In this segment, host Phil Tower welcomes Monique Stanton, president and CEO of the Michigan League for Public Policy.
Monique joined the program to discuss how Medicaid cuts are expected to affect not only the hundreds of thousands of Michiganders at risk of losing health insurance, but also the broader health care system.
State and health industry leaders recently said in a press conference on Tuesday 8, that the cuts in the spending package known as the “big, beautiful bill," signed into law July 4 by President Donald Trump, will result in hospitals closing their doors, cutting staff and/or reducing available services to make up for losses in government funding.
They also warned that Michigan residents with private and employer-provided health insurance are likely to see increased costs as hospitals seek to recoup funding. Longer emergency room wait times may also hit communities already struggling with access challenges
Medicaid is a government-funded health insurance program for low-income individuals and families, people with disabilities, children, and more.
The Medicaid program in Michigan covers about 2.6 million residents, or 25% of the state's population, making it the state’s largest health insurer.
Online: Protect MI Care
Online: The Michigan League for Public Policy
Topics discussed: Medicaid, government-funded health insurance, healthcare affordability, cuts to Medicaid, Michigan hospitals, uninsured Michigan residents.
Monique joined the program to discuss how Medicaid cuts are expected to affect not only the hundreds of thousands of Michiganders at risk of losing health insurance, but also the broader health care system.
State and health industry leaders recently said in a press conference on Tuesday 8, that the cuts in the spending package known as the “big, beautiful bill," signed into law July 4 by President Donald Trump, will result in hospitals closing their doors, cutting staff and/or reducing available services to make up for losses in government funding.
They also warned that Michigan residents with private and employer-provided health insurance are likely to see increased costs as hospitals seek to recoup funding. Longer emergency room wait times may also hit communities already struggling with access challenges
Medicaid is a government-funded health insurance program for low-income individuals and families, people with disabilities, children, and more.
The Medicaid program in Michigan covers about 2.6 million residents, or 25% of the state's population, making it the state’s largest health insurer.
Online: Protect MI Care
Online: The Michigan League for Public Policy
Topics discussed: Medicaid, government-funded health insurance, healthcare affordability, cuts to Medicaid, Michigan hospitals, uninsured Michigan residents.
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:02):
This is iHeartRadio's West Michigan Weekend. West Michigan Weekend is
a weekly programmed designed to inform and enlightened on a
wide range of public policy issues, as well as news
and current events. Now here's your host, Phil Tower, and.
Speaker 2 (00:17):
This is West Michigan Weekend from iHeartRadio. Thank you so
much for tuning in. As you know, President Trump signed
into law last Friday, which was actually two fridays ago,
July fourth, Independence Day, the Big Beautiful Bill, as he
called it, a bill that will have a lot of
impact on a lot of different parts of the US economy.
(00:40):
One of the major impacts is on the healthcare system
here in the US, and especially in the state of Michigan.
The Michigan League for Public Policy, along with several other organizations,
held a press conference on Tuesday of this week to
talk about the impact and the serious outcomes with these
(01:03):
major cuts to medicaid here in the state of Million,
collectively about six billion dollars a negative impact over a
ten year horizon. That is what Brian Peters, CEO of
the Michigan Health and Hospital Association said during the press
conference on Tuesday this week. For Michigan Hospitals alone again
that number north of six billion dollars and concerns about
(01:27):
the consequences in terms of access to patient care across
the state of Michigan. One of the participants in that
press conference this week was the president and CEO of
the Michigan League for Public Policy. She's on our live
line for the segment of West Michigan Weekend, Manique Stanton
with the Michigan League for Public Policy. Monique, I'm so
glad you could join us for a couple of minutes
(01:48):
to put this in perspective. A press conference is one thing,
but really you just highlighted some of the likely outcomes
for this new legislation. It is going to have ripple
effects across several economies, especially in healthcare. First of all,
good morning, and thank you for joining us.
Speaker 3 (02:07):
Good morning, Phil, Thank you so much for having me
out today.
Speaker 2 (02:10):
Well, I appreciate you being there. You also, this press
conference really tried to personalize what Medicaid is like in Michigan,
and I think a lot of our listeners, Monique, would
not know that Medicaid, which is a government funded health
insurance program. I think most people know that Medicaid is
the number one health insurer here in the state of Michigan.
(02:30):
It covers two point six million Michigan residents, or about
twenty five percent of our population. It is Michigan's largest
health insurer. I mean, I think a lot of people
would be surprised.
Speaker 3 (02:41):
By that, correct, absolutely, And we think about West Michigan specifically,
in Congressman Jzinga's district, it's nearly twenty covers nearly twenty
one percent of the population there. In Representative Mullinar's district,
it covers almost twenty five percent of the population in
his district. Representing a Congresswomen Scholtons district, it covers nearly
(03:04):
twenty one percent of the population. So when we think
about Medicaid, we're really thinking about ourselves. We're thinking about
our friends, our neighbors, our family members, our coworkers, our colleagues,
people that we deeply care about, and many are deeply
concerned about what these cuts mean for accessing care for
(03:24):
both themselves and their loved ones.
Speaker 2 (03:26):
Also, including that press conference on Tuesday that you held.
Elizabeth Hortel, director of the Michigan Department of Health and
Human Services, along with Brian Peters, the CEO of the
Michigan Health and hospital association. You had a couple of
Medicaid recipients, a couple of women share their personal impact stories.
Can you just kind of summarize what they talked about
at the press conference?
Speaker 3 (03:47):
Sure? So, one person spoke about having a six figure
earning income job, getting in a car accident. It sounded
like her auto insurance didn't cover her full medical issues.
Now has a traumatic brain injury, lost your job, therefore
lost her employer sponsored health care and relies on Medicaid
(04:08):
in order to access the critical treatments that she needs.
And we know what things like traumatic brain injury, it's
essential to get the therapies and the occupacial therapy, speech therapy,
early intervention is best, and so it's really important for
her in order to be able to access Medicaid. The
(04:29):
other person spoke about her spouse was a disabled veteran
honorably discharged, wasn't able to necessarily serve their full twenty
plus years to retire, that had been their original family's plan.
He relies on Medicaid in order to access their services.
And they have children that have some pretty serious health
(04:50):
complications and Medicaid is essential in them being able to
access care. And so we have lots of people, single people, families,
seniors that all access their health care coverage through Medicaid.
It covers forty five percent of births in our state.
It's the biggest payer for behavioral health services, those things
(05:10):
like mental health treatment, substance use disorder treatment services for
people with developmental disability. So this is a really foundational
part of our healthcare delivery system. And US, along with
nearly three hundred organizations, are part of protect My Cares,
our coalition focused on protecting Medicaid in Michigan. And this
(05:33):
includes large groups like the Health and Hospital Association, to
small mom and pop providers, business groups like the and
Arbor Chamber k connect over on the West side of Michigan.
And so we know from the widespread participation that people
see this as a big concern. We have labor, we
(05:53):
have school groups, all founding the alarm about what these
cuts mean for the people in their communities.
Speaker 2 (05:59):
Again, talking about the passage of the Big Beautiful Bill,
as the President called it, the goal in this obviously
a lot of tax cut, but the offset of those
costs of the tax cuts is to cut Medicaid spending
pretty significantly. There's also something notable in this a work
(06:22):
requirement that would begin not this year, but on December
thirty one of twenty twenty six, where able bodied adults
monique under the age of sixty five would need to
provide proof twice a year of at least eighty hours
a month of completing community engagement requirements. It's a little vague,
but they're talking about work education or the types of
(06:45):
community service. Seniors under this plan would be exempt. Also
parents of children age fourteen and under in people with disabilities.
But there's a lot of people here that likely would
lose their healthcare coverage through Medicaid here in the state
of Michigan. By the way, we should remind people Governor
Rick Snider expanded Medicaid coverage here in Michigan. That was
(07:09):
during the implementation of the ACA, and I don't have
that date in front of me, but that was expanded
by Governor Snyder several years ago. And as we mentioned earlier,
about twenty five percent of the state is covered under Medicaid.
So what happened to these people that will have to
drop off or lose Medicaid coverage?
Speaker 3 (07:29):
So I do want to highlight that nearly two thirds
of adults who have Medicaid in Michigan either work full
time or part time already, and that roughly thirty percent
who are not working are often doing that because of
caregiving responsibilities, illness, disability, because they attend school, or they're
having trouble finding employment. And so when other states have
(07:50):
tried to implement work requirements, what they found is that
it didn't necessarily lead to increases in employment. It leads
to increases in paper work, bureaucratic steps, and people ultimately
losing coverage because they're not able to complete all the
paperwork and getting everything in on time. So there are
a lot of myths about work requirements solving some of
(08:12):
our labor shortage issues in our state when the reality
is it doesn't do that. The Michigan Department of Health
and Human Services issued to report a couple of months
ago they expect the implementation of work requirements in our
state to cost between seventy five and one hundred and
fifteen million dollars. When you talk about a new data system,
(08:33):
staffing costs all related to tracking these additional work requirements,
and that's not really helping people then get employed increase
their education. It's just adding extra steps and barriers, and
so we're very concerned about what those work requirements mean
for our state. And so I'm really glad that you
pointed out that it was Governor Rick Snider, a Republican,
(08:55):
that led efforts to expand Michigan Our healthing Michigan Plan
in our state also done with Republican legislature. So healthcare access,
including Medicaid expansion, does have wide bipartisan support. We talked
about yes earlier this week at our press conference that
over eighty percent of Michiganders and a poll down earlier
(09:17):
this spring about Medicaid is important DOT thought that its
funding part should be either increased or stayed the same.
So we know that Michiganders deeply, deeply care about this
particular issue.
Speaker 2 (09:29):
There are a lot of people who live Monique Stanton
is with us, by the way, president and CEO of
the Michigan League for Public Policy. She referenced Protect my
Care and they were the coalition that put on the
press conference on Tuesday of this past week. You can
learn more at protectmicare dot org. Protect micare dot org,
(09:49):
and the Michigan League for Public Policy is at MLPP
dot org. There are a lot of people Minique who
live in rural areas in Michigan. We've got a great state,
a large state, and especially in the up portions of
northern Michigan, rural healthcare is a huge part of the
healthcare system. It is the only part of the healthcare system,
(10:11):
and some people have to drive a long way to
reach a rural hospital. This bill that was passed on Friday,
July fourth includes a fifty billion dollar fund for rural hospitals.
But during your press conference you talked about the fact
that that represents less than half of the expected total
losses that will be faced over the next decade because
(10:33):
of the impact of the bill. I guess we look
at this saying, all, right, now that this is the law,
where do you expect other people to step forward, other
organizations to step forward to help save some of these
people from falling to the bottom and not having healthcare.
Speaker 3 (10:49):
So the reality is the state cannot make up all
of the significant cuts that were associated with the bill
that passed a couple of weeks ago, and so Michigan
and organizations are going to have to make really difficult
decisions about the type of services and the programs that
(11:10):
we invest in. The League would clearly advocate for investing
in as much as possible in Medicaid, But unfortunately, what
happens to people that have to drive further in the
case of rural Michigan to access their primary care physician
or their pediatrician, or their hospital closes, or they just
don't have health insurance. It means that people tend to
(11:31):
wait until they are at their sickest in order to
access care, and so that means it's more expensive care.
It's crisis type of care, and care at that point
is obviously costly, and that cost is shared by then
employer sponsored plans as well as the hospitals have to
absorb that. And we know that health outcomes are also
(11:52):
worse when you put off accessing your care. So that's
deeply concerning. You know, one of the things that happened
in Michigan after we expanded medical Caid and implemented Healthy
Michigan is uncompensated care in hospitals let down by fifty percent,
and so we would expect, even with some of maybe
these smaller grant programs that the federal government is talking about,
(12:13):
that uncompensated care and our healthcare and our hospitals will increase,
and that puts a serious financial burden on our health system,
including when health systems are already struggling.
Speaker 2 (12:26):
So also worth noting that as these hospitals deal with
these cuts to Medicaid, it's expected that those of us
with health insurance provided by our employers or private health
insurance people buying their health insurance in the marketplace, just
naturally those costs would increase. Is hospitals have to increase,
hospitals and healthcare systems have to increase their cost for services,
(12:50):
their fees will go up as well too. This is
very early. We're going to have to check in on this,
you know, several months from now, especially as we get
into twenty twenty six, thanks to see how things are
going and the impact here begins in twenty twenty six.
Long term, we need to keep an eye on this
(13:11):
for certain. Monique Stanton is president and CEO of the
Michigan League for Public Policy. I genuinely appreciate your time
in sharing this information, and again you'd encourage people to
check protectmicare dot org to learn more about this the impacts.
Speaker 3 (13:28):
Here correct absolutely as well as to check our website
at the Michigan League for Public Policy MLPP dot org
as well.
Speaker 2 (13:36):
Indeed, Manick, thanks so much for your time this morning.
Speaker 3 (13:38):
Great. Thank you so much for having me. I really
appreciate it.
Speaker 1 (13:41):
You've been listening to iHeartRadio's West Michigan Weekend. West Michigan
Weekend is a production of Wood Radio and iHeartRadio
This is iHeartRadio's West Michigan Weekend. West Michigan Weekend is
a weekly programmed designed to inform and enlightened on a
wide range of public policy issues, as well as news
and current events. Now here's your host, Phil Tower, and.
Speaker 2 (00:17):
This is West Michigan Weekend from iHeartRadio. Thank you so
much for tuning in. As you know, President Trump signed
into law last Friday, which was actually two fridays ago,
July fourth, Independence Day, the Big Beautiful Bill, as he
called it, a bill that will have a lot of
impact on a lot of different parts of the US economy.
(00:40):
One of the major impacts is on the healthcare system
here in the US, and especially in the state of Michigan.
The Michigan League for Public Policy, along with several other organizations,
held a press conference on Tuesday of this week to
talk about the impact and the serious outcomes with these
(01:03):
major cuts to medicaid here in the state of Million,
collectively about six billion dollars a negative impact over a
ten year horizon. That is what Brian Peters, CEO of
the Michigan Health and Hospital Association said during the press
conference on Tuesday this week. For Michigan Hospitals alone again
that number north of six billion dollars and concerns about
(01:27):
the consequences in terms of access to patient care across
the state of Michigan. One of the participants in that
press conference this week was the president and CEO of
the Michigan League for Public Policy. She's on our live
line for the segment of West Michigan Weekend, Manique Stanton
with the Michigan League for Public Policy. Monique, I'm so
glad you could join us for a couple of minutes
(01:48):
to put this in perspective. A press conference is one thing,
but really you just highlighted some of the likely outcomes
for this new legislation. It is going to have ripple
effects across several economies, especially in healthcare. First of all,
good morning, and thank you for joining us.
Speaker 3 (02:07):
Good morning, Phil, Thank you so much for having me
out today.
Speaker 2 (02:10):
Well, I appreciate you being there. You also, this press
conference really tried to personalize what Medicaid is like in Michigan,
and I think a lot of our listeners, Monique, would
not know that Medicaid, which is a government funded health
insurance program. I think most people know that Medicaid is
the number one health insurer here in the state of Michigan.
(02:30):
It covers two point six million Michigan residents, or about
twenty five percent of our population. It is Michigan's largest
health insurer. I mean, I think a lot of people
would be surprised.
Speaker 3 (02:41):
By that, correct, absolutely, And we think about West Michigan specifically,
in Congressman Jzinga's district, it's nearly twenty covers nearly twenty
one percent of the population there. In Representative Mullinar's district,
it covers almost twenty five percent of the population in
his district. Representing a Congresswomen Scholtons district, it covers nearly
(03:04):
twenty one percent of the population. So when we think
about Medicaid, we're really thinking about ourselves. We're thinking about
our friends, our neighbors, our family members, our coworkers, our colleagues,
people that we deeply care about, and many are deeply
concerned about what these cuts mean for accessing care for
(03:24):
both themselves and their loved ones.
Speaker 2 (03:26):
Also, including that press conference on Tuesday that you held.
Elizabeth Hortel, director of the Michigan Department of Health and
Human Services, along with Brian Peters, the CEO of the
Michigan Health and hospital association. You had a couple of
Medicaid recipients, a couple of women share their personal impact stories.
Can you just kind of summarize what they talked about
at the press conference?
Speaker 3 (03:47):
Sure? So, one person spoke about having a six figure
earning income job, getting in a car accident. It sounded
like her auto insurance didn't cover her full medical issues.
Now has a traumatic brain injury, lost your job, therefore
lost her employer sponsored health care and relies on Medicaid
(04:08):
in order to access the critical treatments that she needs.
And we know what things like traumatic brain injury, it's
essential to get the therapies and the occupacial therapy, speech therapy,
early intervention is best, and so it's really important for
her in order to be able to access Medicaid. The
(04:29):
other person spoke about her spouse was a disabled veteran
honorably discharged, wasn't able to necessarily serve their full twenty
plus years to retire, that had been their original family's plan.
He relies on Medicaid in order to access their services.
And they have children that have some pretty serious health
(04:50):
complications and Medicaid is essential in them being able to
access care. And so we have lots of people, single people, families,
seniors that all access their health care coverage through Medicaid.
It covers forty five percent of births in our state.
It's the biggest payer for behavioral health services, those things
(05:10):
like mental health treatment, substance use disorder treatment services for
people with developmental disability. So this is a really foundational
part of our healthcare delivery system. And US, along with
nearly three hundred organizations, are part of protect My Cares,
our coalition focused on protecting Medicaid in Michigan. And this
(05:33):
includes large groups like the Health and Hospital Association, to
small mom and pop providers, business groups like the and
Arbor Chamber k connect over on the West side of Michigan.
And so we know from the widespread participation that people
see this as a big concern. We have labor, we
(05:53):
have school groups, all founding the alarm about what these
cuts mean for the people in their communities.
Speaker 2 (05:59):
Again, talking about the passage of the Big Beautiful Bill,
as the President called it, the goal in this obviously
a lot of tax cut, but the offset of those
costs of the tax cuts is to cut Medicaid spending
pretty significantly. There's also something notable in this a work
(06:22):
requirement that would begin not this year, but on December
thirty one of twenty twenty six, where able bodied adults
monique under the age of sixty five would need to
provide proof twice a year of at least eighty hours
a month of completing community engagement requirements. It's a little vague,
but they're talking about work education or the types of
(06:45):
community service. Seniors under this plan would be exempt. Also
parents of children age fourteen and under in people with disabilities.
But there's a lot of people here that likely would
lose their healthcare coverage through Medicaid here in the state
of Michigan. By the way, we should remind people Governor
Rick Snider expanded Medicaid coverage here in Michigan. That was
(07:09):
during the implementation of the ACA, and I don't have
that date in front of me, but that was expanded
by Governor Snyder several years ago. And as we mentioned earlier,
about twenty five percent of the state is covered under Medicaid.
So what happened to these people that will have to
drop off or lose Medicaid coverage?
Speaker 3 (07:29):
So I do want to highlight that nearly two thirds
of adults who have Medicaid in Michigan either work full
time or part time already, and that roughly thirty percent
who are not working are often doing that because of
caregiving responsibilities, illness, disability, because they attend school, or they're
having trouble finding employment. And so when other states have
(07:50):
tried to implement work requirements, what they found is that
it didn't necessarily lead to increases in employment. It leads
to increases in paper work, bureaucratic steps, and people ultimately
losing coverage because they're not able to complete all the
paperwork and getting everything in on time. So there are
a lot of myths about work requirements solving some of
(08:12):
our labor shortage issues in our state when the reality
is it doesn't do that. The Michigan Department of Health
and Human Services issued to report a couple of months
ago they expect the implementation of work requirements in our
state to cost between seventy five and one hundred and
fifteen million dollars. When you talk about a new data system,
(08:33):
staffing costs all related to tracking these additional work requirements,
and that's not really helping people then get employed increase
their education. It's just adding extra steps and barriers, and
so we're very concerned about what those work requirements mean
for our state. And so I'm really glad that you
pointed out that it was Governor Rick Snider, a Republican,
(08:55):
that led efforts to expand Michigan Our healthing Michigan Plan
in our state also done with Republican legislature. So healthcare access,
including Medicaid expansion, does have wide bipartisan support. We talked
about yes earlier this week at our press conference that
over eighty percent of Michiganders and a poll down earlier
(09:17):
this spring about Medicaid is important DOT thought that its
funding part should be either increased or stayed the same.
So we know that Michiganders deeply, deeply care about this
particular issue.
Speaker 2 (09:29):
There are a lot of people who live Monique Stanton
is with us, by the way, president and CEO of
the Michigan League for Public Policy. She referenced Protect my
Care and they were the coalition that put on the
press conference on Tuesday of this past week. You can
learn more at protectmicare dot org. Protect micare dot org,
(09:49):
and the Michigan League for Public Policy is at MLPP
dot org. There are a lot of people Minique who
live in rural areas in Michigan. We've got a great state,
a large state, and especially in the up portions of
northern Michigan, rural healthcare is a huge part of the
healthcare system. It is the only part of the healthcare system,
(10:11):
and some people have to drive a long way to
reach a rural hospital. This bill that was passed on Friday,
July fourth includes a fifty billion dollar fund for rural hospitals.
But during your press conference you talked about the fact
that that represents less than half of the expected total
losses that will be faced over the next decade because
(10:33):
of the impact of the bill. I guess we look
at this saying, all, right, now that this is the law,
where do you expect other people to step forward, other
organizations to step forward to help save some of these
people from falling to the bottom and not having healthcare.
Speaker 3 (10:49):
So the reality is the state cannot make up all
of the significant cuts that were associated with the bill
that passed a couple of weeks ago, and so Michigan
and organizations are going to have to make really difficult
decisions about the type of services and the programs that
(11:10):
we invest in. The League would clearly advocate for investing
in as much as possible in Medicaid, But unfortunately, what
happens to people that have to drive further in the
case of rural Michigan to access their primary care physician
or their pediatrician, or their hospital closes, or they just
don't have health insurance. It means that people tend to
(11:31):
wait until they are at their sickest in order to
access care, and so that means it's more expensive care.
It's crisis type of care, and care at that point
is obviously costly, and that cost is shared by then
employer sponsored plans as well as the hospitals have to
absorb that. And we know that health outcomes are also
(11:52):
worse when you put off accessing your care. So that's
deeply concerning. You know, one of the things that happened
in Michigan after we expanded medical Caid and implemented Healthy
Michigan is uncompensated care in hospitals let down by fifty percent,
and so we would expect, even with some of maybe
these smaller grant programs that the federal government is talking about,
(12:13):
that uncompensated care and our healthcare and our hospitals will increase,
and that puts a serious financial burden on our health system,
including when health systems are already struggling.
Speaker 2 (12:26):
So also worth noting that as these hospitals deal with
these cuts to Medicaid, it's expected that those of us
with health insurance provided by our employers or private health
insurance people buying their health insurance in the marketplace, just
naturally those costs would increase. Is hospitals have to increase,
hospitals and healthcare systems have to increase their cost for services,
(12:50):
their fees will go up as well too. This is
very early. We're going to have to check in on this,
you know, several months from now, especially as we get
into twenty twenty six, thanks to see how things are
going and the impact here begins in twenty twenty six.
Long term, we need to keep an eye on this
(13:11):
for certain. Monique Stanton is president and CEO of the
Michigan League for Public Policy. I genuinely appreciate your time
in sharing this information, and again you'd encourage people to
check protectmicare dot org to learn more about this the impacts.
Speaker 3 (13:28):
Here correct absolutely as well as to check our website
at the Michigan League for Public Policy MLPP dot org
as well.
Speaker 2 (13:36):
Indeed, Manick, thanks so much for your time this morning.
Speaker 3 (13:38):
Great. Thank you so much for having me. I really
appreciate it.
Speaker 1 (13:41):
You've been listening to iHeartRadio's West Michigan Weekend. West Michigan
Weekend is a production of Wood Radio and iHeartRadio
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