Behavioral Health Supplemental Budget, Policy Bills Advance

capitol building

capitol buildingThe Michigan Legislature advanced several hospital-related bills during the week of June 13. Most notably, the Senate advanced a $590 million supplemental appropriations bill related to behavioral health. Several other policy bills the MHA is watching also received committee action in the House and Senate.

The supplemental funding bill that includes the MHA’s request to support behavioral health was approved by the state Senate. Senate Bill (SB) 714, introduced by Senate Majority Leader Mike Shirkey (R-Jackson), would appropriate $590 million and includes several MHA-supported one-time line items for behavioral health. Included in the supplemental bill is $100 million in infrastructure grants for pediatric inpatient psychiatric services, $20 million in infrastructure grants for hospital behavioral health intake enhancements, $25 million to prepare for the expansion of the essential health provider loan repayment program, and $30 million to expand the state’s apprenticeship program for new behavioral health staff. The legislation now moves to the House for its consideration as the Legislature continues its work on the fiscal year 2023 state budget.

The House Health Policy Committee took testimony on a package of Certificate of Need (CON) bills that were reintroduced from the 2019-2020 session. Senate Bills (SBs) 181182183 and 190 would remove psychiatric bed capacity from CON oversight, increase the threshold for capital expenditures, increase the number of members on the CON Commission and remove air ambulance services from CON. The bills were introduced by Sens. Curt VanderWall (R-Ludington), Lana Theis (R-Brighton) and Michael MacDonald (R-Macomb Township). The MHA opposes the tie-barred package of bills and provided written testimony to the committee in support of Michigan’s current CON program. No votes were held on the bills.

The House Health Policy Committee also heard testimony on bills to change lead testing requirements for children. House Bills (HBs) 4678 and 4679, introduced by Reps. John Cherry (D-Flint) and Helena Scott (D-Detroit), would require minors to be screened for lead poisoning between the ages of 9 and 12 months and the ages of 2 and 3 years old and would include this information as part of the child’s immunization record. Providers would also be expected to identify high risk factors such as the age of the child’s residence, but it is unclear how penalties would be assessed for the new requirements. The MHA has not yet taken a position on the bills but will continue to monitor any action taken.

In the Senate Health Policy and Human Services Committee, bills to allow Michigan to join the Psychology Interjurisdictional Compact were taken up again. This compact is a legal agreement among states that creates an expedited pathway to licensure for psychologists who wish to practice telepsychiatry across state lines. HBs 5488 and 5489 were introduced by Reps. Bronna Kahle (R-Adrian) and Felicia Brabec (D-Pittsfield Township), respectively, and are supported by the MHA. The bills now go to the Senate floor for a final vote and, if approved, will be sent to the governor desk for final consideration.

The Senate Health Policy and Human Services Committee also took up HB 5163, which was introduced by Rep. Angela Witwer (D-Delta Township) and would create an opt-out grant program for hospitals to establish medication-assisted treatment (MAT) for substance use disorders in their emergency departments. Hospitals provided MAT programs prior to introduction of the bill, and the MHA has already partnered with the Michigan Department of Health and Human Services to implement the first round of grants provided under this legislation. No hospitals would be required to participate in the program. HB 5163 was advanced to the Senate floor for further action.

For more information on these and other state bills related to healthcare, contact Adam Carlson at the MHA.

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.

Prepare Now for March Application Period of State Loan Repayment Program

Applications for the 2022 Michigan State Loan Repayment Program (MSLRP) 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.

The MSLRP assists employers in the recruitment and retention of medical, dental and mental health primary care providers who continue to demonstrate their commitment to building long-term primary care practices in underserved communities designated as Health Professional Shortage Areas. Those selected will receive up to $200,000 in tax-free funds to repay their educational debt over a period of up to eight years of participation. Priority will be given to applications from inpatient pediatric psychiatrists, providers working at practice sites in Genesee County, and obstetric service providers working in northern Michigan.

The review process has been updated for this application period. Providers and employers are strongly encouraged to read more about the review process in the Selection Criteria, Application Review and Final Phase Process section of the MSLRP website. For more information, contact Brittany Brookshire at the Michigan Department of Health and Human Services.

Governor Signs MHA-supported Trauma System Legislation

MHA staff members Sean Sorenson-Abbott (left) and Adam Carlson testified before the House Health Policy Committee Oct. 7.
MHA staff members Sean Sorenson-Abbott (left) and Adam Carlson testified before the House Health Policy Committee Oct. 7.
MHA staff members Sean Sorenson-Abbott (left) and Adam Carlson testified before the House Health Policy Committee Oct. 7.

A bill to fund the statewide trauma system was signed during the week of Oct. 4 and several bills impacting hospitals were taken up in the House and Senate health policy committees.

Gov. Gretchen Whitmer signed House Bill (HB) 5094 into law Oct. 7, providing full funding for Michigan’s statewide trauma system. HB 5094 was introduced by Rep. Mary Whiteford (R-Casco Township) and was supported by the MHA. The statewide trauma system is crucial for patient safety, especially during the ongoing pandemic.

In the House Health Policy Committee, the MHA provided testimony in support of two bills to expand the allowable use of the Essential Health Provider Loan Repayment Program. Senate Bills (SBs) 246 and 435 were introduced by Sens. Curt VanderWall (R-Ludington) and Mike MacDonald (R-Macomb Township). The bills would expand the maximum allowable loan repayment from $200,000 to $300,000 for up to 10 years of service in a health resource shortage area, as well as allow for more mental health professionals to qualify. The MHA proposed two amendments to SB 435 that would extend the sunset on the interstate medical licensure compact and allow “midsize vital hospitals” to use the program. Midsize vital hospitals are smaller hospitals that provide 24/7 emergency care and key regional services in communities that require facilities with more than the 25 beds critical access hospitals are limited to.

The House Health Policy Committee voted on HB 5163, which was introduced by Rep. Angela Witwer (D-Delta Township) and would create an opt-out grant program for hospitals to establish medication-assisted treatment (MAT) for substance use disorders in their emergency departments. The committee reported the MHA-supported bill to the House floor, where discussion will continue.

The Senate Health Policy and Human Services Committee voted on SB 579, a bill on MAT programs introduced by Sen. Curt VanderWall (R-Ludington) that is identical to HB 5163. The bill will now be discussed on the Senate floor. The committee also took testimony on SBs 637 and 638, legislation that would establish a new behavioral health jail diversion program and a local mental health crisis response grant program.

Members with questions on state legislation affecting healthcare may contact Adam Carlson at the MHA.