Letter To Sen. Jim Runestad
Letter To Sen. Jim Runestad
Letter To Sen. Jim Runestad
DANA NESSEL
ATTORNEY GENERAL
Thank you for the opportunity to review the concerns you and seven of your
colleagues raised in your February 23, 2021 request for an investigation. When
COVID-19 first reached the United States in 2020, there was no national strategy in
place to contain it. State and local officials, healthcare professionals, and other front-
line workers were left to coordinate their own responses to the virus based on
incomplete and ever-changing information, and with scarce resources.
It has been just over one year since the first confirmed case of COVID-19 here
in Michigan. Even now, we are learning more about this virus every day. But one
thing was clear early on: COVID-19 posed a particularly severe threat to our elderly
and other vulnerable populations, and protecting them would require swift action.
The threat of COVID-19 is far from over, but so far Michigan has risen to the
challenge. Our COVID-19 case rate is well below the national average, 1 and a recent
study by the University of Michigan School of Public Health found that the State’s
aggressive response to the virus likely saved thousands of lives. 2
1 Centers for Disease Control and Prevention, COVID Data Tracker: COVID-19 Case Rate in the US
Reported to the CDC, by State/Territory (cases per 100,000), https://covid.cdc.gov/covid-data-
tracker/#cases_casesper100k.
2 University of Michigan, Strict Public Health Measures During Holidays Likely Saved Lives in
in our state’s nursing homes. Specifically, your letter requests that I investigate four
points:
1. The processes and policies that may have contributed to the spread of
the virus among our most vulnerable nursing home residents across the
state;
3. Compliance with all Center for Disease Control (CDC) guidelines and
reporting requirements; and
In any event, bad policy alone would not be grounds for an investigation by my
office. As the governors of each state grappled with an unprecedented public health
emergency, they were forced to make quick decisions with imperfect information to
protect residents of long-term care facilities. States took similar but varying
approaches to address this issue and it is likely that as epidemiologists and other
experts study the pandemic, they will find variability in efficacy from state-to-state.
The suggestion that these public health policy decisions, by themselves, should be
investigated because different approaches could have resulted in fewer deaths is
3Center for Health and Research Transformation, CHRT Report Evaluates Michigan’s COVID-19
Nursing Home Strategy and Provides Recommendations for Future Approaches, Sep. 8, 2020,
https://chrt.org/publication/chrt-releases-report-evaluating-michigans-nursing-home-strategy-and-
providing-recommendations-for-future-approaches/.
4 Id.
Senator Jim Runestad
Page 3
March 15, 2021
You also raise concerns regarding the accuracy of data reported by the
Governor’s administration, but again have provided no specific allegations of
wrongdoing. The bulk of your accusations are anecdotal references to differences in
reporting by individual (and unidentified) long-term care facilities. You claim that
those differences exist in part because the State has not required nursing homes to
report COVID-19 deaths of patients who are transferred to a hospital before they pass
away. That is not correct. For example, MDHHS reporting guidelines for skilled
nursing facilities issued on October 21, 2020 incorporate federal guidelines that
instruct facilities to “include residents who died in another location, such as a
hospital,” when reporting COVID-19 deaths. 6
More fundamentally, though, your letter does not articulate how or why these
reporting differences may be evidence of conduct warranting investigation. Indeed,
there is no information in your letter to distinguish your observations from anything
more than good faith reporting errors—if errors at all. If reporting guidance from the
state or federal governments has been confusing or incomplete, an investigation by
the state’s top law enforcement official is not the appropriate remedial mechanism to
improve policy in this regard.
You also reference the August 26, 2020 request to the Governor from the U.S.
Department of Justice. Your letter comes as New York’s governor faces serious
allegations that, in response to a similar request from the DOJ, his administration
falsified data to downplay the number of COVID-19 deaths in nursing homes. Reports
allege that his staff doctored the numbers to avoid a potential federal investigation.
That conduct very well could merit criminal charges, and New York Attorney General
Letitia James appropriately launched an investigation.
5 ABA Standards for Criminal Justice: Prosecutorial Investigations (3d ed), Standard 2.1.
6 MDHHS, COVID-19 Reporting: Data Collection Instructions for Skilled Nursing Facilities, Oct. 21,
2020, https://www.michigan.gov/documents/mdhhs/MDHHS_SNF_COVID-
19_Data_Collection_Instructions_691456_7.pdf.
Senator Jim Runestad
Page 4
March 15, 2021
Your letter also requests that I investigate compliance with all CDC guidelines
and reporting requirements. Again, you do not specify what CDC guidelines and/or
reporting requirements you are concerned about, nor how you believe they have been
violated. Even if behavior contrary to CDC guidance is identified, there is no criminal
penalty under Michigan law for such a violation. Thus, an investigation by my office
is not the appropriate mechanism for an inquiry of the nature you have described in
your letter.
*****
Though I will not hesitate to act when justified, I also will not abuse the
investigatory powers of this Department to launch a political attack on any state
official, regardless of party or beliefs. Law enforcement officials have an ethical duty
to “resist political pressure intended to influence the conduct, focus, duration or
outcome of a criminal investigation,” and to “limit the political impact” of an
investigation “without regard to the official’s personal political beliefs or
affiliations.” 9 I appreciate that you and your colleagues have policy disagreements
with Governor Whitmer’s response to COVID-19. But an investigation by my office
is not the mechanism to resolve those disagreements. You have provided insufficient
indicia that any law has been violated and thus no investigation is warranted at this
time.
Sincerely,
Dana Nessel
Attorney General