Legislative and Regulatory Actions

Impacting Private Equity in Health Care



In recent years, the role of private equity in health care has come under scrutiny from regulators and policymakers because of concerns about potential impact on the cost and quality of care. Recent legislative and regulatory actions at both federal and state levels aim to address these concerns and regulate the influence of private equity in health care. This update provides an overview of some recent health law developments and their potential impacts.

 

Federal Legislative Actions

Health Over Wealth Act[1]

Introduced July 25, 2024, by Senator Edward Markey (D-MA) and Rep. Pramila Jayapal (D-WA), this legislation would increase transparency and accountability for private equity firms in health care. The Act would require annual reporting to the Department of Health and Human Services (HHS) on various financial and operational metrics. It also would mandate private equity firms to obtain a license from HHS for health care transactions, with the potential for license revocation for non-compliance. Finally, the Act would enhance protections for workers and includes provisions for escrow accounts to ensure operational continuity in case of financial disruptions.

 

Additionally, under the Health Over Wealth Act, private equity-owned health care facilities must inform the public and allow for public comments before closing or reducing services. The Act also proposes the creation of an HHS task force to examine the influence of private equity and consolidation in the health care sector, potentially limiting their roles to safeguard public health. Moreover, health care entities looking to sell or lease property to real estate investment trusts (REITs) would need to seek HHS approval, which could be denied if the transaction threatens the financial stability of the entity or public health. Finally, the legislation also aims to eliminate tax loopholes for REITs.

 
Read More Here

Continuing the Fight Against "Fail First" Policies: Your Voice Matters



The Michigan for Patient Access team wants to express their appreciation to all who have actively supported H.B. 5339, the critical legislation aimed at ending harmful “fail first” or step therapy policies. These policies often delay patients’ access to the treatments their doctors prescribe, requiring them to try and fail on less effective options before getting the care they need. While the summer months typically see a lull in legislative activity, it’s vital that we keep the momentum going. Our collective voices can make a significant impact in ensuring H.B. 5339 progresses in the fall.


Why This Matters Now

Securing a hearing for H.B. 5339 this fall is a pivotal step in advancing the bill. A hearing would bring us closer to protecting countless Michiganders from the negative consequences of step therapy, which can lead to prolonged suffering and suboptimal health outcomes.


How You Can Help

We urge you to take a moment to reach out to members of the House Insurance Committee. Your advocacy is crucial in encouraging them to schedule a hearing for H.B. 5339 at the earliest opportunity. Below, you’ll find the contact information for each committee member—please consider making your voice heard.

Together, we can drive this important legislation forward and ensure that

all patients have timely access to the treatments they need.

Members of the House Insurance Committee

Residents Urged to Protect Themselves from Mosquito Bites


Oakland County Health Division is urging residents to protect themselves from mosquito bites after three birds and the county’s first mosquito pool of 2024 have tested positive for West Nile virus (WNV). No confirmed human cases of WNV have occurred in the county this year.

“These test results mean that West Nile Virus is present in Oakland County and the best way to prevent getting diseases spread by mosquitoes is to avoid being bitten,” said Leigh-Anne Stafford, Oakland County’s director of Health & Human Services. “As we enjoy outdoor events in summer and fall, it’s important to protect ourselves against mosquito bites.”

Read More Here
 

Renew for a Stronger Tomorrow

It's Membership Renewal Time


The Michigan State Medical Society and Oakland County Medical Society defends against threats to your ability to deliver high-quality patient care. We work tirelessly to ensure Michigan physicians remain strong, empowered and secure. In an ever-changing health care environment, your representation is more important than ever. We can’t do our work without support and participation from physicians like you.


We help you succeed in your practice by providing relevant programs tailored to your professional and personal needs. Join your peers and gain access to a network of fellowship and engagement. Elevate your voice and defend your profession.






Click Here to Renew Your Membership
 

THANK YOU FOR YOUR MEMBERSHIP AND SUPPORT of OCMS

The Oakland County Medical Society has been one of the leading physician medical associations for legislative action and community outreach since 1831. OCMS works together with the Michigan State Medical Society to optimize patient, physician, and community well-being through professional support; public health activism; and advocacy for excellence in patient care.

 

Oakland County Medical Society

30700 Telegraph Road, Suite 3445

Bingham Farms, MI 48025

248-792-7062

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