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MCMCH LOGO       Michigan Council for Maternal and Child Health
                 Friday Notes
Friday Notes is intended to share current information, resources and notices.
If you have information or announcements that you would like to have included in the next issue forward them to MCMCH.
                    February 18, 2011
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In this issue
Governor Snyder Unveils Budget Plan
National Health Report: Good News and Bad News

Governor Snyder Unveils Budget Plan 

Governor Rick Snyder unveiled his first executive budget proposal for Fiscal Year 2012 and also for 2013. This budget reflects the Governor's goal to set a two-year budget that will bring state spending under control without the need for one-time funding fixes. The budget proposal also creates a tax system the Governor called "simple, fair and efficient" for businesses and Michigan residents.

Snyder, Lieutenant Governor Brian Calley and State Budget Director John Nixon outlined the recommendation to a joint session of the House and Senate appropriations, finance and tax
policy committees on Thursday.

As part of the efforts to reform Michigan government, the Governor also announced he will only take a $1 salary in 2011.  The combination of reforms and spending cuts closes a $1.8 billion shortfall for FY 2012.

 

The Snyder plan centers on major restructuring of Michigan's taxes, starting with the elimination of the Michigan Business Tax (MBT).  The MBT would be replaced by a flat rate Corporate Income Tax set at 6%. The Governor's plan also reduces the individual income tax rate from 4.35% to 4.25%.  In addition, the income tax base would be broadened to include earnings on private and public pensions.  All business tax credits would be eliminated completely, with only existing credits continuing until they expire.  All credits and deductions for the individual income tax would also be eliminated (including the Earned Income Tax Credit), except for the personal exemption, homestead property tax credit, and other "minor subtractions."

 

The Michigan Department of Community Health (MDCH) would receive total funding around $14 billion, of this total $2.7 billion would come from GF/GP dollars.  This figure would slightly increase in the FY 2013 projection to $14.4 billion ($2.9 billion GF/GP).  The Governor's recommendations include $9.7 billion for medical services ($1.2 billion GF/GP) and $2.2 billion ($388.5 million GF/GP) for long term care program portion of Medicaid.  This would be a 1% reduction from current FY 2011 levels.  The Governor noted that his plan would maintain Medicaid eligibility and provider reimbursement rates would be supported without any reductions.  Mental health services would be funded at $3 billion ($1.2 billion GF/GP) of that $2.7 billion ($1.1 million GF/GP) would provide community mental health services. 

 

As part of his plan for MDCH, the Governor also calls for a health insurance claims tax of 1% to be applied to all health insurers in Michigan. This would raise $400 million in revenue and replace the existing tax on Medicaid HMOs.  It is clear that without agreement on the new claims tax, the hope of Medicaid eligibility and reimbursement rates remaining unscathed could easily evaporate. 

 

Teasing out how the Governor's proposed budget impacts maternal and child health specifically is a bit of a task with line items rolled together in many instances and no explanation given for what appear to be economic adjustments with the vast majority of MCH lines decreasing, or in some cases  - surprisingly  - increasing, slightly.

A first glance at some of the more substantial proposals:

 - $300,000 reduction to the pregnancy prevention line ($5 million+ in 2008 will now be $1.3 million)  

 - $1.7 million (5 percent) reduction to local public health essential services line

 - $11 million ($3.7 million in state general fund) savings assumed by moving Childrens' Special Health  

  Care Services non-Title V eligible populations into managed care 

 - $3 million cut to hospital disproportionate share payments 

 - $22 million, almost 40 percent, reduction in graduate medical education payments   

 

The presentation today has already gotten a lot of attention and will be receiving much more.  We will keep you updated on how all of the line items that intersect with maternal and child health fare as the budget moves through the legislative process. And, as always, we will share how you can advocate for adequate resources to support the well being of women, children and families. 


The governor's recommended budget and related material are available online at www.michigan.gov/budget.
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Annual National Health Report a Mixed Bag 

HealthDay

U.S. officials this week released the annual state-of-the-nation's health report and the news is mixed, with life expectancy rates on the rise but obesity levels still climbing.

On the positive side, life expectancy was up slightly in 2007, to 77.9 years from 76.8 years at the beginning of the decade.

And while women are still ahead of the game, gender and race gaps in longevity have narrowed, according to the report, compiled by the National Center for Health Statistics, part of the U.S. Centers for Disease Control and Prevention.

"It's encouraging that life expectancy continues to increase, although at a very small pace, but as we're living longer we're living longer with disease," said Dr. Patrick Remington, associate dean for public health at the University of Wisconsin School of Medicine and Public Health in Madison. "Years added to your life expectancy are years with disease."

Perhaps even more troubling, said experts, are climbing obesity rates, with two-thirds of adults now overweight or obese, up from 29.9 percent a decade ago. While obesity rates among 2- to 5-year-olds seem to be leveling off, rates among older children and teens are still increasing, the report showed.

"The overall trend for childhood obesity is upward, which is not a good sign for future obesity, diabetes, heart disease and cancer," said Cheryl L. Perry, dean of the University of Texas School of Public Health Austin Regional Campus, part of the University of Texas Health Science Center at Houston. "There may be some hope for the younger children, but it's probably too soon to declare victory, since the 6- to 11-year-old rates also declined, but then increased substantially in the next wave."

Click here to read the full article on the report. Visit the  U.S. Centers for Disease Control and Prevention for more on the report.
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Contributors to this Issue
AHIP HI-Wire
HealthDay
Wiener Associates
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Quick Links . . .

 

Save the Date: 2011 Designing Healthy Livable Communities Conference
The 2011 Designing Healthy Livable Communities Conference will be June 6-7 at the Lansing Center and feature national
and state experts to address how the Power of Partnerships can enhance the collaborative efforts of communities and policy makers to create and maintain healthy Michigan communities. Learn more here.
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Study: Eating More Fiber Could Mean Longer Life
Eat more fiber and you just may live longer. That's the message from the largest study of its kind to find a link between high-fiber diets and lower risks of death not only from heart disease, but from infectious and respiratory illnesses as well.
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Calorie Labels Don't Affect Kids' Fast-Food Choices

Posting calorie counts of menu items at fast-food restaurants doesn't appear to inspire teenagers and parents of younger children to order less-fattening meals, new research finds.
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Experts Issue New Heart Disease Guidelines for Women
Preventing heart attacks and strokes is very similar in women and men, with a few small but important differences, according to new guidelines from the American Heart Association.

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Obesity Alone Raises Risk of Fatal Heart Attack, Study Finds
Obese men face a dramatically higher risk of dying from a heart attack, regardless of whether or not they have other known risk factors for cardiovascular disease, a new study reveals.

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Order your 2011-12 Watch Me Grow Calendars!  This 24-month calendar highlights a different program each month - offering both program information and contact information. Activities and tips for parents are also offered throughout the calendar providing information on health, safety, nutrition, and parenting. The best part is that these calendars will be available - in English and Spanish - for only $1.00 each.  Visit the website for complete information and order form.

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The Michigan Council for Maternal and Child Healthblur image MCMCH is made up of
member organizations who share a commitment to the health of
Michigan's women, children and families.
To learn more go to http://www.mcmch.org or email info@mcmch.org.

             Amy Zaagman - Executive Director - azaagman@mcmch.org
     Jennifer Gorchow - Communications Manager - jgorchow@mcmch.org 
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