MHA Monday Report Oct. 13, 2025

Healthcare Funding Protected in New State Budget Signed by Gov. Whitmer

The Michigan Legislature’s newly passed state budget, which protects all existing healthcare funding, was signed into law Oct. 7 by Gov. Whitmer. Public Act 22 of 2025, sponsored by Rep. Ann Bollin (R-Brighton), passed by both …


Community Benefit Collaborative Members Gather for Kickoff Event

The MHA brought together the Community Benefit Collaborative members for a daylong kickoff event on Oct. 2 to network and learn from peers across the state conducting community benefit work in chronic disease, behavioral health …


CDC Updates Guidance for COVID-19 and Chickenpox Vaccines

The Centers for Disease Control and Prevention (CDC) recently updated its guidance for the COVID-19 and varicella (chickenpox) vaccines. The CDC’s decision uses an individual-based decision-making framework, referring to vaccination decisions made through shared clinical …


Strengthening Rural Healthcare Through Smarter Physician Recruitment

MHA Endorsed Business Partner AMN Healthcare recently released the Rural Physician Recruiting Challenges and Solutions white paper, produced by its Physician Solutions division (formerly Merritt Hawkins). The resource identifies several approaches to address these challenges: Recruiting physicians …


Investing in Rural Hospitals Means Investing in Rural Michigan

When the One Big Beautiful Bill Act was signed into law in July, it created the Rural Health Transformation Program, a five-year, $50 billion investment in rural healthcare. The MHA Board of Trustees took swift action empowering an MHA board-appointed task force charged with creating …


Keckley Report

Shutdown Impact: The Affordable Care Act 2.0 Takes Center Stage

“In 2009, I facilitated discussions with key health industry trade associations and the White House Office of Health Reform focused on reforms to reduce costs, increase insurance coverage and improve quality by 2019. It was the Obama administration’s aim to use the health system’s bulk as a lever to stimulate recovery from the 2008-2009 recession and simultaneously increase coverage through Medicaid expansion and marketplace subsidies that for lower-income households. …

The current federal government shutdown is a tipping point for healthcare in the U.S. It’s about more than extended subsidies per Dem’s and holding the line on spending per Republicans. It’s about a growing sense of helplessness among the majority and resentment among many that institutions like the federal government, higher education, big business and healthcare are no longer motivated to serve interests beyond themselves. …

Some will harken back to the Affordable Care Act in 2010 when coverage was also the issue. We’re there again. But the bigger issue is this: extending subsidies and maintaining coverage will not lower spending or transform U.S. healthcare to an affordable, accessible, appropriately structured system of health.

The moral high ground for healthcare is in jeopardy and its direction unclear. Perhaps PPACA 2.0 is an answer. Doing nothing isn’t.”

Paul Keckley, Oct. 5, 2025

MHA Monday Report Oct. 6, 2025

Michigan Legislature Passes State Budget, Preserves Healthcare Funding

The Michigan House of Representatives and Michigan Senate passed a state budget protecting all existing healthcare funding on Oct. 3. House Bill 4706, sponsored by Rep. Ann Bollin (R-Brighton), passed by both chambers, includes …


CMS Shares Updates for Medicare Operations During Federal Shutdown

The Centers for Medicare and Medicaid Services (CMS) recently directed Medicare Administrative Contractors to hold Medicare fee-for-service claims for ten business days due to the expiration of several Medicare payment provisions and the Oct. …


Hospital Communicators Gather at MHA Communications Retreat

The 2025 MHA Communications Retreat brought together about 100 communications, marketing and public relations professionals from MHA-member facilities Oct. 1 to network and learn from peers across the state. The agenda featured sessions on reputation management …


CE Credits Available for Maternal Health Quality Improvement Modules

Continuing education (CE) credits are now available for obstetric teams that complete the Michigan Alliance for Innovation on Maternal Health (MI AIM) virtual modules. The approximately three-hour series consists of the following modules: MI AIM …


MDHHS Introduces New Provider Updates Under Michigan’s Mental Health Framework

The Michigan Department of Health and Human Services (MDHHS) recently introduced new requirements under the state’s Mental Health Framework to strengthen assessments, referrals and care coordination for Medicaid enrollees. These changes take effect beginning October …


MHA Rounds image of Brian PetersMHA CEO Report — Launching Collaboratives to Improve Community Health

In the healthcare community, we know that a person’s health is shaped outside the four walls of a hospital and our support must expand beyond acute care. The MHA recently launched community benefit collaboratives with …


Keckley Report

Who Owns the Public’s Health?

“September 2025 marks a significant shift in U.S. health policy, especially its approach to the public’s health. …

Public health is a vital part of the U.S. health system but a stepchild to its major players. In reality, the U.S. operates a dual system: one that serves those with insurance (public and private) and another for those without. Public health programs like SNAP, HeadStart, Federally Qualified Health Centers et. al., serve lower income and under-insured populations and integrate with local delivery systems emergency services and during mass-events like pandemics, mass-casualties and disease outbreaks. Funding for public health programs is 2-5% of total health spending shared between local, state and federal governments.

Studies show food, housing and income insecurity—areas targeted by public health– correlate to chronic disease prevalence and health costs. Unlike most developed systems of the world which operate at a lower cost and produce better population-health outcomes, our system perpetuates a structural divide between healthcare and public health. Integrating the two is a necessary strategy for system transformation, but a difficult task given entrenched animosity toward “the system” held by public health leaders and funding pressures.  The bridge between public health and the healthcare delivery systems is a two-lane road with lots of potholes at the federal level, and sometimes better in local communities. But funding seems to be an afterthought unless local communities deem it vital.”

Paul Keckley, Sept. 28, 2025


New to Know

News to Know

  • MHA Endorsed Business Partner (EBP) SunRx is hosting a 340B Regulatory Brief webinar Nov. 4 at 2 p.m. EDT with Bharath Krishnamurthy, health policy & analytics, American Hospital Association.
  • The American Hospital Association (AHA) is accepting applications for the AHA’s 2026 Dick Davidson NOVA Award.