Updates About Budget

Michigan parents, health providers, and advocates came together at the Capitol last week urging legislators to safeguard Medicaid in the face of proposed federal funding cuts. During a Senate Health Policy Committee hearing, members of the Protect MI Care — a coalition of 240+ organizations working to preserve access to health care — shared personal stories illustrating how essential Medicaid has been to their families’ survival and stability. Two mothers from Grand Rapids spoke about how Medicaid coverage made it possible to care for their medically complex children, one born with a serious heart defect necessitating open heart surgery, the other living with cerebral palsy and epilepsy. Both emphasized that Medicaid was not a “handout,” but a vital safety net that filled gaps private insurance did not cover. Coalition leaders and health experts warned that the proposed cuts would threaten access to care across Michigan, particularly in vulnerable and rural communities.

Recently, the House Health Policy Committee unanimously voted out two bills aimed at improving how patient information is shared across Michigan’s health care system. HB 4037 and HB 4038 aim to create a centralized Health Data Utility and designate a portion of the Medicaid budget for operating costs. This new system would allow patient data to securely follow individuals through their entire health journey, from the ambulance to the hospital, to the doctor’s office or a rehabilitation facility. The bills also allow access to schools and foster care, decreasing the chances that pertinent medical information is omitted at every step in the patient care process. Patients would also have the autonomy to opt in or out with any Michigan providers.

The approved non-profit Health Data Utility would be the Michigan Health Information Network (MiHIN), which already services secure health data in the billions. Sponsored by Rep. Julie Rogers (D-Kalamazoo) and Rep. Curt VanderWall (R-Ludington), the legislation now heads to the House floor with broad bipartisan support. While a similar proposal passed the House last session, the Senate was apprehensive about altering patient privacy protections and data security.

The Michigan School Safety and Mental Health Commission has released its final set of recommendations, urging lawmakers to increase per-pupil funding and address staffing shortages for school-based mental health and safety professionals. Formed in response to the 2021 Oxford High School shooting, the commission consulted with experts, educators, and families to develop ten recommendations aimed at strengthening mental health services and school safety statewide.

A key concern highlighted in the report is Michigan’s significant gap in staffing ratios of school counselors, psychologists, and social workers. Our state has just one school psychologist for every 1,500 students—three times higher than the ratio recommended by the National Association of School Psychologists. The commission called for a multi-year plan to meet national staffing standards and retain qualified professionals.

Additional recommendations include promoting trauma-informed practices, expanding social-emotional learning, and ensuring staff are trained to identify and respond to student mental health needs. The commission emphasized that effective change requires consistent funding, fewer policy shifts, and a long-term plan to grow Michigan’s school mental health workforce.