Gov. Rick Snyder is proud of the substantial changes he and lawmakers made to Michigan's health care landscape in 2013.
Almost a half-million low-income adults will qualify for government health insurance through an expansion of Medicaid. An overhaul of Blue Cross Blue Shield is creating a nearly $1.6 billion health endowment fund.
More low-income children are eligible for dental coverage.
Snyder gives his fourth State of the State address in January and unveils his budget proposal in February. But the Republican governor who likes to move in "dog years" told The Associated Press he's dialing back expectations of major legislative achievements before the November election.
One focus in the new year will be how mental health care is provided and how to divert mentally ill from jail.