HB-5119, As Passed House, February 4, 2004                                  

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                              SUBSTITUTE FOR                                    

                                                                                

                           HOUSE BILL NO. 5119                                  

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                 A bill to amend 1939 PA 280, entitled                                             

                                                                                

    "The social welfare act,"                                                   

                                                                                

    (MCL 400.1 to 400.119b) by adding section 111k.                             

                                                                                

                THE PEOPLE OF THE STATE OF MICHIGAN ENACT:                      

                                                                                

1       Sec. 111k.  (1) Beginning October 1, 2007, the department of                

                                                                                

2   community health shall ensure that, as a condition of                       

                                                                                

3   participation and funding, all health professionals, facilities,            

                                                                                

4   or health maintenance organizations receiving medicaid payments             

                                                                                

5   under this act are in substantial compliance with federal                   

                                                                                

6   standards for lead screening for children enrolled in medicaid.             

                                                                                

7       (2) The department of community health shall determine the                  

                                                                                

8   statewide average of lead screening being performed on children             

                                                                                

9   who are enrolled in medicaid on October 1, 2007 and shall                   

                                                                                

10  determine whether the rate of children who are enrolled in                  

                                                                                

11  medicaid receiving a lead screening is substantially in                     

                                                                                


                                                                                

1   compliance with the federal standards for lead screening for                

                                                                                

2   children enrolled in medicaid.  If the rate of children who are             

                                                                                

3   enrolled in medicaid receiving a lead screening is below 80%, the           

                                                                                

4   director of the department of community health shall present to             

                                                                                

5   the senate and house health policy committees a written report              

                                                                                

6   detailing why the rate is not in substantial compliance with the            

                                                                                

7   federally required standards for lead screening and the                     

                                                                                

8   department of community health's recommendations for improving              

                                                                                

9   the rate.  If the statewide lead screening testing rate does not            

                                                                                

10  equal or exceed 80% for medicaid-enrolled children by October 1,            

                                                                                

11  2007, the department of community health may, with funds                    

                                                                                

12  appropriated for medicaid managed care or medicaid fee for                  

                                                                                

13  services, contract with community agencies to provide the                   

                                                                                

14  percentage of lead screening tests needed to reach an 80% lead              

                                                                                

15  screening testing rate.  A contracting organization that meets or           

                                                                                

16  surpasses contract performance requirements is entitled to share            

                                                                                

17  in financial bonuses awarded under the performance bonus program            

                                                                                

18  and receive not less than 10% of the beneficiaries who do not               

                                                                                

19  voluntarily select a specific health plan at the time of managed            

                                                                                

20  care enrollment in addition to any other auto assignments to                

                                                                                

21  which the contracting organization is entitled.                             

                                                                                

22      (3) As used in this section, "medicaid" means the program of                

                                                                                

23  medical assistance administered by the state under section 105.