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Government Advocacy Services


The skilled nursing profession is intricately linked to state government. Providers are funded through Medicaid and Medicare appropriations and are one of the most highly regulated professions, operating under the guidance of more than 1,000 state and federal regulations. Skilled nursing care remains and continues to be a core government responsibility to its senior citizens. Because of this relationship, HCAM uses a variety of tools and activities in working with state government officials, several of which are provided below.

Review HCAM's Legislative Tracking Document
HCAM tracks numerous bills introduced in the Michigan Legislature that impact our profession. Many of the bills we become directly involved with by working with bill sponsors to have languaged changed or testifying before committees.
Read More - 2019-2020 Session

HCAM/MCAL 2019-2020 Key Legislators
HCAM works closely with Michigan Legislators.  Get to know our key legislators - Updated Feb. 2019  Read More

Year End Report to the Legislature - Thankful for Compassionate Care
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Review HCAM's Legislative Directory
The directory lists contact information for House and Senate members as well as committee listings that directly impact our profession.
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View Bills Introduced in the Michigan Senate and House of Representatives
Visit to view and track all legislation introduced by our state senators and representatives. Detailed analysis is included as well as other helpful information impacting state government.

Legislative Updates
Review updates sent to our state Senators and Representatives on current budgetary, regulatory and legislative issues impacting our profession.
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Find Your Elected Official
By typing in your street address or zip code you can find the contact information for your elected officials.
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Michigan Skilled Nursing Facilities, the Minimum Data Set, and the MI Choice Waiver Program: An Analysis and Implications for Policy
The Health Care Association of Michigan commissioned Public Sector Consultants (PSC) to complete a study of the critical issues and trends that will affect the future of long term care in Michigan. Of particular interest is the question of whether significant numbers of nursing facility residents could or should be transitioned to home or other community-based setting either to lower Medicaid costs or for other reasons. In addition, the study looks at CMS data on the characteristics of Medicaid beneficiaries served in Michigan nursing facilities. It examines information on clients of the MI Choice waiver program through a survey of participants. It takes a look at recently released Michigan 2010 U.S. Census Bureau data related to age and it identifies current issues in long term care. Please click HERE for a copy of the report.

Legislative Guide to Today’s Nursing and Rehab Facility
Please take a moment to view the “Legislative Guide to Today’s Nursing Facility.” This guide will familiarize you with today’s skilled nursing and rehab facility. View the sections on how we are funded, regulated and the dramatic changes that have evolved in our profession over the past decade. This is an excellent tool to use when meeting with your local elected officials.

Michigan Center for Assisted Living • a division of Health Care Association of Michigan | MCAL
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