House Budget Threatens Hospitals, Workforce and Patient Access

The budget passed by the Michigan House of Representatives on Aug. 26 includes harmful cuts to hospitals that could jeopardize more than 20,000 jobs, according to the MHA. Estimates released Sept. 3 indicate the cuts could also result in a $4.9 billion loss to Michigan’s economy if House Bill (HB) 4706 is signed into law.

The estimates consider the more than $2.5 billion in potential hospital funding cuts included in HB 4706. The impact on jobs would be particularly profound, as on average, 60% of a hospital’s budget is due to labor. Such a cut could have an additional estimated induced and indirect economic loss of $2.4 billion on the economy. More than one million jobs are directly, indirectly or induced by healthcare in the state.

The proposed House budget includes:

  • New language placing $2.5 billion of hospital provider-tax funded payments in contingency, requiring unnecessary administrative and legislative actions that could jeopardize timely hospital payments.
  • Elimination of at least $100 million of funding from the Specialty Network Access Fee, which provides reimbursement to support physicians caring for patients with Medicaid coverage.
  • Elimination of $10 million to support the Maternal Levels of Care verification for birthing hospitals.
  • No funding to support providers who have not been reimbursed by the Michigan Department of Corrections contractor Wellpath.

Furthermore, Michigan hospitals already stand to lose more than $6 billion over the next 10 years due to federal budget cuts. Further reducing funding that supports delivering healthcare services and the nurses, physicians and other staff employed by hospitals harms Michigan and its more than 10 million residents.

The MHA opposes any and all threats to hospital funding and continues to advocate for a real budget passed by Sept. 30 that supports healthcare and the hospital workforce who serve Michigan communities.

The MHA urges members to contact their lawmakers through an action alert to oppose these harmful cuts to hospital funding and access to care.

Members with additional questions should contact the MHA advocacy team.

House Budget Includes Harmful Hospital Funding Cuts

The Michigan House of Representatives voted 59-45 on Aug. 26 for a state budget that includes harmful cuts to hospital funding and healthcare measures.

This proposed budget includes:

  • New language placing $2.5 billion of hospital provider-tax funded payments in contingency, requiring unnecessary administrative and legislative actions that could jeopardize timely hospital payments.
  • Elimination of at least $100 million of funding from the Specialty Network Access Fee (SNAF), which provides reimbursement to support physicians caring for patients with Medicaid coverage.
  • Elimination of $10 million to support the Maternal Levels of Care verification for birthing hospitals.
  • No funding to support providers who have not been reimbursed by the Michigan Department of Corrections contractor Wellpath.

Furthermore, Michigan hospitals already stand to lose more than $6 billion over the next 10 years due to federal budget cuts. Further reducing funding that supports delivering healthcare services and the nurses, physicians and other staff employed by hospitals harms Michigan and its more than 10 million residents.

The MHA will continue to oppose all threats to hospital funding and work with the state legislature to advocate for a real budget by Sept. 30 that supports healthcare and the hospital workforce who serve Michigan communities.

Following the vote, the MHA issued a media statement from MHA CEO Brian Peters and an action alert encouraging members to contact legislators to protect hospital funding in Michigan.

Members with additional questions should contact the MHA advocacy team.

Governor Signs FY 25 Budget and FY 24 Supplemental

Gov. Whitmer signed the fiscal year (FY) 2025 state budget on July 24. The budget proposal fully funds the Michigan Medicaid program, including significant increases to provider-funded Medicaid reimbursements in FY 24 and 25. The budget also includes a new, $8.3 million investment to support peer recovery coaches in hospitals to enhance substance use disorder services.

Additionally, the agreement provides necessary resources to assist hospitals in advancing the health of individuals and communities throughout Michigan. This includes:

  • Maintaining funding for the Healthy Michigan Plan.
  • Preserving outpatient Medicaid rate increases achieved during prior budget cycles.
  • Continuing funding for the rural access pool and obstetrical stabilization fund.
  • Investing an additional $10 million in maternal and infant health programs at hospitals.
  • Establishing a new, $9 million nursing loan repayment program.
  • More than $31 million in additional, direct hospital appropriations.

statement on the passage of the budget was also published by MHA CEO Brian Peters June 27. The MHA will continue to advocate the state use portions of the funding to provide the resources necessary for hospitals and health systems to care for all Michiganders.

Members with questions on the state budget may contact Adam Carlson at the MHA.

MHA Monday Report July 1, 2024

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The Michigan Legislature approved the fiscal year 2025 state budget the week of June 24 which the governor is expected to sign into law next month. The budget proposal fully funds the Michigan Medicaid …


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Sen. Anthony and Rep. Witwer

Healthcare Advocates Honored with MHA Special Recognition Award

The MHA announced two winners of its Special Recognition Award during the Annual Membership Meeting June 27, recognizing them for extensive contributions to healthcare. Each of the winners has uniquely influenced healthcare in Michigan. The …


Dr. Loren Hamel speaks at the 2018 MHA Annual Meeting.

MHA Meritorious Service Award Recognizes Dr. Hamel

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Hospital Executives Recognized for Outstanding Leadership

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Ludwig Community Benefit Award Honors Hospital Programs

The MHA announced the winners of its 2024 Ludwig Community Benefit Award during the association’s Annual Membership Meeting June 27. The honorees include programs supported by Corewell Health William Beaumont Hospital, Royal Oak; Insight Surgical …


Ascension St. John Hospital Receives MHA Advancing Safe Care Award

The MHA announced the winner of its 2024 Advancing Safe Care Award June 27, honoring the dedicated team at Ascension St. John Hospital in Detroit. The award was announced during the association’s Annual Membership Meeting. …


Favorable Federal Court Ruling Allows Hospitals to Continue to Offer Unaltered Public Websites

A United States District Court Judge in Texas issued a ruling June 20 on recent Department of Health and Human Services bulletins that restrict healthcare providers from using standard third-party web technologies that partially …


The Keckley Report

The CBO Health Insurance Status Report: Four Reasons it’s Overly Optimistic

“A close reading of this report suggests its forecast might be overly optimistic. it paints a best-case picture of health insurance coverage that under-estimates the realities of household economics and marketplace trends and over-estimates the value proposition promoted by health insurers to their customers. My conclusion is based on four trends that suggest coverage might slip more than the report suggests …

Thus, no one knows for sure what coverage will be in 2034 as presented in the CBO report. Its analysis appropriately considers medical inflation, population growth and an incremental shift to value-based purchasing in healthcare, but it fails to accommodate highly relevant changes in the capital markets, corporate insurer shareholder interests and voter sentiment.”

Paul Keckley, June 24, 2024


News to Know

  • MHA offices will be closed and no formal meetings will be scheduled July 4 and 5 in honor of Independence Day.
  • Due to the holiday, Monday Report will not be published July 8 and will resume its normal schedule July 15.
  • MHA Endorsed Business Partner ProCredEx will host a free 30-minute webinar for members on July 8 to discuss AI-Assisted Document Transform.

MHA CEO Brian Peters

MHA in the News

The MHA received media coverage the week of June 24 that includes coverage on cybersecurity, market consolidation, 340B and the fiscal year 2025 state budget. MLive published an article June 26 looking at the reason healthcare is the top target for cyberattacks.  …

2025 State Budget Supports Key Healthcare Priorities

The Michigan Legislature approved the fiscal year (FY) 2025 state budget the week of June 24 which the governor is expected to sign into law next month. The budget proposal fully funds the Michigan Medicaid program, including significant increases to provider-funded Medicaid reimbursements in FY 24 and 25. The budget also includes a new, $8.3 million investment to support peer recovery coaches in hospitals to enhance substance use disorder services.

Additionally, the agreement provides necessary resources to assist hospitals in advancing the health of individuals and communities throughout our state. This includes:

  • Maintaining funding for the Healthy Michigan Plan.
  • Preserving outpatient Medicaid rate increases achieved during prior budget cycles.
  • Continuing funding for the rural access pool and obstetrical stabilization fund.
  • Investing an additional $10 million in maternal and infant health programs at hospitals.
  • Establishing a new, $9 million nursing loan repayment program.
  • More than $31 million in additional, direct hospital appropriations.

A statement on the passage of the budget was also published by MHA CEO Brian Peters June 27. The MHA will continue to advocate the state use portions of the funding to provide the resources necessary for hospitals and health systems to care for all Michiganders.

Members with questions on the state budget may contact Adam Carlson at the MHA.