Federal Medicaid Policy

Medicaid provides health coverage to millions of Americans, including eligible low-income adults, children, pregnant women, elderly adults and people with disabilities. While Medicaid is administered by state, it is done so according to federal requirements and rules. The program is also jointly funded by both the state and federal government.

The Issue 

Recently, the Centers for Medicare and Medicaid services released a proposed rule known as the Medicaid Fiscal Accountability Rule that if finalized, would make deep and harmful cuts to the Medicaid program nationwide. If implemented, the rule would cut $50 billion dollars annually from the Medicaid program. The rule makes changes to how a state can fund their Medicaid program and would no longer allow taxes collected from healthcare providers to be used as part of the Medicaid funding model as they are used today.

Our Position

Munson Healthcare strongly opposes the Medicaid Fiscal Accountability Rule on the grounds that it would severely curtail the availability of health care services to hundreds of thousands of our patients and because many of its provisions are not legally permissible. You can read Munson's recent letter to CMS urging the agency to rescind this rule here.  

Over 25% of the residents in Munson's service area receive coverage through Medicaid and the Healthy Michigan Plan and the programs account for over 13% of Munson Healthcare's revenue annually.

In addition, specific health service lines see significantly larger percentages of Medicaid and Healthy Michigan Plan patients including:

  • Longer Term Care Facilities- 65% - 80% Medicaid volume
  • Pediatric Clinics- 35% - 45% Medicaid volume
  • OB/Maternal/Women's and Children's Health- 50% - 60% Medicaid volume

What You Can Do

Please take a moment to contact our Federal Legislators and ask that they tell CMS to withdraw this harmful rule.  

U.S. Senator Debbie Stabenow

U.S. Senator Gary Peters

Congressman Jack Bergman

Congressman John Moolenaar

Congressman Bill Huizenga