MHA Monday Report July 14, 2025

Medical Debt Legislation Introduced, Maternal and Behavioral Health Bills Clear Senate

Legislation addressing medical debt was introduced in the Michigan State Senate June 26. The bipartisan three-bill package, Senate Bills 449, 450 and 451, codify the existence of hospital financial assistance programs, create new …


MHA Service Corporation Highlights Security Technology Solutions and Action Plan Priorities

The MHA Service Corporation board held its final meeting of the 2024-2025 program year focused on supporting the MHA Strategic Action Plan priorities of protecting access, workforce support, strengthening cybercrime and cybersecurity policy, mental …


CMS Releases Home Health PPS Proposed Rule

The Centers for Medicare and Medicaid Services (CMS) recently released a proposed rule updating the home health prospective payment system (PPS) for calendar year 2026. Highlights of the proposed rule include: A 6% …


Deadline Approaching to Qualify for MDHHS Maternal Health Quality Payments

Birthing hospitals pursuing the 2025 Michigan Department of Health and Human Services (MDHHS) Maternal Health Quality Payments must meet all requirements by July 31 to receive payments. Eligibility requirements include full participation in the Michigan …


Free Substance Use Disorder Technical Assistance Available

The Michigan Opioid Partnership is offering free, tailored technical assistance to help Michigan hospitals and healthcare providers improve care for patients with substance use disorders, whether they are implementing new protocols or strengthening existing …


Virtual Maternal Health Quality Improvement Courses Available

The Michigan Alliance for Innovation on Maternal Health (MI AIM) is offering virtual modules to support maternal health quality improvement efforts. All obstetric team members at MI AIM participating birthing hospitals are encouraged to complete …


MHA Shares State Impacts and Insights at Regional 340B Roundtable

MHA staff attended the Regional 340B Roundtable July 8 in Florence, IN to join colleagues from the Indiana Hospital Association, Ohio Hospital Association, Kentucky Hospital Association and endorsed business partner, SunRx, to share best practices for successful 340B administration and …


MHA Releases Executive Summary of Final LARA Rules for Osteopathic Medicine and Surgery

The MHA recently released an executive summary regarding administrative rules finalized by the Michigan Department of Licensing and Regulatory Affairs (LARA), updating licensing and practice standards for osteopathic medicine and surgery in Michigan. The rules, …


MHA Rounds image of Brian PetersMHA CEO Report — A Year of Progress and Purpose

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 …


Keckley Report

Special Edition: Lessons from the ACA applicable to the Big Beautiful Bill

“One Big Beautiful Bill Act (OBBBA) passed both houses of Congress by the thinnest of margins and was signed into law by President Trump last Thursday. It is the most significant legislation for U.S. healthcare since the Patient Protection and Affordable Care Act (ACA) signed into law by President Obama March 23, 2010. …

It’s too soon to know what the results will be for OBBBA. Many fear it will cause irreparable damage to the safety net—public health programs, rural and safety net hospitals, nursing homes and others that serve lower-income and disabled populations. Some see it as a necessary reset asserting waste, fraud and abuse in healthcare has been allowed to fester, harming those in bona-fide need and keeping resources in healthcare better used elsewhere.

What’s known for sure is that opinions about the OBBBA will change as it’s implemented over the next four years. How states address work requirements and implementation will be central to its success.  And executive orders, administrative actions, court decisions and market conditions will alter its trajectory—especially economic conditions at home.”

Paul Keckley, July 6, 2025


New to KnowNews to Know

MHA Endorsed Business Partner CorroHealth, is hosting the webinar Price Transparency in 2025: What’s Required, What’s Coming, What to do Now, for MHA members from 2 to 3 p.m. ET July 16.


MHA in the News

The MHA received media coverage during the weeks of June 30 and July 7 on Medicaid cuts included in the federal budget reconciliation bill. MHA CEO Brian Peters and MHA Executive Vice President Laura Appel …

CMS Releases Home Health PPS Proposed Rule

The Centers for Medicare and Medicaid Services (CMS) recently released a proposed rule updating the home health (HH) prospective payment system (PPS) for calendar year (CY) 2026.

Highlights of the proposed rule include:

  • A 6% rate cut from the current $2,057.35 to $1,933.61 after the net 2.4%  market basket update, an 8.3% cut due to budget neutrality requirements of the Patient-Driven Groupings Model (PDGM) and a 0.5% decrease related to outlier payments and other adjustments. Providers who fail to submit quality data are subject to an additional 2% point reduction.
  • A higher fixed-dollar loss ratio of 0.46, up from 0.35, expected to decrease outlier payments by 0.5% of total payments. The CMS proposes to maintain the existing 0.8 loss-sharing ratio.
  • Recalibration of relative weights for the PDGM using CY 2024 data.
  • Removing the face-to-face encounter restriction. Currently the CMS allows nonphysician practitioners to perform the required face-to-face encounter regardless of whether they were the certifying practitioner or previously cared for the patient. However, if a physician performed the face-to-face encounter, they were required to be the certifying physician or have previously cared for the patient. The CMS proposes to remove this restriction, allowing physicians to perform the face-to-face encounter regardless of whether they are the certifying physician or previously cared for the patient.
  • Removing the measure that assesses the percentage of patients receiving COVID-19 vaccinations from the HH quality reporting program (QRP). The proposal also requests information on changing the data submission deadline for HH QRP data, advancing digital quality measures and new measure concepts for the HH QRP.
  • Adding four new measures to the HH value-based purchasing program—Medicare Spending per Beneficiary and three measures assessing patient functional improvement in dressing and bathing.
  • New and revised provider enrollment provisions to reduce improper payments, including retroactive revocation of a provider’s Medicare enrollment such as if the beneficiary attest that the provider did not provide the service that was claimed. The CMS also proposed to deactivate an enrolled physician or practitioner’s billing privileges if they have not ordered or certified services for 12 consecutive months.
  • The CMS is collecting feedback on Executive Order 14192, “Unleashing Prosperity Through Deregulation”.

The MHA will provide members with an estimated impact analysis in the next several weeks and encourages members to contact Vickie Kunz regarding issues identified by Aug. 22. The CMS will accept comments on the HH proposed rule until Sept. 2. Members with questions should contact Vickie Kunz at the MHA.

MHA Monday Report June 16, 2025

Nurse Licensure Compact Legislation Clears House, Next of Kin Bills Advance

Legislation on the Nurse Licensure Compact and next of kin designations advanced in the Michigan House during the week of June 9. House Bill 4246, sponsored by Rep. Phil Green (R-Millington), passed the full …


MHA Testifies on Hospital Cost Drivers in House Insurance Committee

The MHA testified before the Michigan House Insurance Committee June 11 on healthcare cost issues affecting hospitals and communities across the state. Laura Appel, executive vice president, government relations & public policy, MHA and Elizabeth …


MHA Testifies on IMLC in House Health Policy

The MHA testified in support of Senate Bill 303 during a hearing in the Michigan Senate Health Policy Committee June 11. The legislation would reinstate Michigan’s participation in the Interstate Medical Licensure Compact (IMLC). …


MDHHS Launches New Mental Health Framework

The Michigan Department of Health and Human Services (MDHHS) is launching a new approach to mental healthcare under Medicaid as part of its MIHealthyLife initiative. The “Mental Health Framework” is designed to make care …


MHA Keystone Center to Support CMS’ Quality Improvement Program

Superior Health Quality Alliance (Superior Health) has been selected as the Great Lakes Region’s Quality Improvement Organization (QIO) to support the Centers for Medicare & Medicaid Services’ (CMS) 13th Scope of Work. As a member …


MiHIN in Negotiations to Sell Velatura Stake, Refocus Efforts on Michigan

The Michigan Health Information Network Shared Services (MiHIN), the state’s health information exchange, recently announced it is in negotiations to sell its interest in Velatura Public Benefit Corporation to Capernaum Investments. Velatura was established by MiHIN …


HHS Replaces ACIP Members, Future Vaccine Policy Unclear

The U.S. Department of Health and Human Services (HHS) 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 …


MHA Keystone Center PSO Hosts Cybersecurity and Regulatory Inspection Safe Table Events

The MHA Keystone Center Patient Safety Organization (PSO) hosted a safe table focused on Adapting Clinical Risk Management for Cybersecurity June 4 at the MHA Headquarters in Okemos. In partnership with MHA Endorsed Business Partner CyberForce|Q, the …


MHA Cybersecurity Communications Toolkit Available

A new MHA-member cybersecurity communications toolkit is now available to assist hospitals and health systems in preparing for and responding to a cyber incident. The available resources are focused on providing guidance in communicating with …


Keckley Report

The Hourly Workforce in Healthcare Deserves Attention

“Two government reports this week point to a familiar theme: healthcare employment is the backbone of the U.S. civilian workforce …

Arguably, their questions aren’t unique to hourly workers in healthcare: lower- and low-middle income employee cohorts in other industries feel the same. What’s unique to healthcare is the context: new technologies, new regulations, new transparency requirements, new ways of staffing and constant pressure to do more with less. Tension between workers and leaders in provider organizations is palpable—arguably more widespread than other industries in the economy. And human resource functions in these settings are understaffed and underfunded despite the mounting urgency of workforce issues since the pandemic. …

The hourly workforce in healthcare is important to its future. But most are worried about how to pay their bills at home and do a job with an uncertain future. These issues deserve attention.”

Paul Keckley, June 9, 2025


News to Know

MHA offices will be closed and no formal meetings will be scheduled June 19 in honor of Juneteenth.


MHA in the News

The MHA received news coverage during the week of June 9 that included local TV news stories on the Michigan House of Representatives passing a bill that would have the state join the National Nurse …

MHA Monday Report June 2, 2025

MHA and DataGen to Host Upcoming Medicare Quality-Based Program Webinars

The MHA has partnered with DataGen to host two upcoming webinars focused on the Medicare fee-for-service (FFS) quality-based programs which can reduce hospital inpatient FFS payments by up to 6% based on performance. The webinars …


MHA Releases Executive Summary of Recent MDHHS Blood Lead Testing Mandate Rules

The MHA recently released an executive summary regarding the Michigan Department of Health and Human Services’ (MDHHS) adoption of new administrative rules establishing universal blood lead testing requirements for minors across the state. The goal of …


CMS Issues New Guidance on Hospital Price Transparency Requirements

The Centers for Medicare & Medicaid Services (CMS) released updated guidance May 22 related to hospital price transparency requirements under Executive Order 14221, “Making America Healthy Again by Empowering Patients with Clear, Accurate and Actionable …


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

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


Keckley Report

The Summer of 2025 for U.S. Healthcare: What Organizations should Expect

“Last Thursday, the Make America Healthy Again Commission released its 68-page report “Making America’s Children Healthy Again Assessment” featuring familiar themes—the inadequacy of attention to chronic disease by the health system, the “over-medicalization” of patient care vis a vis prescription medicines et al, the contamination of the food-supply by harmful ingredients, and more. HHS Secretary Kennedy, EPA Administrator Zeldin and Agriculture Secretary Rollins pledged war on the corporate healthcare system ‘that has failed the public’ and an all-of-government approach to remedies for burgeoning chronic care needs. …

As MAHA promotes its agenda, Congress passes a budget and MAGA advances its anti-establishment agenda vis a vis DOGE et al, healthcare operators will be in limbo. The dust will settle somewhat this summer, but longer-term bets will be modified for most organizations as compliance risks change, state responsibilities expand, capital markets react and Campaign 2026 unfolds.

And in most households, concern about the affordability of medical care will elevate as federal and state funding cuts force higher out of pocket costs on consumers and demand for lower prices.

The summer will be busy for everyone in healthcare.”

Paul Keckley, May 27, 2025


Laura AppelMHA in the News

WLUC TV6 in Michigan’s Upper Peninsula published a story May 29 on the shortage of inpatient psychiatric beds in Michigan, placing a heavy focus on the testimony the MHA delivered May 20 before the House …

CMS Issues New Guidance on Hospital Price Transparency Requirements

The Centers for Medicare & Medicaid Services (CMS) released updated guidance May 22 related to hospital price transparency requirements under Executive Order 14221, “Making America Healthy Again by Empowering Patients with Clear, Accurate and Actionable Healthcare Pricing Information”.

The new guidance introduces significant changes to existing reporting obligations. Hospitals are now required to include actual dollar amounts for all payer-specific standard charges in their machine-readable files (MRFs), including negotiated rates that were previously allowed to be expressed as percentages or algorithms.

Hospitals may no longer use placeholder values such as “999999999” for estimated allowed amounts. Instead, they must calculate and report the average dollar amount historically received for each item or service using data from electronic remittance advice (835 transactions) from the 12 months prior to the MRF’s posting. If insufficient data exists to calculate the average, hospitals must provide a reasonable estimate along with documentation explaining the methodology used in the MRF notes section.

The MHA encourages hospitals to review their current transparency policies and assess any gaps in their publicly available MRFs.

Members with questions may contact Jim Lee at the MHA

 

CMS Releases FY 2026 Proposed Rule for Inpatient Psychiatric Facilities

The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule to update the Medicare fee-for-service prospective payment system (PPS) for inpatient psychiatric facilities (IPFs) for fiscal year (FY) 2026.

Key provisions of the proposed rule include:

  • Increasing the IPF PPS federal per diem base rate by a net 1.8% after all adjustments, from $876.53 to $891.99. IPFs that fail to comply with the CMS IPF Quality Reporting Program (QRP) requirements would be paid using a base rate of $874.57.
  • Increasing the Electroconvulsive Therapy payment per treatment by a net 1.8% from $661.52 to $673.19 for IPFs that comply with IPF QRP requirements and $660.04 for IPFs that fail to report data.
  • Increasing the labor-related share from the current 78.8% to 78.9%.
  • Increasing the cost outlier threshold by 3.3% from the current $38,110 to $39,360 to achieve the 2% target for outlier payments as compared to aggregate IPF payments, decreasing the number of cases that qualify for outlier payments.
  • Revising facility-level adjustment factors:
    • Rural adjustment from 1.17 to 1.18
    • Teaching adjustment from 0.5150 to 0.7981
  • Updating the IPF QRP to:
    • Remove four measures beginning with the calendar year 2024 reporting period and or FY 2026 payment determination:
      • Facility Commitment to Health Equity.
      • COVID-19 Vaccination Coverage among Health Care Personnel.
      • Screening for Social Drivers of Health.
      • Screen Positive Rate for Social Drivers of Health.
    • Modify the reporting period of the 30-day-Risk-Standardized All Cause Emergency Department Visit Following an Inpatient Psychiatric Facility Discharge measure (referred to as the IPF ED Visit measure) from a one year, calendar year to a two-year, fiscal year period.
  • Seeking feedback on three topics through requests for information for:
    • A potential future star ratings system for IPFs.
    • Future measures for the IPF QRP.
    • Using the Fast Healthcare Interoperability Resources standard for electronic exchange of healthcare information for patient assessment reporting.

The CMS is seeking comments on opportunities to streamline regulations and reduce administrative burdens on providers, suppliers, beneficiaries and other interested parties participating in the Medicare program.

The MHA will provide IPFs with a facility-specific impact analysis and additional details on the proposed rule in the near future. The MHA also encourages members to submit comments to the CMS by June 10 and to contact Vickie Kunz at the MHA with questions and  issues identified by May 27.

CMS Releases FY 2026 Proposed Rule for Inpatient Rehabilitation Facilities

The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule to update the Medicare fee-for-service prospective payment system (PPS) for inpatient rehabilitation facilities (IRFs) for fiscal year (FY) 2026.

Key provisions of the proposed rule include:

  • Increasing the IRF PPS payment rate by a net 2.4% after all adjustments, from $18,907 to $19,364. IRFs that fail to comply with the CMS IRF Quality Reporting Program (QRP) requirements are subject to a two-percentage point reduction.
  • Increasing the labor-related share from the current 74.4% to 74.5%.
  • Decreasing the cost outlier threshold by 0.6% from the current $12,043 to $11,971 to achieve the 3% target for outlier payments as compared to aggregate IRF payments, decreasing the number of cases that qualify for outlier payments.
  • Changes to the IRF QRP that propose to:
    • Make optional the reporting of four standardized patient assessment data elements in the IRF Patient Assessment Instrument focused on social determinants of health beginning with Oct. 1, 2025 reporting. The items would be removed entirely by the FY 2028 IRF QRP.
    • Remove two COVID-19 vaccination measures from the IRF QRP for FY 2026.
    • Seek input on future IRF QRP measure concepts, reducing the burden of reporting patient assessment data and advancing digital quality measures in the IRF QRP.

The CMS is seeking comments on opportunities to streamline regulations and reduce administrative burdens on providers, suppliers, beneficiaries and other interested parties participating in the Medicare program.

The MHA will provide IRFs with a facility-specific impact analysis and additional details on the proposed rule in the near future. The MHA also encourages members to submit comments to the CMS by June 10 and to contact Vickie Kunz at the MHA with questions and  issues identified by May 27.

CMS Releases FY 2026 Proposed Rule for Skilled Nursing Facilities

The  Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule to update the Medicare fee-for-service prospective payment system for skilled nursing facilities (SNFs) for fiscal year (FY) 2026.

Key provisions of the proposed rule include:

  • Increasing the per-diem federal rate by a net 3% after the market basket update, productivity adjustment and other adjustments. SNFs that fail to satisfy Quality Reporting Program requirements will be subject to a 2-percentage point reduction.
  • Updating the labor-related share of the per diem rate from 72% to 71.9%.
  • Making technical changes to the Patient-Driven Payment Model ICD-10 code mapping that assigns patients to clinical categories.
  • Removing items recently adopted as standardized patient assessment data elements under the social determinants of health category.
  • Issuing three Requests for Information regarding future measure concepts, potential revisions to submission deadlines for assessment data collected and advancing digital quality measurement.
  • Removing the health equity adjustment from the SNF Value-Based Purchasing program.

The CMS is seeking comments on opportunities to streamline regulations and reduce administrative burdens on providers, suppliers, beneficiaries and other interested parties participating in the Medicare program.

The MHA will provide SNFs with a facility-specific impact analysis and additional details on the proposed rule in the near future. The MHA also encourages members to submit comments to the CMS by June 10 and to contact Vickie Kunz at the MHA with questions and issues identified by May 27.

CMS Releases FY 2026 Hospital IPPS Proposed Rule

The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule to update the Medicare fee-for-service inpatient prospective payment system (IPPS) for fiscal year (FY) 2026.

The rule proposes to:

  • Increase the standard operating rate by a net 3.2%, after the 0.8% productivity cut and budget neutrality adjustments, from $6,624.39 to $6,835.47, for hospitals that successfully comply with the CMS quality reporting program and electronic health record requirements. Hospitals that do not meet the requirements for these programs are subject to a reduced annual update.
  • Increase the federal capital rate by 3.3%, from $512.14 to $528.95.
  • Decrease the cost outlier threshold by 4.1%, from $46,217 to $44,305, to maintain the target of paying 5.1% of aggregate IPPS payments as outlier.
  • Rebase and revise the labor-related share of the standardized operating rate from 67.6% to 66% for hospitals with a wage index greater than 1.0.
  • Increase disproportionate share hospital and uncompensated care (UCC) payments by $1.5 billion nationally. UCC payments will be allocated using the average of three most recent years of audited Worksheet S-10 data.
  • Add seven new Medicare-Severity (MS) Diagnosis Related Groups, while deleting six MS-DRGs, with most changes within Major Diagnostic Category 05, Diseases and Disorders of the Circulatory System.
  • Remove four measures from the Hospital Inpatient Quality Reporting Program, effective with the 2024 reporting and FY 2026 payment period:
    • COVID-19 vaccination coverage among health care personnel.
    • Hospital commitment to health equity structural measure.
    • Screening for social drivers of health.
    • Screen positive rate for social drivers of health.
  • Modify the Hybrid hospital-wide readmission and mortality measures and the stroke mortality and elective total hip and knee arthroplasty measures.
  • Update and codify the Extraordinary Circumstances Exception (ECE) policy to clarify that the CMS has discretion to grant an extension in response to an ECE request from a hospital.
  • Remove the health equity adjustment from the hospital value-based purchasing program scoring methodology beginning with the FY 2026 program.
  • Include Medicare Advantage patients in the calculation of multiple claims-based measures across several programs, including the Hospital Readmissions Reduction program, beginning with the FY 2027 program.
  • Shorten the Hospital RRP’s performance period from three years to two years. For example, FY 2027 HRRP penalties would be based on July 1, 2023 through June 30, 2025 performance.
  • Seek stakeholder comments in response to the Request for Information on opportunities to streamline regulations and reduce administrative burden on providers, suppliers, beneficiaries and other interest parties in the Medicare program.

The MHA continues to review the proposed rule and will provide hospitals with an estimated impact analysis in the next few weeks. The MHA encourages hospitals to review the proposed rule and submit comments to the CMS by June 10 and to notify Vickie Kunz at the MHA regarding questions or issues identified by May 27.

MHA Monday Report Dec. 9, 2024

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 …


Senate Passes Momnibus Bill Package

The Michigan Senate passed the Momnibus, a group of bills designed to improve equity and accountability in prenatal and maternal healthcare during the week of Dec. 2. The legislation includes Senate Bills 818–823, 825 and …


Senate Passes Behavioral Health Bills

The Michigan Senate unanimously passed several MHA-supported bills aimed at improving mental health treatment for individuals involved in the criminal justice system during the week of Dec. 2. Senate Bills (SB) 915 (Hertel-D), 916 (Santana-D), …


FORHP Updates Definition of Rural Area

The Federal Office of Rural Health Policy (FORHP) recently announced updates to its definition of “rural area” to improve healthcare resource allocations in rural areas. A key addition is the use of the Rural Ruggedness …


CMS Releases Medicare 2025 Outpatient Prospective Payment System Final Rule

The Centers for Medicare & Medicaid Services (CMS) recently released a final rule to update the Medicare fee-for-service outpatient prospective payment system effective Jan. 1,  2025. The final rule: Provides a net 2% increase …


MHA Continues to Offer Workplace Safety Posters

The MHA continues to offer workplace safety posters to MHA members at no cost to help hospitals comply with the requirement from Public Acts 271 and 272 of 2023 that hospitals display signage informing individuals they …


MDHHS Introduces SUD Program Enhancements and New Mapping Tool

The Michigan Department of Health and Human Services (MDHHS) recently developed improvements to current substance use disorder (SUD) programs and a new SUD mapping tool to identify SUD treatment service locations throughout the state, with …


MHA Rounds image of Brian PetersMHA CEO Report — Lame Duck is Here

The balance of power at both the state and federal levels will change in 2025. Yet lawmakers still have several weeks remaining, a period we refer to as lame duck where a number of elected officials …


Keckley Report

Trump Healthcare 2.0: The Laundry List of Disruption Targets

“The incoming Trump administration is committed to cutting government waste and reducing regulation. That pledge puts the U.S. healthcare industry in the crosshairs for budget cuts and heightened attention. It’s also a high-profile industry that’s ripe for disruption.

Healthcare is the economy’s biggest private-sector employer (18.3 million) and accounts for 17.3% of the GDP and 28% of total federal spending. Since 2008, annual increases for prescription drugs, hospitals and physician services have increased faster than the “All Items” index widening every year. From 2012 to 2022, the average annual growth rate was 4.2% for physician services, 4.4% for hospital care, 4.7% for prescription drugs and 5.0% for insurers who experienced the highest volatility of the four. …

The laundry list for Trump Healthcare 2.0 disruption is long. The public expects changes. Responding in business-as-usual fashion—especially thru well-worn trade association advocacy pronouncements– is short-sighted. It’s time to take a fresh look starting with a mirror.”

Paul Keckley, Dec. 2, 2024


News to Know

The Michigan Department of Health and Human Services recently announced the 2025 application period for the Michigan State Loan Repayment Program (MSLRP).


MHA CEO Brian PetersMHA in the News

MHA executives appeared on WJR 760 AM during the weeks of Nov. 25 and Dec. 2 to discuss the association’s opposition to government mandated nurse staffing ratios. MHA CEO Brian Peters appeared on Focus with …