Medicaid and Other State Priorities

Michigan's 2018 Other Priorities

Medicaid

  • Ensure that all Healthy Michigan Products include full tobacco cessation programs and coverage for those programs. Under the Affordable Care Act all A and B rated services by the U.S. Preventive Services Task Force (USPSTF) are required to be covered, including the A rated services for tobacco use interventions.
  • The Centers for Disease Control lists cancer as a chronic condition. In the Healthy Michigan Plan, cancer is not listed as a chronic condition.  Cancer needs to be listed as a chronic condition in the Healthy Michigan Plan and in Medicaid so cancer patients receive the same cost savings as other patients with chronic diseases.

Cancer prevention and early detection

  • Skin cancer is the most common type of cancer in the United States, with melanoma as one of the most common cancers diagnosed among young adults. Ultraviolet (UV) radiation exposure during childhood and adolescence increases the risk factor for a skin cancer diagnosis as an adult. Melanoma is the most deadly form of skin cancer and the fourth most common cancer among young people aged 15-29 years and the third most common in those aged 25-29 years.  Tanning before age 35 increases the risk of melanoma by 59 percent and using a tanning bed increases basal and squamous cell carcinomas by 29 percent and 67 percent respectively. Rates increase even more when they are used before age 25. ACS CAN supports legislative and regulatory initiatives to protect the public from increased skin cancer risk associated with exposure to ultraviolet radiation emitted by indoor tanning facilities. More specifically, based on a review of the best science currently available, ACS CAN supports initiatives that would prohibit minors, aged 18 and under, from using indoor tanning facilities, ensure tanning salons are properly regulated, ensure enforcement provisions are in place and make sure consumers are properly informed about the risk of using indoor tanning devices prior to use.

Nutrition and physical activity

  • Childhood obesity has continued to be an epidemic in Michigan and there are a variety of well-documented health-related issues associated with childhood obesity including an increased risk of cancer.  ACS CAN will support initiatives that promote better nutrition, physical activity, and improved fitness as a cancer prevention strategy.