Democratic lawmakers in Congress have made a variety of proposals to strengthen or reform the United States health care system. These proposals range from building upon the Affordable Care Act (ACA) to fully transitioning the U.S. to a single-payer system. This fact sheet categorizes and compares the major provisions of these proposals, including possible implications for consumers, health care providers, and federal and state governments.
CHRT produces issue and survey briefs on a wide range of health and health care topics, including:
- Hospital and health system costs in the Midwest
- Prevalence of mental health disorders and access to mental health providers
- Changes in health care coverage and access to care under the Affordable Care Act (ACA)
- The effects of the ACA on employers in Michigan
- Michigan consumers’ satisfaction with health care coverage
- Prescription opioid use in Michigan
Scroll through our published briefs below, or search by key words or topics using the search bar to the left.
As of January 2019, 14 states have submitted proposals to the federal government requesting permission to establish work requirements in their Medicaid programs. To date, the U.S. Centers for Medicare and Medicaid Services (CMS) has approved Medicaid work requirements for seven states, and two states (Arkansas and Indiana) have begun implementing these requirements for Medicaid beneficiaries. In June 2018, Michigan enacted work requirements for many enrollees in the Healthy Michigan Plan (HMP), Michigan’s expanded Medicaid program for low-income adults. Beginning in January 2020, HMP enrollees under age 63 will be required to report 80 hours of work per month or obtain…
Michigan’s Key Health Policy Issues, 2018 The Michigan government has jurisdiction over a wide array of health policy issues. From the regulation of insurance products, to oversight of the state’s Medicaid program, to investing in local public health efforts, Michigan policymakers craft policies and budgets that impact the health of millions of Michiganders. This brief will provide an overview of four key and timely health policy topics: Medicaid and the Healthy Michigan Plan; the individual health insurance market and the Health Insurance Marketplace; the opioid epidemic; and integration of services to address social determinants of health. It will explore some of the…
At the start of 2018, the U.S. Centers for Medicare and Medicaid Services (CMS) announced a major shift in federal policy that would allow states to request permission to establish, and test the impact of, work and community engagement requirements for able-bodied adults receiving Medicaid health insurance coverage. In the last five months, work requirement proposals have been approved in four states; formal applications have been submitted by seven more; and a number of others are preparing proposals.1 In April, the Michigan State Senate took the first step toward establishing work requirements by passing Senate Bill 897. The Michigan House of Representatives…
At the start of 2018, the U.S. Centers for Medicare and Medicaid Services announced a major shift in federal policy that would allow states to request permission to establish, and test the impact of, work and community engagement requirements for able-bodied adults receiving Medicaid health insurance coverage. In the last three months, work requirement proposals have been approved in three states; formal applications have been submitted by seven more; and a number of others are preparing proposals.3 In early March, Michigan state senators took the first step toward preparing a work requirement proposal of their own by introducing Senate Bill 897.…
The Bipartisan Budget Act was signed into law on February 9, 2018. While the main purpose of the legislation is to temporarily fund the federal government through March 23, 2018, it also includes an agreement to raise the caps on domestic and military spending for the next two years. The legislation includes many health care policies, as well. The major policies are described below. To read the full brief, click on the image.