MHA Policy Experts Join Mental Health Association Panel Event

Elizabeth Kutter, senior director of Government and Political Affairs at the MHA (left) and Lauren LaPine, senior director of Legislative and Public Policy at the MHA (right)

The Mental Health Association in Michigan hosted the annual Michigan Partners in Crisis event Nov. 3, bringing together industry experts to explore the theme Bridging the Gap in Mental Health Care.

Elizabeth Kutter, senior director of Government and Political Affairs at the MHA and Lauren LaPine, senior director of Legislative and Public Policy at the MHA, joined as panelists to discuss behavioral healthcare access and policy opportunities at the state and federal level. Kutter and LaPine spoke alongside Angela Kimball, senior vice president of Political Advocacy and Public Policy at Inseparable, a mental health advocacy organization.

“Look for opportunities to collaborate with community partners and lawmakers,” said LaPine when asked how community members can help address gaps in behavioral health. “We need to keep coming together, learning from one another and figuring out what’s working in order to scale those solutions.”

Kutter added, “Be bold. Be brave. Vote and talk to your lawmakers – they want to hear from you as leaders of your communities in order to make change.”

Other event panelists included Rep. Luke Meerman and Rep. Donovan McKinney who spoke about legislative work in the juvenile justice system. Julie Stewart and Leonard Swanson, MSW of Wayne State University’s (WSU) School of Social Work also joined to share details about statewide crisis response programs and the work of WSU’s Center for Behavioral Health.

Michigan Partners in Crisis is a coalition of organizations and jurists dedicated to enhancing access to quality, clinically appropriate treatment and support services and settings for children and adults experiencing emotional disorders and mental illnesses. This coalition seeks mechanisms that reduce the over-reliance on the criminal justice system as a response to mental illness and emotional disorders, while preserving the well-being and safety of consumers, families and the general public.

To learn more, visit the Mental Health Association in Michigan webpage or contact the MHA Advocacy team.

MHA Monday Report Nov. 13, 2023

MHA Monday Report

MHA board member Beth Charlton provides testimony to the House Health Policy committee.House Committee Hears Testimony on One-Size-Fits-All Nurse Staffing Ratios

The House Health Policy Committee held a testimony-only hearing Nov. 9 on mandated nurse staffing ratio legislation, House Bills 4550-4552. The proposed bills would mandate one-size-fits-all nurse staffing ratios for all Michigan hospitals. The legislation, which does not create more nurses nor solve staffing


CMS Finalizes Physician Fee Schedule for 2024

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2024 Medicare Home Health Final Rule Released

The Centers for Medicare and Medicaid Service recently released a final rule to update the home health (HH) prospective payment system (PPS) for calendar year 2024. The rule includes updates to the Medicare fee-for-service HH PPS payment …


Minimum Staffing Standards for Long-Term Care Facilities

The Centers for Medicare & Medicaid Services released a proposed rule Sept. 1, to establish minimum staffing standards for long-term care facilities, as part of the Biden Administration’s Nursing Home Reform initiative. The MHA supports the goal to ensure safety and …


OPPS 2024 Final Rule Released

The Centers for Medicare and Medicaid Services recently released a final rule to update the Medicare fee-for-service outpatient prospective payment system (OPPS) effective Jan. 1, 2024. The rule: Provides a net 2.1% to the outpatient conversion factor for hospitals that …


Reaching Rural: Advancing Collaborative Solutions Fellowship Program

The U.S. Department of Justice, Bureau of Justice Assistance announced a new cohort for the Reaching Rural: Advancing Collaborative Solutions Fellowship program Nov. 2. This year-long program will help rural leaders find solutions to substance use and misuse within their community through collaboration with …


The Keckley Report

Paul KeckleyThe Conundrum facing Not-for-Profit Hospital Systems

“Does hospital ownership matter? According to a study published last week in Health Affairs Scholar, NOT MUCH. That’s a problem for not-for-profit hospitals who claim otherwise. …

The issues facing not-for-profit hospitals in the U.S. are unique and complex. Per the commentary of the CSOs, their market conditions are daunting and major changes in their structure, funding and regulation unlikely. That means lack of public understanding of their unique role is a conundrum.”

Paul Keckley, Nov. 6, 2023

House Committee Hears Testimony on One-Size-Fits-All Nurse Staffing Ratios

MHA board member Beth Charlton provides testimony to the House Health Policy committee.
MHA board member Beth Charlton provides testimony to the House Health Policy committee.
MHA board member Beth Charlton, BSN, RN, provides testimony to the House Health Policy committee.

The House Health Policy Committee held a testimony-only hearing Nov. 9 on mandated nurse staffing ratio legislation, House Bills 4550-4552. The proposed bills would mandate one-size-fits-all nurse staffing ratios for all Michigan hospitals. The legislation, which does not create more nurses nor solve staffing shortages, is opposed by the MHA as well as a diverse set of coalition partners including health plans, chambers of commerce, other nursing organizations and healthcare providers. As evidenced in California, where there is a shortage of 40,000 registered nurses despite the presence of mandated staffing ratios for 25 years, this is a proposed policy in search of serious problems. Michigan hospitals are currently trying to hire more than 8,400 nurses for vacant positions during a national workforce crisis. The MHA will continue to propose real solutions to address healthcare workforce vacancies and oppose proposals that negatively impact the health of communities across Michigan.

The MHA, several member hospital nurse leaders, the Michigan Organization of Nursing Leadership and American Nurses Association – Michigan testified in opposition. Further, nurses and nurse leaders from across the state joined the MHA in advocating against this effort. The impact the legislation will have on patients in the state is too serious to ignore; hospital nurses showed up in droves to share their concerns for their patients, their communities and Michigan’s access to care.

Doug Dascenzo provides testimony to the House Health Policy committee.
Doug Dascenzo, DNP, RN, chief nursing officer, Trinity Health Michigan, provides testimony to the House Health Policy committee.

In conjunction with the testimony, the MHA released a letter on behalf of all Michigan hospitals and health systems signifying their unified opposition to proposed House Bills 4550-4552. This follows the announcement earlier this week of a comprehensive coalition of healthcare, business and advocacy organizations opposing the bills.

The legislature is scheduled to adjourn for the year on Tuesday, Nov. 14 and further voting for the calendar year is not anticipated. However, work on this issue won’t stop. Members are encouraged to continue to contact their legislators through the MHA Legislative Action Center, participate in legislator’s local coffee hours and town halls, and connect with other local leaders to encourage opposition to legislation that will reduce access to care and harm communities.

Members with any questions may contact Adam Carlson and Elizabeth Kutter at the MHA.

MHA Monday Report Nov. 6, 2023

MHA Monday Report

capitol buildingHealthcare Worker Protections Headed to Governor

Legislation increasing penalties for violence committed against healthcare workers was approved by the state House of Representatives in a bipartisan vote during the week of Oct. 30. The MHA-supported bills increase fines for assaulting a healthcare …


Michigan Hospitals Invested $784 Million in Community and Voluntary-based Activities to Improve Health, Well-being of Residents

New report outlines hospital community health efforts in FY 2021  The Michigan Health & Hospital Association released today the Making a Difference in Our Communities report that highlights how hospitals invested more than $784 …


Beyfortus Supply Shortages & CDC Guidelines

Beyfortus (nirsevimab) is a long-acting monoclonal antibody for the prevention of respiratory syncytial virus lower respiratory tract disease in infants approved by the U.S. Food and Drug Administration in July 2023. The MHA has …


speak upC.S. Mott Children’s Hospital MRI Technologist Receives Speak-up! Award

The Michigan Health & Hospital Association Keystone Center a Dragan Spremo at University of Michigan Health C.S. Mott Children’s Hospital with the quarterly MHA Keystone Center Speak-up! Award on Oct 23. The MHA Keystone Center …


Registration Open for Virtual DEI Certificate Program

Registration is open for the Diversity, Equity and Inclusion in Healthcare certificate program offered Dec. 7 and Dec. 8 from 11 a.m. to 3 p.m. ET. The event, hosted by the Michigan Health & Hospital …


HHS Submits Information Blocking Disincentives Proposed Rule

The U.S. Department of Health and Human Services (HHS) recently submitted a proposed rule outlining penalties providers would face if they do not appropriately share patient data as outlined in the 21st Century Cures Act. …


MDHHS Launches Opioid Settlement Spending Webpage

The Michigan Department of Health and Human Services (MDHHS) recently published a webpage to track the allocation of $800 million received for opioid settlement investments. MDHHS Chief Medical Executive Dr. Natasha Baghdasarian indicated the website …


MHA Launches New Governance Affinity Group

Hospitals and health systems face significant adversity, yet Michigan providers continue to provide high quality and accessible healthcare to their communities, in great part because of governing boards, executives and staff leadership. Board and committee …


MHA CEO Report — Registration is Representation

As we have discussed in these monthly reports in the past, I am incredibly proud that the MHA is committed to the health equity journey, which once again has been identified by the MHA Board of Trustees as …


The Keckley Report

Paul KeckleySix Majority Beliefs about the U.S. Health System Compromise its Value Proposition

“As news cycles go, this one was standard fare for healthcare: with the exception of business plan announcements by organizations or as elements of tragedies like Lewiston, Gaza or a pandemic, the business of the health system—how it operates is largely uncovered and often subject to misinformation or disinformation. …

In the next 3 weeks, attention will be on the federal budget: healthcare will be in the background unless temporarily an element of a mass tragedy. Each trade group will tout its accomplishments to regulators and pimp their advocacy punch list. Each company will gin-out news releases and commentary about the future of the system will default to think tanks and focused on a single issue of interest.

That’s the problem. In this era of social media, polarization, and mass transparency, these old ways of communicating no longer work. Left unattended, they undermine the value proposition on which the U.S. system is based.”

Paul Keckley, Oct. 30, 2023


News to Know

  • The MHA will host a virtual member from 2 to 3 p.m. on Nov. 9 to outline the MHA 2023 – 2024 strategic action plan approved by the MHA Board of Trustees.
  • The Centers for Medicare and Medicaid Services recently released an updated 2024 Medicare & You Handbook which provides information for patients regarding traditional Medicare, Medicare prescription drug plans, Medicare Advantage and more.

Healthcare Worker Protections Headed to Governor

capitol building

capitol buildingLegislation increasing penalties for violence committed against healthcare workers was approved by the state House of Representatives in a bipartisan vote during the week of Oct. 30. The MHA-supported bills increase fines for assaulting a healthcare professional or volunteer, doubling the current fines for assault and assault with a deadly weapon. House Bills (HBs) 4520 and 4521 were introduced by Reps. Kelly Breen (D-Novi) and Mike Mueller (R-Linden). A substitute adopted in committee expanded the care locations covered by the increased fines to include behavioral health facilities. Addressing violence against healthcare workers and deterring potential attacks continues to be an MHA priority. HBs 4520 and 4521 will now be transmitted to the Governor for her signature.

The House Health Policy Committee advanced legislation related to fetal and maternal health. HBs 5166-5173 propose several changes to state law specific to birthing parents and babies. Notably, several bills saw action in committee while stakeholders continue to work with the sponsors and committee chair on others. Several bills were approved by the committee and now move to consideration on the House floor by the full chamber:

  • HB 5169, sponsored by Rep. Rachel Hood (D-Grand Rapids), would allow for mental health screenings in appropriate settings during the postpartum period. Based upon recommendations from the MHA Council on Children’s Health, the bill sponsor made several amendments to clarify timelines, recognize clinical guidance and provide flexibility in screening tools. The MHA is supportive of the amended bill.
  • HB 5172, sponsored by Rep. Carol Glanville (D-Walker), would establish a state program for recognizing birthing hospitals based upon their verification through the Joint Commission’s Maternal Levels of Care. The MHA secured amendments to ensure the program is voluntary and to establish criteria to provide incentive payments to hospitals that pursue verification. The MHA supports the legislation.
  • HB 5173, sponsored by Rep. Kara Hope (D-Holt), would require hospitals to provide an informational form developed by the Department of Insurance and Financial Services in consultation with the Department of Health and Human Services on the insurance enrollment process for coverage of newborns. Hospitals would be required to provide the information to parents of a child born in the hospital when the child is not covered by insurance. The MHA is neutral on this legislation following alterations made by the bill sponsor.
  • HBs 5167 and 5168, sponsored by Reps. Cynthia Neeley (D-Flint) and Kimberly Edwards (D-Eastpointe), allow for coverage of blood pressure monitors by commercial insurance and Medicaid for individuals who are pregnant or within the postpartum period. The MHA is supportive of this legislation.

The Senate Health Policy committee approved Senate Bill (SB) 482, sponsored by Sen. Kristen McDonald Rivet (D-Bay City), which lifts the state’s 90 day disposal requirement on sharps containers. The MHA membership voiced concerns about the 90-day disposal requirement, sharing that it would lead to sealing and disposing of containers before they reached their ¾ fill mark. The FDA regulated containers can be costly and difficult to obtain, as hospitals experienced following a manufacturing facility fire, and further disposal of an underutilized container contributes to unnecessary and preventable medical waste. The MHA worked directly with Sen. McDonald Rivet on this legislation, based on the feedback of hospitals who shared concerns about cost, access and environmental impact. The MHA is supportive of this important policy change that will directly benefit the membership.

In addition, the Senate Health Policy Committee took testimony on SBs 633 – 637, which would allow Michigan to establish a state based health insurance exchange. 17 states and the District of Columbia currently operate state-based marketplaces and another three state have state-based exchanges that use the federal platform. Proponents argue the state exchange would provide more flexibility in state plan design and Medicaid enrollment, while concerns were raised about the cost of the program.  The MHA has not taken a position on the legislation.

Members with any questions may contact Elizabeth Kutter at the MHA.

MHA Monday Report Oct. 30, 2023

MHA Monday Report

capitol buildingHealthcare Worker Protections Pass State Senate

Legislation increasing penalties for violence committed against healthcare workers was approved by the Michigan Senate in a bipartisan vote during the week of Oct. 23. The MHA-supported bills increase fines for assaulting a healthcare professional …


Strategic Action Planning Session with MHA Service Corporation Board

The MHA Service Corporation board focused on supporting MHA Strategic Action Plan priorities to address workforce support and innovation, viability, behavioral health improvement, health equity and more during their Oct. 18 planning session. The …


MDHHS Proposes 340B Billing and Reporting Changes

The Michigan Department of Health and Human Services (MDHHS) recently released a proposed policy to modify hospital outpatient billing requirements for drugs purchased through the 340B drug pricing program. Existing policy requires 340B hospitals to …


Clinician Q & A: Pregnancy and Infant Loss

Pregnancy and infant loss tragically impacts individuals and families at all walks of life across the state and country. While every case is different, this is often a result of miscarriage, ectopic pregnancy, stillbirth, neonatal …


Patient Safety: A Case-based Innovative Playbook for Safer Care Published

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MHA Strategic Action Plan to be Reviewed Nov. 9

In the new program year, the MHA is focused on several critical issues like viability, workforce resilience and wellbeing, behavioral health and health equity.   The MHA will host a virtual member from 2 to …


The Keckley Report

Paul KeckleyAre Employers Ready to Engage the Health Industry Head On?

“Last week, Kaiser Family Foundation (KFF) released its Annual Employer Health Benefits Survey which included a surprise:

The average annual single premium and the average annual family premium each increased by 7% over the last year. …

My take: these findings show that employers are not prone to drastic changes in health benefits for their employees despite recognition it is expensive and unaffordable to small companies and for many of their own employees.  But many large self-insured employers (except those in government, education and healthcare) are poised to make significant changes next year. They recognize themselves as the primary source of profits enjoyed by insurers, hospitals, physicians, drug companies and others.  They’re developing multi-year at risk direct contracts, value-based purchasing arrangements, primary care gatekeeping, narrow networks, restricted formularies, alternative care models and more to that leverage their clout. They’re going on offense. …”

Paul Keckley, Oct. 23, 2023


News to Know

  • The Centers for Medicare & Medicaid Services recently announced the 2024 Medicare Parts A & B amount for deductibles, coinsurance, premiums and the Part D income-related monthly adjustments.
  • The National Commission to Address Racism in Nursing is accepting requests for funding proposals for new or ongoing programs and interventions that work to eliminate racism in nursing.

MHA in the News

MHA Monday Report Oct. 23, 2023

MHA Monday Report

capitol buildingProtections for Healthcare Workers, Auto No-fault Bills Move in Michigan Legislature

Multiple bills monitored by the MHA moved in the Michigan Legislature during the week of Oct. 16. Legislation increasing penalties for violence committed against healthcare workers was unanimously voted out of the Senate Civil Rights, …


Going PRO Talent Fund Applications Due Oct. 27

The Michigan Department of Labor and Economic Opportunity opened the first application cycle for the Going PRO Talent Fund program Oct. 9. Michigan employers can now apply for a share of $50 million in competitive …


Latest AHA Trustee Insights Focuses on Equity for Women and Native Americans

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A Holistic Approach to Workforce Management

Health systems and healthcare organizations are adapting to challenges posed by staffing shortages and a multigenerational workforce. The most successful facilities are taking a holistic approach by discarding staffing models of the past and embracing …


The Keckley Report

Paul KeckleyU.S. Healthcare’s Existential Threat: Loss of Public Trust

“U.S. healthcare faces an existential threat: the loss of confidence and trust that the system is fair and more concerned about its profit than patient care. …

Studies show the erosion of public confidence and trust in the health system correlates to higher costs and suboptimal outcomes: when an individual thinks a clinician’s judgement might be clouded by a financial incentive, a hospital or drug price excessive and the provider prone to price gauging, or an insurer’s coverage determination arbitrary, doubt takes hold and trust plummets. …

The system issues are systemic and complicated. And no sector is capable of solving them alone: it requires all to collaborate based on a shared vision of its future but that vision does not exist. Until and unless a shared vision of the future of the U.S. health system is created, confidence and trust in the system will continue to erode and options for its future severely limited.” …

Paul Keckley, Oct. 16, 2023


T. Anthony Denton.

News to Know

Modern Healthcare recognized Tony Denton, senior vice president and chief environmental, social and governance officer, Michigan Medicine, as a 2023 Diversity Leader to Watch on Oct. 16.


 

MHA EVP Laura Appel discusses auto no-fault legislation with the Michigan Business Network.

MHA in the News

The MHA received media coverage the week of Oct. 16 regarding auto no-fault legislation passed in the Michigan Senate and nurse staffing ratio legislation. The coverage is based on interviews conducted with MHA CEO Brian …

Protections for Healthcare Workers, Auto No-fault Bills Move in Michigan Legislature

capitol building

capitol building

Multiple bills monitored by the MHA moved in the Michigan Legislature during the week of Oct. 16.

Legislation increasing penalties for violence committed against healthcare workers was unanimously voted out of the Senate Civil Rights, Judiciary, and Public Safety Committee. The MHA-supported bills increase fines for assaulting a healthcare professional or volunteer, doubling the current fines for assault and assault with a deadly weapon. House Bills (HBs) 4520 and 4521 were introduced by Reps. Kelly Breen (D-Novi) and Mike Mueller (R-Linden). A substitute adopted in committee expanded the care locations covered by the increased fines to include behavioral health facilities. Addressing violence against healthcare workers and deterring potential attacks continues to be an MHA priority. HBs 4520 and 4521 now move to the Senate Floor for a full chamber vote.

MHA supported bills to improve Michigan’s Amended Auto no-fault laws were passed by the full Michigan Senate in a bipartisan vote. Senate Bills (SBs) 530 and 531, introduced by Sens. Mary Cavanagh (D-Redford Township) and Sarah Anthony (D-Lansing), would simplify and increase Medicare hospital reimbursements, clarify the definition of Medicare and create a new post-acute care provider fee schedule. The MHA’s executive vice president of government relations and public policy, Laura Appel, testified in committee last week. Appel stressed the importance of a strong healthcare system to care for auto accident patients. The bills now move to the House for their consideration.

Senate Health Policy took testimony on SB 482, sponsored by Sen. Kristen McDonald Rivet (D-Bay City), which lifts the state’s 90 day disposal requirement on sharps containers. The MHA membership voiced concerns about the 90-day disposal requirement, sharing that it would lead to sealing and disposing of containers before they reached their ¾ fill mark. The FDA regulated containers can be costly and difficult to obtain, as hospitals experienced following a manufacturing facility fire, and further disposal of an underutilized container contributes to unnecessary and preventable medical waste. The MHA worked directly with Sen. McDonald Rivet on this legislation, based on the feedback of hospitals who shared concerns about cost, access and environmental impact. The MHA is supportive of this important policy change that will directly benefit the membership.

The governor also signed into law several bills intended to codify Affordable Care Act protections at the state level. House Bills 4619 – 4623 and Senate Bills 356 – 358 were signed by Gov. Whitmer on Oct. 19. The MHA is supportive of the package, which has been passed in at least 15 other states and would protect Michigan consumers in the event there were future amendments or judicial changes to the current federal law.

Members with any questions may contact Elizabeth Kutter.

Auto No-Fault Hearings Continue, Interstate Compacts Advance

MHA EVP Laura Appel testifying in the Senate Finance, Insurance and Consumer Protection Committee.

The Michigan Senate Finance, Insurance and Consumer Protection Committee continued to hear testimony during the week of Oct. 9 on Senate Bills 530 and 531. Introduced by Sen. Mary Cavanagh (D-Redford Township) and Sen. Sarah Anthony (D-Lansing), the legislation would clarify and increase Medicare hospital reimbursements, clarify the definition of Medicare and create a new post-acute care provider fee schedule. The committee heard testimony from Laura Appel, executive vice president of government relations and public policy, MHA, who stressed the importance of a strong healthcare system to care for auto accident patients.

“Hospitals across Michigan stand ready to care for victims of auto accidents,” said Appel. “Whether you’re located in Detroit, Grayling, Battle Creek or the Upper Peninsula, you need hospitals prepared to provide access to high quality care at a moment’s notice.” The committee has not yet taken a vote on the legislation and the MHA will continue to advocate for improvements to Michigan’s auto no-fault laws.

The House Health Policy Committee advanced several bills that would enter Michigan into interstate licensure compacts. The legislation included House Bills 4169 and 4170 for occupational therapists, introduced by Rep. Julie Rogers (D-Kalamazoo) and Rep. Doug Wozniak (R-Shelby Township), and House Bills 4504 and 4505 for physical therapists, introduced by Rep. John Fitzgerald (D-Wyoming) and Rep. Dale Zorn (R-Onsted). The MHA supported both packages in keeping with broad support for interstate licensure compacts to assist with ongoing professional shortages. The legislation now awaits a vote from the full House.

Members with any questions may contact Elizabeth Kutter at the MHA.

Michigan Reconnect Scholarship Eligibility Expands

Michigan Reconnect logo

The temporary expansion of the Michigan Reconnect program to individuals between the ages of 21 and 24 occurred the week of Oct. 2. Funding passed in the fiscal year 2024 state budget allowed for the program to temporarily expand eligibility for up to 350,000 more people.

Michigan Reconnect logoMichigan Reconnect was established in 2021 and allows for individuals who do not already have a degree or credential to access educational programs at no cost. High demand healthcare careers, both credentialed and two-year degree programs, are eligible for Michigan Reconnect. The MHA worked closely with lawmakers and stakeholders to ensure high demand healthcare careers are eligible.

Accessing the temporarily expanded eligibility can be done in a few ways.

Students not already enrolled must complete the following steps:

  1. Apply for the Michigan Reconnect Scholarship by Nov. 15, 2024.
  2. Apply to a Michigan community or tribal college.
  3. File a Free Application for Federal Student Aid (FAFSA).
  4. Enroll in a program of study and begin coursework no later than the fall 2024 semester.

Already enrolled students should contact their Financial Aid Office for additional information on applying the scholarship to their tuition bill and filing a FAFSA.

The MHA is supportive of Michigan Reconnect and members with questions may contact Elizabeth Kutter.