SENATE BILL No. 1255

 

 

May 9, 2006, Introduced by Senators GEORGE, JOHNSON, STAMAS, GARCIA, CROPSEY, JELINEK, HARDIMAN, BROWN, McMANUS, GOSCHKA, BISHOP, CASSIS, KUIPERS and PATTERSON and referred to the Committee on Appropriations.

 

 

 

     A bill to amend 1939 PA 280, entitled

 

"The social welfare act,"

 

(MCL 400.1 to 400.119b) by adding section 105b.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

     Sec. 105b. The department shall seek appropriate amendments to

 

the medicaid state plan and shall apply for any necessary federal

 

waiver of medicaid requirements to allow the department of

 

community health to do all of the following:

 

     (a) Use medicaid funds to create incentives for individual

 

medical assistance recipients who practice specified positive

 

health behaviors. The incentives described in this subdivision may

 

include, but are not limited to, expanded benefits and positive or

 

negative incentives relating to premiums, co-pays, or benefits.


 

     (b) Allow the department of community health to create pay-

 

for-performance incentives for contracted medicaid health

 

maintenance organizations. The medicaid health maintenance

 

organization contracts would include incentives for meeting health

 

outcome targets for chronic disease states and patient compliance

 

targets established by the department of community health.

 

     (c) Allow the department of community health to establish a

 

preferred provider program for durable medical equipment. The

 

preferred provider program for durable medical equipment would

 

require participation from the department of community health, the

 

contracted medicaid health maintenance organizations, and provider

 

organizations. The department of community health shall ask that

 

the federal waiver waive the any-willing-provider requirement for

 

medicare-medicaid dual enrollees to allow the state to create a

 

preferred provider list for durable medical equipment.

 

     (d) Prove financial support for electronic health records

 

including e-prescribing web-based medical records and other health

 

information technology initiatives using medicaid funds.