Policy Bills Advanced During Budget Week

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capitol buildingMany MHA-tracked bills saw movement during the last week of June, with both the House and Senate taking floor votes on legislation before they broke for the summer.

In the House, representatives voted in support of legislation that would increase the fines for assaulting a healthcare professional or volunteer. House Bills (HBs) 4520 and 4521 were introduced by Reps. Kelly Breen (D-Novi) and Mike Mueller (R-Linden), and are supported by the MHA. The bills seek to double the fines for assault and assault with a deadly weapon against healthcare workers to deter future attacks from happening. Several MHA members testified in support of the bills in June, which now head to the Senate’s Health Policy Committee for further consideration.

The House also took votes on a package of bills intended to preserve Affordable Care Act (ACA) protections in Michigan law. Introduced in both chambers by Republican and Democratic policymakers, the package would ensure that many of the consumer protections found in the ACA remain in Michigan regardless of any federal changes to the law. The package includes Senate Bills (SBs) 356 through 358 and HBs 4619 through 4623. The MHA is supportive of the package, which has been passed in at least 15 other states. HB’s 4619 through 4623 were passed by the full House during the week of June 26 and will move to the Senate for more action later this year.

On the Senate side, a full floor vote was taken on legislation to prohibit insurance discrimination against living organ donors. SB 384 was introduced by Senator Kevin Hertel (D-St. Clair Shores) and would prevent insurance companies from denying, canceling, refusing or otherwise varying an individual’s insurance policy if they choose to become a living organ donor. A living organ donor is a healthy person who donates an organ, usually a kidney or part of their liver. The MHA is supportive of the bill, which will now head to House Health Policy Committee.

Several bills were passed through both chambers during the week, moving to the Governor’s desk for final signature into law. This included HBs 4495 and 4496, introduced by Reps. Graham Filler (R-St. Johns) and Will Snyder (D-Muskegon), which would eliminate burdensome provisions in the Healthy Michigan Plan and make changes to help ensure the program’s long-term success. The package would remove requirements that certain beneficiaries maintain Health Savings Accounts and pay co-pays or deductibles. Additionally, the bill removes the provision that a future administration could repeal the program if state savings are reduced. The MHA is supportive of HBs 4495 and 4496.

Also heading to the Governor’s desk is a package of bills that would allow Michigan citizens to designate themselves as an organ donor on state tax forms. Introduced by Rep. Felicia Brabec (D-Pittsfield Twp), HBs 4362 through 4364 would allow the question to be asked on tax forms starting in the 2023 tax year. The MHA is supportive of the legislation, which is led by Gift of Life Michigan to reverse the decline in donor registrants. Gift of Life Michigan testified in committee that many states are seeing this because of the pandemic and online services leading to fewer trips to Secretary of State offices.

A bill introduced by Sen. Sylvia Santana (D-Detroit) would increase access to vaccines and certain laboratory tests passed both chambers as well. SB 219 would allow pharmacists to order and administer immunizations and certain diagnostic tests for their patients without physician supervision. Under the current language, pharmacists wishing to provide these services must also complete some additional training courses as part of their licensure process. The MHA is supportive of SB 219, which now awaits a decision from the Governor.

Legislation to ban conversion therapy for minors is also heading to the Governor’s desk. HBs 4616 and 4617, introduced by Reps Felicia Brabec (D- Pittsfield Township) and Jason Hoskins (D-Southfield), would prohibit mental health professionals from providing conversion therapy to a minor. Conversion therapy refers to the practice of trying to change an individual’s sexual orientation or gender identity. The MHA is supportive of the bills which passed both chambers and were ordered enrolled, now awaiting formal presentation to the Governor.

Also of note was the introduction of HB 4833 by Rep Ranjeev Puri (D-Canton Township), which would make clarifications to Michigan’s substance use disorder (SUD) licensure statute. HB 4833 would ensure that hospitals, psychiatric hospitals, and individuals otherwise licensed to provide SUD prevention services be exempt from duplicate licensure. The MHA is supportive of the bill introduced to the House Health Policy Committee.

A package of bills was re-introduced and sent to the governor during the week of June 26 to help prevent medical sexual misconduct. Originally introduced during the 2017-2018 legislative session, the bills would make several changes to help prevent sexual assault and abuse against minors. Several bills within the package create new requirements and guidelines for hospitals and healthcare providers, including:

  • SB 69 through 72, which would require medical records involving vaginal or anal penetration to be retained for at least 15 years and an additional adult to be present for sensitive exams.
  • HBs 4121 and 4122, which require license revocation of a medical professional convicted of sexual contact under the pretext of medical treatment.
  • SBs 67-68, which prohibit sexual contact under the pretext of medical treatment.
  • HB 4120, which requires employers of mandatory reporters, like hospitals, to distribute training materials.

Members with questions about state legislative action may contact Adam Carlson at the MHA.

Legislation to Codify Affordable Care Act Sees Action

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capitol buildingSeveral bills being tracked by the MHA saw action during the week of June 5. In both chambers, bills to enshrine the protections of the federal Affordable Care Act (ACA) into state law saw initial testimony. In the House, bills to regulate labor service agencies and ban the practice of conversion therapy were taken up for a hearing. On the Senate side, action was taken on previously seen bills to expand opportunities to join the organ donation registry and allow pharmacists to order and administer certain immunizations and diagnostic tests in Michigan.

Both the House and Senate Health Policy Committees began action on a package of bills intended to codify ACA protections into state law. Introduced in both chambers by Republican and Democratic policymakers, the package would ensure that many of the consumer protections found in the ACA remain in Michigan if there were significant federal changes to the law. The package includes Senate Bills (SBs) 356 through 358 and House Bills (HBs) 4619 through 4623. The MHA is supportive of the package, which has been passed in at least 15 other states to date.

The House Labor Committee took testimony on HB 4034, sponsored by Representative Kara Hope (D-Holt), which would seek to regulate Temporary Staffing Agencies. The MHA opposed the legislation in committee given concerns about how it could impact the availability of temporary nurse staffing in Michigan and the detailed provisions around requirements for how the services would be provided. The MHA will work with the bill sponsor on potential changes to ensure it does not limit access to temporary healthcare staffing. No further action is scheduled on the legislation at this time.

In House Health Policy Committee, testimony was also held on Sen. Sylvia Santana’s bill intended to increase access to vaccines and certain laboratory tests. SB 219 would allow pharmacists to order and administer immunizations and certain diagnostic tests for their patients without physician supervision. Under the current language, pharmacists wishing to provide these additional services must also complete some additional continuing medical education courses as part of their licensure process. While no votes were taken at the hearing, the MHA is supportive of SB 219.

In Senate Health Policy Committee, testimony was taken on a package of bills that would allow Michigan citizens to designate themselves as an organ donor on state tax forms. Introduced by Rep. Felicia Brabec (D-Pittsfield Twp), HB’s 4362 through 4364 would allow the question to be asked on tax forms starting in the 2023 tax year. The MHA is supportive of the legislation, which is being led by Gift of Life Michigan as a way to reverse the decline in donor registrants. Gift of Life Michigan testified in committee that many states are seeing this as a result of the pandemic and online services leading to fewer trips to the Secretary of State. No votes were taken at this time.

Members with questions about state legislative action can reach out to Adam Carlson at the MHA.

MHA Monday Report May 15, 2023

MHA Monday Report

capitol buildingHarmful Nurse Staffing Legislation Introduced in Michigan Legislature

Harmful nurse staffing legislation was introduced May 11 in the Michigan Legislature that would mandate nurse staffing ratios, require public disclosure of the ratios and restrict mandatory overtime for nurses. The bill package is pushed by the Michigan Nurses Association and was ….


Behavioral Health ED Boarding Data Available

Behavioral health emergency department (ED) boarding data the MHA has been collecting on a weekly basis from acute care hospitals across Michigan since March 2023 is now available on the Health Data webpage of the …


Annual Meeting iconMHA Annual Membership Meeting Includes Ways to Support Michigan Hospitals

The MHA membership will convene in person for the MHA Annual Membership Meeting June 28 through 30 at Grand Hotel on Mackinac Island. The annual meeting will feature an outstanding lineup of speakers, the family …


DEA Issues Temporary Extension of COVID-19 Telemedicine Flexibilities for Prescription of Controlled Medications

After delaying the final rule for ending COVID-19 telehealth prescribing rules, the Drug Enforcement Agency (DEA) has issued a temporary rule to allow the following: The full set of telemedicine flexibilities regarding prescription of controlled …


Upcoming Webinars on Medicare FFS Quality-based Programs

The MHA is partnering with DataGen to host two free webinars focused on Medicare fee-for-service (FFS) quality-based programs, which can reduce hospital inpatient FFS payments by up to 6%, depending upon hospital performance. The webinars …


Webinar Outlines Practices to Re-engage Patients and Families in Care

Fractured social contracts in today’s world have changed the healthcare landscape and culture. There is a convergence of patient consumerism and digital transformation happening, and those who focus on patient-centered care and person and family …


MHA Keystone Center PSO Safe Table – Health IT & Risk Safety

The MHA Keystone Center PSO is hosting a Health IT & Risk Safety Safe Table from 12:30 to 3 p.m. June 14. The event will be held at Goshen Health, located at 200 High Park …


Direct Care and Behavioral Health Workforce Assessment: Regional Feedback Sessions

Public Sector Consultants and Health Management Associates are partnering with the Michigan Department of Health and Human Services to gather the perspectives of people impacted by the direct care worker and behavioral health workforce …


MHA Webinar Focuses on Building Trust and Relationships for Trustees

When stakeholders gather to discuss community vitality, the health and wellbeing of the community is not only about access to safe, affordable healthcare, but about non-medical health influences that have an impact on the community. …


MDHHS Releases Beginner Guide for Doula Providers

Michigan Medicaid began reimbursing doula services provided to individuals covered by or eligible for Medicaid as of Jan. 1, 2023. Doula providers are required to be on the Michigan Department of Health and Human Services …


The Keckley ReportPaul Keckley

The End of the Pandemic Health Emergency is Ill-timed and Short-sighted: The Impact will further Destabilize the Health Industry

“The national spotlight this week will be on the debt ceiling stand-off in Congress, the end of Title 42 that enables immigrants’ legal access to the U.S., the April CPI report from the Department of Labor and the aftermath of the nation’s 199th mass shooting this year in Allen TX.

The official end of the Pandemic Health Emergency (PHE) Thursday will also be noted but its impact on the health industry will be immediate and under-estimated. …

In the weeks ahead as the debt ceiling is debated, the Federal FY 2024 budget finalized and campaign 2024 launches, the societal value of the entire health system and speculation about its preparedness for the next pandemic will be top of mind. …“

Paul Keckley, May 8, 2023


News to Know

  • Upon the end of the COVID-19 Public Health Emergency, the Health Resources & Services Administration will end a 2020 policy allowing hospitals to use 340B drugs for eligible patients in new hospital locations, even if they have not yet appeared on a filed Medicare cost report.
  • The MHA is hosting the webinar MHA Programs of All-Inclusive Care for the Elderly (PACE): An Alternative to Traditional Nursing Home care from 8:30 to 9:30 a.m. May 23.
  • Completed 2022 occupational mix surveys must be submitted by acute care hospitals paid under the Medicare prospective payment system to the Medicare Administrative Contractor by June 30, 2023.

Brian PetersMHA in the News

The MHA received media coverage the week of May 8 regarding nurse staffing legislation, healthcare worker shortages, the ending of the COVID-19 public health emergency and more. A joint media statement was published May 11 …

MHA Monday Report May 8, 2023

MHA Monday Report

capitol buildingState Legislation Introduced to Address Violence Against Healthcare Workers, Strengthen Healthy Michigan Plan and Expand Organ Donor Registration

Legislation to increase the penalties for assaulting healthcare employees and volunteers was introduced in the state House of Representatives during the week of May 1. Additional legislation was introduced to remove unnecessary provisions of the …


Michigan’s Largest Private-sector Employer Remains Healthcare

The Partnership for Michigan’s Health reports healthcare directly employed nearly 568,000 Michigan residents in 2021, demonstrating that healthcare remains the largest private-sector employer in the state despite continued staffing losses attributed to the COVID-19 pandemic. …


Webinar Reveals New Tool to Improve Person and Family Engagement

The MHA is hosting a webinar from 8:30 to 10 a.m. May 24 to review the newly released MHA Person & Family Engagement Roadmap, which includes recommended policies to re-engage patients and caregivers and …


Final Medicaid Bulletin on Continuous Glucose Monitoring Systems

The Michigan Department of Health and Human Services issued a final Medicaid Policy Bulletin May 1 with revisions to the Continuous Glucose Monitoring Systems Policy. In response to the proposed policy issued April 1, …


speak upE.W. Sparrow Hospital Nurse Receives Q2 MHA Keystone Center Speak-up! Award

The MHA Keystone Center presented Cheryl Kay, RN, at E.W. Sparrow Hospital with the quarterly MHA Keystone Center Speak-up! Award, which celebrates individuals or teams in Michigan hospitals demonstrating a commitment to the prevention of …


DEA Delays Ending COVID-19 Telehealth Prescribing Rules

The Drug Enforcement Agency (DEA) is delaying draft rules that proposed stricter telehealth limits on providers prescribing controlled substances, like buprenorphine for opioid use disorder or Adderall for ADHD. The DEA will temporarily extend …


MHA Webinar Reviews PACE Programs

With the closure of nursing homes and long-term care facilities, hospitals and health systems need options to care for seniors. Dually eligible frail seniors are one of the most complex cohorts with multiple comorbidities, frequent …


MHA Podcast Explores How Michigan Leaders Can Collaborate to Address Gaps in Behavioral Health

The MHA released another episode of the MiCare Champion Cast, which features interviews with healthcare policy experts in Michigan on key issues that impact healthcare and the health of communities. On episode 29, State Representative …


2023 Ludwig Nominee: Priority Health, National Fitness Campaign Partner to Offer Free Fitness Courts

Since 1990, the MHA has honored member healthcare organizations working to enrich the overall welfare of their local communities through the Ludwig Community Benefit Award. This year, the MHA is excited to showcase all award nominees, …


MHA Rounds Report - Brian Peters, MHA CEOMHA CEO Report — Attracting Healthcare Talent

Talent acquisition is always top of mind for all business leaders. Demand for workers now outpaces supply throughout the U.S., but particularly here in Michigan due to our demographic realities, including an aging baby-boom generation entering retirement in significant numbers. …


The Keckley Report

Paul KeckleyThe Tit for Tat Game in Healthcare produces No Winners

“Tit for Tat battles in healthcare are nothing new. Last week, they were on full display. …

Most of the food fights in healthcare like last week’s revolve around each sector’s unique response to the three challenges above. That’s why they exist: to protect the interests of their members and advocate on their behalf. All believe their mission and vision is essential to the greater good and the moral high ground theirs. Some are imperiled more than others: not for profit, rural and safety net hospitals, long-term care operators, direct caregivers and public health programs at the top of this list.

Educating lawmakers is necessary but what’s needed is serious, objective forward-looking definition of the U.S. health system’s future. The tit for tat game will not solve anything. That’s where we are. …“

Paul Keckley, May 1, 2023


News to Know

  • National Hospital Week 2023 is May 7-13.
  • The Michigan Department of Health and Human Services created a series of short videos to help providers and community partners navigate policies impacted by the ending of the federal COVID-19 Public Health Emergency.
  • Registration remains open for the 2023 MHA Annual Membership Meeting, scheduled June 28 through 30 at Grand Hotel on Mackinac Island.
  • Completed 2022 occupational mix surveys must be submitted by acute care hospitals paid under the Medicare prospective payment system to the Medicare Administrative Contractor by June 30, 2023.

MHA CEO Brian Peters speaks with WLNS.MHA in the News

The MHA received media coverage the week of May 1 on the economic impact of healthcare in Michigan and planned state legislation that would require nurse-to-patient staffing ratios in hospitals. Crain’s Grand Rapids Business published …

State Legislation Introduced to Address Violence Against Healthcare Workers, Strengthen Healthy Michigan Plan and Expand Organ Donor Registration

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capitol buildingLegislation to increase the penalties for assaulting healthcare employees and volunteers was introduced in the state House of Representatives during the week of May 1. Additional legislation was introduced to remove unnecessary provisions of the Healthy Michigan Program, Michigan’s Medicaid expansion program. Additionally, the House Health Policy committee advanced MHA-supported legislation to provide more opportunities for individuals to sign up as organ donors.

House Bills (HB) 4520 and 4521, introduced by Rep. Mike Mueller (R-Linden) and Rep. Kelly Breen (D-Novi), doubles the fines for assaulting a healthcare employee or volunteer while performing their official duties. The legislation was officially introduced and referred to the House Criminal Justice Committee.  The bills would require signage in hospital emergency rooms to deter potential assaults, which the MHA has made available to Michigan hospitals free of charge. The MHA supports the bills and will be encouraging the committee to take swift action to address rising cases of violence against healthcare workers.

House Bills (HB) 4495 and HB 4496, introduced by Rep. Will Snyder (D-Muskegon) and Rep. Graham Filler (R-Clinton County), would eliminate unnecessary provisions in the Healthy Michigan Plan and makes changes to help ensure its long-term success. The bills remove requirements that certain beneficiaries maintain health savings accounts and pay co-pays or deductibles. Additionally, the bill removes the provision that a future administration could repeal the program if state savings are reduced. The MHA supports the legislation to bolster the program that currently enrolls over one million Michigan residents. The bills were referred to the House Health Policy committee for consideration.

Legislation was advanced through the House Health and Tax Policy Committees to allow Michigan citizens to designate themselves as organ donors on state tax forms. Introduced by Rep. Felicia Brabec (D-Pittsfield Twp), HBs 4362 through 4364 would provide for the question to be asked on tax forms starting in the 2023 tax year. The MHA is supportive of the legislation, which is led by Gift of Life Michigan, to reverse the declining growth in individuals signing up for the donor registry. Gift of Life Michigan testified in committee that states across the country are dealing with this trend, as the pandemic and online services have led to fewer trips to Secretary of State offices. The bills now advance to the full House for consideration.

Members with questions about state legislative action may contact Elizabeth Kutter at the MHA for more information.