- Supreme Court Puts Brakes on Abortion Pill Restrictions
- Why state dental boards are scrutinizing DSOs
- 6 dental leadership moves to know
- Dr. Paul Jacobs installed as president of the American Academy of Dental Sleep Medicine
- AI is finding cancer earlier. Are systems ready for what comes next?
- UPMC to buy system from CommonSpirit, enter Ohio: 6 things to know
- Ohio hospital pilots AI alerts for heart care
- Medical group updates pediatric critical care staffing standards
- Marshall Health Network inks historic jersey patch deal
- Judy Faulkner: Why Epic has only lost 1 customer
- The real AI gap in healthcare isn’t intelligence
- Fitch downgrades MemorialCare’s rating
- Georgia VA hospital ends inpatient services, shifts to ambulatory care center
- Physician executive to lead Penn Medicine’s Doylestown Health
- Does private practice have a growth ceiling?
- The next phase of the GLP-1 boom
- 3 physician practice, clinic closures in 1 month
- Louisiana hospital adds gastroenterology services
- Child Mind Institute names chief clinical officer
- Texas ASC operator names COO
- ECU Health performs 1st colorectal surgeries in North Carolina with da Vinci robot
- The costly mistakes ASC leaders make before they sell
- How 3 policies threaten ASCs’ anesthesia stability
- UMass Memorial behavioral health provider to lay off 78 employees
- The most overlooked issue in dentistry
- 10 spine surgeons shaping the future of ASC growth
- Massachusetts dental practice opens new $3.5M facility
- Patients of shuttered dental practice receive $1M+ in refunds
- Acadia Healthcare revenue rises 7.6% as net income dips: 6 notes
- New York hospital expands behavioral health capacity to 60 beds
- Real estate firm acquires 2 ASCs leased to United Digestive
- FDA Green Lights Expanded Access to Pancreatic Cancer Drug, Daraxonrasib
- Cleveland Clinic to establish pediatric behavioral health program
- New Hampshire methadone clinic operator faces federal scrutiny
- North Carolina weighs dental board reform bill
- 9 dentists making headlines
- ASCQS releases second annual ASC quality survey
- American Hospital Association, West Health Institute partner to help health systems scale new tech
- Alignment CEO expects short delay for CMS' proposed risk adjustment changes
- WakeMed Health's plans to join Atrium Health face swift pushback from NC officials
- Online Misinformation Adding To Americans' Skin Cancer Risk, Survey Finds
- How Headspace fully automates complex eligibility workflows with AI agents
- Medtronic’s Updated Mitral Valve, Mosaic Neo, Gets FDA approval
- Medtronic’s Updated Mitral Valve, Mosaic Neo, Gets FDA approval
- Social Media Videos, Easy Access Raise Risk of Teen Inhalant Use
- Staff Statement Regarding Pooled Employer Plans
- SCOTUS temporarily restores online access to abortion pill after appeals court ruling
- SCOTUS temporarily restores online access to abortion pill after appeals court ruling
- Sonire Therapeutics Initiates First U.S. Clinical Study of Ultrasound-Guided HIFU Therapy for Pancreatic Cancer
- Sonire Therapeutics Initiates First U.S. Clinical Study of Ultrasound-Guided HIFU Therapy for Pancreatic Cancer
- Edwards Lifesciences Shares Ten-Year Pivotal Data Supporting Long-Term Durability of Resilia Tissue
- Edwards Lifesciences Shares Ten-Year Pivotal Data Supporting Long-Term Durability of Resilia Tissue
- Nearly half of reproductive age women with Medicaid coverage live in states restricting abortion: KFF
- 'Fitspirational' Posts Can Be More Harmful Than Motivational, Review Concludes
- CDMO Samsung Biologics estimates $102M impact stemming from ongoing union strike
- After March cuts, Novartis trims another 60 roles at US headquarters
- Parents’ Stress Tied to Children’s Mental Health, New Survey Finds
- Surgeon Multitasking Increases Death Risk Of Organ Transplantees
- Bristol Myers Squibb ties science to soccer in World Cup campaign voiced by Ali Krieger
- When Natural Disasters Strike, Another Crisis Hits Those Recovering From Opioid Addiction
- HHS’ Healthy Food Agenda Puts Hospitals on Notice About Patients’ Meals
- She Survived 2 Shootings. Research Helps Explain Why Her Pain Persists Years Later.
- Amgen channels another $300M into US outlay, bolstering Puerto Rico biologics expansion
- Journalists Share Latest on Baby Formula Safety, Estrogen Patches, and Postcancer Costs
- 12 new behavioral health study findings to know
- Prevention Efforts Increasingly See Suicide Through a Broader Lens
- California dental hygiene program placed on probation, accreditation at risk: 5 notes
- US depression rate remains near record high: Gallup
- FDA Recalls Several Ghirardelli Powdered Beverages Over Potential Contamination
- Yale receives $10M for youth mental health
- FDA hands Pfizer, Arvinas’ Veppanu early approval for breast cancer subtype
- High-Intensity Exercise After Breast Cancer Surgery Helps Speed Recovery
- Omada signs on with Optum Rx's GLP-1 management program
- Trump Offers Third Candidate For Surgeon General After Pulling Dr. Casey Means' Nomination
- Industry Voices—Value-based care won the policy argument. Now it has to deliver
- Senators introduce clean extension to cost-based payments for some rural hospitals
- Beth Israel Lahey Health taps Heidi for system-wide AI scribe rollout
- Johnson & Johnson Enters Agreement to Acquire Atraverse Medical
- Johnson & Johnson Enters Agreement to Acquire Atraverse Medical
- enVVeno Medical Receives FDA IDE Approval for Non-Surgical Replacement Venous Valve
- enVVeno Medical Receives FDA IDE Approval for Non-Surgical Replacement Venous Valve
- Medtronic Gains CE Mark for Stealth AXiS surgical system
- Medtronic Gains CE Mark for Stealth AXiS surgical system
- Medtronic Continues Cardiovascular Care Growth with Completion of CathWorks Acquisition
- Medtronic Continues Cardiovascular Care Growth with Completion of CathWorks Acquisition
- Cleveland Clinic taps startup Luminai to test how AI can run hospital operations
- Look out Rexulti, Axsome's Auvelity has its nod for Alzheimer's agitation
- Cardio drug developer Esperion to go private in potential $1.1B buyout by ArchiMed
- Union workers at Korean CDMO Samsung Biologics kick off strike
- Summit's PD-1xVEGF interim trial miss surprises analysts, shares tumble
- Who do Americans believe have the most influence in healthcare?
- Health Tech Weekly Rundown: Sage launches Tasking for senior care workflows; St. Luke’s taps Auxira Health for cardiologist support
- Confusion Continues Over Age To Start Breast Cancer Screening, Survey Finds
- Senses, Not Muscles, Key to Speech Recovery After Stroke
- Antibiotics Not Linked To Celiac Disease Risk, Study Argues
- Common Knee Surgery Doesn't Help, Might Actually Make Things Worse, Clinical Trial Reports
- States Rush To Figure Out How To Enforce Trump's Medicaid Work Requirements
- Delays in Visa Program Threaten Placement of Hundreds of Doctors in Underserved Areas
- Gavin Newsom, Early Champion of Single-Payer, Moderates in the Face of Fiscal Limits
- A pivotal time for an RNA pioneer
- Repatha sales help Amgen overcome Prolia biosimilar hits in 1st quarter
- Novo Nordisk’s Rybelsus officially retired in US as ‘Ozempic pill’ takes branding center stage
- Verastem launches ‘Reimagine’ campaign to move ovarian cancer drugs into earlier lines
- FDA Permits Expanded Access for Investigational Pancreatic Cancer Drug Daraxonrasib
- From Prototype to Production: Building a Validation Strategy That Scales with Manufacturing Volume
- From Prototype to Production: Building a Validation Strategy That Scales with Manufacturing Volume
- Managing AI in Medical Technology: From Innovation to Compliance
- Managing AI in Medical Technology: From Innovation to Compliance
- Fierce Pharma Asia—Sun’s $11.75B Organon buy; Astellas’ Xtandi peak; BeOne’s PD-1xVEGF bet
- Seven Things Every Medical Device Manufacturer Must Know Before Integrating AI
- Seven Things Every Medical Device Manufacturer Must Know Before Integrating AI
- DOJ launches West Coast Health Care Strike Force to target fraud in Arizona, Nevada, Northern California
- Tenet Healthcare met Q1's volume curveballs with 'old-fashioned discipline'
- FDA expectations create potential friction in new Form 483 response guidance
- Trump pulls surgeon general nomination of Casey Means, names Nicole Saphier as new pick
- New Medical Guidelines Urge More Fiber, Less Bathroom Scrolling on Your Phone
- Sleep and Anxiety Medications in Pregnancy Appear to Pose Little Harm
- Functional medicine provider Parsley Health now in-network nationwide
- Lilly touts 'encouraging' early days for Foundayo obesity launch, even as GLP-1 pill appears to lag Novo's
- BMS 'well prepared' for Camzyos competition as revenue from new products overtakes legacy portfolio
- Merck's growth products Winrevair, Ohtuvayre trending in opposite directions
- Trump's Medicaid Work Mandate Debuting in Nebraska to Much Dismay
- Nasal Spray Flu Vaccines Create 'Battlefield' In Adults' Noses
- Prehabilitation Slashes Post-Op Complications By Half, Review Says
- Understanding Emotions Could Be Key To Quelling Chronic Pain
- Meth Caused 1 In 6 Heart Attacks Over A Decade, Study Finds
- When Natural Disasters Strike, Another Crisis Hits Those Recovering From Opioid Addiction
- States Rush To Figure Out How To Enforce Trump’s Medicaid Work Requirements
- Cigna to exit ACA market, pursue strategic alternatives for eviCore unit
- Rising Stars: Axplora’s Arsalan Khan gets technical on marketing
- Merck bats for heart disease awareness with new baseball-inspired campaign
- Orchestrating Affordability: The Critical New Role of the Health Plan
- The Case for a More Proactive Payment Integrity Program
- AI Tool May Help Identify ADHD in Kids Long Before Typical Diagnosis
- FDA Moves to Real-Time Clinical Trial Patient Monitoring, Faster Drug Review
- Dementia Screening Safe For Families, Trial Finds
- Online Program Soothes Post-Trauma Stress In Injured Children
- Mental Defeat Can Worsen Chronic Pain, Researchers Say
- Pooled Umbilical Cord Blood Boosts Stem Cell Transplant Success, Trial Finds
- Saving Lives by Changing Lives: The Next Frontier in Suicide Prevention
- Trump’s Medicaid Work Mandate Debuting in Nebraska to Much Dismay
- Secret to Surviving 'Perfect Mom' Posts on Social Media Revealed
- Remarks at the Small Business Capital Formation Advisory Committee Meeting
- Getting All Your Ducks in a Row to IPO: Remarks at the Small Business Capital Formation Advisory Committee Meeting
- Remarks to the Small Business Capital Formation Advisory Committee
- CDC Warns of Antibiotic-Resistant Salmonella in Backyard Flocks
- Florida Delays Children's Health Insurance Expansion as Uninsured Rate Rises
- Daylight Saving Time Fails to Boost Daily Steps, Study Finds
- Metabolic Syndrome Tied To Cancer Risk
- Mail-In Colon Cancer Test Kits Offer Affordable Screening
MDHHS' half assed management of SNAP is about to cost the State of Michigan real money. Why State AG Dana Nessel is suing USDA to keep Michigan's SNAP data secret and force eligibility for illegal immigrants?
https://bridgemi.com/michigan-health-watch/michigan-set-to-lose-millions-under-trump-snap-reforms/
Michigan set to lose millions under Trump SNAP reforms
By Eli Newman - December 16, 2025
- Michigan could lose hundreds of millions of federal dollars under changes for the Supplemental Nutrition Assistance Program
- The federal government will penalize states that report a SNAP error rate of 6% or more
- Michigan’s latest error rate is at 9.53% and the state health department is working to reduce it
Michigan may have to shell out upwards of $320 million to provide food aid to residents as new rules kick in for the federal government’s Supplemental Nutrition Assistance Program, or SNAP.
Under President Donald Trump’s One Big Beautiful Bill Act, starting in the 2028 fiscal year, the federal government will require states to cover at least 5% of the cost of SNAP benefits if they make too many mistakes, either through overpaying benefits or underpaying.
Under the new law, the federal government will penalize states that report a SNAP error rate of 6% or more.
Michigan’s SNAP error rate was 9.53% in the 2024 fiscal year, according to the US Department of Agriculture, while the national average was 10.93%. Only nine states had SNAP error rates less than 6%.
How much the state would have to pay would rise depending on the error rate. At Michigan’s 2024 rate of 9.53%, the state would have to cover 10% of SNAP costs, or more than $320 million.
As a “worst case scenario,” Michigan would see a $481 million penalty to the state’s current SNAP benefits, David Knezek, chief operating officer of the Michigan Department of Health and Human Services, testified Tuesday at a state Senate appropriations subcommittee meeting.
If the error rate is anywhere above the federal threshold, the state would need to provide a minimum 5% cost share, totalling $160 million under recent figures.
Michigan paid $3.2 billion in SNAP benefits in the past fiscal year. A pause in the program during the federal government shutdown earlier this year wreaked havoc on hundreds of thousands of state residents who rely on government food assistance.
“We’ve seen the error rate decrease over the last five years. We want to continue on that trend,” Knezek told the Senate subcommittee.
Separate from instances of fraud and technical glitches, the state’s reported errors are driven by both households that apply for SNAP and the state agencies that handle their forms.
Knezek said the state will likely see an additional $95 million increase in administrative costs starting in the 2027 fiscal year due to federal restructuring of funding.
Michigan’s budget allocates $15 million to MDHHS to review and improve its SNAP error rate. Knezek said there are several factors driving the “root cause” of error, including applicants reporting changes in earned income, fluctuations in household members and the monitoring of unearned income.
MDHHS Chief Operating Officer David Knezek speaks before a state Senate subcommittee Dec. 16. (Screenshot)
The department has eight initiatives to reduce future error, Knezek said, including improvements in information technology and the state’s MI Bridges benefits platform.New work requirements for SNAP under the One Big Beautiful Bill Act took effect at the beginning of December. The Michigan League for Public Policy says most beneficiaries in the state already have a working family member, and the Trump-era policy is expected to lead to coverage loss and increased tax payer burden. The state estimates it will cost $75 million annually to implement the new work requirements.
Michigan may or may not reduce our SNAP error rate below the 6% threshold but, regardless, MDHHS will have to cough up an additional $ 95 million to cover administrative costs starting in FY 2027 (October of this year):
Federal food assistance changes taking $95M bite out of Michigan budget
By Lauren Gibbons - February 2, 2026
- Federal changes will add an estimated $95 million to state costs of covering food assistance for 1.4 million Michigan residents
- Additional SNAP costs could add another wrinkle to state budget talks as Whitmer administration prepares recommendations
- Bipartisan state and local government groups are calling on Congress to delay implementation of the SNAP changes approved last year
As Michigan officials prepare to dive into budget negotiations, major federal changes to how food assistance is funded are poised to increase costs for the state by nearly $100 million in the next fiscal year.
Starting in October 2026, state governments will be on the hook for 75% of the costs for administering food assistance to low-income residents through the Supplemental Nutrition Assistance Program (SNAP), which currently benefits 1.4 million Michiganders.
That means Gov. Gretchen Whitmer’s administration — set to deliver budget recommendations to lawmakers on Feb. 11 — will need to factor in an estimated $95 million expense to fully cover staffing and training, technology, fraud control and other operational costs previously split with the federal government.
“This is an ongoing future cost,” said Liz Farmer, a fiscal policy expert and senior officer at The Pew Charitable Trusts, whose research shows states’ collective SNAP costs could eventually rise to $15 billion annually.
In addition to coming up with the additional cash to run the program, Michigan and other states will likely have to consider whether spending more on SNAP system improvements now would be more cost-effective than paying penalties for administrative errors later, Farmer said.
“One-time moves will get you one-time results.”
For now, the federal government will continue to cover the full cost of SNAP benefits. But that could change in future years: Under President Donald Trump’s One Big Beautiful Bill Act, the federal government will require states to cover 5% or more of SNAP benefit costs starting in the 2028 fiscal year if the state reports too many mistakes.
Under the new law, the federal government will penalize states that report a SNAP error rate of 6% or more. Michigan’s SNAP error rate was 9.53% in the 2024 fiscal year, slightly lower than the national average of 10.93%. Calculated at the 2024 rate, the state would have to cover 10% of SNAP costs, or more than $320 million.
What’s changing this year
Historically, the federal government has shared SNAP costs with states, covering benefits and splitting the costs of getting those funds to recipients.
Starting in October, changes authorized under Trump’s “big, beautiful” law will increase state costs to a 75%-25% split with the federal government.
It cost a total of $382.7 million in administrative costs to run the SNAP program in Michigan in fiscal year 2024. Assuming no major changes, the Michigan Department of Health and Human Services is estimating administrative costs will go up from $191.4 million to $287 million under the new law, a $95 million increase.
Bipartisan groups like the National Governors Association and the National Conference of State Legislatures are also petitioning the federal government to hold off on the biggest reforms until states have a chance to make adjustments.
In a Jan. 8 letter addressed to congressional leaders, groups representing a multitude of state and local governments nationwide recommended delaying SNAP benefit and administrative cost shares until fiscal year 2030, citing “significant operational disruption” caused by the new measures and the recent federal government shutdown that paused assistance for many SNAP recipients last fall.
“Ultimately, we fear that the compounding effects of these developments could put SNAP in jeopardy across the country if states and counties do not receive some form of relief,” they wrote.
Looming future costs?
The biggest change for states is set to come in fiscal year 2028, when the federal government is set to begin penalizing any state with an error rate above the federal threshold of 6%. Only nine states currently operate under that threshold.
In a “worst case scenario,” Michigan would see a $481 million penalty, David Knezek, chief operating officer of the Michigan Department of Health and Human Services, testified during a December Senate appropriations subcommittee meeting.
If the error rate is anywhere above the federal threshold, the state would need to provide a minimum 5% cost share, totaling $160 million under recent figures.
State officials cite several factors driving the “root cause” of error, including applicants reporting changes in earned income, fluctuations in household members and the monitoring of unearned income.
Knezek told lawmakers at the time that the error rate has decreased in the last five years and said the department hopes to “continue on that trend,” citing initiatives to reduce future error that include improvements in information technology and the state’s MI Bridges benefits platform.
Farmer, the Pew Charitable Trusts fiscal policy expert, said many states are currently exploring making additional investments in SNAP administrative costs this budget cycle that are “centered mostly around reducing their error rates.”
“What we’re seeing now is a combination of states looking to just straight up cover that cost, cover that funding loss from the federal government, but also ways in which to make their programs more effective and efficient,” Farmer said.
Under pressure
The looming federal changes come as the Whitmer administration and Michigan lawmakers prepare to enter negotiations for the next budget cycle, where they’ll have at least $1 billion less to work with than previously anticipated, according to the latest state revenue projections.
Earlier this month, State Budget Director Jen Flood told reporters that officials “will have some tough decisions to make next year” as the state’s General Fund is expected to fall from just under $14.5 billion in the 2025 fiscal year to $14.1 billion in 2026, the current fiscal year.
The projections could complicate a budget process that was already fraught last year, as the Republican-led House, Democratic-led Senate and Gov. Gretchen Whitmer failed to finalize a deal by a constitutional deadline but passed a stopgap measure to avoid a state government shutdown.
Whitmer’s administration is scheduled to deliver budget recommendations for the coming fiscal year at the state Capitol, at which point lawmakers will begin considering the governor’s plan and craft their own proposals.
Get MHF Insights
News and tips for your healthcare freedom.
We never spam you. One-step unsubscribe.














