FIRST CONFERENCE REPORT
The Committee of Conference on the matters of difference between the two Houses concerning
Senate Bill No. 763, entitled
Recommends:
First: That the House recede from the Substitute of the House as passed by the House.
Second: That the Senate and House agree to the Substitute of the Senate as passed by the Senate, amended to read as follows:
(attached)
Third: That the Senate and House agree to the title of the bill to read as follows:
A bill to make appropriations for the department of community health for the fiscal year ending September 30, 2015; and to provide for the expenditure of the appropriations.
_______________________ ________________________
John Moolenaar Matt Lori
_______________________ ________________________
Roger Kahn Rob VerHeulen
_______________________ ________________________
Vincent Gregory Rashida Tlaib
Conferees for the Senate Conferees for the House
SUBSTITUTE FOR
SENATE BILL NO. 763
A bill to make appropriations for the department of community
health for the fiscal year ending September 30, 2015; and to
provide for the expenditure of the appropriations.
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
PART 1
LINE-ITEM APPROPRIATIONS
Sec. 101. There is appropriated for the department of
community health for the fiscal year ending September 30, 2015,
from the following funds:
DEPARTMENT OF COMMUNITY HEALTH
APPROPRIATION SUMMARY
Full-time equated unclassified positions.......... 6.0
Full-time equated classified positions........ 3,648.1
Average population.............................. 893.0
GROSS APPROPRIATION.................................... $ 18,215,375,900
Interdepartmental grant revenues:
Total interdepartmental grants and intradepartmental
transfers............................................ 9,425,900
ADJUSTED GROSS APPROPRIATION........................... $ 18,205,950,000
Federal revenues:
Total federal revenues................................. 12,539,355,700
Social security act, temporary assistance for needy
families............................................. 18,330,400
Special revenue funds:
Total local revenues................................... 220,102,400
Total private revenues................................. 127,056,600
Merit award trust fund................................. 68,334,700
Roads and risks reserve fund........................... 60,900,000
Autism coverage fund................................... 5,500,000
Total other state restricted revenues.................. 1,926,668,800
State general fund/general purpose..................... $ 3,239,701,400
Sec. 102. DEPARTMENTWIDE ADMINISTRATION
Full-time equated unclassified positions.......... 6.0
Full-time equated classified positions.......... 190.7
Director and other unclassified--6.0 FTE positions..... $ 724,700
Departmental administration and management--180.7
FTE positions........................................ 27,088,800
Worker's compensation program.......................... 5,000,500
Rent and building occupancy............................ 10,268,900
Developmental disabilities council and
projects--10.0 FTE positions......................... 3,042,200
Human trafficking intervention services................ 200,000
GROSS APPROPRIATION.................................... $ 46,325,100
Appropriated from:
Federal revenues:
Total federal revenues................................. 15,472,900
Special revenue funds:
Total private revenues................................. 35,200
Total other state restricted revenues.................. 829,800
State general fund/general purpose..................... $ 29,987,200
Sec. 103. BEHAVIORAL HEALTH PROGRAM ADMINISTRATION
AND SPECIAL PROJECTS
Full-time equated classified positions.......... 103.0
Behavioral health program administration--102.0 FTE
positions............................................ $ 51,172,900
Gambling addiction--1.0 FTE position................... 3,003,900
Protection and advocacy services support............... 194,400
Community residential and support services............. 592,100
Federal and other special projects..................... 2,839,200
Family support subsidy................................. 18,149,900
Housing and support services........................... 13,238,800
GROSS APPROPRIATION.................................... $ 89,191,200
Appropriated from:
Federal revenues:
Total federal revenues................................. 39,567,400
Social security act, temporary assistance for needy
families............................................. 18,330,400
Special revenue funds:
Total private revenues................................. 200,000
Total other state restricted revenues.................. 3,003,900
State general fund/general purpose..................... $ 28,089,500
Sec. 104. BEHAVIORAL HEALTH SERVICES
Full-time equated classified positions............ 9.5
Medicaid mental health services........................ $ 2,323,857,900
Community mental health non-Medicaid services.......... 97,050,400
Mental health services for special populations......... 8,842,800
Medicaid substance use disorder services............... 45,867,300
CMHSP, purchase of state services contracts............ 139,465,600
Civil service charges.................................. 1,499,300
Federal mental health block grant--2.5 FTE positions... 15,445,500
State disability assistance program substance use
disorder services.................................... 2,018,800
Community substance use disorder prevention,
education, and treatment............................. 73,811,800
Children's waiver home care program.................... 21,544,900
Nursing home PAS/ARR-OBRA--7.0 FTE positions........... 12,260,600
Children with serious emotional disturbance waiver..... 12,647,900
Health homes........................................... 900,000
Healthy Michigan plan - behavioral health.............. 274,331,900
GROSS APPROPRIATION.................................... $ 3,029,544,700
Appropriated from:
Interdepartmental grant revenues:
Interdepartmental grant from the department of human
services............................................. 6,351,500
Federal revenues:
Total federal revenues................................. 1,937,773,000
Special revenue funds:
Total local revenues................................... 25,228,900
Total other state restricted revenues.................. 22,506,200
State general fund/general purpose..................... $ 1,037,685,100
Sec. 105. STATE PSYCHIATRIC HOSPITALS AND FORENSIC
MENTAL HEALTH SERVICES
Total average population........................ 893.0
Full-time equated classified positions........ 2,130.9
Caro Regional Mental Health Center - psychiatric
hospital - adult--461.3 FTE positions................ $ 56,257,100
Average population.............................. 185.0
Kalamazoo Psychiatric Hospital - adult--466.1 FTE
positions............................................ 64,409,100
Average population.............................. 189.0
Walter P. Reuther Psychiatric Hospital -
adult--420.8 FTE positions........................... 55,919,900
Average population.............................. 234.0
Hawthorn Center - psychiatric hospital - children
and adolescents--226.4 FTE positions................. 28,778,000
Average population............................... 75.0
Center for forensic psychiatry--556.3 FTE positions.... 72,695,200
Average population.............................. 210.0
Revenue recapture...................................... 750,000
IDEA, federal special education........................ 120,000
Special maintenance.................................... 332,500
Purchase of medical services for residents of
hospitals and centers................................ 445,600
Gifts and bequests for patient living and treatment
environment.......................................... 1,000,000
GROSS APPROPRIATION.................................... $ 280,707,400
Appropriated from:
Federal revenues:
Total federal revenues................................. 34,724,400
Special revenue funds:
CMHSP, purchase of state services contracts............ 139,465,600
Other local revenues................................... 19,493,800
Total private revenues................................. 1,000,000
Total other state restricted revenues.................. 18,871,300
State general fund/general purpose..................... $ 67,152,300
Sec. 106. PUBLIC HEALTH ADMINISTRATION
Full-time equated classified positions.......... 100.4
Public health administration--7.3 FTE positions........ $ 1,574,000
Health and wellness initiatives--11.7 FTE positions.... 8,950,000
Vital records and health statistics--81.4 FTE
positions............................................ 11,483,500
GROSS APPROPRIATION.................................... $ 22,007,500
Appropriated from:
Interdepartmental grant revenues:
Interdepartmental grant from the department of human
services............................................. 1,208,200
Federal revenues:
Total federal revenues................................. 3,657,000
Special revenue funds:
Total other state restricted revenues.................. 12,053,900
State general fund/general purpose..................... $ 5,088,400
Sec. 107. HEALTH POLICY
Full-time equated classified positions........... 64.8
Certificate of need program administration--12.3 FTE
positions............................................ $ 2,785,200
Emergency medical services program--23.0 FTE positions. 6,421,800
Health innovation grants............................... 1,500,000
Health policy administration--24.1 FTE positions....... 3,112,700
Michigan essential health provider..................... 3,591,300
Minority health grants and contracts................... 612,700
Nurse education and research program--3.0 FTE
positions............................................ 774,400
Primary care services--1.4 FTE positions............... 4,067,900
Rural health services--1.0 FTE position................ 1,555,500
GROSS APPROPRIATION.................................... $ 24,421,500
Appropriated from:
Interdepartmental grant revenues:
Interdepartmental grant from the department of
licensing and regulatory affairs..................... 774,400
Interdepartmental grant from the department of
treasury, Michigan state hospital finance authority.. 116,200
Federal revenues:
Total federal revenues................................. 7,994,500
Special revenue funds:
Total private revenues................................. 865,000
Total other state restricted revenues.................. 6,565,700
State general fund/general purpose..................... $ 8,105,700
Sec. 108. LABORATORY SERVICES
Full-time equated classified positions.......... 100.0
Laboratory services--100.0 FTE positions............... $ 19,043,200
GROSS APPROPRIATION.................................... $ 19,043,200
Appropriated from:
Interdepartmental grant revenues:
Interdepartmental grant from the department of
environmental quality................................ 975,600
Federal revenues:
Total federal revenues................................. 2,298,100
Special revenue funds:
Total other state restricted revenues.................. 8,993,900
State general fund/general purpose..................... $ 6,775,600
Sec. 109. EPIDEMIOLOGY AND INFECTIOUS DISEASE
Full-time equated classified positions.......... 144.9
AIDS surveillance and prevention program............... $ 1,854,100
Bioterrorism preparedness--52.0 FTE positions.......... 30,094,200
Epidemiology administration--41.6 FTE positions........ 11,845,700
Healthy homes program--8.0 FTE positions............... 4,386,200
Immunization program--12.8 FTE positions............... 15,022,300
Newborn screening follow-up and treatment
services--10.5 FTE positions......................... 6,748,800
Sexually transmitted disease control program--20.0
FTE positions........................................ 6,252,900
Tuberculosis control and prevention.................... 867,000
GROSS APPROPRIATION.................................... $ 77,071,200
Appropriated from:
Federal revenues:
Total federal revenues................................. 58,971,700
Special revenue funds:
Total private revenues................................. 338,800
Total other state restricted revenues.................. 11,110,500
State general fund/general purpose..................... $ 6,650,200
Sec. 110. LOCAL HEALTH ADMINISTRATION AND GRANTS
Full-time equated classified positions............ 2.0
Essential local public health services................. $ 40,886,100
Implementation of 1993 PA 133, MCL 333.17015........... 20,000
Local health services--2.0 FTE positions............... 537,300
Medicaid outreach cost reimbursement to local health
departments.......................................... 9,000,000
GROSS APPROPRIATION.................................... $ 50,443,400
Appropriated from:
Federal revenues:
Total federal revenues................................. 9,537,300
Special revenue funds:
Total local revenues................................... 5,150,000
State general fund/general purpose..................... $ 35,756,100
Sec. 111. CHRONIC DISEASE AND INJURY PREVENTION AND
HEALTH PROMOTION
Full-time equated classified positions........... 96.0
AIDS prevention, testing, and care programs--31.7
FTE positions........................................ $ 70,427,500
Cancer prevention and control program--12.0 FTE
positions............................................ 15,009,000
Chronic disease control and health promotion
administration--29.4 FTE positions................... 4,139,900
Diabetes and kidney program--8.0 FTE positions......... 1,893,300
Injury control intervention project.................... 1,350,000
Smoking prevention program--12.0 FTE positions......... 2,111,000
Violence prevention--2.9 FTE positions................. 1,824,000
GROSS APPROPRIATION.................................... $ 96,754,700
Appropriated from:
Federal revenues:
Total federal revenues................................. 49,169,800
Special revenue funds:
Total private revenues................................. 38,778,400
Total other state restricted revenues.................. 5,535,000
State general fund/general purpose..................... $ 3,271,500
Sec. 112. FAMILY, MATERNAL, AND CHILDREN'S HEALTH
SERVICES
Full-time equated classified positions........... 65.6
Childhood lead program--2.5 FTE positions.............. $ 1,236,200
Dental programs--3.0 FTE positions..................... 1,647,600
Dental program for persons with developmental
disabilities......................................... 151,000
Family, maternal, and children's health services
administration--46.1 FTE positions................... 7,817,800
Family planning local agreements....................... 8,310,700
Local MCH services..................................... 7,018,100
Pregnancy prevention program........................... 602,100
Prenatal care outreach and service delivery
support--14.0 FTE positions.......................... 19,685,700
Special projects....................................... 6,832,900
Sudden infant death syndrome program................... 321,300
GROSS APPROPRIATION.................................... $ 53,623,400
Appropriated from:
Federal revenues:
Total federal revenues................................. 41,805,000
Special revenue funds:
Total local revenues................................... 75,000
Total private revenues................................. 874,500
State general fund/general purpose..................... $ 10,868,900
Sec. 113. WOMEN, INFANTS, AND CHILDREN FOOD AND
NUTRITION PROGRAM
Full-time equated classified positions........... 45.0
Women, infants, and children program administration
and special projects--45.0 FTE positions............. $ 17,923,200
Women, infants, and children program local
agreements and food costs............................ 256,285,000
GROSS APPROPRIATION.................................... $ 274,208,200
Appropriated from:
Federal revenues:
Total federal revenues................................. 213,130,300
Special revenue funds:
Total private revenues................................. 61,077,900
State general fund/general purpose..................... $ 0
Sec. 114. CHILDREN'S SPECIAL HEALTH CARE SERVICES
Full-time equated classified positions........... 46.8
Children's special health care services
administration--44.0 FTE positions................... $ 5,582,100
Bequests for care and services--2.8 FTE positions...... 1,528,800
Outreach and advocacy.................................. 5,510,000
Nonemergency medical transportation.................... 1,505,900
Medical care and treatment............................. 187,931,700
GROSS APPROPRIATION.................................... $ 202,058,500
Appropriated from:
Federal revenues:
Total federal revenues................................. 106,258,400
Special revenue funds:
Total private revenues................................. 1,009,300
Total other state restricted revenues.................. 3,857,400
State general fund/general purpose..................... $ 90,933,400
Sec. 115. CRIME VICTIM SERVICES COMMISSION
Full-time equated classified positions........... 13.0
Grants administration services--13.0 FTE positions..... $ 2,128,100
Justice assistance grants.............................. 15,000,000
Crime victim rights services grants.................... 16,870,000
GROSS APPROPRIATION.................................... $ 33,998,100
Appropriated from:
Federal revenues:
Total federal revenues................................. 18,696,900
Special revenue funds:
Total other state restricted revenues.................. 15,301,200
State general fund/general purpose..................... $ 0
Sec. 116. OFFICE OF SERVICES TO THE AGING
Full-time equated classified positions........... 40.0
Office of services to aging administration--40.0 FTE
positions............................................ $ 7,600,700
Community services..................................... 39,013,900
Nutrition services..................................... 39,044,000
Foster grandparent volunteer program................... 2,233,600
Retired and senior volunteer program................... 627,300
Senior companion volunteer program..................... 1,604,400
Employment assistance.................................. 3,500,000
Respite care program................................... 5,868,700
GROSS APPROPRIATION.................................... $ 99,492,600
Appropriated from:
Federal revenues:
Total federal revenues................................. 57,534,600
Special revenue funds:
Total private revenues................................. 677,500
Merit award trust fund................................. 4,068,700
Total other state restricted revenues.................. 1,400,000
State general fund/general purpose..................... $ 35,811,800
Sec. 117. MEDICAL SERVICES ADMINISTRATION
Full-time equated classified positions.......... 495.5
Medical services administration--435.5 FTE positions... $ 79,697,800
Healthy Michigan plan administration--36.0 FTE
positions............................................ 49,353,800
Facility inspection contract........................... 132,800
MIChild administration................................. 3,500,000
Electronic health record incentive program--24.0 FTE
positions............................................ 144,233,600
GROSS APPROPRIATION.................................... $ 276,918,000
Appropriated from:
Federal revenues:
Total federal revenues................................. 233,720,400
Special revenue funds:
Total local revenues................................... 105,900
Total private revenues................................. 100,000
Total other state restricted revenues.................. 331,700
State general fund/general purpose..................... $ 42,660,000
Sec. 118. MEDICAL SERVICES
Hospital services and therapy.......................... $ 1,251,951,200
Hospital disproportionate share payments............... 45,000,000
Physician services..................................... 393,821,100
Medicare premium payments.............................. 408,503,400
Pharmaceutical services................................ 303,791,800
Home health services................................... 5,804,700
Hospice services....................................... 111,982,500
Transportation......................................... 23,288,200
Auxiliary medical services............................. 7,268,800
Dental services........................................ 200,341,500
Ambulance services..................................... 11,000,000
Long-term care services................................ 1,393,963,800
Integrated care organizations.......................... 478,495,500
Medicaid home- and community-based services waiver..... 325,318,000
Adult home help services............................... 302,440,800
Personal care services................................. 12,237,000
Program of all-inclusive care for the elderly.......... 66,672,600
Autism services........................................ 25,171,800
Health plan services................................... 4,905,539,800
Health insurer fee reserve fund........................ 87,057,500
MIChild program........................................ 71,220,100
Special indigent care payments......................... 10,000,000
Federal Medicare pharmaceutical program................ 150,883,900
Maternal and child health.............................. 20,279,500
Healthy Michigan plan.................................. 2,376,690,900
Subtotal basic medical services program................ 12,988,724,400
School-based services.................................. 112,102,700
Special Medicaid reimbursement......................... 321,831,500
Subtotal special medical services payments............. 433,934,200
GROSS APPROPRIATION.................................... $ 13,422,658,600
Appropriated from:
Federal revenues:
Total federal revenues................................. 9,656,901,100
Special revenue funds:
Total local revenues................................... 30,583,200
Total private revenues................................. 2,100,000
Merit award trust fund................................. 64,266,000
Roads and risks reserve fund........................... 60,900,000
Total other state restricted revenues.................. 1,814,320,300
State general fund/general purpose..................... $ 1,793,588,000
Sec. 119. INFORMATION TECHNOLOGY
Information technology services and projects........... $ 37,002,700
Michigan Medicaid information system................... 50,201,100
GROSS APPROPRIATION.................................... $ 87,203,800
Appropriated from:
Federal revenues:
Total federal revenues................................. 45,480,400
Special revenue funds:
Total private revenues................................. 20,000,000
Total other state restricted revenues.................. 1,988,000
State general fund/general purpose..................... $ 19,735,400
Sec. 120. ONE-TIME BASIS ONLY APPROPRIATIONS
University autism programs............................. $ 7,000,000
Autism family assistance services...................... 1,500,000
Pay for success contracts.............................. 1,500,000
Bone marrow transplant registry........................ 250,000
Child and adolescent health services................... 2,000,000
Mental health commission recommendations............... 8,962,500
Dental clinic program.................................. 4,092,300
Healthy kids dental computer project................... 3,000,000
Statewide trauma system................................ 1,300,000
Senior Olympics........................................ 100,000
GROSS APPROPRIATION.................................... $ 29,704,800
Appropriated from:
Federal revenues:
Total federal revenues................................. 6,662,500
Special revenue funds:
Autism coverage fund................................... 5,500,000
State general fund/general purpose..................... $ 17,542,300
PART 2
PROVISIONS CONCERNING APPROPRIATIONS
FOR FISCAL YEAR 2014-2015
GENERAL SECTIONS
Sec. 201. Pursuant to section 30 of article IX of the state
constitution of 1963, total state spending from state resources
under part 1 for fiscal year 2014-2015 is $5,301,104,900.00 and
state spending from state resources to be paid to local units of
government for fiscal year 2014-2015 is $1,108,135,300.00. The
itemized statement below identifies appropriations from which
spending to local units of government will occur:
DEPARTMENT OF COMMUNITY HEALTH
BEHAVIORAL HEALTH PROGRAM ADMINISTRATION
Community residential and support services............. $ 757,200
Housing and support services........................... 812,800
BEHAVIORAL HEALTH SERVICES
State disability assistance program substance use
disorder services................................... $ 2,018,000
Community substance use disorder prevention,
education, and treatment programs................... 14,553,400
Medicaid mental health services........................ 772,083,300
Community mental health non-Medicaid services.......... 97,050,400
Mental health services for special populations......... 8,842,800
Medicaid substance use disorder services............... 15,806,200
Children's waiver home care program.................... 6,056,200
Nursing home PAS/ARR-OBRA.............................. 2,725,300
PUBLIC HEALTH ADMINISTRATION
Health and wellness initiatives........................ $ 3,584,600
Health policy
Primary care services.................................. $ 413,900
LABORATORY SERVICES
Laboratory services.................................... $ 16,200
EPIDEMIOLOGY AND INFECTIOUS DISEASE
Sexually transmitted disease control program........... $ 175,200
Immunization program................................... 1,123,500
LOCAL HEALTH ADMINISTRATION AND GRANTS
Implementation of 1993 PA 133, MCL 333.17015........... $ 5,000
Essential local public health services................. 35,736,100
CHRONIC DISEASE AND INJURY PREVENTION AND HEALTH PROMOTION
AIDS prevention, testing, and care programs............ $ 1,600,100
Cancer prevention and control program.................. 94,700
Chronic disease and health promotion administration.... 12,000
FAMILY, MATERNAL, AND CHILDREN'S HEALTH SERVICES
Prenatal care outreach and service delivery support.... $ 1,500,000
CHILDREN'S SPECIAL HEALTH CARE SERVICES
Medical care and treatment............................. $ 939,700
Outreach and advocacy.................................. 2,226,000
CRIME VICTIM SERVICES COMMISSION
Crime victim rights services grants.................... $ 7,200,600
OFFICE OF SERVICES TO THE AGING
Community services..................................... $ 16,533,500
Nutrition services..................................... 10,587,000
Foster grandparent volunteer program................... 657,100
Retired and senior volunteer program................... 173,900
Senior companion volunteer program..................... 348,800
Respite care program................................... 5,115,000
MEDICAL SERVICES
Dental services........................................ $ 990,600
Long-term care services................................ 84,754,000
Transportation......................................... 1,359,300
Hospital services and therapy.......................... 2,344,700
Physician services..................................... 9,938,200
TOTAL OF PAYMENTS TO LOCAL UNITS
OF GOVERNMENT.......................................... $ 1,108,135,300
Sec. 202. The appropriations authorized under this part and
part 1 are subject to the management and budget act, 1984 PA 431,
MCL 18.1101 to 18.1594.
Sec. 203. As used in this part and part 1:
(a) "AIDS" means acquired immunodeficiency syndrome.
(b) "CMHSP" means a community mental health services program
as that term is defined in section 100a of the mental health code,
1974 PA 258, MCL 330.1100a.
(c) "Current fiscal year" means the fiscal year ending
September 30, 2015.
(d) "Department" means the department of community health.
(e) "Director" means the director of the department.
(f) "DSH" means disproportionate share hospital.
(g) "EPSDT" means early and periodic screening, diagnosis, and
treatment.
(h) "Federal poverty level" means the poverty guidelines
published annually in the federal register by the United States
department of health and human services under its authority to
revise the poverty line under 42 USC 9902.
(i) "FTE" means full-time equated.
(j) "GME" means graduate medical education.
(k) "Health plan" means, at a minimum, an organization that
meets the criteria for delivering the comprehensive package of
services under the department's comprehensive health plan.
(l) "HEDIS" means healthcare effectiveness data and information
set.
(m) "HIV" means human immunodeficiency virus.
(n) "HMO" means health maintenance organization.
(o) "IDEA" means the individuals with disabilities education
act, 20 USC 1400 to 1482.
(p) "MCH" means maternal and child health.
(q) "MIChild" means the program described in section 1670.
(r) "PAS/ARR-OBRA" means the preadmission screening and annual
resident review required under the omnibus budget reconciliation
act of 1987, section 1919(e)(7) of the social security act, 42 USC
1396r.
(s) "PIHP" means a governmental entity designated by the
department as a regional entity or a specialty prepaid inpatient
health plan for Medicaid mental health services, services to
individuals with developmental disabilities, and substance use
disorder services. Regional entities are described in section 204b
of the mental health code, 1974 PA 258, MCL 330.1204b. Specialty
prepaid inpatient health plans are described in section 232b of the
mental health code, 1974 PA 258, MCL 330.1232b.
(t) "Temporary assistance for needy families" means part A of
title IV of the social security act, 42 USC 601 to 619.
(u) "Title X" means title X of the public health service act,
42 USC 300 to 300a-8, that establishes grants to states for family
planning services.
(v) "Title XVIII" and "Medicare" mean title XVIII of the
social security act, 42 USC 1395 to 1395kkk-1.
(w) "Title XIX" and "Medicaid" mean title XIX of the social
security act, 42 USC 1396 to 1396w-5.
Sec. 204. (1) For each new program or program expansion for
which funds in excess of $500,000.00 are appropriated in part 1,
the department shall identify specific benchmarks intended to
measure the performance or return on taxpayer investment of the
program and its associated expenditures. Not later than November 1,
2014, the department shall report the proposed benchmarks to the
house and senate appropriations subcommittees for that department,
the house and senate fiscal agencies, and the state budget
director. The department shall provide an update on its progress in
achieving those benchmarks at an appropriations subcommittee
meeting called for the purpose of discussing benchmarks and their
status.
(2) It is the intent of the legislature that, beginning with
the budget for the fiscal year ending September 30, 2016, any
proposal for a new program or an expansion of an existing program
in excess of $500,000.00 initiated by the executive branch or the
legislature shall include, as part of the original proposal or
budget request, a list of benchmarks intended to measure the
performance or return on taxpayer investment of the program or
spending increase.
Sec. 206. (1) In addition to the funds appropriated in part 1,
there is appropriated an amount not to exceed $200,000,000.00 for
federal contingency funds. These funds are not available for
expenditure until they have been transferred to another line item
in part 1 under section 393(2) of the management and budget act,
1984 PA 431, MCL 18.1393.
(2) In addition to the funds appropriated in part 1, there is
appropriated an amount not to exceed $40,000,000.00 for state
restricted contingency funds. These funds are not available for
expenditure until they have been transferred to another line item
in part 1 under section 393(2) of the management and budget act,
1984 PA 431, MCL 18.1393.
(3) In addition to the funds appropriated in part 1, there is
appropriated an amount not to exceed $20,000,000.00 for local
contingency funds. These funds are not available for expenditure
until they have been transferred to another line item in part 1
under section 393(2) of the management and budget act, 1984 PA 431,
MCL 18.1393.
(4) In addition to the funds appropriated in part 1, there is
appropriated an amount not to exceed $40,000,000.00 for private
contingency funds. These funds are not available for expenditure
until they have been transferred to another line item in part 1
under section 393(2) of the management and budget act, 1984 PA 431,
MCL 18.1393.
Sec. 207. The department shall maintain, on a public
accessible website, a department scorecard that identifies, tracks,
and regularly updates key metrics that are used to monitor and
improve the department's performance.
Sec. 208. The departments and agencies receiving
appropriations in part 1 shall use the Internet to fulfill the
reporting requirements of this part and part 1. This requirement
may include transmission of reports via electronic mail to the
recipients identified for each reporting requirement, or it may
include placement of reports on the Internet or Intranet site.
Sec. 209. Funds appropriated in part 1 shall not be used for
the purchase of foreign goods or services, or both, if
competitively priced and of comparable quality American goods or
services, or both, are available. Preference shall be given to
goods or services, or both, manufactured or provided by Michigan
businesses if they are competitively priced and of comparable
quality. In addition, preference shall be given to goods or
services, or both, that are manufactured or provided by Michigan
businesses owned and operated by veterans if they are competitively
priced and of comparable quality.
Sec. 210. The director and the director of the office of
services to the aging shall take all reasonable steps to ensure
businesses in deprived and depressed communities compete for and
perform contracts to provide services or supplies, or both. The
director and the director of the office of services to the aging
shall strongly encourage firms with which the department contracts
to subcontract with certified businesses in depressed and deprived
communities for services, supplies, or both.
Sec. 211. If the revenue collected by the department from fees
and collections exceeds the amount appropriated in part 1, the
revenue may be carried forward with the approval of the state
budget director into the subsequent fiscal year. The revenue
carried forward under this section shall be used as the first
source of funds in the subsequent fiscal year.
Sec. 212. (1) On or before February 1 of the current fiscal
year, the department shall report to the house and senate
appropriations subcommittees on community health, the house and
senate fiscal agencies, and the state budget director on the
detailed name and amounts of federal, restricted, private, and
local sources of revenue that support the appropriations in each of
the line items in part 1.
(2) Upon the release of the next fiscal year executive budget
recommendation, the department shall report to the same parties in
subsection (1) on the amounts and detailed sources of federal,
restricted, private, and local revenue proposed to support the
total funds appropriated in each of the line items in part 1 of the
next fiscal year executive budget proposal.
Sec. 213. The state departments, agencies, and commissions
receiving tobacco tax funds and healthy Michigan funds from part 1
shall report by April 1 of the current fiscal year to the senate
and house appropriations committees, the senate and house fiscal
agencies, and the state budget director on the following:
(a) Detailed spending plan by appropriation line item
including description of programs and a summary of organizations
receiving these funds.
(b) Description of allocations or bid processes including need
or demand indicators used to determine allocations.
(c) Eligibility criteria for program participation and maximum
benefit levels where applicable.
(d) Outcome measures used to evaluate programs, including
measures of the effectiveness of these programs in improving the
health of Michigan residents.
(e) Any other information considered necessary by the house of
representatives or senate appropriations committees or the state
budget director.
Sec. 216. (1) In addition to funds appropriated in part 1 for
all programs and services, there is appropriated for write-offs of
accounts receivable, deferrals, and for prior year obligations in
excess of applicable prior year appropriations, an amount equal to
total write-offs and prior year obligations, but not to exceed
amounts available in prior year revenues.
(2) The department's ability to satisfy appropriation
deductions in part 1 shall not be limited to collections and
accruals pertaining to services provided in the current fiscal
year, but shall also include reimbursements, refunds, adjustments,
and settlements from prior years.
Sec. 218. The department shall include the following in its
annual list of proposed basic health services as required in part
23 of the public health code, 1978 PA 368, MCL 333.2301 to
333.2321:
(a) Immunizations.
(b) Communicable disease control.
(c) Sexually transmitted disease control.
(d) Tuberculosis control.
(e) Prevention of gonorrhea eye infection in newborns.
(f) Screening newborns for the conditions listed in section
5431 of the public health code, 1978 PA 368, MCL 333.5431, or
recommended by the newborn screening quality assurance advisory
committee created under section 5430 of the public health code,
1978 PA 368, MCL 333.5430.
(g) Community health annex of the Michigan emergency
management plan.
(h) Prenatal care.
Sec. 219. (1) The department may contract with the Michigan
public health institute for the design and implementation of
projects and for other public health-related activities prescribed
in section 2611 of the public health code, 1978 PA 368, MCL
333.2611. The department may develop a master agreement with the
institute to carry out these purposes for up to a 3-year period.
The department shall report to the house and senate appropriations
subcommittees on community health, the house and senate fiscal
agencies, and the state budget director on or before January 1 of
the current fiscal year all of the following:
(a) A detailed description of each funded project.
(b) The amount allocated for each project, the appropriation
line item from which the allocation is funded, and the source of
financing for each project.
(c) The expected project duration.
(d) A detailed spending plan for each project, including a
list of all subgrantees and the amount allocated to each
subgrantee.
(2) On or before September 30 of the current fiscal year, the
department shall provide to the same parties listed in subsection
(1) a copy of all reports, studies, and publications produced by
the Michigan public health institute, its subcontractors, or the
department with the funds appropriated in part 1 and allocated to
the Michigan public health institute.
Sec. 223. The department may establish and collect fees for
publications, videos and related materials, conferences, and
workshops. Collected fees shall be used to offset expenditures to
pay for printing and mailing costs of the publications, videos and
related materials, and costs of the workshops and conferences. The
department shall not collect fees under this section that exceed
the cost of the expenditures.
Sec. 252. The appropriations in part 1 for healthy Michigan
plan-behavioral health, healthy Michigan plan administration, and
healthy Michigan plan are contingent on the provisions of the
social welfare act, 1939 PA 280, MCL 400.1 to 400.119b, that were
contained in 2013 PA 107 not being amended, repealed, or otherwise
altered to eliminate the healthy Michigan plan. If that occurs,
then, upon the effective date of the amendatory act that amends,
repeals, or otherwise alters those provisions, the remaining funds
in the healthy Michigan plan-behavioral health, healthy Michigan
plan administration, and healthy Michigan plan line items shall
only be used to pay previously incurred costs and any remaining
appropriations shall not be allotted to support those line items.
Sec. 264. (1) Upon submission of a Medicaid waiver, a Medicaid
state plan amendment, or a similar proposal to the centers for
Medicare and Medicaid services, the department shall notify the
house and senate appropriations subcommittees on community health
and the house and senate fiscal agencies of the submission.
(2) The department shall provide written or verbal biannual
reports to the senate and house appropriations subcommittees on
community health and the senate and house fiscal agencies
summarizing the status of any new or ongoing discussions with the
centers for Medicare and Medicaid services or the federal
department of health and human services regarding potential or
future Medicaid waiver applications.
(3) The department shall inform the senate and house
appropriations subcommittees on community health and the senate and
house fiscal agencies of any alterations or adjustments made to the
published plan for integrated care for individuals who are dual
Medicare/Medicaid eligibles when the final version of the plan has
been submitted to the federal centers for Medicare and Medicaid
services or the federal department of health and human services.
(4) At least 30 days before implementation of the plan for
integrated care for individuals who are dual Medicare/Medicaid
eligibles, the department shall submit the plan to the legislature
for review.
Sec. 266. The departments and agencies receiving
appropriations in part 1 shall prepare a report on out-of-state
travel expenses not later than January 1 of each year. The travel
report shall be a listing of all travel by classified and
unclassified employees outside this state in the immediately
preceding fiscal year that was funded in whole or in part with
funds appropriated in the department's budget. The report shall be
submitted to the senate and house appropriations committees, the
house and senate fiscal agencies, and the state budget director.
The report shall include the following information:
(a) The dates of each travel occurrence.
(b) The transportation and related costs of each travel
occurrence, including the proportion funded with state general
fund/general purpose revenues, the proportion funded with state
restricted revenues, the proportion funded with federal revenues,
and the proportion funded with other revenues.
Sec. 267. The department shall not take disciplinary action
against an employee for communicating with a member of the
legislature or his or her staff.
Sec. 270. Within 180 days after receipt of the notification
from the attorney general's office of a legal action in which
expenses had been recovered pursuant to section 106(4) of the
social welfare act, 1939 PA 280, MCL 400.106, or any other statute
under which the department has the right to recover expenses, the
department shall submit a written report to the house and senate
appropriations subcommittees on community health, the house and
senate fiscal agencies, and the state budget office which includes,
at a minimum, all of the following:
(a) The total amount recovered from the legal action.
(b) The program or service for which the money was originally
expended.
(c) Details on the disposition of the funds recovered such as
the appropriation or revenue account in which the money was
deposited.
(d) A description of the facts involved in the legal action.
Sec. 276. Funds appropriated in part 1 shall not be used by a
principal executive department, state agency, or authority to hire
a person to provide legal services that are the responsibility of
the attorney general. This prohibition does not apply to legal
services for bonding activities and for those outside services that
the attorney general authorizes.
Sec. 282. (1) The department shall work with the department of
technology, management, and budget to establish an automated annual
metric collection, validation, and reporting system for contracts
via the state's e-procurement system by September 30 of the current
fiscal year. The department shall report the status of this work
and a project plan to the house and senate appropriations
subcommittees on community health and the house and senate fiscal
agencies by November 1 and May 1 of the current fiscal year.
(2) By June 30, 2016, the automated system established in
subsection (1) shall be able to generate a report to the house and
senate appropriations subcommittees on community health and the
house and senate fiscal agencies that presents performance metrics
on all new or existing contracts at renewal of $1,000,000.00 or
more funded only with state general fund/general purpose or state
restricted resources. The performance metrics shall include, at a
minimum, service delivery volumes and provider or beneficiary
outcomes.
Sec. 287. Not later than November 30, the state budget office
shall prepare and transmit a report that provides for estimates of
the total general fund/general purpose appropriation lapses at the
close of the prior fiscal year. This report shall summarize the
projected year-end general fund/general purpose appropriation
lapses by major departmental program or program areas. The report
shall be transmitted to the chairpersons of the senate and house
appropriations committees, and the senate and house fiscal
agencies.
Sec. 288. (1) Beginning October 1 of the current fiscal year,
no less than 90% of a new department contract supported solely from
state restricted funds or general fund/general purpose funds and
designated in this part or part 1 for a specific entity for the
purpose of providing services to individuals shall be expended for
such services after the first year of the contract.
(2) The department may allow a contract to exceed the
limitation on administrative and services costs if it can be
demonstrated that an exception should be made to the provision in
subsection (1).
(3) By September 30 of the current fiscal year, the department
shall report to the house and senate appropriations subcommittees
on community health, house and senate fiscal agencies, and state
budget office on the rationale for all exceptions made to the
provision in subsection (1) and the number of contracts terminated
due to violations of subsection (1).
Sec. 292. The department shall cooperate with the department
of technology, management, and budget to maintain a searchable
website accessible by the public at no cost that includes, but is
not limited to, all of the following:
(a) Fiscal year-to-date expenditures by category.
(b) Fiscal year-to-date expenditures by appropriation unit.
(c) Fiscal year-to-date payments to a selected vendor,
including the vendor name, payment date, payment amount, and
payment description.
(d) The number of active department employees by job
classification.
(e) Job specifications and wage rates.
Sec. 296. Within 14 days after the release of the executive
budget recommendation, the department shall cooperate with the
state budget office to provide the senate and house appropriations
chairs, the senate and house appropriations subcommittees on
community health, and the senate and house fiscal agencies with an
annual report on estimated state restricted fund balances, state
restricted fund projected revenues, and state restricted fund
expenditures for the fiscal years ending September 30, 2014 and
September 30, 2015.
Sec. 297. Total authorized appropriations from all sources
under part 1 for legacy costs for the fiscal year ending September
30, 2015 are $89,124,600.00. From this amount, total agency
appropriations for pension-related legacy costs are estimated at
$449,676,000.00. Total agency appropriations for retiree health
care legacy costs are estimated at $39,448,600.00.
Sec. 298. From the funds appropriated in part 1 for the
Michigan Medicaid information system line item, $20,000,000.00 in
private revenue will be allocated for the Michigan-Illinois
alliance Medicaid management information systems project.
Sec. 299. No state department or agency shall issue a request
for proposal (RFP) for a contract in excess of $5,000,000.00,
unless the department or agency has first considered issuing a
request for information (RFI) or a request for qualification (RFQ)
relative to that contract to better enable the department or agency
to learn more about the market for the products or services that
are the subject of the RFP. The department or agency shall notify
the department of technology, management, and budget of the
evaluation process used to determine if an RFI or RFQ was not
necessary prior to issuing the RFP.
BEHAVIORAL HEALTH SERVICES
Sec. 401. Funds appropriated in part 1 are intended to support
a system of comprehensive community mental health services under
the full authority and responsibility of local CMHSPs or PIHPs in
accordance with the mental health code, 1974 PA 258, MCL 330.1001
to 330.2106, the Medicaid provider manual, federal Medicaid
waivers, and all other applicable federal and state laws.
Sec. 402. (1) From funds appropriated in part 1, final
authorizations to CMHSPs or PIHPs shall be made upon the execution
of contracts between the department and CMHSPs or PIHPs. The
contracts shall contain an approved plan and budget as well as
policies and procedures governing the obligations and
responsibilities of both parties to the contracts. Each contract
with a CMHSP or PIHP that the department is authorized to enter
into under this subsection shall include a provision that the
contract is not valid unless the total dollar obligation for all of
the contracts between the department and the CMHSPs or PIHPs
entered into under this subsection for the current fiscal year does
not exceed the amount of money appropriated in part 1 for the
contracts authorized under this subsection.
(2) The department shall immediately report to the senate and
house appropriations subcommittees on community health, the senate
and house fiscal agencies, and the state budget director if either
of the following occurs:
(a) Any new contracts with CMHSPs or PIHPs that would affect
rates or expenditures are enacted.
(b) Any amendments to contracts with CMHSPs or PIHPs that
would affect rates or expenditures are enacted.
(3) The report required by subsection (2) shall include
information about the changes and their effects on rates and
expenditures.
Sec. 403. (1) From the funds appropriated in part 1 for
mental health services for special populations, the
department may require each contractor to provide data and
information on performance-related metrics. These metrics may
include, but are not limited to, all of the following:
(a) Each contractor or subcontractor shall have a mission that
is consistent with the purpose of multicultural integration
funding.
(b) Each contractor shall validate that any subcontractors
utilized within these appropriations share the same mission as the
lead agency receiving funding.
(c) Each contractor or subcontractor shall demonstrate cost-
effectiveness.
(d) Each contractor or subcontractor shall ensure its ability
to leverage private dollars to strengthen and maximize service
provision.
(e) Each contractor or subcontractor shall provide timely and
accurate reports regarding the number of clients served, units of
service provision, and ability to meet its stated goals.
(2) The department shall require an annual report from the
contractors that receive mental health services for special
populations funding. The annual report, due 60 days following the
end of the contract period, shall include specific information on
services and programs provided, the client base to which the
services and programs were provided, information on any wraparound
services provided, and the expenditures for those services. The
department shall provide the annual reports to the senate and house
appropriations subcommittees on community health, the senate and
house fiscal agencies, and the state budget office.
(3) The department of human services and the department shall
convene a workgroup to discuss and make recommendations on
including accreditation in the contractor specifications and
potentially moving toward competitive bidding. Each contractor
required to provide data per this section shall be invited to
participate in the workgroup.
Sec. 404. (1) Not later than May 31 of the current fiscal
year, the department shall provide a report on the community mental
health services programs, PIHPs, regional entities designated by
the department as PIHPs, and managing entities for substance use
disorders to the members of the house and senate appropriations
subcommittees on community health, the house and senate fiscal
agencies, and the state budget director that includes the
information required by this section.
(2) The report shall contain information for each CMHSP, PIHP,
regional entity designated by the department as a PIHP, and
managing entity for substance use disorders and a statewide
summary, each of which shall include at least the following
information:
(a) A demographic description of service recipients which,
minimally, shall include reimbursement eligibility, client
population, age, ethnicity, housing arrangements, and diagnosis.
(b) Per capita expenditures by client population group.
(c) Financial information that, minimally, includes a
description of funding authorized; expenditures by client group and
fund source; and cost information by service category, including
administration and funds specified for outside contracts. Service
category includes all department-approved services.
(d) Data describing service outcomes that includes, but is not
limited to, an evaluation of consumer satisfaction, consumer
choice, and quality of life concerns including, but not limited to,
housing and employment.
(e) Information about access to community mental health
services programs that includes, but is not limited to, the
following:
(i) The number of people receiving requested services.
(ii) The number of people who requested services but did not
receive services.
(f) The number of second opinions requested under the code and
the determination of any appeals.
(g) An analysis of information provided by CMHSPs in response
to the needs assessment requirements of the mental health code,
1974 PA 258, MCL 330.1001 to 330.2106, including information about
the number of individuals in the service delivery system who have
requested and are clinically appropriate for different services.
(h) Lapses and carryforwards during the immediately preceding
fiscal year for CMHSPs, PIHPs, regional entities designated by the
department as PIHPs, and managing entities for substance use
disorders.
(i) Information about contracts for both administrative and
mental health services entered into by CMHSPs, PIHPs, regional
entities designated by the department as PIHPs, and managing
entities for substance use disorders with providers and others,
including, but not limited to, all of the following:
(i) The amount of the contract, organized by type of service
provided.
(ii) Payment rates, organized by the type of service provided.
(iii) Administrative costs, including contract and consultant
costs, for services provided to CMHSPs, PIHPs, regional entities
designated by the department as PIHPs, and managing entities for
substance use disorders.
(j) Information on the community mental health Medicaid
managed care program, including, but not limited to, both of the
following:
(i) Expenditures by each CMHSP, PIHP, regional entity
designated by the department as a PIHP, and managing entity for
substance use disorders organized by Medicaid eligibility group,
including per eligible individual expenditure averages.
(ii) Performance indicator information required to be submitted
to the department in the contracts with CMHSPs, PIHPs, regional
entities designated by the department as PIHPs, and managing
entities for substance use disorders.
(k) An estimate of the number of direct care workers in local
residential settings and paraprofessional and other nonprofessional
direct care workers in settings where skill building, community
living supports and training, and personal care services are
provided by CMHSPs, PIHPs, regional entities designated by the
department as PIHPs, and managing entities for substance use
disorders as of September 30 of the prior fiscal year employed
directly or through contracts with provider organizations.
(3) The department shall include data reporting requirements
listed in subsection (2) in the annual contract with each
individual CMHSP, PIHP, regional entity designated by the
department as a PIHP, and managing entity for substance use
disorders.
(4) The department shall take all reasonable actions to ensure
that the data required are complete and consistent among all
CMHSPs, PIHPs, regional entities designated by the department as
PIHPs, and managing entities for substance use disorders.
Sec. 406. (1) The funds appropriated in part 1 for the state
disability assistance substance use disorder services program shall
be used to support per diem room and board payments in substance
use disorder residential facilities. Eligibility of clients for the
state disability assistance substance use disorder services program
shall include needy persons 18 years of age or older, or
emancipated minors, who reside in a substance use disorder
treatment center.
(2) The department shall reimburse all licensed substance use
disorder programs eligible to participate in the program at a rate
equivalent to that paid by the department of human services to
adult foster care providers. Programs accredited by department-
approved accrediting organizations shall be reimbursed at the
personal care rate, while all other eligible programs shall be
reimbursed at the domiciliary care rate.
Sec. 407. (1) The amount appropriated in part 1 for substance
use disorder prevention, education, and treatment grants shall be
expended to coordinate care and services provided to individuals
with severe and persistent mental illness and substance use
disorder diagnoses.
(2) The department shall approve managing entity fee schedules
for providing substance use disorder services and charge
participants in accordance with their ability to pay.
(3) The managing entity shall continue current efforts to
collaborate on the delivery of services to those clients with
mental illness and substance use disorder diagnoses with the goal
of providing services in an administratively efficient manner.
Sec. 408. (1) By April 1 of the current fiscal year, the
department shall report the following data from the prior fiscal
year on substance use disorder prevention, education, and treatment
programs to the senate and house appropriations subcommittees on
community health, the senate and house fiscal agencies, and the
state budget office:
(a) Expenditures stratified by department-designated community
mental health entity, by central diagnosis and referral agency, by
fund source, by subcontractor, by population served, and by service
type. Additionally, data on administrative expenditures by
department-designated community mental health entity shall be
reported.
(b) Expenditures per state client, with data on the
distribution of expenditures reported using a histogram approach.
(c) Number of services provided by central diagnosis and
referral agency, by subcontractor, and by service type.
Additionally, data on length of stay, referral source, and
participation in other state programs.
(d) Collections from other first- or third-party payers,
private donations, or other state or local programs, by department-
designated community mental health entity, by subcontractor, by
population served, and by service type.
(2) The department shall take all reasonable actions to ensure
that the required data reported are complete and consistent among
all department-designated community mental health entities.
Sec. 410. The department shall assure that substance use
disorder treatment is provided to applicants and recipients of
public assistance through the department of human services who are
required to obtain substance use disorder treatment as a condition
of eligibility for public assistance.
Sec. 411. (1) The department shall ensure that each contract
with a CMHSP or PIHP requires the CMHSP or PIHP to implement
programs to encourage diversion of individuals with serious mental
illness, serious emotional disturbance, or developmental disability
from possible jail incarceration when appropriate.
(2) Each CMHSP or PIHP shall have jail diversion services and
shall work toward establishing working relationships with
representative staff of local law enforcement agencies, including
county prosecutors' offices, county sheriffs' offices, county
jails, municipal police agencies, municipal detention facilities,
and the courts. Written interagency agreements describing what
services each participating agency is prepared to commit to the
local jail diversion effort and the procedures to be used by local
law enforcement agencies to access mental health jail diversion
services are strongly encouraged.
Sec. 412. The department shall contract directly with the
Salvation Army harbor light program to provide non-Medicaid
substance use disorder services.
Sec. 418. On or before the tenth of each month, the department
shall report to the senate and house appropriations subcommittees
on community health, the senate and house fiscal agencies, and the
state budget director on the amount of funding paid to PIHPs to
support the Medicaid managed mental health care program in the
preceding month. The information shall include the total paid to
each PIHP, per capita rate paid for each eligibility group for each
PIHP, and number of cases in each eligibility group for each PIHP,
and year-to-date summary of eligibles and expenditures for the
Medicaid managed mental health care program.
Sec. 424. Each PIHP that contracts with the department to
provide services to the Medicaid population shall adhere to the
following timely claims processing and payment procedure for claims
submitted by health professionals and facilities:
(a) A "clean claim" as described in section 111i of the social
welfare act, 1939 PA 280, MCL 400.111i, shall be paid within 45
days after receipt of the claim by the PIHP. A clean claim that is
not paid within this time frame shall bear simple interest at a
rate of 12% per annum.
(b) A PIHP shall state in writing to the health professional
or facility any defect in the claim within 30 days after receipt of
the claim.
(c) A health professional and a health facility have 30 days
after receipt of a notice that a claim or a portion of a claim is
defective within which to correct the defect. The PIHP shall pay
the claim within 30 days after the defect is corrected.
Sec. 428. Each PIHP shall provide, from internal resources,
local funds to be used as a bona fide part of the state match
required under the Medicaid program in order to increase capitation
rates for PIHPs. These funds shall not include either state funds
received by a CMHSP for services provided to non-Medicaid
recipients or the state matching portion of the Medicaid capitation
payments made to a PIHP.
Sec. 435. A county required under the provisions of the mental
health code, 1974 PA 258, MCL 330.1001 to 330.2106, to provide
matching funds to a CMHSP for mental health services rendered to
residents in its jurisdiction shall pay the matching funds in equal
installments on not less than a quarterly basis throughout the
fiscal year, with the first payment being made by October 1 of the
current fiscal year.
Sec. 494. (1) Contingent upon federal approval, if a CMHSP,
PIHP, or subcontracting provider agency is reviewed and accredited
by a national accrediting entity for behavioral health care
services, the department, by April 1 of the current fiscal year,
shall consider that CMHSP, PIHP, or subcontracting provider agency
in compliance with state program review and audit requirements that
are addressed and reviewed by that national accrediting entity.
(2) By June 1 of the current fiscal year, the department shall
report to the house and senate appropriations subcommittees on
community health, the house and senate fiscal agencies, and the
state budget office all of the following:
(a) A list of each CMHSP, PIHP, and subcontracting provider
agency that is considered in compliance with state program review
and audit requirements under subsection (1).
(b) For each CMHSP, PIHP, or subcontracting provider agency
described in subdivision (a), all of the following:
(i) The state program review and audit requirements that the
CMHSP, PIHP, or subcontracting provider agency is considered in
compliance with.
(ii) The national accrediting entity that reviewed and
accredited the CMHSP, PIHP, or subcontracting provider agency.
(3) The department shall continue to comply with state and
federal law and shall not initiate an action that negatively
impacts beneficiary safety.
(4) As used in this section, "national accrediting entity"
means the joint commission on accreditation of healthcare
organizations, the commission on accreditation of rehabilitation
facilities, the council of accreditation, the utilization review
accreditation commission, the national committee for quality
assurance, or other appropriate entity, as approved by the
department.
Sec. 495. From the funds appropriated in part 1 for behavioral
health program administration, $3,350,000.00 is intended to address
the recommendations of the mental health diversion council.
Sec. 497. The population data used in determining the
distribution of substance use disorder block grant funds shall be
from the most recent federal census.
Sec. 502. (1) The department shall continue developing an
outreach program on fetal alcohol syndrome services. The department
shall report to the senate and house appropriations subcommittees
on community health and the senate and house fiscal agencies by
April 1 of the current fiscal year on efforts to prevent and combat
fetal alcohol syndrome as well as deficiencies in efforts to reduce
the incidence of fetal alcohol syndrome.
(2) The department shall explore federal grant funding to
address prevention services for fetal alcohol syndrome and reduce
alcohol consumption among pregnant women. The department shall
submit a progress report to the senate and house appropriations
subcommittees on community health and the senate and house fiscal
agencies by April 1 of the current fiscal year on efforts to secure
federal grants.
Sec. 503. The department shall notify the Michigan association
of community mental health boards when developing policies and
procedures that will impact PIHPs or CMHSPs.
Sec. 504. (1) The department shall create a workgroup to make
recommendations to achieve more uniformity in capitation payments
made to the PIHPs.
(2) The workgroup shall include but not be limited to
representatives of the department, PIHPs, and CMHSPs.
(3) The department shall provide the workgroup's
recommendations to the senate and house appropriations
subcommittees on community health, the senate and house fiscal
agencies, and the state budget director by March 1 of the current
fiscal year.
Sec. 505. For the purposes of special projects involving high-
need children or adults, including the not guilty by reason of
insanity population, the department may contract directly with
providers of services to these identified populations.
Sec. 506. No later than November 30 of the current fiscal
year, the department shall provide the house and senate
appropriations subcommittees on community health, the house and
senate fiscal agencies, and the state budget office with the most
recent cost data information submitted by the CMHSPs on how the
funds appropriated in part 1 for the community mental health
services non-Medicaid services line item were expended by each
CMHSP. At a minimum, the information must include CMHSPs general
fund/general purpose costs for each of the following categories:
administration, prevention, jail diversion and treatment services,
MIChild program, children's waiver home care program, children with
serious emotional disturbance waiver program, services provided to
individuals with mental illness and developmental disabilities who
are not eligible for Medicaid, and the Medicaid spend down
population.
STATE PSYCHIATRIC HOSPITALS AND FORENSIC MENTAL HEALTH SERVICES
Sec. 601. The department shall continue a revenue recapture
project to generate additional revenues from third parties related
to cases that have been closed or are inactive. A portion of
revenues collected through project efforts may be used for
departmental costs and contractual fees associated with these
retroactive collections and to improve ongoing departmental
reimbursement management functions.
Sec. 602. The purpose of gifts and bequests for patient living
and treatment environments is to use additional private funds to
provide specific enhancements for individuals residing at state-
operated facilities. Use of the gifts and bequests shall be
consistent with the stipulation of the donor. The expected
completion date for the use of gifts and bequests donations is
within 3 years unless otherwise stipulated by the donor.
Sec. 605. (1) The department shall not implement any closures
or consolidations of state hospitals, centers, or agencies until
CMHSPs or PIHPs have programs and services in place for those
individuals currently in those facilities and a plan for service
provision for those individuals who would have been admitted to
those facilities.
(2) All closures or consolidations are dependent upon adequate
department-approved CMHSP and PIHP plans that include a discharge
and aftercare plan for each individual currently in the facility. A
discharge and aftercare plan shall address the individual's housing
needs. A homeless shelter or similar temporary shelter arrangements
are inadequate to meet the individual's housing needs.
(3) Four months after the certification of closure required in
section 19(6) of the state employees' retirement act, 1943 PA 240,
MCL 38.19, the department shall provide a closure plan to the house
and senate appropriations subcommittees on community health and the
state budget director.
(4) Upon the closure of state-run operations and after
transitional costs have been paid, the remaining balances of funds
appropriated for that operation shall be transferred to CMHSPs or
PIHPs responsible for providing services for individuals previously
served by the operations.
Sec. 606. The department may collect revenue for patient
reimbursement from first- and third-party payers, including
Medicaid and local county CMHSP payers, to cover the cost of
placement in state hospitals and centers. The department is
authorized to adjust financing sources for patient reimbursement
based on actual revenues earned. If the revenue collected exceeds
current year expenditures, the revenue may be carried forward with
approval of the state budget director. The revenue carried forward
shall be used as a first source of funds in the subsequent year.
Sec. 608. Effective October 1 of the current fiscal year, the
department, in consultation with the department of technology,
management, and budget, may maintain a bid process to identify 1 or
more private contractors to provide food service and custodial
services for the administrative areas at any state hospital
identified by the department as capable of generating savings
through the outsourcing of such services.
PUBLIC HEALTH ADMINISTRATION
Sec. 650. By October 1 of the current fiscal year, the
department shall provide to the senate and house appropriations
subcommittees on community health a report that includes detailed
information regarding the current process by which fish consumption
advisories are created and revised. The department shall include
all of the following information in the report:
(a) The triggers to begin the process for developing the fish
consumption advisories, such as evidence of human disease, fish
residue data, and biomonitoring data.
(b) The process for developing and modifying a fish
consumption advisory, including the data inputs used, the rationale
behind the selection of particular fish for collection, whether the
process has been independently reviewed and validated by a
scientific panel or benchmarked in any way, and the reasons for the
lack of any independent review, validation, or benchmarking.
(c) The type of data specific to a particular body of water
that would be needed to modify a current fish consumption advisory,
including the data quality criteria that are used to determine if
data are suitable for use in the assessment and exclusions to
bodies of data and the justifications for such exclusions.
(d) Information on the ways stakeholder input is incorporated
into the fish consumption advisory process prior to an advisory
being issued.
(e) Information on how advisory analyses are documented,
including how uncertainty analyses are conducted and reported, with
information as to whether these evaluations are publicly available
and, if not available, an explanation of why any such evaluations
are not publicly available.
Sec. 651. The department shall work with the Michigan health
endowment fund corporation established pursuant to section 653 of
the nonprofit health care corporation reform act, 1980 PA 350, MCL
550.1653, to explore ways to expand health and wellness programs.
Sec. 654. From the funds appropriated in part 1 for health and
wellness initiatives, $1,000,000.00 shall be allocated for a school
children's healthy exercise program to promote and advance physical
health for school children in kindergarten through grade 8. The
department shall recommend model programs for sites to implement
that incorporate evidence-based best practices. The department
shall grant no less than 1/2 of the funds appropriated in part 1
for before- and after-school programs. The department shall
establish guidelines for program sites, which may include schools,
community-based organizations, private facilities, recreation
centers, or other similar sites. The program format shall encourage
local determination of site activities and shall encourage local
inclusion of youth in the decision-making regarding site
activities. Program goals shall include children experiencing
improved physical health and access to physical activity
opportunities, the reduction of obesity, providing a safe place to
play and exercise, and nutrition education. To be eligible to
participate, program sites shall provide a 20% match to the state
funding, which may be provided in full, or in part, by a
corporation, foundation, or private partner. The department shall
seek financial support from corporate, foundation, or other private
partners for the program or for individual program sites.
HEALTH POLICY
Sec. 709. (1) The funds appropriated in part 1 for the
Michigan essential health care provider program may also provide
loan repayment for dentists that fit the criteria established by
part 27 of the public health code, 1978 PA 368, MCL 333.2701 to
333.2727.
(2) From the funds appropriated in part 1 for the Michigan
essential health provider program, the department may reduce the
local and private share of the loan and repayment costs to 25% for
primary care physicians, particularly obstetricians and
gynecologists working in underserved areas.
Sec. 712. From the funds appropriated in part 1 for primary
care services, $250,000.00 shall be allocated to free health
clinics operating in the state. The department shall distribute the
funds equally to each free health clinic. For the purpose of this
appropriation, "free health clinics" means nonprofit organizations
that use volunteer health professionals to provide care to
uninsured individuals.
Sec. 713. The department shall continue support of
multicultural agencies that provide primary care services from the
funds appropriated in part 1.
Sec. 715. The department shall evaluate options for
incentivizing students attending medical schools in this state to
meet their primary care residency requirements in this state and
ultimately, for some period of time, to remain in this state and
serve as primary care physicians.
Sec. 717. (1) The department may award health innovation
grants to address emerging issues and encourage cutting edge
advances in health care including strategic partners in both the
public and private sectors.
(2) The unexpended funds appropriated for the health
innovation grants are considered work project appropriations, and
any unencumbered or unallotted funds are carried forward into the
following fiscal year. The following is in compliance with section
451a(1) of the management and budget act, 1984 PA 431, MCL
18.1451a:
(a) The purpose of the project to be carried forward is to
address emerging issues and encourage cutting edge advances in
health care including strategic partners in both the public and
private sectors.
(b) The project will be accomplished by providing incentive
grants.
(c) The estimated cost of this project phase is identified in
the appropriation line item.
(d) The tentative completion date for the work project is
September 30, 2019.
EPIDEMIOLOGY AND INFECTIOUS DISEASE
Sec. 851. (1) From the funds appropriated in part 1 for the
healthy homes program, no less than $1,750,000.00 shall be
allocated for lead abatement of homes.
(2) The department shall coordinate its lead abatement efforts
with the Michigan community action agency association, specifically
on the issue of window replacement.
Sec. 852. The department shall develop a plan designed to
improve Michigan's childhood and adolescent immunization rates. The
department shall engage organizations working to provide
immunizations and education about the value of vaccines, including,
but not limited to, statewide organizations representing health
care providers, local public health departments, child health
interest groups, and private foundations with a mission to increase
immunization rates.
LOCAL HEALTH ADMINISTRATION AND GRANTS
Sec. 901. The amount appropriated in part 1 for implementation
of the 1993 additions of or amendments to sections 9161, 16221,
16226, 17014, 17015, and 17515 of the public health code, 1978 PA
368, MCL 333.9161, 333.16221, 333.16226, 333.17014, 333.17015, and
333.17515, shall be used to reimburse local health departments for
costs incurred related to implementation of section 17015(18) of
the public health code, 1978 PA 368, MCL 333.17015.
Sec. 902. If a county that has participated in a district
health department or an associated arrangement with other local
health departments takes action to cease to participate in such an
arrangement after October 1 of the current fiscal year, the
department shall have the authority to assess a penalty from the
local health department's operational accounts in an amount equal
to no more than 6.25% of the local health department's essential
local public health services funding. This penalty shall only be
assessed to the local county that requests the dissolution of the
health department.
Sec. 904. (1) Funds appropriated in part 1 for essential local
public health services shall be prospectively allocated to local
health departments to support immunizations, infectious disease
control, sexually transmitted disease control and prevention,
hearing screening, vision services, food protection, public water
supply, private groundwater supply, and on-site sewage management.
Food protection shall be provided in consultation with the
department of agriculture and rural development. Public water
supply, private groundwater supply, and on-site sewage management
shall be provided in consultation with the department of
environmental quality.
(2) Local public health departments shall be held to
contractual standards for the services in subsection (1).
(3) Distributions in subsection (1) shall be made only to
counties that maintain local spending in the current fiscal year of
at least the amount expended in fiscal year 1992-1993 for the
services described in subsection (1).
CHRONIC DISEASE AND INJURY PREVENTION AND HEALTH PROMOTION
Sec. 1001. From the funds appropriated in part 1 for chronic
disease control and health promotion administration, $150,000.00 is
appropriated for Alzheimer's disease services and shall be remitted
to the Alzheimer's association-Michigan chapters for the purpose of
carrying out a pilot project in Macomb, Monroe, and St. Joseph
Counties. The fiduciary for the funds is the Alzheimer's
association-greater Michigan chapter. The Alzheimer's association
shall provide enhanced services, including 24/7 helpline, continued
care consultation, and support groups, to individuals with
Alzheimer's disease or dementia and their families in the 3
counties, and partner with a Michigan public university to study
whether provision of such in-home support services significantly
delays the need for residential long-term care services for
individuals with Alzheimer's disease or dementia. The study must
also consider potential cost savings related to the delay of long-
term care services, if a delay is shown.
FAMILY, MATERNAL, AND CHILDREN'S HEALTH SERVICES
Sec. 1103. By January 3 of the current fiscal year the
department shall annually issue to the legislature, and to the
public on the Internet, a report providing estimated public funds
administered by the department for family planning, sexually
transmitted infection prevention and treatment, and pregnancies and
births, as well as demographics collected by the department as
voluntarily self-reported by individuals utilizing those services.
The department shall provide the actual expenditures by marital
status or, where actual expenditures are not available, shall
provide estimated expenditures by marital status. The department
may utilize the Plan First application (Form MSA 1582), MIChild,
and Healthy Kids application (DCH 0373) or Assistance Application
(DHS 1171) or any other official application for public assistance
for medical coverage to determine the actual or estimated public
expenditures based on marital status.
Sec. 1104. (1) Before April 1 of the current fiscal year, the
department shall submit a report to the house and senate fiscal
agencies and the state budget director on planned allocations from
the amounts appropriated in part 1 for local MCH services, prenatal
care outreach and service delivery support, family planning local
agreements, and pregnancy prevention programs. Using applicable
federal definitions, the report shall include information on all of
the following:
(a) Funding allocations.
(b) Actual number of women, children, and adolescents served
and amounts expended for each group for the immediately preceding
fiscal year.
(c) A breakdown of the expenditure of these funds between
urban and rural communities.
(2) The department shall ensure that the distribution of funds
through the programs described in subsection (1) takes into account
the needs of rural communities.
(3) For the purposes of this section, "rural" means a county,
city, village, or township with a population of 30,000 or less,
including those entities if located within a metropolitan
statistical area.
Sec. 1106. Each family planning program receiving federal
title X family planning funds under 42 USC 300 to 300a-8 shall be
in compliance with all performance and quality assurance indicators
that the office of population affairs within the United States
department of health and human services specifies in the program
guidelines for project grants for family planning services. An
agency not in compliance with the indicators shall not receive
supplemental or reallocated funds.
Sec. 1108. The department shall not use state restricted funds
or state general funds appropriated in part 1 in the pregnancy
prevention program or family planning local agreements
appropriation line items for abortion counseling, referrals, or
services.
Sec. 1109. (1) From the amounts appropriated in part 1 for
dental programs, funds shall be allocated to the Michigan dental
association for the administration of a volunteer dental program
that provides dental services to the uninsured.
(2) Not later than December 1 of the current fiscal year, the
department shall report to the senate and house appropriations
subcommittees on community health and the senate and house standing
committees on health policy the number of individual patients
treated, number of procedures performed, and approximate total
market value of those procedures from the immediately preceding
fiscal year.
Sec. 1136. From the funds appropriated in part 1 for prenatal
care outreach and service delivery support, $800,000.00 shall be
allocated for a pregnancy and parenting support services program,
which program must promote childbirth, alternatives to abortion,
and grief counseling. The department shall establish a program with
a qualified contractor that will contract with qualified service
providers to provide free counseling, support, and referral
services to eligible women during pregnancy through 12 months after
birth. As appropriate, the goals for client outcomes shall include
an increase in client support, an increase in childbirth choice, an
increase in adoption knowledge, an improvement in parenting skills,
and improved reproductive health through abstinence education. The
contractor of the program shall provide for program training,
client educational material, program marketing, and annual service
provider site monitoring. The department shall submit a report to
the house and senate appropriations subcommittees on community
health and the house and senate fiscal agencies by April 1 of the
current fiscal year on the number of clients served.
Sec. 1137. From the funds appropriated in part 1 for prenatal
care outreach and service delivery support, not less than
$500,000.00 of funding shall be allocated for evidence-based
programs to reduce infant mortality including nurse family
partnership programs. The funds shall be used for enhanced support
and education to nursing teams or other teams of qualified health
professionals, client recruitment in areas designated as
underserved for obstetrical and gynecological services and other
high-need communities, strategic planning to expand and sustain
programs, and marketing and communications of programs to raise
awareness, engage stakeholders, and recruit nurses.
Sec. 1138. The department shall allocate funds appropriated in
section 113 of part 1 for family, maternal, and children's health
services pursuant to section 1 of 2002 PA 360, MCL 333.1091.
Sec. 1139. (1) By November 1, 2014, the department shall work
jointly with the department of human services and the Michigan
state housing development authority to appoint members to a joint
task force to review housing rehabilitation, energy and
weatherization, and hazard abatement program policies and to make
recommendations for integrating and coordinating project delivery
with the goals of serving more families and achieving better
outcomes by maximizing state and federal resources. The joint task
force must include all of the following:
(a) A representative of the department.
(b) A representative of the healthy homes section, lead safe
home program.
(c) A construction management specialist.
(d) A representative of the community development division.
(e) A representative of the Michigan state housing development
authority.
(f) An energy and weatherization staff representative from the
department of human services.
(g) A local weatherization operator.
(h) A certified lead professional or a certified lead
contractor.
(i) Representatives from at least 2 community organizations
that address harmful housing conditions.
(2) The department and the Michigan state housing development
authority shall organize the initial meeting of the task force and
shall provide administrative support for the task force.
(3) By March 1, 2015, the task force described in subsection
(1) shall provide to the house and senate chairs of the
appropriations subcommittees for the department and the department
of human services, the senate and house fiscal agencies, and the
senate and house policy offices a report of its findings and
recommendations.
Sec. 1140. From the funds appropriated in part 1 for prenatal
care outreach and service delivery support, equal consideration
shall be given to all eligible evidence-based providers in all
regions in contracting for rural health visitation services.
WOMEN, INFANTS, AND CHILDREN FOOD AND NUTRITION PROGRAM
Sec. 1151. By January 1 of the current fiscal year, the
department shall provide to the senate and house appropriations
subcommittees on community health, the senate and house fiscal
agencies, and the state budget office a report on the number of
complaints received regarding access to generic peanut butter by
county, and a report on savings gained from implementing the
generic peanut butter purchasing requirement within the women,
infants, and children food and nutrition program.
CHILDREN'S SPECIAL HEALTH CARE SERVICES
Sec. 1202. The department may do 1 or more of the following:
(a) Provide special formula for eligible clients with
specified metabolic and allergic disorders.
(b) Provide medical care and treatment to eligible patients
with cystic fibrosis who are 21 years of age or older.
(c) Provide medical care and treatment to eligible patients
with hereditary coagulation defects, commonly known as hemophilia,
who are 21 years of age or older.
(d) Provide human growth hormone to eligible patients.
Sec. 1205. From the funds appropriated in part 1 for medical
care and treatment, the department is authorized to spend up to
$500,000.00 for the continued development and expansion of
telemedicine capacity to allow families with children in the
children's special health care services program to access specialty
providers more readily and in a more timely manner.
CRIME VICTIM SERVICES COMMISSION
Sec. 1302. From the funds appropriated in part 1 for justice
assistance grants, up to $200,000.00 shall be allocated for
expansion of forensic nurse examiner programs to facilitate
training for improved evidence collection for the prosecution of
sexual assault. The funds shall be used for program coordination
and training.
OFFICE OF SERVICES TO THE AGING
Sec. 1403. (1) By February 1 of the current fiscal year, the
office of services to the aging shall require each region to report
to the office of services to the aging and to the legislature home-
delivered meals waiting lists based upon standard criteria.
Determining criteria shall include all of the following:
(a) The recipient's degree of frailty.
(b) The recipient's inability to prepare his or her own meals
safely.
(c) Whether the recipient has another care provider available.
(d) Any other qualifications normally necessary for the
recipient to receive home-delivered meals.
(2) Data required in subsection (1) shall be recorded only for
individuals who have applied for participation in the home-
delivered meals program and who are initially determined as likely
to be eligible for home-delivered meals.
Sec. 1417. The department shall provide to the senate and
house appropriations subcommittees on community health, senate and
house fiscal agencies, and state budget director a report by March
30 of the current fiscal year that contains all of the following:
(a) The total allocation of state resources made to each area
agency on aging by individual program and administration.
(b) Detail expenditure by each area agency on aging by
individual program and administration including both state-funded
resources and locally-funded resources.
Sec. 1421. From the funds appropriated in part 1 for community
services, $1,100,000.00 shall be allocated to area agencies on
aging for locally determined needs.
MEDICAL SERVICES ADMINISTRATION
Sec. 1501. The unexpended funds appropriated in part 1 for the
electronic health records incentive program are considered work
project appropriations, and any unencumbered or unallotted funds
are carried forward into the following fiscal year. The following
is in compliance with section 451a(1) of the management and budget
act, 1984 PA 431, MCL 18.1451a:
(a) The purpose of the project to be carried forward is to
implement the Medicaid electronic health record program that
provides financial incentive payments to Medicaid health care
providers to encourage the adoption and meaningful use of
electronic health records to improve quality, increase efficiency,
and promote safety.
(b) The projects will be accomplished according to the
approved federal advanced planning document.
(c) The estimated cost of this project phase is identified in
the appropriation line item.
(d) The tentative completion date for the work project is
September 30, 2019.
Sec. 1502. The department shall spend available work project
revenue plus any associated federal match to create and develop a
transparency database website. This funding is contingent upon
enactment of enabling legislation.
Sec. 1503. From the funds appropriated in part 1 for Healthy
Michigan plan administration, the department shall establish an
accounting structure within the Michigan administrative information
network that will allow expenditures associated with the
administration of the Healthy Michigan plan to be identified.
MEDICAL SERVICES
Sec. 1601. The cost of remedial services incurred by residents
of licensed adult foster care homes and licensed homes for the aged
shall be used in determining financial eligibility for the
medically needy. Remedial services include basic self-care and
rehabilitation training for a resident.
Sec. 1603. (1) The department may establish a program for
individuals to purchase medical coverage at a rate determined by
the department.
(2) The department may receive and expend premiums for the
buy-in of medical coverage in addition to the amounts appropriated
in part 1.
(3) The premiums described in this section shall be classified
as private funds.
Sec. 1605. The protected income level for Medicaid coverage
determined pursuant to section 106(1)(b)(iii) of the social welfare
act, 1939 PA 280, MCL 400.106, shall be 100% of the related public
assistance standard.
Sec. 1606. For the purpose of guardian and conservator
charges, the department may deduct up to $60.00 per month as an
allowable expense against a recipient's income when determining
medical services eligibility and patient pay amounts.
Sec. 1607. (1) An applicant for Medicaid, whose qualifying
condition is pregnancy, shall immediately be presumed to be
eligible for Medicaid coverage unless the preponderance of evidence
in her application indicates otherwise. The applicant who is
qualified as described in this subsection shall be allowed to
select or remain with the Medicaid participating obstetrician of
her choice.
(2) An applicant qualified as described in subsection (1)
shall be given a letter of authorization to receive Medicaid
covered services related to her pregnancy. All qualifying
applicants shall be entitled to receive all medically necessary
obstetrical and prenatal care without preauthorization from a
health plan. All claims submitted for payment for obstetrical and
prenatal care shall be paid at the Medicaid fee-for-service rate in
the event a contract does not exist between the Medicaid
participating obstetrical or prenatal care provider and the managed
care plan. The applicant shall receive a listing of Medicaid
physicians and managed care plans in the immediate vicinity of the
applicant's residence.
(3) In the event that an applicant, presumed to be eligible
pursuant to subsection (1), is subsequently found to be ineligible,
a Medicaid physician or managed care plan that has been providing
pregnancy services to an applicant under this section is entitled
to reimbursement for those services until such time as they are
notified by the department that the applicant was found to be
ineligible for Medicaid.
(4) If the preponderance of evidence in an application
indicates that the applicant is not eligible for Medicaid, the
department shall refer that applicant to the nearest public health
clinic or similar entity as a potential source for receiving
pregnancy-related services.
(5) The department shall develop an enrollment process for
pregnant women covered under this section that facilitates the
selection of a managed care plan at the time of application.
(6) The department shall mandate enrollment of women, whose
qualifying condition is pregnancy, into Medicaid managed care
plans.
(7) The department shall encourage physicians to provide
women, whose qualifying condition for Medicaid is pregnancy, with a
referral to a Medicaid participating dentist at the first
pregnancy-related appointment.
Sec. 1611. (1) For care provided to medical services
recipients with other third-party sources of payment, medical
services reimbursement shall not exceed, in combination with such
other resources, including Medicare, those amounts established for
medical services-only patients. The medical services payment rate
shall be accepted as payment in full. Other than an approved
medical services co-payment, no portion of a provider's charge
shall be billed to the recipient or any person acting on behalf of
the recipient. Nothing in this section shall be considered to
affect the level of payment from a third-party source other than
the medical services program. The department shall require a
nonenrolled provider to accept medical services payments as payment
in full.
(2) Notwithstanding subsection (1), medical services
reimbursement for hospital services provided to dual
Medicare/medical services recipients with Medicare part B coverage
only shall equal, when combined with payments for Medicare and
other third-party resources, if any, those amounts established for
medical services-only patients, including capital payments.
Sec. 1620. (1) For fee-for-service recipients who do not
reside in nursing homes, the pharmaceutical dispensing fee shall be
$2.75 or the pharmacy's usual or customary cash charge, whichever
is less. For nursing home residents, the pharmaceutical dispensing
fee shall be $3.00 or the pharmacy's usual or customary cash
charge, whichever is less.
(2) The department shall require a prescription co-payment for
Medicaid recipients of $1.00 for a generic drug and $3.00 for a
brand-name drug, except as prohibited by federal or state law or
regulation.
Sec. 1629. The department shall utilize maximum allowable cost
pricing for generic drugs that is based on wholesaler pricing to
providers that is available from at least 2 wholesalers who deliver
in the state of Michigan.
Sec. 1631. (1) The department shall require co-payments on
dental, podiatric, and vision services provided to Medicaid
recipients, except as prohibited by federal or state law or
regulation.
(2) Except as otherwise prohibited by federal or state law or
regulations, the department shall require Medicaid recipients to
pay the following co-payments:
(a) Two dollars for a physician office visit.
(b) Three dollars for a hospital emergency room visit.
(c) Fifty dollars for the first day of an inpatient hospital
stay.
(d) One dollar for an outpatient hospital visit.
Sec. 1641. An institutional provider that is required to
submit a cost report under the medical services program shall
submit cost reports completed in full within 5 months after the end
of its fiscal year.
Sec. 1657. (1) Reimbursement for medical services to screen
and stabilize a Medicaid recipient, including stabilization of a
psychiatric crisis, in a hospital emergency room shall not be made
contingent on obtaining prior authorization from the recipient's
HMO. If the recipient is discharged from the emergency room, the
hospital shall notify the recipient's HMO within 24 hours of the
diagnosis and treatment received.
(2) If the treating hospital determines that the recipient
will require further medical service or hospitalization beyond the
point of stabilization, that hospital shall receive authorization
from the recipient's HMO prior to admitting the recipient.
(3) Subsections (1) and (2) do not require an alteration to an
existing agreement between an HMO and its contracting hospitals and
do not require an HMO to reimburse for services that are not
considered to be medically necessary.
Sec. 1659. The following sections of this part are the only
ones that shall apply to the following Medicaid managed care
programs, including the comprehensive plan, MIChoice long-term care
plan, and the mental health, substance use disorder, and
developmentally disabled services program: 404, 411, 418, 428, 494,
1607, 1657, 1662, 1699, 1764, 1765, 1815, 1820, 1850, 1881, and
1888.
Sec. 1662. (1) The department shall assure that an external
quality review of each contracting HMO is performed that results in
an analysis and evaluation of aggregated information on quality,
timeliness, and access to health care services that the HMO or its
contractors furnish to Medicaid beneficiaries.
(2) The department shall require Medicaid HMOs to provide
EPSDT utilization data through the encounter data system, and HEDIS
well child health measures in accordance with the national
committee for quality assurance prescribed methodology.
(3) The department shall provide a copy of the analysis of the
Medicaid HMO annual audited HEDIS reports and the annual external
quality review report to the senate and house of representatives
appropriations subcommittees on community health, the senate and
house fiscal agencies, and the state budget director, within 30
days of the department's receipt of the final reports from the
contractors.
Sec. 1670. (1) The appropriation in part 1 for the MIChild
program is to be used to provide comprehensive health care to all
children under age 19 who reside in families with income at or
below 212% of the federal poverty level, who are uninsured and have
not had coverage by other comprehensive health insurance within 6
months of making application for MIChild benefits, and who are
residents of this state. The department shall develop detailed
eligibility criteria through the medical services administration
public concurrence process, consistent with the provisions of this
part and part 1. Health coverage for children in families between
160% and 212% of the federal poverty level shall be provided
through a state-based private health care program.
(2) The department may provide up to 1 year of continuous
eligibility to children eligible for the MIChild program unless the
family fails to pay the monthly premium, a child reaches age 19, or
the status of the children's family changes and its members no
longer meet the eligibility criteria as specified in the federally
approved MIChild state plan.
(3) Children whose category of eligibility changes between the
Medicaid and MIChild programs shall be assured of keeping their
current health care providers through the current prescribed course
of treatment for up to 1 year, subject to periodic reviews by the
department if the beneficiary has a serious medical condition and
is undergoing active treatment for that condition.
(4) To be eligible for the MIChild program, a child must be
residing in a family with an adjusted gross income of less than or
equal to 212% of the federal poverty level. The department's
verification policy shall be used to determine eligibility.
(5) The department shall contract with Medicaid health plans
to provide physical health services to MIChild enrollees. The
department may continue to obtain physical health services for
MIChild enrollees from health maintenance organizations and
preferred provider organizations currently under contract for
whatever duration is needed as determined by the department. The
department shall contractually require that health plans pay out-
of-network providers at the department fee schedule. The department
shall contract with qualified dental plans to provide dental
coverage for MIChild enrollees.
(6) The department may enter into contracts to obtain certain
MIChild services from community mental health service programs.
(7) The department may make payments on behalf of children
enrolled in the MIChild program from the line-item appropriation
associated with the program as described in the MIChild state plan
approved by the United States department of health and human
services, or from other medical services.
(8) The department shall assure that an external quality
review of each MIChild contractor, as described in subsection (5),
is performed, which analyzes and evaluates the aggregated
information on quality, timeliness, and access to health care
services that the contractor furnished to MIChild beneficiaries.
(9) The department shall develop an automatic enrollment
algorithm that is based on quality and performance factors.
(10) MIChild services shall include treatment for autism
spectrum disorders as defined in the federally approved Medicaid
state plan.
Sec. 1673. The department may establish premiums for MIChild
eligible individuals in families with income above 150% of the
federal poverty level. The monthly premiums shall not be less than
$10.00 or exceed $15.00 for a family.
Sec. 1677. The MIChild program shall provide all benefits
available under the Michigan benchmark plan that are delivered
through contracted providers and consistent with federal law,
including, but not limited to, the following medically necessary
services:
(a) Inpatient mental health services, other than substance use
disorder treatment services, including services furnished in a
state-operated mental hospital and residential or other 24-hour
therapeutically planned structured services.
(b) Outpatient mental health services, other than substance
use disorder services, including services furnished in a state-
operated mental hospital and community-based services.
(c) Durable medical equipment and prosthetic and orthotic
devices.
(d) Dental services as outlined in the approved MIChild state
plan.
(e) Substance use disorder treatment services that may include
inpatient, outpatient, and residential substance use disorder
treatment services.
(f) Care management services for mental health diagnoses.
(g) Physical therapy, occupational therapy, and services for
individuals with speech, hearing, and language disorders.
(h) Emergency ambulance services.
Sec. 1682. (1) The department shall implement enforcement
actions as specified in the nursing facility enforcement provisions
of section 1919 of title XIX, 42 USC 1396r.
(2) In addition to the appropriations in part 1, the
department is authorized to receive and spend penalty money
received as the result of noncompliance with medical services
certification regulations. Penalty money, characterized as private
funds, received by the department shall increase authorizations and
allotments in the long-term care accounts.
(3) Any unexpended penalty money, at the end of the year,
shall carry forward to the following year.
Sec. 1692. (1) The department is authorized to pursue
reimbursement for eligible services provided in Michigan schools
from the federal Medicaid program. The department and the state
budget director are authorized to negotiate and enter into
agreements, together with the department of education, with local
and intermediate school districts regarding the sharing of federal
Medicaid services funds received for these services. The department
is authorized to receive and disburse funds to participating school
districts pursuant to such agreements and state and federal law.
(2) From the funds appropriated in part 1 for medical services
school-based services payments, the department is authorized to do
all of the following:
(a) Finance activities within the medical services
administration related to this project.
(b) Reimburse participating school districts pursuant to the
fund-sharing ratios negotiated in the state-local agreements
authorized in subsection (1).
(c) Offset general fund costs associated with the medical
services program.
Sec. 1693. The special Medicaid reimbursement appropriation in
part 1 may be increased if the department submits a medical
services state plan amendment pertaining to this line item at a
level higher than the appropriation. The department is authorized
to appropriately adjust financing sources in accordance with the
increased appropriation.
Sec. 1694. From the funds appropriated in part 1 for special
Medicaid reimbursement, $378,000.00 of general fund/general purpose
revenue and any associated federal match shall be distributed for
poison control services to an academic health care system that
includes a children's hospital that has a high indigent care
volume.
Sec. 1699. (1) The department may make separate payments in
the amount of $45,000,000.00 directly to qualifying hospitals
serving a disproportionate share of indigent patients and to
hospitals providing GME training programs. If direct payment for
GME and DSH is made to qualifying hospitals for services to
Medicaid clients, hospitals shall not include GME costs or DSH
payments in their contracts with HMOs.
(2) The department shall allocate $45,000,000.00 in DSH
funding using the distribution methodology used in fiscal year
2003-2004.
(3) By September 30 of the current fiscal year, the department
shall report to the senate and house appropriations subcommittees
on community health and the senate and house fiscal agencies on the
new distribution of funding to each eligible hospital from the GME
and DSH pools.
Sec. 1724. The department shall allow licensed pharmacies to
purchase injectable drugs for the treatment of respiratory
syncytial virus for shipment to physicians' offices to be
administered to specific patients. If the affected patients are
Medicaid eligible, the department shall reimburse pharmacies for
the dispensing of the injectable drugs and reimburse physicians for
the administration of the injectable drugs.
Sec. 1757. The department shall direct the department of human
services to obtain proof from all Medicaid recipients that they are
legal United States citizens or otherwise legally residing in this
country and that they are residents of this state before approving
Medicaid eligibility.
Sec. 1764. The department shall annually certify rates paid to
Medicaid health plans and specialty prepaid inpatient health plans
as being actuarially sound in accordance with federal requirements
and shall provide a copy of the rate certification and approval
immediately to the house and senate appropriations subcommittees on
community health and the house and senate fiscal agencies.
Sec. 1765. There shall be established a health insurer fee
reserve fund of $30,000,000.00 general fund/general purpose and
associated federal match to provide funding to Medicaid health
plans for the cost of the 2015 insurance provider's fee under
section 9010 of the patient protection and affordable care act,
Public Law 111-148, as amended by the health care and education
reconciliation act of 2010, Public Law 111-152. Funds will be
expended as provided for in this section only after the internal
revenue service finalizes the 2015 percent assessment of the fee
and the state budget director approves the amount of reimbursement
from the fund. The state budget director shall provide notification
to the senate and house appropriations subcommittees on community
health and the senate and house fiscal agencies at least 15 days
before exercising the authority under this section. Upon
notification by the state budget director, the funds shall be
available for use as a source of financing for Medicaid health plan
payments.
Sec. 1775. If the state's application for a waiver to
implement managed care for dual Medicare/Medicaid eligibles is
approved by the federal government, the department shall provide
quarterly reports to the senate and house appropriations
subcommittees on community health and the senate and house fiscal
agencies on progress in implementing the waiver.
Sec. 1800. From the $85,000,000.00 increase in funding in part
1 for outpatient disproportionate share hospital payments, the
department shall explore establishing a Medicaid value pool that
rewards and incentivizes hospitals providing low-cost and high-
quality Medicaid services. The department shall convene a workgroup
of hospitals to assist in the development of the metrics utilized
to determine value, and shall report to the senate and house
appropriations subcommittees on community health, the senate and
house fiscal agencies, and the state budget director on the results
of the workgroup by April 1 of the current fiscal year.
Sec. 1801. Beginning January 1, 2015, from the funds
appropriated in part 1 for physician services and health plan
services, the department shall use $25,000,000.00 in general
fund/general purpose plus associated federal match to increase
medicaid rates for primary care services provided only by primary
care providers. For the purpose of this section, a primary care
provider is a physician, or a practitioner working under the
personal supervision of a physician, who is board-eligible or
certified with a specialty designation of family medicine, general
internal medicine, or pediatric medicine, or a provider who
provides the department with documentation of equivalency.
Providers performing a service and whose primary practice is as a
non-primary-care subspecialty is not eligible for the increase. The
department shall establish policies that most effectively limit the
increase to primary care providers for primary care services only.
Sec. 1802. From the funds appropriated in part 1, a lump-sum
payment shall be made to hospitals that qualified for rural
hospital access payments in fiscal year 2013-2014 and that provide
obstetrical care in the current fiscal year. The payment shall be
calculated as $830.00 for each obstetrical care case payment and
each newborn care case payment for all such cases billed by the
qualified hospitals for fiscal year 2012-2013 and shall be paid
through the Medicaid health plan hospital rate adjustment process
by January 1 of the current fiscal year.
Sec. 1804. The department, in cooperation with the department
of human services and the department of military and veterans
affairs, shall work with the federal public assistance reporting
information system to identify Medicaid recipients who are veterans
and who may be eligible for federal veterans health care benefits
or other benefits.
Sec. 1815. From the funds appropriated in part 1 for health
plan services, the department shall not implement a capitation
withhold as part of the overall capitation rate schedule that
exceeds the 0.19% withhold administered during fiscal year 2008-
2009.
Sec. 1820. (1) In order to avoid duplication of efforts, the
department shall utilize applicable national accreditation review
criteria to determine compliance with corresponding state
requirements for Medicaid health plans that have been reviewed and
accredited by a national accrediting entity for health care
services.
(2) Upon submission by Medicaid health plans of a listing of
program requirements that are part of the state program review
criteria but are not reviewed by an applicable national accrediting
entity, the department shall review the listing and provide a
recommendation to the house and senate appropriations subcommittees
on community health, the house and senate fiscal agencies, and the
state budget office as to whether or not state program review
should continue. The Medicaid health plans may request the
department to convene a workgroup to fulfill this section.
(3) The department shall continue to comply with state and
federal law and shall not initiate an action that negatively
impacts beneficiary safety.
(4) As used in this section, "national accrediting entity"
means the national committee for quality assurance, the utilization
review accreditation committee, or other appropriate entity, as
approved by the department.
(5) By July 1 of the current fiscal year, the department shall
provide a progress report to the house and senate appropriations
subcommittees on community health, the house and senate fiscal
agencies, and the state budget office on implementation of this
section.
Sec. 1837. The department shall explore utilization of
telemedicine and telepsychiatry as strategies to increase access to
services for Medicaid recipients in medically underserved areas.
Sec. 1842. (1) Subject to the availability of funds, the
department shall adjust the hospital outpatient Medicaid
reimbursement rate for qualifying hospitals as provided in this
section. The Medicaid reimbursement rate for qualifying hospitals
shall be adjusted to provide each qualifying hospital with its
actual cost of delivering outpatient services to Medicaid
recipients.
(2) As used in this section, "qualifying hospital" means a
hospital that has not more than 50 staffed beds and is either
located outside a metropolitan statistical area or in a
metropolitan statistical area but within a city, village, or
township with a population of not more than 12,000 according to the
official 2010 federal decennial census and within a county with a
population of not more than 165,000 according to the official 2010
federal decennial census.
Sec. 1846. From the funds appropriated in part 1 for graduate
medical education, the department shall distribute the funds with
an emphasis on the following health care workforce goals:
(a) The encouragement of the training of physicians in
specialties, including primary care, that are necessary to meet the
future needs of residents of this state.
(b) The training of physicians in settings that include
ambulatory sites and rural locations.
Sec. 1848. It is the intent of the legislature that the
healthy kids dental program be expanded in fiscal year 2015-2016 to
cover Kent, Oakland, and Wayne counties.
Sec. 1850. The department may allow Medicaid health plans to
assist with the redetermination process through outreach activities
to ensure continuation of Medicaid eligibility and enrollment in
managed care. This may include mailings, telephone contact, or
face-to-face contact with beneficiaries enrolled in the individual
Medicaid health plan. Health plans may offer assistance in
completing paperwork for beneficiaries enrolled in their plan.
Sec. 1854. The department may work with a provider of kidney
dialysis services and renal care as authorized under section 2703
of the patient protection and affordable care act, Public Law 111-
148, to develop a chronic condition health home program for
Medicaid enrollees identified with chronic kidney disease and who
are beginning dialysis. If initiated, the department shall develop
metrics that evaluate program effectiveness and submit a report by
June 1 of the current fiscal year to the senate and house
appropriations subcommittees on community health. Metrics shall
include cost savings and clinical outcomes.
Sec. 1858. Medicaid services shall include treatment for
autism spectrum disorders as defined in the federally approved
Medicaid state plan. Such alternatives may be coordinated with the
Medicaid health plans and the Michigan association of health plans.
Sec. 1861. (1) The department shall conduct a review of the
efficiency and effectiveness of the current nonemergency
transportation system funded in part 1. For nonemergency
transportation services provided outside the current broker
coverage, the review is contingent on available detailed travel
data, including methods of travel, number of people served, travel
distances, number of trips, and costs of trips. The department
shall report the results of the review required under this
subsection to the house and senate appropriations subcommittees on
community health and the house and senate fiscal agencies no later
than September 30 of the current fiscal year.
(2) The department shall create a pilot nonemergency
transportation system in at least 2 counties with priority given to
Berrien and Muskegon Counties to provide nonemergency
transportation services encouraging use of nonprofit entities. The
transportation providers selected by the department are responsible
for ensuring that federal and state safety and training standards
are met.
Sec. 1862. From the funds appropriated in part 1, the
department shall increase payment rates for Medicaid obstetrical
services to 95% of Medicare levels effective October 1, 2014.
Sec. 1865. Upon federal approval of the department's proposal
for integrated care for individuals who are dual Medicare/Medicaid
eligibles, the department shall provide the senate and house
appropriations subcommittees on community health and the senate and
house fiscal agencies its plan and organizational chart for
administering and providing oversight of this proposal. The plan
shall include information on how the department intends to organize
staff in an integrated manner to ensure that key components of the
proposal are implemented effectively.
Sec. 1866. (1) From the funds appropriated in part 1 for
hospital services and therapy, $12,000,000.00 in general
fund/general purpose revenue and any associated federal match shall
be awarded to hospitals that meet criteria established by the
department for services to low-income rural residents. One of the
reimbursement components of the distribution formula shall be
assistance with labor and delivery services.
(2) No hospital or hospital system shall receive more than
10.0% of the total funding referenced in subsection (1).
(3) To allow hospitals to understand their rural payment
amounts under this section, the department shall provide hospitals
with the methodology for distribution under this section and
provide each hospital with its applicable data that are used to
determine the payment amounts by August 1 of the current fiscal
year. The department shall publish the distribution of payments for
the current fiscal year and the immediately preceding fiscal year.
(4) The department shall report to the senate and house
appropriations subcommittees on community health and the senate and
house fiscal agencies on the distribution of funds referenced in
subsection (1) by April 1 of the current fiscal year.
Sec. 1870. The department shall work in collaboration with
Michigan-based medical schools that choose to participate in the
creation of a graduate medical education consortium known as
MIDocs. The purpose of MIDocs is to develop freestanding residency
training programs in primary care and other ambulatory care-based
specialties. MIDocs shall design residency training programs to
address physician shortage needs in this state, including placing
physicians post-residency in underserved communities across this
state. MIDocs shall give special consideration to small and rural
hospitals with a GME program director. MIDocs' voting members will
include any Michigan-based university with a medical school or an
affiliated faculty practice physician group that is making a
substantial contribution to MIDocs programs. The department shall
be a permanent nonvoting member of MIDocs. The department, in
collaboration with MIDocs voting members, may also appoint
nonvoting members to MIDocs to represent various stakeholders. As
the sponsoring institution and fiduciary, MIDocs shall assure
initial and continued accreditation from the accreditation council
for graduate medical education or ACGME, financial accountability,
clinical quality, and compliance. The department shall require an
annual report from MIDocs detailing per resident costs for medical
training and clinical quality measures. The department shall create
MIDocs no later than January 10, 2015. MIDocs shall provide the
department with a report proposing the creation of new residency
programs and an actionable plan for retaining consortium related
students post-residency, especially in underserved communities.
From the funds appropriated in part 1, $500,000.00 is allocated to
prepare the report, legally create the consortium, prepare to
obtain ACGME accreditation, and develop new residency programs.
Sec. 1874. The department may explore ways to work with
private providers to develop fraud management solutions to reduce
fraud, waste, and abuse in this state's Medicaid program.
Sec. 1878. In any project negotiated with the federal
government for integrated health care of individuals dually
enrolled in Medicaid and Medicare, the department shall seek to
assure the existence of an ombudsman program that is not associated
with any project service manager or provider. For activities to be
undertaken by the ombudsman program, the department shall include,
but is not limited to, assisting beneficiaries with navigating
complaint and dispute resolution mechanisms, identifying problems
in the project's complaint and dispute resolution mechanisms, and
reporting to the executive and legislative branches on any such
problems and potential solutions for them.
Sec. 1879. In any program of integrated service for persons
dually enrolled in Medicaid and Medicare that the department
negotiates with the federal government, the department shall seek
to use the Medicare Part D benefit for prescription drug coverage.
Sec. 1881. The department shall create a default eligibility
and enrollment determination for newborns so that newborns are
assigned to the same Medicaid health plan as the mother at the time
of birth.
Sec. 1883. For the purposes of more effectively managing
inpatient care for Medicaid health plans and Medicaid fee-for-
service, the department shall consider developing an appropriate
policy and rate for observation stays.
Sec. 1886. The department shall work in conjunction with the
workgroup established by the department of human services to
determine how the state can maximize Medicaid claims for community-
based and outpatient treatment services to foster care children and
adjudicated youths who are placed in community-based treatment
programs. The department shall report to the senate and house
appropriations subcommittees on community health, the senate and
house fiscal agencies, the senate and house policy offices, and the
state budget office by March 1 of the current fiscal year on the
findings of the workgroup.
Sec. 1888. The department shall establish contract performance
standards associated with the capitation withhold provisions under
section 1815 for Medicaid health plans at least 3 months in advance
of the implementation of those standards. The determination of
whether performance standards have been met shall be based
primarily on recognized concepts such as 1-year continuous
enrollment and the healthcare effectiveness data and information
set, HEDIS, audited data.
Sec. 1890. From the funds appropriated in part 1 for
pharmaceutical services, the department shall ensure Medicaid
recipients access to breast pumps to support and encourage
breastfeeding. The department shall adjust Medicaid policy to, at a
minimum, provide an individual double electric style pump to a
breastfeeding mother when a physician prescribes such a device
based on diagnosis of mother or infant. If the distribution method
for pumps or other equipment is a department contract with durable
medical equipment providers, the department shall guarantee
providers stock and rent to Medicaid recipients without delay or
undue restriction.
Sec. 1892. The department shall conduct a workgroup jointly
with the department of human services, the department of
transportation, the department of corrections, the strategic fund
in the department of treasury, and members from both the senate and
house of representatives to determine if the state can maximize its
services and funding for transportation for low-income, elderly,
and disabled individuals through consolidating all of the current
transportation services for these populations under 1 department.
Sec. 1893. (1) The department, jointly with the department of
human services, shall explore the feasibility of securing federal
Medicaid funds for children in need of secure residential treatment
in this state. The departments shall include an examination of the
public juvenile detention facilities or private secure residential
facilities in this state as possible treatment sites.
(2) If the exploration determines that federal Medicaid funds
are available for services to this population, the department,
jointly with the department of human services, shall develop a plan
to provide stabilization services, assessment, and treatment
accordingly.
(3) By December 1 of the current fiscal year, the department,
jointly with the department of human services, shall provide a
progress report to the senate and house subcommittees on community
health and the senate and house fiscal agencies outlining all of
the following:
(a) The findings of the initial exploration.
(b) A comparison of similar services provided by juvenile
rehabilitation centers that receive Medicaid funds in other states,
including, but not limited to, the Woodside Juvenile Rehabilitation
Center in the State of Vermont, with those provided in public
juvenile detention facilities or private secure residential
facilities in this state.
(c) Any barriers to securing Medicaid funds for such services
in this state.
(d) Recommendations for future action, if any.
Sec. 1896. (1) From the funds appropriated in part 1 and upon
the receipt of private matching funds, the department shall
allocate up to $35,000.00 to identify the impact of gestational
diabetes and reduce the impact of the condition on the Medicaid
program. These steps shall include all of the following:
(a) Reviewing Medicaid claims information and data to
determine the average cost of a case of gestational diabetes in
comparison to the cost of a noncomplicated pregnancy and the cost
of pregnancy for a woman with gestational diabetes.
(b) Determining the percentage and number of pregnant women
screened for gestational diabetes per established medical criteria.
(c) Determining the percentage and number of pregnant women
diagnosed with gestational diabetes in the Medicaid program each
year in comparison to all pregnant women in the Medicaid program.
(2) By September 30 of the current fiscal year, the department
shall submit a report to the legislature on steps taken and
proposed to increase the screening rate for gestational diabetes in
the Medicaid program, to reduce the number of women with
undiagnosed gestational diabetes giving birth in the Medicaid
program, to increase the number of pregnant women with gestational
diabetes receiving appropriate medical care in the Medicaid
program, and steps taken to improve the health of unborn and
newborn children of women diagnosed with gestational diabetes.
Sec. 1897. (1) From the funds appropriated in part 1, the
department shall take steps to identify the performance of the
Medicaid program on all diabetes-specific performance measures as
measured by the national committee for quality assurance and the
utilization review accreditation commission. These steps shall
include:
(a) Reviewing Medicaid claims information and data to
determine the performance of the Medicaid program's fee for service
and managed care plans for diabetes-specific and diabetes-related
measures as assessed by the national committee for quality
assurance and the utilization review accreditation commission over
the past 5 years.
(b) Comparing the claims information and data to the national
averages for diabetes-specific and diabetes-related measures as
assessed by the national committee for quality assurance and the
utilization review accreditation commission over the past 5 years.
(c) Identifying areas of strength and deficiencies for these
measures specific to the Medicaid program.
(2) By September 30 of the current fiscal year, the department
shall submit a report on steps taken and proposed to improve
national committee for quality assurance and utilization review
accreditation commission measure scores for all forms of diabetes
within the Medicaid program to the legislature.
Sec. 1899. From the funds appropriated in part 1 for personal
care services, the department shall increase the personal care
services rate by 6% effective October 1 of the current fiscal year.
ONE-TIME BASIS ONLY APPROPRIATIONS
Sec. 1902. (1) From the funds appropriated in part 1 for
university autism programs, the department shall make the following
allocations:
(a) $1,000,000.00 to the Eastern Michigan University autism
center.
(b) $500,000.00 to the Central Michigan University central
assessment lending library.
(c) $500,000.00 to the Oakland University center for autism
research, education, and support.
(d) $4,000,000.00 to the Western Michigan University autism
center of excellence.
(e) $1,000,000.00 to Michigan State University autism
services.
(2) From the funds appropriated in part 1 for autism family
assistance services, $1,500,000.00 shall be allocated to the autism
alliance for autism support services designed to aid individuals
and families in choosing treatment and other service options.
Sec. 1904. From the funds appropriated in part 1 for the
statewide trauma system, the department shall allocate funds to
establish and operate statewide systems for trauma, stroke, ST
segment elevation myocardial infarction, perinatal, and other time-
dependent systems of care.
Sec. 1905. From the funds appropriated in part 1 for bone
marrow transplant registry, $250,000.00 shall be allocated to
Michigan Blood, the partner of the match registry of the national
marrow donor program. The funds shall be used to offset ongoing
tissue typing expenses associated with donor recruitment and
collection services and to expand those services to better serve
the citizens of this state.
Sec. 1906. (1) The department may initiate pay for success
pilot projects to identify and deliver services to improve outcomes
and lower costs for government services in this state. From the
funds appropriated in part 1 for pay for success contracts, the
department may initiate contracts with private and not-for-profit
vendors, selected through a competitive bid process, to implement
these pilot projects. Payments shall not be issued to funding
intermediaries or vendors until contractual performance measures
have been achieved and project savings have been confirmed by a
third-party evaluator, certified by the department and approved by
the state budget director.
(2) Unexpended funds appropriated in part 1 for pay for
success contracts are designated as work project appropriations,
and any unencumbered or unalloted funds shall not lapse at the end
of the fiscal year and shall be available for expenditures for the
pay for success contracts under this section until the projects
have been completed. All of the following are in compliance with
section 451a of the management and budget act, 1984 PA 431, MCL
18.1451a:
(a) The purpose of the projects is to coordinate cost-saving
projects to the state with public-private partnerships.
(b) The projects will be carried out through contracts with
private and not-for-profit vendors.
(c) The estimated cost of this work project is $1,500,000.00.
(d) The estimated work project completion date is September
30, 2019.
PART 2A
PROVISIONS CONCERNING ANTICIPATED APPROPRIATIONS
FOR FISCAL YEAR 2015-2016
GENERAL SECTIONS
Sec. 2001. It is the intent of the legislature to provide
appropriations for the fiscal year ending on September 30, 2016 for
the line items listed in part 1. The fiscal year 2015-2016
appropriations are anticipated to be the same as those for fiscal
year 2014-2015, except that the line items will be adjusted for
changes in caseload and related costs, federal fund match rates,
economic factors, and available revenue. These adjustments will be
determined after the January 2015 consensus revenue estimating
conference.