Updates About Health Policy

Recently, SB 296 and SB 297, sponsored by Stephanie Chang (D-Detroit) and Ed McBroom (R-Vulcan), passed the Michigan Senate. The two bills aim at limiting mandatory nurse overtime, and hope to improve patient care and reduce nurse burnout by requiring hospitals to provide nurses with at least eight hours off after a 12-hour shift. This excludes shifts served during public health emergencies, state of emergencies, and mass casualty events. Senators McBroom and Joseph Bellino (Monroe) were the only Republicans to join the Democrats for a final vote tally of 21-16.

Last week, the Michigan Senate passed a bipartisan bill package offering relief for Michiganders with medical debt. SB 449, SB 450, and SB 451, championed by Senators Sarah Anthony (D-Lansing) and Jonathan Lindsey (R-Coldwater), passed with substantial support across both political caucuses. The bills would require hospitals to implements financial assistance plans for managing a patient’s medical debt and would change rules that currently allow for what critics say is aggressive debt collection.

Two related bills introduced by Anthony and Lindsey also passed unanimously last week. SB 701 and SB 702 would provide protections for patients by establishing maximum interest rates for medical debt and removing excessive late fees on medical debt for a minimum of 90 days after a patient receives their final invoice. The bills would also prohibit debt collectors and healthcare facilities from having a patient arrested, garnishing their wages, or foreclosing on their home as a means of collecting medical debt.

All five bills were subsequently referred to the House Health Policy committee.

The state House and Senate have been in gridlock for months over legislation that would keep Michigan in the Interstate Medical Licensure Compact (IMLC), which currently allows 8,000 physicians to practice in the state using their home state license. If legislation extending the compact is not passed by its expiration date of March 28, estimates say over 100,000+ Michiganders will be negatively affected through canceled appointments and loss of medical providers.

The spat between the two chambers does not stem from disputing policy language or the legislation’s intent, but rather over which lawmaker will receive credit for sponsoring the bill. Last May, the Senate passed SB 303, which was introduced by Senator Roger Hauck (R-Mount Pleasant), who represents a solidly Republican district. Twin bill HB 5455 was then introduced in January by Representative Rylee Linting (R-Wyandotte), who resides in a highly competitive district. HB 5455 was then voted out of the House and transmitted to the Senate.

Since early February, the House and Senate bills have sat in each other’s chambers without action, despite vocal concerns from various stakeholders about the approaching deadline.

Yesterday, in an unexpected twist, the House and Senate struck a deal to pass one of the IMLC bills before the Senate adjourns for Spring Break next Thursday. The House has agreed to pass an unrelated bill sponsored by Senator Kevin Hertel (D-Saint Clair Shores) in exchange for HB 5455. The deal offers wins for both vulnerable Republican Rylee Linting and Democrat Kevin Hertel as they prepare for two of the fiercest campaign races Michigan will see this year.

The Senate is expected to vote on the IMLC bill next week and send it to the Governor before the March 28 deadline.