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.

Bills on Healthy Michigan Plan Improvements and Tax Credit for Clinical Preceptors See Action

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capitol buildingAction was taken the week of May 22 on a variety of bills that would make improvements to the Healthy Michigan Plan, require adult changing tables be included in future construction or renovation projects and provide new tax credits for clinical preceptors.

In the House Health Policy Committee, a bipartisan vote was taken in support of legislation to improve the Healthy Michigan Plan. House Bill (HB) 4496, introduced by Rep. Graham Filler (R-St. Johns), would eliminate unnecessary provisions in the Healthy Michigan Plan and make changes to help ensure its long-term success. The bill is part of a two-bill package with HB 4495, which was introduced by Rep. Will Snyder (D-Muskegon) and approved last week by the committee. 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 both bills and will continue to monitor any future action.

Also in the House, a new bill to increase access to adult changing tables was introduced by Rep. Lori Stone (D-Warren). HB 4649 would require that future construction or renovation projects over $10,000 include one adult-sized changing table for the facility. Hospitals and rehabilitation facilities with 10 or more employees are included directly in the language. The MHA is reviewing the legislation to ensure that any existing patient rooms with adequate accommodations would satisfy the requirement under the language. The bill was referred to the Committee on Regulatory Reform for further consideration.

On the Senate side, an MHA-supported package to provide new tax credits for clinical preceptors was reintroduced. Senate Bills 360 and 361 were introduced by Sen Jeff Irwin (D-Ann Arbor) and Sue Shink (D-Ann Arbor) and would provide up to $5,000 in state income tax credit for individuals who agree to work in Michigan as a physician, physician assistant or advanced practice nursing program clinical preceptor. The language allows for $1,000 to be credited for every 250 hours completed during a tax year. The MHA sees this as a unique solution to encourage individuals to assist in growing the healthcare talent pipeline and could increase Michigan’s capacity for clinical rotation slots.

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

Harmful Nurse Staffing Legislation Introduced in Michigan Legislature

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capitol buildingHarmful 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 (MNA) and was announced during a press conference with some of the bill sponsors.

A joint media statement was published by the MHA and the Michigan Organization for Nursing Leadership (MONL) immediately following the press conference to express each organization’s opposition to the legislation. The statement referenced the potential to severely harm hospitals and access to important services for patients if the bills become law. A statement was included in multiple media stories throughout the state.

The series of bills are even more harmful than prior versions. Changes for this session include:

  • Increasing the timeline for implementation from three years to two years for rural hospitals and one year for all other hospitals.
  • Removing a committee approach to establish staffing models, within statutory minimum staffing ratios. The new bills do not call for or allow for the establishment of a committee.
  • Increasing ratios from prior versions. The maximum allowance is now 1:4 in behavioral health, acute rehab, med/surg and post-partum.
  • Specifying ratios to only registered nurses (RNs). Prior versions referenced licensed practical nurses (LPNs) in the definition section, but these bills do not define LPNs and only specifically reference RNs only.

The bills introduced include:

  • Senate Bill (SB) 334 introduced by Sen. Sylvia Santana (D-Detroit).
  • SB 335 introduced by Sen. Stephanie Chang (D-Detroit).
  • SB 336 introduced by Sen. Jeremy Moss (D-Southfield).
  • House Bill (HB) 4550 introduced by Rep. Stephanie Young (D-Detroit).
  • HB 4551 introduced by Rep. Betsy Coffia (D-Traverse City).
  • HB 4552 introduced by Rep. Carrie Rheingans (D-Ann Arbor).

Several other bills saw action during the week. Members of the House Health Policy Committee voted to report legislation requiring drug manufacturers to report certain data and price changes to the state of Michigan. Introduced by Rep. Samantha Steckloff (D-Farmington Hills), HB 4409 would also be known as the Drug Manufacturer Data Reporting Act. The MHA sees this as an important step in providing transparency into the fastest growing expense for Michigan hospitals. For example, drug costs rose nationally by 36.9% between 2019 and 2021. This bill now heads to the House floor for further consideration.

On the Senate floor, a vote was held on Sen. 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. A new substitute was adopted on the floor, incorporating feedback from the MHA’s Pharmacy Management Committee. The new language removes unnecessary continuing medical education requirements for vaccinations, matching current standards. The MHA is supportive of SB 219, which the Senate passed by a vote of 36-1.

On the House floor, votes were 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), Rep. Cynthia Neeley (D-Flint) and Rep. Natalie Price (D-Berkley), 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 being led by Gift of Life Michigan to reverse the decline in individuals signing up for the donor registry. Gift of Life Michigan testified in committee that states across the country are dealing with this decline, as the pandemic and online services have led to fewer trips to Secretary of State offices. The bills passed with bipartisan support and now move to the Senate.

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

Healthcare Policy Bills Advance from Legislative Committees

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Several bills tracked by the MHA saw further action in the Michigan Legislature the week of April 17. Committees in the House and Senate took votes on bills to create a new tax credit for blood donations and to allow pharmacists to order and administer certain immunizations and diagnostic tests in Michigan. The MHA also supported legislation in the House Health Policy Committee that would allow citizens to designate themselves as an organ donor on their tax filing and require drug manufacturers to report certain data and information on price changes to the state.capitol building

The House Committee on Tax Policy held a second hearing on House Bill (HB) 4068, which would create a new tax credit for blood donations in Michigan. Introduced by Rep. Rachel Hood (D-Grand Rapids), the bill would allow for a $25 state income tax credit for each blood donation during the tax year. The MHA is supportive of the bill, which is a unique way of encouraging good public health decisions in the state. The committee voted unanimously to support the legislation, which now heads to the House floor for further consideration.

In the Senate Health Policy Committee, a vote was held on Sen. Sylvia Santana’s (D-Detroit) bill intended to increase access to vaccines and certain laboratory tests. Senate Bill (SB) 219 would allow pharmacists to order and administer immunizations and certain diagnostic tests for their patients without physician supervision. A new substitute was adopted in committee that limits the diagnostic screening pharmacists would be allowed to perform to COVID-19, influenza, urinary tract infections and diabetes. Pharmacists wishing to provide these additional services must also complete an annual 4-hour training program. The MHA has not yet taken a position on SB 219, which was approved by the committee and sent to the Senate floor.

In the House Health Policy Committee, testimony was taken on a new package of bills that would 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 being 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. No vote was taken during the initial hearing on the bills.

The MHA also submitted written testimony in support of a bill to require drug manufacturers to report certain data and price changes to the state of Michigan. Introduced by Rep. Samantha Steckloff (D-Farmington Hills), HB 4409 is also known as the Drug Manufacturer Data Reporting Act. The MHA sees this legislation as an important step in providing transparency into the fastest growing expense for Michigan hospitals. For example, between 2019 and 2021 drug costs rose nationally by 36.9%. This hearing was testimony only and the MHA will continue to track the legislation.

Members with questions about state legislative action can reach out to Adam Carlson for more information.

MHA Monday Report March 27, 2023

MHA Monday Report

capitol buildingMHA-supported Bills See Action Before Break

The Michigan House of Representatives acted on a pair of MHA-supported bills during the week of March 20. In the House Health Policy Committee, members voted to report legislation to strengthen Michigan’s Healthy Michigan statute. …


Speakers of the Protect Our Care press conference.MHA Celebrates ACA Anniversary with Congresswoman Slotkin

MHA Executive Vice President Laura Appel joined U.S. Rep. Elissa Slotkin and other healthcare advocates March 23 as part of a virtual press conference organized by Protect Our Care to celebrate the 13th anniversary of …


As individuals and families across the state and country continue to face food insecurity, Michigan’s hospitals, health systems and community leaders are engaged in creating collaborative solutions. MHA CEO Brian Peters joined fellow food security …

Expanding Advocacy Roots with the Next Generation

The MHA collaborated with Wayne State University for the first-ever student-led advocacy day March 22. Science Policy Network-Detroit is a student organization at Wayne State that aims to advocate for science-related issues in …


March 30 Webinar Outlines Considerations for the End of the Public Health Emergency

The Department of Health and Human Services COVID-19 public health emergency expires May 11, 2023, which may significantly decrease the flexibility providers have become accustomed to. The MHA will host The End of the …


Medicaid Eligibility Redetermination Webinar Recording Available

The Michigan Medicaid program has grown to nearly 3.2 million Michiganders, an increase of more than 700,000 when compared to pre-pandemic levels, due to federal statutory limitations on states’ abilities to remove people from the …


MHA Webinar Explores PACE Program Partnerships

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 co-morbidities, frequent …


Applications Open for Excellence in Governance Fellowship, Prepares Trustees to Lead

The MHA Excellence in Governance Fellowship is now available to healthcare board members looking for innovative, effective ways to lead their organizations as hospitals and health systems navigate financial strain and labor challenges. Applications are …


The Keckley Report

Paul KeckleyAffordable Care Act 2.0: New Trends and Issues, New Urgency

“Thursday marks the 13th anniversary of the signing of the Affordable Care Act– perhaps the most consequential healthcare legislation since LBJ’s passage of the Medicare Act in 1965. Except in healthcare circles, it will probably go unnoticed. …

Complicating matters, the political environment today is more complicated than in 2010 when the ACA became law. The economic environment is more challenging: the pandemic, inflation and economic downturn have taken their toll. Intramural tensions in key sectors have spiked as each fights for control and autonomy i.e. primary care vs. specialty medicine, investor-owned vs. not-for-profit hospitals, retail medicine & virtual vs. office-based services, carve-outs, direct contracting et al . Consolidation has widened capabilities and resources distancing big organizations from others. Today’s media attention to healthcare is more sophisticated. Employers are more frustrated. And the public’s confidence in the health system is at an all-time low. …“

Paul Keckley, March 19, 2023


News to Know

  • Registration is now open for the MHA Keystone Center Safe Patient Handling Conference.
  • The MHA is issuing a request for proposal for a $50 million competitive grant program for Michigan healthcare entities to expand access to pediatric inpatient behavioral health services.
  • The MHA Health Foundation will host a four-part webinar series MHA Board Governance Education that outlines the trends affecting current and future strategic plans, techniques for effectively communicating with stakeholders on key issues and ways to build trust, drive engagement and develop relationships.
  • The MHA will host an in-person Human Resources Member Forumat the MHA Headquarters in Okemos from 8:30 a.m. to noon April 26, with a virtual option available as well.
  • The Root Cause Coalition is accepting requests for proposals to present at the 8th Annual National Summit on the Social Determinants of Health Dec. 3-5 in Kansas City.

MHA-supported Bills See Action Before Break

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capitol buildingThe Michigan House of Representatives acted on a pair of MHA-supported bills during the week of March 20.

In the House Health Policy Committee, members voted to report legislation to strengthen Michigan’s Healthy Michigan statute. House Bill (HB) 4224, introduced by Rep. Julie Rogers (D-Kalamazoo), would remove Michigan’s Medicaid work requirements that are currently held up by the courts. The MHA has provided testimony in support of the bill and expects additional improvements to the Healthy Michigan statute to be introduced in the coming weeks. HB 4224 now awaits a floor vote by the full House of Representatives and the MHA will continue to monitor any action in future Monday Report articles.

Another MHA-supported bill, HB 4167, was passed by the full House of Representatives and transmitted to the Senate for further consideration. Introduced by Rep. Jason Morgan (D-Ann Arbor), HB 4167 would establish a new rare disease advisory council at the Department of Health and Human Services to provide guidance on research, diagnosis and treatment efforts in Michigan. The MHA hopes this council will help identify opportunities to improve care for the one in 10 U.S. residents impacted by rare diseases according to the National Institutes of Health.

In the other chamber, Sen. Sylvia Santana (D-Detroit) introduced a new bill intended to increase access to vaccines and certain laboratory tests. Senate Bill (SB) 219 would allow for pharmacists to order and administer vaccinations and certain diagnostic tests for their patients without physician supervision. Under the bill, the diagnostic tests pharmacists would be allowed to perform would be limited to those waived for home use by the Food and Drug Administration or approved for waiver under the Clinical Laboratory Improvement Amendments of 1988 (CLIA). The MHA has not taken a position on SB 219, which has been referred to the Senate Health Policy Committee.

Legislators will now return to their districts for a two-week break from session before returning to focus on the fiscal year 2024 state budget.

Members with questions about state legislative action can reach out to Adam Carlson for more information.

MHA Monday Report March 20, 2023

MHA Monday Report

State Medicaid Office Addresses Legislative Policy Panel

The MHA Legislative Policy Panel convened March 15 to develop recommendations for the MHA Board of Trustees on legislative initiatives impacting Michigan hospitals. The meeting was highlighted by a presentation on Medicaid redetermination from Brian …


MHA Provides Testimony Supporting State Psychiatric Care and Healthy Michigan Plan

During the week of March 13, the MHA provided testimony to both the Michigan House Appropriations Subcommittee on Health and Human Services and the House Health Policy Committee. Laura Appel, executive vice president of Government …


RFP Available for Pediatric Inpatient Behavioral Health Grant

The MHA is issuing a request for proposal for a $50 million competitive grant program for Michigan healthcare entities to expand access to pediatric inpatient behavioral health services. The funding was appropriated by the …


MHA Keystone Center PSO Annual Meeting May 3

The healthcare workforce is at higher risk of harm due to violence than other professional fields.  Recent increases in workplace violence represent a major barrier to both staff and patient safety, prompting the need for …


Registration Open for MHA Human Resources Member Forum

The MHA will host an in-person Human Resources Member Forum at the MHA headquarters in Okemos from 8:30 a.m. to noon April 26, with a virtual option available as well. The forum is structured as …


Changes to Medicaid Dental Coverage Effective April 1

The Michigan Department of Health and Human Services will implement a new service delivery model for adult dental benefits effective April 1, 2023. The following groups will be eligible: Medicaid beneficiaries ages 21 years and …


Changes to Telemedicine Policy Post-COVID-19 Public Health Emergency

The Michigan Department of Health and Human Services will rescind certain COVID-19 telemedicine flexibilities beginning May 12, 2023, with the conclusion of the federal health public health emergency. Policy MMP 23-10 outlines flexibilities that …


Michigan Dispensing Law Changes

Michigan state law will be updated beginning March 29, 2023, to allow pharmacists to dispense a non-controlled prescription written by a prescriber licensed in another state or province of Canada. Public Act 80 of 2022 …


Latest AHA Trustee Insights Covers Board Development and Behavioral Health

One of the strongest predictors of health system performance is the quality of governance that shapes its response in an unstable environment. The March edition of Trustee Insights, the monthly digital package from the American …


The Keckley Report

Paul KeckleyThe Biden Budget: Key Signals to Voters and an Important Implications for the Health Industry

“Last Thursday, the Biden administration released its proposed FY24 federal budget which is certain to spark political posturing by partisans on all sides and long-term speculation by political pundits and economists. At a high level, it includes… …

In total, healthcare spending represents 30% of the total outflow of federal funds in this budget compared to 29% in ’22 (Medicare 12%, Veteran’s Health 2% and Other Line Items 15%)—almost 50% more than Social Security and more than 100% above defense spending. …”

Paul Keckley, March 12, 2023


News to Know


MHA CEO Brian PetersMHA in the News

The MHA received media coverage the week of March 13 regarding conversations around workforce funding and current challenges amid the third anniversary of the COVID-19 pandemic.

MHA Provides Testimony Supporting State Psychiatric Care and Healthy Michigan Plan

During the week of March 13, the MHA provided testimony to both the Michigan House Appropriations Subcommittee on Health and Human Services and the House Health Policy Committee.

Laura Appel, executive vice president of Government Relations and Policy and Lauren LaPine, senior director of Legislative and Public Policy at the MHA  provided testimony Mar. 15 to the House Appropriations Subcommittee.

Laura Appel, executive vice president of Government Relations and Policy at the MHA, provided testimony Mar. 15 to the House Appropriations Subcommittee on Health and Human Services. Appel provided an overview of the impact healthcare workforce challenges are having on state psychiatric care and the need for additional support.

“We share the frustration of families, caregivers and our colleagues at the Michigan Department of Health & Human Services when state psychiatric beds go offline,” said Appel. “We appreciate the Governor’s proposed investments and understand there are many needs in our state – I hope the subcommittee will consider an investment in healthcare for our most vulnerable residents among the highest priorities.”

Adam Carlson, senior vice president of Advocacy at the MHA provided testimony Mar. 16 to the House Health Policy Committee.

Adam Carlson, senior vice president of Advocacy at the MHA, provided testimony Mar. 16 to the House Health Policy Committee in support of House Bill (HB) 4224, introduced by Rep. Julie Rogers (D-Kalamazoo). HB 4224 would repeal the Medicaid work requirement law that was passed in 2018. That legislation would require Michigan’s Medicaid beneficiaries to report employment or evidence of their search for work in order to maintain coverage.

“Ensuring coverage and access for our lower-income community members improves the health and wellness of our state, while having a positive effect on securing and maintaining employment,” said Carlson.

Members with questions about workforce funding or other state legislative action may contact Adam Carlson at the MHA.

MHA Monday Report Nov. 14, 2022

MHA Monday Report

MI Vote Matters logoRecapping 2022 Election Results

Midterm election results are in, bringing new leadership to the Michigan Legislature and a returning administration at the top of the ticket. Election 2022 will bring significant change to Lansing, as Democrats will now control the Governor’s office and both chambers of the state legislature for the first time since 1984 …


capitol buildingLegislature Returns for Lame Duck Session

The legislature returned during the week of Nov. 7 to vote on legislative leadership and kickoff the 2022 lame-duck session. Only a handful of MHA-tracked bills saw action, including legislation to implement the new federal Rural Emergency Hospital (REH) designation …


CMS Finalizes Rate Cuts in 2023 Medicare Physician Fee Schedule

The Centers for Medicare & Medicaid Services (CMS) recently released the 2023 Medicare Physician Fee Schedule (PFS) final rule, effective Jan. 1, 2023. The rule reduces the PFS conversion factor by $1.55 (4.7%) to $33.06 in a calendar year (CY) 2023 from $34.61 in CY 2022 …


October MA Enrollment Increases by 17,000 Beneficiaries

Medicare Advantage (MA) enrollment in Michigan totaled approximately 1.22 million in October, an increase of 17,000 beneficiaries since July. The October enrollment is spread across 48 MA plans that are currently operating in the state …


The MHA Keystone Center Offers Ongoing Workforce Well-Being Courses

Through a partnership with the Duke Center for Healthcare Safety and Quality, the MHA Keystone Center is pleased to offer the second iteration of its WELL-B webinar series geared to support healthcare workers experiencing burnout …


The Keckley Report 

Paul KeckleyThe Physician Pay Rule in Context: Profession “Heal Thyself”

“Last Tuesday, the Center for Medicare and Medicaid Services (CMS) published its 2023 payment schedule for physicians along with changes in the Medicare shared savings program, outpatient, behavioral and home health services…

Healthcare is at a crossroad. Physicians are caught in the crossfire of policies to lower health costs and capital necessary to transform the system from specialty care and volume-based incentives to value and wellbeing.”

Paul Keckley, Nov. 7, 2022


Laura AppelMHA in the News

The MHA received media coverage on the continued surge of RSV cases across Michigan’s pediatric hospitals that is stressing hospital capacity during the week of Nov. 6. Laura Appel, executive vice president …