Micah started with the state nursing board as an intern in 2009 and has held the position of Deputy Executive and Legislative Director since 2014. He is deeply involved in the development of Washington State and national policies on telemedicine and continuity of care, Artificial Intelligence, practitioner health, international medical graduates, and implementation of health profession compacts. Micah routinely consults and presents around the state, nationally and internationally, on these issues.

Micah participates in multiple industry groups including the Council of Licensure, Enforcement, and Regulation (CLEAR), on which he served as Chair administrative and legislative committees. He served his third and final term on the CLEAR Board of Directors for the 2022-2024 term. He was the Program Committee Chair for the September 2018 international educational conference in Philadelphia, PA and the Program Committee Chair for the 2020 CLEAR conference in Seattle, WA, which was adapted to the first ever virtual conference offering by CLEAR. He is also active in the Center for Telehealth and e-Health law (CTeL), a technology agnostic think tank based in Washington, D.C. 

Micah served as a member of the Federation of State Medical Boards (FSMB) workgroup on Marijuana and Medical Regulation and practitioner use policies, both of which were adopted by the House of Delegates in 2016. He served on the FSMB audit committee for 2016-2018 and is a member of the Board Executive Advisory Committee for 2017-2024, which is tasked with revising the FSMB model medical practice act. He was also named to the Digital Credentialing and Innovation Committee with FSMB for 2022-2023. 

He holds a Master of Public Administration with an emphasis in health policy and successfully completed the Certified Public Manager program through University of Washington in 2014. He spends his free time with family that live locally, playing guitar with various groups, camping, hiking, and trying to keep current on events related to technology, music, health care, and politics.