MHA Monday Report Nov. 17, 2025

Notable Healthcare Legislation Clears House, Senate Committees

Legislation on physician assistant licensure compact agreements, international medical school graduates, hospital price transparency measures and medical debt collection advanced in the Michigan House and Senate during the week of Nov. 10. In the House …


CMS Releases CY 2026 Physician Fee Schedule Final Rule

The Centers for Medicare & Medicaid Services (CMS) recently released a final rule to update the physician fee schedule for calendar year (CY) 2026. Highlights of the final rule include: Implementing the one-time 2.5% …


Congressmen Bergman Supports Save America’s Rural Hospitals Act

U.S. Rep. Jack Bergman (R-MI) recently co-sponsored H.R. 3684, the Save America’s Rural Hospitals Act of 2025, which would strengthen financial stability and access to care for rural hospitals and healthcare providers across the country. …


MHA Board of Trustees Shares Learnings from Ice Storm and Reviews Strategic Action Plan

The MHA Board of Trustees’ Nov. 12 meeting featured presentations from board members Ed Ness, president and CEO, Munson Healthcare; Lydia Watson, president and CEO, MyMichigan Health; and Karen Cheeseman, president and CEO, Mackinac Straits …


New MHA Infographic Showcases Rural Michigan Healthcare Impact

The MHA recently released the infographic Healthcare Impact in Rural Michigan, which highlights how critical access hospitals, sole community hospitals, rural emergency hospitals and birthing hospitals support communities across the state. The infographic highlights the …


New Endorsed Business Partner SmarterDx Provides Clinical AI to Support Financial Outcomes and Quality Scores

The MHA’s Endorsed Business Partner program promotes industry-leading firms. The EBP program connects member hospitals to solutions that alleviate pain points. The MHA recently endorsed SmarterDx, a national leader in revenue integrity solutions, offering advanced clinical …


Webinar Kicks Off MHA Health Access & Community Impact Office Hours

The MHA will host an informational webinar from noon to 12:45 p.m. Nov. 24 featuring 211, in the first session of the Health Access & Community Impact Office Hours series. The series is designed to …


Celebrating the Power — and Promise — of Rural Healthcare

As a healthcare leader, physician and someone born and raised in the Thumb of Michigan, National Rural Health Day is very personal to me, my colleagues and the communities we serve every day at Scheurer Health. …


Keckley Report

Why Healthcare Affordability is Increasingly Problematic to Working Age Populations

In what political pundits called a sweeping win by Democrats in Tuesday’s elections, affordability and costs of living emerged as the issues that mattered most to voters. It’s no surprise.

Since 2019 before the pandemic, prices have increased for American businesses and households due to inflation:

Personal Consumption Expenditures inflation which measures monthly business spending increased 3.5% annually. The Consumer Price Index, which measures monthly changes in household spending increased 3.87% annually over the same period (2019-2025).

But in the same period, prices for healthcare services–hospitals, physician services, insurance premiums and long-term care–have taken an odd turn: for businesses, they’ve decreased but for consumers, they increased. It reflects the success whereby businesses have shifted health benefits costs to employees or suspended benefits altogether, and it explains why consumers are bearing more direct responsibility for healthcare costs and are increasingly price sensitive. …

Healthcare service providers can ill afford to neglect affordability. It more than measuring medical debt, posting prices and referencing concern on websites. It’s about earning the trust and confidence of future generations through concrete actions that increase household financial security beginning with healthcare spending. …”

Paul Keckley, Nov. 9, 2025


New to KnowNews to Know

MHA members are encouraged to register for the webinar How Leading Health Systems Are Rebuilding Talent Pipelines — and Keeping Them Full Through Early Student Loan Support, led by Clasp, scheduled from 9 to 9:30 a.m. Dec. 2.


MHA in the News

9&10 News aired a story Nov. 11 about how health insurance rate increases will lead to lower health insurance enrollment, harming healthcare access. MHA CEO Brian Peters is quoted in the story expressing the need …

What’s Top of Mind in Rural Healthcare?

Peter Marinoff, president and CEO, Munson Healthcare’s Southern Region and MHA Small and Rural Hospital Council Chair

The following article was written by Peter Marinoff, president and CEO, Munson Healthcare’s Southern Region and MHA Small and Rural Hospital Council Chair. National Rural Health Day celebrates the remarkable efforts of hospitals, healthcare teams, community organizations and many others who are dedicated to meeting the unique needs of rural patients and communities.

Peter Marinoff, president and CEO, Munson Healthcare’s Southern Region and MHA Small and Rural Hospital Council Chair
Peter Marinoff is president and CEO of Munson Healthcare’s Southern Region.

Every day, I have the honor and privilege of working alongside committed, mission-minded individuals who provide compassionate and patient-centered care to the communities we serve at Munson Healthcare. As I reflect on National Rural Health Day, I want to highlight some of the areas that continue to be top of mind, along with innovative efforts underway to support Michigan’s rural healthcare providers.

Workforce Support

Rural hospitals continue to face staffing shortages in primary care, specialized services and other clinical and non-clinical areas. With this in mind, we’re working to strengthen recruitment and retention efforts while prioritizing healthcare worker well-being.

One notable success from last year was working with the MHA to secure $75 million in workforce funding, which was designed and distributed with small and rural hospitals in mind. Additionally, we worked with the association to successfully advocate for legislation that modernized the scope of practice for certified registered nurse anesthetists (CRNAs) and allows Michigan hospitals to be flexible in choosing the anesthesia care model that best fits their patient and staff needs.

Protecting Access

Knowing our patient population is aging and often required to travel significant distances for care, we’ve had to find innovative ways to keep critical service lines accessible.

We have a phenomenal Ask-A-Nurse program at Munson Healthcare, which is a free, 24/7 call center staffed year-round by registered nurses that offer easy access to health-related information and triage services. I’d also be remiss not to mention our Virtual Urgent Care, which helps deliver care guidance to patients with non-life-threatening symptoms or illness.

Another tool rural providers often tap is the 340B Drug Pricing Program, a cost-savings initiative that helps eligible hospitals spread scarce resources to vulnerable patients with limited or no access to healthcare. My colleagues at Mackinac Straits utilize savings from the program to operate a 24-hour pharmacy, so I know they – along with many others – would echo the sentiment that 340B is essential to making care accessible in our rural communities.

Enhancing Mental and Behavioral Health Services

While there are gaps in mental and behavioral healthcare services across the state, more than 60% of rural Americans live in designated mental health provider shortage areas. With this in mind, we’ve continued to put our heads together to address the disparities impacting rural communities specifically. This includes:

  • Working with the MHA to advocate for an investment of $8.3 million in the 2025 fiscal year state budget to address demand for substance use disorder (SUD) services.
  • Utilizing grant funding specific to small and rural hospitals to expand access to pediatric inpatient psychiatric care.
  • Collaborating with community partners, like our Regional Community Health Opioid Initiative, to focus on efforts that address stigma, ensure safe prescribing and educate both patients and providers on SUD.
  • Advocating for legislation that adds nurse practitioners and physicians’ assistants into the mental health code in rural areas.

Strengthening Cybersecurity

Making sure rural hospitals have the tools and infrastructure to prevent cybercrime is critical in today’s world. Addressing vulnerabilities helps us avoid disruption to care, protect our data and avoid the financial and legal burdens that often fall on hospitals as a result of these crimes.

Thankfully the White House announced in June collaborative efforts aimed at strengthening cybersecurity for rural hospitals across the United States. When it comes to this issue, it’s important that the facilities with less resources are granted the tools necessary to safeguard data to the same degree as our urban counterparts.

I strongly believe what challenges us in rural healthcare is also what sets us apart. Join me in honoring National Rural Health Day by celebrating the compassionate, resilient and community-driven teams I’m inspired by every day.

Rural Emergency Hospital Improvement Act Introduced in the U.S. Senate

U.S. Sens. Jerry Moran (R-KS) and Tina Smith (D-MN) introduced the Rural Emergency Hospital Improvement Act May 14  to bolster rural healthcare. Senate Bill 4322 aims to address critical gaps in rural healthcare infrastructure by incorporating several technical improvements to the Rural Emergency Hospital (REH) statute. The National Rural Health Association (NRHA) expressed support over the proposed legislation, noting that it incorporates key suggestions brought forward by its members. Among the key provisions outlined in the bill are measures to facilitate the reopening of previously closed rural hospitals. Under the proposed legislation, these hospitals could apply for REH designation if they can demonstrate compliance with eligibility requirements between Jan. 1, 2015, and Dec. 27, 2020.

Additionally, the bill directs the Secretary of Health and Human Services (HHS) to establish a waiver program to allow facilities operating similarly to an REH to convert to this designation. This move aims to expand the reach of REHs and ensure more communities can benefit from their services. The bill addresses other keys, such as expanding the scope of care to include psychiatric, obstetric and rehabilitation services. It also seeks to enhance funding for REH facilities, clarify their eligibility for grants and improve workforce recruitment by authorizing them as National Health Service Corps sites. Furthermore, the bill streamlines patient transfers and offers flexibility for facilities to revert to Critical Access Hospital status, if needed.

Members with questions may contact Lauren LaPine at the MHA.