Rick Pluta

The state Senate Health Policy Committee has approved a measure that allows health care providers and insurance companies to deny patients medical treatments if they have a moral objection.

Committee approval puts the bill in line for a vote by the full Senate.

Republican state Senator John Moolenaar says there is an exception in the bill if a patient faces a medical emergency.

“If there was an emergency, health care services would be provided regardless of violations of conscience. In the case of a specific person, no person would be denied services based on personal characteristics.”

Moolenar says that ensures health care providers cannot discriminate against particular patients.

State Senator Rebekuh Warren is a Democrat who sits on the Senate Health Policy Committee.

She says patients facing a health crisis could still be denied services in some cases. She says that’s why she voted against the bill.

“This would allow health insurance payers, whole healthcare systems, hospital systems, doctors’ offices, medical schools, educational institutions to cloak themselves in a conscientious objection and refuse to give treatment, even emergency treatment, to people who need care.”

A health care professional who refuses to offer a service would have to refer patients to to a provider who does offer the treatment. The full state Senate could vote on the measure when it returns from a two-week spring break. 

Michigan already allows health professionals to refuse to provide abortions.

A state House subcommittee has stripped a provision from a budget bill to expand Michigan’s Medicaid program.

The money to add more than 400 thousand people to Medicaid would come from the federal government under the new national healthcare law.

Some Republicans say they don’t trust Washington to keep that promise or that they want to see some changes to Medicaid before they’ll support it.

Roger Martin is the spokesman for a coalition of businesses and healthcare providers that supports the expansion. He says concerns that the federal government will eventually cut off the money is unfounded.

“I can’t name one instance where the federal government has made a promise in law, that was affirmed by the U.S. Supreme Court, the Congress and the president had, and then pulled the plug on. I can’t name one. So basically I think it’s a Trojan horse argument.”

Governor Rick Snyder says he expects the Legislature will ultimately accept federal money to expand Michigan’s Medicaid program

“This is just a part of the legislative process. There are usually some challenges. But, again, the track record’s good about overcoming barriers. Do you get everything you want? Not necessarily, but you work hard and achieve the goals that really count – relentless positive action.”

Governor Rick Snyder called for the Medicaid expansion in his new budget proposal. He considers the subcommittee action a temporary setback.

Last year, Michigan enacted a law that requires insurance companies to cover childhood autism treatments.

Today, the Michigan Department of Community Health will roll out its autism coverage plan.

There are about 50,000 people in Michigan with autism.  It’s a disorder that effects communication and social skills.

The path of emergency management in Detroit is packed with political peril and promise (we decided to be quite alliterative this week). As Joe Biden once said, “This is a big deal.”

An Emergency Manager for the state’s largest city: It’s big. It’s complicated. Success would be sweet, but it’s certainly not guaranteed.

You could say Governor Rick Snyder now owns the city of Detroit, or at least its problems. And yet, his fate -  his political fate, the fate of his aspiration to be the governor who finally fixes Detroit - is now in the hands of someone else: Kevyn Orr. Orr was named Emergency Manager yesterday afternoon in Detroit. Orr’s success or failure will be Rick Snyder’s success or failure.

There’s already been a lot of talk about what this means for Rick Snyder’s future as he gets ready to run for reelection next year. And opinions are mixed. One take: The governor looks assertive and he’s taking action, which helps him regardless of the result. The other side: He’s taking a big risk and can be tagged as a failure if Detroit isn’t showing some real improvement by next spring or summer.

Here’s what’s difficult about any analysis of this situation: Ceteris paribus. It’s a common Latin phrase that economists use. It means “all things being equal.” And any analysis of any individual situation has to assume there’s some stability in the circumstances surrounding it. And in politics that’s not the case. Ever. There are always moving parts that are forcing other moving parts into new directions.

A Republican state lawmaker wants school officials to justify employee contracts that could be used to skirt Michigan’s new right-to-work law.

The right-to-work law takes effect March 28. It allows workers to opt out of paying union dues and fees, but it cannot supersede existing contracts.

School officials in some Michigan districts have negotiated concessions with unions in exchange for dues arrangements that last as long as 10 years.

Schools have used the negotiations to get concessions on salaries and work rules.

State Representative Tom McMillin (R-Rochester Hills) is calling school officials before his oversight committee.

He says he wants them to prove taxpayers are getting their money’s worth out of the contracts.

He just called officials from Warren Consolidated Schools before his committee for a hearing in two weeks, but he cannot compel anyone to show up.

Earlier Taylor school officials declined to appear.

Wayne State University has yet to answer his request to have officials come before his committee to explain its employee contracts.