Michigan State Budget & Policy

Investing in Michigan’s Direct-Care Workforce

In 2011, new executive and legislative leaders came to the state Capitol. Governor Rick Snyder expressed a commitment to building Michigan’s economy by focusing on jobs. Specifically, he set goals to “create more and better opportunities and jobs for the underemployed, and the structurally unemployed. The reinvention of Michigan must not leave anyone behind."

PHI Michigan has prepared a briefing paper (PDF) to explain the opportunities and challenges to actualizing quality long-term supports and services through quality direct-care jobs.

For the FY year 2012 budget, our legislative priorities were to: prevent reduction of the state earned income tax credit for low-income working families; continue funding of the Michigan Quality Community Care Council (MQC3); continue current levels of funding to the full array of long-term supports and services. Read our testimonies to legislative committees:

  • Testimony (PDF) to the Michigan State Senate Reforms, Restructuring, and Reinventing Committee
  • Testimony (PDF) to the Michigan House of Representatives Sub-Committee on Appropriations for the Michigan Department of Community Health

PHI Michigan’s 2012-2013 Policy Priorities

S.B. 221: Licensure of Home Health and Home Care Agencies. For the first time in many years, a bill to license home health and home care agencies has been introduced in the State Legislature. S.B. 221 has been referred to the Senate’s Committee on Health Policy. Stay tuned for PHI analysis of this legislation.

Affordable Care Act implementation. The Michigan Department of Community Health is taking steps to implement the federal Affordable Care Act (ACA). The ACA has the potential to secure health care coverage for thousands of direct-care workers who are uninsured or under-insured. PHI staff participated in the Michigan Health Insurance Exchange Planning Process. This planning process resulted in a series of recommendations for DCH and other policymakers to consider in the development of Michigan’s Exchange.

PHI promptly responded
to these recommendations, pointing to the need for consumer representation and input in the development process and the importance of creating an Exchange that provides access to quality, affordable, health insurance coverage.

In 2011, the Michigan Senate passed legislation -- S.B. 693 -- to create the MiHealth Marketplace, Michgan’s Exchange. PHI provided testimony in support of the bill. Further legislative movement on the creation of a state Exchange will occur after the Supreme Court makes its decision on the Affordable Care Act.

Integrated Care Demonstration. The Affordable Care Act offers states the opportunity to remedy the statutory challenges, which prevent their Medicaid programs from working with Medicare to create innovative health care delivery systems for people who have both Medicare and Medicaid. The Michigan Department of Community Health has been awarded $1 million to plan an “integrated care demonstration” to improve access to care, the quality of care, and how elders and people living with disabilities experience health care services.

PHI participated in workgroups that provided input into the design of this model of care and continues to monitor and work with coalitions to ensure that it meets the needs of workers and consumers.

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