EXECUTIVE BUDGET BILL
February 24, 2009, Introduced by Rep. McDowell and referred to the Committee on Appropriations.
A bill to make appropriations for the department of community
health and certain state purposes related to mental health, public
health, and medical services for the fiscal year ending September
30, 2010; to provide for the expenditure of those appropriations;
to create funds; to require and provide for reports; to prescribe
the powers and duties of certain local and state agencies and
departments; and to provide for disposition of fees and other
income received by the various state agencies.
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
PART 1
LINE-ITEM APPROPRIATIONS
Sec. 101. Subject to the conditions set forth in this bill,
the amounts listed in this part are appropriated for the department
of community health for the fiscal year ending September 30, 2010,
from the funds indicated in this part. The following is a summary
of the appropriations in this part:
DEPARTMENT OF COMMUNITY HEALTH
APPROPRIATION SUMMARY:
Full-time equated unclassified positions.......... 6.0
Full-time equated classified positions........ 4,380.1
Average population.............................. 893.0
GROSS APPROPRIATION.................................... $ 12,966,966,900
Interdepartmental grant revenues:
Total interdepartmental grants and intradepartmental
transfers............................................ 48,677,000
ADJUSTED GROSS APPROPRIATION........................... $ 12,918,289,900
Federal revenues:
Federal – FMAP stimulus................................ 529,057,100
Total other federal revenues........................... 7,794,347,600
Special revenue funds:
Total local revenues................................... 229,677,200
Total private revenues................................. 70,208,500
Merit award trust fund................................. 22,899,900
Total other state restricted revenues.................. 1,470,525,300
State general fund/general purpose..................... $ 2,801,574,300
Sec. 102. DEPARTMENTWIDE ADMINISTRATION
Full-time equated unclassified positions.......... 6.0
Full-time equated classified positions.......... 182.2
Director and other unclassified--6.0 FTE positions..... $ 598,600
Departmental administration and management--172.2
FTE positions........................................ 22,470,400
Worker's compensation program.......................... 9,147,100
Rent and building occupancy............................ 10,778,100
Developmental disabilities council and
projects--10.0 FTE positions......................... 2,793,500
GROSS APPROPRIATION.................................... $ 45,787,700
Appropriated from:
Federal revenues:
Total federal revenues................................. 13,605,300
Special revenue funds:
Total private revenues................................. 35,200
Total other state restricted revenues.................. 2,366,100
State general fund/general purpose..................... $ 29,781,100
Sec. 103. MENTAL HEALTH/SUBSTANCE ABUSE SERVICES
ADMINISTRATION AND SPECIAL PROJECTS
Full-time equated classified positions.......... 123.0
Mental health/substance abuse program
administration--122.0 FTE positions.................. $ 15,797,200
Consumer involvement program........................... 189,100
Gambling addiction--1.0 FTE position................... 3,000,000
Protection and advocacy services support............... 388,700
Community residential and support services............. 2,136,000
Highway safety projects................................ 400,000
Federal and other special projects..................... 4,247,700
Family support subsidy................................. 18,599,200
Housing and support services........................... 9,306,800
Anti-drug abuse grants................................. 5,315,200
Interdepartmental grant to judiciary for drug
treatment courts..................................... 1,800,000
GROSS APPROPRIATION.................................... $ 61,179,900
Federal revenues:
Total federal revenues................................. 44,955,000
Special revenue funds:
Total private revenues................................. 190,000
Total other state restricted revenues.................. 3,500,000
State general fund/general purpose..................... $ 12,534,900
Sec. 104. COMMUNITY MENTAL HEALTH/SUBSTANCE ABUSE
SERVICES PROGRAMS
Full-time equated classified positions............ 9.5
Medicaid mental health services........................ $ 1,939,331,800
Community mental health non-Medicaid services.......... 319,908,700
Medicaid adult benefits waiver......................... 40,000,000
Medicaid substance abuse services...................... 41,297,500
CMHSP, purchase of state services contracts............ 122,462,400
Civil service charges.................................. 1,499,300
Federal mental health block grant--2.5 FTE positions... 15,374,900
State disability assistance program substance abuse
services............................................. 2,509,800
Community substance abuse prevention, education, and
treatment programs................................... 83,597,700
Children's waiver home care program.................... 19,549,800
Nursing home PAS/ARR-OBRA--7.0 FTE positions........... 12,166,000
Children with serious emotional disturbance waiver..... 570,000
GROSS APPROPRIATION.................................... $ 2,598,267,900
Appropriated from:
Federal revenues:
Total other federal revenues........................... 1,384,755,100
Federal – FMAP stimulus................................ 104,355,100
Special revenue funds:
Total local revenues................................... 25,228,900
Total other state restricted revenues.................. 11,258,200
State general fund/general purpose..................... $ 1,072,670,600
Sec. 105. STATE PSYCHIATRIC HOSPITALS, CENTERS FOR
PERSONS WITH DEVELOPMENTAL DISABILITIES, AND
FORENSIC AND PRISON MENTAL HEALTH SERVICES
Total average population........................ 893.0
Full-time equated classified positions........ 2,590.5
Caro regional mental health center - psychiatric
hospital - adult--468.3 FTE positions................ $ 52,809,300
Average population.............................. 185.0
Kalamazoo psychiatric hospital - adult--483.1 FTE
positions............................................ 51,065,700
Average population.............................. 189.0
Walter P. Reuther psychiatric hospital -
adult--433.3 FTE positions........................... 46,659,000
Average population.............................. 234.0
Hawthorn center - psychiatric hospital - children
and adolescents--230.9 FTE positions................. 24,834,000
Average population............................... 75.0
Mount Pleasant center - developmental
disabilities......................................... 2,465,000
Center for forensic psychiatry--578.6 FTE positions.... 61,686,800
Average population.............................. 210.0
Forensic mental health services provided to the
department of corrections--396.3 FTE positions....... 45,489,700
Revenue recapture...................................... 750,000
IDEA, federal special education........................ 120,000
Special maintenance and equipment...................... 335,300
Purchase of medical services for residents of
hospitals and centers................................ 445,600
Closed site, transition, and related costs............. 2,050,100
Severance pay.......................................... 105,700
Gifts and bequests for patient living and treatment
environment.......................................... 1,000,000
GROSS APPROPRIATION.................................... $ 289,816,200
Appropriated from:
Interdepartmental grant revenues:
Interdepartmental grant from the department of
corrections.......................................... 45,489,700
Federal revenues:
Total other federal revenues........................... 30,633,400
Federal – FMAP stimulus................................ 1,753,200
Special revenue funds:
CMHSP, purchase of state services contracts............ 122,462,400
Other local revenues................................... 16,928,200
Total private revenues................................. 1,000,000
Total other state restricted revenues.................. 12,331,700
State general fund/general purpose..................... $ 59,217,600
Sec. 106. PUBLIC HEALTH ADMINISTRATION
Full-time equated classified positions.......... 102.7
Public health administration--8.3 FTE positions........ $ 1,647,300
Minority health grants and contracts--3.0 FTE
positions............................................ 1,500,400
Promotion of healthy behaviors......................... 2,375,900
Vital records and health statistics--91.4 FTE
positions............................................ 10,392,000
GROSS APPROPRIATION.................................... $ 15,915,600
Appropriated from:
Interdepartmental grant revenues:
Interdepartmental grant from the department of human
services............................................. 1,123,900
Interdepartmental grant from the department of
state................................................ 1,500,000
Federal revenues:
Total federal revenues................................. 3,736,900
Special revenue funds:
Total private revenues................................. 1,700,000
Total other state restricted revenues.................. 6,516,000
State general fund/general purpose..................... $ 1,338,800
Sec. 107. HEALTH POLICY, REGULATION, AND
PROFESSIONS
Full-time equated classified positions.......... 415.6
Health systems administration--193.6 FTE positions..... $ 20,686,300
Emergency medical services program state staff--8.5
FTE positions........................................ 1,498,400
Radiological health administration--21.4 FTE positions. 2,947,400
Emergency medical services grants and services......... 660,000
Health professions--142.0 FTE positions................ 24,204,700
Background check program--5.5 FTE positions............ 2,689,900
Health policy, regulation, and professions
administration--25.2 FTE positions................... 3,001,300
Nurse scholarship, education, and research
program--3.0 FTE positions........................... 1,718,300
Certificate of need program administration--14.0 FTE
positions............................................ 1,955,700
Rural health services--1.0 FTE position................ 1,237,700
Michigan essential health provider..................... 861,300
Primary care services--1.4 FTE positions............... 4,168,800
GROSS APPROPRIATION.................................... $ 65,629,800
Appropriated from:
Interdepartmental grant revenues:
Interdepartmental grant from the department of
treasury, Michigan state hospital finance authority.. 116,300
Federal revenues:
Total federal revenues................................. 24,128,700
Special revenue funds:
Total local revenues................................... 227,700
Total private revenues................................. 455,000
Total other state restricted revenues.................. 31,222,000
State general fund/general purpose..................... $ 9,480,100
Sec. 108. INFECTIOUS DISEASE CONTROL
Full-time equated classified positions........... 51.7
AIDS prevention, testing, and care programs--12.7
FTE positions........................................ $ 41,367,600
Immunization local agreements.......................... 13,990,300
Immunization program management and field
support--15.0 FTE positions.......................... 2,038,800
Pediatric AIDS prevention and control--1.0 FTE
position............................................. 1,226,400
Sexually transmitted disease control local agreements.. 3,360,700
Sexually transmitted disease control management and
field support--23.0 FTE positions.................... 3,738,000
GROSS APPROPRIATION.................................... $ 65,721,800
Appropriated from:
Federal revenues:
Total federal revenues................................. 42,128,500
Special revenue funds:
Total private revenues................................. 10,873,600
Total other state restricted revenues.................. 9,185,200
State general fund/general purpose..................... $ 3,534,500
Sec. 109. LABORATORY SERVICES
Full-time equated classified positions.......... 123.0
Bovine tuberculosis--1.0 FTE position.................. $ 200,400
Laboratory services--122.0 FTE positions............... 18,439,100
GROSS APPROPRIATION.................................... $ 18,639,500
Appropriated from:
Interdepartmental grant revenues:
Interdepartmental grant from the department of
environmental quality................................ 447,100
Federal revenues:
Total federal revenues................................. 1,683,600
Special revenue funds:
Total other state restricted revenues.................. 9,048,100
State general fund/general purpose..................... $ 7,460,700
Sec. 110. EPIDEMIOLOGY
Full-time equated classified positions.......... 131.0
AIDS surveillance and prevention program............... $ 2,254,100
Asthma prevention and control--2.6 FTE positions....... 1,068,800
Bioterrorism preparedness--68.6 FTE positions.......... 49,405,100
Epidemiology administration--42.3 FTE positions........ 8,133,800
Lead abatement program--7.0 FTE positions.............. 2,191,300
Newborn screening follow-up and treatment
services--10.5 FTE positions......................... 4,692,100
Tuberculosis control and prevention.................... 867,000
GROSS APPROPRIATION.................................... $ 68,612,200
Appropriated from:
Federal revenues:
Total federal revenues................................. 60,390,800
Special revenue funds:
Total local revenues................................... 500,000
Total private revenues................................. 25,000
Total other state restricted revenues.................. 5,295,200
State general fund/general purpose..................... $ 2,401,200
Sec. 111. LOCAL HEALTH ADMINISTRATION AND GRANTS
Implementation of 1993 PA 133, MCL 333.17015........... $ 50,000
Local health services.................................. 220,000
Local public health operations......................... 40,618,400
Medicaid outreach cost reimbursement to local health
departments.......................................... 9,000,000
GROSS APPROPRIATION.................................... $ 49,888,400
Appropriated from:
Federal revenues:
Total federal revenues................................. 9,000,000
Special revenue funds:
Total local revenues................................... 5,150,000
Total other state restricted revenues.................. 220,000
State general fund/general purpose..................... $ 35,518,400
Sec. 112. CHRONIC DISEASE AND INJURY PREVENTION AND
HEALTH PROMOTION
Full-time equated classified positions........... 75.3
Alzheimer's information network........................ 389,500
Cancer prevention and control program--12.0 FTE
positions............................................ 15,219,900
Chronic disease prevention--27.7 FTE positions......... 6,190,700
Diabetes and kidney program--12.2 FTE positions........ 4,022,700
Health education, promotion, and research
programs--6.5 FTE positions.......................... 829,600
Injury control intervention project.................... 104,500
Public health traffic safety coordination--1.0 FTE
position............................................. 445,100
Smoking prevention program--14.0 FTE positions......... 5,752,400
Tobacco tax collection and enforcement................. 610,000
Violence prevention--1.9 FTE positions................. 1,892,900
GROSS APPROPRIATION.................................... $ 35,457,300
Appropriated from:
Federal revenues:
Total federal revenues................................. 22,288,600
Special revenue funds:
Total private revenues................................. 146,600
Total other state restricted revenues.................. 11,099,500
State general fund/general purpose..................... $ 1,922,600
Sec. 113. FAMILY, MATERNAL, AND CHILDREN'S HEALTH
SERVICES
Full-time equated classified positions........... 56.3
Childhood lead program--6.0 FTE positions.............. $ 2,766,600
Dental programs-—3.0 FTE positions..................... 1,119,400
Dental program for persons with developmental
disabilities......................................... 151,000
Family, maternal, and children's health services
administration--43.6 FTE positions................... 5,655,900
Family planning local agreements....................... 9,493,800
Local MCH services..................................... 7,264,200
Migrant health care.................................... 272,200
Pregnancy prevention program........................... 5,149,800
Prenatal care outreach and service delivery support.... 1,427,200
School health and education programs—-1.0 FTE
positions............................................ 501,500
Special projects--2.7 FTE positions.................... 3,757,400
Sudden infant death syndrome program................... 321,300
GROSS APPROPRIATION.................................... $ 37,880,300
Appropriated from:
Federal revenues:
Total federal revenues................................. 26,420,200
Special revenue funds:
Total local revenues................................... 75,000
Total other state restricted revenues.................. 7,751,900
State general fund/general purpose..................... $ 3,633,200
Sec. 114. WOMEN, INFANTS, AND CHILDREN FOOD AND
NUTRITION PROGRAM
Full-time equated classified positions........... 43.0
Women, infants, and children program administration
and special projects--43.0 FTE positions............. $ 9,554,800
Women, infants, and children program local
agreements and food costs............................ 236,506,700
GROSS APPROPRIATION.................................... $ 246,061,500
Appropriated from:
Federal revenues:
Total federal revenues................................. 192,815,400
Special revenue funds:
Total private revenues................................. 53,246,100
State general fund/general purpose..................... $ 0
Sec. 115. CHILDREN'S SPECIAL HEALTH CARE SERVICES
(CSHCS)
Full-time equated classified positions........... 47.8
Children's special health care services
administration--45.0 FTE positions................... $ 4,927,000
Amputee program........................................ 184,600
Bequests for care and services—-2.8 FTE positions...... 1,514,600
Outreach and advocacy.................................. 3,773,500
Non-emergency medical transportation................... 2,711,200
Medical care and treatment............................. 203,782,100
GROSS APPROPRIATION.................................... $ 216,893,000
Appropriated from:
Federal revenues:
Total other federal revenues........................... 124,765,900
Federal – FMAP stimulus................................ 9,250,500
Special revenue funds:
Total private revenues................................. 1,000,000
Total other state restricted revenues.................. 3,396,900
State general fund/general purpose..................... $ 78,479,700
Sec. 116. CRIME VICTIM SERVICES COMMISSION
Full-time equated classified positions........... 11.0
Grants administration services--11.0 FTE positions..... $ 1,498,200
Justice assistance grants.............................. 13,000,000
Crime victim rights services grants.................... 12,500,000
Crime victim's rights fund revenue to Michigan state
police............................................... 1,053,300
Crime victim's rights fund revenue to department of
human services....................................... 1,300,000
GROSS APPROPRIATION.................................... $ 29,351,500
Appropriated from:
Federal revenues:
Total federal revenues................................. 15,055,300
Special revenue funds:
Total other state restricted revenues.................. 14,296,200
State general fund/general purpose..................... $ 0
Sec. 117. OFFICE OF SERVICES TO THE AGING
Full-time equated classified positions........... 37.5
Commission (per diem $50.00)........................... $ 10,500
Office of services to aging administration--37.5 FTE
positions............................................ 5,456,300
Community services..................................... 35,569,100
Nutrition services..................................... 37,250,300
Foster grandparent volunteer program................... 2,639,600
Retired and senior volunteer program................... 741,300
Senior companion volunteer program..................... 1,896,300
Employment assistance.................................. 3,449,500
Respite care program................................... 6,800,000
GROSS APPROPRIATION.................................... $ 93,812,900
Appropriated from:
Federal revenues:
Total federal revenues................................. 53,879,600
Special revenue funds:
Total private revenues................................. 537,000
Merit award trust fund................................. 5,000,000
Total other state restricted revenues.................. 1,967,000
State general fund/general purpose..................... $ 32,429,300
Sec. 118. MEDICAL SERVICES ADMINISTRATION
Full-time equated classified positions.......... 380.0
Medical services administration--380.0 FTE positions... $ 61,707,500
Facility inspection contract........................... 132,800
MIChild administration................................. 4,327,800
GROSS APPROPRIATION.................................... $ 66,168,100
Appropriated from:
Federal revenues:
Total federal revenues................................. 45,829,600
Total local revenues................................... 5,000
Total other state restricted revenues.................. 97,800
State general fund/general purpose..................... $ 20,235,700
Sec. 119. MEDICAL SERVICES
Hospital services and therapy.......................... $ 1,222,685,500
Hospital disproportionate share payments............... 50,000,000
Physician services..................................... 309,785,300
Medicare premium payments.............................. 357,350,800
Pharmaceutical services................................ 239,297,600
Home health services................................... 6,889,900
Hospice services....................................... 104,666,000
Transportation......................................... 22,947,500
Auxiliary medical services............................. 12,161,700
Dental services........................................ 130,449,500
Ambulance services..................................... 23,422,700
Long-term care services................................ 2,020,156,300
Single point of entry.................................. 12,724,200
Health plan services................................... 3,600,420,400
MIChild program........................................ 41,378,000
Plan first family planning waiver...................... 8,782,200
Medicaid adult benefits waiver......................... 138,871,700
Special indigent care payments......................... 88,518,500
Federal Medicare pharmaceutical program................ 183,611,800
Promotion of healthy behavior waiver................... 10,000,000
Maternal and child health.............................. 20,279,500
Social services to the physically disabled............. 1,344,900
Subtotal basic medical services program................ 8,605,744,000
School-based services.................................. 64,630,600
Special Medicaid reimbursement......................... 238,574,100
Subtotal special medical services payments............. 303,204,700
GROSS APPROPRIATION.................................... $ 8,908,948,700
Appropriated from:
Federal revenues:
Total other federal revenues........................... 5,661,049,900
Federal – FMAP stimulus................................ 413,698,300
Special revenue funds:
Total local revenues................................... 59,100,000
Total private revenues................................. 1,000,000
Merit award trust fund................................. 17,899,900
Total other state restricted revenues.................. 1,337,399,600
State general fund/general purpose..................... $ 1,418,801,000
Sec. 120. INFORMATION TECHNOLOGY
Information technology services and projects........... $ 36,133,500
Michigan Medicaid information system................... 16,801,100
GROSS APPROPRIATION.................................... $ 52,934,600
Appropriated from:
Federal revenues:
Total federal revenues................................. 37,225,800
Special revenue funds:
Total other state restricted revenues.................. 3,573,900
State general fund/general purpose..................... $ 12,134,900
PART 2
PROVISIONS CONCERNING APPROPRIATIONS
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 2009-2010 is $4,294,999,500.00 and
state spending from state resources to be paid to local units of
government for fiscal year 2009-2010 is $1,330,708,300.00. The
itemized statement below identifies appropriations from which
spending to local units of government will occur:
DEPARTMENT OF COMMUNITY HEALTH
MENTAL HEALTH/SUBSTANCE ABUSE SERVICES ADMINISTRATION
AND SPECIAL PROJECTS
Community residential and support services............. $ 344,600
Housing and support services........................... 599,800
COMMUNITY MENTAL HEALTH/SUBSTANCE ABUSE SERVICES PROGRAMS
State disability assistance program substance
abuse services...................................... $ 2,509,800
Community substance abuse prevention, education, and
treatment programs.................................. 11,583,100
Medicaid mental health services........................ 587,466,400
Community mental health non-Medicaid services.......... 319,908,700
Medicaid adult benefits waiver......................... 10,308,000
Medicaid substance abuse services...................... 13,041,800
Children's waiver home care program.................... 5,952,800
Nursing home PASARR.................................... 2,738,400
State psychiatric hospitals, centers for persons with
developmental disabilities, and forensic and prison
mental health services
Center for forensic psychiatry......................... $ 290,300
Public health administration
Minority health grants and contracts................... $ 241,000
Public health administration........................... 61,500
Health policy, regulation, and professions
Nurse scholarship, education, and research programs.... $ 72,600
Primary care services.................................. 115,600
INFECTIOUS DISEASE CONTROL
AIDS prevention, testing, and care programs............ $ 865,700
Immunization local agreements.......................... 2,158,100
Immunization program management and field support...... 30,300
Sexually transmitted disease control local agreements.. 191,200
LABORATORY SERVICES
Laboratory services.................................... $ 3,300
EPIDEMIOLOGY
Epidemiology administration............................ $ 125,000
LOCAL HEALTH ADMINISTRATION AND GRANTS
Implementation of 1993 PA 133.......................... $ 5,300
Local public health operations......................... 35,468,400
CHRONIC DISEASE AND INJURY PREVENTION AND HEALTH PROMOTION
Cancer prevention and control program.................. $ 397,300
Chronic disease prevention............................. 261,600
Diabetes and kidney program............................ 357,700
Smoking prevention program............................. 959,900
FAMILY, MATERNAL, AND CHILDREN'S HEALTH SERVICES
Childhood lead program................................. $ 244,000
Family, maternal, and children’s health
administration...................................... 87,100
Local MCH services..................................... 246,100
Pregnancy prevention program........................... 1,558,800
Prenatal care outreach and service delivery support.... 697,800
School health and education programs................... 297,000
Special projects....................................... 819,800
CHILDREN'S SPECIAL HEALTH CARE SERVICES
Medical care and treatment............................. $ 451,100
Outreach and advocacy.................................. 3,077,500
MEDICAL SERVICES
Dental services........................................ $ 2,348,100
Long-term care services................................ 262,002,000
Transportation......................................... 5,736,900
Medicaid adult benefits waiver......................... 9,443,300
Hospital services and therapy.......................... 6,113,400
Physician services..................................... 3,717,400
OFFICE OF SERVICES TO THE AGING
Community services..................................... $ 13,599,200
Nutrition services..................................... 10,750,100
Foster grandparent volunteer program................... 565,000
Retired and senior volunteer program................... 154,700
Senior companion volunteer program..................... 99,600
Respite care program................................... 5,841,200
CRIME VICTIM SERVICES COMMISSION
Crime victim rights services grants.................... $ 6,800,000
TOTAL OF PAYMENTS TO LOCAL UNITS
OF GOVERNMENT.......................................... $ 1,330,708,300
Sec. 202. (1) The appropriations authorized under this bill
are subject to the management and budget act, 1984 PA 431, MCL
18.1101 to 18.1594.
(2) Funds for which the state is acting as the custodian or
agent are not subject to annual appropriation.
Sec. 203. As used in this bill:
(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) "Department" means the Michigan department of community
health.
(d) "Director" means the director of the department.
(e) "DSH" means disproportionate share hospital.
(f) "EPSDT" means early and periodic screening, diagnosis, and
treatment.
(g) "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.
(h) "FMAP" means federal medical assistance percentage.
(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) "HIV/AIDS" means human immunodeficiency virus/acquired
immune deficiency syndrome.
(m) "HMO" means health maintenance organization.
(n) "IDEA" means the individuals with disabilities education
act, 20 USC 1400 to 1482.
(o) "IDG" means interdepartmental grant.
(p) "MCH" means maternal and child health.
(q) "MIChild" means the program described in section 1670.
(r) "MIHP" means maternal infant health program.
(s) "PASARR" 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.
(t) "PIHP" means a specialty prepaid inpatient health plan for
Medicaid mental health services, services to persons with
developmental disabilities, and substance abuse services as
described in section 232b of the mental health code, 1974 PA 258,
MCL 330.1232b.
(u) "Title XVIII" means title XVIII of the social security
act, 42 USC 1395 to 1395hhh.
(v) "Title XIX" means title XIX of the social security act, 42
USC 1396 to 1396v.
(w) "Title XX" means title XX of the social security act, 42
USC 1397 to 1397f.
(x) "WIC" means women, infants, and children supplemental
nutrition program.
Sec. 204. The civil service commission shall bill the
department at the end of the first fiscal quarter for the charges
authorized by section 5 of article XI of the state constitution of
1963. The department shall pay the total amount of the billing by
the end of the second fiscal quarter.
Sec. 206. (1) In addition to the funds appropriated in part 1,
there is appropriated an amount not to exceed $100,000,000.00 for
federal contingency funds. These funds are not available for
expenditure until they have been transferred to another line item
in this bill 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 $20,000,000.00 for state
restricted contingency funds. These funds are not available for
expenditure until they have been transferred to another line item
in this bill 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 this bill
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 $10,000,000.00 for private
contingency funds. These funds are not available for expenditure
until they have been transferred to another line item in this bill
under section 393(2) of the management and budget act, 1984 PA 431,
MCL 18.1393.
Sec. 208. The department shall use the Internet to fulfill the
reporting requirements of this bill. 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 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 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. (1) 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.
(2) The department shall provide a report to the senate and
house appropriations subcommittees on community health and the
senate and house fiscal agencies on the balance of each of the
restricted funds administered by the department as of September 30
of the current fiscal year.
Sec. 212. (1) From the amounts appropriated in part 1, no
greater than the following amounts are supported with federal
maternal and child health block grant, preventive health and health
services block grant, substance abuse block grant, healthy Michigan
fund, and Michigan health initiative funds:
(a) Maternal and child health block grant.......... $ 19,030,900
(b) Preventive health and health services
block grant............................................. 3,589,800
(c) Substance abuse block grant.................... 60,632,200
(d) Healthy Michigan fund.......................... 37,428,200
(e) Michigan health initiative..................... 9,100,000
(2) On or before February 1 of the current fiscal year, the
department shall report to the house of representatives 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 of this bill.
(3) Upon the release of the next fiscal year executive budget
recommendation, the department shall report to the same parties in
subsection (2) 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 of representatives 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. 214. The use of state-restricted tobacco tax revenue
received for the purpose of tobacco prevention, education, and
reduction efforts and deposited in the healthy Michigan fund shall
not be used for lobbying as defined in section 5 of 1978 PA 472,
MCL 4.415, and shall not be used in attempting to influence the
decisions of the legislature, the governor, or any state agency.
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 of representatives and
senate appropriations subcommittees on community health, the house
and senate fiscal agencies, and the state budget director on or
before November 1 and May 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. 220. All contracts with the Michigan public health
institute funded with appropriations in part 1 shall include a
requirement that the Michigan public health institute submit to
financial and performance audits by the state auditor general of
projects funded with state appropriations.
Sec. 223. In addition to the appropriations in part 1, 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. 259. From the funds appropriated in part 1 for
information technology, the department shall pay user fees to the
department of information technology for technology-related
services and projects. Such user fees shall be subject to
provisions of an interagency agreement between the department and
the department of information technology.
Sec. 261. Funds appropriated in part 1 for the Medicaid
management information system upgrade are contingent upon approval
of an advanced planning document from the centers for Medicare and
Medicaid services. If the necessary matching funds are identified
and legislatively transferred to this line item, the corresponding
federal Medicaid revenue shall be appropriated at a 90/10
federal/state match rate. This appropriation may be designated as a
work project and carried forward to support completion of this
project.
Sec. 266. (1) Due to the current budgetary problems in this
state, out-of-state travel shall be limited to situations in which
1 or more of the following conditions apply:
(a) The travel is required by legal mandate or court order or
for law enforcement purposes.
(b) The travel is necessary to protect the health or safety of
Michigan citizens or visitors or to assist other states in similar
circumstances.
(c) The travel is necessary to produce budgetary savings or to
increase state revenues, including protecting existing federal
funds or securing additional federal funds.
(d) The travel is necessary to comply with federal
requirements.
(e) The travel is necessary to secure specialized training for
staff that is not available within this state.
(f) The travel is financed entirely by federal or nonstate
funds.
(2) Not later than January 1 of each year, each department
shall prepare a travel report listing 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 of representatives standing
committees on appropriations, the senate and house fiscal agencies,
and the state budget director. The report shall include the
following information:
(a) The name of each person receiving reimbursement for travel
outside this state or whose travel costs were paid by this state.
(b) The destination of each travel occurrence.
(c) The dates of each travel occurrence.
(d) A brief statement of the reason for each travel
occurrence.
(e) 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.
(f) A total of all out-of-state travel funded for the
immediately preceding fiscal year.
Sec. 269. The amount appropriated in part 1 for medical
services pharmaceutical services includes funds to cover
reimbursement of mental health medications under the Medicaid
program.
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 activities that the
attorney general authorizes.
DEPARTMENTWIDE ADMINISTRATION
Sec. 301. From funds appropriated for worker's compensation,
the department may make payments in lieu of worker's compensation
payments for wage and salary and related fringe benefits for
employees who return to work under limited duty assignments.
Sec. 303. The department shall not require first-party payment
from individuals or families with a taxable income of $10,000.00 or
less for mental health services for determinations made under
section 818 of the mental health code, 1974 PA 258, MCL 330.1818.
MENTAL HEALTH/SUBSTANCE ABUSE SERVICES ADMINISTRATION AND SPECIAL
PROJECTS
Sec. 350. The department may enter into a contract with the
protection and advocacy agency, authorized under section 931 of the
mental health code, 1974 PA 258, MCL 330.1931, or a similar
organization to provide legal services for purposes of gaining and
maintaining occupancy in a community living arrangement that is
under lease or contract with the department or a community mental
health services program to provide services to persons with mental
illness or developmental disability.
Sec. 351. The department shall provide $1,800,000.00 in Byrne
justice assistance grant program funding to the judiciary by
interdepartmental grant.
COMMUNITY MENTAL HEALTH/SUBSTANCE ABUSE SERVICES PROGRAMS
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. The
department shall ensure that each CMHSP or PIHP provides all of the
following:
(a) A system of single entry and single exit.
(b) A complete array of mental health services that includes,
but is not limited to, all of the following services: residential
and other individualized living arrangements, outpatient services,
acute inpatient services, and long-term, 24-hour inpatient care in
a structured, secure environment.
(c) The coordination of inpatient and outpatient hospital
services through agreements with state-operated psychiatric
hospitals, units, and centers in facilities owned or leased by the
state, and privately-owned hospitals, units, and centers licensed
by the state pursuant to sections 134 through 149b of the mental
health code, 1974 PA 258, MCL 330.1134 to 330.1149b.
(d) Individualized plans of service that are sufficient to
meet the needs of individuals, including those discharged from
psychiatric hospitals or centers, and that ensure the full range of
recipient needs is addressed through the CMHSP's or PIHP's program
or through assistance with locating and obtaining services to meet
these needs.
(e) A system of case management or care management to monitor
and ensure the provision of services consistent with the
individualized plan of services or supports.
(f) A system of continuous quality improvement.
(g) A system to monitor and evaluate the mental health
services provided.
(h) A system that serves at-risk and delinquent youth as
required under the provisions of the mental health code, 1974 PA
258, MCL 330.1001 to 330.2106.
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 of representatives 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. 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 to the members of the house of
representatives 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 or
PIHP 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. 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 persons 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 or PIHPs.
(i) Information about contracts for mental health services
entered into by CMHSPs or PIHPs with providers, 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 for services provided to CMHSPs or
PIHPs.
(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 or PIHP 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 or PIHPs.
(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 or PIHPs 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 or PIHP.
(4) The department shall take all reasonable actions to ensure
that the data required are complete and consistent among all CMHSPs
or PIHPs.
Sec. 405. The employee wage pass-through funded in previous
years to the community mental health services programs for direct
care workers in local residential settings and for paraprofessional
and other nonprofessional direct care workers in settings where
skill building, community living supports and training, and
personal care services are provided shall continue to be paid to
direct care workers.
Sec. 406. (1) The funds appropriated in part 1 for the state
disability assistance substance abuse services program shall be
used to support per diem room and board payments in substance abuse
residential facilities. Eligibility of clients for the state
disability assistance substance abuse services program shall
include needy persons 18 years of age or older, or emancipated
minors, who reside in a substance abuse treatment center.
(2) The department shall reimburse all licensed substance
abuse 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
abuse prevention, education, and treatment grants shall be expended
for contracting with coordinating agencies. Coordinating agencies
shall work with the CMHSPs or PIHPs to coordinate the care and
services provided to individuals with both mental illness and
substance abuse diagnoses.
(2) The department shall approve a fee schedule for providing
substance abuse services and charge participants in accordance with
their ability to pay.
Sec. 408. (1) By April 15 of the current fiscal year, the
department shall report the following data from the prior fiscal
year on substance abuse prevention, education, and treatment
programs to the senate and house of representatives appropriations
subcommittees on community health, the senate and house fiscal
agencies, and the state budget office:
(a) Expenditures stratified by coordinating agency, by central
diagnosis and referral agency, by fund source, by subcontractor, by
population served, and by service type. Additionally, data on
administrative expenditures by coordinating agency 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
coordinating agency, 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 coordinating agencies.
Sec. 409. The funding in part 1 for substance abuse services
shall be distributed in a manner that provides priority to service
providers that furnish child care services to clients with
children.
Sec. 410. The department shall assure that substance abuse
treatment is provided to applicants and recipients of public
assistance through the department of human services who are
required to obtain substance abuse 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 persons 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. 414. Medicaid substance abuse treatment services shall be
managed by selected PIHPs pursuant to the centers for Medicare and
Medicaid services' approval of Michigan's 1915(b) waiver request to
implement a managed care plan for specialized substance abuse
services. The selected PIHPs shall receive a capitated payment on a
per eligible per month basis to assure provision of medically
necessary substance abuse services to all beneficiaries who require
those services. The selected PIHPs shall be responsible for the
reimbursement of claims for specialized substance abuse services.
The PIHPs that are not coordinating agencies may continue to
contract with a coordinating agency. Any alternative arrangement
must be based on client service needs and have prior approval from
the department.
Sec. 418. On or before the tenth of each month, the department
shall report to the senate and house of representatives
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 must 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. 442. (1) The $40,000,000.00 in funding transferred from
the community mental health non-Medicaid services line to support
the Medicaid adult benefits waiver program shall be used to provide
state match for increases in federal funding for primary care and
specialty services provided to Medicaid adult benefits waiver
enrollees and for economic increases for the Medicaid specialty
services and supports program.
(2) The department shall assure that persons enrolled in the
Medicaid adult benefits waiver program shall receive mental health
services as approved in the state plan amendment.
(3) Capitation payments to CMHSPs for persons who become
enrolled in the Medicaid adult benefits waiver program shall be
made using the same rate methodology as payments for the current
Medicaid beneficiaries.
(4) If enrollment in the Medicaid adult benefits waiver
program does not achieve expectations and the funding appropriated
for the Medicaid adult benefits waiver program for specialty
services is not expended, the general fund balance shall be
transferred back to the community mental health non-Medicaid
services line. The department shall report quarterly to the senate
and house of representatives appropriations subcommittees on
community health a summary of eligible expenditures for the
Medicaid adult benefits waiver program by CMHSPs.
Sec. 456. (1) CMHSPs and PIHPs shall honor consumer choice to
the fullest extent possible when providing services and support
programs for individuals with mental illness, developmental
disabilities, or substance abuse issues. Consumer choices shall
include skill-building assistance, rehabilitative and habilitative
services, supported and integrated employment services program
settings, and other work preparatory services provided in the
community or by accredited community-based rehabilitation
organizations. CMHSPs and PIHPs shall not arbitrarily eliminate or
restrict any choices from the array of services and program
settings available to consumers without reasonable justification
that those services are not in the consumer's best interest.
(2) CMHSPs and PIHPs shall take all necessary steps to ensure
that individuals with mental illness, developmental disabilities,
or substance abuse issues be placed in the least restrictive
setting in the quickest amount of time possible if it is the
individual's choice.
Sec. 458. By April 15 of the current fiscal year, the
department shall provide an updated plan for implementing
recommendations of the Michigan mental health commission made in
the commission’s report dated October 15, 2004 to the house of
representatives and senate appropriations subcommittees on
community health, the house and senate fiscal agencies, and the
state budget director.
Sec. 463. The department shall use standard program evaluation
measures to assess the overall effectiveness of programs provided
through coordinating agencies and service providers in reducing and
preventing the incidence of substance abuse. The measures
established by the department shall be modeled after the program
outcome measures and best practice guidelines for the treatment of
substance abuse as proposed by the federal substance abuse and
mental health services administration.
Sec. 465. Funds appropriated in part 1 for respite services
shall be used for direct respite care services for children with
serious emotional disturbances and their families. Not more than 1%
of the funds allocated for respite services shall be expended by
CMHSPs for administration and administrative purposes.
Sec. 468. To foster a more efficient administration of and to
integrate care in publicly funded mental health and substance abuse
services, the department shall maintain criteria for the
incorporation of a city, county, or regional substance abuse
coordinating agency into a local community mental health authority
that will encourage those city, county, or regional coordinating
agencies to incorporate as local community mental health
authorities. If necessary, the department may make accommodations
or adjustments in formula distribution to address administrative
costs related to the maintenance of the criteria under this section
and to the incorporation of the additional coordinating agencies
into local community mental health authorities provided that all of
the following are satisfied:
(a) The department provides funding for the administrative
costs incurred by coordinating agencies incorporating into
community mental health authorities. The department shall not
provide more than $75,000.00 to any coordinating agency for
administrative costs.
(b) The accommodations or adjustments do not favor
coordinating agencies who voluntarily elect to integrate with local
community mental health authorities.
(c) The accommodations or adjustments do not negatively affect
other coordinating agencies.
Sec. 470. (1) For those substance abuse coordinating agencies
that have voluntarily incorporated into community mental health
authorities and accepted funding from the department for
administrative costs incurred pursuant to section 468, the
department shall establish written expectations for those CMHSPs,
PIHPs, and substance abuse coordinating agencies and counties with
respect to the integration of mental health and substance abuse
services. At a minimum, the written expectations shall provide for
the integration of those services as follows:
(a) Coordination and consolidation of administrative functions
and redirection of efficiencies into service enhancements.
(b) Consolidation of points of 24-hour access for mental
health and substance abuse services in every community.
(c) Alignment of coordinating agencies and PIHPs boundaries to
maximize opportunities for collaboration and integration of
administrative functions and clinical activities.
(2) By May 1 of the current fiscal year, the department shall
report to the house of representatives and senate appropriations
subcommittees on community health, the house and senate fiscal
agencies, and the state budget office on the impact and
effectiveness of this section and the status of the integration of
mental health and substance abuse services.
Sec. 474. The department shall ensure that each contract with
a CMHSP or PIHP requires the CMHSP or PIHP to provide each
recipient and his or her family with information regarding the
different types of guardianship and the alternatives to
guardianship. A CMHSP or PIHP shall not, in any manner, attempt to
reduce or restrict the ability of a recipient or his or her family
from seeking to obtain any form of legal guardianship without just
cause.
Sec. 480. The department shall provide to the senate and house
appropriations subcommittees on community health and the senate and
house fiscal agencies by March 30 of the current fiscal year a
report on the number and reimbursement cost of atypical
antipsychotic prescriptions by each PIHP for Medicaid
beneficiaries.
Sec. 483. (1) A Medicaid recipient shall remain eligible and a
qualifying applicant shall be determined eligible for medical
assistance during a period of incarceration or detention. Medicaid
coverage is limited during such a period to off-site inpatient
hospitalization only.
(2) A Medicaid recipient is considered incarcerated or
detained until released on bail, released as not guilty, released
on parole, released on probation, released on pardon, released upon
completing a sentence, or released under home detention or tether.
STATE PSYCHIATRIC HOSPITALS, CENTERS FOR PERSONS WITH DEVELOPMENTAL
DISABILITIES, AND FORENSIC AND PRISON MENTAL HEALTH SERVICES
Sec. 601. (1) In funding of staff in the financial support
division, reimbursement, and billing and collection sections,
priority shall be given to obtaining third-party payments for
services. Collection from individual recipients of services and
their families shall be handled in a sensitive and nonharassing
manner.
(2) 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. Revenues collected through
project efforts are appropriated to the department for departmental
costs and contractual fees associated with these retroactive
collections and to improve ongoing departmental reimbursement
management functions.
Sec. 602. Unexpended and unencumbered amounts and accompanying
expenditure authorizations up to $1,000,000.00 remaining on
September 30 of the current fiscal year from the amounts
appropriated in part 1 for gifts and bequests for patient living
and treatment environments shall be carried forward for 1 fiscal
year. 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. 603. The funds appropriated in part 1 for forensic mental
health services provided to the department of corrections are in
accordance with the interdepartmental plan developed in cooperation
with the department of corrections. The department is authorized to
receive and expend funds from the department of corrections in
addition to the appropriations in part 1 to fulfill the obligations
outlined in the interdepartmental agreements.
Sec. 604. (1) The CMHSPs or PIHPs shall provide annual reports
to the department on the following information:
(a) The number of days of care purchased from state hospitals
and centers.
(b) The number of days of care purchased from private
hospitals in lieu of purchasing days of care from state hospitals
and centers.
(c) The number and type of alternative placements to state
hospitals and centers other than private hospitals.
(d) Waiting lists for placements in state hospitals and
centers.
(2) The department shall annually report the information in
subsection (1) to the house of representatives and senate
appropriations subcommittees on community health, the house and
senate fiscal agencies, and the state budget director.
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
persons currently in those facilities and a plan for service
provision for those persons 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 person currently in the facility. A
discharge and aftercare plan shall address the person's housing
needs. A homeless shelter or similar temporary shelter arrangements
are inadequate to meet the person'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
of representatives 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 persons 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. 609. The department shall continue to ban the use of all
tobacco products in and on the grounds of state psychiatric
facilities. As used in this section, "tobacco product" means a
product that contains tobacco and is intended for human
consumption, including, but not limited to, cigarettes,
noncigarette smoking tobacco, or smokeless tobacco, as those terms
are defined in section 2 of the tobacco products tax act, 1993 PA
327, MCL 205.422, and cigars.
PUBLIC HEALTH ADMINISTRATION
Sec. 650. The department shall communicate the annual public
health consumption advisory for sportfish. The department shall, at
a minimum, post the advisory on the Internet and make the
information in the advisory available to the clients of the women,
infants, and children special supplemental nutrition program.
Sec. 651. By April 30 of the current fiscal year, the
department shall submit a report to the house and senate fiscal
agencies and the state budget director on the activities and
efforts of the department to improve the health status of the
citizens of this state with regard to the goals and objectives
stated in the "Healthy Michigan 2010" report, and the measurable
progress made toward those goals and objectives.
HEALTH POLICY, REGULATION, AND PROFESSIONS
Sec. 704. The department shall continue to contract with
grantees supported through the appropriation in part 1 for the
emergency medical services grants and contracts to ensure that a
sufficient number of qualified emergency medical services personnel
exist to serve rural areas of the state.
Sec. 706. When hiring any new nursing home inspectors funded
through appropriations in part 1, the department shall make every
effort to hire qualified individuals with past experience in the
long-term care industry.
Sec. 707. The funds appropriated in part 1 for the nursing
scholarship program, established in section 16315 of the public
health code, 1978 PA 368, MCL 333.16315, shall be used to increase
the number of nurses practicing in Michigan. The board of nursing
is encouraged to structure scholarships funded under this bill in a
manner that rewards recipients who intend to practice nursing in
Michigan. In addition, the department and the board of nursing
shall work cooperatively with the Michigan higher education
assistance authority to coordinate scholarship assistance with
scholarships provided pursuant to the Michigan nursing scholarship
act, 2002 PA 591, MCL 390.1181 to 390.1189.
Sec. 708. Nursing facilities shall report in the quarterly
staff report to the department, the total patient care hours
provided each month, by state licensure and certification
classification, and the percentage of pool staff, by state
licensure and certification classification, used each month during
the preceding quarter. The department shall make available to the
public, the quarterly staff report compiled for all facilities
including the total patient care hours and the percentage of pool
staff used, by classification.
Sec. 710. From the funds appropriated in part 1 for primary
care services, an amount not to exceed $2,172,700.00 is
appropriated to enhance the service capacity of the federally
qualified health centers and other health centers that are similar
to federally qualified health centers.
Sec. 711. The department may make available to interested
entities customized listings of nonconfidential information in its
possession, such as names and addresses of licensees. In addition
to the appropriations in part 1, the department may establish and
collect a reasonable charge to provide this service. The revenue
received from this service shall be used to offset expenses to
provide the service. Any balance of this revenue collected and
unexpended at the end of the fiscal year shall revert to the
appropriate restricted fund.
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 are nonprofit organizations that
use volunteer health professionals to provide care to uninsured
individuals.
Sec. 714. The department shall report to the legislature on
the timeliness of nursing facility complaint investigations and the
number of allegations that are substantiated on an annual basis.
The report shall consist of the number of allegations filed by
consumers and the number of facility-reported incidents. The
department shall make every effort to contact every complainant and
the subject of a complaint during an investigation.
Sec. 716. The department shall give priority in investigations
of alleged wrongdoing by licensed health care professionals to
instances that are alleged to have occurred within 2 years of the
initial complaint.
INFECTIOUS DISEASE CONTROL
Sec. 801. In the expenditure of funds appropriated in part 1
for AIDS programs, the department and its subcontractors shall
ensure that high-risk individuals ages 9 through 18 receive
priority for prevention, education, and outreach services.
Sec. 803. The department shall continue the AIDS drug
assistance program maintaining the prior year eligibility criteria
and drug formulary. This section does not prohibit the department
from providing assistance for improved AIDS treatment medications.
If the appropriation in part 1 or actual revenue is not sufficient
to maintain the prior year eligibility criteria and drug formulary,
the department may revise the eligibility criteria and drug
formulary in a manner that is consistent with federal program
guidelines.
Sec. 804. The department, in conjunction with efforts to
implement the Michigan prisoner reentry initiative, shall cooperate
with the department of corrections to share data and information as
they relate to prisoners being released who are HIV positive or
positive for the hepatitis C antibody.
EPIDEMIOLOGY
Sec. 851. The department shall provide a report annually to
the house of representatives and senate appropriations
subcommittees on community health, the senate and house fiscal
agencies, and the state budget director on the expenditures and
activities undertaken by the lead abatement program. The report
shall include, but is not limited to, a funding allocation
schedule, expenditures by category of expenditure and by
subcontractor, revenues received, description of program elements,
and description of program accomplishments and progress.
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 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 local public
health operations 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 local public
health operations 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 Michigan
department of agriculture. Public water supply, private groundwater
supply, and on-site sewage management shall be provided in
consultation with the Michigan 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).
(4) By April 1 of the current fiscal year, the department
shall make available a report to the senate and house of
representatives appropriations subcommittees on community health,
the senate and house fiscal agencies, and the state budget director
on the planned allocation of the funds appropriated for local
public health operations.
CHRONIC DISEASE AND INJURY PREVENTION AND HEALTH PROMOTION
Sec. 1003. Funds appropriated in part 1 for the Alzheimer's
information network shall be used to provide information and
referral services through regional networks for persons with
Alzheimer's disease or related disorders, their families, and
health care providers.
Sec. 1006. (1) In spending the funds appropriated in part 1
for the smoking prevention program, priority shall be given to
prevention and smoking cessation programs for pregnant women, women
with young children, and adolescents.
(2) For purposes of complying with 2004 PA 164, $900,000.00 of
the funds appropriated in part 1 for the smoking prevention program
shall be used for the quit kit program that includes the nicotine
patch or nicotine gum.
Sec. 1007. (1) The funds appropriated in part 1 for violence
prevention shall be used for, but not be limited to, the following:
(a) Programs aimed at the prevention of spouse, partner, or
child abuse and rape.
(b) Programs aimed at the prevention of workplace violence.
(2) In awarding grants from the amounts appropriated in part 1
for violence prevention, the department shall give equal
consideration to public and private nonprofit applicants.
(3) From the funds appropriated in part 1 for violence
prevention, the department may include local school districts as
recipients of the funds for family violence prevention programs.
Sec. 1009. From the funds appropriated in part 1 for the
diabetes and kidney program, a portion of the funds may be
allocated to the National Kidney Foundation of Michigan for kidney
disease prevention programming including early identification and
education programs and kidney disease prevention demonstration
projects.
Sec. 1019. From the funds appropriated in part 1 for chronic
disease prevention, $50,000.00 may be allocated for stroke
prevention, education, and outreach. The objectives of the program
shall include education to assist persons in identifying risk
factors, and education to assist persons in the early
identification of the occurrence of a stroke in order to minimize
stroke damage.
FAMILY, MATERNAL, AND CHILDREN'S HEALTH SERVICES
Sec. 1101. The department shall review the basis for the
distribution of funds to local health departments and other public
and private agencies for the women, infants, and children food
supplement program; family planning; and prenatal care outreach and
service delivery support program and indicate the basis upon which
any projected underexpenditures by local public and private
agencies shall be reallocated to other local agencies that
demonstrate need.
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/or 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. 1105. For all family, maternal, and children’s health
services programs for which an appropriation is made in part 1, the
department shall contract with those local agencies best able to
serve clients. Factors to be used by the department in evaluating
agencies under this section include the ability to serve high-risk
population groups; ability to provide access to individuals in need
of services in rural communities; ability to serve low-income
clients, where applicable; availability of, and access to, service
sites; management efficiency; and ability to meet federal
standards, when applicable.
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 family planning within the United States
department of health and human services specifies in the family
planning annual report. An agency not in compliance with the
indicators shall not receive supplemental or reallocated funds.
Sec. 1107. Of the amount appropriated in part 1 for prenatal
care outreach and service delivery support, not more than 9% shall
be expended for local administration, data processing, and
evaluation.
Sec. 1108. The funds appropriated in part 1 for pregnancy
prevention programs shall not be used to provide 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 in an amount that is
no less than the amount allocated to that program in fiscal year
1996-1997.
(2) Not later than December 1 of the current fiscal year, the
department shall report to the senate or house of representatives
appropriations subcommittee on community health or the senate or
house of representatives standing committee 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. 1110. Agencies that currently receive pregnancy
prevention funds and either receive or are eligible for other
family planning funds shall have the option of receiving all of
their family planning funds directly from the department and be
designated as delegate agencies.
Sec. 1111. The department shall allocate no less than 88% of
the funds appropriated in part 1 for family planning local
agreements and the pregnancy prevention program for the direct
provision of family planning/pregnancy prevention services.
Sec. 1112. From the funds appropriated in part 1 for prenatal
care outreach and service delivery support, the department shall
allocate at least $1,000,000.00 to communities with high infant
mortality rates.
Sec. 1129. The department shall provide a report annually to
the house of representatives and senate appropriations
subcommittees on community health, the house and senate fiscal
agencies, and the state budget director on the number of children
with elevated blood lead levels from information available to the
department. The report shall provide the information by county,
shall include the level of blood lead reported, and shall indicate
the sources of the information.
Sec. 1133. The department shall release infant mortality rate
data to all local public health departments 72 hours or more before
releasing infant mortality rate data to the public.
Sec. 1135. (1) Provision of the school health education
curriculum, such as the Michigan model or another comprehensive
school health education curriculum, shall be in accordance with the
health education goals established by the Michigan model for
comprehensive school health education state steering committee. The
state steering committee shall be comprised of a representative
from each of the following offices and departments:
(a) The department of education.
(b) The department of community health.
(c) The health administration in the department of community
health.
(d) The bureau of mental health and substance abuse services
in the department of community health.
(e) The department of human services.
(f) The department of state police.
(2) Upon written or oral request, a pupil not less than 18
years of age or a parent or legal guardian of a pupil less than 18
years of age, within a reasonable period of time after the request
is made, shall be informed of the content of a course in the health
education curriculum and may examine textbooks and other classroom
materials that are provided to the pupil or materials that are
presented to the pupil in the classroom. This subsection does not
require a school board to permit pupil or parental examination of
test questions and answers, scoring keys, or other examination
instruments or data used to administer an academic examination.
WOMEN, INFANTS, AND CHILDREN FOOD AND NUTRITION PROGRAM
Sec. 1151. The department may work with local participating
agencies to define local annual contributions for the farmer's
market nutrition program, project FRESH, to enable the department
to request federal matching funds based on local commitment of
funds.
Sec. 1153. The department shall ensure that individuals
residing in rural communities have sufficient access to the
services offered through the WIC program.
CHILDREN'S SPECIAL HEALTH CARE SERVICES
Sec. 1201. Funds appropriated in part 1 for medical care and
treatment of children with special health care needs shall be paid
according to reimbursement policies determined and published by the
Michigan medical services program.
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 genetic diagnostic and counseling services for
eligible families.
(d) Provide medical care and treatment to eligible patients
with hereditary coagulation defects, commonly known as hemophilia,
who are 21 years of age or older.
Sec. 1203. All children who are determined medically eligible
for the children's special health care services program shall be
referred to the appropriate locally based services program in their
community.
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. 1401. The appropriation in part 1 to the office of
services to the aging for community services and nutrition services
shall be restricted to eligible individuals at least 60 years of
age who fail to qualify for home care services under title XVIII,
XIX, or XX.
Sec. 1403. (1) The office of services to the aging shall
require each region to report to the office of services to the
aging 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. 1404. The area agencies and local providers may receive
and expend fees for the provision of day care, care management,
respite care, and certain eligible home- and community-based
services. The fees shall be based on a sliding scale, taking client
income into consideration. The fees shall be used to expand
services.
Sec. 1406. The appropriation of $5,000,000.00 of merit award
trust funds to the office of services to the aging for the respite
care program shall be allocated in accordance with a long-term care
plan developed by the long-term care working group established in
section 1657 of 1998 PA 336 upon implementation of the plan. The
use of the funds shall be for direct respite care or adult respite
care center services. Not more than 9% of the amount allocated
under this section shall be expended for administration and
administrative purposes.
Sec. 1413. Local counties may request to change membership in
the area agencies on aging if the change is to an area agency on
aging that is contiguous to that county pursuant to office of
services to the aging policies and procedures for area agency on
aging designation. The office of services to the aging shall adjust
allocations to area agencies on aging to account for any changes in
county membership. The office of services to the aging shall ensure
annually that county boards of commissioners are aware that county
membership in area agencies on aging can be changed subject to
office of services to the aging policies and procedures for area
agency on aging designation.
Sec. 1417. The department shall provide to the senate and
house of representatives 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.
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. 1602. Medical services shall be provided to elderly and
disabled persons with incomes less than or equal to 100% of the
official poverty level, pursuant to the state's option to elect
such coverage set out at section 1902(a)(10)(A)(ii) and (m) of title
XIX, 42 USC 1396a.
Sec. 1603. (1) The department may establish a program for
persons 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. (1) 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.
(2) The department shall notify the senate and house of
representatives appropriations subcommittees on community health
and the state budget director of any proposed revisions to the
protected income level for Medicaid coverage related to the public
assistance standard 90 days prior to implementation.
Sec. 1606. For the purpose of guardian and conservator
charges, the department of community health 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 copayment, 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
$2.50 or the pharmacy's usual or customary cash charge, whichever
is less. For nursing home residents, the pharmaceutical dispensing
fee shall be $2.75 or the pharmacy's usual or customary cash
charge, whichever is less.
(2) The department shall require a prescription copayment 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. 1621. The department may implement prospective drug
utilization review and disease management systems. The prospective
drug utilization review, a pharmacist-approved medication therapy
program, and disease management systems authorized by this section
shall have physician oversight, shall focus on patient, physician,
and pharmacist education, and shall be developed in consultation
with the national pharmaceutical council, Michigan state medical
society, Michigan osteopathic association, Michigan pharmacists
association, Michigan health and hospital association, and Michigan
nurses association.
Sec. 1623. (1) The department shall continue the Medicaid
policy that allows for the dispensing of a 100-day supply for
maintenance drugs.
(2) The department shall notify all HMOs, physicians,
pharmacies, and other medical providers that are enrolled in the
Medicaid program that Medicaid policy allows for the dispensing of
a 100-day supply for maintenance drugs.
(3) The notice in subsection (2) shall also clarify that a
pharmacy shall fill a prescription written for maintenance drugs in
the quantity specified by the physician, but not more than the
maximum allowed under Medicaid, unless subsequent consultation with
the prescribing physician indicates otherwise.
Sec. 1627. (1) The department shall use procedures and rebates
amounts specified under section 1927 of title XIX, 42 USC 1396r-8,
to secure quarterly rebates from pharmaceutical manufacturers for
outpatient drugs dispensed to participants in the MIChild program,
maternal outpatient medical services program, children's special
health care services, and adult benefit waiver program.
(2) For products distributed by pharmaceutical manufacturers
not providing quarterly rebates as listed in subsection (1), the
department may require preauthorization.
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. 1630. (1) Medicaid coverage for podiatric services, adult
dental services, and chiropractic services shall continue at not
less than the level in effect on October 1, 2002, except that
reasonable utilization limitations may be adopted in order to
prevent excess utilization. The department shall not impose
utilization restrictions on chiropractic services unless a
recipient has exceeded 18 office visits within 1 year.
(2) The department may implement the bulk purchase of hearing
aids, impose limitations on binaural hearing aid benefits, and
limit the replacement of hearing aids to once every 3 years.
Sec. 1631. (1) The department shall require copayments on
dental, podiatric, chiropractic, vision, and hearing aid 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 copayments:
(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. 1635. From the funds appropriated in part 1 for physician
services and health plan services, the department shall continue
the increase in Medicaid reimbursement rates for obstetrical
services implemented in fiscal year 2005-2006.
Sec. 1636. From the funds appropriated in part 1 for physician
services and health plan services, the department shall continue
the increase in Medicaid reimbursement rates for physician well
child procedure codes and primary care procedure codes implemented
in fiscal year 2006-2007 and fiscal year 2008-2009. The increased
reimbursement rates in this section shall not exceed the comparable
Medicare payment rate for the same services.
Sec. 1637. (1) All adult Medicaid recipients shall be offered
the opportunity to sign a Medicaid personal responsibility
agreement.
(2) The personal responsibility agreement shall include at
minimum the following provisions:
(a) That the recipient shall not smoke.
(b) That the recipient shall attend all scheduled medical
appointments.
(c) That the recipient shall exercise regularly.
(d) That if the recipient has children, those children shall
be up to date on their immunizations.
(e) That the recipient shall abstain from abusing controlled
substances and narcotics.
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. 1642. The department shall continue to allow ambulatory
surgery centers in this state to fully participate in the Medicaid
program when hospitals are reimbursed for Medicaid services through
the new Michigan Medicaid information system. Ambulatory surgery
centers that provide services to Medicaid eligible patients shall
be reimbursed in the same manner as hospitals. The reimbursement
schedule for ambulatory surgery centers that was developed and
implemented in consultation with the industry in fiscal year 2007-
2008 shall continue to be used in subsequent fiscal years.
Sec. 1643. Of the funds appropriated in part 1 for graduate
medical education in the hospital services and therapy line-item
appropriation, not less than $10,947,400.00 shall be allocated for
the psychiatric residency training program that establishes and
maintains collaborative relations with the schools of medicine at
Michigan State University and Wayne State University if the
necessary allowable Medicaid matching funds are provided by the
universities.
Sec. 1648. The department shall maintain and make available an
online resource to enable medical providers to obtain enrollment
and benefit information of Medicaid recipients. There shall be no
charge to providers for the use of the online resource.
Sec. 1649. From the funds appropriated in part 1 for medical
services, the department shall continue breast and cervical cancer
treatment coverage for women up to 250% of the federal poverty
level, who are under age 65, and who are not otherwise covered by
insurance. This coverage shall be provided to women who have been
screened through the centers for disease control breast and
cervical cancer early detection program, and are found to have
breast or cervical cancer, pursuant to the breast and cervical
cancer prevention and treatment act of 2000, Public Law 106-354.
Sec. 1650. (1) The department may require medical services
recipients residing in counties offering managed care options to
choose the particular managed care plan in which they wish to be
enrolled. Persons not expressing a preference may be assigned to a
managed care provider.
(2) Persons to be assigned a managed care provider shall be
informed in writing of the criteria for exceptions to capitated
managed care enrollment, their right to change HMOs for any reason
within the initial 90 days of enrollment, the toll-free telephone
number for problems and complaints, and information regarding
grievance and appeals rights.
(3) The criteria for medical exceptions to HMO enrollment
shall be based on submitted documentation that indicates a
recipient has a serious medical condition, and is undergoing active
treatment for that condition with a physician who does not
participate in 1 of the HMOs. If the person meets the criteria
established by this subsection, the department shall grant an
exception to mandatory enrollment at least through the current
prescribed course of treatment, subject to periodic review of
continued eligibility.
Sec. 1651. (1) Medical services patients who are enrolled in
HMOs have the choice to elect hospice services or other services
for the terminally ill that are offered by the HMOs. If the patient
elects hospice services, those services shall be provided in
accordance with part 214 of the public health code, 1978 PA 368,
MCL 333.21401 to 333.21420.
(2) The department shall not amend the medical services
hospice manual in a manner that would allow hospice services to be
provided without making available all comprehensive hospice
services described in 42 CFR part 418.
Sec. 1653. Implementation and contracting for managed care by
the department through HMOs shall be subject to the following
conditions:
(a) Continuity of care is assured by allowing enrollees to
continue receiving required medically necessary services from their
current providers for a period not to exceed 1 year if enrollees
meet the managed care medical exception criteria.
(b) The department shall require contracted HMOs to submit
data determined necessary for evaluation on a timely basis.
(c) Mandatory enrollment of Medicaid beneficiaries living in
counties defined as rural by the federal government, which is any
nonurban standard metropolitan statistical area, is allowed if
there is only 1 HMO serving the Medicaid population, as long as
each Medicaid beneficiary is assured of having a choice of at least
2 physicians by the HMO.
(d) Enrollment of recipients of children's special health care
services in HMOs shall be voluntary during the fiscal year.
Children's special health care services recipients shall be
informed of the opportunity to enroll in HMOs.
(e) The department shall develop a case adjustment to its rate
methodology that considers the costs of persons with HIV/AIDS, end
stage renal disease, organ transplants, and other high-cost
diseases or conditions and shall implement the case adjustment when
it is proven to be actuarially and fiscally sound. Implementation
of the case adjustment must be budget neutral.
(f) Prior to contracting with an HMO for managed care services
that did not have a contract with the department before October 1,
2002, the department shall receive assurances from the office of
financial and insurance regulation that the HMO meets the net worth
and financial solvency requirements contained in chapter 35 of the
insurance code of 1956, 1956 PA 218, MCL 500.3501 to 500.3580.
Sec. 1654. Medicaid HMOs shall provide for reimbursement of
HMO covered services delivered other than through the HMO's
providers if medically necessary and approved by the HMO,
immediately required, and that could not be reasonably obtained
through the HMO's providers on a timely basis. Such services shall
be considered approved if the HMO does not respond to a request for
authorization within 24 hours of the request. Reimbursement shall
not exceed the Medicaid fee-for-service payment for those services.
Sec. 1655. (1) The department may require a 12-month lock-in
to the HMO selected by the recipient during the initial and
subsequent open enrollment periods, but allow for good cause
exceptions during the lock-in period.
(2) Medicaid recipients shall be allowed to change HMOs for
any reason within the initial 90 days of enrollment.
Sec. 1656. (1) The department shall provide an expedited
complaint review procedure for Medicaid eligible persons enrolled
in HMOs for situations in which failure to receive any health care
service would result in significant harm to the enrollee.
(2) The department shall provide for a toll-free telephone
number for Medicaid recipients enrolled in managed care to assist
with resolving problems and complaints. If warranted, the
department shall immediately disenroll persons from managed care
and approve fee-for-service coverage.
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 must receive authorization
from the recipient's HMO prior to admitting the recipient.
(3) Subsections (1) and (2) shall not be construed as a
requirement to alter an existing agreement between an HMO and their
contracting hospitals nor as a requirement that an HMO must
reimburse for services that are not considered to be medically
necessary.
Sec. 1658. (1) HMOs shall have contracts with hospitals within
a reasonable distance from their enrollees. If a hospital does not
contract with the HMO in its service area, that hospital shall
enter into a hospital access agreement as specified in the medical
services administration Bulletin Hospital 01-19.
(2) A hospital access agreement specified in subsection (1)
shall be considered an affiliated provider contract pursuant to the
requirements contained in chapter 35 of the insurance code of 1956,
1956 PA 218, MCL 500.3501 to 500.3580.
Sec. 1659. The following sections of this bill 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 abuse, and developmentally
disabled services program: 401, 402, 404, 411, 414, 418, 424, 428,
456, 1607, 1650, 1651, 1653, 1654, 1655, 1656, 1657, 1658, 1660,
1661, 1662, 1699, 1711, and 1783.
Sec. 1660. (1) The department shall assure that all Medicaid
children have timely access to EPSDT services as required by
federal law. Medicaid HMOs shall provide EPSDT services to their
child members in accordance with Medicaid EPSDT policy.
(2) The primary responsibility of assuring a child's hearing
and vision screening is with the child's primary care provider. The
primary care provider shall provide age-appropriate screening or
arrange for these tests through referrals to local health
departments. Local health departments shall provide preschool
hearing and vision screening services and accept referrals for
these tests from physicians or from Head Start programs in order to
assure all preschool children have appropriate access to hearing
and vision screening. Local health departments shall be reimbursed
for the cost of providing these tests for Medicaid eligible
children by the Medicaid program.
(3) The department shall prohibit HMOs from requiring prior
authorization of their contracted providers for any EPSDT screening
and diagnosis services.
(4) The department shall require HMOs to be responsible for
well child visits as described in Medicaid policy. These
responsibilities shall be specified in the information distributed
by the HMOs to their members.
(5) The department shall provide, on an annual basis, budget-
neutral incentives to Medicaid HMOs and local health departments to
improve performance on measures related to the care of children.
Sec. 1661. (1) The department shall assure that all Medicaid
eligible children and pregnant women have timely access to MIHP
services. Medicaid HMOs shall assure that MIHP screening is
available to their pregnant members and that those women found to
meet the MIHP service high-risk criteria are offered MIHP services.
Local health departments shall assure that MIHP screening is
available for Medicaid pregnant women and that those women found to
meet the MIHP high-risk criteria are offered MIHP services or are
referred to a certified MIHP service provider.
(2) The department shall require HMOs to be responsible for
the coordination of MIHP services as described in Medicaid policy.
These responsibilities shall be specified in the information
distributed by the HMOs to their members.
(3) The department shall assure the coordination of MIHP
services with the WIC program, state-supported substance abuse,
smoking prevention, and violence prevention programs, the
department of human services, and any other state or local program
with a focus on preventing adverse birth outcomes and child abuse
and neglect.
(4) The department shall provide, on an annual basis, budget-
neutral incentives to Medicaid HMOs and local health departments to
improve performance on measures related to the care of pregnant
women.
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
health employer data and information set well child health measures
in accordance with the National Committee on Quality Assurance
prescribed methodology.
(3) The department shall provide a copy of the analysis of the
Medicaid HMO annual audited health employer data and information
set 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.
(4) The department shall work with the Michigan association of
health plans and the Michigan association for local public health
to improve service delivery and coordination in the MIHP and EPSDT
programs.
(5) The department shall assure that training and technical
assistance are available for EPSDT and MIHP for Medicaid health
plans, local health departments, and MIHP 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 200% 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
bill. Health coverage for children in families between 150% and
200% 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 200% of the federal poverty level. The department's
verification policy shall be used to determine eligibility.
(5) The department shall enter into a contract to obtain
MIChild services from any HMO, dental care corporation, or any
other entity that offers to provide the managed health care
benefits for MIChild services at the MIChild capitated rate. As
used in this subsection:
(a) "Dental care corporation", "health care corporation",
"insurer", and "prudent purchaser agreement" mean those terms as
defined in section 2 of the prudent purchaser act, 1984 PA 233, MCL
550.52.
(b) "Entity" means a health care corporation or insurer
operating in accordance with a prudent purchaser agreement.
(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.
Sec. 1673. The department may establish premiums for MIChild
eligible persons 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 state employee insurance 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
abuse 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
abuse 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 abuse treatment services that may include
inpatient, outpatient, and residential substance abuse 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. 1680. Payment increases for enhanced wages and new or
enhanced employee benefits provided in previous years through the
Medicaid nursing home wage pass-through program shall be continued.
Sec. 1681. From the funds appropriated in part 1 for home- and
community-based services, the department and local waiver agents
shall encourage the use of family members, friends, and neighbors
of home- and community-based services participants, where
appropriate, to provide homemaker services, meal preparation,
transportation, chore services, and other nonmedical covered
services to participants in the Medicaid home- and community-based
services program. This section shall not be construed as allowing
for the payment of family members, friends, or neighbors for these
services unless explicitly provided for in federal or state law.
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) The department is authorized to provide civil monetary
penalty funds to the disability network of Michigan to be
distributed to the 15 centers for independent living for the
purpose of assisting individuals with disabilities who reside in
nursing homes to return to their own homes.
(4) Any unexpended penalty money, at the end of the year,
shall carry forward to the following year.
Sec. 1683. The department shall promote activities that
preserve the dignity and rights of terminally ill and chronically
ill individuals. Priority shall be given to programs, such as
hospice, that focus on individual dignity and quality of care
provided persons with terminal illness and programs serving persons
with chronic illnesses that reduce the rate of suicide through the
advancement of the knowledge and use of improved, appropriate pain
management for these persons; and initiatives that train health
care practitioners and faculty in managing pain, providing
palliative care, and suicide prevention.
Sec. 1685. All nursing home rates, class I and class III, must
have their respective fiscal year rate set 30 days prior to the
beginning of their rate year. Rates may take into account the most
recent cost report prepared and certified by the preparer, provider
corporate owner or representative as being true and accurate, and
filed timely, within 5 months of the fiscal year end in accordance
with Medicaid policy. If the audited version of the last report is
available, it shall be used. Any rate factors based on the filed
cost report may be retroactively adjusted upon completion of the
audit of that cost report.
Sec. 1688. The department shall not impose a limit on per unit
reimbursements to service providers that provide personal care or
other services under the Medicaid home- and community-based
services waiver program for the elderly and disabled. The
department's per day per client reimbursement cap calculated in the
aggregate for all services provided under the Medicaid home- and
community-based services waiver is not a violation of this section.
Sec. 1689. (1) Priority in enrolling additional persons in the
Medicaid home- and community-based services waiver program shall be
given to those who are currently residing in nursing homes or who
are eligible to be admitted to a nursing home if they are not
provided home- and community-based services. The department shall
use screening and assessment procedures to assure that no
additional Medicaid eligible persons are admitted to nursing homes
who would be more appropriately served by the Medicaid home- and
community-based services waiver program.
(2) Within 60 days of the end of each fiscal quarter, the
department shall provide a report to the senate and house
appropriations subcommittees on community health and the senate and
house fiscal agencies that details existing and future allocations
for the home- and community-based services waiver program by
regions as well as the associated expenditures. The report shall
include information regarding the net cost savings from moving
individuals from a nursing home to the home- and community-based
services waiver program, the number of individuals transitioned
from nursing homes to the home- and community-based services waiver
program, the number of individuals on waiting lists by region for
the program, and the amount of funds transferred during the fiscal
quarter. The report shall also include the number of Medicaid
individuals served and the number of days of care for the home- and
community-based services waiver program and in nursing homes.
(3) The department shall develop a system to collect and
analyze information regarding individuals on the home- and
community-based services waiver waiting list to identify the
community supports they receive, including, but not limited to,
adult home help, food assistance, and housing assistance services
and to determine the extent to which these community supports help
individuals remain in their home and avoid entry into a nursing
home. The department shall provide a progress report on
implementation to the senate and house appropriations subcommittees
on community health and the senate and house fiscal agencies by
June 1 of the current fiscal year.
Sec. 1690. (1) The department shall submit a report to the
house and senate appropriations subcommittees on community health,
the house and senate fiscal agencies, and the state budget director
by April 1 of the current fiscal year, to include all data
collected on the quality assurance indicators in the preceding
fiscal year for the home- and community-based services waiver
program, as well as quality improvement plans and data collected on
critical incidents in the waiver program and their resolutions.
(2) The department shall submit a report to the house and
senate appropriations subcommittees on community health, the house
and senate fiscal agencies, and the state budget director by April
1 of the current fiscal year, to include all data collected on the
quality assurance indicators in the preceding fiscal year for the
adult home help program, as well as quality improvement plans and
data collected on critical incidents in the adult home help program
and their resolutions.
Sec. 1691. Payment increases provided in previous years to
adult home help workers shall be continued. Wages may increase as
funds become available.
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. 1697. (1) As may be allowed by federal law or regulation,
the department may use funds provided by a local or intermediate
school district, which have been obtained from a qualifying health
system, as the state match required for receiving federal Medicaid
or children health insurance program funds. Any such funds received
shall be used only to support new school-based or school-linked
health services.
(2) A qualifying health system is defined as any health care
entity licensed to provide health care services in the state of
Michigan, that has entered into a contractual relationship with a
local or intermediate school district to provide or manage school-
based or school-linked health services.
Sec. 1699. The department may make separate payments directly
to qualifying hospitals serving a disproportionate share of
indigent patients in the amount of $50,000,000.00, and to hospitals
providing graduate medical education training programs. If direct
payment for GME and DSH is made to qualifying hospitals for
services to Medicaid clients, hospitals will not include GME costs
or DSH payments in their contracts with HMOs.
Sec. 1711. (1) The department shall maintain the 2-tier
reimbursement methodology for Medicaid emergency physicians
professional services that was in effect on September 30, 2002,
subject to the following conditions:
(a) Payments by case and in the aggregate shall not exceed 70%
of Medicare payment rates.
(b) Total expenditures for these services shall not exceed the
level of total payments made during fiscal year 2001-2002, after
adjusting for Medicare copayments and deductibles and for changes
in utilization.
(2) To ensure that total expenditures stay within the spending
constraints of subsection (1)(b), the department shall develop a
utilization adjustor for the basic 2-tier payment methodology. The
adjustor shall be based on a good faith estimate by the department
as to what the expected utilization of emergency room services will
be during the current fiscal year, given changes in the number and
category of Medicaid recipients. If expenditure and utilization
data indicate that the amount and/or type of emergency physician
professional services are exceeding the department's estimate, the
utilization adjustor shall be applied to the 2-tier reimbursement
methodology in such a manner as to reduce aggregate expenditures to
the fiscal year 2001-2002 adjusted expenditure target.
Sec. 1716. The department shall seek to maintain a constant
enrollment level within the Medicaid adult benefits waiver program
throughout fiscal year 2009-2010.
Sec. 1717. (1) The department shall create 2 pools for
distribution of disproportionate share hospital funding. The first
pool, totaling $45,000,000.00, shall be distributed using the
distribution methodology used in fiscal year 2003-2004. The second
pool, totaling $5,000,000.00, shall be distributed to unaffiliated
hospitals and hospital systems that received less than $900,000.00
in disproportionate share hospital payments in fiscal year 2007-
2008 based on a formula that is weighted proportional to the
product of each eligible system's Medicaid revenue and each
eligible system's Medicaid utilization, except that no payment of
less than $1,000.00 shall be made.
(2) 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 2
pools.
Sec. 1718. The department shall provide each Medicaid adult
home help beneficiary or applicant with the right to a fair hearing
when the department or its agent reduces, suspends, terminates, or
denies adult home help services. If the department takes action to
reduce, suspend, terminate, or deny adult home help services, it
shall provide the beneficiary or applicant with a written notice
that states what action the department proposes to take, the
reasons for the intended action, the specific regulations that
support the action, and an explanation of the beneficiary's or
applicant's right to an evidentiary hearing and the circumstances
under which those services will be continued if a hearing is
requested.
Sec. 1728. The department shall make available to qualifying
Medicaid recipients, not based on Medicare guidelines, freestanding
electrical lifting and transferring devices.
Sec. 1731. The department shall continue an asset test to
determine Medicaid eligibility for individuals who are parents,
caretaker relatives, or individuals between the ages of 18 and 21
and who are not required to be covered under federal Medicaid
requirements.
Sec. 1733. (1) The department shall seek additional federal
funds to permit the state to provide financial support for
electronic prescribing and other health information technology
initiatives.
(2) The department shall develop a 3-year strategic plan for
the implementation of electronic prescribing for the Medicaid
program.
Sec. 1734. The department shall seek federal money for
demonstration programs that will permit this state to provide
financial incentives for positive health behavior practiced by
Medicaid recipients, including, but not limited to, consumer-driven
strategies that enable Medicaid recipients to choose coverage that
meets their individual needs and that authorize monetary or other
rewards for demonstrating positive health behavior changes.
Sec. 1740. From the funds appropriated in part 1 for health
plan services, the department shall assure that all GME funds
continue to be promptly distributed to qualifying hospitals using
the methodology developed in consultation with the graduate medical
education advisory group during fiscal year 2006-2007.
Sec. 1783. The department shall permit the enrollment of
individuals dually eligible for Medicare and Medicaid into Medicaid
health plans if those health plans also maintain a Medicare
advantage special needs plan certified by the centers for Medicare
and Medicaid services.
Sec. 1786. (1) For services where the actual length of stay is
less than the published low-day threshold, reimbursement for
inpatient admissions shall be the actual charge multiplied by the
individual hospital's cost-to-charge ratio net of indirect medical
education, not to exceed the full diagnosis related group payment
rate.
(2) The reimbursement changes specified in subsection (1)
shall not be implemented unless the changes are budget-neutral.
(3) The department shall define a low-day threshold of 1 as an
inpatient stay of less than 24 hours.
Sec. 1804. The department, in cooperation with the department
of human services, shall work with the federal government's public
assistance reporting information system to identify Medicaid
recipients who are veterans who may be eligible for federal
veterans health care benefits or other benefits.