Healthcare Bills See Action as Session Resumes

capitol building

capitol buildingThe Michigan Legislature returned to session the week of April 10, taking up several bills the MHA is monitoring. In the House of Representatives, MHA-supported legislation to create a new tax credit for blood donations and to regulate the sale of kratom received hearings in their respective committees. In the Senate, a package of bills to license and regulate professional guardians was introduced and testimony was held on a bill to allow for pharmacists to order and administer certain vaccinations and diagnostic tests.

The House Committee on Tax Policy held a hearing on House Bill (HB) 4068 to 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. A vote was not held at this hearing.

In the House Regulatory Reform Committee, an initial hearing was held on legislation to regulate the sale of kratom in Michigan. Kratom is a tropical tree native to Southeast Asia, with leaves that contain compounds which can have psychotropic effects similar to opioids and stimulants. HB 4061 would ban adulterated kratom products, require warning labels addressing the potential health impacts and require lab testing for kratom products to ensure consumers know what substances are present. HB 4061 is a reintroduction by Rep. Lori Stone (D-Warren) and was supported by the MHA’s Legislative Policy Panel last session. No vote on the bill was taken.

In the Senate’s Health Policy Committee, Sen. Sylvia Santana presented a new bill intended to increase access to vaccines and certain laboratory tests. Senate Bill (SB) 219 would allow 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 that are waived for home use by the Food and Drug Administration or approved for waiver under the Clinical Laboratory Improvement Amendments of 1988. The MHA has not yet taken a position on SB 219, which has also been introduced in the House as HB 4316 by Rep. Alabas Farhat (D-Dearborn). The MHA expects further testimony to be taken on the bill and no votes were held at this time.

In the Senate, a new package of six bills to amend regulations for professional guardians was introduced. SBs 253258 include a wide range of proposals to increase the requirements for professional guardians, limit the number of cases a guardian can take and change the priority list for court-appointed guardians. The MHA has concerns with the legislation impacting a hospital’s ability to secure court appointed guardians in a timely manner to engage with healthcare and placement decisions. No hearing is scheduled on the bills at this time.

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

State Medicaid Office Addresses Legislative Policy Panel

Carlos Jackson, federal lobbyist, Cornerstone Government Affairs.

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 Keisling, director, Bureau of Medicaid Policy, Operations and Actuarial Services. The state is starting the renewal process this month for nearly three million Medicaid beneficiaries. Keisling discussed the approach they’re taking to review beneficiaries as part of the redetermination process and planned communications with beneficiaries whose eligibility will expire or renew.

Moving to action items, the panel recommended the MHA advocate for incentives that would support birthing hospital participation in Levels of Maternal Care.

In addition, the panel discussed issues around telehealth and the potential discrimination against living organ donors.

The panel received updates on other issues including a federal update from federal lobbyist Carlos Jackson with Cornerstone Government Affairs, hospital workforce funding, state budget negotiations and MHA efforts related to behavioral health.

For more information on the MHA Legislative Policy Panel, contact Adam Carlson at the MHA.

First Legislative Policy Panel Meeting of 2023

Bill Wortz and Frank Foster of Public Affairs Associates present to the Legislative Policy Panel.

The MHA Legislative Policy Panel convened Jan. 25 to develop recommendations for the MHA Board of Trustees on legislative initiatives impacting Michigan hospitals.

The meeting was highlighted by a presentation from MHA multi-client lobbying firm Public Affairs Associates on the new political landscape in Michigan. Managing Partner Bill Wortz and Partner Frank Foster recapped the recent election results, reviewed new legislative leadership and focused on the priorities of Democrats, who hold majorities in each chamber of the Michigan Legislature for the first time since 1984.

Moving to action items, the panel recommended the MHA support legislation to strengthen the Healthy Michigan Plan and remove provisions that are ineffective, administratively burdensome or create risk to the long-term viability of the program. The panel also recommended the MHA develop legislation to enable hospitals to bill and receive reimbursement for healthcare and other services provided to psychiatric patients awaiting behavioral health services.

In addition, the panel discussed Senate Bill 28, which seeks to enhance the definitions of and limit the use of seclusion and restraint, which was introduced by Sen. Sarah Anthony (D-Lansing).

The panel received updates on other issues including a federal update from federal lobbyist Carlos Jackson with Cornerstone Government Affairs, state budget negotiations and a recap of last year’s lame-duck session.

For more information on the MHA Legislative Policy Panel, contact Adam Carlson at the MHA.

Jase Bolger Addresses Legislative Policy Panel

Former State House Speaker Jase Bolger addresses members of the MHA Legislative Policy Panel.

The MHA Legislative Policy Panel convened May 25 to develop recommendations for the MHA Board of Trustees on legislative initiatives impacting Michigan hospitals.

The meeting was highlighted by a presentation from former State House Speaker Jase Bolger on the Michigan Legislative Term Limits and Financial Disclosure Amendment, which is on the November ballot as a legislatively referred constitutional amendment. The initiative is a bipartisan effort that would change Michigan’s term limits and require financial disclosure from lawmakers. The proposed constitutional amendment would change term limits for state legislators from three two-year terms in the state House and two four-year terms in the state Senate to 12 combined years in the Legislature. It would also require state legislative and executive officials to file annual financial disclosure reports on their income, assets, liabilities, gifts from lobbyists, positions held in certain organizations and agreements on future employment.

Moving to action items, the panel recommended supporting Senate Bill (SB) 680, which would create a new section of the public health code to license and regulate supplemental nursing services agencies. The panel also recommended the MHA remain neutral on SB 812 that would create a registry of certain types of specialized laboratories in Michigan. Lastly, the panel recommended the MHA support House Bill 5477, which would establish kratom as a Schedule II substance and regulate the sale and distribution of the product.

In addition, the panel received updates on other issues at the state level, including the state fiscal year 2023 budget and potential legislation on the 340B drug pricing program.

For more information on the MHA Legislative Policy Panel, contact Adam Carlson at the MHA.