Updates About Public Health

The Michigan Department of Health and Human Services has increased the income threshold for the Women, Infants and Children (WIC) program by more than $1,500.

A family of four can now qualify with an annual income of up to $61,050, compared to the previous threshold of $59,550 for a family of the same size. This change will offer the opportunity for more Michigan families who meet or fall below the threshold to quailfy for the program and access WIC services. As part of the program’s goal of improving health outcomes for children and mothers, the program also provides families with access to nutritious food and education on nutrition.

More information about the program can be found here.

Michigan Attorney General Dana Nessel recently joined a coalition of 24 attorneys general and two governors in filing a lawsuit that challenges the Trump administration’s implementation of the new Medicaid work requirements under H.R.1 (also known as the One Big Beautiful Bill Act or OBBBA).

The lawsuit targets an interim final rule issued by the U.S. Department of Health and Human Services (DHHS) and Centers for Medicare and Medicaid Services (CMS). The coalition argues the new interpretation of the rule would unlawfully narrow expectations for individuals who are considered “medically frail.” The coalition also claims that the interpretation, on top of new administrative burdens, will make it difficult for eligible Medicaid recipients to qualify for exemptions and would cause many to lose coverage.

They also allege that the rule fails to adequately consider the impact on states and the healthcare sector while imposing new compliance requirements after states had already begun implementing H.R. 1. The coalition is seeking to block enforcement of the challenged provisions before the work requirements take effect on January 1, 2027.

Governor Gretchen Whitmer announced last week that the state’s Director of Health and Human Services (MDHHS), Elizabeth Hertel, will be stepping down at the end of June.

Elizabeth Hertel has served as the top MDHHS official since 2021. She oversaw the department’s transition out of the COVID-19 pandemic as well as the development of two state psychiatric hospitals, expansion of substance use disorder programs, and the state’s response to recent federal Medicaid and SNAP changes. One of her major priorities has been restructuring Michigan’s behavioral health system, including efforts to rebid the state’s prepaid inpatient health plans, though implementation of those changes has been delayed following court rulings.

Her successor, Amy Epkey, will begin the role on July 1. Epkey is currently the senior deputy director of the financial operation administration within MDHHS. Hertel said that she plans on relaxing post-budget and spending time with family during the summer months before figuring out what comes next in her career.