New drug showing up in illicit drug supply

New drug showing up in illicit drug supply

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Press Release


FOR IMMEDIATE RELEASE: June 6, 2024

CONTACT: Lynn Sutfin, 517-241-2112, [email protected]

New drug showing up in illicit drug supply,
resulting in overdose deaths across Michigan

LANSING, Mich. – The Michigan Department of Health and Human Services is warning Michigan residents about medetomidine, a new drug identified in overdose deaths.  

Medetomidine is a veterinary tranquilizer, similar to xylazine, that can cause adverse effects including slowed heart rate, low blood pressure and decreases in brain and spinal cord activity. It is not approved for use in people. 

According to data provided by the Swift Toxicology of Opioid Related Mortalities (STORM) project at Western Michigan University Homer Stryker M.D. School of Medicine, since March, three overdose deaths have identified medetomidine during postmortem toxicology testing. The deaths occurred in Ingham, Berrien and Wayne counties. In addition to medetomidine, testing also identified fentanyl and other potent manufactured drugs. 

MDHHS is particularly concerned about this drug for the following reasons: 

  • Medetomidine can cause central nervous system depression and death.
  • Like xylazine, medetomidine is not reversed by medications such as naloxone or Narcan.
  • Unlike xylazine, testing strips are not yet available to detect this particular drug.

“Medetomidine is considered more potent than xylazine and we want to make sure Michigan residents are aware of this new and dangerous drug showing up in overdose deaths in our state,” said Dr. Natasha Bagdasarian, chief medical executive. “Even though naloxone doesn’t directly reverse the effects of medetomidine or xylazine, these tranquilizers are usually found in combination with opioid drugs like fentanyl, that can be reversed. For this reason, we continue to urge individuals who use drugs and their loved ones to carry naloxone to prevent overdose.” 

MDHHS is urging local substance use disorder organizations, health care providers and harm reduction agencies to take the following actions: 

  • Raise awareness and promote harm reduction practices – medetomidine like xylazine may be increasingly found in the illicit drug supply. Layer harm reduction strategies to lessen the risk of overdose: take it slow, use less, carry naloxone, do not use alone, monitor breathing, etc. 
  • As with xylazine, give rescue breaths in case of respiratory depression.
    • “To give rescue breaths to adults, make sure the person’s airway is clear; place one hand on the person’s chin, tilt the head back, and pinch the nose closed. Place your mouth over the person’s mouth to make a seal and give two slow breaths. Watch for the person’s chest (but not the stomach) to rise and follow up with one breath every 5 seconds” (What You Should Know About Xylazine | Drug Overdose | CDC Injury Center).
  • Distribute naloxone as well as fentanyl and xylazine test strips – Organizations can request free naloxone from MDHHS to increase capacity. Connect individuals with more ways to access naloxone: order online at nextdistro.org/Michigan and have it delivered at no cost; get it at a pharmacy (Naloxone Standing Order, no prescription required); or contact a Syringe Service Program for naloxone, fentanyl and xylazine test strips, sterile needles, testing for HIV and Hepatitis C and other life-saving resources.  
  • Explore the Substance Use Vulnerability Index on the MDHHS dashboard to start conversations around gaps and barriers that may exist in your community.  

MDHHS will continue monitoring STORM and other rapid data sources and will share information as it becomes available. Agencies aware of any medetomidine-involved overdoses or exposures since January 2024 are asked to share this information at MDHHS-MODASurveillance@Michigan.gov

OC Juneteenth Event Spotlights Underground Railroad

OC Juneteenth Event Spotlights Underground Railroad

Oakland County’s Juneteenth Event Spotlights Underground Railroad

Post Date:06/06/2024 1:18 PM

Juneteenth

  • Oakland County has four official Underground Railroad sites: Birmingham, Farmington, Royal Oak, and Southfield with a local historian advocating for a fifth in Pontiac.
  • Juneteenth festivities are open to the public and will run from 11 a.m. to 1:30 p.m. on Wednesday, June 12 near the south entrance of the Oakland County Circuit Court building at 1200 N. Telegraph Road in Pontiac.
  • Speakers include County Executive Dave Coulter, Michigan Secretary of State Jocelyn Benson, and Oakland County Commissioners Angela Powell, Yolanda Smith-Charles, and Linnie Taylor.

Pontiac, Mich. ­–  The Underground Railroad, a secret network of people and safe places used by enslaved Black people to escape to freedom, is the focus of Oakland County’s second annual Juneteenth celebration on Wednesday, June 12 on the south side of the county’s Circuit Court building in Pontiac.

The public and news media are invited to attend the ceremony, which will culminate in the raising of the Juneteenth flag, to mark the official end of slavery in the United States on June 19, 1865.

Carol Bacak-Egbo, historian for Oakland County Parks and Recreation, will weave together the story of the Parker family who escaped slavery from Wood County, Va. They used the Underground Railroad to make the dangerous trek to freedom, concluding in Pontiac. The Parkers were founding members of the Newman African Methodist Episcopal Church and are buried in unmarked graves in Oak Hill Cemetery, which is highlighted on a keepsake card featuring the family’s story that will be handed out during the event.

“Juneteenth is a powerful reminder of the struggle for freedom and equality, and this year’s celebration in Oakland County will highlight the courageous efforts of the Underground Railroad, including its significant stops within our community,” County Executive Dave Coulter said. “Together, we honor the legacy of those who sought liberty and those who aided in their journey to freedom.”

Joining Coulter during the festivities will be Michigan Secretary of State Jocelyn Benson; Oakland County Commissioners Angela Powell, Yolanda Smith-Charles, and Linnie Taylor; Chief Diversity, Equity & Inclusion Officer Harry Weaver; and Sheriff’s Office Capt. Melissa McClellan.

“It’s an honor to once again be part of the county’s celebration of our community, culture, history and dedication to moving forward,” Powell said. “Juneteenth is a new holiday for some, and I look forward to taking part in an event that recognizes the experiences that form Oakland County and create a vibrant place to call home.”

Oakland County has four sites that are part of the National Parks Service’s “Network to Freedom,” which features fully-documented historic locations connected to the Underground Railroad:

  • Abolitionist Elijah S. Fish and freedom-seeker George B. Taylor burial sites at Greenwood Cemetery in Birmingham
  • Abolitionist Nathan Power burial site at the Quaker Cemetery in Farmington
  • Freedom-seekers Henry and Elizabeth Hamer’s final resting place in Royal Oak Cemetery
  • Southfield Reformed Presbyterian Church, which was committed to the anti-slavery cause, abolitionism, and aiding formerly enslaved persons on their journey to Canada

Bacak-Egbo is working with the Oakland History Center and other local historians to nominate Pontiac’s Oak Hill Cemetery to be the fifth Oakland County “Network to Freedom” location.

New this year, donations may be dropped off to support Forgotten Harvest to assist in providing families in our local community with fresh and nutritious food free of charge. Items include nutritious snacks – dried fruits, nuts, trail mix and granola bars, pasta, canned soup, peanut butter, and more. A full listing can be found on our website.

Entertainers will include a choir, drummers and dancers, and storytellers. Attendees can experience diverse and sumptuous flavors from around the world with food trucks including Fork in Nigeria, Seoul Rolls on the Go, and Flavors of Jamaica.

Oakland County’s Juneteenth event will run from 11 a.m. to 1:30 p.m. on June 12 by the south entrance of the court building at 1200 N. Telegraph Road in Pontiac. The formal program begins at noon. Parking is available in the lot off County Center Drive East between the courthouse and Telegraph.

AG to Review, Contest Consumers Energy’s Rate Hike Request

AG to Review, Contest Consumers Energy’s Rate Hike Request

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FOR IMMEDIATE RELEASE:

June 6, 2024

Media Contact:
Danny Wimmer

Attorney General to Review, Contest Consumers Energy’s Latest Rate Hike Request

LANSING – Attorney General Dana Nessel filed a notice of intervention this week in Consumers Energy Company’s latest electric rate case (U-21585) before the Michigan Public Service Commission (MPSC), filed on May 31, 2024. Consumers Energy seeks a rate hike of approximately $303 million annually which, if approved, would take effect in March of 2025. Only three months ago, the MPSC approved a $92 million electric rate hike for Consumers, which took effect this March.

Consumers Energy also seeks to recover an additional $21.8 million in deferred distribution expenditures through a separate 12-month customer surcharge beginning in March 2025. If the annual rate increase is approved, it would increase rates overall by 6.5% and if the separate surcharge is also approved, the total rate increase would be 7% for the period March 2025 through February 2026.

“Our intervention in these cases is vital to ensuring corporate utilities aren’t successful in their efforts to stuff unjustifiable costs into their rate hike requests,” said Nessel.  “There are standards concerning what costs Consumers Energy, DTE, and our other utility companies are allowed to pile onto their customers’ bills in their rates and other charges. My office is working diligently to hold the utilities accountable and keep unjustified expenses off the monthly bills of ratepayers.”

Attorney General Nessel is intervening in this rate case as she does in all utility rates cases before the Commission. The Department of Attorney General’s staff, along with its experts, will carefully scrutinize the filing to ensure customers do not pay any costs that are not associated with a commensurate, quantifiable benefit to them. In Consumers Energy’s last electric rate case, the company originally sought a rate hike of $216 million, but the Commission only approved a $92 million rate increase based on the arguments made by the Attorney General and other parties. In that case, the Attorney General’s experts successfully argued that Consumers Energy’s requested rate hike was excessive and not supported on the record. The Attorney General argued Consumers’ projections and expenses were unreasonable and did not provide commensurate customer benefit. The MPSC slashed Consumers’ rate hike request by nearly 60%.

The Attorney General is currently seeking a similar 58% reduction in DTE’s latest requested gas rate hike, finding the utility included in their request unsubstantiated costs, including an attempt to pass on to customers the expenses of executive corporate jet travel. In its own ongoing gas rate case, Consumers Energy filed an application seeking a 37% increase in its residential monthly charge alongside a $136 million rate hike, and the Attorney General has argued that more than 96% of this requested sum is unjustified.

“We’re winning significant cuts to proposed bill increases when we make our case before the Commission,” Nessel added. “We will continue putting resources into scouring these rate hike requests to defend Michigan bill-payers in every rate case before the MPSC.”

Consumers Energy’s latest rate hike request is in large part predicated on implementing its $7 billion Five-Year Distribution Plan that the Attorney General previously criticized as lacking in affordability, reliability, and accountability.

Consumers Energy Company is a subsidiary of CMS Energy, headquartered in Jackson and billing approximately 1.9 million electric customers. Consumers Energy additionally sells natural gas to 1.8 million customers, which is used primarily to heat homes and businesses during the winter as well as for other uses.

Since taking office, Attorney General Nessel has helped save Michigan ratepayers more than $3 billion.

Tuned-In Thursday: “Where I’ve Been, Isn’t Where I’m Going” by Shaboozey

Tuned-In Thursday: “Where I’ve Been, Isn’t Where I’m Going” by Shaboozey

Country and rap are two genres that, on the surface, seem antithetical to each other. However, up-and-coming country-rap artist Shaboozey begs to differ. Born Collins Chibueze, Shaboozey has been making a name for himself in the music scene for over five years now, blowing up with the song “Start a Riot” with DUCKWRTH off the “Into the Spiderverse” soundtrack.

During 2024, Shaboozey skyrocketed into mainstream success when he appeared twice on Beyonce’s newest full-length album, “Cowboy Carter.” The songs “Spaghettii” and “Sweet | Honey | Buckiin’” give a look into Shaboozey’s prowess.

Beyonce and Shaboozey’s hip-hop infused country stylings have thrown some people off, it isolates the two battling demographics in the major pop music zeitgeist. Country and Rap, at least in the past five years, gave fruitlessly battled for the throne in what ‘the culture’ needs.

To get personal for a bit, I have written in other publications about the rise of bro-country and the fall of mainstream success with hip-hop. I have also in the past been very open to epic multi-genre-spanning albums (including those under the country sphere) such as Zach Bryan’s latest album, Dolly Parton’s “Rockstar” and Beyonce’s “Cowboy Carter.”

Well, my socks have been knocked-off once again by a prolific, subversive country act. Shaboozey’s “Where I’ve Been, Isn’t Where I’m Going” is one of those ‘blow-you-away’ type albums. Spanning 12 tracks and multiple different musical sub-genres, “Where I’ve Been” carefully balances country pop, americana, country rap and a surprisingly adequate take on stomp-and-holler bro-country.

“Horses & Hellcats” starts off the album pairing twangy background guitars with a foreground acoustic guitar that gives way to the husky, deep vocals of Shaboozey. The lyrics on this track create a foreboding, epic and triumphant atmosphere – perfect for an intro.

“And there’s no way out of the life that we chose/Everyone knows where it goes/Ayy, we ride palominos like they’re SRTs/Once I pick a speed, ain’t no catchin’ me,” Shaboozey sings on the chorus.

Shaboozey paints the picture of the old American West in the modern South. A story of outlaws, steeds, and regret. This opening track gives way to Shaboozey’s breakout single, “A Bar Song (Tipsy),” it’s got everything that a great modern country song needs. Clean production, dynamic lyricism, a catchy-as-hell chorus, and a charismatic lead vocalist.

Shaboozey combines classic, southern drawl with modern bro-country aesthetics not only in his lyrics, but his delivery as well.

“One, here comes the two to the three to the four/Tell ’em ‘Bring another round,’ we need plenty more/Two-steppin’ on the table, she don’t need a dance floor/Oh my, good Lord,” Shaboozey sings on “A Bar Song (Tipsy).”

This combination of great lyrics, flow, and southern delivery gives each song an authenticity that is lacking on a lot of modern country releases. You can really believe that the stories being told here are what Shaboozey has experienced in his day-to-day life, from parties to heartbreak.

This extends to a lot of the slower tracks on the album as well. Instead of a brazen bravado, Shaboozey displays a kind a soft sincerity in these ballads. “East Of The Massanutten,” “Finally Over” and “Let It Burn” are tracks you’d find playing beside the calm, embers of a recently put out fire at a friends’ campsite.

In contrast, Shaboozey really puts the ‘party’ In party tracks. “A Bar Song (Tipsy),” “Anabelle” and “Vegas” all bring a fun and enthusiastic atmosphere to the album and act as good singles.

While there are no bad tracks on this record, there are one or two tracks that do not explore one of those two pre-established atmospheres and feel lost in comparison.

“Drink Don’t Need No Mix” and “Steal Her From Me” both have that meandering quality to them, along with lyricism by Shaboozey that is not the most impressive.

“’Cause nothin’ last forever/And momma raised me better/See, these girls belong to the streets/What goes around comes around/And karma, she’ll haunt you down,” Shaboozey sings on “Steal Her From Me.”

Overall, this record from Shaboozey (not unlike a lot of subversive country records) has really impressed me and I am looking forward to see what road he will go down next.

 

Proposals to improve care in both Medicaid and Medicare

Proposals to improve care in both Medicaid and Medicare

MDHHS banner with logo no names

Press Release


FOR IMMEDIATE RELEASE: June 6, 2024

CONTACT: Lynn Sutfin, 517-2412-2112, [email protected]

MDHHS seeking proposals to improve integrated care
for beneficiaries enrolled in both Medicaid and Medicare

LANSING, Mich. – The Michigan Department of Health and Human Services (MDHHS) is seeking proposals to transition the MI Health Link demonstration program into a permanent Highly Integrated Dual Eligible Special Needs Plan, a specific type of Medicare Advantage plan designed to meet the needs of those who are dually eligible for Medicare and Medicaid.

In 2014, the Centers for Medicare & Medicaid Services (CMS) announced it was partnering with Michigan to test a new model for providing individuals who have both Medicare and Medicaid with a more coordinated, person-centered care experience. In May 2022, CMS finalized requirements for the state to transition its model program into a permanent integrated plan.

“This proposal has been developed with robust feedback from community providers and beneficiaries along with lessons learned from the MI Health Link program,” said Elizabeth Hertel, MDHHS director. “MDHHS remains committed to an improved care experience for low-income seniors and people with disabilities who are both Medicare and Medicaid enrollees.”

The Michigan Department of Technology, Management & Budget (DTMB) is managing the request for proposal (RFP) process on behalf of MDHHS. The Highly Integrated Dual Eligible Special Needs Plans RFP is posted on SIGMA Vendor-Self Service system online. To bid on proposals, all vendors must first be registered with SIGMA Vendor Self-Service. Registration is free, and information on how to register and obtain an account to bid on open solicitations is available online: DTMB – How to Register as a Vendor.

Proposals should focus on the following pillars:

  • Fostering integration and continuity of care.
  • Reducing racial disparities.
  • Improving care delivery.
  • Promoting patient autonomy and choice of health care and services.
  • Building a culture of quality.

Interested bidders are encouraged to refer to the proposal instructions for additional information regarding questions, submittal, and deadlines. Responses from bidders are due Thursday, Aug. 1. Bidders may submit written questions about the RFP through the SIGMA system by Thursday, June 20. MDHHS will post answers to bidder questions on the system by Friday, June 28.