MHA Monday Report Nov. 10, 2025

Congressman Bergman Co-Sponsors Critical Access Hospital Relief Act

U.S. Rep. Jack Bergman (R-MI) recently co-sponsored HR. 538, the Critical Access Hospital Relief Act of 2025, which would remove the 96-hour physician certification requirement for inpatient services at critical access hospitals. The bill, introduced in January 2025, would amend …


State and Medical Partners Urge Michiganders to Get the COVID-19 Vaccine

To help ensure access to the COVID-19 vaccine for all residents, the Michigan Department of Health and Human Services, Department of Licensing and Regulatory Affairs and Department of Insurance and Financial Services …


MMMS and FIMR Aligned Recommendations to Improve Maternal and Infant Health

The Michigan Maternal Mortality Surveillance (MMMS) and Fetal Infant Mortality Review (FIMR) programs recently released aligned recommendations at improving outcomes across the maternal and infant health continuum. MMMS reviews cases of maternal deaths that occur …


Honoring Veterans Through Improved Access & Care Coordination

When observing Veterans Day, it’s important to recognize how healthcare organizations can meaningfully work together to improve health outcomes and address the unique needs of service members and their families. …


Key Findings from the Michigan Interpreter Needs Assessment Report

Understanding the critical role interpreters play in hospitals, the MHA Health Foundation recently contributed funding to support the Michigan Department of Licensing and Regulatory Affairs in conducting a needs assessment of Michigan’s interpreter landscape. …


MHA Rounds graphic of Brian PetersMHA CEO Report — Streamlining Medicaid Work Requirements

As states work toward establishing Medicaid work requirements that are a core element of H.R. 1, it’s more important than ever that we reduce the administrative burden associated with verification for beneficiaries. …


Keckley Report

The Structural Flaws that Must be Fixed to Transform the U.S. Health System

“Such is the case for health insurance coverage for millions in the U.S. as the federal government shutdown enters Week 6. Democrats are holding out for continuation of Affordable Care Act (ACA) insurance subsidies that enable 22 million to “buy” insurance cheaper, and Republicans are holding out for federal spending cuts reflected in the One Big Beautiful Act (July 2025) that included almost a trillion reduction in Medicaid appropriations thru 2036.

ACA subsidies at the heart of the shutdown successfully expanded coverage in tandem with Medicaid expansion but added to its costs and set in motion corporatization and consolidation in every sector of the health system. The pandemic exposed the structural divide between public health programs and local health systems, and insurance premium increases and prior authorization protocols precipitated hostility toward insurers and blame games between hospitals, insurers and drug companies for perpetual cost increases. …

Sixteen years later, healthcare is once again the eye of the economic storm. Insiders blame inconsistent regulatory enforcement and lack of adequate funding as root causes. Outsiders blame lack of cost controls. consolidation and disregard for affordability. Thus, while attention to subsidized insurance coverage and SNAP benefits might temporarily calm public waters, they’re not the solution. …

Healthcare’s the same. Outside forces seen or not will impact its future dramatically. Plans have to be made though Black Swans like the pandemic are inevitable.  But long-term planning built on plausible bets are necessary to every healthcare organization’s future.”

Paul Keckley, Nov. 2, 2025


New to KnowNews to Know

  • MHA offices will be closed and no formal meetings will be scheduled Nov. 11 in honor of Veterans Day.
  • The MHA will host a virtual member forum from 8:30 to 9:30 a.m. Nov. 7 to outline the MHA 2025-26 Strategic Action Plan approved by the MHA Board of Trustees.
  • Amy Brown, chief nursing officer, MHA, recently joined MHA Endorsed Business Partner (EBP) AMN Healthcare on the episode “Empowering Nurses Through Advocacy and Innovation” of the Elevate Care Podcast.
  • MHA EBP SunRx is continuing a webinar series about 340B Rebate Model Briefings on Nov. 13 and Nov. 20.

MHA in the News

Bridge published a story Nov. 5 sharing five reasons why health insurance rates are rising at increasing rates in the state, which included workforce challenges, expiring enhanced premium tax credits, inflation and drug prices. …

DIFS Releases Bulletin Protecting COVID-19 Vaccinations

The Michigan Department of Insurance and Financial Services (DIFS) issued a bulletin on Oct. 16 advising health insurers in the individual and small group markets to continue covering COVID-19 vaccinations without cost-sharing.

The bulletin was released in accordance with Gov. Whitmer’s Executive Directive 2025-7. The executive directive instructs the Michigan Department of Health and Human Services, DIFS and the Michigan Department of Licensing and Regulatory Affairs to work collaboratively to ensure COVID-19 vaccines are available to all Michiganders.

The DIFS bulletin states that under existing state law, all insurers in the individual and small group market must cover immunizations recommended by the federal Advisory Committee on Immunization Practices (ACIP). The ACIP continues to recommend the COVID-19 vaccine as of Oct. 16.

Members with questions regarding the bulletin should contact Megan Blue at the MHA.

CDC Updates Guidance for COVID-19 and Chickenpox Vaccines

The Centers for Disease Control and Prevention (CDC) recently updated its guidance for the COVID-19 and varicella (chickenpox) vaccines. The CDC’s decision uses an individual-based decision-making framework, referring to vaccination decisions made through shared clinical decision-making. The framework notes that vaccination should be determined based on patient characteristics, which can make broad-based recommendations difficult to apply.

The U.S. Food and Drug Administration approved marketing authorization for the COVID-19 vaccine to include those 65 and older and people at high risk for developing severe illness from the virus. This is in contradiction to policy in the past years, which recommended the vaccine for everyone six months and older.

The CDC also recommends updating the immunization schedule for chickenpox to be a standalone immunization rather than given in combination with the measles, mumps and rubella vaccines. This guidance is informed by evidence provided by the CDC Immunization Safety Office that states “Healthy 12–23 months old toddlers have an increased risk of febrile seizures seven to ten days after vaccination for the combined measles, mumps, rubella and varicella vaccine compared to those given immunization for chickenpox separately.”

The CDC stated that this change in decision making will continue to cover immunizations through payment systems that include Medicare, Medicaid, Children’s Health Insurance Program, the Vaccines for Children Program and private insurance plans.

Members with questions regarding this webinar or vaccine policy should contact the MHA Policy team.