SB-0253, As Passed House, October 31, 2017
SB-0253, As Passed Senate, October 19, 2017
HOUSE SUBSTITUTE FOR
SENATE BILL NO. 253
A bill to make, supplement, and adjust appropriations for
various state departments and agencies and capital outlay purposes
for the fiscal years ending September 30, 2017 and September 30,
2018; to provide for the expenditure of the appropriations; and to
repeal acts and parts of acts.
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
PART 1
LINE-ITEM APPROPRIATIONS
FOR FISCAL YEAR 2016-2017
Sec. 101. There is appropriated for various state departments
and agencies to supplement appropriations for the fiscal year
ending September 30, 2017, from the following funds:
APPROPRIATION SUMMARY
GROSS APPROPRIATION.................................... $ 6,596,100
Interdepartmental grant revenues:
Total interdepartmental grants and intradepartmental
transfers............................................ 0
ADJUSTED GROSS APPROPRIATION........................... $ 6,596,100
Federal revenues:
Total federal revenues................................. 2,000,000
Special revenue funds:
Total local revenues................................... 268,800
Total private revenues................................. 0
Total other state restricted revenues.................. 625,900
State general fund/general purpose..................... $ 3,701,400
Sec. 102. DEPARTMENT OF ATTORNEY GENERAL
(1) APPROPRIATION SUMMARY
GROSS APPROPRIATION.................................... $ 0
Interdepartmental grant revenues:
Total interdepartmental grants and intradepartmental
transfers............................................ 0
ADJUSTED GROSS APPROPRIATION........................... $ 0
Federal revenues:
Total federal revenues................................. 0
Special revenue funds:
Total local revenues................................... 0
Total private revenues................................. 0
Total other state restricted revenues.................. 0
State general fund/general purpose..................... $ 0
(2) ATTORNEY GENERAL OPERATIONS
Attorney general operations............................ $ (2,600,000)
Attorney general operations............................ 2,600,000
GROSS APPROPRIATION.................................... $ 0
Appropriated from:
Special revenue funds:
Lawsuit settlement proceeds fund....................... 0
State general fund/general purpose..................... $ 0
Sec. 103. DEPARTMENT OF MILITARY AND VETERANS
AFFAIRS
(1) APPROPRIATION SUMMARY
GROSS APPROPRIATION.................................... $ 2,268,800
Interdepartmental grant revenues:
Total interdepartmental grants and intradepartmental
transfers............................................ 0
ADJUSTED GROSS APPROPRIATION........................... $ 2,268,800
Federal revenues:
Total federal revenues................................. 2,000,000
Special revenue funds:
Total local revenues................................... 268,800
Total private revenues................................. 0
Total other state restricted revenues.................. 0
State general fund/general purpose..................... $ 0
(2) MILITARY
Michigan youth challeNGe academy....................... $ 268,800
National Guard operations.............................. 2,000,000
GROSS APPROPRIATION.................................... $ 2,268,800
Appropriated from:
Federal revenues:
Total federal revenues................................. 2,000,000
Special revenue funds:
Total local revenues................................... 268,800
State general fund/general purpose..................... $ 0
Sec. 104. DEPARTMENT OF TREASURY
(1) APPROPRIATION SUMMARY
GROSS APPROPRIATION.................................... $ 4,327,300
Interdepartmental grant revenues:
Total interdepartmental grants and intradepartmental
transfers............................................ 0
ADJUSTED GROSS APPROPRIATION........................... $ 4,327,300
Federal revenues:
Total federal revenues................................. 0
Special revenue funds:
Total local revenues................................... 0
Total private revenues................................. 0
Total other state restricted revenues.................. 625,900
State general fund/general purpose..................... $ 3,701,400
(2) INFORMATION TECHNOLOGY
Treasury operations information technology services
and projects......................................... $ 4,327,300
GROSS APPROPRIATION.................................... $ 4,327,300
Appropriated from:
Special revenue funds:
Senate Bill No. 253 as amended October 10, 2017
Delinquent tax collection revenue...................... 370,000
Tobacco tax revenue.................................... 255,900
State general fund/general purpose..................... $ 3,701,400
PART 1A
LINE-ITEM APPROPRIATIONS
FOR FISCAL YEAR 2017-2018
Sec. 151. There is appropriated for the various state
departments and agencies to supplement appropriations for the
fiscal year ending September 30, 2018, from the following funds:
APPROPRIATION SUMMARY
Full-time equated classified positions............ 2.0
GROSS APPROPRIATION.................................... $ [56,242,400]
Interdepartmental grant revenues:
Total interdepartmental grants and intradepartmental
transfers............................................ 0
ADJUSTED GROSS APPROPRIATION........................... $ [56,242,400]
Federal revenues:
Total federal revenues................................. 41,872,700
Special revenue funds:
Total local revenues................................... 0
Total private revenues................................. 0
Total other state restricted revenues.................. [600,000]
State general fund/general purpose..................... $ 13,769,700
Sec. 152. DEPARTMENT OF AGRICULTURE AND RURAL
DEVELOPMENT
(1) APPROPRIATION SUMMARY
GROSS APPROPRIATION.................................... $ 250,000
Interdepartmental grant revenues:
Total interdepartmental grants and intradepartmental
transfers............................................ 0
ADJUSTED GROSS APPROPRIATION........................... $ 250,000
Federal revenues:
Total federal revenues................................. 0
Special revenue funds:
Total local revenues................................... 0
Total private revenues................................. 0
Total other state restricted revenues.................. 0
State general fund/general purpose..................... $ 250,000
(2) FOOD AND DAIRY
Food safety and quality assurance...................... $ 150,000
GROSS APPROPRIATION.................................... $ 150,000
Appropriated from:
State general fund/general purpose..................... $ 150,000
(3) ONE-TIME APPROPRIATIONS
Campground development grant........................... $ 100,000
GROSS APPROPRIATION.................................... $ 100,000
Appropriated from:
State general fund/general purpose..................... $ 100,000
Sec. 153. ATTORNEY GENERAL
(1) APPROPRIATION SUMMARY
Senate Bill No. 253 as amended October 10, 2017
GROSS APPROPRIATION.................................... $ [600,000]
Interdepartmental grant revenues:
Total interdepartmental grants and intradepartmental
transfers............................................ 0
ADJUSTED GROSS APPROPRIATION........................... $ [600,000]
Federal revenues:
Total federal revenues................................. 0
Special revenue funds:
Total local revenues................................... 0
Total private revenues................................. 0
Total other state restricted revenues.................. [600,000]
State general fund/general purpose..................... $ 0
(2) ATTORNEY GENERAL OPERATIONS
[ ]
Attorney general operations............................ [600,000]
GROSS APPROPRIATION.................................... $ [600,000]
Appropriated from:
Special revenue funds:
Lawsuit settlement proceeds fund....................... [600,000]
State general fund/general purpose..................... $ 0
(3) ONE-TIME APPROPRIATIONS
Prosecuting attorneys coordinating council NextGen IT
system............................................... $ (600,000)
Prosecuting attorneys coordinating council NextGen IT
system............................................... 600,000
GROSS APPROPRIATION.................................... $ 0
Appropriated from:
Special revenue funds:
Lawsuit settlement proceeds fund....................... 0
State general fund/general purpose..................... $ 0
Sec. 154. CAPITAL OUTLAY
(1) APPROPRIATION SUMMARY
GROSS APPROPRIATION.................................... $ 100
Interdepartmental grant revenues:
Total interdepartmental grants and intradepartmental
transfers............................................ 0
ADJUSTED GROSS APPROPRIATION........................... $ 100
Federal revenues:
Total federal revenues................................. 0
Special revenue funds:
Total local revenues................................... 0
Total private revenues................................. 0
Total other state restricted revenues.................. 0
State general fund/general purpose..................... $ 100
(2) STATE BUILDING AUTHORITY FINANCED CONSTRUCTION
AUTHORIZATIONS
Western Michigan University - College of Aviation
renovation and addition (total authorized cost
$20,000,000; state building authority share
$14,999,800; university share $5,000,000; state
general fund share $200)............................. $ 100
GROSS APPROPRIATION.................................... $ 100
Appropriated from:
State general fund/general purpose..................... $ 100
Sec. 155. DEPARTMENT OF CORRECTIONS
(1) APPROPRIATION SUMMARY
GROSS APPROPRIATION.................................... $ 0
Interdepartmental grant revenues:
Total interdepartmental grants and intradepartmental
transfers............................................ 0
ADJUSTED GROSS APPROPRIATION........................... $ 0
Federal revenues:
Total federal revenues................................. 0
Special revenue funds:
Total local revenues................................... 0
Total private revenues................................. 0
Total other state restricted revenues.................. 0
State general fund/general purpose..................... $ 0
(2) FIELD OPERATIONS ADMINISTRATION
Criminal justice reinvestment.......................... $ (5,498,400)
Criminal justice reinvestment.......................... 5,498,400
GROSS APPROPRIATION.................................... $ 0
Appropriated from:
State general fund/general purpose..................... $ 0
Sec. 156. DEPARTMENT OF ENVIRONMENTAL QUALITY
(1) APPROPRIATION SUMMARY
GROSS APPROPRIATION.................................... $ 1,000,000
Interdepartmental grant revenues:
Total interdepartmental grants and intradepartmental
transfers............................................ 0
ADJUSTED GROSS APPROPRIATION........................... $ 1,000,000
Federal revenues:
Total federal revenues................................. 0
Special revenue funds:
Total local revenues................................... 0
Total private revenues................................. 0
Total other state restricted revenues.................. 0
State general fund/general purpose..................... $ 1,000,000
(2) REMEDIATION AND REDEVELOPMENT DIVISION
Contaminated site investigation, cleanup, and
revitalization....................................... $ 1,000,000
GROSS APPROPRIATION.................................... $ 1,000,000
Appropriated from:
State general fund/general purpose..................... $ 1,000,000
Sec. 157. DEPARTMENT OF HEALTH AND HUMAN SERVICES
(1) APPROPRIATION SUMMARY
Full-time equated classified positions............ 1.0
GROSS APPROPRIATION.................................... $ 48,207,200
Interdepartmental grant revenues:
Total interdepartmental grants and intradepartmental
transfers............................................ 0
ADJUSTED GROSS APPROPRIATION........................... $ 48,207,200
Federal revenues:
Total federal revenues................................. 41,872,700
Special revenue funds:
Total local revenues................................... 0
Total private revenues................................. 0
Total other state restricted revenues.................. 0
State general fund/general purpose..................... $ 6,334,500
(2) COMMUNITY SERVICES AND OUTREACH
Full-time equated classified positions............ 1.0
Domestic violence prevention and treatment--1.0 FTE
position............................................. $ 154,500
Housing and support services........................... 2,000,000
School success partnership program..................... 75,000
Uniform statewide sexual assault evidence kit tracking
system............................................... 4,000,000
GROSS APPROPRIATION.................................... $ 6,229,500
Appropriated from:
Federal revenues:
Total other federal revenues........................... 2,000,000
State general fund/general purpose..................... $ 4,229,500
(3) CHILDREN'S SERVICES AGENCY - CHILD WELFARE
Youth in transition.................................... $ 280,000
GROSS APPROPRIATION.................................... $ 280,000
Appropriated from:
State general fund/general purpose..................... $ 280,000
(4) FIELD OPERATIONS AND SUPPORT SERVICES
Public assistance field staff.......................... $ 75,000
GROSS APPROPRIATION.................................... $ 75,000
Appropriated from:
State general fund/general purpose..................... $ 75,000
(5) BEHAVIORAL HEALTH SERVICES
Community substance use disorder prevention,
education, and treatment............................. $ 16,372,700
Federal mental health block grant...................... 2,000,000
Genomic opioid research................................ 700,000
GROSS APPROPRIATION.................................... $ 19,072,700
Appropriated from:
Federal revenues:
Total other federal revenues........................... 18,372,700
State general fund/general purpose..................... $ 700,000
(6) LABORATORY SERVICES
Laboratory services.................................... $ 1,500,000
GROSS APPROPRIATION.................................... $ 1,500,000
Appropriated from:
Federal revenues:
Total other federal revenues........................... 1,500,000
State general fund/general purpose..................... $ 0
(7) INFORMATION TECHNOLOGY
Michigan Medicaid information system................... $ 20,000,000
GROSS APPROPRIATION.................................... $ 20,000,000
Appropriated from:
Federal revenues:
Total other federal revenues........................... 20,000,000
State general fund/general purpose..................... $ 0
(8) ONE-TIME BASIS ONLY APPROPRIATIONS
Direct primary care pilot program...................... $ (5,724,000)
Direct primary care pilot program...................... 5,724,000
Double-up food bucks................................... 750,000
Primary care and dental health services................ 300,000
GROSS APPROPRIATION.................................... $ 1,050,000
Appropriated from:
Federal revenues:
Total other federal revenues........................... 0
State general fund/general purpose..................... $ 1,050,000
Sec. 158. DEPARTMENT OF NATURAL RESOURCES
(1) APPROPRIATION SUMMARY
GROSS APPROPRIATION.................................... $ 1,026,200
Interdepartmental grant revenues:
Total interdepartmental grants and intradepartmental
transfers............................................ 0
ADJUSTED GROSS APPROPRIATION........................... $ 1,026,200
Federal revenues:
Total federal revenues................................. 0
Special revenue funds:
Total local revenues................................... 0
Total private revenues................................. 0
Total other state restricted revenues.................. 0
State general fund/general purpose..................... $ 1,026,200
(2) ONE-TIME APPROPRIATIONS
Bay City State Recreation Area, playscape
reconstruction....................................... $ 400,000
Onaway State Park, pavilion reconstruction............. 400,000
Snowmobile local grants program (one-time)............. 226,200
GROSS APPROPRIATION.................................... $ 1,026,200
Appropriated from:
State general fund/general purpose..................... $ 1,026,200
Sec. 159. DEPARTMENT OF STATE
(1) APPROPRIATION SUMMARY
GROSS APPROPRIATION.................................... $ 5,000,000
Interdepartmental grant revenues:
Total interdepartmental grants and intradepartmental
transfers............................................ 0
ADJUSTED GROSS APPROPRIATION........................... $ 5,000,000
Federal revenues:
Total federal revenues................................. 0
Special revenue funds:
Total local revenues................................... 0
Total private revenues................................. 0
Total other state restricted revenues.................. 0
State general fund/general purpose..................... $ 5,000,000
(2) ONE-TIME BASIS ONLY APPROPRIATIONS
Election administration and services................... $ 5,000,000
GROSS APPROPRIATION.................................... $ 5,000,000
Appropriated from:
State general fund/general purpose..................... $ 5,000,000
Sec. 160. DEPARTMENT OF STATE POLICE
(1) APPROPRIATION SUMMARY
Full-time equated classified positions............ 1.0
GROSS APPROPRIATION.................................... $ 158,900
Interdepartmental grant revenues:
Total interdepartmental grants and intradepartmental
transfers............................................ 0
ADJUSTED GROSS APPROPRIATION........................... $ 158,900
Federal revenues:
Total federal revenues................................. 0
Special revenue funds:
Total local revenues................................... 0
Total private revenues................................. 0
Total other state restricted revenues.................. 0
State general fund/general purpose..................... $ 158,900
(2) LAW ENFORCEMENT SERVICES
Full-time equated classified positions............ 1.0
Grants and community services--1.0 FTE position........ $ 118,900
Training............................................... 20,000
GROSS APPROPRIATION.................................... $ 138,900
Appropriated from:
State general fund/general purpose..................... $ 138,900
(3) MICHIGAN COMMISSION ON LAW ENFORCEMENT STANDARDS
Standards and training/justice training grants......... $ 20,000
GROSS APPROPRIATION.................................... $ 20,000
Appropriated from:
State general fund/general purpose..................... $ 20,000
PART 2
PROVISIONS CONCERNING APPROPRIATIONS
FOR FISCAL YEAR 2016-2017
GENERAL SECTIONS
Sec. 201. Pursuant to section 30 of article IX of the state
constitution of 1963, total state spending from state sources under
part 1 for fiscal year 2016-2017 is $4,327,300.00 and total state
spending from state sources to be paid to local units of government
for fiscal year 2016-2017 is $0.00.
Sec. 202. The appropriations authorized under part 1 are
subject to the management and budget act, 1984 PA 431, MCL 18.1101
to 18.1594.
DEPARTMENT OF ATTORNEY GENERAL
Sec. 301. The amount of $6,400,000.00 of unexpended lawsuit
settlement proceeds fund revenues at the end of the fiscal year
shall remain in the lawsuit settlement proceeds fund and carry
forward into the succeeding fiscal year.
Sec. 302. (1) From the lawsuit settlement proceeds fund
appropriated in part 1, the department may spend the funds for the
costs of all associated expenses related to the declaration of
emergency due to drinking water contamination up to $2,600,000.00.
(2) The attorney general's office must submit a report to the
senate and house standing committees on appropriations, the senate
and house appropriations subcommittees on general government, the
senate and house fiscal agencies, and the state budget director by
November 1 of the following fiscal year detailing how funds in
subsection (1), and funds from prior years associated with legal
costs pertaining to the Flint water declaration of emergency, were
expended. The report must itemize expenditures by case, purpose,
hourly rate of retained attorney, and department involved.
DEPARTMENT OF TREASURY
Sec. 401. Unexpended and unencumbered funds up to a maximum of
$4,327,300.00 remaining in accounts appropriated for tax processing
- individual income tax direct E-file in 2014 PA 252, road funding
IT changes in section 701 of 2015 PA 6, tax processing for special
taxes CustFin in 2015 PA 84, and free individual tax e-file in 2016
PA 268 are reappropriated for the fiscal year ending September 30,
2017 for treasury operations information technology services and
projects.
Sec. 402. The unexpended funds appropriated for a motor fuel,
tobacco tax, and customer financial system replacement are
designated as a work project appropriation, and any unencumbered or
unallotted funds shall not lapse at the end of the fiscal year and
shall be available for expenditures for projects under this section
until the projects have been completed. The following is in
compliance with section 451a(1) of the management and budget act,
1984 PA 431, MCL 18.1451a:
(a) The purpose of the project is to implement a motor fuel,
tobacco tax, and customer financial system replacement.
(b) The project will be accomplished by state employees and
contracts with private vendors.
(c) The total cost of the project is $4,327,300.00
Senate Bill No. 253 as amended October 10, 2017
(d) The tentative completion date is September 30, 2019.
PART 2A
PROVISIONS CONCERNING APPROPRIATIONS
FOR FISCAL YEAR 2017-2018
GENERAL SECTIONS
Sec. 1201. Pursuant to section 30 of article IX of the state
constitution of 1963, total state spending from state sources in
part 1A for the fiscal year ending September 30, 2018 is
[$14,369,700.00] and total state spending from state sources paid to
local units of government is $800,000.00.
Sec. 1202. The appropriations authorized under part 1A are
subject to the management and budget act, 1984 PA 431, MCL 18.1101
to 18.1594.
DEPARTMENT OF AGRICULTURE AND RURAL DEVELOPMENT
Sec. 1301. From the funds appropriated in part 1A for food
safety and quality assurance, the department of agriculture and
rural development shall issue a grant of $150,000.00 to a third-
party entity for the purposes of providing education and training
as it relates to proper management of draft beer delivery systems.
The grant issued under this section shall be focused on providing
education and training to the new entities that were given the
ability by 2016 PA 514 to fill growlers for off-premises
consumption under section 537 of the Michigan liquor control code
of 1998, 1998 PA 58, MCL 436.1537.
Senate Bill No. 253 as amended October 10, 2017
Sec. 1302. From the funds appropriated in part 1A for
campground development grant, the department of agriculture and
rural development shall allocate $100,000.00 to a county with a
population of greater than 130,000 people but less than 140,000
people according to the most recent federal decennial census. This
funding shall be used to aid in the acquisition and development of
property for a campground for visitors to an equestrian center
located within that county.
DEPARTMENT OF ATTORNEY GENERAL
Sec. 1331. (1) From the lawsuit settlement proceeds fund
appropriated in part 1A, the department may spend the funds for the
costs of all associated expenses related to the declaration of
emergency due to drinking water contamination up to [$2,600,000.00].
(2) From the lawsuit settlement proceeds fund appropriated in
part 1A, the prosecuting attorneys coordinating council may spend
up to $600,000.00 to upgrade its NextGen information technology
case management system.
(3) From the lawsuit settlement proceeds fund appropriated in
part 1A, $180,000.00 shall be used by the department of attorney
general for costs associated with implementing the duties and
responsibilities prescribed to the attorney general's office under
the bad-faith patent infringement claims act, 2016 PA 550, MCL
446.161 to 446.173, related to bad-faith patent infringement
claims.
(4) The attorney general's office must submit a quarterly
report to the senate and house standing committees on
appropriations, the senate and house appropriations subcommittees
on general government, the senate and house fiscal agencies, and
the state budget director, detailing how funds in subsection (1),
and funds from prior years associated with legal costs pertaining
to the Flint water declaration of emergency, were expended. The
report must itemize expenditures by case, purpose, hourly rate of
retained attorney, and department involved.
CAPITAL OUTLAY
Sec. 1351. For the state building authority financed
construction authorization in part 1A, the legislature hereby
determines that the lease of the facility from the authority is for
a public purpose as authorized by 1964 PA 183, MCL 830.411 to
830.425. The legislature approves and authorizes the lease and
conveyance of the property to the state building authority, the
state building authority acquiring the facility and leasing it to
the state and the educational institution, or state, as applicable,
and the governor and secretary of state executing the lease for and
on behalf of the state pursuant to the requirements of 1964 PA 183,
MCL 830.411 to 830.425. Per the requirements of the lease, it is
the intent of the legislature to annually appropriate sufficient
amounts to pay the rent as obligated pursuant to the lease.
DEPARTMENT OF CORRECTIONS
Sec. 1371. (1) The funds appropriated in part 1A for criminal
justice reinvestment shall be used only to fund data collection and
evidence-based programs designed to reduce recidivism among
probationers and parolees.
(2) Of the funds appropriated in part 1A for criminal justice
reinvestment, at least $600,000.00 shall be allocated to an
organization that has received the United States Department of
Labor Training to Work 2 grant to provide county jail inmates with
programming and services to prepare them to get and keep jobs.
Examples of eligible programs and services are, but are not limited
to: adult education, tutoring, manufacturing skills training,
participation in a simulated work environment, mentoring, cognitive
therapy groups, life skills classes, substance abuse recovery
groups, fatherhood programs, classes in understanding the legal
system, family literacy, health and wellness, finance management,
employer presentations, and classes on job retention. Programming
and support services should begin before release and continue after
release from the county jail. To be eligible for funding, an
organization must show at least 2 years' worth of data that
demonstrate program success.
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Sec. 1401. From funds appropriated in part 1A for youth in
transition, $280,000.00 shall be awarded to a foundation that
provides housing at a charter high school for students ages 16 to
22 who have previously dropped out or are at risk of not graduating
on time operating in a county with a population of greater than
172,000 but less than 175,000 according to the most recent federal
decennial census. It is the intent of the legislature that this is
the second year out of 3 years that funding is to be provided by
the legislature for the foundation described in this section.
Sec. 1402. From the funds appropriated in part 1A for school
success partnership program, the department of health and human
services shall allocate $75,000.00 by December 1 of the current
fiscal year to support the Northeast Michigan Community Service
Agency programming, which will take place in each county in the
governor's prosperity region 3.
Sec. 1406. From the funds appropriated in part 1A for primary
care and dental health services, $300,000.00 shall be allocated for
primary care clinic and dental health clinic services for indigent
individuals to be provided in clinic locations in the city of
Detroit and Wayne County by a public nonprofit organization that is
pursuing certification as a federally qualified health center and
is expected to be certified within 2 years.
Sec. 1407. (1) The department shall apply to CMS for a waiver
to allow the department to bill CMS for direct primary care
services for Medicaid enrollees. After the department receives a
response from CMS regarding the waiver, the department shall do 1
of the following:
(a) If CMS approves the waiver, from the funds appropriated in
part 1A for direct primary care pilot program, the department shall
expend $710,000.00 general fund/general purpose plus associated
federal match for this program as part of a work project.
(b) If CMS does not approve the waiver, from the funds
appropriated in part 1A for direct primary care pilot program, the
department shall expend $864,000.00 general fund/general purpose to
fund a direct primary care pilot program as part of a work project.
(2) If the waiver in subsection (1) is approved, the
department shall implement a direct primary care pilot program for
Medicaid enrollees that shall run from October 1, 2017 to September
30, 2018. The pilot program shall include no more than 400
enrollees from each of the following Medicaid eligibility
categories:
(a) Childless adults.
(b) Children ages 0 to 6 years.
(c) Children ages 7 to 18 years.
(d) Parents.
(e) Elderly individuals.
(f) Disabled individuals.
(3) If the waiver in subsection (1) is not approved, the
department shall implement a direct primary care pilot program for
Medicaid enrollees that shall run from October 1, 2017 to September
30, 2018. The pilot program shall include no more than 400
enrollees from each of the following Medicaid eligibility
categories:
(a) Childless adults.
(b) Children ages 0 to 18 years.
(c) Parents.
(4) The department shall open enrollment for the direct
primary care pilot program to all Medicaid beneficiaries and shall
keep enrollment open until the limits described in subsections (2)
and (3) are reached. For the purposes of the pilot program, each
enrollee, up to the limits described in subsections (2) and (3),
that opts in to the pilot program shall be enrolled in a single,
eligible direct primary care service provider plan. The department
shall maintain and publicly share a list of eligible direct primary
care service providers with potential pilot program enrollees.
(5) An eligible direct primary care service provider must meet
the following requirements:
(a) The direct primary care service provider must be a
licensed physician in a primary care specialty.
(b) If the waiver in subsection (1) is approved, the monthly
direct primary care enrollment fee shall not exceed a weighted
average of $70.00 per month across all eligibility categories. The
average shall be weighted by the population makeup of the pilot
program. If the waiver in subsection (1) is not approved, the
monthly direct primary care enrollment fee shall not exceed a
weighted average of $60.00 per month across all eligibility
categories. The average shall be weighted by the population makeup
of the pilot program.
(c) The direct primary care service provider will be
contracted with the department and must not accept any other third-
party payments for providing health care services to enrollees
under this pilot program.
(d) The direct primary care service provider must only provide
primary care services.
(e) The direct primary care service provider's services must
include, but are not limited to, access to telemedicine and same or
next business day appointments.
(6) Managed care organizations contracted by this state to
provide Medicaid services within the county where a direct primary
care pilot program enrollee lives shall authorize direct primary
care service providers participating in the pilot program to serve
as "gateway" service providers who are able to refer pilot
enrollees to non-primary-care services within the managed care
organization's provider network. The managed care provider is not
liable for increased costs resulting from the implementation of the
pilot program. The direct primary care service providers must do
all of the following:
(a) Only refer pilot program enrollees to non-primary-care
service providers within the managed care organization's provider
network when making referrals for non-primary-care services.
(b) For pharmacy services not covered in the direct primary
care services agreement, only authorize the use of pharmaceuticals
covered under the managed care organization's formulary management
system.
(c) Follow all prior authorization requirements mandated by
the managed care organization.
(7) The department shall have access to the patient records of
each enrollee in the pilot program for the sole purpose of
aggregate data collection.
(8) On a quarterly basis, the department shall report to the
senate and house appropriations subcommittees on the department
budget, the senate and house fiscal agencies, the senate and house
policy offices, and the state budget office on the implementation
of the direct primary care pilot program. The report shall include,
but is not limited to, the following performance metrics:
(a) The number of enrollees in the pilot program by
eligibility category.
(b) The per-member-per-month rate paid in the previous fiscal
year per eligibility category.
(c) The number of claims paid in the previous fiscal year per
eligibility category.
(d) The number of claims per category weighted to reflect 400
enrollees.
(e) The dollar value of all claims per eligibility category.
(f) The per-member-per-month actual cost. As used in this
subdivision, "per-member-per-month actual cost" means the direct
primary care plan costs and any managed care costs not covered
through the direct primary care plan, including managed care
provider overhead costs.
(g) The average direct primary care cost per enrollee per
eligibility category.
(h) The average number of actual claims per eligibility
category.
(i) The average actual dollar value of claims per eligibility
category.
(j) The number of enrollees in the pilot program during the
previous quarter who are no longer eligible for Medicaid in the
current quarter, broken down by eligibility category.
(k) The category savings subtotal. As used in this
subdivision, "category savings subtotal" means the per-member-per-
month rate paid in fiscal year 2016-2017 minus the per-member-per-
month actual cost, times the number of enrollees in the eligibility
category.
(l) The total savings. As used in this subdivision, "total
savings" means the per-member-per-month rate paid in the previous
fiscal year minus the per-member-per-month actual cost, times the
total number of enrollees in the program.
(9) Unexpended and unencumbered funds up to a maximum of
$2,016,000.00 general fund/general purpose revenue plus any
associated federal match remaining in accounts appropriated in part
1 for direct primary care pilot program are designated as work
project appropriations, and any unencumbered or unallotted funds
shall not lapse at the end of the fiscal year and shall be
available for expenditures for the direct primary care pilot
program for Medicaid under this section until the work project has
been completed. All of the following are in compliance with section
451a(1) of the management and budget act, 1984 PA 431, MCL
18.1451a:
(a) The purpose of the work project is to fund the cost of a
direct primary care pilot program as provided by this section.
(b) The work project will be accomplished by contracting with
a managed care organization under contract with the department to
provide Medicaid services.
(c) The total estimated completion cost of the work project is
$6,048,000.00.
(d) The tentative completion date is September 30, 2020.
(10) The department may take out a stop loss policy to
mitigate the potential cost impact if pilot program per-member-per-
month costs exceed per-member-per-month costs for the program the
enrollee would have been in had he or she not participated in the
pilot program. The cost of the stop loss plan shall not be used in
the assessment of the success of the pilot program.
Sec. 1408. The funds appropriated in part 1A for genomic
opioid research shall be released to a community mental health
services program located in a county with a population of more than
245,000 and less than 255,000 according to the most recent
decennial census unless the department of health and human services
institutional review board does not approve a proposed genomic
opioid research plan from that community mental health services
program. The institutional review board shall review and approve
the proposed genomic opioid research plan unless the institutional
review board determines that the research plan does not meet all of
the following requirements:
(a) The plan's ability to facilitate research on the potential
of genomic testing to improve opioid prescribing practices and
medication-assisted treatment programs.
(b) The plan's ability to comply with federal regulations
regarding the protection of human subjects, 45 CFR part 46.
(c) The plan's ability to comply with applicable privacy
requirements contained in the health insurance portability and
accountability act of 1996, Public Law 104-191, or regulations
promulgated under that act, 45 CFR parts 160 and 164.
Sec. 1450. (1) From the funds appropriated in part 1A for
domestic violence prevention and treatment, the department shall
allocate $134,500.00 to fund 1.0 additional FTE position for the
Michigan domestic and sexual violence prevention and treatment
board to conduct an annual audit of the proper submission of sexual
assault evidence kits as required by the sexual assault kit
evidence submission act, 2014 PA 227, MCL 752.931 to 752.935. The
department shall allocate $20,000.00 to the Michigan domestic and
sexual violence prevention and treatment board to plan, prepare,
and implement training for health care providers on the existence
of the uniform statewide sexual assault evidence kit tracking
system, the requirement to use the system, and requirements of the
sexual assault kit evidence submission act, 2014 PA 227, MCL
752.931 to 752.935.
(2) By September 30 of the current fiscal year, the department
shall submit to the senate and house appropriations subcommittees
on the department of health and human services, the senate and
house fiscal agencies, the senate and house policy offices, and the
state budget office a report on the findings of the audit described
in subsection (1), including, but not limited to, a detailed
county-by-county compilation of the number of sexual assault
evidence kits that were properly submitted and the number that met
or did not meet deadlines established in the sexual assault kit
evidence submission act, 2014 PA 227, MCL 752.931 to 752.935, the
number of kits retrieved by law enforcement after analysis, and the
physical location of all released kits collected by health care
providers in that year, as of the date of the annual draft report
for each reporting agency.
Sec. 1451. (1) From the funds appropriated in part 1A for the
uniform statewide sexual assault evidence kit tracking system, in
accordance with the final report of the Michigan sexual assault
evidence kit tracking and reporting commission that was issued in
Senate Bill No. 253 as amended October 19, 2017
response to section 2 of 2014 PA 318, MCL 752.962, <<$800,000.00>> is
allocated to contract for development and implementation of a
uniform statewide sexual assault evidence kit tracking system. The
system shall include the following:
(a) A uniform statewide system to track the submission and
status of sexual assault evidence kits.
(b) A uniform statewide system to audit untested kits that
were collected on or before March 1, 2015 and were released by
victims to law enforcement.
(c) Secure electronic access for victims.
(d) The ability to accommodate concurrent data entry with kit
collection through various mechanisms, including web entry through
computer or smartphone, and through scanning devices.
<<
(2)>> By March 30 of the current fiscal year, the department
Senate Bill No. 253 as amended October 19, 2017
shall submit to the senate and house appropriations subcommittees
on the department of health and human services, the senate and
house fiscal agencies, the senate and house policy offices, and the
state budget office a status report on implementation and operation
of the uniform statewide sexual assault evidence kit tracking
system, including operational status and any known issues regarding
implementation.
<<(3) The sexual assault evidence tracking fund is established in the department of treasury. From the funds appropriated in part 1A for the uniform statewide sexual assault evidence kit tracking system, $3,200,000.00 shall be deposited in the sexual assault evidence tracking fund.
(4) Money in the sexual assault evidence tracking fund at the close of a fiscal year shall remain in the sexual assault evidence tracking fund and shall not revert to the general fund and shall be appropriated as provided by law for the development and implementation of a uniform statewide sexual assault evidence kit tracking system as described in subsection (1).>>
DEPARTMENT OF STATE
Sec. 1601. The unexpended funds appropriated in part 1A for
election administration and services are designated as a work
project appropriation, and any unencumbered or unallotted funds
shall not lapse at the end of the fiscal year and shall be
available for expenditure for projects under this section until the
projects have been completed. The following is in compliance with
section 451a of the management and budget act, 1984 PA 431, MCL
18.1451a:
(a) The purpose of the project is to support the replacement
of aging voting machines with new voting machines statewide.
(b) The project will be accomplished by utilizing state
employees or contracts with service providers, or both.
(c) The total estimated cost of the project is $5,000,000.00.
(d) The tentative completion date is September 30, 2022.
DEPARTMENT OF STATE POLICE
Sec. 1701. From the funds appropriated in part 1A for grants
and community services, the department shall allocate $118,900.00
to fund 1.0 FTE position to coordinate the department's
implementation and ongoing utilization of the uniform statewide
sexual assault evidence kit tracking system. The department shall
act as a liaison between local law enforcement agencies and the
department of health and human services regarding implementation
and utilization of the uniform statewide sexual assault kit
evidence tracking system and shall ensure that the department of
state police maintains compliance with the statutory requirements
outlined in the sexual assault kit evidence submission act, 2014 PA
227, MCL 752.931 to 752.935.
Sec. 1702. From the funds appropriated in part 1A for
training, the department shall allocate $20,000.00 to conduct 1
statewide training seminar for prosecutors, law enforcement
leadership, and law enforcement officers on the existence of the
uniform statewide sexual assault evidence kit tracking system, the
requirement to use the system, and requirements of the sexual
assault kit evidence submission act, 2014 PA 227, MCL 752.931 to
752.935.
Sec. 1703. From the funds appropriated in part 1A for
standards and training/justice training grants, the Michigan
commission on law enforcement standards shall allocate $20,000.00
to plan, prepare, and implement internet-based training seminars in
order to train law enforcement officers on the existence of the
uniform statewide sexual assault evidence kit tracking system, the
requirement to use the system, and requirements of the sexual
assault kit evidence submission act, 2014 PA 227, MCL 752.931 to
752.935. The Michigan commission on law enforcement standards may
also use regional, in-service, 1/2-day training seminars in
conjunction with, or in lieu of, internet-based training seminars
to train law enforcement officers on the existence of the uniform
statewide sexual assault evidence kit tracking system, the
requirement to use the system, and requirements of the sexual
assault kit evidence submission act, 2014 PA 227, MCL 752.931 to
752.935.
REPEALERS
Enacting section 1. Section 314 of article VIII of 2016 PA 268
is repealed.
Enacting section 2. Section 604 of article V, section 314 of
article VIII, and section 1913 of article X of 2017 PA 107 are
repealed.