Although the figures are often taken out of context, hospitals only collect a fraction of what is listed on publicly posted pricing files.

At the end of the day, nobody sees the impact of rising costs quite like hospitals do. Their teams deliver care 24/7 to anyone who walks through their doors, regardless of their ability to pay. They do this while facing acute workforce shortages, rising labor costs, mounting regulatory pressures, cybersecurity threats and more.

Our MHA affordability webpage does a great job outlining cost drivers, visualizing hospital spending and proposing meaningful solutions.

In order to keep putting communities first, hospitals need our state and federal leaders to confront the external pressures dictating how much cost they can realistically absorb. We applaud Senate Majority Leader Winnie Brinks and Sen. Hertel for bringing forth legislation last month focused on expanding coverage options, strengthening continuity of care and addressing costs drivers. Passing this bill package would be an important step toward lowering costs, but it must be part of an ongoing commitment from our lawmakers to collaborate with hospitals on strategies that keep patients at the center of every solution.

During National Hospital Week, we’re asking lawmakers who are serious about addressing healthcare affordability to give local hospitals a seat at the table to help inform decisions, identify solutions and avoid outcomes that ultimately harm Michigan patients and communities.

As always, I welcome your thoughts.

Media Recap: Behavioral Health and Drug Manufacturer Pressures

Common Ground published a story April 28 detailing Michigan’s behavioral health landscape. Lauren LaPine-Ray, DrPH, MPH, vice president, policy & rural health, was cited throughout the article highlighting growing concern about emergency department (ED) boarding. LaPine-Ray notes that hospitals are increasingly serving as the default entry point for patients experiencing mental health crises due to gaps in the behavioral health system. She shared the staggering number of patients – more than 155 – in Michigan emergency departments each day waiting for behavioral health services.

MHA CEO Brian Peters pushed back on a Michigan Health Purchasers Coalition report that falsely represents the federal 340B drug discount program in an article published by MIRS April 29.

Peters highlights the report’s flawed methodology and urges the coalition’s members to engage with Michigan hospitals on solutions that address the real drivers behind rising healthcare costs like the prices set by drug manufacturers.

Members with questions regarding media requests should contact Elise Gonzales at the MHA.

New 340B Study Contains Serious Flaws

The following statement can be attributed to Brian Peters, CEO of the Michigan Health & Hospital Association, which represents 129 hospitals and health systems across Michigan:

“This latest release from the Michigan Health Purchasers Coalition is yet another entry in their long and troubling pattern of advocacy dressed as research, with predetermined conclusions in search of supporting data. MIHPC is a secretive special interest group, hiding behind the veil of claiming to represent the employer community at large. The report they are citing is not peer-reviewed and, by its own admission, fails to account for major health system variables – variables so significant that their omission alone disqualifies any direct causal claim between 340B participation and pricing differences. If MIHPC and its members are genuinely concerned about affordability, I invite them to direct some of that energy toward drug companies, whose profit margins dwarf those of any hospital system in this state and who spent years deploying every available legal mechanism to delay competition and protect their revenues. These drug companies have the power to make drugs affordable for all Michiganders today.

The MHA and our members remain, as we always have been, ready to engage with anyone willing to have an honest, evidence-based conversation about addressing the real drivers behind rising healthcare costs – all while caring for all Michiganders across the state 24/7.”

Rural Hospital Leaders Appointed to MHA Center of Rural Excellence Board of Trustees

Seven rural Michigan hospital leaders were recently appointed as inaugural board members to the newly established MHA Center of Rural Excellence by the Michigan Health & Hospital Association (MHA) Board of Trustees. These members are responsible for providing formal governance for the new organization.

Jeremiah J. Hodshire, president and chief executive officer, Hillsdale Hospital, will serve as the center’s chair and the MHA Board of Trustees representative for a three-year term.

In addition to Hodshire, the MHA Board of Trustees approved the appointment of six rural healthcare leaders to serve on the MHA Center of Rural Excellence Board:

  • Thomas Kurtz, Ph.D., president and chief executive officer, Memorial Healthcare, will serve a three-year term. Andrew Raymond, chief executive officer, Kalkaska Memorial Health Center, represents Michigan’s independent hospitals alongside Kurtz and will serve a two-year term.
  • Amanda Shelast, Marshfield Clinic Network President, Michigan and South, will serve a one-year term. Wendy Frush, RN, chief executive officer, Munising Memorial Hospital will serve a two-year term. Shelast and Frush represent the association’s rural members in Michigan’s Upper Peninsula.
  • Peter Marinoff, chief executive officer, Munson Healthcare Southern Region, will serve a one-year term and represent the state’s critical access hospitals.
  • Ross Ramsey, MD, chief executive officer, Scheurer Health, will serve a three-year term as the board’s physician representative.

“This board brings together rural healthcare leaders from across the state who share a commitment to preserving care close to home for Michiganders,” said MHA CEO Brian Peters. “Under their leadership, the MHA Center of Rural Excellence will prioritize policies and initiatives that allow rural hospitals to remain resilient and responsive to the needs of their communities.”

The MHA Center of Rural Excellence, a 501(c)(6) organization, was created to formalize and strengthen the collective voice of rural hospitals through support tailored to the unique challenges of Michigan’s rural providers.

Trinity Health Michigan Team Members Recognized with MHA Keystone Center Speak-up! Award

The Michigan Health & Hospital Association (MHA) Keystone Center recognized Camryn Smith and Alicia Evans, medical assistants at Trinity Health IHA Medical Group, as its quarterly MHA Keystone Center Speak-up! Award recipients.

Camryn Smith and Alicia Evans, medical assistants at Trinity Health IHA Medical Group, at the MHA Keystone Center Speak-up! Award presentation.

The Speak-up! Award honors individuals or teams in Michigan hospitals who demonstrate an exceptional commitment to preventing harm to patients or staff. Smith and Evans were recognized for speaking up – and jumping into action – after Smith detected an abnormal blood pressure reading while performing a stitch removal.

“Some of the most powerful acts of courage and leadership come from those early in their career,” said MHA CEO Brian Peters. “The work of the Trinity Health IHA Medical Group team is a strong reminder that every voice matters when it comes to enhancing patient safety. It also underlines the importance of establishing a culture where speaking up is encouraged and supported.”

Upon realizing the patient’s blood pressure results seemed inconsistent using automated equipment, Evans, a medical assistant intern at the time, asked Smith for assistance with a manual pulse check. The two soon learned that the patient’s heart rate was dangerously low and promptly notified an attending provider to further assess the situation.

It was discovered through an electrocardiogram (EKG) that the patient was experiencing an episode of atrial fibrillation (AFib). As a result of Smith and Evans’ prompt attention to detail, the individual was safely transferred to the emergency department for further treatment.

“Camryn and Alicia listened to their instincts and worked together to ensure timely, lifesaving intervention,” said Cindy Elliott, president of Trinity Health Michigan Medical Groups. “Stories like this reinforce our mission and commitment to delivering safe, exceptional care.”

More information about the MHA Keystone Center Speak-up! Award, including criteria and a nomination form, is available online.