JCAR PACKAGE WRITTEN  
COMMENTS/DHHS RESPONSE-ALS  
NAME OF PERSON PROVDING  
COMMENTS  
ORGANIZATION  
RULE NUMBER  
COMMENT  
DHHS RESPONSE  
Doris Allen; William Allen, M;, Sheri  
Mark-Slaim RN, JD, President; Hilary  
King; Christina Clark; Jon Gerych;  
James Hiller, J.D.; Clifford Lampe,  
Ph.D.; Paula Morning-Carter;  
University of Michigan-ALS General Comment  
Center of Excellence  
The National Advisory Board of the ALS DHHS in support of the written comments.  
Center of Excellence at  
Michigan Medicine/University of  
Michigan is writing this letter in full  
support of the state of Michigan moving  
forward in making ALS a  
Scott Pranger; Lisa Rosenberg;  
Brian Roth, D.O.; John Scarbrough.  
Comment sent by Mike Ritter, U of M.  
reportable disease through a formal  
registry, and with Rule Set 2022-13  
HS. We believe that the data collected  
by this registry will assist ALS  
physicians and ALS researchers in  
Michigan in their mission to find  
identifiable risk factors for the disease,  
leading to possible effective  
treatments or prevention. Each member  
of this Board has had ALS touch  
their lives in a personal way, so we are  
very aware of the devastation of  
this disease and lack of effective  
treatments to date.  
Without data collected by the MDHHS,  
we will not know where clusters  
of disease may be occurring, what  
elements these cases have in common,  
and where  
Ximena Arcila-Londono, MD  
Director,  
ALS Directors at Various General Comment  
Medical Facilities  
As directors of the major ALS Clinics in DHHS is in support of the written  
the State of Michigan, we are writing to comments.  
convey our strongest support for making  
amyotrophic lateral sclerosis (ALS) a  
reportable disease in Michigan. ALS is a  
debilitating neurodegenerative disease  
that involves progressive loss of motor  
neurons that control voluntary muscle  
function. Its unrelenting and ultimately  
fatal nature requires evolving  
Harry J. Hoenselaar ALS Clinic  
Henry Ford Health Neuroscience  
Brian Callaghan, MD, MS  
Director, Multidisciplinary ALS Clinic  
VA Ann Arbor Health System  
Michelle Crooks, MD  
Medical Director, Bronson  
Neuroscience Bronson  
Stephen Goutman, MD, MS  
Director, Pranger ALS Clinic  
University of Michigan Medicine  
Melanie Taylor, MD  
Director, Hauenstein Neurosciences  
ALS Clinic  
multidisciplinary support as the disease  
advances, but barriers to acquiring this  
multidisciplinary care have a significant  
impact on quality of life for all impacted  
by ALS.  
Trinity Health  
Paul Twydell, DO  
Director, ALS Clinic  
Neurosciences Integrated Care  
Campus-Beltline  
Corewell Health Medical Group  
Comment sent by Mike Ritter, U of M  
January 23, 2025  
To the Michigan Department of Health and Human Services,  
As directors of the major ALS Clinics in the State of Michigan, we are writing to convey our strongest  
support for making amyotrophic lateral sclerosis (ALS) a reportable disease in Michigan. ALS is a  
debilitating neurodegenerative disease that involves progressive loss of motor neurons that control  
voluntary muscle function. Its unrelenting and ultimately fatal nature requires evolving multidisciplinary  
support as the disease advances, but barriers to acquiring this multidisciplinary care have a significant  
impact on quality of life for all impacted by ALS.  
The data collected by the Michigan Department of Health and Human Services through an ALS registry  
will provide critical insight into the clinical care needs for individuals with ALS by helping us understand  
how currently available resources are being utilized and by identifying whether there are underserved  
areas where access to the required multidisciplinary care is lacking. This knowledge will inform improved  
care management and have considerable benefits for both those affected by ALS and their caregivers.  
Notably, the scientific advances made possible by having a comprehensive registry of individuals in our  
state can likewise enable much-needed diagnostic, prognostic, and therapeutic breakthroughs as well as  
inform potential prevention strategies.  
Once again, we offer our utmost support for making ALS a reportable disease in Michigan. If there is  
anything else we can do to help facilitate this endeavor, please let us know.  
Sincerely,  
Ximena Arcila-Londono, MD  
Director, Harry J. Hoenselaar ALS Clinic  
Henry Ford Health Neuroscience  
Stephen Goutman, MD, MS  
Director, Pranger ALS Clinic  
University of Michigan Medicine  
Melanie Taylor, MD  
Brian Callaghan, MD, MS  
Director, Hauenstein Neurosciences ALS Clinic  
Trinity Health  
Director, Multidisciplinary ALS Clinic  
VA Ann Arbor Health System  
Michelle Crooks, MD  
Medical Director, Bronson Neuroscience  
Bronson  
Paul Twydell, DO  
Director, ALS Clinic  
Neurosciences Integrated Care Campus-Beltline  
Corewell Health Medical Group  
OF EXCELLENCE  
ALS CENTER  
MICHIGAN MEDICINE  
N
OF MICHIGA  
UNIVERSITY  
January 23, 2025  
Directors  
Board of  
R.N., J.D.  
Sheri Mark-Slaim,  
President  
Human Services,  
of Health and  
Department  
To the Michigan  
at  
Center of Excellence  
of the ALS  
Michigan Medicine/University  
Board  
National Advisory  
The  
Ritter, M.D.  
Michael  
Director  
Managing  
in full  
a
letter  
ALS  
is writing this  
of Michigan  
in making  
moving forward  
Michigan  
the state of  
support of  
reportable  
Members:  
Set 2022-13  
Rule  
with  
registry, and  
a formal  
collected by  
researchers  
through  
the data  
disease  
that  
ALS  
will assist  
this registry  
We believe  
Doris Allen  
HS.  
to find  
effective  
had ALS  
in their mission  
in Michigan  
and ALS  
physicians  
identifiable  
treatments  
M.D.  
William Allen,  
Christina Clark  
Jon Gerych  
to possible  
Board has  
disease, leading  
for the  
Each member  
factors  
risk  
or prevention.  
way,  
touch  
of  
of this  
the devastation  
are very aware of  
so we  
treatments  
in a personal  
and lack of  
lives  
their  
this disease  
to date.  
effective  
J.D.  
James Hiller,  
Hilary King  
clusters  
in common,  
or preventing  
where  
have  
know  
these cases  
at for monitoring  
we will not  
what elements  
by the MDHHS,  
collected  
data  
Without  
of disease  
and where  
ALS.  
may be occurring,  
be centered  
should  
efforts  
Ph.D.  
Clifford Lampe,  
Paula Morning-Carter  
Scott Pranger  
if  
riting or emails  
letter w  
with further  
support  
to  
happy provide  
beneficial.  
We are  
Lisa Rosenberg  
Sincerely,  
D.O.  
Brian Roth,  
John Scarbrough  
Sheri Mark-Slaim RN, JD, President  
Doris  
Allen  
Office  
Science Research Bldg.  
Biomedical  
Place  
I09 Zina Pitcher  
5017 BSRB  
Hilary  
King  
William  
MD  
Allen,  
I09  
phone  
fax  
Ann Arbor. MI 48  
(734) 763-7274  
(734) 763-7275  
Jon Gerych  
John Scarbrough  
Christina Clark  
Brian Roth, DO  
Scott Pranger  
James  
Hiller, JD  
Clifford  
Lampe, PhD  
From:  
To:  
Subject:  
Date:  
FW: Updated letters of support for ALS Rules Set 2022-13 HS  
Wednesday, February 12, 2025 9:06:25 AM  
Attachments:  
UpdatedUM ALS BofD Letter to State of MI1_25final.pdf  
UpdatedClinicDirectorLettertoState1_25.pdf  
From: Ritter, Mike <[email protected]>  
Sent: Thursday, January 23, 2025 12:50 PM  
To: Anderson, Beth E. (DHHS) <[email protected]>; MDHHS-AdminRules <MDHHS-  
AdminRules@michigan.gov>  
Subject: Updated letters of support for ALS Rules Set 2022-13 HS  
CAUTION: This is an External email. Please send suspicious emails to abuse@michigan.gov  
Good morning,  
Attached are the two letters of support for the forum for public comment – for the  
Administrative Rules for ALS Reporting (Rule Set 2022-13 HS) – for February 12, 2025.  
One is from the 6 ALS Clinic medical directors in the state of Michigan  
The other is from our entire Michigan Medicine National Advisory Board  
Thank you for your consideration,  
Mike Ritter MD  
D. Michael Ritter MD  
MANAGING DIRECTOR | ALS Center of Excellence at Michigan Medicine and the Neuronetwork for Emerging  
Therapies  
Michigan Medicine | Department of Neurology  
300 North Ingalls Street Room NI3D02 Ann Arbor, Michigan 48109  
Phone: (734) 936-0996 | [email protected]du  
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