State’s Chief Medical Executive Shares Standing Recommendation Regarding Children’s Vaccines

Michigan’s Chief Medical Executive Natasha Bagdasarian, MD, issued a Standing Recommendation  Dec. 18 encouraging healthcare providers to follow the children’s immunization schedules developed by the American Academy of Pediatrics (AAP) or the American Academy of Family Physicians (AAFP).

Dr. Bagdasarian noted that the AAP and AAFP vaccine schedules are evidence-based and support the prevention of infectious diseases. Historically, Michigan providers have referred to vaccine schedules issued by the Centers for Disease Control and Prevention’s Advisory Committee (ACIP) on Immunization Practices for both children and adults. However, recent changes to ACIP membership and recommendations that are not evidence-based, such as discontinuing the birth dose of the hepatitis B vaccine, prompted the Michigan Department of Health and Human Services (MDHHS) to recommend alternative guidance.

MDHHS emphasized that following AAP or AAFP vaccine schedules will help ensure the safety and wellbeing of children across the state.

Clinical leaders from the Michigan Children’s Hospital Collaborative and the Michigan chapter of the AAP expressed strong support for the recommendation. The Children’s Hospital Collaborative stated that vaccine-preventable diseases can have devastating effects on infants and young children and underscored the importance of guidance rooted in rigorous, up-to-date scientific evidence. Clinical leaders noted that adherence to the AAP’s child and adolescent immunization schedule will allow Michigan providers to confidently administer safe and effective vaccines, reduce preventable hospitalizations and protect children.

Vaccines remain a primary tool for the prevention and control of infectious diseases, and the MHA supports Dr. Bagdasarian’s standing recommendation to follow the AAP and AAFP immunization schedules as evidence-based guidance that promotes the health and wellbeing of children across Michigan. More information is available on the MDHHS Immunization Recommendations for Michigan webpage.

Members with questions should contact Kelsey Ostergren at the MHA.

MHA Monday Report Dec. 15, 2025

Unemployment Benefit Waiver Bill Clears Senate; International Physician Legislation Advances

Legislation to waive the collection of improper unemployment benefits cleared the Michigan Senate in a unanimous vote, while bills creating a new pathway for internationally educated physicians advanced in the House during the week of …


2026 MHA Healthcare Leadership Academy Registration Now Open

The MHA is pleased to offer its popular Healthcare Leadership Academy in 2026. In partnership with Executive Core, two power-packed modules in February and May will feature leadership 360 feedback with personalized executive coaching, the …


Survey Seeks Insights on Rural Veterans’ Healthcare Needs

A needs assessment survey supported by the Michigan Center for Rural Health, the Improving Veterans Access to Healthcare and the Frontier Veterans program is seeking to identify the needs of veterans and their providers in …


MDHHS Launches 2025 Customer Satisfaction Survey for Public Health Laboratory Partners

The Michigan Department of Health and Human Services (MDHHS) Bureau of Laboratories is inviting public health partners to complete the 2025 Customer Satisfaction Survey by Dec. 31, 2025, to gather feedback that will help improve statewide …


Building Trust and Access to Key Services Addressed by MHA Health Access & Community Impact Council

The MHA Health Access & Community Impact Council held its second meeting of the program year Dec. 4, diving into priority areas outlined in the 2025-26 MHA Strategic Action Plan. Guided by co-chairs Jeremy Cannon, …


Members of the Henry Ford Health Doula Program team.

Hospitals Help: Henry Ford Health’s Hospital-Based Doula Program

To help address the alarming rate of maternal and infant mortality, Detroit-based Henry Ford Health established a hospital-based doula program in 2024 that makes a trained professional available to provide emotional, physical and educational support …


Keckley Report

Health system transformation: why outsiders want it and insiders resist

“Key Takeaways:

  • A challenging economic climate means continuing health industry profitability is unlikely.  
  • The majority of Americans want systemic changes the system’s insiders resist.
  • Longterm, inattention to structural flaws will result in an inadequate public utility that serves all but a few that can afford more. …

As a result, the health industry’s become an enemy to the population it’s pledged to serve. Institutional distrust for government, organized religion and big business now includes the health system, especially among young Americans. …”

Paul Keckley, Dec. 7, 2025


News to Know

MHA Endorsed Business Partner CorroHealth is offering an opportunity to help members get ahead of 2026 budget pressures in coding and clinical documentation improvement.


MHA in the News

Common Ground published a story Dec. 9 on the behavioral health collaborative that the MHA has launched to address postpartum depression and perinatal mood disorders. Lauren LaPine-Ray, vice president, policy and rural health, MHA, is …

MDHHS Launches 2025 Customer Satisfaction Survey for Public Health Laboratory Partners

The Michigan Department of Health and Human Services (MDHHS) Bureau of Laboratories (BOL) is inviting public health partners to complete the 2025 Customer Satisfaction Survey by Dec. 31, 2025, to gather feedback that will help improve statewide laboratory services.

The invitation is open to all individuals who work with or rely on laboratory services. Multiple responses from each organization are encouraged, as individual perspectives help MDHHS BOL better understand the needs and experiences of public health partners.

Members with any questions may contact the MHA policy team.

MHA Monday Report Dec. 8, 2025

Stop the Bleed Legislation Advances, Preadmission Screening Bill Introduced

Legislation protecting good Samaritans who apply bleeding-control techniques passed the Senate Civil Rights, Judiciary and Public Safety Committee, while a bill modifying timeline requirements for preadmission screening assessments of Medicaid patients was introduced during the …


CMS Releases 2026 Home Health PPS Final Rule

The Centers for Medicare & Medicaid Services (CMS) recently released a final rule updating the home health prospective payment system (PPS) for calendar year 2026. Highlights of the rule include: An updated 30-day …


MDHHS Launches RHTP Listserv to Share Program Updates

The Michigan Department of Health and Human Services (MDHHS) recently launched a Rural Health Transformation Program (RHTP) listserv to provide timely updates, announcements and resources related to the state’s implementation of the program. Hospitals, health …


Health Access & Community Impact Office Hours Launch

The MHA Health Access & Community Impact Office Hours series kicked off Nov. 24 with a session highlighting 211 and its role in addressing food access amid ongoing challenges related to food insecurity. Sarah Kile, …


Nominations Open for 2026 Michigan Hometown Health Hero Awards

The Michigan Public Health Week Partnership, a coalition of 13 statewide organizations that include the MHA, is seeking nominations by Friday, Dec. 19, for individuals and organizations that have contributed to improving the health and …


MHA Rounds graphic of Brian PetersMHA CEO Report — Dedicated to Care Every Day of the Year

During the holiday season, we look forward to annual traditions and time spent with loved ones. While many of us gather around our tables this season, we are all aware of individuals who sacrifice this special time …


Centering Lived Experiences to Improve Maternal Care: Reflections from the Birth Experience Project

Over the past year, I supported the Birth Experience Project, a mixed-methods study examining how Black women across Michigan experience pregnancy, labor and delivery, and postpartum care. As part of this effort, I assisted in analyzing …


Keckley Report

The 10 Healthcare Headlines you Might See in 2026

“2026 is a mid-term election year. In 2016 (Trump 45 Year One), Republicans controlled 31 governorships and 68 legislative chambers. This January, the GOP will control 26 governorships and 57 legislative chambers– a 15% reduction on both. Politics is divided, affordability matters most to voters and healthcare is a high-profile target for campaigns so humility, thoughtful messaging backed by demonstrable actions will be an imperative for every healthcare organization.

2026 is a HUGE year for U.S. healthcare. The outcome is unknown.”

Paul Keckley, Nov. 23, 2025

MDHHS Launches RHTP Listserv to Share Program Updates

The Michigan Department of Health and Human Services (MDHHS) recently launched a Rural Health Transformation Program (RHTP) listserv to provide timely updates, announcements and resources related to the state’s implementation of the program. Hospitals, health systems and rural partners are encouraged to subscribe to receive the latest information as the program develops.

The listserv will serve as the primary communication channel for MDHHS to share guidance, timelines, application materials, technical assistance and other program updates. Participation will be essential for organizations planning to engage in the RHTP, as well as for those tracking policy and funding developments that may affect rural care delivery.

Members with questions may contact Lauren LaPine-Ray at the MHA.

MHA Monday Report Nov. 24, 2025

MHA Submits Comments on Proposed Medicaid Mental Health Assessment Policy

The MHA recently submitted comments to the Michigan Department of Health and Human Services on proposed policy 2545-BH, which sets new mental health assessment requirements for Medicaid Health Plan providers caring for Comprehensive Health Care Program enrollees. Although …


2025 Michigan Caregiver Navigation Toolkit Available

In alignment with National Caregiver Month, the MHA Keystone Center recently created the 2025 Michigan Caregiver Navigation Toolkit to support hospitals in their efforts to initiate and enhance caregiver support programming across the state. The …


Report: Access, Affordability & Community Health Improved by Hospital Programming, Investments

The Michigan Health & Hospital Association (MHA) released its 2025 Community Impact Report Nov. 17 highlighting community programming and investments from Michigan hospitals that are improving access to care, addressing affordability and advancing the health of …


MHA Keystone Center PSO Hosts Virtual Care Safe Table

Registration is open for the MHA Keystone Center Patient Safety Organization (PSO) Virtual Care Safe Table in partnership with Henry Ford Health. The event will take place from 12:30 to 4 p.m. Dec. 3 at …


MDHHS Seeks Volunteers to Support Development of New EMS Credentialing Exams

The Michigan Department of Health and Human Services (MDHHS) is developing a Paramedic Exam and an Instructor Coordinator Exam and is seeking volunteers to support the process. Individuals across the Emergency Medical Services (EMS) and …


MHA Keystone Board Reviews Workplace Violence Prevention and Maternal Health Efforts

The MHA Keystone Board of Directors met Nov. 12 to review ongoing work to improve safety and quality across member organizations. The meeting opened with a connect-to-purpose story shared by Keystone Board Chair Doug Dascenzo, …


Caring For Those Who Provide Care

November is National Family Caregiver Month, which recognizes the 63+ million individuals across the United States who support loved ones with health needs every day.  I am one of the 63 million and provide care for both of my parents. …


Keckley Report

For Health Insurers, the Big Questions need Answers

“The federal shutdown ended Wednesday. Congress passed and the President signed a continuing resolution (CR) that extends funding and delays changes to several health programs until January 30, 2026 including community health centers, the National Health Service Corps, teaching health centers, the Acute Hospital-at-Home initiative, telehealth, disproportionate share hospital payment cuts and many others. But extension of the ACA tax credits used by 24 million to purchase coverage at a discount was not included in the deal. The Congressional Budget Office estimates more than 4 million people will lose insurance if the subsidies are not renewed at the end of the year. …

The majority of voters think the political system is not working, lending to hyper-partisanship by establishment players and lack of trust in the status quo. Misinformation is weaponized and ‘blame and shame’ tactics deployed. That’s where U.S. politics is. …

In the peer reviewed literature, health insurance coverage is strongly correlated with better health outcomes, including lower mortality, improved chronic disease management, and increased use of preventive care. But its affordability is increasingly in question.

Tax credits will be in the news until the end of the year and prominent in Campaign 2026 politics but the value proposition on which the industry has operated will be the focus beyond. Like every sector in healthcare, increased scrutiny is certain.”

Paul Keckley, Nov. 16, 2025


New to KnowNews to Know

  • The Centers for Medicare & Medicaid Services recently announced 2026 premiums, deductibles and coinsurance amounts for Medicare Parts A and B.
  • The MHA offices will be closed and no formal meetings will be scheduled Nov. 27 and 28 in honor of Thanksgiving.
  • Due to the holiday, Monday Report will not be published Dec. 1 and will resume its normal schedule Dec. 8.
  • The American Hospital Association released the first three chapter of its 2025 National Governance Report.

MHA in the News

The MHA received media coverage during the week of Nov. 17 covering the Rural Health Transformation Program, the MHA’s Community Impact Report and medical debt. Bridge published a story Nov. 19 on the Rural Health …

MHA Submits Comments on Proposed Medicaid Mental Health Assessment Policy

The MHA recently submitted comments to the Michigan Department of Health and Human Services (MDHHS) on proposed policy 2545-BH, which sets new mental health assessment requirements for Medicaid Health Plan providers caring for Comprehensive Health Care Program enrollees.

Although the association supports MDHHS’ effort to strengthen coordination between Community Mental Health agencies and Medicaid Health Plans, providers report that the policy’s training demands, documentation requirements and unclear implementation timeline create challenges that could unintentionally restrict access to behavioral health services.

To help providers prepare, the MHA recommended that MDHHS delay the implementation date to Oct. 1, 2026. Providers shared that training for the MichiCANS and LOCUS tools requires 10–13 hours, plus a certification test, and that available sessions remain limited or canceled. Hospitals anticipate substantial financial and staffing impacts, including lost clinical time and increased administrative work. The association also proposed removing the certification test requirement, expanding training availability and resolving duplicate documentation problems between state platforms and electronic medical records.

The MHA also urged MDHHS to narrow the list of provider types that must complete the training, noting that the current scope overextends an already strained behavioral health workforce. Providers requested clearer expectations for when reassessments are required and specific guidance for rural health clinics, whose responsibilities under the policy remain undefined.

The association further encouraged MDHHS to share data on how many individuals experience coordination gaps between Community Mental Health agencies and Medicaid Health Plans. Greater transparency would help determine whether a statewide implementation approach matches the scale of the issue.

Providers warn that without adjustments; the policy could reduce Medicaid behavioral health capacity and be an increase dbarrier to timely behavioral health treatment.

Members with questions may contact Lenise Freeman at the MHA.

MDHHS Seeks Volunteers to Support Development of New EMS Credentialing Exams

The Michigan Department of Health and Human Services (MDHHS) is developing a Paramedic Exam and an Instructor Coordinator Exam and is seeking volunteers to support the process. Individuals across the Emergency Medical Services (EMS) and healthcare community are encouraged to participate in shaping exam content and ensuring the testing process aligns with best practices.

MDHHS will convene several committees to support this work, including groups focused on test question and scenario development, practice analysis and a broad advisory committee. Volunteers do not need to be paramedics to participate on the advisory committee. MDHHS aims to assemble a professionally diverse group to help maintain exam integrity and support a positive experience for future test takers. Professionals who may consider participating include field supervisors, educators, nurses, dispatch staff, clinicians, students or emergency preparedness coordinators.

Frequently Asked Questions

When will committee work begin?

MDHHS anticipates that work will begin in December, with time commitments varying by committee. Participants can expect no more than two meetings per month. Please note that dates and times may change based on the progress of each committee.

  • Practice Analysis Panels for EMS and Instructor Coordinators require a total commitment of about 13 hours, with virtual meetings scheduled for January and June 2026.
  • Practical Exam committees require a total commitment of about 16 hours.
  • Test Question Panels will meet during July and August 2026, and each participant will write a minimum of 20 questions.

Will meetings be in person?

Most meetings will be held virtually. Some in-person meetings may be scheduled.

Are early-career professionals encouraged to apply?

Yes. MDHHS encourages young professionals to apply. Recent educational experiences offer valuable insight that can help create exams that are relevant, equitable and reflective of today’s workforce.

Members are encouraged to apply by Nov. 26, 2025. To apply, please complete the application form.

Members with questions may contact Amanda Kinney with MDHHS at (517) 582-5816.

MMMS and FIMR Aligned Recommendations to Improve Maternal and Infant Health

The Michigan Maternal Mortality Surveillance (MMMS) and Fetal Infant Mortality Review (FIMR) programs recently released aligned recommendations at improving outcomes across the maternal and infant health continuum.

MMMS reviews cases of maternal deaths that occur during pregnancy, at delivery or within one year of pregnancy. The committee determines the cause of death, reviews processes and recommends policy recommendations to prevent future deaths. FIMR is an evidence-based process to identify and analyze factors that contribute to fetal and infant deaths. Through a community-based, action-oriented framework, FIMR brings together local health providers, consumers, advocates and leaders to identify strengths and areas for improvement that can inform new policies and strengthen systems of care.

As part of the 2020-2023 Mother Infant Health Equity Improvement plan, MMMS and FIMR were tasked with collaborating to align actionable and locally relevant recommendations. Together, the programs have worked to coordinate and elevate recommendations to prevent maternal, fetal and infant deaths.

The brief highlights shared themes and calls to action for prevention and system improvement of:

  • Policies regarding systems of care, prevention initiatives, screening and treatment programs
  • Training and education
  • Access to quality care
  • Provider and patient communication
  • Addressing social determinants of health
  • Care coordination and provider-to-provider communication
  • Addressing safety concerns

Members are encouraged to review the brief and use the data by identifying recommendations that can be implemented locally, using the information to strengthen community improvement plans and raising awareness among decision-makers and policymakers. 

Members with questions may contact the MHA policy team.

MHA Supports Expanded Medicaid Coverage for Postpartum Mental Health Screenings

The MHA recently submitted comments to the Michigan Department of Health and Human Services in support of the proposal to expand Medicaid coverage for maternal mental health screenings up to 12 months postpartum.

Postpartum depression affects one in eight individuals, with symptoms often appearing months after childbirth. At nine to 10 months postpartum, 7.2% of individuals report depressive symptoms, many for the first time, highlighting the need for extended screening.

The MHA noted the importance of using validated tools like the Edinburgh Postnatal Depression Scale and aligning with recommendations from national medical organizations will help identify and treat more cases of postpartum depression. Extending coverage will close care gaps, improve outcomes for families and strengthen maternal and infant health statewide.

Members with questions may contact Lenise Freeman at the MHA.