MHA Monday Report Nov. 22, 2021

MHA Monday Report

MHA Covid-19 updateCombating the Novel Coronavirus (COVID-19): Week of Nov. 15

Michigan is once again among the states with the highest numbers of COVID-19 cases in the nation, with the New York Times reporting that Michigan and Minnesota lead the country in cases per capita. On Nov. 19, there were 3,424 adults hospitalized with confirmed cases of COVID-19, in addition to …


Out-of-state Licensure Provider Exemption to Expire Jan. 11

The Michigan Department of Licensing and Regulatory Affairs has provided a 30-day notice that the out-of-state licensure provider exemption will no longer be in effect as of Jan. 11, 2022. The MHA worked with the state to develop this provision effective March 16, 2020, and to keep it in effect since …


Medicare Premiums and Deductibles Announced for 2022

The Centers for Medicare & Medicaid Services recently announced that the Medicare Part A deductible for inpatient hospital services will increase by $72 in calendar year  2022 to $1,556. The Part A daily coinsurance amounts …


Webinar Offered to Apprise Providers on Transgender Issues in Healthcare

Transgender and gender nonconforming individuals deal with many common fears that can be debilitating. Healthcare providers need to understand the obstacles that this population faces to improve medical care for their patients. The MHA Health Foundation Transgender Healthcare Dignity Model …


Prepare Now for March Application Period of State Loan Repayment Program

Applications for the 2022 Michigan State Loan Repayment Program will be accepted from March 7-11 through the File Transfer Application System. Providers should create an account in the system as soon as possible, but should not upload their MSLRP application documents before March 7. …


Trustee Insights Edition Highlights Workforce Trends

The latest edition of Trustee Insights, the monthly digital package from the American Hospital Association, is now available. This month’s issue includes a report on the latest forces and trends affecting healthcare human resources, including education, training and the evolving practice …


covidHeadline Roundup: Week of Nov. 15  for COVID-19 in Michigan

The MHA has been actively fielding and responding to media requests related to the growth in COVID-19 cases and hospitalizations, hospital capacity and healthcare workforce sustainability. …


The Keckley Report

Paul Keckley

The KFF Employer Health Benefits Survey: An Accurate but Incomplete Picture

“Last Wednesday, Kaiser Family Foundation released its 2021 Employer Health Benefits Survey—the 23rd in the series. …

“The KFF researchers note that changes in employer benefits participation are ‘unchanged’ but noticeable trends suggest changes ahead.”

Paul Keckley, Nov. 15, 2021


News to Know

  • The MHA Monday Report will not be published Nov. 29, but timely news will continue to be posted in the MHA Newsroom prior to publication of the Dec. 6 edition of Monday Report.
  • The MHA will offer a webinar on Unemployment Compensation and Vaccine Mandates at 10 a.m. EST Dec. 9.
  • The MHA will host a free webinar from noon to 12:45 p.m. EST Dec. 9 to review new requirements from The Joint Commission on workplace violence that take effect in January.

Michigan Legislature Advances Healthcare Bills

Adam

Adam Carlson, vice president, advocacy, MHA, testified June 17 before the House Policy Committee.The Michigan House and Senate took up multiple pieces of legislation impacting hospitals during the week of June 14. The full Senate voted in favor of legislation to modernize the scope of practice for Certified Registered Nurse Anesthetists (CRNAs), and policy committees addressed legislation to create systems of care for time-sensitive emergencies, regulate pharmacy benefit managers and clarify reciprocity for Canadian health professional licensure.

The full Michigan Senate voted June 17 to support House Bill (HB) 4359, which would modernize the scope of practice for CRNAs in Michigan. The legislation was introduced by Rep. Mary Whiteford (R-Casco Township) and was supported with MHA testimony in both the House and Senate. HB 4359 would bring Michigan in line with 42 other states and the U.S. military, all of which provide flexibility regarding physician supervision of CRNAs delivering anesthesia care. The Senate adopted changes to add definitions and clarifications to what must be included in health facility policies for CRNAs to practice under the legislation. These changes must be confirmed by the House before the bill is sent to the governor’s desk for signature. The MHA will continue to monitor any action on HB 4359.

The Senate Health Policy and Human Services Committee voted to report a bill to create systems of care for time-sensitive emergencies to the Senate floor. Senate Bill (SB) 521 was introduced by Sen. John Bizon (R-Battle Creek) and would direct the Michigan Department of Health and Human Services to create accreditation levels for hospitals that would indicate their ability to treat patients who had strokes or heart attacks. The MHA supported SB 521 in committee, and the bill will next be voted on by the full Senate.

The Senate Health Policy and Human Services Committee also held testimony on HB 4348, which was introduced by Rep. Julie Calley (R-Portland) and would establish licensure and new regulation for Pharmacy Benefit Managers (PBMs). The MHA supports the legislation, which could help to slow the rising cost of prescription medications.

The Health Policy Committee took testimony on SB 416, which was introduced by Sen. Wayne Schmidt (R-Traverse City) and would clarify existing law allowing for limited licensure reciprocity for Canadian health professionals, ensuring that those who have previously taken medical exams could use those when applying for Michigan licensure. In its testimony before the committee, the MHA said this bill would unnecessarily force providers from Canada to potentially retake qualifying exams they had already passed, which is not possible in some cases.

Members with any questions on any of this legislation should contact Adam Carlson at the MHA.

Implicit Bias Training Rules Officially Adopted

The Department of Licensing and Regulatory Affairs adopted new administrative rules that require implicit bias training as part of the knowledge and skills necessary for licensure or registration of healthcare professionals in Michigan, which were ordered in Executive Directive 2020-07. Adopted June 1, the new training requirement will take effect one year later, June 1, 2022.

During the fall of 2020, the MHA and several member hospitals were among nearly 80 stakeholders that participated in the Implicit Bias Training Rules Advisory Work Group to help develop the draft rules. The MHA also provided testimony in support of the rules during the public hearing held March 9 and expressed its support to the Joint Committee on Administrative Rules.

The MHA and its member hospitals support unconscious bias training for all healthcare personnel. Ensuring equitable access and care for all patients is an MHA strategic priority, and eliminating health disparities is crucial to the MHA mission of advancing the health of individuals and communities.

Even before Executive Directive 2020-07 was ordered, the MHA and the MHA Keystone Center were working to make strides in this area. Addressing health disparities is a foundational concept that shapes all the organizations’ quality improvement and safety efforts. There is ample evidence of the impact bias has on health, and healthcare systems have a moral obligation to equalize care, starting first by identifying and addressing any bias that may exist within their organization. The training helps individuals identify and acknowledge the biases they have, which often exist outside of their conscious awareness; this process helps providers deliver the best care possible. For more information, contact Paige Fults at the MHA.