MHA Monday Report April 3, 2023

MHA Monday Report

capitol buildingMichigan Joins Psychology Interjurisdictional Compact

Michigan officially joined the Psychology Interjurisdictional Compact March 29, creating an expedited pathway to licensure for psychologists who wish to practice telemedicine services across state lines. To date, 36 states are authorized to join …


Student Debt Relief Offered to Behavioral Health Providers

The MI Kids Now Loan Repayment Program will offer educational loan repayment for eligible behavioral health medical providers in Michigan. The program is available to behavioral health providers, including psychiatrists, psychologists, social workers, counselors, therapists, …


Governance Webinar Series Outlines Trends and Advocacy Tactics

Board members must understand the issues tied directly to hospital and health system planning and performance, identify opportunities for improvement and support the leadership in advocating for mission-driven, patient-centered policies with key stakeholders. The MHA …


Required Occupational Survey Due June 30

Completed 2022 occupational mix surveys must be submitted by hospitals to the Medicare Administrative Contractor by June 30, 2023. Hospitals are required to complete the survey every three years, with results from the 2022 survey …


MHA Rounds Report - Brian Peters, MHA CEOMHA CEO Report — A Healthy Michigan is an Insured Michigan

The United States celebrated last month the 13th anniversary of the signing of the Affordable Care Act. Simply put, when then-President Obama signed the legislation March 23, 2010, it was one of the most monumental healthcare policy changes in our lifetime. …


The Keckley Report

Paul KeckleyNot for Profit Health Systems are Soft Targets: Here’s Why

“There are no easy answers for not-for-profit hospitals/heath systems. The issue is about more than messaging and PR. It’s about more than Medicare reimbursement (7.5% below cost), protecting programs like 340B, keeping tax exemptions and maintaining barriers against physician-owned hospitals. The issue is NOT about operating income vs. investment income: in every business, both are essential and in each, economic cycles impact gains/losses. Each of these is important but only band-aids on an open wound in U.S. healthcare.

Near-term (the next 2 years), opportunities for not-for-profit hospitals involve administrative simplification to reduce costs and improve the efficiencies and effectiveness of the workforce. Clinical documentation using ChatGPT/Bard-like tools can have a massive positive impact—that’s just a start. Advocacy, public education and Board preparedness require bigger investments of time and resources. But that’s true for every hospital, regardless of ownership. These are table stakes to stay afloat. …”

Paul Keckley, March 27, 2023


News to Know

  • Registration is now open for the MHA Keystone Center Safe Patient Handling Conference.
  • 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 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 Root Cause Coalition is accepting requests for proposals to present at the 8th Annual National Summit on the Social Determinants of Health Dec. 3-5 in Kansas City.

Michigan Joins Psychology Interjurisdictional Compact

capitol building

capitol buildingMichigan officially joined the Psychology Interjurisdictional Compact (PSYPACT) March 29, creating an expedited pathway to licensure for psychologists who wish to practice telemedicine services across state lines. To date, 36 states are authorized to join the PSYPACT.

The interstate compact license is voluntary for both the state and physicians and does not supersede or change Michigan’s medical practice standards. Participating states retain the authority to issue licenses, investigate complaints and discipline physicians practicing in their state. The compact applies to the delivery of psychological services through telecommunications technologies and only allows for temporary in-person telepsychology across state boundaries for 30 days in a calendar year.

The MHA testified in support of entering the PSYPACT. Michigan’s authorization to join the interstate compact became effective under Public Act 254 and 255 of 2022. The MHA support is based on an analysis that joining PSYPACT will increase the availability of telehealth services and give patients in rural and underserved communities more access to psychology services.

Psychologists and others wishing to learn more about the compact license requirements can find information on the PSYPACT website or by reaching out to Michigan’s Bureau of Professional Licensing.

Members with questions may also contact Sean Sorenson at the MHA.

Healthcare Bills Progress as Legislative Holiday Break Approaches

capitol building

capitol buildingThe Michigan House of Representatives acted on several bills related to healthcare during the week of Dec. 6. The House Education Committee supported legislation to allow community colleges to offer four-year Bachelor of Science in Nursing (BSN) degrees. The House Health Policy Committee approved legislation to require patient consent for invasive bodily exams and took initial testimony on legislation to require new continuing medical education (CME) for lead poisoning identification and treatment. In addition, the full House of Representatives voted on bills to allow Michigan to join the Psychology Interjurisdictional Compact (PSYPACT) and an MHA-supported bill that makes changes for pharmacy wholesale distributors.

The legislation to allow for four-year BSN degrees at community colleges was introduced by Reps. John Roth (R-Traverse City) and John Damoose (R-Harbor Springs). House Bills (HBs) 5556 and 5557 would increase access to high-quality nurses in areas served by Michigan’s small and rural hospitals where a four-year school does not currently exist. The MHA supports the package, which will now be considered in the full House.

In the House Health Policy Committee, a vote was taken to report to the House floor legislation prohibiting invasive bodily exams without patient approval. HB 4194, introduced by Rep. Pamela Hornberger (R-Chesterfield Township), is supported by the MHA.

Legislation to require new physician CME regarding lead poisoning was also on the agenda in the House Health Policy Committee. Introduced by Rep. Rachel Hood (D-Grand Rapids), HB 5414 would require physicians in Michigan to complete CME on lead screening, signs of lead poisoning, treatment for children and the referral process for lead cases to state agencies. The MHA opposed the bill in committee, noting that hospitals are currently focused on the implicit bias training that will become a condition for state licensure June 1. At a time when physicians and other healthcare professionals are exhausted from workforce shortages and unprecedented caseloads, additional educational requirements would be nearly impossible to undertake. The MHA will continue to monitor any action on HB 5414.

The House of Representatives voted to pass two bills to allow Michigan to join PSYPACT. 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 move to the Senate Health Policy and Human Services Committee.

The pharmacy wholesale distributor bill passed the full House and now awaits the governor’s signature. HB 5072 was introduced by Rep. Ryan Berman (R-Commerce Township) and is a state-level effort to exempt hospitals and other healthcare entities that are under common control from a medication distribution threshold that currently requires registration as wholesalers. The MHA supported the bill in both chambers, as it would remove a requirement for additional paperwork for hospital pharmacies.

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

Hospital Testimony Supports Community College BSN Degrees

Ed Ness, president and CEO of Munson Healthcare

The Michigan Legislature held several hearings on legislation supported by the MHA during the week of Nov. 29. In the House Education Committee, initial testimony was taken on a bill to allow community colleges to offer 4-year Bachelor of Science in Nursing (BSN) degrees. The Senate Health Policy and Human Services Committee reported to the Senate floor legislation to make changes to pharmacy wholesale distributors, and the House Health Policy Committee reported a pair of bills that would allow Michigan to join the Psychology Interjurisdictional Compact (PSYPACT).

The first hearings were held Nov. 30 on House Bills (HBs) 5556 and 5557, which would allow community colleges to offer 4-year BSN degrees. Introduced by Reps. John Roth (R-Traverse City) and John Damoose (R-Harbor Springs), the bills would increase access to high-quality nurses in some areas served by Michigan’s small and rural hospitals where a four-year school does not currently exist. Ed Ness, president and CEO of Munson Healthcare, testified in support of the bills alongside Gabe Schneider, Munson’s director of government relations.

Ness told the committee, “Now more than ever is the time to support our front-line workers and all those in the healthcare industry as we continue to battle the COVID-19 pandemic.” The MHA also provided written testimony in support of HBs 5556 and 5557 and will continue to keep members apprised of any action.

Members of the Senate Health Policy and Human Services Committee reported the pharmacy wholesale distributors bill to the House floor. HB 5072 was introduced by Rep. Ryan Berman (R-Commerce Township) and is a state-level effort to exempt hospitals and other healthcare entities that are under common control from a medication distribution threshold that currently requires registration as wholesalers. The MHA supports the bill, as it would remove the requirement for additional paperwork for hospital pharmacies.

The House Health Policy Committee reported to the House floor two bills to allow Michigan to join PSYPACT. 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.

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

House Health Policy Committee Advances MHA-supported Bills

capitol building

Michigan Capitol BuildingThe House Health Policy Committee met Nov. 4 to take up several bills that the MHA has indicated support for.

The committee advanced a bill to allow Michigan pharmacies to fill noncontrolled substance prescriptions written by out-of-state advance practice prescribers, which was introduced by Sen. Curt VanderWall (R-Ludington) as Senate Bill (SB) 166. House Bill (HB) 5261, introduced by Rep. Abdullah Hammoud (D-Dearborn) and supported by the MHA, was also reported to the House floor. HB 5261 would create specific exemptions for providers to administer opioids to a patient who has an active non-opioid directive form if they are provided during a surgical operation or if the provider deems the opioids medically necessary.

The House Health Policy Committee also took initial testimony on a pair of bills to allow Michigan to join the Psychology Interjurisdictional Compact (PSYPACT). 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 association will continue to keep members apprised of any action taken on this legislation.

Any members with questions can reach out to Adam Carlson at the MHA.