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 Health Policy Committee, lawmakers took testimony on Senate Bill (SB) 95, introduced by Sen. Jonathan Lindsey (R-Coldwater), which would codify federal hospital price transparency requirements into state law. Lawmakers from other states testified virtually to share perspectives on hospital price transparency efforts similar to SB 95. The MHA continues to work with committee members on this issue and supports tying SB 95 to bills that would create state-level protections for the federal 340B drug pricing program.

The committee also voted in support of House Bill (HB) 4925 and HB 4896, introduced by Rep. Phil Green (R-Watertown Township) and Rep. Jason Woolford (R-Howell), which creates a new pathway for certain internationally educated physicians to practice medicine in Michigan. After securing key amendments, the MHA supported this legislation in committee.

Further, the Michigan House voted in favor of HB 4857, introduced by Rep. Will Bruck (R-Erie), which would expand confidentiality and liability protections associated with critical incident stress management (CISM) services to any individual, rather than limiting them to emergency service providers. CISM services include critical incident stress debriefings, on-scene support, consultation and referral services. The MHA applauds the unanimous 108-0 House vote supporting individuals affected by traumatic workplace events.

In the Senate Health Policy Committee, lawmakers voted in support of HB 4309, SB 483, and SBs 449451. HB 4309, sponsored by Rep. Dave Prestin (R-Cedar River), adds Michigan into the physician assistant licensure compact agreement. SB 483, introduced by Sen. Rosemary Bayer (D-West Bloomfield), creates a palliative care task force in the state. Lastly, SBs 449-451 address medical debt collection efforts and requirements for hospitals and are sponsored by Sen. Sarah Anthony (D-Lansing) and Sen. Jonathan Lindsey (R-Coldwater). The MHA supports HB 4309 and SB 483; and remains neutral on SBs 449-451.

Lastly, the Michigan Senate voted 33-3 in favor of  SB 443, sponsored by Sen. Sean McCann (D-Kalamazoo), which requires hospitals and health facilities that provide surgical services to create and implement a surgical smoke plume evacuation system. The bill will now move to the Michigan House for further consideration.

Members with questions may contact the MHA advocacy team.

Medical Debt Legislation Introduced, Maternal and Behavioral Health Bills Clear Senate

Legislation addressing medical debt was introduced in the Michigan Senate June 26.

The bipartisan three-bill package, Senate Bills (SB) 449, 450 and 451, codify the existence of hospital financial assistance programs (FAPs), create new reporting requirements on the benefits provided by FAPs, and prohibit medical debt from being reported by credit bureaus.

The bills, sponsored by Sen. Sarah Anthony (D-Lansing) and Sen. Jonathon Lindsey (R-Coldwater), requires the following:

  • Hospitals to develop and implement a FAP that provides up to a 100% discount based on a sliding scale for an uninsured patient whose annual income is at or below 350% of federal poverty guidelines. The FAP must also apply to a patient who owes the hospital an unpaid bill greater than 30% of their annual income.
  • Hospitals post information about the FAP on a bill, invoice and the hospital website.
  • Annual report to the Michigan Department of Health and Human Services (MDHHS) stating the number of applications to the hospital’s FAP and the benefits provided by the FAP in a given year.
  • The state to create a process for hospitals to check income eligibility of patients.
  • Prohibits a consumer reporting agency from including medical debt in a consumer credit report.

WILX News published a story on the legislation which, included a quote from MHA CEO Brian Peters. “Affordability should never be a barrier to care. Although it may look different across organizations, Michigan hospitals are already providing financial assistance programming that has long-supported patients and communities across the state,” said Peters. “While the proposed legislation may change reporting requirements, hospitals remain committed to caring for everyone who walks through their doors.”

SBs 449-451 have been referred to the Senate Health Policy Committee for further consideration and the MHA currently has a neutral position on this legislation.

Furthermore, the Senate passed legislation to address opioid use disorders and increase coverage for prenatal services during the week of June 30.

SBs 397405 (with the exception of SB 398) passed the Senate chamber and have now been referred to the House Insurance Committee. Collectively, these bills make numerous changes to improve coverage and access for Michiganders to receive treatment for opioid use disorders. The MHA Behavioral Health Integration Council reviewed and recommended changes for SBs 397, 398, 399, 400 and 402 – which the MHA supports.

SBs 414415 also passed the state Senate chamber July 1. The bills, sponsored by Sen. Stephanie Chang (D-Detroit) and Sen. Ruth Johnson (R-Groveland Township), require insurer and Medicaid coverage of group prenatal services. The MHA is supportive of this legislation, as well as its House counterpart bills, House Bills (HB) 47034704, recently introduced by Rep. Jennifer Wortz (R-Quincy).

Lastly, SB 443 was introduced in the Senate and referred to the Committee on Regulatory Affairs. The bill, sponsored by Sen. Sean McCann (D-Kalamazoo), requires health facilities to develop a surgical smoke plume evacuation plan. The MHA opposes this bill.

Members with additional questions should contact the MHA Advocacy Team.

MHA Monday Report Feb. 10, 2025

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Keckley Report

Is health insurance reform the key to affordability and lower costs?

“For most Americans, having health insurance is still considered a hedge against unexpected or otherwise unaffordable medical bills.

For most elected officials in Congress and state legislatures, Medicare and Medicaid are insurance programs that consume a large and growing piece of public funding, squeezing out other areas of need.

For virtually all hospitals, physicians, ancillary and long-term care providers, insurance is still the unwelcome front door through which all must go to get paid but their administrative hassles and low reimbursement rates are ruining the system for everyone.

And large majorities in each of these groups are unhappy with insurers for a myriad of reasons well-documented in trade publications and polling. …

The blame and shame game to which insiders in healthcare are addicted is a zero-sum game: blaming any single sector for the cumulative deficiencies in affordability and costs is misleading and does not serve the greater good.

Is health insurance reform the key to health system affordability and lower costs? It plays a role but not alone.”

Paul Keckley, Feb. 3, 2025


News to Know

In order to continue sharing with key stakeholders the important impact hospitals make to their communities, the MHA invites members to share examples of strong community impact programming through a brief survey.


MHA CEO Brian Peters

MHA in the News

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Behavioral Health Bills Advance, Other Bills Discussed in State Legislature

Several bills impacting healthcare and hospitals were advanced through committees in the state Senate during the week of Oct. 28.

The Senate Health Policy Committee unanimously approved Senate Bills (SB) 916 – 918, led by Sen. Hertel (D-Saint Clair Shores). The bills would expand the availability of Assisted Outpatient Treatment (AOT) in Michigan. AOT has been proven to decrease the number of individuals involved in the criminal justice system with behavioral health needs and can decrease the pressure on emergency departments for issues related to behavioral health. The bills expand the healthcare providers eligible to provide testimony for AOT and adds a new mechanism to divert individuals charged with misdemeanor offenses to AOT. The MHA supports the legislation as it awaits a vote of the full Senate.

Additionally, the Senate Regulatory Reform Committee took testimony on Senate Bills 651 – 654, led by Sen. Singh (D-East Lansing). The bills are spearheaded by the Keep Michigan Kids Tobacco Free Alliance and would create new licensing for establishments that sell tobacco products while enhancing the penalties on those retailers for selling to individuals under age 21. The legislation also removes punitive penalties on youth to reduce barriers for those who are seeking help for nicotine addiction. The MHA supports the legislation to improve Michigan’s public health as it awaits a vote of the committee.

Members with questions on state legislation can contact Elizabeth Kutter at the MHA.