By STEPHANIE ARMOUR

From his perch in the Trump administration’s Department of Health and Human Services, Roger Severino made a controversial name for himself, working to shield health workers who declined to perform medical procedures including abortion on religious grounds.

After President Donald Trump left office, Severino helped the conservative Heritage Foundation develop a plan to expand that conservative stamp to the broader department, recasting HHS with a focus on traditional marriage and family.

The vision is outlined in the Project 2025 “Mandate for Leadership,” a blueprint by the foundation and allied groups intended to guide the next presidential administration. It has emerged as a political flash point, as Democrats portray the [Read More]

By SUSAN ADELMAN, MD
This summer, the New York Times discovered pediatrics. The latest article, on July 7, was headlined “Why Students are Shunning Pediatrics.”  In it, we read that in the latest match (when medical students are paired with residencies), there was a 6% drop in students applying for pediatric residencies, and almost a third of the pediatric residency slots in the country went unfilled. That meant 252 positions vacant. The writer, a pediatrician, correctly blamed the relatively low payments for pediatric services, since so many of the children are covered by Medicaid.

I have been there. I can confirm that it is true. Now retired from pediatric surgery, I found [Read More]

Navigating the Post-Chevron Landscape: What Healthcare Providers Need to Know

 By DANIEL AYYASH & JOE VAN HORN
Wachler & Associates, P.C.

Overview

The United States Supreme Court’s June 28, 2024 decision in Loper Bright Enterprises v. Raimondo and Relentless v. Department of Commerce to end Chevron deference marks a pivotal shift in administrative law, with potentially significant implications for healthcare providers. Chevron deference, a doctrine that compels courts to defer to a federal agency’s interpretation of ambiguous laws, has been a cornerstone of administrative law since the Reagan administration. The end of Chevron deference means that healthcare providers must prepare for a new regulatory landscape where judicial interpretations of agency rules may assume [Read More]

2024 Revisions to Part 2: Key Changes, Impact, and Compliance Tips

By ERICA ERMAN
Dickinson Wright

On February 8, 2024, the Department of Health and Human Services (HHS) finalized revisions to 42 CFR Part 2. Read on to learn more about Part 2, the changes, and helpful practice pointers.

Quick Refresher: What Is Part 2?

 42 CFR Part 2 is a set of Federal laws that house the Confidentiality of Alcohol and Drug Abuse Patient Records regulations. Part 2 stringently limits the use and disclosure of patients’ substance use and alcohol use disorder records.

Who Needs to Pay Attention to Part 2?

 Part 2 applies not only to “Part 2 Programs” but also to any lawful [Read More]

Senate Dems Want Expanded Contraception Insurance Coverage

This feature courtesy of MIRS, a Lansing-based news and information service.

This week, Sens. Mary Cavanagh (D-Redford Twp.) and Jeff Irwin (D-Ann Arbor) introduced the “Freedom to Plan Act,” a bill package that would require both Medicaid and private insurers to provide coverage for oral hormonal and emergency contraception – with or without a prescription.

If passed, Michigan would join six other states to enact similar legislation requiring covered contraception.

The two Senate Democrats said they believe expanding coverage for contraception will break down financial barriers to over-the-counter (OTC) contraceptives, providing Michigan residents with the autonomy to make their own medical decisions.

“People should have access to every [Read More]

More than 2.6 million Michiganders were enrolled in Medicaid in May 2024 after the year-long redetermination, which means the state added more than 400,000 people since before the 2020 COVID-19 pandemic and dropped 500,000 people since the end.

No one had to reapply during the COVID-19 pandemic emergency orders and by May 2023, when the emergency orders ended, 3.1 million residents were enrolled in Medicaid. Redeterminations for the medical program restarted and after the year-long “unwind” there were more people enrolled than prior to the pandemic .

“This was the largest renewal process our state has ever conducted, with 1.8 million beneficiaries renewing their coverage during the past year. MDHHS employed numerous [Read More]

By CHRISTINE SPOLAR

PHILADELPHIA — Zarinah Lomax is an uncommon documentarian of our times. She has designed dresses from yellow crime-scene tape and styled jackets with hand-painted demands like “Don’t Shoot” in purple, black, and gold script. Every few months, she hauls dozens of portraits of Philadelphians — vibrant, bold, bigger-than-life faces — to pop-up galleries to raise an alarm about gun violence in her hometown and America.

In a storage unit, Lomax has a thousand canvasses, she estimates, mostly of young people who died from gunfire, and others of the mothers, sisters, friends, and mourners left to ask why.

“The purpose is not to make people cry,” said Lomax, a Philadelphia [Read More]

By SUSAN ADELMAN, MD
I just got off the phone after talking to a distant cousin and his wife, who recited a frustrating list of the medical and surgical problems that dominate their lives. They are my age, but neither can walk without a walker. My cousin is in a nursing home. I am active and traveling. Why? It is not clear.  Some of their conditions obviously are not preventable. Some, I am not sure. Of limited means, they are trying not to spend more than their insurance will cover. In today’s environment, that may mean rushed 15-minute appointments, which make it hard for their doctors to deal in a calm, [Read More]

 By JESSE ADAM MARKOS, ESQ.
Wachler & Associates, P.C.

Healthcare providers employed by a hospital or on staff at one, who believe that they will be terminated, may try to get ahead of that decision by resigning in lieu of termination.  At first glance, a resignation under such circumstances may appear to be an option that offers greater dignity and minimizes professional harm. However, in today’s highly regulated environment, there is often very little benefit to resigning. In fact, a resignation can, on its own, create significant problems for providers as it can trigger the filing of a report to the National Practitioner Data Bank or Michigan’s Department of Licensing and [Read More]

By KATHLEEN CAMPBELL WALKER
Dickinson Wright

A recent commentary offers a stark glimpse into future healthcare demands (Harris & Marshall, 2024). During the first two years of the pandemic, the U.S. economy saw a loss of 400,000 workers in residential care facilities and nursing. Presently, there remains a shortage of approximately 130,000 workers compared to pre-pandemic levels (U.S. Bureau of Labor Statistics). With the last cohort of baby boomers turning 65 by 2030, the U.S. Census Bureau estimates that 73 million seniors will soon constitute about one-fifth of the population, outnumbering children (Vespa, Medina & Armstrong, 2020).

In 2017, immigrants made up 18.2% of healthcare workers and 23.5% of long-term care workers, [Read More]