MHA Monday Report June 8, 2026

House Judiciary Hears Testimony on Violence Against Healthcare Workers Legislation

Legislation addressing violence against healthcare workers heard testimony in the House Judiciary Committee during the week of June 1, while other MHA-backed bills saw action in the legislature. House Bills 4532–4534, which aim to …


MDHHS Finalizes Specialty Behavioral Health Services Location Policy

The Michigan Department of Health and Human Services (MDHHS) recently finalized Medicaid Policy Bulletin MMP 26-17, effective July 1, 2026, which clarifies reimbursement requirements for specialty behavioral health services provided through Prepaid Inpatient Health Plans …


MDHHS Expands Medicaid Coverage for Pharmacist-Provided Services

The MDHHS recently issued Medicaid Policy Bulletin MMP 26-20, expanding coverage for pharmacist-provided services effective July 1, 2026, pending approval of a state plan amendment by the Centers …


MDHHS Accepting Applications for Opioid Treatment Access Internship Stipend Program

The MDHHS is accepting applications through June 15 for the Michigan Opioid Treatment Access Internship Program, which provides financial support to students completing unpaid internships that prepare them …


Workforce Resources and Webinar Available for Healthcare Providers

The MHA and Endorsed Business Partner AMN Healthcare continue to support workforce strategies that improve access to care for hospitals and health systems. AMN will host a webinar, “Maximizing Every Dollar: Using AI and Data …


Michigan Hospitals Help Advance Care for Sickle Cell Patients

Michigan hospitals are committed to investing in efforts that advance the health of the patients and communities they serve every day. With grant funding from the MDHHS,  the Bronson Health Foundation, Children’s Hospital …


MHA Rounds graphic of Brian PetersMHA CEO Report — A Call to Strengthen Healthcare Through Collaboration

Our nation’s healthcare system is at a crossroads. Rising costs, workforce shortages and expanding patient needs are placing unprecedented pressure on hospitals and the communities that depend on them. Accepting this strain as status quo is not an option. …


Michigan Hospitals, Always caring, always advancing.


The Keckley Report

In Healthcare: 10 Issues where States are Accelerating Policy Changes

“In the United States, laws that define how our health system operates have evolved over our 250-year history. They’re built on allopathic medical pedagogy borrowed from our European roots and evolve around clinical innovations and technologies that improve outcomes and extend life. …

Healthcare’s future in the U.S. will continue to be framed by federal policies and the political system from which its laws originate, but its transformational changes will increasingly originate in states where affordability, funding and system effectiveness issues are tackled head-on.”

Paul Keckley, May 31, 2026


News to Know

The MHA recently launched Always Caring, Always Advancing, a new multi-year, statewide public affairs campaign highlighting the powerful stories of caregivers and patients across Michigan.


MHA in the News

During the Mackinac Policy Conference MHA CEO Brian Peters sat down with leaders across the state to discuss advancing more collaborative, affordable and outcomes-driven care across Michigan. Peters joined Paula Cunningham, Michael Patrick Shields and …

MDHHS Expands Medicaid Coverage for Pharmacist-Provided Services

The Michigan Department of Health and Human Services (MDHHS) recently issued Medicaid Policy Bulletin MMP 26-20, expanding coverage for pharmacist-provided services effective July 1, 2026, pending approval of a state plan amendment by the Centers for Medicare & Medicaid Services. The policy applies to Medicaid, the Healthy Michigan Plan, MIChild, Plan First and several additional Medicaid programs.

The policy aligns Medicaid coverage with Michigan’s expanded pharmacist scope of practice and allows qualified Medicaid-enrolled pharmacists to provide and bill for additional services, including:

  • Ordering and administering immunizations.
  • Ordering and administering certain laboratory tests such as COVID-19 and influenza.
  • Prescribing antiviral treatments based on test results.
  • Counseling on and prescribing self-administered hormonal contraceptives.

Pharmacists must meet enrollment, training and documentation requirements established by MDHHS.

According to MDHHS, the policy is intended to increase access to preventive and diagnostic services, support timely treatment of common conditions and improve access to care for Medicaid beneficiaries. Members are encouraged to review the bulletin for enrollment, billing and reimbursement requirements.

Members with questions may contact Lenise Freeman at the MHA.

MDHHS Finalizes Specialty Behavioral Health Services Location Policy

The Michigan Department of Health and Human Services (MDHHS) recently finalized Medicaid Policy Bulletin MMP 26-17, effective July 1, 2026, which clarifies reimbursement requirements for specialty behavioral health services provided through Prepaid Inpatient Health Plans in home, community and residential settings. The policy applies to Medicaid and the Healthy Michigan Plan.

The final policy encourages mental health and intellectual and developmental disability services to be provided in integrated community settings, including an individual’s home, when appropriate. The bulletin also clarifies coverage requirements for substance use disorder residential treatment services, nursing facilities, child-caring institutions and children’s therapeutic group homes. For children and youth, services should be provided in the least restrictive setting appropriate to their needs.

The final policy includes several changes from the proposed policy, including:

  • New requirements related to the coordination of Early and Periodic Screening, Diagnostic and Treatment services for children residing in child-caring institutions.
  • Additional clarification regarding services available to children with intellectual and developmental disabilities.
  • Removal of a proposed section addressing Medicaid coverage in Institutions for Mental Diseases (IMDs).

The MHA submitted comments requesting clarification regarding covered services in nursing facilities, IMD coverage policies and reimbursement for services provided to children in child-caring institutions. While the final bulletin provides additional clarification, it does not address all the questions raised by the MHA.

Members impacted by specialty behavioral health service delivery and reimbursement requirements are encouraged to review the bulletin.

Members with questions may contact Lenise Freeman at the MHA.

MDHHS Accepting Applications for Opioid Treatment Access Internship Stipend Program

The Michigan Department of Health and Human Services (MDHHS) is accepting applications through June 15 for the Michigan Opioid Treatment Access Internship Program, which provides financial support to students completing unpaid internships that prepare them for careers in substance use disorder (SUD) treatment.

Eligible students pursuing degrees in social work, professional counseling, marriage and family therapy, nursing or physician assistant studies may receive stipends of up to $20,000, depending on internship requirements. Participants must commit to providing SUD services to Michigan residents after graduation.

MDHHS has allocated $3.5 million for the program, which is funded through the Michigan Opioid Healing and Recovery Fund and could support up to 350 students. Additional eligibility requirements and application materials are available on the MDHHS website.

Members are encouraged to share this opportunity with eligible students and interns pursuing careers in substance use disorder treatment.

Members with questions may contact Lenise Freeman at the MHA.

Final Federal Loan Rule Maintains Narrow Professional Degree Definition

The U.S. Department of Education recently released a final rule implementing changes to federal student loan programs under the Reimagining and Improving Student Education (RISE) initiative. The final rule includes changes to graduate and professional student loan limits, repayment structures and loan rehabilitation policies.

The MHA submitted comments in opposition to portions of the proposed rule related to the definitions of “professional student” and “professional degree.”

The MHA raised concerns that the proposed framework could negatively impact healthcare workforce pipelines by limiting borrowing flexibility for certain graduate-level professions, including behavioral health providers, advanced practice nurses and allied health clinicians.

In the comment letter, the MHA emphasized that Michigan hospitals, particularly rural and critical access hospitals, rely heavily on master’s-level clinicians and advanced practice providers to sustain access to care in underserved communities. The MHA also highlighted ongoing workforce shortages affecting hospitals and behavioral systems in the state and nationwide.

While the Department acknowledged comments from healthcare and counseling stakeholders regarding workforce and affordability concerns, the final rule did not expand the definition of “professional student” or adopt the broader classification approach requested by the MHA. The Department stated that it remains confident in its classification of professional versus graduate degree programs.

Members with questions may contact Lenise Freeman at the MHA.

MDHHS Gun Lock Distribution Map Expands Access to Safe Storage

The Michigan Department of Health and Human Services (MDHHS) launched a new interactive Gun Lock Distribution Map to help residents locate free firearm safety devices and connect community partners with safe storage resources. The tool identifies more than 150 locations statewide where individuals can obtain free cable-style gun locks.

Free gun locks, provided through a partnership with the Michigan State Police, are purchased through Project ChildSafe, a national program focused on promoting responsible firearm ownership.

Community organizations, health providers, local governments and other partners can request gun lock supplies by completing an online form. Approved sites will be added to the statewide map and receive supplies directly.

Members are encouraged to visit the MDHHS secure storage webpage and download “The Talk” flyer to learn more about safe storage practices and available resources.

Members with question may contact Lenise Freeman at the MHA.

MHA Monday Report April 20, 2026

House Budget Proposal Advances; Other Hospital Bills See Action

Several healthcare bills, including mandatory nurse overtime, medical debt collections, prescribed pediatric extended care facilities and the Michigan Department of Health and Human Services budget, saw action in the legislature during the week of April 13. The Michigan Senate voted in support …


MHA Unemployment Compensation Program Receives Fifth Consecutive Award for Outstanding Performance

The MHA Unemployment Compensation Program was recognized by the National Association of State Workforce Agencies April 17 for its continued commitment to using the State Information Data Exchange System to receive new claims and respond to …


Trinity Health Michigan Team Members Recognized with MHA Keystone Center Speak-up! Award

The MHA Keystone Center recognized Camryn Smith and Alicia Evans, medical assistants at Trinity Health IHA Medical Group, as its quarterly MHA Keystone Center Speak-up! Award recipients. The Speak-up! Award …


MDHHS Convenes Statewide RHTP Advisory Council

The Michigan Department of Health and Human Services (MDHHS) convened the first Rural Health Transformation Program (RHTP) Advisory Council meeting on April 13. Three rural hospital leaders from MHA-member hospitals serve on the council: Julie …


CMS Releases FY 2027 Hospital Inpatient Prospective Payment System Proposed Rule

The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule to update the Medicare fee-for-service inpatient prospective payment system for fiscal year (FY) 2027. Highlights of the proposed rule include: …


LARA to Host Webinar on Proposed Psychiatric Hospital Licensing Rule Changes

The Michigan Department of Licensing and Regulatory Affairs (LARA), through its Bureau of Community Health Systems, will host a webinar from 3 to 3:30 p.m., May 7, to review proposed updates to administrative rules …


MEJI Seeks Input on Guardianship Training Initiative

The Michigan Elder Justice Initiative (MEJI) is seeking feedback from members to help shape upcoming guardianship training. Members are encouraged to complete a brief survey to share input on what is needed, how it should …


Upcoming Opportunities to Prioritize Workplace Safety

As MHA CEO Brian Peters stated in his April CEO Report, it’s critical – especially during Workplace Violence Prevention Month – to prioritize the safety and well-being of healthcare workers. The MHA Keystone Center and …


Hospitals Help: Bronson Drives Change in Maternal and Infant Health

From prenatal care and labor and delivery to neonatal intensive care and postpartum follow-up, Bronson Healthcare plays a critical role in influencing health outcomes for mothers and babies across Southwest Michigan. In celebrating a historic …


Keckley Report

The AHA Annual Membership Meeting: Three Issues that Require Attention

“This weekend, the American Hospital Association will convene its 2026 Annual Membership Meeting in DC. Its purpose is to equip leaders to engage with lawmakers and government officials on issues of consequence to hospitals.

The agenda includes panels on age-friendly health systems, post-acute services, AI and more, interspersed with punditry from members of Congress and political commentators. It’s a federally-focused meeting at a time when the current administration has signaled distaste for healthcare and frustrations with hospitals. …

Key questions for hospitals: What does value mean in our organization? To whom is our value focus directed? Is quality in our organization an end in itself or a means to a financial result? Is participation in VBC projects helpful to our organization or is watchful waiting prudent?

The American Hospital Association, its state affiliates and its members face unprecedented challenges in 2026 and beyond. While attention is focused on short-term rules and regulations that protect hospital revenues (340B, site neutral payments, Medicaid cuts, et al), equal consideration is needed to the long-term role and scope of hospitals in emergent systems of health. That makes the AHA Board’s selection of retiring CEO Rick Pollock’s successor and the deliberation of the AHA Board about the long-term future for hospitals even more consequential.”

Paul Keckley, April 12, 2026


New to Know

News to Know

  • Applications are being accepted for the 2026-27 MHA Excellence in Governance Fellowship for hospital and health system trustees.
  • MHA Endorsed Business Partner SmarterDx is hosting the webinar “Making the Case for AI-Powered CDI” May 7 at 1 p.m. ET in partnership with ACDIS.

MHA in the News

Recent coverage of the Michigan Senate’s April 15 action on mandatory nurse overtime highlighted the MHA’s active engagement in ensuring hospital concerns were reflected in the final package. MHA Chief Nursing Officer Amy Brown was …

LARA to Host Webinar on Proposed Psychiatric Hospital Licensing Rule Changes

The Michigan Department of Licensing and Regulatory Affairs (LARA), through its Bureau of Community Health Systems (BCHS), will host a webinar from 3 to 3:30 p.m., May 7, to review proposed updates to administrative rules for licensing psychiatric hospitals and units. The proposed changes would replace the current rule set and may affect impacted providers.

The webinar will provide an overview of the proposed administrative rules. Stakeholders are encouraged to review the informal draft of the Licensing Psychiatric Hospitals and Units administrative rules before the session.

The BCHS webinar is open to organizations and individuals impacted by psychiatric hospitals and unit licensing requirements. After registering, participants will receive a confirmation email with the option to add the event to their calendar. The MHA encourages members from psychiatric hospitals and units to join.

Members with questions may contact Lenise Freeman at the MHA.

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 …

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 …