MHA Monday Report April 13, 2026

Michigan Health & Hospital Association Establishes MHA Center of Rural Excellence

The Michigan Health & Hospital Association (MHA) announced April 10 the establishment of the MHA Center of Rural Excellence, a 501(c)(6) organization created to formalize and strengthen the collective voice of rural hospitals through support tailored …


State Senate Majority Leader Winnie Brinks Addresses MHA Board

The MHA Board of Trustees welcomed Senate Majority Leader Winnie Brinks (D-Grand Rapids) as a guest speaker at its April 8 board meeting at the MHA Capitol Advocacy Center in downtown Lansing. Sen. Brinks shared …


CMS Releases FY 2027 Proposed Rules Across Care Settings

The Centers for Medicare & Medicaid Services (CMS) recently released several proposed rules for fiscal year (FY) 2027 that update Medicare payment systems and quality reporting requirements.


MDHHS Recommends Early Measles Vaccination in Select Counties and Extends RSV Immunization Season

The Michigan Department of Health and Human Services (MDHHS) is recommending early measles vaccination for infants in select southeast Michigan counties and extending the respiratory syncytial virus (RSV) immunization season through April 30, in …


Keystone Quality and Safety Dashboard Provides At-a-Glance Insights

The MHA Keystone Center recently rolled out its Quality and Safety Dashboard, a resource that helps Michigan hospitals monitor performance, identify improvement opportunities and reduce patient harm. The dashboard provides an at-a-glance view of performance …


MHA Submits Comments on Proposed Behavioral Health Medicaid Policy

The MHA recently submitted comments to the Michigan Department of Health and Human Services on proposed policy 2553-BH, which addresses reimbursement for specialty behavioral health services based on service location. While the policy largely reflects …


Council Workgroups Advance Care Delivery Strategies

The MHA Council on Health Access and Community Impact, established in June 2024, brings together voices from across the MHA membership to advance a shared commitment to improving healthcare and health outcomes. Over the past …


MDHHS Seeks Applications for Loan Repayment Program to Expand Substance Use Disorder Treatment

The MDHHS is accepting applications through April 30 for the Michigan Opioid Treatment Access Loan Repayment Program, which supports providers who offer or expand access to opioid addiction …


YesRx Donation Drive Expands Access to Cancer Medications

The MHA continues to support the YesRx statewide cancer medication donation drive, taking place April 20-24, to help expand access to treatment and reduce medication waste across Michigan. YesRx is a statewide cancer drug repository …


Hospitals Help: Hillsdale Works to Improve Access for Rural Residents

Rural hospitals are the heart of their communities, providing care close to home in addition to jobs, stability and reassurance that help is nearby in life’s most pivotal moments. Despite their essential role, rural providers …


Keckley Report

In OMB’s FY 2027 Proposed Budget, Healthcare is the Big Loser

“In 1970 before there was ESPN Sports Center, there was ABC’s “Wide World of Sports” and its iconic montage opening featuring a disastrous ski jump attempt by Yugoslavia’s Vinko Bogataj and Jim Kay’s voice-over “the thrill of victory and agony of defeat.” It’s an apt framework for consideration of current affairs in the U.S. today and an appropriate juxtaposition for consideration the winners and losers in the White House Office of Management and Budget FY2027 released Friday. …

In its current form, this budget is unlikely to be enacted October 1, 2026: it’s best viewed as a signal from the White House about priorities it deems most important to the MAGA faithful in Congress, 28 state legislatures and 26 Governors’ offices controlled by Republicans. Though its explosive growth in of War Department funding to $1.5 trillion is eye-popping, cuts to healthcare are equally notable. Both are calculated bets as the mid-term election draws near (six months) and clearly OMB is betting healthcare cuts will be acceptable to its base. …

This budget proposal clearly illustrates why state legislators and Governors will play a bigger role in its future at home and abroad. And it means consumer (voter) awareness and understanding on key issues will be key to the system’s future, lest it is remembered for the agony of its defeat than the thrill of its victory.”

Paul Keckley, April 6, 2026


New to KnowNews to Know

The MHA will host a Health Access and Community Impact Office Hours session April 29 from noon to 12:45 p.m. ET, featuring Michigan 211.


MHA in the News

Elizabeth Kutter, vice president and deputy general counsel, MHA, joined Paul W. Smith for a WJR Spotlight interview April 9 about the value the federal 340B Drug Pricing Program brings to Michigan communities. The conversation …

WJR Spotlight Highlights the Importance of the 340B Drug Pricing Program

Elizabeth Kutter, vice president and deputy general counsel, MHA, joined Paul W. Smith for a WJR Spotlight interview April 9 about the value the federal 340B Drug Pricing Program brings to Michigan communities.

The conversation explored how hospitals use 340B savings to reinvest directly into patient care by maintaining or expanding services, lowering out-of-pocket costs and supporting community health initiatives.

The segment also addressed ongoing pressure from drug manufacturers to enact policy changes that would weaken the program through restrictions that would impact healthcare access, especially in rural communities. Kutter emphasized how the program operates at no cost to taxpayers and allows hospitals to stretch limited resources as drug, labor and supply costs continue to rise.

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

MHA Monday Report April 6, 2026

MHA EventsHospital HR Professionals Gather at MHA Human Resources Conference

The MHA welcomed human resources leaders from across the state for the 2026 MHA Human Resources Conference March 24 in Lansing. Attendees gathered for a day of learning, networking and discussions focused on the workforce …


CMS Issues Guidance on Updated Federal Dietary Guidelines

The Centers for Medicare & Medicaid Services (CMS) recently released a Quality & Safety Special Alert Memo reminding critical access hospital providers of their responsibilities for patient food and nutrition services under existing …


MHA Annual Membership Meeting Strengthens Statewide Collaboration

The MHA Annual Membership Meeting will be held June 24-26 on Mackinac Island. It will include education sessions that deliver tactics and perspectives to shape the future, recognition of prestigious individuals leading transformation and numerous …


Excellence in Governance Fellowship Offers Meaningful Dialogue Among Trustees and Experts

Applications are now being accepted for the 2026-27 cohort of the MHA Excellence in Governance Fellowship, a rigorous and comprehensive program delivering tools and knowledge in effective governance. Hospital and health system governing board members …


Hospitals Help: Kalkaska Memorial Walks Beside Patients at Discharge

Patients often feel most vulnerable during the transition from hospital to home – especially if questions linger, follow-up care is extensive or there’s any risk of complications. Knowing this, hospitals are finding ways to ensure …


MHA Rounds image of Brian PetersMHA CEO Report — Violence Is Not Part of the Job

Healthcare workers accept extraordinary responsibility in their role as caregivers for their community, but fearing for their own safety is never something they should have to accept as part of the job. …


March Recap

March was marked by a strong focus on National Nutrition Month, highlighting how hospitals are advancing Food as Medicine efforts across Michigan. The following articles recap key conversations and initiatives supporting improved health outcomes through nutrition.

Food as Medicine: How Trinity Health Is Advancing Health Through Nutrition

Food is Medicine. Health by Food. ProduceRx. The integration of healthy food into healthcare is gaining attention under many names, but the message remains the same: access to healthy foods as a part of care. …


Health Access & Community Impact Council Focuses on Food as Medicine

The MHA Health Access & Community Impact Council convened virtually March 5 to discuss strategies to improve health outcomes through stronger integration of social and clinical care. In recognition of National Nutrition Month, members also explored …


Hospitals Expand Food Access Through Community Benefit Collaboratives

As many observe National Nutrition Month, hospitals across the state are implementing programs to address chronic disease through nutrition education and expanded food access. This work is being done through the MHA Community Benefit Collaboratives, which support efforts to improve Michiganders’ health outcomes in …


Keckley Report

Reality Check: the New Healthcare Advisory Committee

“Last week, Secretary of Health and Human Services (HHS) Robert Kennedy and Centers for Medicare and Medicaid Services (CMS) Director Mehmet Oz announced appointments to the new Healthcare Advisory Committee (HAC).

Its 18 members were selected from 400 nominees and will serve two-year terms. The group includes 4 health system executives, 5 physician leaders, 4 policy analysts, 3 ‘others’ (including motivational speaker Tony Robbins) and 2 Ex Officio (Non‑Voting) Members (Kimberly Brandt, JD — CMS Deputy Administrator & COO Stephanie Carlton, CMS Chief of Staff). …

The U.S. health system is in chaos. Its long-term destination is unknown. It’s near-term is mired in political brinksmanship and discontent about its costs and affordability. It is unhealthy. Majorities in both parties, and independent voters think the system is broken but few know what a viable alternative might be. Lost but making record time!!!”

Paul Keckley, March 29, 2026


New to KnowNews to Know

  • MHA Endorsed Business Partner i2G Systems is hosting the webinar Pathway to Prevention April 22 from 11 a.m. to noon ET.
  • The American Hospital Association (AHA) is accepting applications for the 2027 AHA Foster G. McGaw Prize.

MHA in the News

The MHA received media coverage during the week of March 30 following Executive Vice President of Government Relations and Public Policy Laura Appel’s participation in two panels focused on key healthcare challenges and opportunities. WZMQ …

Media Recap: Coverage Highlights MHA Insights on Access, Affordability and Innovation

Laura Appel, executive vice president, government relations and public policy, MHA, during a panel discussion at the Lake Superior Community Partnership Breakfast & Business event.

The MHA received media coverage during the week of March 30 following Executive Vice President of Government Relations and Public Policy Laura Appel’s participation in two panels focused on key healthcare challenges and opportunities.

WZMQ covered the Lake Superior Community Partnership’s Breakfast & Business event, where Appel and Lauren LaPine-Ray, DrPH, MPH, vice president, policy & rural health, MHA, discussed the unique healthcare landscape and challenges in the Upper Peninsula. Appel and LaPine-Ray emphasized how federal policy decisions could impact access to care and economic stability in the region.

The Michigan Daily reported on the Blueprints for Pangaea Healthcare Business Gala, which included a panel presentation in which Appel discussed the need for cross‑sector collaboration to address healthcare access and affordability.

MLive published a story on projected Medicaid coverage losses following the passage of H.R. 1. MHA CEO Brian Peters was quoted in the article discussing the long-term impact on Michigan hospitals.

“For Michigan hospitals alone, that number is north of $6 billion in negative impact over that 10-year horizon,” said Peters. “You cannot take $6 billion out of the hospital funding line without severe consequences in terms of access to patient care.”

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

MHA Monday Report March 30, 2026

Governor Whitmer Signs Interstate Medical Licensure Compact Bill

Gov. Whitmer signed House Bill 5455, now Public Act 6 of 2026, into law March 26. This came ahead of the deadline for the state to continue participation in the Interstate Medical Licensure Compact without …


Clinical Laboratory Fee Schedule Data Reporting Period Opens May 1

The Consolidated Appropriations Act of 2026, signed into law Feb. 3, includes updates to the Medicare Clinical Laboratory Fee Schedule under the Protecting Access to Medicare Act. These updates include a data …


MDHHS Finalizes Medicaid Policy Updates to Mental Health Framework

The Michigan Department of Health and Human Services (MDHHS) recently finalized Medicaid policy updates to the Michigan Mental Health Framework. It reflects several changes from the proposed version related to assessment use, timing and provider eligibility. …


Continuum of Care Consortium Seeks Member Participation

The Michigan Department of Licensing and Regulatory Affairs Bureau of Survey and Certification is organizing a Continuum of Care Consortium. This group is designed to bring together hospital and long-term care providers …


Stryker Issues Cyber Incident Response Certification Letter

Following a recent cyberattack at Stryker Corporation, the company issued a Stryker Cyber Incident Response Certification Letter on March 16 to update its customers on the ongoing situation. The letter includes information on product safety, communication with Stryker sales …


Hospitals Help: McLaren Launches AI Tool to Identify Heart Disease Risk Sooner

Michigan hospitals are finding innovative ways to improve patient outcomes and remove barriers to timely care. One example of this comes from McLaren Health Care and its McLaren Heart & Vascular Institute, who recently launched …


Keckley Report

It’s March Madness for Hospitals

“Hospitals represent 31% of total health spending in the U.S. They directly employ 52% of the nation’s 1.1 million physicians and 44% of the 18 million in the healthcare workforce. Many operate ‘related’ businesses including insurance companies, nursing home and long-term care services, fitness facilities and some are investors in private equity funds and joint ventures pursuing innovations in care delivery and more. …

For hospitals, this is March Madness! Strategies to manage demand, reduce costs and leverage favorable operating margins (enjoyed by some) need refreshing because the environment has fundamentally changed. Governing boards and C suites in hospitals face some tough questions about how, and how fast their environment will change. The Big C’s (Costs, Corporatization, Competition, Compliance, Capital, Coverage) are a useful place to start…

These are not comprehensive but they’re directionally accurate: the future for hospitals is not a repeat of the past. The market has fundamentally changed.

The blame and shame game played by the industry’s major sectors—hospitals, insurers, drug companies—has not made life better for the citizens it serves. The public’s asking for something better, and elected officials are on their side.

March Madness is reality for hospitals. It requires fresh thinking and uncomfortable adjustments. It’s not optional.”

Paul Keckley, March 22, 2026


New to KnowNews to Know

The MHA membership will convene in person for the MHA Annual Membership Meeting June 24–26. The annual meeting will feature an outstanding lineup of experts discussing key topics, including public perception and affordability. Members are encouraged to register by …


MHA in the News

The MHA received media coverage during the week of March 23 on key issues affecting access to care and the healthcare workforce. MLive, Gongwer and the Michigan Advance reported on the bipartisan agreement to extend …

Healthcare Access Policy Developments Draw Media Attention

The MHA received media coverage during the week of March 23 on key issues affecting access to care and the healthcare workforce.

MLive, Gongwer and the Michigan Advance reported on the bipartisan agreement to extend Michigan’s participation in the Interstate Medical Licensure Compact. MHA CEO Brian Peters was quoted in the articles emphasizing how the compact helps hospitals recruit qualified physicians more efficiently while maintaining critical state oversight.

Peters underscored the importance of participation in the compact, especially in areas where workforce shortages can limit patient access to specialty services.

“For many hospitals, especially those serving rural or border communities, the compact supports access to care in high-demand specialties such as emergency medicine, psychiatry, obstetrics and primary care,” he said.

Laura AppelLaura Appel, executive vice president, government relations & public policy, was featured in Michigan Independent’s coverage surrounding Gov. Whitmer’s executive budget recommendations to fund Michigan’s Medicaid program.

Appel highlights the challenges hospitals will face if more Michiganders lose healthcare coverage.

The MHA was also quoted in a Bridge Michigan story examining increased federal immigration enforcement activity near healthcare facilities, reiterating that hospitals remain focused on caring for every patient who seeks treatment. Meanwhile, Peters also appears in an MLive article about sharing the impact of Medicaid funding cuts to hospitals.

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

MHA Members and Business Leaders Join Crain’s for Healthcare Affordability Roundtable

The MHA partnered with Crain’s Content Studio to facilitate a healthcare affordability discussion, which was highlighted in its Detroit and Grand Rapids publications.

Healthcare and business leaders examined the complex factors driving healthcare costs and its impact on both patients and employers. Participants emphasized that meaningful change will require coordination across the healthcare system, including providers, insurers, businesses and policymakers.

Hospital leaders highlighted existing efforts to improve efficiency, reduce administrative burden and expand new care models that help keep patients healthier and out of the hospital.

The discussion reinforced Michigan hospitals’ commitment to addressing affordability while maintaining access to high-quality care.

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

KFF Health News: Rural Health Transformation Program Fund Allocation

KFF Health News published a story March 4 detailing concerns from hospital leaders and lawmakers across the country about how states plan to spend new federal rural health funding.

The $50 billion Rural Health Transformation Program (RHTP) is designed to drive innovation and maintain access in rural communities following significant federal Medicaid cuts.

Lauren LaPineLauren LaPine-Ray, DrPH, MPH, vice president, policy and rural health, MHA, is quoted in the article, raising concerns about rural hospitals’ ability to access critical funds due to the complexity and competitiveness of state grants.

The article was syndicated by CBS News and Fierce Healthcare.

LaPine-Ray was also featured in Modern Healthcare’s article discussing the challenges associated with securing RHTP dollar. She notes how specific grant requirements surrounding population health data analytics-backed care coordination programs and technology implementation will negatively impact rural hospitals.

“Funding care coordination and community initiatives is a wonderful thing, but given the short timeframe and the fact CMS will judge programs over one year, rural hospitals are worried about funds being retroactively pulled back,” she said. “With Medicaid redeterminations and Medicaid cuts coming in 2027, rural hospitals may not have the luxury to choose between committing to do something new or trying to keep their doors open.”

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

Appel Joins WJR for State of the State Coverage

From left to right: MHA EVP Laura Appel pictured with Lance Binoniemi and WJR’s Ryan Ermanni.

MHA Executive Vice President Laura Appel joined WJR’s Ryan Ermanni live broadcast Feb. 25 for the station’s annual coverage of the state’s legislative and policy priorities in alignment with Gov. Gretchen Whitmer’s State of the State address.

During the broadcast, Appel highlighted hospitals’ commitment to bending the cost curve by ensuring patients receive the right care, at the right time and the right price.

Whitmer also emphasized her desire to lower healthcare costs for Michiganders during her address, specifically calling the state legislature to prioritize protecting Michiganders from medical debt.

Appel also joined WJR’s Chris Renwick and Lloyd Jackson for their live broadcast Feb. 26 following the address to express the need for sustainable healthcare funding to safeguard access to care across the state.

Members with questions should contact Elise Gonzales at the MHA.

Media Recap: Healthcare Affordability and Access

MHA CEO Brian Peters bylined an op-ed Feb. 16 in The Detroit News, highlighting Michigan hospitals’ understanding of the financial strain that rising healthcare costs are creating and reinforcing their commitment to being part of the solution.

Peters outlines how hospitals are confronting the same cost pressures affecting households and businesses, including workforce shortages, supply chain costs and increased cybersecurity demands. He emphasizes that amid these challenges, hospitals are committed to collaboration, working alongside policymakers, employers and community partners to advance solutions that improve affordability while protecting access to care for all Michiganders.

Lauren LaPineLauren LaPine-Ray DrPH, MPH, vice president, policy and rural health, MHA, was quoted in a Feb. 17 Bride Magazine story expressing concern for emergency room (ER) capacity following Oakland Community Health Network’s recommendation to direct mental health patients to the ER amid paused operations at the county’s resource and crisis center.

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