Michigan hospitals have stymied several attempts to pass laws that would require them to report hospital-acquired infections. Since 2005, lawmakers have introduced four bills to force hospitals to report infection data to the state. Another two bills would have created a commission to recommend best practices on eliminating the infections. None ever made it to the governor's desk. They received pushback from hospitals and their trade organizations, which have deep pockets for lobbying. The Michigan Health and Hospital Association was the state's fifth-highest spender in 2013, more than $500,000, exceeding other well-known spenders such as the Michigan Education Association, Blue Cross and Blue Shield and DTE Energy Co.