GOVERNMENT RELATIONS

Policy Issues

Pending Legislation
Capitol News/Impact
MOPAC

As a service to our members, we have prepared the following information to keep you updated with current legislation.

Michigan Senate Health Policy Committee Holds Hearing on Uniform Credentialing
The Michigan Senate Health Policy Committee held a hearing on two bills introduced by Sen. Cameron Brown (SB 1071 and SB 1072) that would create a uniform credentialing process in Michigan. MOA took the lead in gaining the hearing on this legislation. Senate Health Policy Committee Chairperson. Sen. Tom George indicated that a summer work group would be called in an attempt to work out differences on the bills. The draft legislation would have the state take a leadership role in standardizing the credentialing application process for physicians to make it consistent with the technology of the 21st century.

Smoking Ban
The fight to add Michigan to the list of 32 states that have enacted a ban on smoking in most public places continues. The Michigan House fell six votes short in its latest attempt to add Michigan to the list of 34 states that do not allow smoking in public places. Click here to see how your Representative voted on HB4163. Please be sure to thank your local Representative if they voted "Aye". If they voted "Nay" or "No Vote", please be sure to contact them and strongly urge them to support smoke-free legislation when the House takes up this issue again in November.

Chiropractic Scope of Practice Legislation
The bills that have been introduced to expand the scope of practice for Chiropractors (SB 908 and HB 5759) remain in their original committees. Lately action on this issue has shifted to the House where the sponsor of the bills is also the Chair of the House Health Policy Committee. This issue will be very contentious for the remainder of the year. MOA continues to expend a lot of effort in fighting for an acceptable compromise to the bills that were originally introduced.

The recently formed CGA Work Group on Chiropractic Scope of Practice met on June 24, 2008. MOA was one of very few groups to submit preliminary comments on a revised draft substitute in response to a request from the Chair of House Health Policy Committee for input. The request from the Chair of Health Policy gave interested parties only 36 hours to respond. At the same time that the Chair was requesting rapid turn around on comments, the Chair was attempting to bypass the Committee and take the bill directly to the House floor. At this time the bills remain in the House Health Policy Committee.

Economy and Budget
Michigan’s unemployment rate skyrocketed to 8.5% in May and held there in June as our State continues to see net job losses each month. Not surprisingly this development has complicated the effort of the executive and legislative branches to reach a compromise on the upcoming fiscal year budget. The Governor and the Legislature reached accord on budget target figures for the 2008-2009 fiscal year and passed most budget bills.

While exact details have yet to emerge the good news for the medical community is that there were not cuts in payments to provider groups under the Community Health budget. Especially good news for MOA members was that for the first time in 10 years there was a slight increase in payments made to physicians.

BCBSM Legislation
As previously reported the BCBSM legislation (HB 5282 and HB 5283) was subject to an informal work group in an attempt to find a compromise. The work group process has broken down and the package of bills will formally be sent to a House-Senate conference committee to resolve differences. MOA will continue to push for a final passage of a fair package of bills.

Medicare Physician Payments
In a show of bipartisan support, the Congress over rode the President’s veto of the “Medicare Improvement for Patients and Providers Act (H.R. 6331) which was co-sponsored by Michigan’s own John Dingell. This legislation that is now law will halt the 10.6% cut in Medicare payments to physicians. MOA and its members were very active in pushing for this bill to be enacted. Both of Michigan’s U.S. Senators were strong proponents and helped secure the final passage. This legislation will provide an 18-month window to secure a more equitable long-term solution to the nation’s health care delivery system. The bill also includes a much needed 1.1% payment update to help keep up with the increasing cost of providing health care services to the disabled and senior citizens in the United States. The real winners in this unfortunate battle were the disabled, senior citizens and military families that so deserve access to needed quality health care.

2007 - 2008 House Bills
2007 - 2008 Senate Bills

Legislative Committees and how they work.