Protections for Healthcare Workers, Auto No-fault Bills Move in Michigan Legislature

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Multiple bills monitored by the MHA moved in the Michigan Legislature during the week of Oct. 16.

Legislation increasing penalties for violence committed against healthcare workers was unanimously voted out of the Senate Civil Rights, Judiciary, and Public Safety Committee. The MHA-supported bills increase fines for assaulting a healthcare professional or volunteer, doubling the current fines for assault and assault with a deadly weapon. House Bills (HBs) 4520 and 4521 were introduced by Reps. Kelly Breen (D-Novi) and Mike Mueller (R-Linden). A substitute adopted in committee expanded the care locations covered by the increased fines to include behavioral health facilities. Addressing violence against healthcare workers and deterring potential attacks continues to be an MHA priority. HBs 4520 and 4521 now move to the Senate Floor for a full chamber vote.

MHA supported bills to improve Michigan’s Amended Auto no-fault laws were passed by the full Michigan Senate in a bipartisan vote. Senate Bills (SBs) 530 and 531, introduced by Sens. Mary Cavanagh (D-Redford Township) and Sarah Anthony (D-Lansing), would simplify and increase Medicare hospital reimbursements, clarify the definition of Medicare and create a new post-acute care provider fee schedule. The MHA’s executive vice president of government relations and public policy, Laura Appel, testified in committee last week. Appel stressed the importance of a strong healthcare system to care for auto accident patients. The bills now move to the House for their consideration.

Senate Health Policy took testimony on SB 482, sponsored by Sen. Kristen McDonald Rivet (D-Bay City), which lifts the state’s 90 day disposal requirement on sharps containers. The MHA membership voiced concerns about the 90-day disposal requirement, sharing that it would lead to sealing and disposing of containers before they reached their ¾ fill mark. The FDA regulated containers can be costly and difficult to obtain, as hospitals experienced following a manufacturing facility fire, and further disposal of an underutilized container contributes to unnecessary and preventable medical waste. The MHA worked directly with Sen. McDonald Rivet on this legislation, based on the feedback of hospitals who shared concerns about cost, access and environmental impact. The MHA is supportive of this important policy change that will directly benefit the membership.

The governor also signed into law several bills intended to codify Affordable Care Act protections at the state level. House Bills 4619 – 4623 and Senate Bills 356 – 358 were signed by Gov. Whitmer on Oct. 19. The MHA is supportive of the package, which has been passed in at least 15 other states and would protect Michigan consumers in the event there were future amendments or judicial changes to the current federal law.

Members with any questions may contact Elizabeth Kutter.

Auto No-Fault Legislation Highlights Healthcare Activity in Michigan Legislature

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capitol buildingSenate Bills (SBs) 530 and 531 were introduced Sept. 26 by Sen. Mary Cavanagh (D-Redford Twp.) and Sen. Sarah Anthony (D-Lansing) that would adjust the hospital fee schedule, clarify the definition of Medicare and provide rate certainty for post-acute care providers. Specifically, the legislation would eliminate the various rate tiers for reimbursement and coalesce hospitals around the national median reimbursement rate of 250% of Medicare. Additionally, the legislation clarifies the definition of Medicare based upon actual reimbursement experience at hospitals. The MHA issued a media statement in support of the legislation, which also creates fee schedules for post-acute care providers and adjusts the provisions related to attendant care. The legislation is referred to the Senate Insurance Committee and the MHA will keep members updated on its progress.

The legislature continued its breakneck pace this week with numerous healthcare bills seeing both committee action.

The Senate Finance, Insurance and Consumer Protection Committee voted out SBs 483, 484 and 485 sponsored by Sen. Darrin Camilleri (D-Trenton), Sen. Veronica Klinefelt (D-Eastpointe) and Sen. Kristen McDonald Rivet (D-Bay City). The legislation, creating the Prescription Drug Affordability Board, was reported along party lines with Senator Mark Huizenga (R-Walker) passing based on a potential conflict of interest. The MHA continues to work with the sponsors, stakeholder, and leadership on this legislation to ensure it accurately reflects the important role hospitals serve as purchasers and administrators of prescription drugs. The MHA is opposed to the package as it is currently written.

The Senate Health Policy Committee took up SB 133, sponsored by Sen. Sean McCann (D-Kalamazoo), which creates the Overdose Fatality Review Act. The act would allow for the establishment of overdose fatality review teams to identify potential causes of drug overdoses, as well as recommend solutions to address drug overdoses. The MHA successfully recommended changes to reflect more appropriate information sharing practices and timelines and supports this legislation. In addition, the committee reported out House Bills (HBs) 4619, 4620, 4621, 4622 and 4623, codifying aspects of the Affordable Care Act in state law. The MHA supports this work.

The House Insurance and Financial Services Committee took up several of the Affordable Care Act codification bills including SBs 356, 357 and 358 sponsored by Sen. Kevin Hertel (D-St. Clair Shores), Sen. Mary Cavanagh (D-Redford Twp.) and Sen. Veronica Klinefelt (D-Eastpointe). Both SBs 356 and 357 failed to garner enough votes in committee to be voted out of committee. SB 358 was reported to the House Floor. The MHA supports this legislation and looks forward to seeing the remaining bills reported favorably to the House floor next week.

Finally, the House Health Policy Committee took testimony on two pieces of MHA supported legislation. HB 4101, sponsored by Rep. Curt VanderWall (R-Ludington), would allow for the issuance and extended renewal period of a temporary license for individuals completing their required supervised clinical hours as a speech language pathologist (SLP). Extending the timeline for supervised clinical hour completion will deter new graduates from leaving the state to complete their supervised hours and will assist in the retention of SLPs in Michigan.

SB 384, sponsored by Sen. Kevin Hertel (D-St. Clair Shores), prohibits a disability insurer, long term care insurer or life insurer from discriminating against an individual based on their status as a living organ donor. Individuals who choose to be a living organ donor must meet stringent requirements and many of those who do donate continue to live similarly healthy lives post donation. However, the possibility of discrimination could deter individuals from choosing to be a living donor and therefore limiting access to organs for those most in need. Prohibiting discrimination based on living donor status could increase organ availability, ultimately supporting opportunities for individuals in need of an organ transplant.

Members with questions about state legislative action may contact Adam Carlson at the MHA.