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MAHA Fall Conference October 14, 2014. Laura Appel, Senior Vice President, Strategic Initiatives. Political and Healthcare Climate - Michigan. State economic picture improving Voters remain skeptical about economic future More than 400,000 people enrolled in the Healthy Michigan Plan
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MAHA Fall ConferenceOctober 14, 2014 Laura Appel, Senior Vice President, Strategic Initiatives
Political and Healthcare Climate - Michigan • State economic picture improving • Voters remain skeptical about economic future • More than 400,000 people enrolled in the Healthy Michigan Plan • More than 272,000 enrolled in Federal health exchange • Number of uninsured Michigan citizens cut in half • Medicaid and Medicare represent nearly half of hospital business - public funds, government regulated
This Year Voters Will Decide…. • U.S. Senate • U.S. House of Representatives • Governor • Attorney General • Secretary of State • State Supreme Court • State Senate • State House of Representatives
Michigan Loses Seniority • U.S. Senate • Sen. Carl Levin (36 yrs) • U.S. House of Representatives • Rep. John Dingell (59 yrs) • Rep. Dave Camp (23 yrs) • Rep. Mike Rogers (13 yrs) • Rep. Gary Peters (5 yrs) Total experience + seniority lost = 136 years
Election 2014 – Federal • U.S. Senate • U.S. Rep. Gary Peters (D) v. Terri Lynn Land (R)
Election 2014 - Federal • U.S. House of Representatives • District 4 • John Moolenaar (R) v. Jeff Holmes (D) • District 8 • Mike Bishop (R) v. Eric Schertzing (D) • District 12 • Terry Bowman (R) v. Debbie Dingell (D) • District 14 • Christina Conyers (R) v. Brenda Lawrence (D) Mike Bishop Brenda Lawrence John Moolenaar Debbie Dingell
Election 2014 - State • Governor • Incumbent Gov. Rick Snyder (R) v. Mark Schauer (D) Lisa Brown Brian Calley
Election 2014 - State • Attorney General • Incumbent Bill Schuette (R) v. Mark Totten • Secretary of State • Incumbent Ruth Johnson (R) v. Godfrey Dillard (D)
Election 2014 - State • State Supreme Court (2 incumbents, 1 open seat) Justice Zahra Justice Vivano Richard Bernstein
General Election 2014 - State Legislature • Senate – 38 seats • 10 open seats • First election since 2011 redistricting • Majority Leader Randy Richardville is term-limited • House of Representatives – 110 seats • 41 open seats • 70 lawmakers will have no more than 2 years of legislative experience • Speaker of the House Jase Bolger is term-limited
Term limited Healthcare Champions • Senate Maj. Leader Randy Richardville • Sen. Roger Kahn • Sen. John Moolenaar • Rep. Matt Lori • Rep. Gail Haines
Primary Election Health PAC Score Card • 98% of Health PAC funded candidates won • Health care champions defeated in primary • Rudy Hobbs: U.S. House (14th) • Frank Foster: Michigan House (107th) Rudy Hobbs Frank Foster
Election 2014 — Call to Action • Meet your candidates for state House and Senate, and candidates for Congress • Use MHA election tools available on the MHA election web page • http://www.mha.org/mha/elections.htm • Election Materials (table tent, posters, brochure) • Election Snapshot • Candidate Listing • Redistricting Information • Non-partisan sources
Lame Duck Session - Issues to Watch 1. Roads 2. Regulation of E-Cigarettes (TBD) • Hospital Charge Master Transparency (Neutral) • Community College Nursing Programs (Support) • Licensure of Genetic Counselors (Support) • Dense Breast Awareness/Breast Density Screening (Neutral) • Certificate of Need - SB 1073 (Neutral) • Auto No-fault (Oppose) • Scope of Practice for Advanced Practice Nurses (Neutral)
ACA – Trading Coverage for Reimbursement • Coverage expansion through Healthy Michigan Plan and Health Insurance Exchange • Almost 700,000 enrolled, premium payment rates at 80% + • Michigan hospitals contribute $7 billion over 10 years • $2.4 billion annual Investment to cover Healthy Michigan Plan
Coverage Not the Single Answer • 17 million remain uninsured under best scenario • Right place, right time treatment doesn’t reduce cost dramatically – ER fixed cost • Preventative care=longer life=more expense • “The general consensus among health economists is that growth in real spending on health care was principally the result of the emergence of new medical technologies and services and their adoption and diffusion by the US Health Care System” ---Orszag, 2008