Federal Reconciliation Bills Would Impact Michigan’s SNF Medicaid Residents

HCAM continues to communicate with state and federal leaders to explain the significant impact the U.S. House and Senate reconciliation bills would have on Medicaid funding for Michigan’s skilled nursing facilities. We have sent a letter to Governor Whitmer and state department leaders, met members of Michigan’s congressional delegation, and partnered with our national association to address this issue.

Proposed changes in the House bill include: 

• Freezing the provider tax and changing non-uniform provider tax programs.
• Changing Medicaid retroactive eligibility from 90 to 30 days.

Proposed changes in the Senate Finance Committee proposal include:

• A phased reduction in provider taxes for expansion states.
• A requirement to change non-uniform provider tax programs. 
• A change to the Medicaid retroactive eligibility from 90 days to 60 days. 

For an analysis of each proposal and the significant impact it could have on Medicaid funding as well as information about changes HCAM has requested, please see this detailed memo.