MHA Monday Report March 20, 2023

MHA Monday Report

State Medicaid Office Addresses Legislative Policy Panel

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 …


MHA Provides Testimony Supporting State Psychiatric Care and Healthy Michigan Plan

During the week of March 13, the MHA provided testimony to both the Michigan House Appropriations Subcommittee on Health and Human Services and the House Health Policy Committee. Laura Appel, executive vice president of Government …


RFP Available for Pediatric Inpatient Behavioral Health Grant

The MHA is issuing a request for proposal for a $50 million competitive grant program for Michigan healthcare entities to expand access to pediatric inpatient behavioral health services. The funding was appropriated by the …


MHA Keystone Center PSO Annual Meeting May 3

The healthcare workforce is at higher risk of harm due to violence than other professional fields.  Recent increases in workplace violence represent a major barrier to both staff and patient safety, prompting the need for …


Registration Open for MHA Human Resources Member Forum

The MHA will host an in-person Human Resources Member Forum at the MHA headquarters in Okemos from 8:30 a.m. to noon April 26, with a virtual option available as well. The forum is structured as …


Changes to Medicaid Dental Coverage Effective April 1

The Michigan Department of Health and Human Services will implement a new service delivery model for adult dental benefits effective April 1, 2023. The following groups will be eligible: Medicaid beneficiaries ages 21 years and …


Changes to Telemedicine Policy Post-COVID-19 Public Health Emergency

The Michigan Department of Health and Human Services will rescind certain COVID-19 telemedicine flexibilities beginning May 12, 2023, with the conclusion of the federal health public health emergency. Policy MMP 23-10 outlines flexibilities that …


Michigan Dispensing Law Changes

Michigan state law will be updated beginning March 29, 2023, to allow pharmacists to dispense a non-controlled prescription written by a prescriber licensed in another state or province of Canada. Public Act 80 of 2022 …


Latest AHA Trustee Insights Covers Board Development and Behavioral Health

One of the strongest predictors of health system performance is the quality of governance that shapes its response in an unstable environment. The March edition of Trustee Insights, the monthly digital package from the American …


The Keckley Report

Paul KeckleyThe Biden Budget: Key Signals to Voters and an Important Implications for the Health Industry

“Last Thursday, the Biden administration released its proposed FY24 federal budget which is certain to spark political posturing by partisans on all sides and long-term speculation by political pundits and economists. At a high level, it includes… …

In total, healthcare spending represents 30% of the total outflow of federal funds in this budget compared to 29% in ’22 (Medicare 12%, Veteran’s Health 2% and Other Line Items 15%)—almost 50% more than Social Security and more than 100% above defense spending. …”

Paul Keckley, March 12, 2023


News to Know


MHA CEO Brian PetersMHA in the News

The MHA received media coverage the week of March 13 regarding conversations around workforce funding and current challenges amid the third anniversary of the COVID-19 pandemic.

MHA Provides Testimony Supporting State Psychiatric Care and Healthy Michigan Plan

During the week of March 13, the MHA provided testimony to both the Michigan House Appropriations Subcommittee on Health and Human Services and the House Health Policy Committee.

Laura Appel, executive vice president of Government Relations and Policy and Lauren LaPine, senior director of Legislative and Public Policy at the MHA  provided testimony Mar. 15 to the House Appropriations Subcommittee.

Laura Appel, executive vice president of Government Relations and Policy at the MHA, provided testimony Mar. 15 to the House Appropriations Subcommittee on Health and Human Services. Appel provided an overview of the impact healthcare workforce challenges are having on state psychiatric care and the need for additional support.

“We share the frustration of families, caregivers and our colleagues at the Michigan Department of Health & Human Services when state psychiatric beds go offline,” said Appel. “We appreciate the Governor’s proposed investments and understand there are many needs in our state – I hope the subcommittee will consider an investment in healthcare for our most vulnerable residents among the highest priorities.”

Adam Carlson, senior vice president of Advocacy at the MHA provided testimony Mar. 16 to the House Health Policy Committee.

Adam Carlson, senior vice president of Advocacy at the MHA, provided testimony Mar. 16 to the House Health Policy Committee in support of House Bill (HB) 4224, introduced by Rep. Julie Rogers (D-Kalamazoo). HB 4224 would repeal the Medicaid work requirement law that was passed in 2018. That legislation would require Michigan’s Medicaid beneficiaries to report employment or evidence of their search for work in order to maintain coverage.

“Ensuring coverage and access for our lower-income community members improves the health and wellness of our state, while having a positive effect on securing and maintaining employment,” said Carlson.

Members with questions about workforce funding or other state legislative action may contact Adam Carlson at the MHA.

New State Legislative Session Begins

capitol building

capitol buildingThe new session for the 102nd Michigan Legislature kicked off during the week of Jan. 9 with swearing in ceremonies in both the House and Senate. Michigan Democrats in the majority started the session by introducing legislation to repeal right to work, reinstate prevailing wage requirements and several other bills intended to provide tax relief for working families. Committee assignments were also released, giving the MHA and its member hospitals an opportunity to begin conversations with key lawmakers about 2023 legislative priorities.

Much like previous legislative sessions, both the House and Senate will feature standing committees for health policy and the Department of Health and Human Services (DHHS) budget. However, the House also created a new committee focused on behavioral health to provide a greater focus on the growing issue. Additionally, the MHA will be tracking new standing committees on labor issues created in both the House and Senate.

The Consensus Revenue Estimating Conference convened Jan. 13 to revise revenue projections for the current fiscal year. Comprised of the House Fiscal Agency, the Senate Fiscal Agency and the Department of Treasury, their forecast calls for a year-over-year decrease of 1.1% in revenues from the 2021-22 fiscal year to 2022-23. For 2022-23, the General Fund is projected to decrease by $427.7 million year-over-year, with a forecasted total of $14.8 billion.

Included below is a comprehensive list of committee assignments that are particularly relevant for MHA members. If you have any questions about the new lawmakers in your district, committee assignments or other state legislation, please contact Sean Sorenson-Abbott at the MHA.

Senate Appropriations

  • Sarah Anthony (D-Lansing) (Chair).
  • Sean McCann (D-Kalamazoo) (Vice Chair).
  • Jon Bumstead (R-Newaygo) (Minority Vice Chair).
  • Thomas Albert (R-Lowell).
  • Rosemary Bayer (D-West Bloomfield).
  • Darrin Camilleri (D-Trenton).
  • Mary Cavanagh (D-Redford Township).
  • John Cherry (D-Flint).
  • John Damoose (R-Harbor Springs).
  • Kevin Hertel (D-St. Clair Shores).
  • Mark Huizenga (R-Walker).
  • Jeff Irwin (D-Ann Arbor).
  • Veronica Klinefelt (D-Eastpointe).
  • Kristen McDonald-Rivet (D-Bay City).
  • Mallory McMorrow (D-Royal Oak).
  • Rick Outman (R-Six Lakes).
  • Sylvia Santana (D-Detroit).
  • Sue Shink (D-Northfield).
  • Lana Theis (R-Brighton).

*Senate DHHS Appropriations Subcommittee will be chaired by Sen. Sylvia Santana (D-Detroit).

Senate Health Policy

  • Kevin Hertel (D-St. Clair Shores) (Chair).
  • Sylvia Santana (D-Detroit) (Vice Chairs).
  • Michael Webber (R-Rochester Hills) (Minority Vice Chair).
  • John Cherry (D-Flint).
  • Erika Geiss (D-Taylor).
  • Roger Hauck (R-Mount Pleasant).
  • Mark Huizenga (R-Walker).
  • Veronica Klinefelt (D-Eastpointe).
  • Jim Runestad (R-White Lake).
  • Paul Wojno (D-Warren).

House Appropriations

  • Angela Witwer (D-Delta Township) (Chair).
  • Amos O’Neal (D-Saginaw) (Vice Chair).
  • Sarah Lightner (R-Springport) (Minority Vice Chair).
  • Timothy Beson (R-Kawkawlin).
  • Ann Bollin (R-Brighton).
  • Ken Borton (R-Gaylord).
  • Felicia Brabec (D-Pittsfield).
  • Julie Brixie (D-Meridian Township).
  • Cam Cavitt (R-Cheboygan).
  • Nancy DeBoer (R-Holland).
  • Alabas Farhat (D-Dearborn).
  • Andrew Fink (R-Hillsdale).
  • Phil Green (R-Millington).
  • Rachel Hood (D-Grand Rapids).
  • Thomas Kuhn (R-Troy).
  • Donovan McKinney (D-Detroit).
  • Jasper Martus (D-Flushing).
  • Denise Mentzer (D-Mount Clemens).
  • Jason Morgan (D-Ann Arbor).
  • Christine Morse (D-Texas Twp.).
  • Natalie Price (D-Berkeley).
  • Ranjeev Puri (D-Canton).
  • Bill G. Schuette (R-Midland).
  • Phil Skaggs (D-Grand Rapids).
  • Bradley Slagh (R-Zeeland).
  • Will Snyder (D-Muskegon).
  • Samantha Steckloff (D-Farmington Hills).
  • Donni Steele (R-Orion Township).
  • Regina Weiss (D-Oak Park).
  • Jimmie Wilson (D-Ypsilanti).

*House DHHS Subcommittee will be chaired by Rep. Christine Morse (D-Texas Twp.).

House Health Policy

  • Julie Rogers (D-Kalamazoo) (Chair).
  • Karen Whitsett (D-Detroit) (Vice Chair).
  • Curt VanderWall (R-Ludington) (Minority Vice Chair).
  • Brenda Carter (D-Pontiac).
  • Jennifer Conlin (D-Ann Arbor).
  • Betsy Coffia (D-Traverse City).
  • Aalabas Farhat (D-Dearborn).
  • Graham Filler (R-DeWitt).
  • John Fitzgerald (D-Wyoming).
  • Carol Glanville (D-Walker).
  • Jim Haadsma (D-Battle Creek).
  • Reggie Miller (D-Belleville).
  • Mike Mueller (R-Linden).
  • Cynthia Neeley (D-Flint).
  • Carrie Rheingans (D-Ann Arbor).
  • John Roth (R-Traverse City).
  • Kathy Schmaltz (R-Jackson).
  • Jamie Thompson (R-Brownstown).
  • Greg VanWoerkom (R-Norton Shores).

Michigan Legislature Continues Work on Budget, Opioid Settlement Funds

capitol building

capitol buildingThe Michigan House Appropriations Committee reported out April 26 their budget recommendation for the fiscal year 2023 budget beginning Oct. 1. House Bill (HB) 5784 protects hospital priorities, including maintaining funding for the Healthy Michigan Plan, graduate medical education, disproportionate share hospitals, the rural access pool and obstetrical stabilization fund, and critical access hospital rates.

The committee recommendation also includes $264 million to expand capacity of behavioral health providers in Michigan. Of that appropriation, $85 million would be dedicated to enhancing state bed capacity for pediatric patients, $84 million would be provided to hospitals to expand various behavioral health programming, and the remainder would go toward other behavioral health care settings such as crisis stabilization units. In addition, the committee proposes increasing rates for Medicaid neonatal care services by 5%. The full House is expected to consider the committee proposals the week of May 2, and the MHA will keep members apprised of hospital budget priorities.

The full House of Representatives voted April 28 to support HBs 5968, 5969 and 5970, which would help guide Michigan’s use of new funding from the $26 billion national opioid settlement. This comes after the Senate passed identical legislation that was introduced as Senate Bills 993, 994 and 995. Either version of the bills could ultimately be sent to the governor’s desk for signature.

Michigan is estimated to receive $776 million from the settlement, and these legislative packages are intended to plan and prepare for the state to spend those funds wisely. The packages would create a new restricted fund for the state to house the settlement dollars, establish a new advisory commission appointed by the Legislature and governor to oversee spending, and prohibit future civil lawsuits related to claims covered by this fund. The MHA is currently working to identify treatment and prevention priorities for feedback on the spending of the funds and will keep members informed on the legislation’s progress.

Questions on these issues or other state legislation related to healthcare can be directed to Adam Carlson at the MHA.

MHA Statement on Significant Funding Appropriated for Healthcare Workforce

Brian Peters

The following statement can be attributed to Brian Peters, CEO of the Michigan Health & Hospital Association.

Brian PetersOn behalf of Michigan hospitals and health systems, we commend the Michigan House Appropriations Committee for introducing House Bill 5523 that includes vital funding for healthcare workers who have spent the past 21 months responding to a once-in-a-lifetime global pandemic. A healthcare workforce shortage existed prior to the pandemic and the pandemic has only made it worse. Today’s funding appropriation is a crucial step towards recognizing existing healthcare workers and providing hospitals with resources to improve recruitment and retention.

We also appreciate the additional funding priorities, including the creation of regional monoclonal antibody clinics, COVID-19 testing for schools and COVID-19 vaccine distribution. In particular, the infusion sites will improve accessibility for residents while reducing the burden placed on hospitals and their staff.

As this bill moves through the legislative process, we will continue to work with elected officials to express the importance of this funding to the healthcare workforce, who go to work every day to ensure our communities have access to care. Considering the current COVID-19 surge, this funding can’t come soon enough.

State House Committee Supports MHA Behavioral Health Proposal, Releases FY 22 HHS Budget

capitol building

The Michigan House Appropriations committee released April 21 a spending proposal for the remaining $3.2 billion in federal Coronavirus Response and Relief Supplemental Appropriations that were signed into law in Dec. The MHA is pleased that the spending proposal includes the MHA’s proposal to improve the delivery of behavioral health services in Michigan. Specifically, it includes $100 million to create a competitive grant program to increase the number of long-term pediatric psychiatric inpatient hospital beds and $15 million for infrastructure investments to improve behavioral health care provided through hospital emergency departments. The legislation is likely to be brought up for a vote next week in the committee and the MHA will continue to advocate for this crucial funding.

The Michigan House Appropriations Subcommittee on Health and Human Services (HHS) also approved their recommendations for the fiscal year 2022 budget that begins Oct. 1. The MHA is pleased that the subcommittee recommendation protects key hospital priorities including graduate medical education, disproportionate share hospital funding, rural and obstetrics stabilization pools, critical access hospital funding and Medicaid rate increases. The bill includes new provisions that would streamline the prior authorization process for Medicaid Managed Care and reduce the timeframes for prior authorization approvals.

In addition, language was added that would prohibit the use of any HHS funds for vaccinations under a mandatory vaccination program. The MHA is concerned that this provision could hinder state vaccination efforts and will work closely with legislators to address potential issues. Members with any questions can contact Adam Carlson.