Discussions at both the federal and state levels are shaping the future of health care policy, with significant implications for Medicaid and access to treatment across Michigan. From federal budget negotiations that could impact provider taxes and hospital funding, to state legislative efforts aimed at improving care for the treatment of opioid use disorder and preventing opioid-related overdoses, the landscape is rapidly evolving. As these debates unfold, the Michigan State Medical Society (MSMS) remains actively engaged—advocating for physicians and patients, supporting partner coalitions, and working to ensure that critical health care services remain accessible to those who need them most.

Medicaid and the Federal Budget:  Negotiations are ongoing in the federal budget reconciliation process.  The Senate Finance Committee recently released its version of the bill, revealing an expansion to the House’s work requirements under Medicaid, tighter eligibility rules, and a stricter approach to provider taxes. While both Chambers aim to rein in provider taxes, the Senate language requires the maximum allowable provide tax rates be reduced while the House version freezes existing provider tax rates at their current levels. The elimination or reduction of these taxes, which states levy as a way to boost federal Medicaid funding to increase access to care, could be devastating to many medical groups and hospitals, particularly those in rural communities.

Vigil to Protect MI Care:  MSMS continues to work with the Protect MI Care Coalition to safeguard Medicaid. The Coalition will be holding the Vigil to Protect MI Care next Wednesday, June 25 at 6 p.m. at the Michigan State Capitol in Lansing. The Vigil is a chance to “…stand in solidarity to protect the health care that millions of Michiganders rely on. This peaceful vigil at the Michigan Capitol will shine a light on the importance of safeguarding Medicaid and ensuring access to care for children, families, older adults, and people with disabilities. Whether you’ve benefited from Medicaid, support someone who has, or believe in the power of a strong health care system and state, your presence matters.”

All interested parties are welcomed and encouraged to attend. Please register here. The Coalition organizers are looking for a few more speakers. Although not everyone will be able to speak, if interested, please email Adam Bitely.

Expanding Treatment and Preventing Overdoses:  The Senate Health Policy Committee met this week to take testimony on a package of bills aimed at reducing barriers to treatment for persons diagnosed with opioid use disorder. MSMS member and chair of the Michigan Opioid Advisory Committee, Cara Poland, MD, testified on the package. MSMS, as a founding member of a large coalition of organizations representing physicians, pharmacists, nurse practitioners, physicians assistants, peer recovery coaches, dentists, veterinarians, hospitals, and health plans, has been reviewing drafts of the bills and providing feedback to the Chair’s office. The coalition is conceptually supportive of the legislation and will continue to work on refining the bills to ensure the final product makes tangible improvements to Michigan’s laws to best serve patients who need access to treatment for opioid use disorder, as well as individuals who may be at increased risk for fatal overdose.