| 13 | | - | 1 2 3 4 5 6 7 8 9 part 1 line-item appropriations Sec. 101. There is appropriated for the department of health and human services for the fiscal year ending September 30, 2024, from the following funds: DEPARTMENT OF HEALTH AND HUMAN SERVICES APPROPRIATION SUMMARY Full-time equated unclassified positions 6.0 Full-time equated classified positions 15,728.0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Average population 798.0 GROSS APPROPRIATION $ 35,499,363,300 Interdepartmental grant revenues: Total interdepartmental grants and intradepartmental transfers 14,676,900 ADJUSTED GROSS APPROPRIATION $ 35,484,686,400 Federal revenues: Capped federal revenues 505,666,800 Social security act, temporary assistance for needy families 550,622,300 Total other federal revenues 24,684,928,200 Special revenue funds: Total local revenues 154,718,100 Total private revenues 185,660,700 Michigan merit award trust fund 61,268,700 Total other state restricted revenues 2,989,057,700 State general fund/general purpose $ 6,352,763,900 Sec. 102. DEPARTMENTAL ADMINISTRATION AND SUPPORT Full-time equated unclassified positions 6.0 Full-time equated classified positions 930.4 Unclassified salaries--FTEs 6.0 $ 1,363,300 Administrative hearings officers 9,995,400 Child welfare institute--FTEs 55.0 9,313,800 Demonstration projects--FTEs 7.0 7,070,800 Departmental administration and management--FTEs 653.4 106,960,800 Legal services 12,300,000 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Office of inspector general--FTEs 197.0 25,869,800 Property management 61,762,900 Terminal leave payments 7,091,300 Training and program support--FTEs 18.0 2,610,500 Warehouse operations 1,400,000 Worker's compensation 8,515,500 GROSS APPROPRIATION $ 254,254,100 Appropriated from: Interdepartmental grant revenues: IDG from department of education 1,939,800 IDG from department of technology, management, and budget - office of retirement services 600 Federal revenues: Social security act, temporary assistance for needy families 27,448,800 Capped federal revenues 19,629,300 Total other federal revenues 73,135,400 Special revenue funds: Total local revenues 86,000 Total private revenues 3,846,900 Total other state restricted revenues 1,337,300 State general fund/general purpose $ 126,830,000 Sec. 103. CHILD SUPPORT ENFORCEMENT Full-time equated classified positions 193.7 Child support enforcement operations--FTEs 187.7 $ 25,679,000 Child support incentive payments 24,409,600 Legal support contracts 113,600,300 State disbursement unit--FTEs 6.0 7,362,800 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 GROSS APPROPRIATION $ 171,051,700 Appropriated from: Federal revenues: Capped federal revenues 14,839,600 Total other federal revenues 130,956,600 State general fund/general purpose $ 25,255,500 Sec. 104. COMMUNITY SERVICES AND OUTREACH Full-time equated classified positions 56.0 Bureau of community services and outreach--FTEs 24.0 $ 4,268,700 Community services and outreach administration--FTEs 20.0 7,292,300 Community services block grant 25,840,000 Homeless programs--FTE 1.0 24,082,500 Housing and support services 13,031,000 Kids' food basket 525,000 Runaway and homeless youth grants 17,784,000 School success partnership program 525,000 Weatherization assistance 15,505,000 Weatherization assistance IIJA--FTEs 11.0 40,000,000 GROSS APPROPRIATION $ 148,853,500 Appropriated from: Federal revenues: Social security act, temporary assistance for needy families 18,121,500 Capped federal revenues 91,690,800 Total other federal revenues 14,329,000 State general fund/general purpose $ 24,712,200 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Sec. 105. CHILDREN'S SERVICES AGENCY - CHILD WELFARE Full-time equated classified positions 4,111.2 Adoption subsidies $ 222,199,700 Adoption support services--FTEs 10.0 41,347,900 Attorney general contract 5,191,100 Child abuse and neglect - children's justice act--FTE 1.0 627,000 Child care fund 284,951,100 Child care fund - indirect cost allotment 3,500,000 Child protection 2,050,300 Child welfare administration travel 390,000 Child welfare field staff - noncaseload compliance--FTEs 353.0 41,180,100 Child welfare licensing--FTEs 59.0 7,352,900 Child welfare medical/psychiatric evaluations 10,428,500 Children's protective services - caseload staff--FTEs 1,615.0 170,526,200 Children's protective services supervisors--FTEs 387.0 47,824,000 Children's services administration--FTEs 212.2 26,881,900 Children's trust fund--FTEs 12.0 4,735,100 Contractual services, supplies, and materials 9,567,600 Court-appointed special advocates 1,000,000 Education planners--FTEs 15.0 1,990,000 Family preservation and prevention services administration--FTEs 9.0 1,405,200 Family preservation programs--FTEs 34.0 57,837,700 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Foster care payments 295,901,300 Foster care services - caseload staff--FTEs 966.0 97,749,000 Foster care services supervisors--FTEs 227.0 30,931,300 Guardianship assistance program 12,739,000 Interstate compact 179,600 Peer coaches--FTEs 45.5 6,267,000 Performance-based funding implementation--FTEs 3.0 1,353,800 Permanency resource managers--FTEs 28.0 3,482,400 Prosecuting attorney contracts 8,142,800 Raise the age fund 13,150,000 Second line supervisors and technical staff--FTEs 126.0 19,799,100 Settlement monitor 2,709,800 Strong families/safe children 12,600,000 Title IV-E compliance and accountability office--FTEs 4.0 457,000 Youth in transition--FTEs 4.5 9,178,500 GROSS APPROPRIATION $ 1,455,626,900 Appropriated from: Interdepartmental grant revenues: IDG from department of education 244,400 Federal revenues: Social security act, temporary assistance for needy families 322,421,600 Capped federal revenues 105,283,700 Total other federal revenues 270,282,500 Special revenue funds: Local funds - county chargeback 36,896,600 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Private - collections 1,500,000 Children's trust fund 2,895,300 Total other state restricted revenues 2,000,000 State general fund/general purpose $ 714,102,800 Sec. 106. CHILDREN'S SERVICES AGENCY - JUVENILE JUSTICE Full-time equated classified positions 132.5 Bay Pines Center--FTEs 53.0 $ 6,485,300 Committee on juvenile justice administration--FTEs 2.5 362,600 Committee on juvenile justice grants 3,000,000 Community support services--FTEs 3.0 1,507,600 County juvenile officers 3,977,600 Juvenile justice, administration and maintenance--FTEs 21.0 3,801,200 Shawono Center--FTEs 53.0 6,523,700 GROSS APPROPRIATION $ 25,658,000 Appropriated from: Federal revenues: Capped federal revenues 7,929,400 Total other federal revenues 643,600 Special revenue funds: Local funds - state share education funds 1,362,600 Local funds - county chargeback 4,515,300 State general fund/general purpose $ 11,207,100 Sec. 107. PUBLIC ASSISTANCE Full-time equated classified positions 1.0 Emergency services local office allocations $ 8,813,500 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Family independence program 61,547,000 Family independence program - clothing allowance 10,000,000 Family independence program - small child supplemental payment 4,154,400 Food assistance program benefits 5,273,474,400 Food assistance program benefits - state supplementation 5,000,000 Food Bank Council of Michigan 12,045,000 Indigent burial 4,369,100 Low-income home energy assistance program 174,951,600 Michigan energy assistance program--FTE 1.0 50,000,000 Refugee assistance program 3,054,200 State disability assistance payments 3,960,000 State supplementation 61,913,400 State supplementation administration 1,806,100 GROSS APPROPRIATION $ 5,675,088,700 Appropriated from: Federal revenues: Social security act, temporary assistance for needy families 65,110,900 Capped federal revenues 178,005,800 Total other federal revenues 5,268,764,400 Special revenue funds: Child support collections 8,798,900 Low-income energy assistance fund 50,000,000 Public assistance recoupment revenue 4,741,800 Supplemental security income recoveries 992,400 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 State general fund/general purpose $ 98,674,500 Sec. 108. LOCAL OFFICE OPERATIONS AND SUPPORT SERVICES Full-time equated classified positions 5,738.5 Administrative support workers--FTEs 167.0 $ 14,515,000 Adult services local office staff--FTEs 530.0 63,609,600 Contractual services, supplies, and materials 25,033,700 Critical health and wellness center operations 100 Donated funds positions--FTEs 237.0 28,462,200 Elder Law of Michigan MiCAFE contract 350,000 Electronic benefit transfer (EBT) 8,499,000 Employment and training support services 4,219,100 Equity and minority health 1,000,200 Food assistance reinvestment--FTEs 16.0 7,438,300 Local office policy and administration--FTEs 125.0 20,409,300 Local office staff travel 8,252,400 Medical/psychiatric evaluations 1,120,100 Nutrition education--FTEs 2.0 33,037,700 Pathways to potential--FTEs 231.0 25,390,700 Public assistance local office staff--FTEs 4,430.5 485,454,100 Social determinants of health hub 500,000 SSI advocacy legal services grant 375,000 GROSS APPROPRIATION $ 727,666,500 Appropriated from: Interdepartmental grant revenues: IDG from department of corrections 120,200 IDG from department of education 7,766,600 Federal revenues: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Social security act, temporary assistance for needy families 73,233,900 Capped federal revenues 55,328,300 Total other federal revenues 274,623,200 Special revenue funds: Local funds - donated funds 4,253,600 Private funds - donated funds 9,759,300 Private revenues 250,000 State general fund/general purpose $ 302,331,400 Sec. 109. DISABILITY DETERMINATION SERVICES Full-time equated classified positions 585.4 Disability determination operations--FTEs 581.3 $ 115,537,200 Retirement disability determination--FTEs 4.1 636,200 GROSS APPROPRIATION $ 116,173,400 Appropriated from: Interdepartmental grant revenues: IDG from department of technology, management, and budget - office of retirement services 812,800 Federal revenues: Total other federal revenues 111,563,800 State general fund/general purpose $ 3,796,800 Sec. 110. BEHAVIORAL HEALTH PROGRAM ADMINISTRATION AND SPECIAL PROJECTS Full-time equated classified positions 83.0 Behavioral health program administration--FTEs 45.0 $ 53,959,900 Community substance use disorder prevention, education, and treatment--FTEs 9.0 80,199,700 Family support subsidy 12,654,900 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Federal and other special projects 2,535,600 Gambling addiction--FTE 1.0 5,517,400 Mental health diversion council 3,850,000 Office of recipient rights--FTEs 26.0 3,563,800 Opioid response activities--FTEs 2.0 90,354,600 Protection and advocacy services support 194,400 GROSS APPROPRIATION $ 252,830,300 Appropriated from: Federal revenues: Social security act, temporary assistance for needy families 12,654,900 Total other federal revenues 170,105,100 Special revenue funds: Total private revenues 2,904,700 Total other state restricted revenues 31,000,600 State general fund/general purpose $ 36,165,000 Sec. 111. BEHAVIORAL HEALTH SERVICES Full-time equated classified positions 18.0 Autism services $ 283,133,200 Behavioral health community supports and services--FTEs 7.0 43,945,200 Certified community behavioral health clinic demonstration 106,654,900 Civil service charges 297,500 Community mental health non-Medicaid services 125,578,200 Court-appointed guardian reimbursements 5,000,000 Federal mental health block grant--FTEs 4.0 24,461,100 Health homes 53,400,100 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 Healthy Michigan plan - behavioral health 590,959,600 Medicaid mental health services 3,088,701,000 Medicaid substance use disorder services 93,445,100 Multicultural integration funding 17,284,900 Nursing home PAS/ARR-OBRA--FTEs 7.0 13,959,300 State disability assistance program substance use disorder services 2,018,800 GROSS APPROPRIATION $ 4,448,838,900 Appropriated from: Federal revenues: Social security act, temporary assistance for needy families 421,000 Capped federal revenues 184,500 Total other federal revenues 2,971,387,600 Special revenue funds: Total local revenues 10,190,500 Total other state restricted revenues 46,666,700 State general fund/general purpose $ 1,419,988,600 Sec. 112. STATE PSYCHIATRIC HOSPITALS AND FORENSIC MENTAL HEALTH SERVICES Full-time equated classified positions 2,536.6 Average population 798.0 Caro Regional Mental Health Center - psychiatric hospital - adult--FTEs 528.7 $ 59,040,300 Average population 145.0 Center for forensic psychiatry--FTEs 622.5 98,168,600 Average population 240.0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 Developmental disabilities council and projects--FTEs 10.0 3,165,200 Gifts and bequests for patient living and treatment environment 1,000,000 Hawthorn Center - psychiatric hospital - children and adolescents--FTEs 369.4 51,363,600 Average population 83.0 IDEA, federal special education 120,000 Kalamazoo Psychiatric Hospital - adult--FTEs 559.2 70,143,200 Average population 170.0 Purchase of medical services for residents of hospitals and centers 445,600 Revenue recapture 750,100 Special maintenance 924,600 State hospital administration--FTEs 34.0 5,576,300 Walter P. Reuther Psychiatric Hospital - adult--FTEs 412.8 67,577,800 Average population 160.0 GROSS APPROPRIATION $ 358,275,300 Appropriated from: Federal revenues: Total other federal revenues 45,756,100 Special revenue funds: Total local revenues 23,283,200 Total private revenues 1,000,000 Total other state restricted revenues 15,189,200 State general fund/general purpose $ 273,046,800 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Sec. 113. HEALTH AND HUMAN SERVICES POLICY AND INITIATIVES Full-time equated classified positions 74.3 Cellular therapy program $ 750,000 Certificate of need program administration--FTEs 11.3 2,713,000 Child advocacy centers 1,407,000 Child advocacy centers - supplemental grants 2,000,000 Community health programs 5,000,000 Crime victim grants administration services--FTEs 17.0 3,038,200 Crime victim justice assistance grants 98,579,300 Crime victim rights services grants 24,269,900 Domestic violence prevention and treatment--FTEs 15.6 18,340,200 Healthy and resilient communities 5,000,000 High social vulnerability index community 4,000,000 Human trafficking intervention services--FTE 1.0 200,000 Michigan essential health provider 3,519,600 Minority health grants and contracts--FTEs 3.0 1,145,200 Nurse education and research program--FTEs 3.0 814,900 Policy and planning administration--FTEs 19.9 2,662,300 Primary care services--FTEs 3.0 3,803,900 Rape prevention and services--FTEs 0.5 5,097,300 Rural health services 175,000 Uniform statewide sexual assault evidence kit tracking system 369,500 GROSS APPROPRIATION $ 182,885,300 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 Appropriated from: Interdepartmental grant revenues: IDG from department of education 2,400 IDG from department of licensing and regulatory affairs 814,900 IDG from department of treasury, Michigan finance authority 117,700 Federal revenues: Social security act, temporary assistance for needy families 6,736,000 Capped federal revenues 10,704,100 Total other federal revenues 99,704,200 Special revenue funds: Total private revenues 865,000 Total other state restricted revenues 27,473,000 State general fund/general purpose $ 36,468,000 Sec. 114. EPIDEMIOLOGY, EMERGENCY MEDICAL SERVICES, AND LABORATORY Full-time equated classified positions 409.4 Bioterrorism preparedness--FTEs 53.0 $ 30,807,300 Childhood lead program--FTEs 4.5 2,330,900 Emergency medical services program--FTEs 27.0 8,974,200 Epidemiology administration--FTEs 73.5 26,094,400 Healthy homes program--FTEs 25.5 56,287,900 Laboratory services--FTEs 102.0 30,243,600 Newborn screening follow-up and treatment services--FTEs 10.5 9,237,300 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 PFAS and environmental contamination response--FTEs 43.0 20,346,400 Vital records and health statistics--FTEs 70.4 11,393,500 GROSS APPROPRIATION $ 195,715,500 Appropriated from: Interdepartmental grant revenues: IDG from department of environment, Great Lakes, and energy 1,797,800 Federal revenues: Capped federal revenues 81,100 Total other federal revenues 77,138,300 Special revenue funds: Total private revenues 1,342,600 Total other state restricted revenues 31,345,600 State general fund/general purpose $ 84,010,100 Sec. 115. LOCAL HEALTH AND ADMINISTRATIVE SERVICES Full-time equated classified positions 189.1 AIDS prevention, testing, and care programs--FTEs 79.5 $ 110,575,400 Cancer prevention and control program--FTEs 18.0 15,858,500 Chronic disease control and health promotion administration--FTEs 28.4 10,247,400 Diabetes and kidney program--FTEs 8.0 4,172,000 Essential local public health services 81,419,300 Implementation of 1993 PA 133, MCL 333.17015 20,000 Local health services--FTEs 3.3 8,704,800 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Medicaid outreach cost reimbursement to local health departments 12,500,000 Public health administration--FTEs 8.0 2,104,200 Sexually transmitted disease control program--FTEs 20.0 8,483,300 Smoking prevention program--FTEs 15.0 4,621,900 Violence prevention--FTEs 8.9 13,518,800 GROSS APPROPRIATION $ 272,225,600 Appropriated from: Federal revenues: Social security act, temporary assistance for needy families 2,300 Total other federal revenues 90,246,900 Special revenue funds: Total local revenues 5,150,000 Total private revenues 74,437,700 Total other state restricted revenues 11,790,800 State general fund/general purpose $ 90,597,900 Sec. 116. HEALTHY MOMS, HEALTHY BABIES Full-time equated classified positions 2.0 Healthy moms, healthy babies - CenteringPregnancy 5,000,000 Healthy moms, healthy babies - child welfare home visiting programs 1,700,000 Healthy moms, healthy babies - diaper assistance program 4,404,400 Healthy moms, healthy babies - enhance family health 125,000 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Healthy moms, healthy babies - evidence-based home visiting services 1,431,000 Healthy moms, healthy babies - maternal infant health program 1,400,000 Healthy moms, healthy babies - Medicaid postpartum coverage 20,680,100 Healthy moms, healthy babies - MI-AIM bundles 10,000,000 Healthy moms, healthy babies - Michigan childhood collaborative care program 4,609,100 Healthy moms, healthy babies - perinatal quality initiatives--FTEs 2.0 5,000,000 Healthy moms, healthy babies - plan first 6,200,000 Healthy moms, healthy babies - strong beginnings 1,000,000 Healthy moms, healthy babies - substance use disorder services 530,000 Healthy moms, healthy babies - waiting period elimination 26,359,200 GROSS APPROPRIATION $ 88,438,800 Appropriated from: Federal revenues: Total other federal revenues 43,896,000 State general fund/general purpose $ 44,542,800 Sec. 117. FAMILY HEALTH SERVICES Full-time equated classified positions 137.1 Child and adolescent health care and centers $ 41,242,700 Dental programs--FTEs 5.3 7,734,200 Drinking water declaration of emergency 4,271,000 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Family, maternal, and child health administration--FTEs 49.0 10,660,300 Family planning local agreements 8,810,700 Immunization program--FTEs 20.8 20,652,900 Local MCH services 7,018,100 Pregnancy prevention program 1,297,900 Prenatal care outreach and service delivery support--FTEs 17.0 33,424,800 Special projects 6,289,100 Sudden and unexpected infant death and suffocation prevention program 321,300 Women, infants, and children program administration and special projects--FTEs 45.0 19,520,800 Women, infants, and children program local agreements and food costs 231,285,000 GROSS APPROPRIATION $ 392,528,800 Appropriated from: Federal revenues: Total other federal revenues 248,524,400 Special revenue funds: Total local revenues 42,817,700 Total private revenues 64,785,700 Total other state restricted revenues 4,049,500 State general fund/general purpose $ 32,351,500 Sec. 118. CHILDREN'S SPECIAL HEALTH CARE SERVICES Full-time equated classified positions 48.8 Bequests for care and services--FTEs 2.8 $ 2,087,100 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 Children's special health care services administration--FTEs 46.0 8,117,200 Medical care and treatment 288,637,600 Outreach and advocacy 6,722,200 GROSS APPROPRIATION $ 305,564,100 Appropriated from: Federal revenues: Total other federal revenues 173,802,000 Special revenue funds: Total private revenues 1,115,500 Total other state restricted revenues 4,933,300 State general fund/general purpose $ 125,713,300 Sec. 119. AGING SERVICES Community services $ 56,474,400 Employment assistance 3,500,000 Nutrition services 48,054,200 Respite care program 6,468,700 Senior volunteer service programs 4,765,300 GROSS APPROPRIATION $ 119,262,600 Appropriated from: Federal revenues: Total other federal revenues 63,637,400 Special revenue funds: Total private revenues 300,000 Michigan merit award trust fund 4,068,700 Total other state restricted revenues 2,000,000 State general fund/general purpose $ 49,256,500 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Sec. 120. HEALTH AND AGING SERVICES ADMINISTRATION Full-time equated classified positions 464.0 Aging services administration--FTEs 43.0 $ 9,515,300 Health services administration--FTEs 421.0 118,254,100 GROSS APPROPRIATION $ 127,769,400 Appropriated from: Federal revenues: Total other federal revenues 84,077,100 Special revenue funds: Total local revenues 37,700 Total private revenues 1,721,300 Total other state restricted revenues 336,300 State general fund/general purpose $ 41,597,000 Sec. 121. HEALTH SERVICES Adult home help services $ 515,269,000 Ambulance services 21,317,200 Auxiliary medical services 6,982,100 Dental clinic program 1,000,000 Dental redesign 110,000,000 Dental services 319,588,900 Federal Medicare pharmaceutical program 331,617,600 Health plan services 6,065,327,300 Healthy Michigan plan 5,784,701,500 Home health services 4,880,300 Hospice services 141,959,400 Hospital disproportionate share payments 45,000,000 Hospital services and therapy 803,147,200 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Integrated care organizations 409,635,100 Long-term care services 2,188,866,200 Maternal and child health 18,671,500 Medicaid home- and community-based services waiver 467,331,700 Medicare premium payments 863,889,500 Personal care services 6,397,200 Pharmaceutical services 372,138,300 Physician services 258,125,300 Program of all-inclusive care for the elderly 259,018,100 Recuperative care 297,600 School-based services 171,401,200 Special Medicaid reimbursement 297,652,600 Transportation 18,764,900 GROSS APPROPRIATION $ 19,482,979,700 Appropriated from: Federal revenues: Total other federal revenues 14,135,119,000 Special revenue funds: Total local revenues 26,124,900 Total private revenues 16,582,000 Michigan merit award trust fund 57,200,000 Total other state restricted revenues 2,741,496,600 State general fund/general purpose $ 2,506,457,200 Sec. 122. INFORMATION TECHNOLOGY Full-time equated classified positions 11.0 Bridges information system--FTE 10.0 $ 114,571,700 Child support automation 45,567,200 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Comprehensive child welfare information system 8,259,800 Information technology services and projects 240,591,300 Michigan Medicaid information system--FTE 1.0 105,285,100 Michigan statewide automated child welfare information system 21,539,800 GROSS APPROPRIATION $ 535,814,900 Appropriated from: Interdepartmental grant revenues: IDG from department of education 1,059,700 Federal revenues: Social security act, temporary assistance for needy families 24,471,400 Capped federal revenues 21,990,200 Total other federal revenues 337,235,600 Special revenue funds: Total private revenues 5,250,000 Total other state restricted revenues 2,010,400 State general fund/general purpose $ 143,797,600 Sec. 123. ONE-TIME APPROPRIATIONS Full-time equated classified positions 6.0 Adult day center $ 1,000,000 Affordable housing project 2,000,000 Alternative payment model transition 15,000,000 Behavioral health care services and facilities 3,000,000 Biomarker testing 7,000,000 Caregiver resource center 9,400,000 Child and family campus project 6,000,000 Children's health care 5,000,000 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Children's health care access program 500,000 Community health programs 10,000,000 Community health residency program 100 Community house capital grant 1,000,000 Community opportunity hub 1,000,000 Comprehensive child welfare information system--FTEs 6.0 100 Critical access hospital renovation 100 Developmental milestones toolkit 1,000,000 Disability and independent living program 150,000 Domestic and sexual violence prevention and treatment 3,610,300 Emergency homeless shelter repair and services grant 1,000,000 Environmental public health program 1,000,000 Farm day program 150,000 Federally qualified health center 1,500,000 First responder and public safety staff mental health 5,000,000 Food market expansion 1,400,000 Genemarkers 100 Health care facility expansion 1,500,000 Health care worker housing initiative 100 Healthy communities grant 1,500,000 Homeless shelter operations 1,000,000 Homelessness prevention pilot program 2,000,000 Hospital equipment modernization 2,000,000 Jail diversion fund 5,000,000 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Lifesharing community center 2,000,000 Medical debt relief pilot program 10,000,000 Michigan medicine survival flight program 100 Mobile health units 3,500,000 Multicultural integration funding 8,600,000 Nursing facility rate transition support 100 Nursing staff supports 100 Permanent supportive housing 13,000,000 Prenatal and infant cash allowance pilot program 100 Psychiatric outpatient clinic 8,000,000 Public health authority operations 5,000,000 Rides to wellness 250,000 Senior center administration 1,000,000 Senior citizen home renovation 3,000,000 Sexual assault nurse examiner program 100 Sickle cell center 2,500,000 Social determinants of health hub one-time 1,000,000 Substance use disorder center capital costs 1,500,000 Substance use treatment center 10,000,000 Warming center services 800,000 Water quality projects 1,000,000 Women's health grant backfill 2,000,000 GROSS APPROPRIATION $ 161,861,300 Appropriated from: State general fund/general purpose $ 161,861,300 part 2 provisions concerning appropriations 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 for fiscal year 2023-2024 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 2023-2024 is $9,403,090,300.00 and state spending from state sources to be paid to local units of government for fiscal year 2023-2024 is $1,824,131,800. The itemized statement below identifies appropriations from which spending to local units of government will occur: DEPARTMENT OF HEALTH AND HUMAN SERVICES CHILD SUPPORT ENFORCEMENT Child support incentive payments $ 10,000,000 Legal support contracts 3,000 COMMUNITY SERVICES AND OUTREACH Crime victim rights services grants 11,000,000 Domestic violence prevention and treatment 100,000 Homeless programs 20,000 Housing and support services 117,000 CHILDREN'S SERVICES AGENCY CHILD WELFARE Child care fund 160,000,000 Child care fund - indirect cost allotment 3,500,000 Child welfare licensing 110,000 Child welfare medical/psychiatric evaluations 20,000 Children's trust fund 65,000 Contractual services, supplies, and materials 120,000 Family preservation programs 10,000 Foster care payments 3,000,000 Prosecuting attorney contracts 1,400,000 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Raise the age fund 3,000,000 Strong families/safe children 73,000 Youth in transition 200 CHILDREN'S SERVICES AGENCY JUVENILE JUSTICE Bay Pines Center 42,000 Community support services 700,000 Shawono Center 5,000 PUBLIC ASSISTANCE Emergency services local office allocations 2,200,000 Family independence program 1,000 Indigent burial 6,000 Michigan energy assistance program 200,000 State disability assistance payments 150,000 FIELD OPERATIONS AND SUPPORT SERVICES Contractual services, supplies, and materials 5,000 Employment and training support services 5,000 DISABILITY DETERMINATION SERVICES Disability determination operations 2,000 Retirement disability determination 100 BEHAVIORAL HEALTH PROGRAM ADMINISTRATION AND SPECIAL PROJECTS Behavioral health program administration 400,000 Community substance use disorder prevention, education, and treatment 10,000,000 Gambling addiction 1,500,000 Mental health diversion council 400,000 BEHAVIORAL HEALTH SERVICES Autism services 80,000,000 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Behavioral health community supports and services 6,000 Certified community behavioral health clinic demonstration 23,200,000 Community mental health non-Medicaid services 125,000,000 Health homes 2,000,000 Healthy Michigan plan - behavioral health 63,000,000 Medicaid mental health services 1,000,000,000 Medicaid substance use disorder services 29,000,000 Multicultural integration funding 1,400,000 Nursing home PAS/ARR-OBRA 3,000,000 State disability assistance program substance use disorder services 2,018,800 STATE PSYCHIATRIC HOSPITALS AND FORENSIC MENTAL HEALTH SERVICES Caro Regional Mental Health Center - psychiatric hospital adult 215,000 Center for forensic psychiatry 600,000 Hawthorn Center - psychiatric hospital - children and adolescents 68,000 Kalamazoo Psychiatric Hospital - adult 85,000 Walter P. Reuther Psychiatric Hospital - adult 55,000 HEALTH AND HUMAN SERVICES POLICY AND INITIATIVES Primary care services 100,000 EPIDEMIOLOGY, EMERGENCY MEDICAL SERVICES, AND LABORATORY Childhood lead program 30,000 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Epidemiology administration 315,000 Healthy homes program 21,325,000 LOCAL HEALTH AND ADMINISTRATIVE SERVICES AIDS prevention, testing, and care programs 2,900,000 Cancer prevention and control program 50,000 Essential local public health services 75,000,000 Implementation of 1993 PA 133, MCL 333.17015 400 Local health services 1,140,000 Public health administration 200 Sexually transmitted disease control program 650,000 Smoking prevention program 750,000 FAMILY HEALTH SERVICES Drinking water declaration of emergency 221,000 Family planning local agreements 207,000 Immunization program 2,330,000 Pregnancy prevention program 100,000 Prenatal care outreach and service delivery support 8,800,000 CHILDREN'S SPECIAL HEALTH CARE SERVICES Medical care and treatment 700,000 Outreach and advocacy 2,700,000 HEALTH AND AGING SERVICES ADMINISTRATION Aging services administration 400,000 Community services 29,958,000 Nutrition services 12,597,200 Respite care program 5,700,000 Senior volunteer service programs 900,000 HEALTH SERVICES 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Adult home help services 130,000 Ambulance services 755,000 Dental services 1,700,000 Healthy Michigan plan 1,000,000 Home health services 1,800 Hospital services and therapy 3,300,000 Long-term care services 85,000,000 Medicaid home- and community-based services waiver 15,200,000 Personal care services 23,000 Pharmaceutical services 1,000 Physician services 2,800,000 Special Medicaid reimbursement 20,000 Transportation 225,000 ONE-TIME APPROPRIATIONS Prenatal and infant cash allowance pilot program 100 Public health authority operations 5,000,000 Senior center administration 500,000 Senior citizen renovation 3,000,000 Warming center services 800,000 TOTAL OF PAYMENTS TO LOCAL UNITS OF GOVERNMENT $ 1,824,131,800 Sec. 202. The appropriations authorized under this part and part 1 are subject to the management and budget act, 1984 PA 431, MCL 18.1101 to 18.1594. Sec. 203. As used in this part and part 1: (a) "AIDS" means acquired immunodeficiency syndrome. (b) "CMHSP" means a community mental health services program 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 as that term is defined in section 100a of the mental health code, 1974 PA 258, MCL 330.1100a. (c) "CMS" means the Centers for Medicare and Medicaid Services. (d) "Current fiscal year" means the fiscal year ending September 30, 2024. (e) "Department" means the department of health and human services. (f) "Director" means the director of the department. (g) "DSH" means disproportionate share hospital. (h) "EPSDT" means early and periodic screening, diagnosis, and treatment. (i) "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. (j) "FQHC" means federally qualified health center. (k) "FTE" means full-time equated. (l) "GME" means graduate medical education. (m) "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. (n) "HEDIS" means healthcare effectiveness data and information set. (o) "HMO" means health maintenance organization. (p) "IDEA" means the individuals with disabilities education act, 20 USC 1400 to 1482. (q) "IDG" means interdepartmental grant. (r) "MCH" means maternal and child health. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 (s) "Medicaid" means subchapter XIX of the social security act, 42 USC 1396 to 1396w-6. (t) "Medicare" means subchapter XVIII of the social security act, 42 USC 1395 to 1395lll. (u) "MiCAFE" means Michigan's coordinated access to food for the elderly. (v) "MIChild" means the program described in section 1670 of this part. (w) "MiSACWIS" means Michigan statewide automated child welfare information system. (x) "PAS/ARR-OBRA" means the preadmission screening and annual resident review required under the omnibus budget reconciliation act of 1987, section 1919(e)(7) of the social security act, 42 USC 1396r. (y) "PFAS" means perfluoroalkyl and polyfluoroalkyl substances. (z) "PIHP" means an entity designated by the department as a regional entity or a specialty prepaid inpatient health plan for Medicaid mental health services, services to individuals with developmental disabilities, and substance use disorder services. Regional entities are described in section 204b of the mental health code, 1974 PA 258, MCL 330.1204b. Specialty prepaid inpatient health plans are described in section 232b of the mental health code, 1974 PA 258, MCL 330.1232b. (aa) "Previous fiscal year" means the fiscal year ending September 30, 2023. (bb) "Quarterly reports" means 4 reports shall be submitted to the required recipients by the following dates: February 1, April 1, July 1, and September 30 of the current fiscal year. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 (cc) "Semiannual basis" means March 1 and September 30 of the current fiscal year. (dd) "Settlement" means the settlement agreement entered in the case of Dwayne B. v Snyder, docket no. 2:06-cv-13548 in the United States District Court for the Eastern District of Michigan. (ee) "SSI" means supplemental security income. (ff) "Temporary assistance for needy families" or "TANF" or "title IV-A" means part A of subchapter IV of the social security act, 42 USC 601 to 619. (gg) "Title IV-B" means part B of title IV of the social security act, 42 USC 621 to 629m. (hh) "Title IV-D" means part D of title IV of the social security act, 42 USC 651 to 669b. (ii) "Title IV-E" means part E of title IV of the social security act, 42 USC 670 to 679c. (jj) "Title X" means subchapter VIII of the public health service act, 42 USC 300 to 300a-8, which establishes grants to states for family planning services. Sec. 204. The departments and agencies receiving appropriations in part 1 shall use the internet to fulfill the reporting requirements of this part. This requirement shall include transmission of reports via email to the recipients identified for each reporting requirement and it shall include placement of reports on an internet site. Sec. 205. To the extent permissible under section 261 of the management and budget act, 1984 PA 431, MCL 18.1261, all of the following apply: (a) Funds appropriated in part 1 must not be used for the purchase of foreign goods or services, or both, if competitively 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 priced and of comparable quality American goods or services, or both, are available. (b) Preference must be given to goods or services, or both, manufactured or provided by Michigan businesses, if they are competitively priced and of comparable quality. (c) Preference must 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. 206. To the extent permissible under the management and budget act, 1984 PA 431, MCL 18.1101 to 18.1594, the director shall take all reasonable steps to ensure geographically disadvantaged business enterprises 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. 207. Consistent with section 217 of the management and budget act, 1984 PA 431, MCL. 18.1217, the departments and agencies receiving appropriations in part 1 shall prepare a report on out-of-state travel expenses not later than January 1 of each year. The travel report shall be a listing of all travel by classified and unclassified employees outside this state in the previous fiscal year that was funded in whole or in part with funds appropriated in the department's budget. The report must be submitted to the report recipients required in section 246 of this part. The report must include the following information: (a) The dates of each travel occurrence. (b) The total transportation and related costs of each travel 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 occurrence, including the proportion funded with state general fund/general purpose revenues, the proportion funded with state restricted revenues, the proportion funded with federal revenues, and the proportion funded with other revenues. Sec. 208. Funds appropriated in part 1 shall not be used by the department to hire a person to provide legal services that are the responsibility of the attorney general. This prohibition does not apply to legal services for bonding activities and for those outside services that the attorney general authorizes. Sec. 209. Not later than November 30, the state budget office shall prepare and transmit a report that provides for estimates of the total general fund/general purpose appropriation lapses at the close of the previous fiscal year. This report shall summarize the projected year-end general fund/general purpose appropriation lapses by major departmental program or program areas. The report shall be transmitted to the chairpersons of the senate and house appropriations committees, and the senate and house fiscal agencies. Sec. 210. (1) In addition to the funds appropriated in part 1, there is appropriated an amount not to exceed $20,000,000.00 for federal contingency authorization. These funds are not available for expenditure until they have been transferred to another line item in part 1 under section 393(2) of the management and budget act, 1984 PA 431, MCL 18.1393. These funds shall not be made available to increase TANF authorization. (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 authorization. These funds are not available for expenditure until they have been transferred to another line 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 item in part 1 under section 393(2) of the management and budget act, 1984 PA 431, MCL 18.1393. (3) In addition to the funds appropriated in part 1, there is appropriated an amount not to exceed $5,000,000.00 for local contingency authorization. These funds are not available for expenditure until they have been transferred to another line item in part 1 under section 393(2) of the management and budget act, 1984 PA 431, MCL 18.1393. (4) In addition to the funds appropriated in part 1, there is appropriated an amount not to exceed $2,000,000.00 for private contingency authorization. These funds are not available for expenditure until they have been transferred to another line item in part 1 under section 393(2) of the management and budget act, 1984 PA 431, MCL 18.1393. Sec. 211. The department shall cooperate with the department of technology, management, and budget to maintain a searchable website accessible by the public at no cost that includes, but is not limited to, all of the following for the department: (a) Fiscal year-to-date expenditures by category. (b) Fiscal year-to-date expenditures by appropriation unit. (c) Fiscal year-to-date payments to a selected vendor, including the vendor name, payment date, payment amount, and payment description. (d) The number of active department employees by job classification. (e) Job specifications and wage rates. Sec. 212. Within 14 days after the release of the executive budget recommendation, the department shall cooperate with the state budget office to provide the chairpersons of the senate and 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 house appropriations committees, the chairpersons of the senate and house appropriations subcommittees on the department budget, and the senate and house fiscal agencies with an annual report on estimated state restricted fund balances, state restricted fund projected revenues, and state restricted fund expenditures for the previous fiscal year and the current fiscal year. Sec. 213. The department shall maintain, on a publicly accessible website, a department scorecard that identifies, tracks, and regularly updates key metrics that are used to monitor and improve the department's performance. Sec. 214. By October 1 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part that must include the estimated total authorized appropriations from all sources under part 1 for legacy costs for the current fiscal year, the estimated total department appropriations for pension-related legacy costs, and the estimated total department appropriations for retiree health care legacy costs. Sec. 215. If either of the following events occurs, within 30 days after that event the department shall notify the state budget director, the chairs of the house and senate appropriations subcommittees on the department budget, and the house and senate fiscal agencies and policy offices of that fact: (a) A legislative objective of this part or of a bill or amendment to a bill to amend the social welfare act, 1939 PA 280, MCL 400.1 to 400.119b, cannot be implemented because implementation would conflict with or violate federal regulations. (b) A federal grant, for which a notice of an award has been received, cannot be used, or will not be used. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 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 fund sources in part 1 is not limited to collections and accruals pertaining to services provided in the current fiscal year, but also includes reimbursements, refunds, adjustments, and settlements from prior years. Sec. 217. (1) By February 1 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part on the detailed name and amounts of estimated federal, restricted, private, and local sources of revenue that support the appropriations in each of the line items in part 1. (2) On the release of the next fiscal year executive budget recommendation, the department shall submit a report to the report recipients required in section 246 of this part 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. 218. As required under part 23 of the public health code, 1978 PA 368, MCL 333.2301 to 333.2321, the appropriations in part 1 include the following: (a) Immunizations. (b) Communicable disease control. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 (c) Sexually transmitted infection 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) Health and human services 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 Michigan Public Health Institute to carry out these purposes for up to a 1-year period. (2) The department shall submit a report to the report recipients required in section 246 of this part, on a semiannual basis, on 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. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 (3) On a semiannual basis, the department shall provide to the report recipients required in section 246 of this part 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 the department's budget in the previous fiscal year and allocated to the Michigan Public Health Institute. Sec. 220. The department shall ensure that faith-based organizations are able to apply and compete for services, programs, or contracts that they are qualified and suitable to fulfill. The department shall not disqualify faith-based organizations solely on the basis of the religious nature of their organization or their guiding principles or statements of faith. Sec. 221. According to section 1b of the social welfare act, 1939 PA 280, MCL 400.1b, the department shall treat part 1 and this part as a time-limited addendum to the social welfare act, 1939 PA 280, MCL 400.1 to 400.119b. Sec. 222. (1) The department shall provide written notification to the report recipients required in section 246 of this part of any major policy changes at least 30 days before the implementation date of those policy changes. (2) The department shall make the entire policy and procedures manual available and accessible to the public via the department website. (3) The department shall report by April 1 of the current fiscal year on each specific policy change made to implement a public act affecting the department that took effect during the prior calendar year to the senate and house appropriations committees, the senate and house appropriations subcommittees on the department budget, the joint committee on administrative rules, 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 and the senate and house fiscal agencies. (4) The department shall attach each policy bulletin issued during the prior calendar year to the report issued in subsection (3). Sec. 223. The department may establish and collect fees for publications, videos and related materials, conferences, and workshops. Collected fees are appropriated when received and 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. When collected fees are appropriated under this section in an amount that exceeds the current fiscal year appropriation, within 30 days the department shall notify the chairs of the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies and policy offices, and the state budget director of that fact. Sec. 224. The department may retain all of the state's share of food assistance overissuance collections as an offset to general fund/general purpose costs. Retained collections shall be applied against federal funds deductions in all appropriation units where department costs related to the investigation and recoupment of food assistance overissuances are incurred. Retained collections in excess of those costs shall be applied against the federal funds deducted in the departmental administration and support appropriation unit. Sec. 226. 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 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 budget director into the subsequent fiscal year. The revenue carried forward under this section shall be used as the first source of funds in the subsequent fiscal year. Sec. 227. The state departments, agencies, and commissions receiving tobacco tax funds and Healthy Michigan fund revenue from part 1 shall report by April 1 of the current fiscal year to the senate and house appropriations committees, the senate and house fiscal agencies, and the state budget director on the following: (a) A detailed spending plan by appropriation line item, including a description of programs and a summary of organizations receiving these funds. (b) A description of allocations or bid processes, including any need or demand indicator used to determine allocations. (c) Eligibility criteria for program participation and maximum benefit levels, where applicable. (d) Outcome measures used to evaluate programs, including the measures of the effectiveness of these programs in improving the health of residents of this state. Sec. 228. (1) If the department is authorized under state or federal law to collect an overpayment owed to the department, the department may assess a penalty of 1% per month beginning 60 days after notification. If an overpayment is caused by department error, a penalty may not be assessed until 6 months after the initial notification date of the overpayment amount. The department shall not collect penalty interest in an amount that exceeds the amount of the original overpayment. The state share of any funds collected under this section shall be deposited in the state general fund. (2) By September 30 of the current fiscal year, the department 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 shall submit a report to the report recipients required in section 246 of this part on penalty amounts assessed and paid by account during the current fiscal year, the reason for the penalty, and the current status of the account. Sec. 229. From the $370,000.00 of TANF revenue appropriated in part 1 for training and program support, the department shall extend the interagency agreement with the office of employment and training within the department of labor and economic opportunity for the duration of the current fiscal year, which concerns TANF funding to provide job readiness and welfare-to-work programming. $10,000.00 of TANF revenue is appropriated in part 1 for the department to submit a report on the following specific outcome and performance measures to the senate and house appropriations subcommittees on general government and the report recipients required in section 246 of this part by January 1 of the current fiscal year for the previous fiscal year: (a) An itemized spending report on TANF funding, including all of the following: (i) Direct services to recipients. (ii) Administrative expenditures. (b) The number of family independence program (FIP) recipients served through the TANF funding, including all of the following: (i) The number and percentage who obtained employment through Michigan Works! (ii) The number and percentage who fulfilled their TANF work requirement through other job readiness programming. (iii) Average TANF spending per recipient. (iv) The number and percentage of recipients who were referred to Michigan Works! but did not receive a job or job readiness 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 placement and the reasons why. (c) The following data itemized by Michigan Works! agency: (i) The number of referrals to Michigan Works! job readiness programs. (ii) The number of referrals to Michigan Works! job readiness programs who became a participant in the Michigan Works! job readiness programs. (iii) The number of participants who obtained employment, and the cost per participant case. Sec. 230. By December 31 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part on the status of the implementation of any noninflationary, noncaseload, programmatic funding increases in the current fiscal year from the previous fiscal year. The report shall confirm the implementation of already implemented funding increases and provide explanations for any planned implementation of funding increases that have not yet occurred. For any planned implementation of funding increases that have not yet occurred, the department shall provide an expected implementation date and the reasons for delayed implementation. Sec. 231. (1) The department shall not expend the funds appropriated in part 1 to enter into any contract with a Medicaid managed care organization of MI Choice Waiver, MI Health Link, or behavioral health unless the Medicaid managed care organization agrees to do all of the following: (a) Continue the direct care wage increase funded at $2.35 per hour and provide sufficient funding to increase the wages paid to direct care workers by the equivalent of $0.65 per hour more than the previous fiscal year for the services noted in DHHS Medicaid 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 provider letter L 21-76 under the Medicaid managed care organization's relevant program. (b) Ensure to the greatest extent possible that the full amount for funds appropriated for a direct care worker wage increase, except for costs incurred by the employer, including payroll taxes, resulting from the increase to direct care worker wages under this section, is provided to direct care workers through maintained increased wages. (c) Permit a direct care worker to elect, in writing or electronically, to not receive the wage increase provided in this section. (d) Require direct care worker agencies that the Medicaid managed care organization subcontracts with to track and report annually the total amount and percentage of Medicaid reimbursements paid to that direct care worker agency that are used to pay direct care worker wages. (e) Require direct care worker agencies that the Medicaid managed care provider subcontracts with to track and report annually the hourly wages paid for each direct care worker hired by the direct care worker agency. (f) Track annually the hourly wages paid to each direct care worker hired directly by the Medicaid managed care organization or CMHSP. (g) Report annually to the department the information required in subdivisions (d), (e), and (f). (2) On request, the department shall provide to the legislature the report required in subsection (1)(g). Sec. 232. (1) The department shall provide the approved spending plan for each line item receiving an appropriation in the 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 current fiscal year to the senate and house appropriations subcommittees on the department budget and the senate and house fiscal agencies within 60 days after approval by the department but not later than January 15 of the current fiscal year. Compliance with this section is not met unless a line-item appropriation name is included in all places that a line-item appropriation number is listed. The spending plan shall include the following information regarding planned expenditures for each category: allocation in the previous period, change in the allocation, and new allocation. The spending plan shall include the following information regarding each revenue source for the line item: category of the fund source indicated by general fund/general purpose, state restricted, local, private, or federal. Figures included in the approved spending plan shall not be assumed to constitute the actual final expenditures, as line items may be updated on an as-needed basis to reflect changes in projected expenditures and projected revenue. The department shall supplement the spending plan information by providing a list of all active contracts and grants in the department's contract system. For amounts listed in the other contracts category of each spending plan, the department shall provide a list of all contracts and grants and amounts for the current fiscal year, and include the name of the line item and the name of the fund source related to each contract or grant and amount. For amounts listed in the all other costs category of each spending plan, the department shall provide a list detailing planned expenditures and amounts for the current fiscal year, and include the name of the line item and the name of the fund source related to each amount and expenditure. (2) Notwithstanding any other appropriation authority granted 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 in part 1, the department shall not appropriate any additional general fund/general purpose funds or any related federal and state restricted funds without providing a written 30-day notice to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the senate and house policy offices. Sec. 234. The departments and agencies receiving appropriations in part 1 shall receive and retain copies of all reports funded from appropriations in part 1. Federal and state guidelines for the short-term and long-term retention of records must be followed. The department may electronically retain copies of reports unless otherwise required by federal and state guidelines. Sec. 236. (1) From the funds appropriated in part 1, the department shall do all of the following: (a) Submit a report to the report recipients required in section 246 of this part on any amount of severance pay for a department director, deputy director, or other high-ranking department official not later than 14 days after a severance agreement with the director or official is signed. The name of the director or official and the amount of severance pay must be included in the report required by this subdivision. (b) Maintain an internet website that posts any severance pay in excess of 6 weeks of wages, regardless of the position held by the former department employee receiving severance pay. (c) By February 1, submit a report to the report recipients required in section 246 of this part on the total amount of severance pay remitted to former department employees during the previous fiscal year and the total number of former department 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 employees that were remitted severance pay during the previous fiscal year. (2) As used in this section, "severance pay" means compensation that is both payable or paid on the termination of employment and in addition to either wages or benefits earned during the course of employment or generally applicable retirement benefits. Sec. 238. It is the intent of the legislature that departments maximize the efficiency of the state workforce and, where possible, prioritize in-person work. Each executive branch department, agency, board, or commission that receives funding under part 1 must post its in-person, remote, or hybrid work policy on its website. Sec. 239. For behavioral and physical health services provided through managed care or the fee-for-service program, the department shall require, for the nonfacility component of the reimbursement rate, at least the same reimbursement for that service, if that service is provided through telemedicine, as if the service involved face-to-face contact between the health care professional and the patient. Sec. 240. Appropriations in part 1 shall, to the extent possible by the department, not be expended until all existing work project authorization available for the same purposes is exhausted. Sec. 241. By March 1 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part on total actual expenditures in the previous fiscal year for advertising and media outreach, including the purpose, amount, and fund source by program or appropriation line item. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Sec. 242. From the funds appropriated in part 1 for departmental administration and management, $100,000.00 is allocated to produce a description of programs report for the current fiscal year by March 1 of the current fiscal year. The report shall be submitted to the senate and house appropriations committees, the senate and house fiscal agencies, and the senate and house policy offices. The report shall include the appropriation unit, the line-item name and number, the appropriation history, the program name, the program overview, the financing detail, and where applicable, the legal basis for the program and program effectiveness and outcomes. Sec. 244. On a monthly basis, the department shall submit a report to the report recipients required in section 246 of this part on any line-item appropriation for which the department estimates total annual expenditures would exceed the funds appropriated for that line-item appropriation by 5% or more. The department shall provide a detailed explanation for any relevant line-item appropriation exceedance and shall identify the corrective actions undertaken to mitigate line-item appropriation expenditures from exceeding the funds appropriated for that line-item appropriation by a greater amount. This section does not apply for line-item appropriations that are part of the May revenue estimating conference caseload and expenditure estimates. Sec. 246. Except as otherwise provided in this part, all reports required under this part shall be submitted 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. Sec. 252. The appropriations in part 1 for Healthy Michigan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 plan - behavioral health and Healthy Michigan plan are contingent on the provisions of the social welfare act, 1939 PA 280, MCL 400.1 to 400.119b, that were contained in 2013 PA 107 not being amended, repealed, or otherwise altered to eliminate the Healthy Michigan plan. If that occurs, then, on the effective date of the amendatory act that amends, repeals, or otherwise alters those provisions, the remaining funds in the Healthy Michigan plan - behavioral health and Healthy Michigan plan line items must be used only to pay previously incurred costs and any remaining appropriations shall not be allotted to support those line items. Sec. 253. (1) The department shall ensure that federally recognized tribes are able to apply and compete for services, programs, grants, or contracts. (2) For competitive grant programs described in this part, federally recognized tribes are eligible to apply for grant funds made available to organizations exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and to local units of government. Sec. 258. (1) In collaboration with the department of education and the department of state police, the department shall promote and support initiatives in schools and other educational organizations that include, but are not limited to, training for educators, teachers, and other personnel in school settings for all of the following: (a) The utilization of trauma-informed practices. (b) Age-appropriate education and information on human trafficking. (c) Age-appropriate education and information on sexual abuse prevention. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 (2) The collaboration shall include the child welfare institute within the department, which provides training and education for public and private employees who work within the child protective services, foster care, adoption, and juvenile justice systems. (3) The department shall submit a report by March 1 of the current fiscal year on the activities and status of implementation of the requirements described in subsections (1) and (2) to the report recipients required in section 246 of this part. Sec. 263. (1) Except as otherwise provided in this subsection, before submission of a waiver, a state plan amendment, or a similar proposal to CMS or other federal agency, the department shall provide written notification of the planned submission to the report recipients required in section 246 of this part. This subsection does not apply to the submission of a waiver, a state plan amendment, or similar proposal that does not propose a material change or is outside of the ordinary course of waiver, state plan amendment, or similar proposed submissions. (2) The department shall provide written reports on a semiannual basis to the report recipients required in section 246 of this part summarizing the status of any new or ongoing discussions with CMS, the United States Department of Health and Human Services, or other federal agency regarding potential or future waiver applications as well as the status of submitted waivers that have not yet received federal approval. If, at the time a semiannual report is due, there are no reportable items, then no report is required to be provided. Sec. 264. The department shall not take disciplinary action against an employee of the department in the state classified civil 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 service for communicating with a member of the legislature or the member's staff, unless the communication is prohibited by law and the department is exercising its authority as provided by law. Sec. 270. The department shall advise the legislature of the receipt of a notification from the attorney general's office of a legal action in which expenses had been recovered according to section 106(6) of the social welfare act, 1939 PA 280, MCL 400.106. By February 1 of the current fiscal year, the department shall submit a written report to the report recipients required in section 246 of this part that includes, at a minimum, all of the following: (a) The total amount recovered from the legal action. (b) The program or service for which the money was originally expended. (c) Details on the disposition of the funds recovered, such as the appropriation or revenue account in which the money was deposited. (d) A description of the facts involved in the legal action. Sec. 274. (1) The department, in collaboration with the state budget office, shall submit to the report recipients required in section 246 of this part, 1 week after the day the governor submits to the legislature the budget for the ensuing fiscal year, a report on spending and revenue projections for each of the capped federal funds listed below. The report shall contain actual spending and revenue in the previous fiscal year, spending and revenue projections for the current fiscal year as enacted, and spending and revenue projections within the executive budget proposal for the fiscal year beginning October 1, 2024 for each individual line item for the department budget. The report shall also include 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 federal funds transferred to other departments. The capped federal funds shall include, but not be limited to, all of the following: (a) TANF. (b) Title XX social services block grant. (c) Title IV-B part I child welfare services block grant. (d) Title IV-B part II promoting safe and stable families funds. (e) Low-income home energy assistance program. (2) It is the intent of the legislature that the department, in collaboration with the state budget office, not utilize capped federal funding for economics adjustments for FTEs or other economics costs that are included as part of the budget submitted to the legislature by the governor for the ensuing fiscal year, unless there is a reasonable expectation for increased federal funding to be available to the department from that capped revenue source in the ensuing fiscal year. (3) By February 15 of the current fiscal year, the department shall prepare an annual report of its efforts to identify TANF maintenance of effort sources and rationale for any increases or decreases from all of the following, but not limited to: (a) Other departments. (b) Local units of government. (c) Private sources. Sec. 275. (1) On a quarterly basis, the department, with the approval of the state budget director, is authorized to realign sources between other federal, TANF, and capped federal financing authorizations in order to maximize federal revenues. This realignment of financing shall not produce a gross increase or decrease in the department's total individual line item 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 authorizations, nor will it produce a net increase or decrease in total federal revenues, or a net increase in TANF authorization. (2) On a quarterly basis, the department shall submit a report to the report recipients required in section 246 of this part on the realignment of federal fund sources transacted to date in the current fiscal year under the authority of subsection (1), including the dates, line items, and amounts of the transactions. If, at the time a quarterly report is due, no transactions were made under subsection (1), then no report is required to be provided. (3) Within 30 days after the date on which year-end book closing is completed, the department shall submit to the report recipients required in section 246 of this part a report on the realignment of federal fund sources that took place as part of the year-end closing process for the previous fiscal year. Sec. 280. By March 1 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part that provides all of the following for each line item in part 1 containing personnel-related costs, including the specific individual amounts for salaries and wages, payroll taxes, and fringe benefits: (a) FTE authorization. (b) Spending authorization for personnel-related costs, by fund source, under the spending plan. (c) Actual year-to-date expenditures for personnel-related costs, by fund source, through the end of the prior month. (d) The projected year-end balance or shortfall for personnel-related costs, by fund source, based on actual monthly spending levels through the end of the prior month. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 (e) A specific plan for addressing any projected shortfall for personnel-related costs at either the gross or fund source level. Sec. 289. By March 1 of the current fiscal year, the department shall submit to the report recipients required in section 246 of this part an annual report on the supervisor-to-staff ratio by department divisions and subdivisions. Sec. 290. Any public advertisement for public assistance shall also inform the public of the welfare fraud hotline operated by the department. Sec. 296. From the funds appropriated in part 1, the department to the extent permissible under section 8 of 1964 PA 170, MCL 691.1408, is responsible for the necessary and reasonable attorney fees and costs incurred by private and independent legal counsel chosen by current and former classified and unclassified department employees in the defense of the employees in any state or federal lawsuit or investigation related to the water system in a city or community in which a declaration of emergency was issued because of drinking water contamination. Sec. 297. (1) On a quarterly basis, the department shall submit a report to the report recipients required in section 246 of this part with the following information: (a) The number of FTE positions in pay status by civil service classification. (b) A comparison by line item of the number of FTE positions authorized from funds appropriated in part 1 to the actual number of FTE positions employed by the department at the end of the reporting period. (2) By March 1 of the current fiscal year, the department shall report to the senate and house appropriations committees, the 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 senate and house appropriations subcommittees on the department budget, and the senate and house fiscal agencies the following information: (a) The number of employees that were engaged in remote work in 2023. (b) The number of employees of the department authorized to work remotely and the actual number of those working remotely in the current reporting period. (c) Estimated net cost savings achieved by the department by remote work. (d) The reduced use of office space associated with remote work. CHILD SUPPORT ENFORCEMENT Sec. 401. (1) The appropriations in part 1 assume a total federal child support incentive payment of $26,500,000.00. (2) From the federal money received for child support incentive payments, $12,000,000.00 shall be retained by the state and expended for child support program expenses. (3) From the federal money received for child support incentive payments, $14,500,000.00 shall be paid to the counties based on each county's performance level for each of the federal performance measures as established in 45 CFR 305.2. (4) If the child support incentive payment to the state from the federal government is greater than $26,500,000.00, then 100% of the excess shall be retained by the state and is appropriated until the total retained by the state reaches $15,397,400.00. (5) If the child support incentive payment to the state from the federal government is greater than the amount needed to satisfy 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 the provisions identified in subsections (1), (2), (3), and (4), the additional funds shall be subject to appropriation by the legislature. (6) If the child support incentive payment to the state from the federal government is less than $26,500,000.00, then the state and county share shall each be reduced by 50% of the shortfall. Sec. 409. (1) If statewide retained child support collections exceed $38,300,000.00, 75% of the amount in excess of $38,300,000.00 is appropriated to legal support contracts. This excess appropriation may be distributed to eligible counties to supplement and not supplant county title IV-D funding. (2) Each county whose retained child support collections in the current fiscal year exceed its fiscal year 2004-2005 retained child support collections, excluding tax offset and financial institution data match collections in both the current fiscal year and fiscal year 2004-2005, shall receive its proportional share of the 75% excess. Sec. 410. (1) If title IV-D-related child support collections are escheated, the state budget director is authorized to adjust the sources of financing for the funds appropriated in part 1 for legal support contracts to reduce federal authorization by 66% of the escheated amount and increase general fund/general purpose authorization by the same amount. This budget adjustment is required to offset the loss of federal revenue due to the escheated amount being counted as title IV-D program income in accordance with federal regulations under 45 CFR 304.50. (2) The department shall submit a report on any authorization adjustments made as permitted under subsection (1) to the report recipients required in section 246 of this part. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 COMMUNITY SERVICES AND OUTREACH Sec. 450. (1) From the funds appropriated in part 1 for school success partnership program, the department shall allocate $525,000.00 of TANF revenue by December 1 of the current fiscal year to support the Northeast Michigan Community Service Agency programming. The department shall require the following performance objectives be measured and reported for the duration of the state funding for the school success partnership program: (a) Increasing school attendance and decreasing chronic absenteeism. (b) Increasing academic performance based on grades with emphasis on math and reading. (c) Identifying barriers to attendance and success and connecting families with resources to reduce these barriers. (d) Increasing parent involvement. (2) By July 15 of the current fiscal year, the Northeast Michigan Community Service Agency shall provide reports to the department on the number of children and families served and the services that were provided to families to meet the performance objectives identified in this section. The department shall distribute the reports within 1 week after receipt to the report recipients required in section 246 of this part. Sec. 453. (1) From the funds appropriated in part 1 for homeless programs, the department shall allocate funds to the emergency shelter program to support efforts of shelter providers to move homeless individuals and households into permanent housing as quickly as possible. Funding provided shall be equal to or exceed the amount a provider would receive if paid a $19.00 per 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 diem rate per bed night. Expected outcomes are increased shelter discharges to stable housing destinations, decreased recidivism rates for shelter clients, and a reduction in the average length of stay in emergency shelters. (2) By March 1 of the current fiscal year, the department shall submit to the report recipients required in section 246 of this part a report on the total amount expended for the program in the prior 2 fiscal years, the total number of shelter nights provided, and the average length of stay in an emergency shelter. Sec. 454. The department shall allocate the full amount of funds appropriated in part 1 for homeless programs to provide services for homeless individuals and families, including, but not limited to, third-party contracts for emergency shelter services. Sec. 455. As a condition of receipt of federal TANF revenue, homeless shelters and human services agencies shall collaborate with the department to obtain necessary TANF eligibility information on families as soon as possible after admitting a family to the homeless shelter. From the funds appropriated in part 1 for homeless programs, the department is authorized to make allocations of TANF revenue only to the homeless shelters and human services agencies that report necessary data to the department for the purpose of meeting TANF eligibility reporting requirements. Homeless shelters or human services agencies that do not report necessary data to the department for the purpose of meeting TANF eligibility reporting requirements will not receive reimbursements that exceed the per diem amount they received in fiscal year 2000. The use of TANF revenue under this section is not an ongoing commitment of funding. Sec. 456. From the funds appropriated in part 1 for homeless 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 programs, the department shall allocate $90,000.00 to reimburse public service agencies that provide documentation of paying birth certificate fees on behalf of category 1 homeless clients at county clerk's offices. Public service agencies shall be reimbursed for the cost of the birth certificate fees quarterly until this allocation is fully spent. Sec. 460. From the funds appropriated in part 1 for kids' food basket, the department shall allocate $525,000.00 to fund a project with a nonprofit, community-based organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and is located in a city with a population between 185,000 and 200,000 according to the most recent federal decennial census and in a county with a population between 600,000 and 700,000 according to the most recent federal decennial census. The nonprofit organization recipient shall have an existing network of food delivery to low-income children to at least 3 counties in this state. The nonprofit organization shall use the funds for increased operational costs due to the coronavirus pandemic and for expansion of services to additional schools and communities. The funding may be used to cover employee costs, food and supplies, equipment, and other operational costs identified by the organization to support their mission and goals. Sec. 463. From the funds appropriated in part 1 for runaway and homeless youth grants and domestic violence prevention and treatment, the department is authorized to make allocations of TANF revenue only to agencies that report necessary data to the department to meet TANF eligibility reporting requirements. Sec. 465. (1) From the funds appropriated in part 1 for 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 community services and outreach administration, $2,950,000.00 must be distributed as provided in subsection (2). The amount distributed under this subsection must not exceed 50% of the total operating expenses of the program described in subsection (2), with the remaining 50% paid by local United Way organizations and other nonprofit organizations and foundations. (2) Funds distributed under subsection (1) shall be distributed to Michigan 2-1-1, a nonprofit corporation organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and whose mission is to coordinate and support a statewide 2-1-1 system. Michigan 2-1-1 shall use the funds only to fulfill the Michigan 2-1-1 business plan adopted by Michigan 2-1-1 in January 2005. (3) Michigan 2-1-1 shall refer to the department any calls received reporting fraud, waste, or abuse of state-administered public assistance. (4) Michigan 2-1-1 shall report annually to the department, the house and senate standing committees with primary jurisdiction over matters relating to human services and telecommunications on 2-1-1 system performance, the senate and house appropriations subcommittees on the department budget, and the senate and house fiscal agencies, including, but not limited to, call volume by health and human service needs and unmet needs identified through caller data and number and percentage of callers referred to public or private provider types. Sec. 466. From the funds appropriated in part 1 for runaway and homeless youth grants, the department shall allocate $10,000,000.00 to support the expansion of runaway and homeless 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 youth capacity. The funding must be comprised of $2,146,900.00 in GF/GP revenue and $7,853,100.00 of TANF revenue. The funding must be allocated as follows: (a) $6,000,000.00 to cover the 18 counties that are presently unserved by any runaway and homeless youth program and to expand the capacity for counties that are underserved. (b) $2,000,000.00 across 19 providers statewide to provide infrastructure support for expanded staff, supervision, and training to continue to meet the complex mental health needs of the population being served. (c) $2,000,000.00 across 19 providers statewide to support upgrading technology and facilities to maintain safety in environments where youth are sheltered. CHILDREN'S SERVICES AGENCY - CHILD WELFARE Sec. 501. (1) A goal is established that not more than 25% of all children in foster care at any given time during the current fiscal year, if in the best interest of the child, will have been in foster care for 24 months or more. (2) By March 1 of the current fiscal year, the department shall provide to the report recipients required in section 246 of this part a report describing the steps that will be taken to achieve the goal established under subsection (1). The report must also include an explanation of the most significant barriers that prevent long-term foster children from permanent placements. Sec. 502. From the funds appropriated in part 1 for foster care, the department shall provide 50% reimbursement to Indian tribal governments for foster care expenditures for children who are under the jurisdiction of Indian tribal courts and who are not 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 otherwise eligible for federal foster care cost sharing. The department may provide up to 100% reimbursement to Indian tribal governments that enter into a state-tribal title IV-E agreement allowed under this state's title IV-E state plan. Sec. 503. (1) In accordance with the final report of the Michigan child welfare performance-based funding task force issued in response to section 503 of article X of 2013 PA 59, the department shall continue to review, update, or develop actuarially sound case rates for necessary child welfare foster care case management services that achieve permanency by the department and private child placing agencies in a prospective payment system under a performance-based funding model. (2) The department, in conjunction with members from both the house of representatives and senate, private child placing agencies, the courts, and counties shall continue to implement the recommendations that are described in the workgroup report that was provided in section 503 of article X of 2013 PA 59 to establish a performance-based funding model pilot program for public and private child welfare services providers. By July 1 of the current fiscal year, the department shall provide a report on the status of the performance-based contracting model to the report recipients required in section 246 of this part. Sec. 504. (1) From the funds appropriated in part 1, the department shall implement a 3-year master agreement with an option for 2 additional years with the West Michigan Partnership for Children Consortium to maintain the performance-based child welfare contracting program. The consortium shall consist of a network of affiliated child welfare service providers that will accept and comprehensively assess referred youth, assign cases to members of 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 its continuum or leverage services from other entities, and make appropriate case management decisions during the duration of a case. (2) As a condition for receiving the funding in part 1, the West Michigan Partnership of Children Consortium shall maintain a contract agreement with the department that supports a global capitated payment model. The capitated payment amount shall be based on historical averages of the number of children served in Kent County and for the costs per foster care case. The West Michigan Partnership for Children Consortium is required to manage the cost of the child population it serves. The administrative portion of the contracted agreement must reflect the cumulative annual percentage change in the Detroit Consumer Price Index from the previous year. The capitated payment amount shall be reviewed and adjusted no less than twice during the current fiscal year or due to any policy changes implemented by the department that result in a volume of placements that differ in a statistically significant manner from the amount allocated in the annual contract between the department and the West Michigan Partnership for Children Consortium as determined by an independent actuary as well as to account for changes in case volumes and any statewide rate increases that are implemented. The contract agreement requires that the West Michigan Partnership for Children Consortium shall maintain the following stipulations and conditions: (a) That the service component of the capitated payment will be calculated assuming rates paid to providers under the program are generally consistent with the department's payment policies for providers throughout the rest of this state. (b) To maintain a risk reserve of at least $1,500,000.00 to 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 ensure it can meet unanticipated expenses within a given fiscal year. (c) To cooperate with the department on an independent fiscal analysis of costs incurred and revenues received. (3) By March 1 of the current fiscal year, the consortium shall provide to the department and the report recipients required in section 246 of this part a report on the consortium, including, but not limited to, actual expenditures, number of children placed by agencies in the consortium, fund balance of the consortium, and the outcomes measured. Sec. 505. By March 1 of the current fiscal year, the department shall provide a report to the report recipients required in section 246 of this part on youth referred or committed to the department for care or supervision in the previous fiscal year and in the first quarter of the current fiscal year outlining the number of youth served by the department within the juvenile justice system, the type of setting for each youth, performance outcomes, and financial costs or savings. Sec. 506. From the funds appropriated in part 1 for attorney general contract, by March 1 of the current fiscal year, the department shall submit to the report recipients required in section 246 of this part a report on the juvenile justice system in any county in which funds appropriated in part 1 are expended. The report shall include, but not be limited to, the following: (a) The number of youth referred or committed to the department for care or supervision in the previous fiscal year and in the first quarter of the current fiscal year. (b) The number of youth referred or committed to the care or supervision of the county in which funds appropriated in part 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 were expended for the previous fiscal year and the first quarter of the current fiscal year. (c) The type of setting for each youth referred or committed for care or supervision, any applicable performance outcomes, and identified financial costs or savings. Sec. 507. The department's ability to satisfy appropriation deducts in part 1 for foster care private collections is not limited to collections and accruals pertaining to services provided only in the current fiscal year but may include revenues collected during the current fiscal year for services provided in prior fiscal years. Sec. 508. (1) In addition to the amount appropriated in part 1 for children's trust fund grants, money granted or money received as gifts or donations to the children's trust fund created by 1982 PA 249, MCL 21.171 to 21.172, is appropriated for expenditure. (2) For the funds described in subsection (1), the department shall ensure that administrative delays are avoided and the local grant recipients and direct service providers receive money in an expeditious manner. The department and board shall make available the children's trust fund contract funds to grantees within 31 days of the start date of the funded project. Sec. 510. (1) From the funds appropriated in part 1 for child care fund and foster care payments, the department shall allocate funds to cover a capacity model for a specified number of beds based on projected needs for privately operated child welfare and juvenile justice residential facilities. A contract entered into under this subsection must provide guaranteed payment for anticipated utilization, with the condition that providers shall accept youth up to the contracted capacity who are determined 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 through independent assessment as meeting the program entrance criteria. The contract rate must allow for full staffing and the ability to accommodate the highest acuity cases. By March 1 of the current fiscal year, the department shall submit to the report recipients required in section 246 of this part a report on the status of the program that includes the participating facilities under the program, the number of children placed, and the program types of the children placed. (2) The department shall provide reports on a monthly basis to the report recipients required in section 246 of this part on the number of children awaiting placement in a child caring institution in this state. The report must include the number of children awaiting placement by child caring institution and must state the reason for the delay in placement, including, but not limited to, facility bed shortages, placement process delays, or other reasons. Sec. 511. The department shall provide reports on a semiannual basis to the senate and house appropriations subcommittees on the department budget, the senate and house standing committees on families and human services, and the senate and house fiscal agencies and policy offices on the number and percentage of children who received timely physical and mental health examinations after entry into foster care. The reports shall also include the new methods the department is using since June 14, 2022, to achieve the stated goal of the program as described in this section. The goal of the program is that at least 85% of children shall have an initial medical and mental health examination within 30 days after entry into foster care. Sec. 512. By March 1 of the current fiscal year, the department shall submit a report to the report recipients required 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 in section 246 of this part on the following information for cases of child abuse or child neglect from the previous fiscal year: (a) The total number of relative care placements. (b) The total number of relatives with a placement who became licensed. (c) A list of the reasons from a sample of cases where relatives were denied foster home licensure as documented by the department. Sec. 513. (1) The department shall not expend funds appropriated in part 1 to pay for the direct placement by the department of a child in an out-of-state facility unless all of the following conditions are met: (a) There is no appropriate placement available in this state as determined by the department's interstate compact office. (b) An out-of-state placement exists that is nearer to the child's home than the closest appropriate in-state placement as determined by the department's interstate compact office. (c) The out-of-state facility meets all of the licensing standards of this state for a comparable facility. (d) The out-of-state facility meets all of the applicable licensing standards of the state in which it is located. (e) The department has done an on-site visit to the out-of-state facility, reviewed the facility records, reviewed licensing records and reports on the facility, and believes that the facility is an appropriate placement for the child. (2) The department shall not expend money for a child placed in an out-of-state facility without approval of the executive director of the children's services agency. (3) The department shall submit an annual report by March 1 of 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 the current fiscal year to the state court administrative office, the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, the house and senate policy offices, and the state budget office on the number of Michigan children residing in out-of-state facilities in the previous fiscal year and shall include the total cost and average per diem cost of these out-of-state placements to this state, and a list of each such placement arranged by the Michigan county of residence for each child. Sec. 514. From the funds appropriated in part 1 for foster care payments, the department shall allocate $100.00 to establish a statewide respite care services network available to licensed foster parents and unlicensed relative caregivers caring for children in foster care. Sec. 515. If a child protective services caseworker requests approval for another child protective services caseworker or other department employee to accompany them on a home visit because the caseworker believes it would be unsafe to conduct the home visit alone, the department shall not deny the request. Sec. 516. From funds appropriated in part 1 for child care fund, the administrative or indirect cost payment equal to 10% of a county's total monthly gross expenditures shall be distributed to the county on a monthly basis and a county is not required to submit documentation to the department for any of the expenditures that are covered under the 10% payment as described in section 117a(4)(b)(ii) and (iv) of the social welfare act, 1939 PA 280, MCL 400.117a. Sec. 517. The department may ask a state or private child placing agency contracted by the receiving state to carry out 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 required visits and any additional visits that the department finds necessary for a child placed in a family foster care home out of state. Sec. 518. The department shall submit a report to the report recipients required in section 246 of this part by February 1 of the current fiscal year on the annual child care fund expenditures of in-home juvenile justice care that are eligible for the 75% state and 25% local split. Eligible in-home expenses include community-based juvenile supervision, services and related practices, and per diem rates for the use of respite and shelter for less than 30 days. The report must include the expenditures by county, type of service provided, number of youth receiving care, and number of days of care. Sec. 519. The department shall permit any private agency that has an existing contract with this state to provide foster care services to be also eligible to provide treatment foster care services. Sec. 520. (1) The department shall submit a report to the report recipients required in section 246 of this part by February 15 of the current fiscal year on the number of days of care and expenditures by funding source for the previous fiscal year for out-of-home placements by specific placement programs for child abuse or child neglect and juvenile justice, including, but not limited to, paid relative placement, department direct family foster care, private agency supervised foster care, private child caring institutions, county-supervised facilities, court-supervised facilities, and independent living. The report shall also include the number of days of care for department-operated residential juvenile justice facilities by security classification. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 (2) For the purposes of the report in subsection (1), living arrangements include, but are not limited to, paid relative placement, department direct family foster care, private agency supervised foster care, private child caring institutions, county-supervised facilities, court-supervised facilities, and independent living. Sec. 521. (1) From the funds appropriated in part 1 for child care fund indirect cost allotment, the department shall allocate $3,500,000.00 to counties and tribal governments that receive reimbursements in part 1 from child care fund. (2) The amount described in subsection (1) shall be distributed to each county or tribal government in the same proportion as indirect cost allotments are provided to counties in the manner described in section 117a of the social welfare act, 1939 PA 280, MCL 400.117a. Sec. 522. (1) From the funds appropriated in part 1 for youth in transition, the department shall allocate $750,000.00 for scholarships through the fostering futures scholarship program in the Michigan education trust to youths who were in foster care because of child abuse or child neglect and are attending a college or a career technical educational institution located in this state. Of the funds appropriated, 100% shall be used to fund scholarships for the youths described in this section. (2) By June 1 of the current fiscal year, the department shall provide a report to the report recipients required in section 246 of this part that includes the number of youths who applied for scholarships under this section, the number of youths who received scholarships under this section, the regions the recipients are from by zip code, and the amount of each scholarship, and the total 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 amount of funds spent or encumbered in the current fiscal year. Sec. 523. (1) By February 15 of the current fiscal year, the department shall submit to the report recipients required in section 246 of this part a report on the families first, family reunification, and families together building solutions family preservation programs. The report shall provide population and outcome data based on contractually required follow-up evaluations for families who received family preservation services and shall include information for each program on any innovations that may increase child safety and risk reduction. (2) By October 1 of the current fiscal year, from the funds appropriated in part 1 for family preservation services, the department shall retain the rates established by the increase provided in section 523(3) of article 6 of 2020 PA 166. Sec. 524. As a condition of receiving funds appropriated in part 1 for strong families/safe children, counties must submit the service spending plan to the department by October 1 of the current fiscal year for approval. The department shall approve the service spending plan within 30 calendar days after receipt of a properly completed service spending plan. Sec. 525. The department shall implement the same on-site evaluation processes for privately operated child welfare and juvenile justice residential facilities as is used to evaluate state-operated facilities. Penalties for noncompliance shall be the same for privately operated child welfare and juvenile justice residential facilities and state-operated facilities. Sec. 526. From the funds appropriated in part 1 for court-appointed special advocates, the department shall allocate $1,000,000.00 to fund a project with a nonprofit, community-based 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 organization organized under the laws of this state that are exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, located in a charter township with a population of between 18,000 and 19,000 according to the most recent federal decennial census that is located in a county with a population of between 600,000 and 700,000 according to the most recent federal decennial census. The nonprofit organization recipient shall have an existing network of affiliate programs operating in at least 25 counties in this state. The nonprofit organization shall use the funds to recruit, screen, train, and supervise volunteers who provide advocacy services on behalf of abused and neglected children. Sec. 527. From the funds appropriated in part 1 for youth in transition, the department shall allocate $1,000,000.00 to support transitional and housing costs for youth aging out of foster care or the juvenile justice system. Sec. 528. From the funds appropriated in part 1 for child care fund, the department shall allocate $2,366,700.00 to increase the annual basic grant to counties with a population of less than 75,000 according to the most recent federal decennial census as described in section 117e of the social welfare act, 1939 PA 280, MCL 400.117e, and to eligible tribal entities. The basic grant shall be increased from $15,000.00 per year by equally distributing the $2,366,700.00 appropriated in part 1 to eligible counties and tribal entities. Sec. 529. From the funds appropriated in part 1 for family preservation programs, the department shall maintain the total combined funding levels of the families first, family reunification, and families together building solutions family 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 preservation programs at an amount not less than the amount provided as of September 30, 2021. For the current fiscal year as the department moves towards implementation of the federal family first prevention services act, Public Law 115-123, the funding available to serve families through the existing family preservation programs shall not be reduced. Sec. 530. (1) All master contracts relating to foster care and adoption services as funded by the appropriations in section 105 of part 1 shall be performance-based contracts that employ a client-centered results-oriented process that is based on measurable performance indicators and desired outcomes and includes the annual assessment of the quality of services provided. (2) By February 1 of the current fiscal year, the department shall provide the report recipients required in section 246 of this part a report detailing measurable performance indicators, desired outcomes, and an assessment of the quality of services provided by the department during the previous fiscal year. Sec. 531. The department shall notify the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, and the house and senate policy offices of any changes to a child welfare master contract template, including the adoption master contract template, the independent living plus master contract template, the child placing agency foster care master contract template, and the residential foster care juvenile justice master contract template, not less than 30 days before the change takes effect. Sec. 533. The department shall make payments to child placing facilities for in-home and out-of-home care services and adoption services within 30 days after receiving all necessary documentation 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 from those agencies. It is the intent of the legislature that the burden of ensuring that these payments are made in a timely manner and no payments are in arrears is on the department. Sec. 534. The department shall submit to the report recipients required in section 246 of this part, by March 1 of the current fiscal year, a report on the adoption subsidies expenditures from the previous fiscal year. The report shall include, but is not limited to, the range of non-$0.00 annual adoption support subsidy amounts, for both title IV-E eligible cases and state-funded cases, paid to adoptive families, the number of title IV-E and state-funded cases, the number of cases in which the adoption support subsidy request of adoptive parents for assistance was denied by the department, and the number of adoptive parents who requested a redetermination of adoption support subsidy. Sec. 535. (1) From the funds appropriated in part 1 for foster care payments, the department shall allocate up to $1,500,000.00 of private revenues from The New Foster Care Inc. to fund a 3-year culturally competent kinship placement, support, and licensing services pilot program in a county with a population between 1,200,000 and 1,300,000 according to the most recent federal decennial census and a county with a population over 1,500,000 according to the most recent federal decennial census based on the work conducted by A Second Chance Inc. The goal of the pilot program is to increase the kinship licensure rate and reduce the average length of stay for children in foster care with the intent to expand the program statewide, contingent on legislative appropriations. Efforts to reach this goal shall include the following: (a) Locate appropriate kinship family for out-of-home 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 placement of children. (b) Provide support to kinship care providers and facilitate connections to programs and services to assist them in meeting the needs of children. (c) Assist kinship care providers in meeting state foster parent licensing requirements. (d) Support parents to expedite permanency planning. (2) Subject to part 1 appropriations and pursuant to an annual evaluation, the department through legislative appropriations shall reallocate any savings and revenue stemming from program services that result in a reduction in the length of stay in foster care for the children served by the program compared to the average and maximize federal funds associated with this pilot program. (3) The agency selected to administer the pilot program will be selected with input from The New Foster Care, Inc. and approved by the executive director of the children's services agency. Sec. 536. By March 1 of the current fiscal year, the department shall submit to the report recipients required in section 246 of this part a report on the status of the department's planned and achieved implementation of the federal family first prevention services act, Public Law 115-123. The report shall include, but not be limited to, an estimate of the 5-year spending plan for administrative and compliance costs, a summary of all historical expenditures made to date for implementation by line-item appropriation and program type, information regarding compliance with title IV-E prevention requirements, the status of statewide compliance with the qualified residential treatment program requirements, a summary of provider concerns with respect to requirements under the qualified residential treatment program 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 as that term is defined in section 1 of 1973 PA 116, MCL 722.111, a detailed methodology in determining any savings realized or estimated from a reduction in congregate care or residential placements, the department's conformity with federal model licensing standards, the department's plan for tracking and preventing child maltreatment deaths, and the department's plan for extending John H. Chafee foster care independence programs up to age 23. Sec. 537. By March 1 of the current fiscal year, the department shall submit to the report recipients required in section 246 of this part a report on the number of unlicensed relative providers with a relative placement denied a foster home license for not meeting the standards established for state licensing for foster care. The report shall also include the status of title IV-E claims for foster care maintenance payments and foster care administrative payments for licensed relative caregivers with placements. Sec. 538. By October 1 of the current fiscal year, the department shall submit to the report recipients required in section 246 of this part a report on the status of the department's program improvement plan associated with round 3 of the child and family services review (CFSR). The report shall also include, but not be limited to, a specific and detailed plan to provide an update on areas of substantial nonconformity identified in the CFSR such as the inadequacy of caseworker training provided by the department, the estimated costs necessary to reduce travel time for service delivery to rural areas, plans to improve caseworker engagement to reduce maltreatment in care, and steps undertaken by the department to emphasize permanency in case planning. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Additionally, the department shall include the status for items currently being implemented and the description and cost estimate for the implementation for items that will be implemented in the current fiscal year. Sec. 539. The department, in collaboration with child placing agencies, shall continue to comply with section 115o of the social welfare act, 1939 PA 280, MCL 400.115o. Department caseworkers responsible for preparing a recommendation to a court concerning a juvenile placement shall provide, as part of the recommendation, information regarding the requirements of section 115o of the social welfare act, 1939 PA 280, MCL 400.115o. Sec. 540. If a physician or psychiatrist who is providing services to state or court wards placed in a residential facility submits a formal request to the department to change the psychotropic medication of a ward, the department shall, if the ward is a state ward, make a determination on the proposed change within 7 business days after the request or, if the ward is a temporary court ward, seek parental consent within 7 business days after the request. If parental consent is not provided within 7 business days, the department shall petition the court on the eighth business day. Sec. 541. The department shall explore the implementation of a program to help foster care caseworkers achieve forgiveness for their student loan debt. By July 1 of the current fiscal year, the department shall submit to the report recipients required in section 246 of this part a report on the department's findings. Sec. 542. (1) The department shall develop strategies to use the input from court-appointed special advocates and foster care parents throughout case management and any legal proceedings for 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 abused and neglected children in foster care. (2) By September 30 of the current fiscal year, the department shall submit to the report recipients required in section 246 of this part a report on the strategies developed by the department. Sec. 543. The department shall develop a clear policy that caseworkers ensure that children who are victims of child abuse or child neglect have the ability either in the courtroom or in the judge's chambers to speak directly to, or be interviewed by, the judge or magistrate who is overseeing their case, in order to give children the opportunity to provide input into the legal proceedings. Sec. 544. The department may require all foster care parents, caseworkers, and guardians ad litem to receive trauma-informed training that includes a human trafficking awareness component. Sec. 546. (1) From the funds appropriated in part 1 for foster care payments and from child care fund, the department shall pay providers of general foster care, independent living, and trial reunification services not less than a $55.20 administrative rate. (2) From the funds appropriated in part 1, the department shall pay providers of independent living plus services statewide per diem rates for staff-supported housing and host-home housing based on proposals submitted in response to a solicitation for pricing. The independent living plus program provides staff-supported housing and services for foster youth 16 years of age through 19 years of age who, because of their individual needs and assessments, are not initially appropriate for general independent living foster care. (3) If required by the federal government to meet title IV-E requirements, providers of foster care services shall submit 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 quarterly reports on expenditures to the department to identify actual costs of providing foster care services. (4) From the funds appropriated in part 1, the department shall maintain rates that are no less than the rates in place on October 1, 2022 provided to each private provider of residential services. Sec. 547. (1) From the funds appropriated in part 1 for the guardianship assistance program, the department shall pay a minimum rate that is not less than the approved age-appropriate payment rates for youth placed in family foster care. (2) The department shall submit a report on an annual basis to the report recipients required in section 246 of this part with quarterly data on the number of children enrolled in the guardianship assistance and foster care children with serious emotional disturbance waiver programs. Sec. 550. (1) The department shall not offset against reimbursement payments to counties or seek reimbursement from counties for charges that were received by the department more than 12 months before the department seeks to offset against reimbursement. A county shall not request reimbursement for and reimbursement payments shall not be paid for a charge that is more than 12 months after the date of service or original status determination when initially submitted by the county. (2) All service providers shall submit a request for payment within 12 months after the date of service. Any request for payment submitted 12 months or more after the date of service requires the provider to submit an exception request to the county or the department for approval or denial. (3) The county is not subject to any offset, chargeback, or 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 reimbursement liability for prior expenditures resulting from an error in foster care fund source determinations. Sec. 551. The department shall respond to counties within 30 days regarding any request for a clarification requested through the department's child care fund management unit email address. Sec. 552. Sixty days after a county's child care fund on-site review is completed, including the receipt of all requested documentation from the county, the department shall provide the results of the review to the county. The department shall not evaluate the relevancy, quality, effectiveness, efficiency, or impact of the services provided to youth of the county's child care fund programs in the review. Pursuant to state law, the department shall not release the results of the review to a third-party without the permission of the county being reviewed. Sec. 554. From the funds appropriated in part 1 for foster care payments, the department shall allocate $50,000.00 to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, that currently has locations in 3 cities and operates on a 100% volunteer basis with a board of directors consisting of up to 15 members, and are a dedicated community of individuals that give their time, talent, and resources to provide the best quality shopping environment they can to local children in need and provide clothing, shoes, toys, linens, nursery furniture, strollers, car seats, school supplies, hygiene products, and safety equipment to local foster children and their families free of charge. Sec. 556. From the funds appropriated in part 1 for child welfare licensing, the department shall work to develop and 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 implement a simpler and more streamlined process for the annual renewal of the license for family foster care homes, and shall explore the development of a simpler and more efficient version of the application form for renewal of the license for family foster care homes. Sec. 557. If a vehicle that is owned by the state is available and not scheduled for use by other state workers, the department may consider it an allowable use of the vehicle for a child protective services caseworker or a foster care caseworker to drive it to foster home visits or to drive it to their own home if it would be helpful to the worker in conducting their work. Sec. 560. From funds appropriated in part 1 for foster care payments, the department shall allocate $100,000.00 to reimburse children in foster care for the costs of extracurricular activities, including, but not limited to, athletics, music, band, drama, and other enrichment activities. Sec. 562. The department shall provide time and travel reimbursements for foster parents who transport a foster child to parent-child visitations. As part of the foster care parent contract, the department shall provide written confirmation to foster parents that states that the foster parents have the right to request these reimbursements for all parent-child visitations. The department shall provide these reimbursements within 60 days after receiving a request for eligible reimbursements from a foster parent. Sec. 564. (1) The department shall maintain a clear policy for parent-child visitations. The local county offices, caseworkers, and supervisors shall meet an 85% success rate, after accounting for factors outside of the caseworkers' control. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 (2) Per the court-ordered number of required meetings between caseworkers and a parent, the caseworkers shall achieve a success rate of 85%, after accounting for factors outside of the caseworkers' control. (3) By March 1 of the current fiscal year, the department shall provide to the report recipients required in section 246 of this part a report on the following: (a) The percentage of success rate for parent-child visitations and court-ordered required meetings between caseworkers referenced in subsections (1) and (2) for the previous year. (b) The barriers to achieve the success rates in subsections (1) and (2) and how this information is tracked. Sec. 567. The department shall submit to the report recipients required in section 246 of this part, by March 1 of the current fiscal year, a report on the transfer of medical passports for children in foster care, including the following: (a) From the total medical passports transferred, the percentage that transferred within 2 weeks after the date of placement or return to the home. (b) From the total school records, the percentage that transferred within 2 weeks after the date of placement or return to the home. (c) The implementation steps that have been taken to improve the outcomes for the measures in subdivision (a). Sec. 568. (1) The department shall ensure youths transitioning out of foster care are given assistance with obtaining a driver license or state identification card and are issued a copy of their Social Security number as required by department policy. Assistance must be provided to youths who are eligible to obtain a driver 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 license or state identification card and a Social Security card based on the youth's citizenship and legal residency status. (2) The department shall provide a report by April 1 of the current fiscal year to the report recipients required in section 246 of this part on the number of youths who received assistance obtaining a driver license or state identification card, the number of youths who received assistance obtaining a Social Security card, the number of youths eligible for assistance who did not receive it, and an explanation as to why those youths did not receive assistance in obtaining the documents. Sec. 569. The department shall reimburse private child placing agencies that complete adoptions at the rate according to the date on which the petition for adoption and required support documentation was accepted by the court and not according to the date the court's order placing for adoption was entered. Sec. 574. (1) From the funds appropriated in part 1 for foster care payments, $1,375,000.00 is allocated to support family incentive grants to private and community-based foster care service providers to assist with home improvement items needed to ensure compliance with licensing rule requirements, including, but not limited to, payment for physical exams needed by foster families and to alleviate potential safety concerns for unlicensed relatives caring for a family member through the child welfare system to accommodate children in foster care. (2) By March 1 of the current fiscal year, the department shall submit to the report recipients required in section 246 of this part a report on the total amount expended in the previous fiscal year for grants to private and community-based foster care service providers for home improvements or physical exams as 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 referenced in subsection (1) and the number of grants issued. Sec. 575. From the funds appropriated in part 1 for children's services administration, the department shall allocate $200,000.00 to provide support and coordinated services to the kinship caregiver advisory council. The responsibilities of the council may include all of the following: (a) Establish a public awareness campaign to educate the public about kinship caregivers and the state's efforts to better serve kinship caregivers. (b) Consult and coordinate with the kinship caregiver navigator program to collect aggregate data on individuals being served by the kinship caregiver navigator program, including information on what services these individuals need. (c) Consult and collaborate with the provider of the kinship caregiver navigator program on the design and administration of that program. (d) Establish, maintain, and update a list of local support groups and programs that provide services to kinship families, and devise a plan of action for engaging with the groups and programs on the list in order to obtain a better understanding of the issues facing kinship families. (e) Develop methods to promote and improve collaboration between state, county, and local governments and agencies and private stakeholders to obtain a broad understanding of the characteristics and prevalence of kinship caregiving, to improve service delivery, and to include these in the council's recommendations. Sec. 579. The department shall require caseworkers ensure a motion is filed with the court to request that children who are 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 victims of child abuse or child neglect have court redetermination hearings more frequently than every 90 days when in the best interest of the child. The intent of this language is to decrease the time it will take for permanency to be finalized for the child. Sec. 581. From the funds appropriated in part 1 for foster care payments, the department shall allocate $50,000.00 for caseworkers to provide immediate assistance with urgent needs, including, but not limited to, food and clothing, for children on removal from their home or other dangerous environment, including children who are victims of human trafficking. The department shall adhere to the relevant policies for the use and access to these funds. Sec. 583. By March 1 of the current fiscal year, the department shall provide to the report recipients required in section 246 of this part a report that includes all of the following: (a) The number and percentage of foster parents that dropped out of the program in the previous fiscal year, the reasons the foster parents left the program, and how those figures compare to prior fiscal years. (b) The number and percentage of foster parents successfully retained in the previous fiscal year and how those figures compare to prior fiscal years. Sec. 585. The department shall make available at least 1 pre-service training class each month in which new caseworkers for private foster care and adoption agencies can enroll. Sec. 588. (1) Concurrently with public release, the department shall transmit all reports from the court-appointed settlement monitor, including, but not limited to, the needs assessment and 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 period outcome reporting, to the state budget office, the senate and house appropriations subcommittees on the department budget, and the senate and house fiscal agencies and policy offices, without revision. (2) By October 1 of the current fiscal year, the department shall submit to the report recipients required in section 246 of this part a detailed plan that will terminate and dismiss with prejudice the settlement by September 30 of the current fiscal year. Sec. 589. (1) From the funds appropriated in part 1 for child care fund, the department shall pay 100% of the administrative rate for all new cases referred to providers of foster care services. (2) On a quarterly basis, the department shall submit a report on the monthly number of all foster care cases administered by the department and all foster care cases administered by private providers to the report recipients required in section 246 of this part. Sec. 592. The department shall submit quarterly reports to the report recipients required in section 246 of this part that include data from children's protective services staff for each of the following for the most recent 30-day period before the report is submitted: (a) The percent of investigations commenced within 24 hours after receiving a report. (b) The percent of central registry reviews performed for required individuals. (c) The percent of face-to-face contacts made within the established timeframe required by the department. (d) In appropriate cases, the percent of sibling placement 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 evaluations completed when 1 or more children remain in the home after a child has been removed. (e) The percent of supervisory reviews performed in a timely manner. (f) The results of a department survey of child protective services investigators on the number of investigators who are concerned for their own personal safety. (g) The percent of investigators using the mobile application or other tool to document compliance. Sec. 593. The department shall conduct an annual review in each county to determine if the county has adopted and implemented standard child abuse and child neglect investigation and interview protocols as required in section 8(6) of the child protection law, 1975 PA 238, MCL 722.628. Sec. 594. From the funds appropriated in part 1 for foster care payments, the department shall support regional resource teams to provide for the recruitment, retention, and training of foster and adoptive parents and shall expand the Michigan youth opportunities initiative to all Michigan counties. The purpose of this funding is to increase the number of annual inquiries from prospective foster parents, increase the number of nonrelative foster homes that achieve licensure each year, increase the annual retention rate of nonrelative foster homes, reduce the number of older foster youth placed outside of family settings, and provide older youth with enhanced support in transitioning to adulthood. Sec. 598. Partial child care fund reimbursements to counties for undisputed charges must be made within 45 business days after the receipt of the required forms and documentation. The department shall commence activity to investigate and resolve a disputed 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 reimbursement charge from a county within 15 business days after receiving the request for reimbursement. The activity to investigate and resolve a disputed reimbursement request may include, but is not limited to, the use of a formal appeals process, pursuant to statute and department chargeback policy. The department shall reimburse for corrected charges within 45 business days after a properly corrected submission by the county. PUBLIC ASSISTANCE Sec. 601. Whenever a client agrees to the release of the client's name and address to the local housing authority, the department shall request from the local housing authority information regarding whether the housing unit for which vendoring has been requested meets applicable local housing codes. Vendoring shall be terminated for those units that the local authority indicates in writing do not meet local housing codes until the local authority indicates in writing that local housing codes have been met. Sec. 602. The department shall conduct a full evaluation of an individual's assistance needs if the individual has applied for disability more than 1 time within a 1-year period. Sec. 603. For any change in the income of a recipient of the food assistance program, the family independence program, or state disability assistance that results in a benefit decrease, the department must notify the affected recipient of the decrease in benefits amount no later than 15 work days before the first day of the month in which the change takes effect. Sec. 604. (1) From the funds appropriated in part 1 for state disability assistance payments, the department shall operate a 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 state disability assistance program. Except as provided in subsection (3), persons eligible for this program shall include needy citizens of the United States or aliens exempted from the supplemental security income citizenship requirement who are at least 18 years of age or emancipated minors who meet 1 or more of the following requirements: (a) Is a recipient of supplemental security income, social security, or medical assistance due to disability or 65 years of age or older. (b) Is an individual with a physical or mental impairment that meets federal supplemental security income disability standards, except that the minimum duration of the disability shall be 90 days. Substance use disorder alone is not defined as a basis for eligibility. (c) Is a resident of an adult foster care facility, a home for the aged, a county infirmary, or a substance use disorder treatment center. (d) Is an individual receiving 30-day post-residential substance use disorder treatment. (e) Is an individual diagnosed as having AIDS. (f) Is an individual receiving special education services through a local intermediate school district. (g) Is a caretaker of a disabled individual who meets the requirements specified in subdivision (a), (b), (e), or (f). (2) Applicants for and recipients of the state disability assistance program shall be considered needy if they do both of the following: (a) Meet the same asset test as is applied for the family independence program. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 (b) Have a monthly budgetable income that is less than the payment standards. (3) Except for an individual described in subsection (1)(c) or (d), an individual is not disabled for purposes of this section if the individual's drug addiction or alcoholism is a contributing factor material to the determination of disability. "Material to the determination of disability" means that, if the individual stopped using drugs or alcohol, the individual's remaining physical or mental limitations would not be disabling. If the individual's remaining physical or mental limitations would be disabling, then the drug addiction or alcoholism is not material to the determination of disability and the individual may receive state disability assistance. Such an individual must actively participate in a substance abuse treatment program, and the assistance must be paid to a third party or through vendor payments. For purposes of this section, substance abuse treatment includes receipt of inpatient or outpatient services or participation in alcoholics anonymous or a similar program. Sec. 605. The level of reimbursement provided to state disability assistance recipients in licensed adult foster care facilities shall be the same as the prevailing supplemental security income rate under the personal care category. Sec. 606. County department offices shall require each recipient of family independence program and state disability assistance who has applied with the Social Security Administration for supplemental security income to sign a contract to repay any assistance rendered through the family independence program or state disability assistance program on receipt of retroactive supplemental security income benefits. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Sec. 607. (1) The department's ability to satisfy appropriation deductions in part 1 for state disability assistance/supplemental security income recoveries and public assistance recoupment revenues shall not be limited to recoveries and accruals pertaining to state disability assistance, or family independence assistance grant payments provided only in the current fiscal year, but may include revenues collected during the current year that are prior year related and not a part of the department's accrued entries. (2) The department may use supplemental security income recoveries to satisfy the deduct in any line in which the revenues are appropriated, regardless of the source from which the revenue is recovered. Sec. 608. Adult foster care facilities providing domiciliary care or personal care to residents receiving supplemental security income or homes for the aged serving residents receiving supplemental security income shall not require those residents to reimburse the home or facility for care at rates in excess of those legislatively authorized. To the extent permitted by federal law, adult foster care facilities and homes for the aged serving residents receiving supplemental security income are not prohibited from accepting third-party payments in addition to supplemental security income if the payments are not for food, clothing, shelter, or result in a reduction in the recipient's supplemental security income payment. Sec. 609. The state supplementation level under the supplemental security income program for the personal care/adult foster care and home for the aged categories shall not be reduced during the current fiscal year. The legislature shall be notified 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 not less than 30 days before any proposed reduction in the state supplementation level. Sec. 610. (1) In developing good cause criteria for the state emergency relief program, the department shall grant exemptions if the emergency resulted from unexpected expenses related to maintaining or securing employment. (2) For purposes of determining housing affordability eligibility for state emergency relief, a group is considered to have sufficient income to meet ongoing housing expenses if their total housing obligation does not exceed 75% of their total net income. (3) State emergency relief payments shall not be made to individuals who have been found guilty of fraud in regard to obtaining public assistance. (4) State emergency relief payments shall not be made available to persons who are out-of-state residents or illegal immigrants. (5) State emergency relief payments for rent assistance shall be distributed directly to landlords and shall not be added to Michigan bridge cards. Sec. 611. The state supplementation level under the supplemental security income program for the living independently or living in the household of another categories shall not exceed the minimum state supplementation level as required under federal law or regulations. Sec. 613. (1) The department shall provide reimbursements for the final disposition of indigent persons. The reimbursements shall include all of the following: (a) The maximum allowable reimbursement for the final 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 disposition is $840.00. (b) The adult burial with services allowance is $765.00. (c) The adult burial without services allowance is $530.00. (d) The infant burial allowance is $210.00. (2) Reimbursement for a cremation permit fee of up to $75.00 and for mileage at the standard rate will be made available for an eligible cremation. The reimbursements under this section shall take into consideration religious preferences that prohibit cremation. (3) The department shall submit a report to the report recipients required in section 246 of this part by January 31 of the current fiscal year on burial services payments issued from the state emergency relief program during the previous fiscal year. The report shall include the number of payments by burial services category for the following: (a) Fetus or infant under age 1 month. (b) Burial with memorial service. (c) Burial without memorial service. (d) Cremation with memorial service. (e) Cremation without memorial service. (f) Transportation of a donated or unclaimed body being cremated. (g) Cremation permit fee for an unclaimed body. (h) Disposition of an unclaimed body. (i) Payment where an irrevocable funeral agreement exists. (j) An unclaimed body received by a university. Sec. 614. The department shall submit a report to the report recipients required in section 246 of this part by January 15 of the current fiscal year on the number and percentage of state 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 disability assistance recipients who were determined to be eligible for federal supplemental security income benefits in the previous fiscal year. Sec. 615. Except as required by federal law or regulations, funds appropriated in part 1 shall not be used to provide public assistance to an individual who is not a United States citizen, permanent resident alien, or refugee. This section does not prohibit the department from entering into contracts with food banks, emergency shelter providers, or other human services agencies who may, as a normal part of doing business, provide food or emergency shelter. Sec. 616. The department shall require retailers that participate in the electronic benefits transfer program to charge no more than $2.50 in fees for cash back as a condition of participation. Sec. 619. The department shall not deny title IV-A assistance and food assistance benefits under 21 USC 862a to any individual who has been convicted of a felony that included the possession, use, or distribution of a controlled substance, for which the act that resulted in the conviction occurred after August 22, 1996, if the individual is not in violation of the individual's probation or parole requirements. Sec. 620. (1) The department shall make a determination of Medicaid eligibility not later than 90 days after completion of a Medicaid application if disability is an eligibility factor. For all other Medicaid applicants, including patients of a nursing home, the department shall make a determination of Medicaid eligibility within 45 days after application. (2) The department shall provide a semiannual report to the 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 report recipients required in section 246 of this part on the number of recipients who were ineligible for Medicaid after Medicaid eligibility redeterminations resumed after federal continuous enrollment requirements. The report must include, in a monthly data format, the number of recipients who had their eligibility examined directly, through an ex parte eligibility process, or through passive eligibility process. The report must also include all baseline and monthly reports provided to CMS for unwinding data reporting and the number of recipients who did not respond to department contact through eligibility outreach or data requests. Sec. 645. An individual or family is considered homeless, for purposes of eligibility for state emergency relief, if living temporarily with others in order to escape domestic violence. For purposes of this section, domestic violence is defined and verified in the same manner as in the department's policies on good cause for not cooperating with child support and paternity requirements. Sec. 653. From the funds appropriated in part 1 for food assistance program benefits, an individual who is the victim of domestic violence or human trafficking and does not qualify for any other exemption may be exempt from the 3-month in 36-month limit on receiving food assistance under 7 USC 2015. This exemption can be extended an additional 3 months on demonstration of continuing need. Sec. 654. The department shall notify recipients of food assistance program benefits that their benefits can be spent with their bridge cards at many farmers' markets in the state. The department shall also notify recipients about the Double Up Food Bucks program that is administered by the Fair Food Network. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Recipients shall receive information about the Double Up Food Bucks program, including information that when the recipient spends $20.00 at participating farmers' markets through the program, the recipient can receive an additional $20.00 to buy Michigan produce. Sec. 655. Within 14 days after the spending plan for low-income home energy assistance program is approved by the state budget office, the department shall provide the spending plan, including itemized projected expenditures and itemized expenditures for the previous fiscal year, to the chairpersons of 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. Sec. 660. From the funds appropriated in part 1 for Food Bank Council of Michigan, the department shall allocate $12,045,000.00 for the procurement and distribution of the Michigan agricultural surplus system to distribute surplus produce to low-income residents of this state. Sec. 669. From the funds appropriated in part 1 for family independence program clothing allowance, the department shall allocate $10,000,000.00 for the annual clothing allowance. The allowance shall be granted to all eligible children in a family independence program group. Sec. 670. From the funds appropriated in part 1 for food assistance benefits state supplementation, the department shall allocate $5,000,000.00 to food assistance program groups that experienced a reduction in federal food assistance benefits due to the cessation of pandemic-related increases. This supplementation benefit is available only to food assistance program benefit groups with an income that is at or below 50% of the federal poverty level 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 or a food assistance program benefit group with an individual at or above 65 years of age with an income at or below 100% of the federal poverty level. Sec. 672. (1) The department's office of inspector general shall submit a report to the report recipients required in section 246 of this part by February 15 of the current fiscal year on department efforts to reduce inappropriate use of Michigan bridge cards and food assistance program trafficking. The department shall provide information on the number of recipients of services who used their Michigan bridge card inappropriately and the current status of each case, the number of recipients whose benefits were revoked, whether permanently or temporarily, as a result of inappropriate use, and the number of retailers that were fined or removed from the electronic benefit transfer program for permitting inappropriate use of the cards. The report shall also include the number of Michigan bridge card trafficking instances and overall welfare fraud referrals that includes such information as the number of investigations completed, fraud and intentional program violation dollar amounts identified, the number of referrals to prosecutors, the number of administrative hearing referrals and waivers, and the number of program disqualifications imposed. The report shall distinguish between savings and cost avoidance. Savings include receivables established from instances of fraud committed. Cost avoidance includes expenditures avoided due to front-end eligibility investigations and other preemptive actions undertaken in the prevention of fraud. (2) If a fourth Michigan bridge card has been issued in a 12-month period, the department shall notify the household that they have reached the number of issued cards threshold. At their fifth 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 and each subsequent card replacement request, a card will not be issued until the recipient has spoken directly to the local office district manager or county director. The district manager or county director may issue a new Michigan bridge card under their authority based on their assessment of the recipient's situation and explanation. (3) As used in this section: (a) "Food assistance trafficking" means the buying and selling of food assistance benefits for cash or items not authorized under 7 USC 2036b. (b) "Inappropriate use" means not used to meet a family's ongoing basic needs, including food, clothing, shelter, utilities, household goods, personal care items, and general incidentals. Sec. 677. The department shall establish a state goal for the percentage of family independence program cases involved in employment activities. The percentage established shall not be less than 50%. The goal for long-term employment shall be 15% of cases for 6 months or more. Sec. 678. From the funds appropriated in part 1 for family independence program - small child supplemental payment, the department shall provide a $300.00 supplement semiannually for every child under 6 years of age to families receiving cash assistance for the current fiscal year. Sec. 686. (1) The department shall confirm that individuals presenting personal identification issued by another state seeking assistance through the family independence program, food assistance program, state disability assistance program, or medical assistance program are not receiving benefits from any other state. (2) The department shall confirm the address provided by any 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 individual seeking family independence program benefits or state disability assistance benefits. (3) The department shall prohibit individuals with property assets assessed at a value higher than $200,000.00 from accessing assistance through department-administered programs, unless such a prohibition would violate federal rules and guidelines. (4) The department shall make a reasonable attempt to obtain an up-to-date telephone number during the eligibility determination or redetermination process for individuals seeking medical assistance benefits. Sec. 687. (1) The department shall, in quarterly reports, compile and make available on its website all of the following information about the family independence program, state disability assistance, the food assistance program, Medicaid, and state emergency relief: (a) The number of applications received. (b) The number of applications approved. (c) The number of applications denied. (d) The number of applications pending and neither approved nor denied. (e) The number of cases opened. (f) The number of cases closed. (g) The number of cases at the beginning of the quarter and the number of cases at the end of the quarter. (2) The information provided under subsection (1) shall be compiled and made available for the state as a whole and for each county and reported separately for each program listed in subsection (1). (3) The department shall, in quarterly reports, compile and 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 make available on its website the following family independence program information: (a) The number of new applicants who successfully met the requirements of the 10-day assessment period for PATH. (b) The number of new applicants who did not meet the requirements of the 10-day assessment period for PATH. (c) The number of cases sanctioned because of the school truancy policy. (d) The number of cases closed because of the 48-month and 60-month lifetime limits. (e) The number of first-, second-, and third-time sanctions. (f) The number of children 0-5 years of age living in family independence program-sanctioned households. Sec. 688. From the funds appropriated in part 1 for the low-income home energy assistance program, the department shall make an additional $20.01 payment to each food assistance program case that is not currently eligible for the standard utility allowance to enable each case to receive expanded food assistance benefits through the program commonly known as the heat and eat program. CHILDREN'S SERVICES AGENCY - JUVENILE JUSTICE Sec. 701. Unless required from changes to federal or state law or at the request of a provider, the department shall not alter the terms of any signed contract with a private residential facility serving children under state or court supervision without written consent from a representative of the private residential facility. Sec. 706. Counties shall be subject to 50% chargeback for the use of alternative regional detention services, if those detention services do not fall under the basic provision of section 117e of 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 the social welfare act, 1939 PA 280, MCL 400.117e, or if a county operates those detention services programs primarily with professional rather than volunteer staff. Sec. 707. In order to be reimbursed for child care fund expenditures, counties are required to submit department-developed reports to enable the department to document potential federally claimable expenditures. This requirement is in accordance with the reporting requirements specified in section 117a(12) of the social welfare act, 1939 PA 280, MCL 400.117a. Sec. 708. (1) As a condition of receiving funds appropriated in part 1 for the child care fund line item, by October 15 of the current fiscal year, counties shall have an approved service spending plan for the current fiscal year. Counties must submit the service spending plan for the following fiscal year to the department by August 15 of the current fiscal year for approval. On submission of the county service spending plan, the department shall approve within 30 calendar days after receipt of a properly completed service plan that complies with the requirements of the social welfare act, 1939 PA 280, MCL 400.1 to 400.119b. The department shall notify and submit county service spending plan revisions to any county whose county service spending plan is not accepted on initial submission. The department shall not request any additional revisions to a county service spending plan outside of the requested revision notification submitted to the county by the department. The department shall notify a county within 30 days after approval that its service plan was approved. (2) Counties must submit amendments to current fiscal year county service plans to the department no later than August 30. Counties must submit current fiscal year payable estimates to the 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 department no later than September 15. (3) The department shall submit a report to the report recipients required in section 246 of this part by February 15 of the current fiscal year on the number of counties that fail to submit a service spending plan by August 15 of the previous fiscal year and the number of service spending plans not approved by October 15. The report shall include the number of county service spending plans that were not approved as first submitted by the counties, as well as the number of plans that were not approved by the department after being resubmitted by the county with the first revisions that were requested by the department. Sec. 709. The department's master contract for juvenile justice residential foster care services shall prohibit contractors from denying a referral for placement of a youth, or terminating a youth's placement, if the youth's assessed treatment needs are in alignment with the facility's residential program type, as identified by the court or the department. In addition, the master contract shall require that youth placed in juvenile justice residential foster care facilities must have regularly scheduled treatment sessions with a licensed psychologist or a psychiatrist, or both, and access to the licensed psychologist or a psychiatrist as needed. Sec. 715. (1) As a condition of receiving funds appropriated in part 1 for raise the age fund, by deadlines established and advised by the department, counties or tribal entities shall have an approved raise the age fund budget plan for the following fiscal year. Counties must submit the raise the age fund budget plan for the current fiscal year to the department by February 1 of the current fiscal year. The raise the age fund budget plan shall 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 specifically identify the types of costs to be reimbursed, estimated costs for each item, and the total estimated cost to be reimbursed. The types of costs to be reimbursed must comply with the requirements of section 117i of the social welfare act, 1939 PA 280, MCL 400.117i. $500,000.00 of the raise the age fund shall be reserved for tribal entities. If total raise the age fund requests from tribal entities are less than $500,000.00, the funding may be allocated to meet requests from counties. From the funds appropriated in part 1 for raise the age fund, each county and tribal entity eligible for reimbursement shall receive a minimum $10,000.00 allocation from the raise the age fund. (2) County and tribal entity reimbursement from the raise the age fund is limited to eligible youth and items specifically identified in approved raise the age fund budget plans and shall not exceed the total estimated cost included in the approved raise the age fund budget plan. (3) Counties must submit current fiscal year payable estimates for raise the age funds to the department by deadlines established and advised by the department. Counties and tribal entities must submit amendments to current fiscal year raise the age fund budget plans by deadlines established and advised by the department. (4) As used in this section, "eligible youth" includes both of the following: (a) Pre-adjudication eligible youth: A youth for whom a petition has been filed alleging the commission of a status or criminal offense on or after reaching 17 years of age, but before reaching 18 years of age. (b) Post-adjudication eligible youth: A youth who has been adjudicated for a status or criminal offense for which a petition 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 was filed alleging the commission of a status or criminal offense on or after reaching 17 years of age, but before reaching 18 years of age. Local OFFICE OPERATIONS AND SUPPORT SERVICES Sec. 801. (1) The department shall submit a monthly report to the report recipients required in section 246 of this part on the most recent food assistance program error rate derived from the active cases, reported to the United States Department of Agriculture Food and Nutrition Services for the supplemental nutrition assistance program. (2) The department shall submit a report by April 1 to the report recipients required in section 246 of this part on the corrective action plan undertaken to lower food assistance program error rates. The report must include the 10 local offices in the prior fiscal year with the highest error rates and list the specific actions and remedies undertaken in those offices. The report must include the error rate by each local office, by month, prior to an intervention, and then the monthly error rate for each month after any intervention. The report must also include the status of each local office that received a 4-month precertification case read intervention completed by central office staff in the prior fiscal year. The status update must include a list of each local office that received the 4-month precertification case reads and the measurements undertaken by the department to ensure that the corrective action plans were implemented and led to food assistance error rate decreases. Sec. 802. From the funds appropriated in part 1 for local office staff travel, the department shall allocate up to 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 $100,000.00 annually toward reimbursing the out-of-pocket costs of county board members and county department directors to attend statewide meetings of the Michigan County Social Services Association. Sec. 805. (1) From the funds appropriated in part 1 for critical health and wellness center operations, the department shall allocate $100.00 to operate a health and wellness hub located in a county with a population between 66,600 and 66,700 according to the most recent federal decennial census that includes an FQHC located on-site. The health and wellness hub shall provide health services and child care services in a manner that increases access to affordable services. (2) With the funding described in this section, $50.00 shall be allocated to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, located in a county with a population between 600,000 and 700,000 according to the most recent federal decennial census. (3) With the funding described in this section, $50.00 shall be allocated to an FQHC that operates in 6 counties in this state and with the main office located in a county with a population between 600,000 and 700,000 according to the most recent federal decennial census. Sec. 806. (1) From the funds appropriated in part 1 for equity and minority health, the department shall allocate $1,000,200.00 to the office of equity and minority health within the department to inform and disseminate the report required under section 2227 of the public health code, 1978 PA 368, MCL 333.2227, to health care providers, local health departments, nonprofit groups, and other 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 entities with an interest in equity and minority health. (2) From the funds appropriated in part 1 for social determinants of health hub, the department shall allocate $500,000.00 to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, located in a city with a population between 80,000 and 82,000 according to the most recent federal decennial census, that runs health equity programs. The funding must be used to create a social determinants of health hub, offer technical assistance to other communities across the state, and provide multisector coordination necessary to become a social determinants of health hub. Sec. 807. From the funds appropriated in part 1 for Elder Law of Michigan MiCAFE contract, the department shall allocate not less than $350,000.00 to the Elder Law of Michigan MiCAFE to assist this state's elderly population in participating in the food assistance program. Of the $350,000.00 allocated under this section, the department shall use $175,000.00, which are general fund/general purpose funds, as state matching funds for not less than $175,000.00 in United States Department of Agriculture funding to provide outreach program activities, such as eligibility screening and information services, as part of a statewide food assistance hotline. Sec. 808. By March 1 of the current fiscal year, the department shall provide a report to the report recipients required in section 246 of this part on the nutrition education program. The report must include planned allocation and actual expenditures for the supplemental nutrition assistance program education funding by location of programs, planned and actual grant amounts for the 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 supplemental nutrition assistance program education funding by location of programs, the total amount of expected carryforward balance at the end of the current fiscal year for the supplemental nutrition assistance program education funding, and for each subgrantee program, a list of all supplemental nutrition assistance program education funding programs by implementing agency with the amount of funding allocated. Sec. 825. From the funds appropriated in part 1, the department shall provide individuals not more than $2,000.00 for vehicle repairs, including any repairs done in the previous 12 months. Payments under this section shall include the combined total of payments made by the department and work participation program. Sec. 826. (1) From the funds appropriated in part 1 for local office policy and administration, not less than $300,000.00 shall be allocated for the department to contract with the Prosecuting Attorneys Association of Michigan to provide the support and services necessary to increase the capability of the state's prosecutors, adult protective service system, and criminal justice system to effectively identify, investigate, and prosecute elder abuse and financial exploitation. (2) By March 1 of the current fiscal year, the Prosecuting Attorneys Association of Michigan shall provide a report to the department on the efficacy of the contract. The department shall submit the report to the report recipients required in section 246 of this part within 30 days after receiving the report from the Prosecuting Attorneys Association of Michigan. Sec. 827. (1) From the funds appropriated in part 1 for local office policy and administration, the department shall allocate 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 $812,000.00 to implement a pilot program with the goals of creating a statewide peer-led reentry program, establishing industry standards for peer mentoring focused on reentry, and creating economic mobility for formerly incarcerated people through workforce development. (2) Funding under subsection (1) must be used to provide peer-led group mentoring along with 1-on-1 mentoring to improve housing, education, employment, and access to health care and insurance. Funding for the pilot program must also be used to improve access to transportation, provide positive peer social support, and improve civic engagement outcomes. (3) The independent program evaluation of the pilot program is to be conducted by Wayne State University and must be made available to all members of the senate and house subcommittees on the department budget. Sec. 850. (1) The department shall maintain out-stationed eligibility specialists in community-based organizations, community mental health agencies, nursing homes, adult placement and independent living settings, federally qualified health centers, and hospitals unless a community-based organization, community mental health agency, nursing home, adult placement and independent living setting, federally qualified health centers, or hospital requests that the program be discontinued at its facility. (2) From the funds appropriated in part 1 for donated funds positions, the department shall enter into contracts with agencies that are able and eligible under federal law to provide the required matching funds for federal funding, as determined by federal statute and regulations. (3) A contract for an assistance payments donated funds 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 position must include, but not be limited to, the following performance metrics: (a) Meeting a standard of promptness for processing applications for Medicaid and other public assistance programs under state law. (b) Meeting required standards for error rates in determining programmatic eligibility as determined by the department. (4) The department shall only fill additional donated funds positions after a new contract has been signed. That position shall also be abolished when the contract expires or is terminated. (5) The department shall classify as limited-term FTEs any new employees who are hired to fulfill the donated funds position contracts or are hired to fill any vacancies from employees who transferred to a donated funds position. Sec. 851. From the funds appropriated in part 1 for adult services local office staff, the department shall seek to reduce the number of older adults who are victims of crime and fraud by increasing the standard of promptness in every county, as measured by commencing an investigation within 24 hours after a report is made to the department, establishing face-to-face contact with the client within 72 hours after a report is made to the department, and completing the investigation within 30 days after a report is made to the department. DISABILITY DETERMINATION SERVICES Sec. 890. From the funds appropriated in part 1 for disability determination services, the department shall maintain the unit rates in effect on September 30, 2019 for medical consultants performing disability determination services, including physicians, 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 psychologists, and speech-language pathologists. BEHAVIORAL HEALTH SERVICES ADMINISTRATION AND SPECIAL PROJECTS Sec. 901. The funds appropriated in part 1 are intended to support a system of comprehensive community mental health services under the full authority and responsibility of local CMHSPs or PIHPs in accordance with the mental health code, 1974 PA 258, MCL 330.1001 to 330.2106, the Medicaid provider manual, federal Medicaid waivers, and all other applicable federal and state laws. Sec. 902. (1) From the funds appropriated in part 1, final authorizations to CMHSPs or PIHPs shall be made on 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 submit a report to the report recipients required in section 246 of this part if either of the following occurs: (a) The department enters into any new contracts with CMHSPs or PIHPs that would affect rates or expenditures. (b) The department amends any contracts the department has entered into with CMHSPs or PIHPs that would affect rates or 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 expenditures. (3) The report required by subsection (2) shall include information about the changes to the contracts and their effects on rates and expenditures. Sec. 904. (1) By May 31 of the current fiscal year, the department shall provide a report on the CMHSPs, PIHPs, and designated regional entities for substance use disorder prevention and treatment to the report recipients required in section 246 of this part that includes the information required by this section. (2) The report required under subsection (1) shall contain, unless otherwise noted, information for each CMHSP, PIHP, and designated regional entity for substance use disorder prevention and treatment, and a statewide summary, each of which shall include at least the following information: (a) A statewide summary of the demographic description of service recipients that, minimally, shall include reimbursement eligibility, client population, age, ethnicity, housing arrangements, and diagnosis. (b) Per capita expenditures in total and by client population group. (c) A statewide summary of Medicaid-funded cost information for the 3 diagnosis groups of adults with a mental illness, children with a serious emotional disturbance, and individuals with an intellectual or developmental disability. The statewide summary must, minimally, include expenditures by service category for each of the 3 diagnosis groups described in this subdivision and cases, units, and cost of each specific service code index or health care common procedure coding system (HCPCS) code for each of the 3 diagnosis groups. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 (d) Financial information on non-Medicaid mental health services by general fund cost reporting category. (e) Information about access to CMHSPs, PIHPs, and designated regional entities for substance use disorder prevention and treatment that includes, but is not limited to, the following: (i) The number of individuals receiving requested services. (ii) The number of individuals who requested services but did not receive services. (f) The number of second opinions requested under the mental health code, 1974 PA 258, MCL 330.1001 to 330.2106, and the determination of any appeals. (g) Lapses and carryforwards during the previous fiscal year for CMHSPs, PIHPs, and designated regional entities for substance use disorder prevention and treatment. (h) Performance indicator information required to be submitted to the department in the contracts with CMHSPs, PIHPs, and designated regional entities for substance use disorder prevention and treatment. (i) Administrative expenditures of each CMHSP, PIHP, and designated regional entity for substance use disorder prevention and treatment that include a breakout of the salary, benefits, and pension of each executive-level staff and shall include the director, chief executive, and chief operating officers and other members identified as executive staff. (3) The report in subsection (1) shall contain the following information from the previous fiscal year on substance use disorder prevention, education, and treatment programs: (a) The expenditures stratified by department-designated community mental health entity, by fund source, by subcontractor, 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 by population served, and by service type. (b) The expenditures per state client, with data on the distribution of expenditures reported using a histogram approach. (c) The number of services provided by subcontractor and by service type. Additionally, data on length of stay, referral source, and participation in other state programs. (d) The collections from other first- or third-party payers, private donations, or other state or local programs, by department-designated community mental health entity, by subcontractor, by population served, and by service type. (4) The department shall include data reporting requirements listed in subsections (2) and (3) in the annual contract with each individual CMHSP, PIHP, and designated regional entity for substance use disorder prevention and treatment. (5) The department shall take all reasonable actions to ensure that the data required are complete and consistent among all CMHSPs, PIHPs, and designated regional entities for substance use disorder prevention and treatment. Sec. 907. (1) The amount appropriated in part 1 for community substance use disorder prevention, education, and treatment shall be expended to coordinate care and services provided to individuals with severe and persistent mental illness and substance use disorder diagnoses. (2) The department shall approve managing entity fee schedules for providing substance use disorder services and charge participants in accordance with their ability to pay. (3) The managing entity shall continue current efforts to collaborate on the delivery of services to those clients with mental illness and substance use disorder diagnoses with the goal 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 of providing services in an administratively efficient manner. Sec. 909. From the funds appropriated in part 1 for health homes, the department shall use available revenue from the marihuana regulatory fund established in section 604 of the medical marihuana facilities licensing act, 2016 PA 281, MCL 333.27604, to improve physical health, expand access to substance use disorder prevention and treatment services, and strengthen the existing prevention, treatment, and recovery systems. Sec. 910. The department shall ensure that substance use disorder treatment is provided to applicants and recipients of public assistance through the department who are required to obtain substance use disorder treatment as a condition of eligibility for public assistance. Sec. 911. (1) The department shall ensure that each contract with a CMHSP or PIHP requires the CMHSP or PIHP to implement programs to encourage diversion of individuals with serious mental illness, serious emotional disturbance, or developmental disability from possible jail incarceration when appropriate. (2) Each CMHSP or PIHP shall have jail diversion services and shall work toward establishing working relationships with representative staff of local law enforcement agencies, including county prosecutors' offices, county sheriffs' offices, county jails, municipal police agencies, municipal detention facilities, and the courts. Written interagency agreements describing what services each participating agency is prepared to commit to the local jail diversion effort and the procedures to be used by local law enforcement agencies to access mental health jail diversion services are strongly encouraged. Sec. 912. The department shall contract directly with the 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Salvation Army Harbor Light program, at an amount not less than the amount provided during the fiscal year ending September 30, 2020, to provide non-Medicaid substance use disorder services if the local coordinating agency or the department confirms the Salvation Army Harbor Light program meets the standard of care. The standard of care shall include, but is not limited to, utilization of the medication assisted treatment option. Sec. 913. (1) From the funds appropriated in part 1 for behavioral health program administration, the department shall allocate $1,025,000.00 for the autism navigator program. The department shall require any contractor receiving funds under this section to comply with performance-related metrics to maintain eligibility for funding. The performance-related metrics shall include, but not be limited to, all of the following: (a) Each contractor shall have accreditations that attest to their competency and effectiveness in providing services. (b) Each contractor shall demonstrate cost-effectiveness. (c) Each contractor shall ensure their ability to leverage private dollars to strengthen and maximize service provision. (d) Each contractor shall provide quarterly reports to the department regarding the number of clients served by PIHP region, units of service provision by PIHP region, and ability to meet their stated goals. (2) The department shall require an annual report from any contractor receiving funding from this section. The annual report, due to the department 60 days following the end of the contract period, shall include specific information on services and programs provided, the client base to which the services and programs were provided, and the expenditures for those services. The department 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 shall submit the annual reports to the report recipients required in section 246 of this part. Sec. 914. By June 1 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part on outcomes of the funds provided in part 1 to the Michigan Child Collaborative Care (MC3). The outcomes reported must include, but is not limited to, the number of same-day telephone consultations with primary care providers and the number of local resource recommendations made to primary care providers who are providing medical care to patients who need behavioral health services. Sec. 915. From the funds appropriated in part 1 for community substance use disorder prevention, education, and treatment and opioid response activities, the department shall, to the extent possible, provide grants, pursuant to federal laws, rules, and regulations, to local public entities that provide substance use disorder services and to 1 private entity that has a statewide contract to provide community-based substance use disorder services. Sec. 917. From the funds appropriated in part 1 for opioid response activities, the department shall allocate $23,200,000.00 from the Michigan opioid healing and recovery fund created under section 3 of the Michigan trust fund act, 2000 PA 489, MCL 12.253, in the following manner: (a) The department shall allocate $1,000,000.00 to a coalition located in a county with a population of at least 1,500,000 according to the most recent federal decennial census with an aim to lead and support communities to dispel the myths and stigmas about drug addiction through public education, sharing stories of 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 recovery, partnering with local and state leaders, creating positive social changes, and providing recovery support services for those in need. (b) The department shall allocate $3,500,000.00 to a coalition located in a county with a population of at least 1,500,000 according to the most recent federal decennial census with an aim to provide a continuum of services to stabilize and improve symptoms of substance abuse disorder and opioid use disorder, and to engage individuals in an appropriate treatment service to address the problem that led to the crisis. (c) The department shall allocate a grant of $5,000,000.00 to a substance use recovery community collaborative made up of a partnership of recovery focused organizations in order to provide funding of up to $250,000.00 per grant award to a recovery community organization as described in section 237b of the mental health code, 1974 PA 258, MCL 330.1273b. (d) The department shall allocate $2,500,000.00 to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and that has its headquarters in a charter township with a population between 100,000 and 105,000 and is within a county with a population between 700,000 and 1,000,000, according to the most recent federal decennial census. To be eligible to receive funding, the nonprofit organization must have a stated mission to offer community-based, compassionate, best-practice/evidence-based services to those suffering from addiction, as well as their loved ones, and to erase the stigma of addiction and instill compassion and hope. (e) The department shall allocate a grant of $100.00 for costs 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 related to a women's recovery center and a men's campus to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and accredited by CARF international with a mission to empower recovery through hope and change and that provides a variety of behavioral health services across the Upper Peninsula. (f) The department shall allocate a grant of $100.00 to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, located in a city with a population between 50,000 and 110,000 and is within a county with a population between 265,000 and 290,000 according to the most recent federal decennial census to establish 3 opioid treatment program and suicide prevention facilities capable of serving at least 500 patients on an outpatient basis. To be eligible for funds under this subdivision the nonprofit organization must be accredited by the Council for the Accreditation of Rehabilitation Facilities and have been providing outpatient services in this state since 1986. (g) The department shall allocate a grant of $1,300,000.00 to a nonprofit, community-based organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, located in a city with a population between 100,000 and 600,000 and in a county with a population greater than 1,500,000 according to the most recent federal decennial census that provides recreational therapy, healthy living, and substance use intervention services for a program to prevent substance abuse for youth fighting drug and alcohol misuse. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Sec. 918. On a quarterly basis, providing monthly data, the department shall submit a report to the report recipients required in section 246 of this part on the amount of funding paid to PIHPs to support the Medicaid managed mental health care program. 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. 920. (1) As part of the Medicaid rate-setting process for behavioral health services, the department shall work with PIHP network providers and actuaries to include any state and federal wage and compensation increases that directly impact staff who provide Medicaid-funded community living supports, personal care services, respite services, skill-building services, and other similar supports and services as part of the Medicaid rate. (2) It is the intent of the legislature that any increased Medicaid rate related to state minimum wage increases shall also be distributed to direct care employees. Sec. 924. From the funds appropriated in part 1 for autism services, for the purposes of actuarially sound rate certification and approval for Medicaid behavioral health managed care programs, the department shall maintain a fee schedule for autism services reimbursement rates for direct services. Expenditures used for rate setting shall not exceed those identified in the fee schedule. The rates for behavioral technicians shall not be less than $52.35 per hour and not more than $57.35 per hour. Sec. 926. (1) From the funds appropriated in part 1 for community substance use disorder prevention, education, and 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 treatment, $1,000,000.00 is allocated for a specialized substance use disorder detoxification project administered by a 9-1-1 service district in conjunction with a substance use and case management provider and at a hospital within a 9-1-1 services district with at least 600,000 residents and 15 member communities within a county with a population of at least 1,500,000 according to the most recent federal decennial census. (2) The substance use and case management provider receiving funds under this section shall collect and submit to the department data on the outcomes of the project throughout the duration of the project and the department shall submit a report on the project's outcomes to the report recipients required in section 246 of this part. Sec. 927. (1) The department shall, in consultation with the Community Mental Health Association of Michigan, establish, maintain, and review as necessary, a uniform community mental health services auditing process for use by CMHSPs and PIHPs. (2) The uniform auditing process required under this section must do all of the following: (a) Create uniformity in the collection of data and consistent measurement of the quality, efficacy, and cost effectiveness of provided services and supports. (b) Establish a uniform audit tool that contains information necessary for the uniform community mental health services auditing process and adheres to national standards. (c) Strive to meet the needs of community mental health service beneficiaries and meet all statewide audit requirements. (d) Maintain audit responsibility at the local agency level. (3) By March 1 of the current fiscal year, the department 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 shall submit a report to the report recipients required in section 246 of this part on the implementation status of the uniform auditing process and any barriers to implementation. (4) A state department or agency that provides, either directly or through a contract, community mental health services and supports must comply with the uniform auditing process and utilize the audit tool maintained by the department. All forms, processes, and contracts used by the state that relate to the provision of community mental health services and supports must comply with the uniform auditing process. (5) As used in this section, "national standards" means standards established by a national accrediting entity such as the Joint Commission, Commission on Accreditation of Rehabilitation Facilities, Council on Accreditation, National Committee for Quality Assurance, or other credible body approved by the department. Sec. 928. (1) Each PIHP shall provide, from internal resources, local funds to be used as a part of the state match required under the Medicaid program in order to increase capitation rates for PIHPs. These funds must 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. (2) It is the intent of the legislature that any funds that lapse from the funds appropriated in part 1 for Medicaid mental health services are redistributed to individual CMHSPs as a reimbursement of local funds on a proportional basis to those CMHSPs whose local funds were used as state Medicaid match. By April 1 of the current fiscal year, the department shall submit a 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 report to the report recipients required in section 246 of this part on the lapse by PIHP from the previous fiscal year and the projected lapse by PIHP in the current fiscal year. Sec. 935. 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. 940. (1) According to section 236 of the mental health code, 1974 PA 258, MCL 330.1236, the department shall review expenditures for each CMHSP to identify CMHSPs with projected allocation surpluses and to identify CMHSPs with projected allocation shortfalls. The department shall encourage the board of a CMHSP with a projected allocation surplus to concur with the department's recommendation to reallocate those funds to CMHSPs with projected allocation shortfalls. (2) A CMHSP that has its funding allocation transferred out during the current fiscal year as described in subsection (1) is not eligible for any additional funding reallocations during the remainder of the current fiscal year, unless that CMHSP is responding to a public health emergency as determined by the department. (3) CMHSPs shall report to the department on any proposed reallocations described in this section at least 30 days before any reallocations take effect. (4) The department shall notify the chairs of the appropriation subcommittees on the department budget when a request 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 is made and when the department grants approval for reallocation as described in subsection (1). By September 30 of the current fiscal year, the department shall submit a report on the amount of funding reallocated to the report recipients required in section 246 of this part. Sec. 942. A CMHSP shall provide at least 30 days' notice before reducing, terminating, or suspending services provided by a CMHSP to CMHSP clients, with the exception of services authorized by a physician that no longer meet established criteria for medical necessity. Sec. 950. (1) The department shall create a workgroup that includes representatives of the department, the Michigan Guardianship Association, probate court judges that oversee cases with court-appointed guardians, and the Community Mental Health Association of Michigan to develop a funding method for clients for which a court-appointed guardian receives no fee. (2) The funding method developed by the workgroup under subsection (1) must include all of the following: (a) A certification requirement and process for obtaining certification for court-appointed professional guardians. (b) A requirement that funding distributed under this section is only used to reimburse certified court-appointed professional guardians. This does not include family guardians or guardians of minor children. (c) A process by which the certified court-appointed professional guardian shall register with the state as a vendor for provision of court-appointed guardian services. This process may be the same as the process used for court-appointed guardians who hold a contract with the department for oversight of adult protective 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 services cases. (d) A requirement that a certified court-appointed professional guardian is reimbursed $83.00 per eligible client per month. (e) A requirement that if a certified court-appointed professional guardian receives payment for a case from any other source of funding, the $83.00 per eligible client per month is reduced by an amount equal to the amount of funding received from any other source of funding. (f) A requirement that funds are dispersed on a monthly basis for cases overseen in the previous month. (g) A requirement that only indigent cases are cases eligible for reimbursement under this section. (3) The department shall submit a report by February 1 of the current fiscal year to the report recipients required in section 246 of this part on the funding methodology developed under this section. The report must include all of the following: (a) The estimated cost broken down by 1-time implementation costs and ongoing costs. (b) The anticipated number of cases funded through the proposed methodology. (c) A timeline for implementation of the proposed methodology. Sec. 960. (1) From the funds appropriated in part 1 for autism services, the department shall continue to cover all Medicaid autism services to Medicaid enrollees eligible for the services that were covered on January 1, 2019. (2) To restrain cost increases in the autism services line item, the department shall do all of the following: (a) By March 1 of the current fiscal year, develop and 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 implement specific written guidance for standardization of Medicaid PIHPs and CMHSPs autism spectrum disorder administrative services, including, but not limited to, reporting requirements, coding, and reciprocity of credentialing and training between PIHPs and CMHSPs to reduce administrative duplication at the PIHP, CMHSP, and service provider levels. (b) Require consultation with the client's evaluation diagnostician and PIHP to approve the client's ongoing therapy for 3 years, unless the client's evaluation diagnostician recommended an evaluation before the 3 years or if a clinician on the treatment team recommended an evaluation for the client before the third year. (c) Limit the authority to perform a diagnostic evaluation for Medicaid autism services to qualified licensed practitioners. Qualified licensed practitioners are limited to the following: (i) A physician with a specialty in psychiatry or neurology. (ii) A physician with a subspecialty in developmental pediatrics, development-behavioral pediatrics, or a related discipline. (iii) A physician with a specialty in pediatrics or other appropriate specialty with training, experience, or expertise in autism spectrum disorders or behavioral health. (iv) A psychologist with a specialty in clinical child psychology, behavioral and cognitive psychology, or clinical neuropsychology, or other appropriate specialty with training, experience, or expertise in autism spectrum disorders or behavioral health. (v) A clinical social worker with at least 1 year of experience working within the clinical social worker's scope of 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 practice who is qualified and experienced in diagnosing autism spectrum disorders. (vi) An advanced practice registered nurse with training, experience, or expertise in autism spectrum disorders or behavioral health. (vii) A physician's assistant with training, experience, or expertise in autism spectrum disorders or behavioral health. (d) Require that a client whose initial diagnosis was performed by a diagnostician with master's level credentials have their diagnosis and treatment recommendations reviewed by a physician, psychiatric nurse practitioner, physician's assistant with training, experience, or expertise in autism spectrum disorders or behavioral health, or fully credentialed psychologist. (e) Allow and expand the utilization of telemedicine and telepsychiatry to increase access to diagnostic evaluation services. (f) Coordinate with the department of insurance and financial services on oversight for compliance with the Paul Wellstone and Pete Domenici mental health parity and addiction equity act of 2008, Public Law 110-343, as it relates to autism spectrum disorder services, to ensure appropriate cost sharing between public and private payers. (g) Require that Medicaid eligibility be confirmed through prior evaluations conducted by physicians, psychiatric nurse practitioners, physician's assistant with training, experience, or expertise in autism spectrum disorders or behavioral health, or fully credentialed psychologists to the extent possible. (h) Maintain regular statewide provider trainings on autism spectrum disorder standard clinical best practice guidelines for 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 treatment and diagnostic services. (3) By March 1 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part on total autism services spending broken down by PIHP and CMHSP for the previous fiscal year and current fiscal year and total administrative costs broken down by PIHP, CMHSP, and the type of administrative cost for the previous fiscal year and current fiscal year. Sec. 962. For the purposes of special projects involving high-need children or adults, including the not guilty by reason of insanity population, the department may contract directly with providers of services to these identified populations. Sec. 964. By October 1 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part on the status of implementing the standardized fee schedule for Medicaid behavioral health services and supports and on the limitations preventing the implementation. Sec. 965. From the funds appropriated in part 1, the department and the PIHPs shall maintain the comparison rates and any associated reimbursement rates of the bundled rate H0020 for the administration and services of methadone at $19.00. Sec. 972. From the funds appropriated in part 1 for behavioral health program administration, the department shall allocate not less than $3,000,000.00 general fund/general purpose revenue and any associated federal match or federal grant funding, including, but not limited to, associated federal 988 grant funding for the mental health telephone access line known as the Michigan crisis and access line (MiCAL), to provide primary coverage in regions where a regional national suicide prevention lifeline center does 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 not provide coverage and for statewide secondary coverage, to establish and make available to the public MiCAL in accordance with section 165 of the mental health code, 1974 PA 258, MCL 330.1165. Sec. 974. The department and PIHPs shall allow an individual with an intellectual or developmental disability who receives supports and services from a CMHSP to instead receive supports and services from another provider if the individual shows that the individual is eligible and qualified to receive supports and services from another provider. Other providers may include, but are not limited to, MIChoice and program of all-inclusive care for the elderly (PACE). The department may contract with an independent person-planning company to coordinate the services described in this section. Sec. 977. From the funds appropriated in part 1 for community substance use disorder prevention, education, and treatment, $600,000.00 is allocated as grants to high schools specifically designated for students recovering from a substance use disorder in accordance with section 273a of the mental health code, 1974 PA 258, MCL 330.1273a. Sec. 978. From the funds appropriated in part 1 for community substance use disorder prevention, education, and treatment, the department shall allocate $1,200,000.00 as grants for recovery community organizations to offer or expand recovery support center services or recovery community center services to individuals seeking long-term recovery from substance use disorders in accordance with section 273b of the mental health code, 1974 PA 258, MCL 330.1273b. Sec. 979. If funds become available, the department shall seek the appropriate federal approvals to allow for the utilization of 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Medicaid funding for services provided at adult psychiatric residential treatment facilities. By March 1 of the current fiscal year, the department shall submit a report on its progress toward receiving the appropriate federal approvals to allow for federal Medicaid reimbursements for services provided at adult psychiatric residential treatment facilities to the report recipients required in section 246 of this part. Sec. 995. (1) From the funds appropriated in part 1 for mental health diversion council, the department shall allocate $3,850,000.00 to continue to implement the jail diversion pilot programs intended to address the recommendations of the mental health diversion council. (2) By March 1 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part on the planned allocation of the funds appropriated for mental health diversion council. Sec. 996. From the funds appropriated in part 1 for family support subsidy, the department shall make monthly payments of $300.36 to the parents or legal guardians of children approved for the family support subsidy by a CMHSP. Sec. 997. The population data used in determining the distribution of substance use disorder block grant funds shall be from the most recent federal data from the United States Census Bureau. Sec. 998. For distribution of state general funds to CMHSPs, if the department decides to use census data, the department shall use the most recent federal data from the United States Census Bureau. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 BEHAVIORAL HEALTH SERVICES Sec. 1001. By December 31 of the current fiscal year, each CMHSP shall submit a report to the department that identifies populations being served by the CMHSP broken down by program eligibility category. The report shall also include the percentage of the operational budget that is related to program eligibility enrollment. By February 15 of the current fiscal year, the department shall submit the report described in this section to the report recipients required in section 246 of this part. Sec. 1003. The department shall notify the Community Mental Health Association of Michigan when developing policies and procedures that will impact PIHPs or CMHSPs. Sec. 1004. The department shall submit a report to the report recipients required in section 246 of this part on any rebased formula changes to either Medicaid behavioral health services or non-Medicaid mental health services 90 days before implementation. The notification shall include a table showing the changes in funding allocation by PIHP for Medicaid behavioral health services or by CMHSP for non-Medicaid mental health services. Sec. 1005. (1) From the funds appropriated in part 1 for health homes, the department shall maintain the number of behavioral health homes in place as of September 30 of the previous fiscal year. The department may expand the number of behavioral health homes and the number of substance use disorder health homes in at least 1 additional PIHP region. (2) By September 30 of the current fiscal year, the department shall provide a report to the report recipients required in section 246 of this part on the number of individuals being served and expenditures incurred by each PIHP region by site. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Sec. 1008. PIHPs and CMHSPs shall do all of the following: (a) Work to reduce administration costs by ensuring that PIHP and CMHSP responsible functions are efficient in allowing optimal transition of dollars to those direct services considered most effective in assisting individuals served. Any consolidation of administrative functions must demonstrate, by independent analysis, a reduction in dollars spent on administration resulting in greater dollars spent on direct services. Savings resulting from increased efficiencies shall not be applied to PIHP and CMHSP net assets, internal service fund increases, building costs, increases in the number of PIHP and CMHSP personnel, or other areas not directly related to the delivery of improved services. (b) Take an active role in managing mental health care by ensuring consistent and high-quality service delivery throughout its network and promote a conflict-free care management environment. (c) Ensure that direct service rate variances are related to the level of need or other quantifiable measures to ensure that the most money possible reaches direct services. (d) Whenever possible, promote fair and adequate direct care reimbursement, including fair wages for direct service workers. Sec. 1010. (1) The funds appropriated in part 1 for behavioral health community supports and services must be used to reduce waiting lists at state-operated hospitals and centers through cost-effective community-based and residential services, including, but not limited to, assertive community treatment (ACT), forensic assertive community treatment (FACT), crisis stabilization units in accordance with chapter 9A of the mental health code, 1974 PA 258, MCL 330.1971 to 330.1979, and psychiatric residential treatment 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 facilities in accordance with section 137a of the mental health code, 1974 PA 258, MCL 330.1137a. (2) From the funds appropriated in part 1 for behavioral health community supports and services, the department shall allocate $30,450,000.00 to reimburse private providers for intensive psychiatric treatments and services outside of state-operated hospitals and centers and support efforts related to the oversight of community-based programs placement. (3) If the private provider has an existing wait list for intensive psychiatric treatments and services, any reimbursements to private providers under this section must not be conditional on private providers giving wait-list priority to state-paid individuals. Sec. 1011. To the extent permissible under section 919 of the mental health code, 1974 PA 258, MCL 330.1919, the funds appropriated in part 1 for behavioral health services may be used to reimburse out-of-state providers of crisis resolution services and outpatient services if the out-of-state provider is enrolled as a state Medicaid provider and the out-of-state provider is located closer to the client's home than an in-state provider. Sec. 1012. From the funds appropriated in part 1, the department shall expand the scope of Michigan 1115 Behavioral Health Demonstration waiver number 11-W-00305/5 by seeking approval to authorize federal Medicaid matching funds for reimbursement to institutions for mental diseases for inpatient, residential, and other services provided to Medicaid enrolled individuals with behavioral health diagnoses, including serious mental illnesses, serious emotional disturbances, and substance use disorders. The amended waiver must include Medicaid coverage for services, 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 including care management, clinical consultation, peer services, and pharmaceutical management, up to 30 days prior to discharge for individuals who have long-term stays in state psychiatric centers and hospitals and a substance use disorder. Services provided must include, but not be limited to, crisis services, respite, step down and short-term residential services, intensive community support services, and crisis diversion centers. The primary goals of the waiver amendment include a reduction of inpatient and transitional residential length of stays, community integration and maintenance with a focus on recovery, and an overall reduced cost of care. By May 1 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part on the status of the amended waiver submission and steps undertaken to implement the waiver. Sec. 1014. (1) From the funds appropriated in part 1 to agencies providing physical and behavioral health services to multicultural populations, the department shall award grants in accordance with the requirements of subsection (2). This state is not liable for any spending above the contract amount. The department shall not release funds until reporting requirements under section 1014 of article 6 of 2021 PA 87 are satisfied. (2) The department shall require each contractor described in subsection (1) that receives greater than $1,000,000.00 in state grant funding to comply with performance-related metrics to maintain their eligibility for funding. The performance-related metrics shall include, but not be limited to, all of the following: (a) Each contractor or subcontractor shall have accreditations that attest to their competency and effectiveness as behavioral health and social service agencies. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 (b) Each contractor or subcontractor shall have a mission that is consistent with the purpose of the multicultural agency. (c) Each contractor shall validate that any subcontractors utilized within these appropriations share the same mission as the lead agency receiving funding. (d) Each contractor or subcontractor shall demonstrate cost-effectiveness. (e) Each contractor or subcontractor shall ensure their ability to leverage private dollars to strengthen and maximize service provision. (f) Each contractor or subcontractor shall provide timely and accurate reports regarding the number of clients served, units of service provision, and ability to meet their stated goals. (3) The department shall require an annual report from the contractors described in subsection (2). The annual report, due 60 days following the end of the contract period, shall include specific information on services and programs provided, the client base to which the services and programs were provided, information on any wraparound services provided, and the expenditures for those services. By February 1 of the current fiscal year, the department shall submit the annual reports to the report recipients required in section 246 of this part. Sec. 1015. From the funds appropriated in part 1 for federal mental health block grant, the department shall, to the extent possible, provide grants, pursuant to federal laws, rules, and regulations, to local public entities that provide mental health services and to 1 private entity that has a statewide contract to provide community-based mental health services. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 STATE PSYCHIATRIC HOSPITALS AND FORENSIC MENTAL HEALTH SERVICES Sec. 1051. The department shall continue a revenue recapture project to generate additional revenues from third parties related to cases that have been closed or are inactive. A portion of revenues collected through project efforts may be used for departmental costs and contractual fees associated with these retroactive collections and to improve ongoing departmental reimbursement management functions. Sec. 1052. 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. 1055. (1) The department shall not implement any closures or consolidations of state hospitals, centers, or agencies until CMHSPs or PIHPs have programs and services in place for those individuals currently in those facilities and a plan for service provision for those individuals who would have been admitted to those facilities. (2) All closures or consolidations are dependent on adequate department-approved CMHSP and PIHP plans that include a discharge and aftercare plan for each individual currently in the facility. A discharge and aftercare plan shall address the individual's housing needs. A homeless shelter or similar temporary shelter arrangements are inadequate to meet the individual's housing needs. (3) Four months after the certification of closure required in section 19(6) of the state employees' retirement act, 1943 PA 240, 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 MCL 38.19, the department shall provide a closure plan to the report recipients required in section 246 of this part. (4) On the closure of state-run operations and after transitional costs have been paid, the remaining balances of funds appropriated for that operation shall be transferred to CMHSPs or PIHPs responsible for providing services for individuals previously served by the operations. Sec. 1056. 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. 1058. Effective October 1 of the current fiscal year, the department, in consultation with the department of technology, management, and budget, may maintain a bid process to identify 1 or more private contractors to provide food service and custodial services for the administrative areas at any state hospital identified by the department as capable of generating savings through the outsourcing of such services. Sec. 1059. (1) The department shall identify specific outcomes and performance measures for state-operated hospitals and centers, including, but not limited to, the following: (a) The average wait time from the time of the receipt of the court order for treatment for individuals determined incompetent to stand trial until admission to the center for forensic psychiatry. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 (b) The average wait time from the time of the receipt of the court order for treatment for individuals determined incompetent to stand trial until admission to other state-operated psychiatric facilities. (c) The most recent 12-month average number of individuals on the first day of each month waiting to receive admission into the center for forensic psychiatry. (d) The most recent 12-month average number of individuals on the first day of each month waiting to receive admission into the other state-operated hospitals and centers. (e) The average wait time for individuals awaiting admission into the other state-operated hospitals and centers through the civil admissions process. (f) The number of individuals determined not guilty by reason of insanity or incompetent to stand trial by an order of a probate court that have been determined to be ready for discharge to the community, and the average wait time between being determined to be ready for discharge to the community and actual community placement. (g) The number of individuals denied admission into the center for forensic psychiatry. (h) The number of individuals denied admission into the other state-operated hospitals and centers. (2) By March 1 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part on the outcomes and performance measures in subsection (1). Sec. 1060. By March 1 of the current fiscal year, the department shall submit a report on mandatory overtime, staff 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 turnover, and staff retention at the state psychiatric hospitals and centers to the report recipients required in section 246 of this part. The report shall include, but is not limited to, the following: (a) The number of direct care and clinical staff positions that are currently vacant by hospital, and how that compares to the number of vacancies during the previous fiscal year. (b) A breakdown of voluntary and mandatory overtime hours worked by position and by hospital, and how that compares to the breakdown of voluntary and mandatory overtime hours during the previous fiscal year. (c) The ranges of wages paid by position and by hospital, and how that compares to wages paid during the previous fiscal year. Sec. 1061. The funds appropriated in part 1 for Caro Regional Mental Health Center shall only be utilized to support a psychiatric hospital located at its current location. It is the intent of the legislature that the Caro Regional Mental Health Center shall remain open and operational at its current location on an ongoing basis. Capital outlay funding shall be utilized for planning and construction of a new or updated facility at the current location instead of at a new location. Sec. 1063. (1) From the funds appropriated in part 1 for Hawthorn Center - psychiatric hospital - children and adolescents, the department shall maintain a psychiatric transitional unit and children's transition support team. These programs shall augment the continuum of behavioral health services for high-need youth and provide additional continuity of care and transition into supportive community-based services. (2) Outcomes and performance measures for these programs 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 include, but are not limited to, the following: (a) The rate of rehospitalization for youth served through the program at 30 and 180 days. (b) The measured change in the Child and Adolescent Functional Assessment Scale for children served through these programs. HEALTH AND HUMAN SERVICES POLICY AND INITIATIVES Sec. 1140. From the funds appropriated in part 1 for primary care services, $400,000.00 shall be allocated to free health clinics operating in the state. The department shall distribute the funds equally to each free health clinic. For the purpose of this appropriation, "free health clinics" means nonprofit organizations that use volunteer health professionals to provide care to uninsured individuals. Sec. 1143. From the funds appropriated in part 1 for primary care services, the department shall allocate no less than $675,000.00 for island primary health care access and services including island clinics, in the following amounts: (a) Beaver Island, $250,000.00. (b) Mackinac Island, $250,000.00. (c) Drummond Island, $150,000.00. (d) Bois Blanc Island, $25,000.00. Sec. 1145. The department will take steps necessary to work with Indian Health Service, tribal health program facilities, or Urban Indian Health Program facilities that provide services under a contract with a Medicaid managed care entity to ensure that those facilities receive the maximum amount allowable under federal law for Medicaid services. Sec. 1147. From the funds appropriated in part 1 for cellular 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 therapy program, $750,000.00 shall be allocated to Versiti Blood Center for a cord blood bank. The funds shall be used to enhance the collection of fetal umbilical cord blood and stem cells for transplant, expand cord blood laboratory capabilities, and expand the diversity of collections. Sec. 1151. (1) The department shall coordinate with the department of licensing and regulatory affairs, the department of the attorney general, all appropriate law enforcement agencies, and the Medicaid health plans to work with local substance use disorder agencies and addiction treatment providers to help inform Medicaid beneficiaries of all medically appropriate treatment options for opioid addiction when their treating physician stops prescribing prescription opioid medication for pain, and to address other appropriate recommendations of the prescription drug and opioid abuse task force outlined in its report of October 2015. (2) By October 1 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part on how the department is working with local substance use disorder agencies and addiction treatment providers to ensure that Medicaid beneficiaries are informed of all available and medically appropriate treatment options for opioid addiction when their treating physician stops prescribing prescription opioid medication for pain, and to address other appropriate recommendations of the task force. The report shall include any potential barriers to medication-assisted treatment, as recommended by the Michigan medication-assisted treatment guidelines, for Medicaid beneficiaries in both office-based opioid treatment and opioid treatment program facility settings. Sec. 1152. (1) From the funds appropriated in part 1 for 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 healthy and resilient communities, the department shall allocate $5,000,000.00 to a public health authority created through an interlocal agreement located in a city with a population greater than 500,000 according to the most recent federal decennial census to create and implement an evidence-based program to increase access to quality food and nutrition among disadvantaged populations. The evidence-based program shall do all of the following: (a) Operate a mobile health center with a demonstration kitchen, incorporating nutrition education and cooking skills with culturally appropriate recipes and provide immunizations, screenings, and other health services. (b) Employ community health workers to serve as extenders of mobile units to link residents to the mobile center. (c) Purchase and install equipment located in convenience store locations to maintain the placement of fresh and nutritious food. (d) Support a "fresh prescription" program to introduce chronically ill residents to the health benefits of a diet that includes more fresh fruits and vegetables to better control their conditions and lead healthier lives. (2) By April 1 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part that must include, but is not limited to, how the funding in this section enhanced the quality and coordination of medical care, increased access to care, increased access to fresh and nutritious food, and improved preventative health care among those served by the program. Sec. 1155. (1) From the funds appropriated in part 1 for the 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 uniform statewide sexual assault evidence kit tracking system, in accordance with the final report of the sexual assault evidence kit tracking and reporting commission, $369,500.00 is allocated to contract for the administration 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) The sexual assault evidence tracking fund established in section 1451 of 2017 PA 158 shall continue to be maintained in the department of treasury. Money in the sexual assault evidence tracking fund at the close of a fiscal year remains in the sexual assault evidence tracking fund, does 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). (3) By September 30 of the current fiscal year, the department shall submit to the report recipients required in section 246 of this part a report on the findings of the annual audit of the proper submission of sexual assault evidence kits under the sexual assault kit evidence submission act, 2014 PA 227, MCL 752.931 to 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 752.935. The report must include, but is 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 sexual assault evidence kits retrieved by law enforcement after analysis, and the physical location of all released sexual assault evidence kits collected by health care providers in that year, as of the date of the annual draft report for each reporting agency. Sec. 1156. From the funds appropriated in part 1 for crime victim rights services grants, the department shall allocate $2,000,000.00 from the crime victim's rights fund to maintain increased grant funding to support the further use of crime victim advocates in the criminal justice system. The purpose of the additional funding is to increase available grant funding for crime victim advocates to ensure that the advocates have the resources, training, and funding needed to respond to the physical and emotional needs of crime victims and to provide victims with the necessary services, information, and assistance in order to help them understand and participate in the criminal justice system and experience a measure of safety and security throughout the legal process. Sec. 1157. From the funds appropriated in part 1 for child advocacy centers supplemental grants, the department shall allocate $2,000,000.00 to continue to provide additional funding to child advocacy centers to support the general operations of child advocacy centers by allocating the funding to each center proportionally based on the number of children served at each 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 center during the previous fiscal year compared to the number of total children served under this section. The purpose of this additional funding is to increase the amount of services provided to children and their families who are victims of abuse over the amount provided in the previous fiscal year. Sec. 1158. The general fund/general purpose revenue appropriated in part 1 for crime victim rights services grants shall be deposited into the crime victim's rights fund created under section 4 of 1989 PA 196, MCL 780.904. Sec. 1159. From the funds appropriated in part 1 for community health programs, the department shall allocate $5,000,000.00 for the operation of mobile health units to provide preventive health services for persons residing in areas with high disparities in health care outcomes and access. The funds must be distributed as follows: (a) $1,000,000.00 to a wellness center dedicated to enhancing the well-being of individuals by providing an array of comprehensive behavioral and physical health services in a trauma-informed environment and promoting quality of life, continuous improvement, social awareness, and healing. The wellness center must have its administrative office located in a county with a population of at least 1,750,000, and in a city with a population between 109,000 and 111,000, according to the most recent federal decennial census, and be accredited by CARF International. (b) $1,000,000.00 to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, with headquarters located in a township with a population between 31,000 and 38,000 and in a county with a population between 900,000 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 and 1,500,000, according to the most recent federal decennial census. To be eligible for funds under this subdivision, the nonprofit organization must have a stated mission to provide treatment options for drug and alcohol addiction that have been proven effective in decreasing relapse rates while increasing treatment availability to a population that is largely underserved. (c) $3,000,000.00 to a 4-year state university located in a city with a population greater than 600,000 according to the most recent federal decennial census. Sec. 1160. From the funds appropriated in part 1 for high social vulnerability index community, the department shall allocate $4,000,000.00 to support long-term strategies to address access to healthy food, affordable housing, safety networks, and other social determinants of health. The funding must be allocated as follows: (a) $1,333,300.00 to a county with a population between 35,000 and 36,500 according to the most recent federal decennial census. (b) $1,333,300.00 to a county with a population between 180,000 and 193,000 according to the most recent federal decennial census. (c) $1,333,400.00 to a city with a population greater than 600,000 according to the most recent federal decennial census. Sec. 1162. (1) From the funds appropriated in part 1 for crime victim justice assistance grants, the department shall allocate $6,666,000.00 for a 3-year trauma recovery center pilot program project at 2 sites. The location of the pilot programs must be at an adult level I Michigan designated trauma facility. One pilot program shall be located in a city with a population of greater than 500,000 according to the most recent federal decennial census and the other pilot program must be located in a county with a 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 population between 600,000 and 700,000 according to the most recent federal decennial census. A pilot program must utilize the evidence-informed integrated trauma recovery services model for service provision and delivery; comply with applicable statutory requirements for administration, operation, service requirements, and funding; and demonstrate adherence to all guidelines for implementing and operating a trauma recovery center, as developed by the National Alliance of Trauma Recovery Centers. The department may award the funding to an adult level I Michigan designated trauma facility that does not currently adhere to all guidelines for implementing and operating a trauma recovery center but can demonstrate the ability to comply with the guidelines on receipt of the funds described in subsection (2). (2) The allocated funding in subsection (1) must be administered in the following manner: (a) $200,000.00 for technical assistance in operating and implementing trauma recovery centers that adhere to the guidelines developed by the National Alliance of Trauma Recovery Centers. (b) $3,000,000.00 per pilot program for the operational and service delivery costs of administering the trauma recovery center. (c) $150,000.00 for data and outcomes of the pilot program at both locations and to produce a report prior to the conclusion of the pilot period. (d) $316,000.00 for administrative costs related to the pilot program over the duration of the pilot program. (3) The unexpended funds appropriated in part 1 for crime victim justice assistance grants associated with trauma recovery pilot program are designated as a work project appropriation. Unencumbered or unallotted funds must not lapse at the end of the 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 fiscal year and must be available for expenditures under this section until the project has been completed. All of the following are in compliance with section 451a of the management and budget act, 1984 PA 431, MCL 18.1451a: (a) The purpose of the project is to ensure that the pilot locations in the adult level I Michigan designated trauma facilities are developing a model for trauma service provision and delivery. (b) The project will be accomplished by utilizing state employees, contracting with vendors, or working with local partners. (c) The estimated cost of the project is $6,666,000.00. (d) The tentative completion date is September 30, 2028. Sec. 1163. From the funds appropriated in part 1 for crime victim justice assistance grants any federal victims of crime act revenue as described in 34 USC 20101 to 20145 received in the current fiscal year or any previous fiscal year must be allocated by the department in the following manner and in the following priority: (a) The department shall allocate $6,666,000.00 to the trauma recovery center pilot program described in section 1162 of this part. (b) The department shall allocate $12,000,000.00 for child advocacy centers. (c) The department shall allocate $19,400,000.00 for domestic violence services. (d) The department shall allocate $13,500,000.00 for sexual assault victim services. (e) The department shall allocate any remaining federal 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 victims of crime act revenue received to other services that are eligible to qualify for funding under crime victim justice assistance grants rules and regulations. EPIDEMIOLOGY, EMERGENCY MEDICAL SERVICES, AND LABORATORY Sec. 1180. From the funds appropriated in part 1 for epidemiology administration and for childhood lead program, the department shall maintain a public health drinking water unit and maintain enhanced efforts to monitor child blood lead levels. The public health drinking water unit shall ensure that appropriate investigations of potential health hazards occur for all community and noncommunity drinking water supplies where chemical exceedances of action levels, health advisory levels, or maximum contaminant limits are identified. The goals of the childhood lead program shall include improving the identification of affected children, the timeliness of case follow-up, and attainment of nurse care management for children with lead exposure, and to achieve a long-term reduction in the percentage of children in this state with elevated blood lead levels. Sec. 1181. From the funds appropriated in part 1 for epidemiology administration, the department shall maintain a vapor intrusion response unit. The vapor intrusion response unit shall assess risks to public health at vapor intrusion sites and respond to vapor intrusion risks where appropriate. The goals of the vapor intrusion response unit shall include reducing the number of residents of this state exposed to toxic substances through vapor intrusion and improving health outcomes for individuals that are identified as having been exposed to vapor intrusion. Sec. 1182. By April 1 of the current fiscal year, the 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 department shall submit a report to the report recipients required in section 246 of this part on the expenditures and activities undertaken by the lead abatement program in the previous fiscal year from the funds appropriated in part 1 for the healthy homes program. The report shall include, but is not limited to, a funding allocation schedule, the expenditures by category of expenditure and by subcontractor, the revenues received, a description of program elements, the number of housing units abated of lead-based paint hazards, and a description of program accomplishments and progress. Sec. 1186. (1) From the funds appropriated in part 1 for emergency medical services program, the department shall allocate $2,000,000.00 for a statewide stroke and STEMI system of care for time-sensitive emergencies. This system must be integrated into the statewide trauma care system within the emergency medical services system and must include at least all of the following: (a) The designation of facilities as stroke and STEMI facilities based on a verification that national certification or accreditation standards have been met. (b) A requirement that a hospital is not required to be designated as providing certain levels of care for stroke or STEMI. (c) The development and utilization of stroke and STEMI registries that utilize nationally recognized data platforms with confidentiality standards. (2) By March 1 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part on the expenditures and activities undertaken by the statewide stroke and STEMI system of care for time-sensitive emergencies in the previous fiscal year from the funds appropriated 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 under section 1186(1) of article 6 of 2021 PA 87. The report must include, but is not limited to, a funding allocation schedule, expenditures by category of expenditure and by vendor or grantee, and a description of program accomplishments and progress. (3) For the purposes of this section, "STEMI" means an ST-elevation myocardial infarction. Sec. 1187. From the funds appropriated in part 1 for healthy homes program, the department shall allocate $20,025,000.00 to a regional water authority located in a city with a population greater than 500,000 according to the most recent federal decennial census to relieve outstanding debt and payments owed to the regional water system on behalf of a city with a population between 8,000 and 9,000 according to the most recent federal decennial census and in a county with a population over 1,500,000 according to the most recent federal decennial census. The funding in this section shall be applied to the amounts due to the regional water system with the longest payment arrearage duration. LOCAL HEALTH AND ADMINISTRATIVE SERVICES Sec. 1220. The amount appropriated in part 1 for implementation of the 1993 additions of or amendments to sections 9161, 16221, 16226, 17014, 17015, and 17515 of the public health code, 1978 PA 368, MCL 333.9161, 333.16221, 333.16226, 333.17014, 333.17015, and 333.17515, shall be used to reimburse local health departments for costs incurred related to the implementation of section 17015(18) of the public health code, 1978 PA 368, MCL 333.17015. Sec. 1221. If a county that has participated in a district health department or an associated arrangement with other local 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 health departments takes action to cease to participate in that arrangement after October 1 of the current fiscal year, the department may assess a penalty from the local health department's operational accounts in an amount equal to no more than 6.25% of the local health department's essential local public health services funding. This penalty shall only be assessed to the local county that requests the dissolution of the health department. Sec. 1222. (1) Funds appropriated in part 1 for essential local public health services shall be prospectively allocated to local health departments to support immunizations, infectious disease control, sexually transmitted disease control and prevention, hearing screening, vision services, food protection, public water supply, private groundwater supply, and on-site sewage management. Food protection shall be provided in consultation with the department of agriculture and rural development. Public water supply, private groundwater supply, and on-site sewage management shall be provided in consultation with the department of environment, Great Lakes, and energy. (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 February 1 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part on the planned allocation of the funds appropriated for essential local public health services. (5) The department shall continue implementation of the 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 distribution formula for the allocation of essential local public health services funding to local health departments as specified by section 1234 of article X of 2018 PA 207. (6) From the funds appropriated in part 1 for essential local public health services, each local public health department is allocated not less than the amount allocated to that local public health department during the previous fiscal year. Sec. 1227. The department shall establish criteria for all funds allocated for health and wellness initiatives. The criteria must include a requirement that all programs funded be evidence-based and supported by research, include interventions that have been shown to demonstrate outcomes that lower cost and improve quality, and be designed for statewide impact. Preference must be given to programs that utilize the funding as match for additional resources, including, but not limited to, federal sources. Sec. 1231. (1) From the funds appropriated for local health services, up to $4,750,000.00 shall be allocated for grants to local public health departments to support PFAS response and emerging public health threat activities. A portion of the funding shall be allocated by the department in a collaborative fashion with local public health departments in jurisdictions experiencing PFAS contamination. The remainder of the funding shall be allocated to address infectious and vector-borne disease threats, and other environmental contamination issues such as vapor intrusion, drinking water contamination, and lead exposure. The funding shall be allocated to address issues, including, but not limited to, staffing, planning and response, and creation and dissemination of materials related to PFAS contamination issues and other emerging public health issues and threats. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 (2) By March 1 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part on actual expenditures in the previous fiscal year and planned spending in the current fiscal year of the funds described in subsection (1), including recipient entities, amount of allocation, general category of allocation, and detailed uses. Sec. 1232. The department may work to ensure that the United States Department of Defense reimburses the state for costs associated with PFAS and environmental contamination response at military training sites and support facilities. Sec. 1233. General fund and state restricted fund appropriations in part 1 shall not be expended for PFAS and environmental contamination response where federal funding or private grant funding is available for the same expenditures. Sec. 1239. The department shall participate in and give necessary assistance to the Michigan PFAS action response team (MPART) pursuant to Executive Order No. 2019-03. The department shall collaborate with MPART and other departments to carry out appropriate activities, actions, and recommendations as coordinated by MPART. Efforts shall be continuous to ensure that the department's activities are not duplicative with activities of another department or agency. Healthy Moms, healthy babies Sec. 1250. (1) From the funds appropriated in part 1 for Healthy moms, healthy babies CenteringPregnancy, by April 1 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part that must include a list of the locations of CenteringPregnancy sites, 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 amount of funding by site, number of participants by site, preterm birthrate data by site before implementing the CenteringPregnancy model funded in part 1, and preterm birthrate data by site after implementing the CenteringPregnancy model funded in part 1. (2) As used in this section, "preterm birthrate data" includes, but is not limited to, rates of disparity in preterm birth rates by race, low birth weight births, lengths of stay in a neonatal intensive care unit, breastfeeding rates, medical provider satisfaction rates, and the total cost of care. Sec. 1251. (1) From the funds appropriated in part 1 for Healthy moms, healthy babies - MI-AIM bundles, by April 1 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part that shall include hospitals that have implemented MI-AIM patient safety bundles, hospitals that will implement MI-AIM patient safety bundles with the funding included in part 1 for the current fiscal year, amount of funding by hospital, a description of patient safety bundles by hospital, maternal health quality data by hospital prior to implementation of the MI-AIM patient safety bundle funded in part 1, and maternal health quality data by hospital after implementing MI-AIM patient safety bundle funded in part 1. (2) As used in this section, "maternal health quality data" includes, but is not limited to, rates of disparity in maternal death by race, rates of disparity in severe maternal morbidity by race, rates of disparity in obstetric hemorrhage by race, rates of disparity in severe hypertension by race, and rates of disparity in maternal sepsis by race. Sec. 1252. From the funds appropriated in part 1 for Healthy 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 moms, healthy babies - perinatal quality initiatives by April 1 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part that must include a list of the locations of perinatal quality collaborative sites, the amount of funding by site, a description of programming, the amount of funding per location by programming type, and a description of measurement techniques to determine if funding in part 1 addresses poor health outcomes and health inequities. Sec. 1253. From the funds appropriated in part 1 for healthy moms, healthy babies - Michigan child collaborative care, the department shall allocate at least $350,000.00 to address needs in a city in which a declaration of emergency was issued because of drinking water contamination. Sec. 1254. (1) From the funds appropriated in part 1 for healthy moms, healthy babies - diaper assistance program, $4,404,400.00 of state general fund/general purpose revenue must be allocated as grants to diaper assistance programs, maternity homes, and other nonprofit agencies that distribute diapers free of charge and were established as of January 1, 2020. The funds must be used only to purchase diapering supplies and related administrative costs. (2) The department shall expend no more than 5.0% of the funds appropriated in part 1 for healthy moms, healthy babies - diaper assistance program for administrative purposes. (3) Funds appropriated for healthy moms, healthy babies diaper assistance program shall be considered work project funds, shall not lapse at the close of the fiscal year, and shall be available for expenditures for projects under this section until 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 the projects have been completed. The following are in compliance with section 451a of the management and budget act, 1984 PA 431, MCL 18.1451a: (a) The purpose of the work project is to provide funding for grants for eligible entities to distribute diapers free of charge. (b) The work project will be accomplished through partnerships with diaper assistance programs, maternity homes, and other nonprofit agencies. (c) The total estimated cost of the work project is $4,404,400.00. (d) The tentative completion date is September 30, 2028. Sec. 1255. From the funds appropriated in part 1 for healthy moms, healthy babies strong beginnings, the department shall allocate $1,000,000.00 through a competitive grant process after fulfilling contract obligations between the department and a federal Healthy Start Program located in a county with a population between 600,000 and 700,000 according to the most recent federal decennial census. The purpose of the grants is to improve health outcomes before, during, and after pregnancy and to reduce racial and ethnic differences in infant death rates and negative maternal outcomes. To be eligible to receive funding, organizations must be a partnership between various health agencies and provide support to underserved populations for women's health, prenatal care, and premature birth avoidance. Sec. 1256. From the funds appropriated in part 1, the department shall submit a report by March 1 to the report recipients required in section 246 of this part on the outcomes and performance measures of the healthy moms, healthy babies initiatives. The report must include, but is not limited to, all of 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 the following: (a) A summary of any request for proposals issued by this state for the healthy moms, healthy babies initiatives. (b) A summary of any healthy moms, healthy babies initiatives that are established. (c) Actual expenditures in the previous fiscal year and planned expenditures in the current fiscal year of the funds appropriated to support the healthy moms, healthy babies initiatives, broken down by individual initiative. The information must include all of the following individual initiatives: (i) The expansion of Medicaid coverage to women from 60 days postpartum to 12 months postpartum. (ii) The expansion of home visiting program capacity. (iii) The PlanFirst! Medicaid family planning benefit. (iv) Perinatal Quality Collaboratives. (v) The elimination of the 5-year waiting period for Medicaid eligibility for lawfully residing children and pregnant women. (vi) The expansion of the Michigan Alliance for Innovation in Maternal Health (MiAIM) program. (d) The change in severe eclampsia cases in the current fiscal year compared to the previous fiscal year, broken down by each hospital that participates in the MiAIM program. (e) The change in the number of births by cesarean section in the current fiscal year compared to the previous fiscal year, broken down by each hospital that participates in the MiAIM program. (f) The statewide maternal mortality rate, broken down by ethnicity for the current fiscal year and the statewide maternal mortality rate broken down by ethnicity for the previous fiscal 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 year. FAMILY HEALTH SERVICES Sec. 1301. (1) Before April 1 of the current fiscal year, the department shall submit a report to the house and senate fiscal agencies and the state budget director on planned allocations from the amounts appropriated in part 1 for local MCH services, prenatal care outreach and service delivery support, family planning local agreements, and pregnancy prevention programs. Using applicable federal definitions, the report shall include information on all of the following: (a) Funding allocations. (b) Actual number of women, children, and adolescents served and amounts expended for each group for the previous 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) As used in 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. 1306. (1) From the funds appropriated in part 1 for the drinking water declaration of emergency, the department shall allocate funds to address needs in a city in which a declaration of emergency was issued because of drinking water contamination. These funds may support, but are not limited to, the following activities: (a) Nutrition assistance, nutritional and community education, 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 food bank resources, and food inspections. (b) Epidemiological analysis and case management of individuals at risk of elevated blood lead levels. (c) Support for child and adolescent health centers, children's healthcare access program, and pathways to potential programming. (d) Nursing services, breastfeeding education, evidence-based home visiting programs, intensive services, and outreach for children exposed to lead coordinated through local community mental health organizations. (e) Department local office operations costs. (f) Lead poisoning surveillance, investigations, treatment, and abatement. (g) Nutritional incentives provided to local residents through the double up food bucks expansion program. (h) Genesee County health department food inspectors to perform water testing at local food service establishments. (i) Transportation related to health care delivery. (j) Senior initiatives. (k) Lead abatement contractor workforce development. (2) From the funds appropriated in part 1 for the drinking water declaration of emergency, the department shall allocate $300,000.00 for Revive Community Health Center for health support services as the center pursues certification as a federally qualified health center. (3) From the funds appropriated in part 1 for the drinking water declaration of emergency, the department shall allocate $500,000.00 for rides to wellness through the Flint mass transportation authority. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Sec. 1308. From the funds appropriated in part 1 for prenatal care outreach and service delivery support, not less than $500,000.00 of funding shall be allocated for evidence-based programs to reduce infant mortality. The funds shall be used for enhanced support and education to nursing teams or other teams of qualified health professionals, client recruitment in areas designated as underserved for obstetrical and gynecological services and other high-need communities, strategic planning to expand and sustain programs, and marketing and communications of programs to raise awareness, engage stakeholders, and recruit nurses. Sec. 1311. From the funds appropriated in part 1 for prenatal care outreach and service delivery support, not less than $2,750,000.00 state general fund/general purpose funds shall be allocated for a rural home visit program. Equal consideration shall be given to all eligible evidence-based providers in all regions in contracting for rural home visitation services. Sec. 1313. (1) The department shall continue developing an outreach program on fetal alcohol syndrome services, targeting health promotion, prevention, and intervention. (2) The department shall explore federal grant funding to address prevention services for fetal alcohol syndrome and reduce alcohol consumption among pregnant women. Sec. 1314. The department shall seek to enhance education and outreach efforts that encourage women of childbearing age to seek confirmation at the earliest indication of possible pregnancy and initiate continuous and routine prenatal care on confirmation of pregnancy. The department shall seek to ensure that department programs, policies, and practices promote prenatal and obstetrical 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 care by doing the following: (a) Supporting access to care. (b) Reducing and eliminating barriers to care. (c) Supporting recommendations for best practices. (d) Encouraging optimal prenatal habits such as prenatal medical visits, use of prenatal vitamins, and cessation of use of tobacco, alcohol, or drugs. (e) Tracking of birth outcomes to study improvements in prevalence of neonatal substance exposure, fetal alcohol syndrome, and other preventable neonatal disease. (f) Tracking of maternal increase in healthy behaviors following childbirth. Sec. 1315. (1) From the funds appropriated in part 1 for dental programs, $150,000.00 shall be allocated to the Michigan Dental Association for the administration of a volunteer dental program that provides dental services to the uninsured. (2) By February 1 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part on the number of individual patients treated, number of procedures performed, and approximate total market value of those procedures from the previous fiscal year. Sec. 1316. The department shall use revenue from mobile dentistry facility permit fees received under section 21605 of the public health code, 1978 PA 368, MCL 333.21605, to offset the costs of processing and issuing mobile dentistry facility permits. Sec. 1317. (1) From the funds appropriated in part 1 for dental programs, $2,750,000.00 of general fund/general purpose revenue and any associated federal match shall be distributed to local health departments who partner with a qualified nonprofit 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 provider of dental services for the purpose of equipment and technology upgrades needed to expand capacity and ensure operational efficiencies. (2) In order to be considered a qualified nonprofit provider of dental services, the provider must demonstrate the following: (a) An effective health insurance enrollment process for uninsured patients. (b) An effective process of charging patients on a sliding scale based on the patient's ability to pay. (c) Utilization of additional fund sources, including, but not limited to, federal Medicaid matching funds. Sec. 1321. From the funds appropriated in part 1 for the Michigan model for health comprehensive health education curriculum in the family, maternal, and child health administration line item, the department may, in consultation with the department of education, the Michigan domestic and sexual violence prevention and treatment board, and the Michigan Coalition to End Domestic and Sexual Violence, redraft the curriculum for the "Growing Up & Staying Healthy" and "Healthy & Responsible Relationships" modules to include age-appropriate information about each of the following: (a) The importance of consent, setting and respecting personal boundaries, and the prevention of child sexual abuse as outlined in section 1505 of the revised school code, 1976 PA 451, MCL 380.1505, and consistent with the recommendations and guidelines set by the task force on the prevention of sexual abuse of children created under section 12b of the child protection law, 1975 PA 238, MCL 722.632b. (b) The prevention of sexual assault and dating violence. (c) The prevention of human trafficking. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Sec. 1341. The department shall utilize income eligibility and verification guidelines established by the Food and Nutrition Service agency of the United States Department of Agriculture in determining eligibility of individuals for the special supplemental nutrition program for women, infants, and children (WIC) as stated in current WIC policy. Sec. 1342. From the funds appropriated in part 1 for family, maternal, and child health administration, $500,000.00 shall be allocated for a school children's healthy exercise program to promote and advance physical health for school children in kindergarten through grade 8. The department shall recommend model programs for sites to implement that incorporate evidence-based best practices. The department shall grant the funds appropriated in part 1 for before- and after-school programs. The department shall establish guidelines for program sites, which may include schools, community-based organizations, private facilities, recreation centers, or other similar sites. The program format shall encourage local determination of site activities and shall encourage local inclusion of youth in the decision-making regarding site activities. Program goals shall include children experiencing improved physical health and access to physical activity opportunities, the reduction of obesity, providing a safe place to play and exercise, and nutrition education. To be eligible to participate, program sites shall provide a 20% match to the state funding, which may be provided in full, or in part, by a corporation, foundation, or private partner. The department shall seek financial support from corporate, foundation, or other private partners for the program or for individual program sites. Sec. 1343. From the funds appropriated in part 1 for dental 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 programs, the department shall allocate $1,760,000.00 of state and local funds plus any private contributions received to support the program to establish and maintain a dental oral assessment program to provide assessments to school children as provided in section 9316 of the public health code, 1978 PA 368, MCL 333.9316. Sec. 1349. Subject to federal approval, from the funds appropriated in part 1 for immunization program, the department shall allocate $740,000.00 of general fund/general purpose plus any available work project funds and federal match through an administered contract with oversight from behavioral and physical health and aging services administration and public health administration. The funds shall be used to support a statewide media campaign for improving this state's immunization rates. CHILDREN'S SPECIAL HEALTH care SERVICES Sec. 1360. The department may do 1 or more of the following: (a) Provide special formulas for eligible clients with specified metabolic and allergic disorders. (b) Provide medical care and treatment to eligible patients with cystic fibrosis who are 26 years of age or older. (c) Provide medical care and treatment to eligible patients with hereditary coagulation defects, commonly known as hemophilia, who are 26 years of age or older. (d) Provide human growth hormone to eligible patients. (e) Provide mental health care for mental health needs that result from, or are a symptom of, the individual's qualifying medical condition. (f) Provide medical care and treatment to eligible patients with sickle cell disease who are 26 years of age or older. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Sec. 1361. From the funds appropriated in part 1 for medical care and treatment, the department may spend those funds for the continued development and expansion of telemedicine capacity to allow families with children in the children's special health care services program to access specialty providers more readily and in a more timely manner. The department may spend funds to support chronic complex care management of children enrolled in the children's special health care services program to minimize hospitalizations and reduce costs to the program while improving outcomes and quality of life. Sec. 1363. From the funds appropriated in part 1 for children's special health care services administration, the department shall allocate $100.00 as a grant to an independent biomedical research and science education organization in a county with a population between 600,000 and 700,000 and in a city with a population over 185,000 according to the most recent federal decennial census to be used for matching federal funds, private and nonprofit grants, and private contributions. Aging services Sec. 1402. The department may encourage the Food Bank Council of Michigan to collaborate directly with each area agency on aging and any other organizations that provide senior nutrition services to secure the food access of older adults. Sec. 1417. The department shall submit to the report recipients required in section 246 of this part 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. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 (b) Detailed expenditures by each area agency on aging by individual program and administration including both state-funded resources and locally funded resources. Sec. 1421. From the funds appropriated in part 1 for community services, $1,100,000.00 shall be allocated to area agencies on aging for locally determined needs. Sec. 1425. The department shall coordinate with the department of licensing and regulatory affairs to ensure that, on receipt of the order of suspension of a licensed adult foster care home, home for the aged, or nursing home, the department of licensing and regulatory affairs shall provide notice to the department, to the house and senate appropriations subcommittees on the department budget, and to the members of the house and senate that represent the legislative districts of the county in which the facility lies. HEALTH AND AGING SERVICES ADMINISTRATION Sec. 1505. By March 1 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part on the actual reimbursement savings and cost offsets that have resulted from the funds appropriated in part 1 for the office of inspector general and third-party liability efforts in the previous fiscal year. Sec. 1507. From the funds appropriated in part 1 for office of inspector general, the inspector general shall audit and recoup inappropriate or fraudulent payments from Medicaid managed care organizations to health care providers. Unless authorized by federal or state law, the department shall not fine, temporarily halt operations of, disenroll as a Medicaid provider, or terminate a managed care organization or health care provider from providing 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 services due to the discovery of an inappropriate payment found during the course of an audit. Sec. 1509. Due to the circumstances found in the department's Medicaid non-emergency medical transportation (NEMT) services program by the office of the auditor general (OAG) audit number 391-0715-20, the department shall submit a report to the report recipients required in section 246 of this part by March 1 of the current fiscal year on corrective actions taken to correct deficiencies identified in the audit. The report must include, but is not limited to, the following information: (a) The results of periodic random samplings of NEMT broker records to ensure compliance with provider eligibility documentation requirements. (b) Actions taken and improvements made as a result of the formal vendor correction action plan implemented between the department and the department of technology, management, and budget with emphasis on improvements made in on-time performance, medical needs form deficiencies, and efforts made for active and ongoing monitoring. (c) The results of periodic random samplings of NEMT broker records to review documentation requirements with attention paid to trip logs, medical needs forms, and any other information used to support NEMT encounter claims. (d) The results of periodic random samplings of Medicaid health plans to ensure that NEMT encounter data is complete and accurate and encounter claims are valid. (e) The amount, if any, of monetary penalties or liquidated damages assessed due to insufficient NEMT claims monitoring procedures. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 (f) The rationale and any funding limitations that prevent the department from establishing performance standards and collecting performance data for NEMT services for beneficiaries not covered through a Medicaid health plan contract or an NEMT broker. Sec. 1510. Due to the circumstances found in the department's Medicaid and Children's Health Insurance Program (CHIP) eligibility determinations processes by the office of the auditor general (OAG) audit number 391-0710-19, the department shall submit a report to the report recipients required in section 246 of this part by March 1 of the current fiscal year on corrective actions taken to reduce improper payments to ineligible beneficiaries, to maintain proper documentation and case files, and improvements made to the department's internal controls in the previous fiscal year. The report must include, but is not limited to, the following information: (a) The number of beneficiaries by type of assistance (TOA) group whose TOA group was subsequently changed after initial determination, the reasons initial classifications were incorrect in the previous fiscal year, and a quantitative trend analysis documenting an improved initial determination process from the previous 2 fiscal years. (b) The number of beneficiaries and the total amount of payments made that were ineligible for federal reimbursement, not due to a mistaken TOA category in the previous 2 fiscal years. (c) For each of the previous 2 fiscal years, the department's estimate of the net amount of federal reimbursement and state spending made in error. (d) A list of all of the sources that the department uses to verify income for Medicaid and CHIP eligibility from the previous 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 fiscal year with the amount and percentage that each source was used for verification and the total number of income verifications. (e) The total number of beneficiaries in the previous fiscal year who received full healthcare coverage but did not have a valid Social Security number. (f) The total number of beneficiaries in the previous fiscal year who received full health care coverage as lawfully residing children and pregnant women without a 5-year waiting period. Sec. 1512. The updated Medicaid utilization and net cost report shall continue to separate nonclinical administrative costs from actual claims and encounter costs. Sec. 1517. By October 1 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part on the progress of the implementation of the specialty Medicaid managed care health plan for children in foster care, as required under section 1517 of article 6 of 2021 PA 87. health 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. 1605. The protected income level for Medicaid coverage determined pursuant to section 106(1)(b)(iii) of the social welfare act, 1939 PA 280, MCL 400.106, shall be 100% of the related public assistance standard. Sec. 1606. For the purpose of guardian and conservator 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 charges, the department may deduct up to $83.00 per month as an allowable expense against a recipient's income when determining Medicaid 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 the applicant's 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 the applicant's choice. (2) 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 under 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 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 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 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 for Medicaid 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 Medicaid recipients with other third-party sources of payment, Medicaid reimbursement shall not exceed, in combination with such other resources, including Medicare, those amounts established for Medicaid-only patients. The Medicaid payment rate shall be accepted as payment in full. Other than an approved Medicaid co-payment, no portion of a provider's charge shall be billed to the recipient or any person acting on behalf of the recipient. This section does not affect the level of payment from a third-party source other than the Medicaid program. The department shall require a nonenrolled provider to accept Medicaid payments as payment in full. (2) Notwithstanding subsection (1), Medicaid reimbursement for hospital services provided to dual Medicare/Medicaid 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 Medicaid-only patients, including capital payments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Sec. 1615. (1) To minimize errors and overpayments, and to ensure the quality of actuarial rate setting of capitated rates, the department shall provide effective oversight and ensure the integrity of encounter claims submitted to the department by Medicaid health plans. (2) The department may require Medicaid health plans to provide medical records to support claims data, on request by the department. This subsection shall not require the disclosure of personal identifying information or any information that would be in violation of the health insurance portability and accountability act of 1996, Public Law 104-191. (3) It is the intent of the legislature that the department perform annual internal audits of Medicaid claims provided by Medicaid health plans and submit a report of the findings to the report recipients required in section 246 of this part. Internal audits performed under this subsection shall be conducted utilizing quantitative methodologies that provide for valid statistical results to include, but not be limited to, minimizing the impact of selection bias and insufficient sample sizes. (4) If an internal audit performed in accordance with this section identifies discrepancies in the quality of actuarial rates, the department shall develop and implement actuarial procedures to reconcile encounter claims data and shall provide for a publicly available explanation of these procedures on the department's website. Sec. 1616. (1) By September 30 of the current fiscal year, the department shall seek federal authority to formally enroll and recognize community health workers as providers and to utilize Medicaid matching funds for community health worker services, 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 including the potential of leveraging of a Medicaid state plan amendment, waiver authorities, or other means to secure financing for community health worker services. The appropriate federal approval must allow for community health worker services on a statewide basis and must not be a limited geography waiver. The authority should allow the application of community health worker services statewide and maximize their utility by providing financing that includes fee-for-service reimbursement, value-based payment, or a combination of both fee-for-service reimbursement and value-based payment for all services commensurate to their scope of training and abilities as provided by evidence-based research and programs. (2) By September 30 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part on the progress of meeting the requirements in subsection (1). Sec. 1617. (1) The department shall evaluate the merits of transitioning the Medicaid reimbursement methodology for federally qualified health centers from a prospective payment system to an alternative payment methodology. The alternative payment methodology must be a population-based capitated payment system that is based on a per-patient per-month reimbursement for each Medicaid recipient assigned to each federally qualified health center. (2) By September 30 of the current fiscal year, the department shall submit a report on the findings of the evaluation required under subsection (1) to the report recipients required in section 246 of this part. Sec. 1620. (1) For fee-for-service Medicaid claims, the 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 professional dispensing fee for drugs indicated as specialty medications on the Michigan pharmaceutical products list is $20.02 or the pharmacy's submitted dispensing fee, whichever is less. (2) For fee-for-service Medicaid claims, for drugs not indicated as specialty drugs on the Michigan pharmaceutical products list, the professional dispensing fee for medications is as follows: (a) For medications indicated as preferred on the department's preferred drug list, $10.80 or the pharmacy's submitted dispensing fee, whichever is less. (b) For medications not on the department's preferred drug list, $10.64 or the pharmacy's submitted dispensing fee, whichever is less. (c) For medications indicated as nonpreferred on the department's preferred drug list, $9.00 or the pharmacy's submitted dispensing fee, whichever is less. (3) The department shall require a prescription co-payment for Medicaid recipients not enrolled in the Healthy Michigan plan or with an income less than 100% of the federal poverty level of $1.00 for a generic drug or any drug indicated as preferred on the department's preferred drug list and $3.00 for a brand-name drug not indicated as preferred on the department's preferred drug list, except as prohibited by federal or state law or regulation. (4) The department shall require a prescription co-payment for Medicaid recipients enrolled in the Healthy Michigan plan with an income of at least 100% of the federal poverty level of $4.00 for a generic drug or any drug indicated as preferred on the department's preferred drug list and $8.00 for a brand-name drug not indicated as preferred on the department's preferred drug list, except as 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 prohibited by federal or state law or regulation. Sec. 1625. The department shall not enter into any contract with a Medicaid managed care organization that relies on a pharmacy benefit manager that does not do all of the following: (a) For pharmacies with not more than 7 retail outlets, utilizes a pharmacy reimbursement methodology of the national average drug acquisition cost plus a professional dispensing fee comparable to the applicable professional dispensing fee provided under section 1620. The pharmacy benefit manager or the involved pharmacy services administrative organization shall not receive any portion of the additional professional dispensing fee. The department shall identify the pharmacies this subdivision applies to and provide the list of applicable pharmacies to the Medicaid managed care organizations. (b) For pharmacies with not more than 7 retail outlets, utilizes a pharmacy reimbursement methodology, when a national average drug acquisition cost price is not available, for brand drugs of the lesser of the wholesale acquisition cost, the average wholesale price less 16.7% plus a professional dispensing fee comparable to the applicable professional dispensing fee provided under section 1620, or the usual and customary charge by the pharmacy. The department shall identify the pharmacies this subdivision applies to and provide the list of applicable pharmacies to the Medicaid managed care organizations. (c) For pharmacies with not more than 7 retail outlets, utilizes a pharmacy reimbursement methodology, when a national average drug acquisition cost price is not available, for generic drugs of the lesser of wholesale acquisition cost plus a professional dispensing fee comparable to the applicable 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 professional dispensing fee provided under section 1620, average wholesale price less 30.0% plus a professional dispensing fee comparable to the applicable professional dispensing fee provided under section 1620, or the usual and customary charge by the pharmacy. The department shall identify the pharmacies this subdivision applies to and provide the list of applicable pharmacies to the Medicaid managed care organizations. (d) Reimburses for a legally valid claim at a rate not less than the rate in effect at the time the original claim adjudication as submitted at the point of sale. (e) Agrees to move to a transparent "pass-through" pricing model, in which the pharmacy benefit manager discloses the administrative fee as a percentage of the professional dispensing costs to the department. (f) Agrees to not create new pharmacy administration fees and to not increase current fees more than the rate of inflation. This subdivision does not apply to any federal rule or action that creates a new fee. (g) Agrees to not terminate an existing contract with a pharmacy with not more than 7 retail outlets for the sole reason of the additional professional dispensing fee authorized under this section. Sec. 1626. (1) By January 15 of the current fiscal year, each pharmacy benefit manager that receives reimbursements, either directly or through a Medicaid health plan, from the funds appropriated in part 1 for medical services must submit all of the following information to the department for the previous fiscal year: (a) The total number of prescriptions that were dispensed. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 (b) The aggregate wholesale acquisition cost for each drug on its formulary. (c) The aggregate amount of rebates, discounts, and price concessions that the pharmacy benefit manager received for each drug on its formulary. The amount of rebates shall include any utilization discounts the pharmacy benefit manager receives from a manufacturer. (d) The aggregate amount of administrative fees that the pharmacy benefit manager received from all pharmaceutical manufacturers. (e) The aggregate amount identified in subdivisions (b) and (c) that were retained by the pharmacy benefit manager and did not pass through to the department or to the Medicaid health plan. (f) The aggregate amount of reimbursements the pharmacy benefit manager pays to contracting pharmacies. (g) Any other information considered necessary by the department. (2) By March 1 of the current fiscal year, the department shall submit the information provided under subsection (1) to the report recipients required in section 246 of this part. (3) Any nonaggregated information submitted under this section shall be confidential and shall not be disclosed to any person by the department. Such information is not considered a public record of the department. Sec. 1627. By April 1 of the current fiscal year, the department shall provide a report to the report recipients required in section 246 of this part on both of the following: (a) The cost per Medicaid prescription for the fee-for-service population and separately the cost per Medicaid prescription for 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 the managed care population for the fiscal years ending September 30, 2017 through the previous fiscal year. (b) Projected cost per Medicaid prescription for the fee-for-service population and projected cost per Medicaid prescription for the managed care population for the current fiscal year. Sec. 1628. From the funds appropriated in part 1 for hospital services and therapy and Healthy Michigan plan, the department shall continue to allocate $3,000,000.00 in general fund/general purpose revenue and any associated federal match to maintain the Medicaid reimbursement rate for dental services provided at ambulatory surgical centers and outpatient hospitals. The funding provided in this section must be used to maintain the minimum rate for dental services provided in ambulatory surgical centers at $1,495.00 and maintain the minimum rate for dental services provided in outpatient hospitals at $2,300.00. 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 this state. Sec. 1630. From the funds appropriated in part 1 for Medicaid dental services, by April 1 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part on the dental service benefit. The report must cover all of the following areas: (a) Information on the implementation of the Adult Medicaid dental benefit redesign including all of the following: (i) Information on the implementation of increased dental service rates including the status of the integration of the adult dental benefit into Medicaid health plans, ranking of current 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 reimbursement rates with other states within the Midwest, and discussion of the rebase of the dental rate parity process. (ii) Information on the number of dental providers, by Medicaid health plan in this state who provided 1 or more Medicaid dental services in fiscal year 2021-2022 and the number of additional providers who were added in the previous fiscal year, with a particular focus on the correlation between the average payment per visit and number of enrolled dental providers before and after the implementation of the adult dental benefit redesign. (iii) Information on the status of enhanced care coordination and data that tracks the utilization of preventive care and reductions in avoidable costs in the periods before the adult dental redesign and in the periods after the adult dental redesign. (iv) Information on the array of covered dental benefits and services before the adult dental redesign and how the available benefits and services changed or expanded after the adult dental redesign. (b) Information on Medicaid dental services provided to pregnant women and individuals including the number of pregnant women enrolled in Medicaid who visited a dentist in the previous fiscal year and the number of dentists statewide who participate in providing dental services to pregnant women and individuals enrolled in Medicaid. (c) Information on the Healthy Kids Dental program including all of the following: (i) The number of children enrolled in the Healthy Kids Dental program who visited the dentist in the previous fiscal year broken down by dental benefit manager. (ii) The number of dentists who accept payment from the Healthy 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Kids Dental program broken down by dental benefit manager. (iii) The annual change in dental utilization of children enrolled in the Healthy Kids Dental program broken down by dental benefit manager. (iv) Service expenditures for the Healthy Kids Dental program broken down by dental benefit manager. (v) Administrative expenditures for the Healthy Kids Dental program broken down by dental benefit manager. Sec. 1631. (1) The department shall require co-payments on dental, podiatric, and vision services provided to Medicaid recipients, except as prohibited by federal or state law or regulation. (2) Except as otherwise prohibited by federal or state law or regulation, the department shall require Medicaid recipients not enrolled in the Healthy Michigan plan or with an income less than 100% of the federal poverty level to pay not less than the following co-payments: (a) Two dollars for a physician office visit. (b) Three dollars for a hospital emergency room visit. (c) Fifty dollars for the first day of an inpatient hospital stay. (d) Two dollars for an outpatient hospital visit. (3) Except as otherwise prohibited by federal or state law or regulation, the department shall require Medicaid recipients enrolled in the Healthy Michigan plan with an income of at least 100% of the federal poverty level to pay the following co-payments: (a) Four dollars for a physician office visit. (b) Eight dollars for a hospital emergency room visit. (c) One hundred dollars for the first day of an inpatient 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 hospital stay. (d) Four dollars for an outpatient hospital visit or any other medical provider visit to the extent allowed by federal or state law or regulation. Sec. 1641. An institutional provider that is required to submit a cost report under the Medicaid program shall submit cost reports completed in full within 5 months after the end of its fiscal year. Sec. 1644. (1) From the funds appropriated in part 1, the department shall increase the direct care wage by $0.65 per hour to direct care workers employed by skilled nursing facilities from the previous fiscal year. This funding must include all costs incurred by the employer, including payroll taxes, due to the wage increase. As used in this subsection, "direct care workers" means a registered professional nurse, licensed practical nurse, competency-evaluated nursing assistant, and respiratory therapist. (2) From the funds appropriated in part 1, the department shall increase the direct care wage by $0.65 per hour to direct care workers employed by licensed adult foster care facilities and licensed homes for the aged from the previous fiscal year that provide Medicaid-funded fee-for-service personal care services that were not eligible for any direct care worker pay adjustment under Medicaid-funded managed care. This funding must include all costs incurred by the employer, including payroll taxes, due to the wage increase. Sec. 1645. (1) It is the intent of the legislature that the department establish the class I nursing facility current asset value bed limit based on the rolling 15-year history of new construction. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 (2) It is the intent of the legislature that, for the fiscal year beginning October 1, 2023, the department modify the class I nursing facility current asset value bed limit based on the rolling 15-year history of new construction. The increase in the current asset value bed limit shall not exceed 4% of the limit for the previous fiscal year. Sec. 1646. (1) From the funds appropriated in part 1 for long-term care services, the department shall continue to administer a nursing facility quality measure initiative program. The initiative shall be financed through the quality assurance assessment for nursing homes and hospital long-term care units, and the funds shall be distributed according to the following criteria: (a) The department shall award more dollars to nursing facilities that have a higher CMS 5-star quality measure domain rating, then adjusted to account for both positive and negative aspects of a patient satisfaction survey. (b) A nursing facility with a CMS 5-star quality measure domain star rating of 1 or 2 must file an action plan with the department describing how it intends to use funds appropriated under this section to increase quality outcomes before funding shall be released. (c) The total incentive dollars must reflect the following Medicaid utilization scale: (i) For nursing facilities with a Medicaid participation rate of above 63%, the facility shall receive 100% of the incentive payment. (ii) For nursing facilities with a Medicaid participation rate between 50% and 63%, the facility shall receive 75% of the incentive payment. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 (iii) For nursing facilities with a Medicaid participation rate of less than 50%, the facility shall receive a payment proportionate to their Medicaid participation rate. (iv) For nursing facilities not enrolled in Medicaid, the facility shall not receive an incentive payment. (d) Facilities designated as special focus facilities are not eligible for any payment under this section. (e) Number of licensed beds. (2) The department and nursing facility representatives shall evaluate the quality measure incentive program's effectiveness on quality, measured by the change in the CMS 5-star quality measure domain rating since the implementation of quality measure incentive program. By March 1 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part on the findings of the evaluation. Sec. 1647. By October 1 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part on the status of Maple Manor Rehab Center of Wayne v Mich Dep't of Treasury, Docket No. 359235. Sec. 1657. (1) Reimbursement for Medicaid to screen and stabilize a Medicaid recipient, including stabilization of a psychiatric crisis, in a hospital emergency room shall not be made contingent on obtaining prior authorization from the recipient's HMO. If the recipient is discharged from the emergency room, the hospital shall notify the recipient's HMO within 24 hours of the diagnosis and treatment received. (2) If the treating hospital determines that the recipient will require further medical service or hospitalization beyond the point of stabilization, that hospital shall receive authorization 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 from the recipient's HMO prior to admitting the recipient. (3) Subsections (1) and (2) do not require an alteration to an existing agreement between an HMO and its contracting hospitals and do not require an HMO to reimburse for services that are not considered to be medically necessary. Sec. 1662. (1) The department shall ensure that an external quality review of each contracting HMO is performed that results in an analysis and evaluation of aggregated information on quality, timeliness, and access to health care services that the HMO or its contractors furnish to Medicaid beneficiaries. (2) The department shall require Medicaid HMOs to provide EPSDT utilization data through the encounter data system, and HEDIS well child health measures in accordance with the National Committee for Quality Assurance prescribed methodology. (3) The department shall provide a copy of the analysis of the Medicaid HMO annual audited HEDIS reports and the annual external quality review report to the report recipients required in section 246 of this part within 30 days after the department's receipt of the final reports from the contractors. Sec. 1670. (1) The appropriation in part 1 for the MIChild program is to be used to provide comprehensive health care to all children under age 19 who reside in families with income at or below 212% of the federal poverty level, who are uninsured and have not had coverage by other comprehensive health insurance within 6 months of making application for MIChild benefits, and who are residents of this state. The department shall develop detailed eligibility criteria through the behavioral and physical health and aging services administration public concurrence process, consistent with the provisions of this part and part 1. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 (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 state plan. (3) The department may make payments on behalf of children enrolled in the MIChild program as described in the MIChild state plan approved by the United States Department of Health and Human Services, or from other medical services. Sec. 1677. The MIChild program shall provide, at a minimum, all benefits available under the Michigan benchmark plan that are delivered through contracted providers and consistent with federal law, including, but not limited to, the following medically necessary services: (a) Inpatient mental health services, other than substance use disorder treatment services, including services furnished in a state-operated mental hospital and residential or other 24-hour therapeutically planned structured services. (b) Outpatient mental health services, other than substance use disorder services, including services furnished in a state-operated mental hospital and community-based services. (c) Durable medical equipment and prosthetic and orthotic devices. (d) Dental services as outlined in the approved MIChild state plan. (e) Substance use disorder treatment services that may include inpatient, outpatient, and residential substance use disorder treatment services. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 (f) Care management services for mental health diagnoses. (g) Physical therapy, occupational therapy, and services for individuals with speech, hearing, and language disorders. (h) Emergency ambulance services. Sec. 1682. (1) 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 Medicaid certification regulations. Penalty money, characterized as private funds, received by the department shall increase authorizations and allotments in the long-term care accounts. (2) Any unexpended penalty money, at the end of the year, shall carry forward to the following year. (3) By March 1 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part on penalty money received by the department as described in subsection (1). The report shall include, but is not limited to, the following information: (a) The amount of penalty monies received by the department received in the previous fiscal year listed by the assessed entity. (b) A list of the entities who were assessed penalties in the previous fiscal year with the rationale for each penalty. 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 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 districts pursuant to such agreements and state and federal law. (2) From the funds appropriated in part 1 for health services school-based services payments, the department is authorized to do all of the following: (a) Finance activities within the behavioral and physical health and aging 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 Medicaid program. Sec. 1693. The special Medicaid reimbursement appropriation in part 1 may be increased if the department submits a Medicaid state plan amendment pertaining to this line item at a level higher than the appropriation. The department is authorized to appropriately adjust financing sources in accordance with the increased appropriation. Sec. 1694. From the funds appropriated in part 1 for special Medicaid reimbursement, $1,500,000.00 of general fund/general purpose revenue and any associated federal match shall be distributed for poison control services to an academic health care system that has a high indigent care volume. Sec. 1697. The department shall require that Medicaid health plans administering Healthy Michigan plan benefits maintain a network of dental providers in sufficient numbers, mix, and geographic locations throughout their respective service areas in order to provide adequate dental care for Healthy Michigan plan enrollees. Sec. 1699. (1) The department may make separate payments in 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 the amount of $45,000,000.00 directly to qualifying hospitals serving a disproportionate share of indigent patients and to hospitals providing GME training programs. If direct payment for GME and DSH is made to qualifying hospitals for services to Medicaid recipients, hospitals shall not include GME costs or DSH payments in their contracts with HMOs. (2) The department shall allocate $45,000,000.00 in DSH funding using the distribution methodology used in fiscal year 2003-2004. Sec. 1700. By December 1 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part on the distribution of funding provided, and the net benefit if the special hospital payment is not financed with general fund/general purpose revenue, to each eligible hospital during the previous fiscal year from the following special hospital payments: (a) DSH, separated out by unique DSH pool. (b) GME. (c) Special rural hospital payments provided under section 1802(2) of this part. (d) Lump-sum payments to rural hospitals for obstetrical care provided under section 1802(1) of this part. Sec. 1702. From the funds appropriated in part 1, the department shall maintain the rates in place as of September 30, 2023 for private duty nursing services for Medicaid beneficiaries under 26 years of age. These additional funds must be used to attract and retain highly qualified registered nurses and licensed practical nurses to provide private duty nursing services so that medically fragile individuals can be cared for in the most homelike 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 setting possible. Sec. 1757. The department shall obtain proof from all Medicaid recipients that they are United States citizens or otherwise legally residing in this country and that they are residents of this state before approving Medicaid eligibility. Sec. 1764. The department shall annually certify whether rates paid to Medicaid health plans and specialty PIHPs are actuarially sound in accordance with federal requirements and shall provide a copy of the rate certification and approval of rates paid to Medicaid health plans and specialty PIHPs for any fiscal year by October 15 for Medicaid capitation rate certifications and by February 15, May 15, and August 15 for any Medicaid capitation rate amendments to the report recipients required in section 246 of this part. Following the rate certification, the department shall ensure that no new or revised state Medicaid policy bulletin that is promulgated materially impacts the capitation rates that have been certified. Sec. 1775. (1) By March 1 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part on progress in implementing changes to the waiver to implement managed care for individuals who are eligible for both Medicare and Medicaid, known as MI Health Link. The report must include progress updates on the transition to dual eligible special needs plans in compliance with CMS regulations. (2) The department shall ensure the existence of an ombudsman program that is not associated with any project service manager or provider to assist MI Health Link beneficiaries with navigating complaint and dispute resolution mechanisms and to identify problems in the demonstrations and in the complaint and dispute 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 resolution mechanisms. Sec. 1786. (1) From the funds appropriated in part 1, the department shall maintain Medicaid reimbursement for the administration of injectable vaccines at $16.13 and administration of oral vaccines at $12.25. (2) The intent of the rate increases in subsection (1) is to improve immunization rates among Medicaid beneficiaries and reduce the spread of preventable illness. Sec. 1788. From the funds appropriated in part 1, the department shall provide Medicaid reimbursement rates, including Medicaid reimbursements from the ambulance provider quality assurance assessment, for ground ambulance services at not less than 100% of the full allowable Medicare rates for Locality 01 for those services in effect on January 1, 2023. Sec. 1790. The department shall maintain the current practitioner rates paid for current procedural terminology (CPT) codes 90791 through 90899 for psychiatric procedures through Medicaid fee-for-service and through the comprehensive Medicaid health plans for psychiatric procedures provided for Medicaid recipients under 21 years of age. Sec. 1791. From the funds appropriated in part 1 for health plan services and physician services, the department shall provide Medicaid reimbursement rates for neonatal services at 100% of the Medicare rate received for those services in effect on the date the services are provided to eligible Medicaid recipients. The current procedural terminology (CPT) codes that are eligible for this reimbursement rate increase are 99468, 99469, 99471, 99472, 99475, 99476, 99477, 99478, 99479, and 99480. Sec. 1792. By April 30 of the current fiscal year, the 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 department shall evaluate pharmacy encounter data through the first 2 quarters of the fiscal year to determine, in consultation with the Medicaid health plans, if rates must be recertified. By May 30 of the current fiscal year, the department shall submit a report on the evaluation results to the report recipients required in section 246 of this part, and the Medicaid health plans. Sec. 1801. From the funds appropriated in part 1 for physician services and health plan services, the department shall continue the increase to Medicaid rates for primary care services provided only by primary care providers. Providers performing a service and whose primary practice is as a non-primary-care subspecialty are not eligible for the increase. The department shall establish policies that most effectively limit the increase to primary care providers for primary care services only. As used in this section, "primary care provider" means a physician, or a practitioner working in collaboration with a physician, who is either licensed under part 170 or part 175 of the public health code, 1978 PA 368, MCL 333.17001 to 333.17097 and 333.17501 to 333.17556, and working as a primary care provider in general practice or board-eligible or certified with a specialty designation of family medicine, general internal medicine, or pediatric medicine, or a provider who provides the department with documentation of equivalency. Sec. 1802. (1) From the funds appropriated in part 1 for hospital services and therapy, $7,995,200.00 in general fund/general purpose revenue shall be provided as lump-sum payments to noncritical access hospitals that qualified for rural hospital access payments in fiscal year 2013-2014 and that provide obstetrical care in the current fiscal year. Payment amounts shall be based on the volume of obstetrical care cases and newborn care 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 cases for all such cases billed by each qualified hospital in the most recent year for which data is available. Payments shall be made by January 1 of the current fiscal year. (2) From the funds appropriated in part 1 for hospital services and therapy and Healthy Michigan plan, $15,204,800.00 in general fund/general purpose revenue and any associated federal match shall be awarded as rural access payments to noncritical access hospitals that meet criteria established by the department for services to low-income rural residents. One of the reimbursement components of the distribution formula shall be assistance with labor and delivery services. The department shall ensure that the rural access payments described in this subsection are distributed in a manner that ensures all of the following: (a) A hospital does not receive more than 10.0% of the total rural access funding referenced in this subsection. (b) The methodology for distribution under this subsection and its applicable data that are used to determine the payment amounts are provided to each hospital by August 1 of the current fiscal year. (c) Noncritical access hospitals shall be eligible if the hospital is located in a county with a population of not more than 165,000 according to the most recent federal decennial census and within a city, village, or township with a population of not more than 15,000 according to the most recent federal decennial census. (3) The department shall publish the distribution of payments for the current fiscal year and the previous fiscal year. Sec. 1804. The department shall utilize the federal public assistance reporting information system to continue to work to identify Medicaid recipients who are veterans and who may be 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 eligible for federal veterans' health care benefits or other benefits and shall continue to refer veterans to the department of military and veterans affairs for assistance in securing additional benefits. Sec. 1808. The department shall provide preference to health plans that are owned by nonprofit hospitals or integrated health systems licensed in Michigan, or that are wholly or majority-owned by nonprofit health plans based and licensed in Michigan, in the rebid for the comprehensive health plan contract for Michigans Medicaid program. Sec. 1810. In advance of the annual rate setting development, Medicaid health plans shall be given at least 60 days to dispute and correct any discarded encounter data before rates are certified. The department shall notify each contracting Medicaid health plan of any encounter data that have not been accepted for the purposes of rate setting. Sec. 1812. By June 1 of the current fiscal year, and using the most recent available cost reports, the department shall submit a report on all direct and indirect costs associated with residency training programs for each hospital that receives funds appropriated in part 1 for graduate medical education or through the MiDocs consortium to the report recipients required in section 246 of this part. Sec. 1815. From the funds appropriated in part 1 for health plan services, Healthy Michigan plan, and hospital services and therapy, the department shall allocate $10,000,000.00 in general fund/general purpose revenue and any associated federal match to increase Medicaid reimbursement rates. The rates shall be increased in all of the following areas: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 (a) $3,470,000.00 in general fund/general purpose revenue and any associated federal match to increase moms and babies inpatient rates defined as all patient refined diagnosis related groups codes 539 through 640. (b) $4,360,000.00 in general fund/general purpose revenue and any associated federal match to increase hospital outpatient rates, including those paid as part of a bundle, those paid separately, and fee schedule items. (c) $2,040,000.00 in general fund/general purpose revenue and any associated federal match to increase inpatient psychiatric base rates. (d) $130,000.00 in general fund/general purpose revenue and any associated federal match to increase rates for professional obstetric rates. Sec. 1820. (1) In order to avoid duplication of efforts, the department shall utilize applicable national accreditation review criteria to determine compliance with corresponding state requirements for Medicaid health plans that have been reviewed and accredited by a national accrediting entity for health care services. (2) The department shall continue to comply with state and federal law and shall not initiate an action that negatively impacts beneficiary safety. (3) As used in this section, "national accrediting entity" means the National Committee for Quality Assurance, the URAC, formerly known as the Utilization Review Accreditation Commission, or other appropriate entity, as approved by the department. Sec. 1821. From the funds appropriated in part 1 for health plan services, Healthy Michigan plan, and hospital services and 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 therapy, the department shall allocate $6,500,000.00 in general fund/general purpose revenue and any associated federal match to increase Medicaid reimbursement rates paid to level I and level II designated trauma facilities to recognize increased cost in maintaining level I or level II trauma status. Sec. 1837. The department shall continue, and expand where appropriate, utilization of telemedicine and telepsychiatry as strategies to increase access to services for Medicaid recipients. Sec. 1846. From the funds appropriated in part 1 for graduate medical education, the department shall distribute the funds with an emphasis on the following health care workforce goals: (a) The encouragement of the training of physicians in specialties, including primary care, that are necessary to meet the future needs of residents of this state. (b) The training of physicians in settings that include ambulatory sites and rural locations. (c) The training of practitioners providing pediatric psychiatry services. Sec. 1850. The department may allow Medicaid health plans to assist with maintaining eligibility through outreach activities to ensure continuation of Medicaid eligibility and enrollment in managed care. This may include mailings, telephone contact, or face-to-face contact with beneficiaries enrolled in the individual Medicaid health plan. Health plans may offer assistance in completing paperwork for beneficiaries enrolled in their plan. Sec. 1852. The department shall do both of the following with the funds appropriated in part 1 for program of all-inclusive care for the elderly: (a) Eliminate monthly enrollment caps. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 (b) Remove card cut-off dates. Sec. 1854. The funds appropriated in part 1 for program of all-inclusive care for the elderly (PACE) must support a current fiscal year enrollment cap that is not less than 7,288. Sec. 1855. From the funds appropriated in part 1 for program of all-inclusive care for the elderly (PACE), to the extent that funding is available in the PACE line item and unused program slots are available, the department may do the following: (a) Increase the number of slots for an already-established local PACE program if the local PACE program has provided appropriate documentation to the department indicating its ability to expand capacity to provide services to additional PACE clients. (b) Suspend the 10 member per month individual PACE program enrollment increase cap in order to allow unused and unobligated slots to be allocated to address unmet demand for PACE services. Sec. 1856. (1) From the funds appropriated in part 1 for hospice services, $5,000,000.00 shall be expended through contracts with providers to provide room and board for Medicaid recipients who meet hospice eligibility requirements and receive services at Medicaid enrolled hospice residences in this state. The qualifying hospice residences must have been enrolled with Medicaid by October 1, 2017. The department shall make funding available based on the number of licensed beds at each participating facility. (2) If funds remain at the end of the current fiscal year, the Medicaid-enrolled hospice with a residence shall return funding to the state. Sec. 1857. By July 1 of the current fiscal year, the department shall explore the implementation of a managed care long-term support service. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Sec. 1858. By April 1 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part on all of the following elements related to the current Medicaid pharmacy carve-out of pharmaceutical products as provided for in section 109h of the social welfare act, 1939 PA 280, MCL 400.109h: (a) The number of prescriptions paid by the department during the previous fiscal year. (b) The total amount of expenditures for prescriptions paid by the department during the previous fiscal year. (c) The number of and total expenditures for prescriptions paid for by the department for generic equivalents during the previous fiscal year. Sec. 1859. The department shall partner with the Michigan Association of Health Plans (MAHP) and Medicaid health plans to develop and implement strategies for the use of information technology services for Medicaid research activities. The department shall make available state medical assistance program data, including Medicaid behavioral data, to MAHP and Medicaid health plans or any vendor considered qualified by the department for the purpose of research activities consistent with this state's goals of improving health; increasing the quality, reliability, availability, and continuity of care; and reducing the cost of care for the eligible population of Medicaid recipients. Sec. 1862. From the funds appropriated in part 1, the department shall maintain payment rates for Medicaid obstetrical services at 95% of Medicare levels effective October 1, 2014. Sec. 1867. (1) The department shall continue a workgroup that includes psychiatrists, other relevant prescribers, and pharmacists 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 to identify best practices and to develop a protocol for psychotropic medications. Any changes proposed by the workgroup shall protect a Medicaid beneficiary's current psychotropic pharmaceutical treatment regimen by not requiring a physician currently prescribing any treatment to alter or adjust that treatment. (2) By March 1 of the current fiscal year, the department shall provide the workgroup's recommendations to the report recipients required in section 246 of this part. Sec. 1870. (1) From the funds appropriated in part 1 for hospital services and therapy, the department shall appropriate $6,400,000.00 in general fund/general purpose revenue plus any contributions from public entities, up to $5,000,000.00, and any associated federal match to the MiDocs consortium to create new primary care residency slots in underserved communities. The new primary care residency slots must be in 1 of the following specialties: family medicine, general internal medicine, general pediatrics, general OB-GYN, psychiatry, or general surgery. (2) The department shall seek any necessary approvals from CMS to allow the department to implement the program described in this section. (3) Assistance with repayment of medical education loans, loan interest payments, or scholarships provided by MiDocs shall be contingent on a minimum 2-year commitment to practice in an underserved community in this state post-residency and an agreement to forego any sub-specialty training for at least 2 years post-residency with the exception of a child and adolescent psychiatry fellowship that must be integrated with a psychiatry residency training program in a MiDocs affiliated institution. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 (4) The MiDocs shall work with the department to integrate the Michigan inpatient psychiatric admissions discussion (MIPAD) recommendations and, when possible, prioritize training opportunities in state psychiatric hospitals and community mental health organizations. (5) The department shall maintain the MiDocs initiative advisory council to help support implementation of the program described in this section, and provide oversight. The advisory council shall be composed of the MiDocs consortium, the Michigan Area Health Education Centers, the Michigan Primary Care Association, the Michigan Center for Rural Health, the Michigan Academy of Family Physicians, and any other appointees designated by the department. (6) By September 1 of the current fiscal year, MiDocs shall submit a report to the report recipients required in section 246 of this part on the following: (a) Audited financial statement of per-resident costs. (b) Education and clinical quality data. (c) Roster of trainees, including areas of specialty and locations of training. (d) Medicaid revenue by training site. (7) Outcomes and performance measures for this program include, but are not limited to, the following: (a) Increasing this state's ability to recruit, train, and retain primary care physicians and other select specialty physicians in underserved communities. (b) Maximizing training opportunities with community health centers, rural critical access hospitals, solo or group private practice physician practices, schools, and other community-based 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 clinics, in addition to required rotations at inpatient hospitals. (c) Increasing the number of residency slots for family medicine, general internal medicine, general pediatrics, general OB-GYN, psychiatry, and general surgery. (8) Unexpended and unencumbered funds up to a maximum $6,400,000.00 in general fund/general purpose revenue plus any contributions from public entities, up to $5,000,000.00, and any associated federal match remaining in accounts appropriated in part 1 for hospital services and therapy 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 MiDocs consortium to create new primary care residency slots in underserved communities under this section until the work project has been completed. All of the following are in compliance with section 451a of the management and budget act, 1984 PA 431, MCL 18.1451a: (a) The purpose of the work project is to fund the cost of the MiDocs consortium to create new primary care residency slots in underserved communities. (b) The work project will be accomplished by contracting with the MiDocs consortium to oversee the creation of new primary care residency slots. (c) The total estimated completion cost of the work project is $20,200,000.00. (d) The tentative completion date is September 30, 2027. Sec. 1872. From the funds appropriated in part 1 for personal care services, the department shall maintain the monthly Medicaid personal care supplement paid to adult foster care facilities and homes for the aged that provide personal care services to Medicaid 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 recipients in place during the previous fiscal year. Sec. 1874. The department shall ensure, in counties where program of all-inclusive care for the elderly or PACE services are available, that the program of all-inclusive care for the elderly (PACE) is included as an option in all options counseling and enrollment brokering for aging services and managed care programs, including, but not limited to, Area Agencies on Aging, centers for independent living, and the MiChoice home and community-based waiver. Such options counseling must include approved marketing and discussion materials. Sec. 1879. (1) The department shall maintain a single, standard preferred drug list to be used by all contracted Medicaid managed health care programs. Changes to the preferred drug list shall be made in consultation with all contracted managed health care programs and the Michigan pharmacy and therapeutics committee to ensure sufficient access to medically necessary drugs for each disease state. The department has final authority over the list and shall design the list to ensure access to clinically effective and appropriate drug therapies and maximize federal rebates and supplemental rebates. (2) By July 15 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part that compares the managed care pharmacy expenditures, utilization, and rebates before implementing a single, standard preferred drug list to managed care pharmacy expenditures, utilization, and rebates after implementing a single, standard preferred drug list. The report shall include data on collected rebates, pharmacy utilization, and expenditures by quarter for at least 8 quarters before implementing a single, 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 standard preferred drug list, and the experienced rebates, pharmacy utilization, and expenditures for at least 14 quarters, and the projected rebates, pharmacy utilization, and expenditures for quarters 15 through 20 after implementing a single, standard preferred drug list. The data shall be aggregated by the department so as not to disclose the proprietary or confidential drug-specific information, or the proprietary or confidential information that directly or indirectly identifies financial information linked to a single manufacturer. Sec. 1888. The department shall establish contract performance standards associated with the capitation withhold provisions for Medicaid health plans at least 3 months before the implementation of those standards. The determination of whether performance standards have been met shall be based primarily on recognized concepts such as 1-year continuous enrollment and the health care effectiveness data and information set, HEDIS, audited data. Sec. 1895. From the funds appropriated in part 1 for long-term care services, the department shall adjust the variable cost component (VCC) and plant cost component of Medicaid reimbursement to class I, class III, and class IV nursing home providers as follows: (a) An interim VCC rate and plant cost component rate for each facility must be established at 100.0% of the interim rate provided on January 1 of the previous fiscal year. (b) The quality assurance supplement (QAS) amount will be calculated for nursing home providers using the following factors: (i) For class I providers, the QAS must be based on the updated interim VCC for this fiscal year multiplied by 21.76%. (ii) For governmental class III providers, the QAS must be 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 subject to the class I updated variable cost limit (VCL). (iii) For nongovernmental class III providers, the QAS must be based on their VCC or VCL, as applicable, multiplied by 21.76%. (c) The department shall audit the final 2024 VCC and plant costs to establish the final audited rate provided to facilities for services provided in the current fiscal year. Sec. 1896. From the funds appropriated in part 1 for recuperative care, the department shall establish a Medicaid recuperative care and transitional services benefit for beneficiaries experiencing homelessness. These services, which include medical and care coordination support, must be provided to eligibility beneficiaries as part of a hospital discharge process. INFORMATION TECHNOLOGY Sec. 1901. (1) The department shall provide a report on a semiannual basis to the report recipients required in section 246 of this part on all of the following information: (a) The process used to define requests for proposals for each expansion of information technology projects, including timelines, project milestones, and intended outcomes. (b) If the department decides not to contract the services out to design and implement each element of the information technology expansion, the department's own project plan that includes, at a minimum, the requirements in subdivision (a). (c) A recommended project management plan with milestones and time frames. (d) The proposed benefits from implementing the information technology expansion, including customer service improvement, form reductions, potential time savings, caseload reduction, and return 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 on investment. (e) Details on the implementation of the integrated service delivery project, and the progress toward meeting the outcomes and performance measures. (f) A list of projects approved in the previous 6 months and the purpose for approving each project including any federal, state, court, or legislative requirement for each project. (2) Once an award for an expansion of information technology is made, the department shall submit a report to the report recipients required in section 246 of this part on the projected cost of the expansion broken down by use and type of expense. Sec. 1903. (1) The department shall submit a report to the report recipients required in section 246 of this part by November 1 of the current fiscal year the status of an implementation plan regarding the appropriation in part 1 to modernize the MiSACWIS. The report shall include, but not be limited to, an update on the status of the settlement and efforts to bring the system in compliance with the settlement and other federal guidelines set forth by the United States Department of Health and Human Services Administration for Children and Families. (2) The department shall submit a quarterly status report to the report recipients required in section 246 of this part on the planning, implementation, and operation, regardless of the current operational status, regarding the appropriation in part 1 to implement the MiSACWIS. The report shall provide details on the planning, implementation, and operation of the MiSACWIS, including, but not limited to, all of the following: (a) Areas where implementation went as planned, and in each area including whether the implementation results in either 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 enhanced user interface or portal access, conversion to new modules, or substantial operation improvement to the MiSACWIS. (b) The number of known issues. (c) The average number of help tickets submitted per day. (d) Any additional overtime or other staffing costs to address known issues and volume of help tickets. (e) Any contract revisions to address known issues and volume of help tickets. (f) Other strategies undertaken to improve implementation, and for each strategy area including whether the implementation results in either enhanced user interface or portal access, conversion to new modules, or substantial operation improvement to the MiSACWIS. (g) Progress developing cross-system trusted data exchange with the MiSACWIS. (h) Progress in moving away from a statewide automated child welfare information system (SACWIS) to a comprehensive child welfare information system (CCWIS). (i) Progress developing and implementing a program to monitor data quality. (j) Progress developing and implementing custom integrated systems for private agencies. (k) A list of all change orders, planned or in progress. (l) The status of all change orders, planned or in progress. (m) The estimated costs for all planned change orders. (n) The estimated and actual costs for all change orders in progress. (3) By July 1 of the current fiscal year, the department shall submit to the report recipients required in section 246 of this part a report on the department's efforts and recommendations to 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 develop and implement a simpler and more streamlined process for the annual renewal of the licenses for family foster care homes, and the development of a simpler and more efficient version of the application form for renewal of the licenses for family foster care homes. Sec. 1905. (1) The department shall submit a report on a semiannual basis to the chairs of the senate and house standing committees on appropriations, the senate and house appropriations subcommittees on the general government budget, and the report recipients required in section 246 of this part on all of the following: (a) Fiscal year-to-date information technology spending for the current fiscal year by service and project and by line-item appropriation. (b) Planned information technology spending for the remainder of the current fiscal year by service and project and by line-item appropriation. (c) Total fiscal year-to-date information technology spending and planned spending for the current fiscal year by service and project and by line-item appropriation. (d) A list of all information technology projects estimated to cost more than $250,000.00 that exceed their allotted budget as well as all information technology projects that have exceeded their allotted budget by 25% or more. (2) As used in subsection (1), "project" includes, but is not limited to, all of the following major projects: (a) Community health automated Medicaid processing system (CHAMPS). (b) Bridges and MiBridges eligibility determination. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 (c) MiSACWIS. (3) The department shall develop a strategic plan for information technology services and projects for the department. The strategic plan shall identify any scheduled changes in the federal and state shares of costs related to information technology services and projects over the 5-year period. As part of the strategic plan, the department shall include total information technology expenditures from the previous fiscal year by fund source and total information technology appropriations as a percentage of total department appropriations by fund source, by completed project, for all information technology expenditures in the previous fiscal year. All projects beginning after October 1, 2021 will follow department of management and budget benefits realization methodology, for reporting when completed in a future fiscal year's report. The strategic plan shall also develop benchmarks for comparison that include, for the previous 5 fiscal years, the department's information technology spending compared to the spending in the areas of public health, Medicaid, child protective services, child welfare, family and social services, human services, and child support enforcement for similar departments in 3 other states located in the Midwest. Sec. 1906. From the funds appropriated in part 1 for information technology services and projects, the department shall allocate $1,750,000.00 general fund/general purpose revenue, and all associated federal matching revenue, to a public and private nonprofit collaboration that is designated as this state's statewide health information exchange by cooperative agreement, to implement health information technology strategies for health information exchange development, data management, and population 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 health at a statewide level. Sec. 1907. By March 1 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part on all current, contracted information technology-related projects, total contractual costs, spending in previous fiscal years, planned spending for the current fiscal year, and fiscal year-to-date spending, by project. Sec. 1909. (1) From the funds appropriated in part 1 for child support automation, the department shall only encumber or expend funds for the operation, maintenance, and improvements of the Michigan child support enforcement system (MiCSES). (2) From the funds appropriated in part 1 for bridges information system, the department shall only encumber or expend funds for the operation, maintenance, and improvements of Bridges and MIBridges. (3) From the funds appropriated in part 1 for Michigan Medicaid information system, the department shall only encumber or expend funds for the operation, maintenance, and improvements of the community health automated Medicaid processing system (CHAMPS). (4) From the funds appropriated in part 1 for Michigan statewide automated child welfare information system, the department shall only encumber or expend funds for the operation, maintenance, and improvements of MiSACWIS. (5) From the funds appropriated in part 1 for comprehensive child welfare information system, the department shall only encumber or expend funds for the operation, maintenance, and improvements to the comprehensive child welfare information system. (6) From the funds appropriated in part 1 for comprehensive child welfare information system, the department shall allocate 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 $8,259,800.00 to develop a new information system to replace MiSACWIS consistent with the plan provided by the department to the United States District Court for Eastern District of Michigan as a part of the settlement. The development of the comprehensive child welfare information system shall adhere to department of technology, management, and budget and IT Investment Fund (ITIF) policies and practices, including use of the state unified information technology environment methodology and agile development. The project team shall also participate in and comply with the enterprise portfolio management office process and product quality assurance. To ensure full transparency, the project shall be included in the ITIF portfolio for executive, legislative, and external reporting purposes. As a component of the ITIF portfolio, the project is subject to governance and oversight by the IT investment management board. Sec. 1910. (1) From the funds appropriated in part 1, $535,814,900.00 is appropriated for information technology services and projects including: (a) $114,571,700.00 for bridges information system. (b) $21,539,800.00 for Michigan statewide automated child welfare information system. (c) $105,285,100.00 for Michigan Medicaid information system. (d) $45,567,200.00 for child support automation. (e) $8,259,800.00 for comprehensive child welfare information system. (2) For all expenditures of funds appropriated in subsection (1), the department shall submit a report to the report recipients required in section 246 of this part by April 1 of the current fiscal year total information technology expenditures from the 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 previous fiscal year and all information technology expenditures made under an agile software development plan from the previous fiscal year with details on the agile software implementation. (3) From the funds appropriated as described in subsection (1)(e) for comprehensive child welfare information system, this state shall be the owner of any software purchased or developed from the expenditures made under this subsection or it shall be committed to the public domain. (4) From the funds appropriated as described in subsection (1)(e) for comprehensive child welfare information system, $1,000,000.00 of these funds shall be used by the department to choose a product owner that will implement a user-centered design that includes user stories into the development of a comprehensive child welfare information system. The department shall report by March 1 of the current fiscal year to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the senate and house policy offices on the selection of a product owner for the comprehensive child welfare information system. (5) From the funds appropriated as described in subsection (1)(e) for comprehensive child welfare information system, $1,000,000.00 of these funds shall be used by the department to provide updates as requested by the chairs of the house and senate appropriations committees or the chairs of the house and senate appropriations subcommittees on the department budget. Information updates provided by the department, upon request, shall also be accessible to the house and senate fiscal agencies, the house and senate policy offices, and the state budget office on the status of the work completed to date. The updates shall include 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 demonstrations of the completed work during the sprint period. During these demonstrations, the department shall provide a quality assessment surveillance plan as shown in appendix B of "De-risking custom technology projects" from the United States General Services Administration. At each demonstration, the department shall validate which user stories have been included into the software development and the remaining user stories that will be included into the product. (6) As used in this section: (a) "Agile software development" means the use of development methodologies using iterative development with work completed by cross-functional teams of software development. (b) "Product owner" means a department employee who iteratively prioritizes and defines the work for the product team, works with users, stakeholders, technologists, and the software vendor to envision the direction for the product, and ensures that value is being delivered to end users as quickly as possible. (c) "User-centered design" means software development that places the highest priority on the needs of the specific people who are expected to use the software. (d) "User stories" means a task that the agile software development team will focus on over a given 2-week development period and includes clearly labeled progress toward meeting the needs of the end users. ONE-TIME APPROPRIATIONS Sec. 1950. (1) From the funds appropriated in part 1 for nursing facility rate transition support, the department shall allocate $100.00 to assist long-term care providers in 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 transitioning to a new Medicaid nursing facility reimbursement model. The funds appropriated under this section must be distributed as follows: (a) No more than $50,000,000.00 shall be allocated toward the transition assistance described in this subsection in the current fiscal year. (b) No more than $10,000,000.00 shall be allocated toward information technology improvements to support implementation of a new Medicaid nursing facility reimbursement model. (2) The unexpended funds appropriated in part 1 for nursing facility rate transition support are designated as a work project appropriation. Unencumbered or unallotted funds shall not lapse at the end of the fiscal year and shall be available for expenditures under this section until the project has 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 aid the transition away from cost-settlement-based nursing facility reimbursement. (b) The project shall be accomplished by the department. (c) The total estimated cost of the project is $110,000,000.00. (d) The tentative completion date is September 30, 2028. Sec. 1951. (1) From the funds appropriated in part 1 for water quality projects, the department shall allocate $1,000,000.00 to support public health, data sharing infrastructure, filter distribution and inspection, and faucet and full plumbing replacement activities in significantly overburdened communities as that term is defined by the department of environment, Great Lakes, and energy under the authority granted under parts 53 and 54 of the 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 natural resources and environmental protection act, 1994 PA 451, MCL 324.5301 to 324.5316 and 324.5401 to 324.5418. (2) The unexpended portion of funds appropriated for water quality projects is considered 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 the project under this section until the project has 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 improve public health data sharing capabilities, distribute and inspect lead-reducing filters and replace lead-containing faucets and plumbing in significantly overburdened communities, and support department administration of this process. (b) The project will be accomplished by utilizing state resources, contracts, or grants. (c) The total estimated cost of the project is $1,000,000.00. (d) The tentative completion date is September 30, 2028. Sec. 1952. (1) From the funds appropriated in part 1 for medical debt relief pilot program, the department shall allocate $10,000,000.00 to a national nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and established in 2014 for the purpose of purchasing bundles of medical debt on secondary markets or directly from providers to abolish the medical debt for a group or groups of patients. The department shall ensure the following conditions and criteria are met before awarding grants under this section: (a) The grant recipient may only use an award under this 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 section to eliminate medical debt to patients with an income below the federal poverty level with a financial need or who face insolvency. (b) The grant recipient shall ensure that there are no adverse tax or income implications for the patient due to the elimination of the medical debt. (c) The grant recipient shall provide evidence to the department that they have a track record of performing the work described in this section. (d) The grant recipient shall work with local units of government to eliminate medical debt for residents of those local units of government. The grant recipient shall give preference to local units of government that provide a dollar of matching funds for every dollar appropriated under this section. (2) The unexpended funds appropriated in part 1 for medical debt relief pilot program are designated as a work project appropriation. Unencumbered or unallotted funds shall not lapse at the end of the fiscal year and shall be available for expenditures under this section until the project has been completed. All of the following are in compliance with section 451a of the management and budget act, 1984 PA 431, MCL 18.1451a: (a) The purpose of the project is to purchase bundles of medical debt on secondary markets or directly from providers to abolish the medical debt for a group or groups of patients. (b) The project will be accomplished by a national nonprofit 501(c)(3) organization. (c) The estimated cost of the project is $10,000,000.00. (d) The tentative completion date is September 30, 2028. Sec. 1953. (1) From the funds appropriated in part 1 for 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 biomarker testing, the department shall allocate $7,000,000.00 to a wellness center to provide pharmacogenetic testing to reduce the risk of developing an opioid use disorder. The wellness center must meet all of the following requirements: (a) Be dedicated to enhancing the well-being of individuals by providing an array of comprehensive behavioral and physical health services in a trauma-informed environment and promoting quality of life, continuous improvement, social awareness, and healing. (b) Have its administrative office located in a county with a population of at least 1,750,000 in a city with a population between 109,000 and 111,000 according to the most recent federal decennial census. (c) Be accredited by CARF International. (2) The unexpended funds appropriated in part 1 for biomarker testing are designated as a work project appropriation. Unencumbered or unallotted funds shall not lapse at the end of the fiscal year and shall be available for expenditures under this section until the project has been completed. All of the following are in compliance with section 451a of the management and budget act, 1984 PA 431, MCL 18.1451a: (a) The purpose of the project is to provide pharmacogenetic testing to reduce the risk of developing an opioid use disorder. (b) The project will be accomplished by a CARF International accredited wellness center. (c) The estimated cost of the project is $7,000,000.00. (d) The tentative completion date is September 30, 2028. Sec. 1954. (1) From the funds appropriated in part 1 for first responder and public safety staff mental health, the department shall allocate $5,000,000.00 toward a program to support 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 firefighters, police officers, emergency medical services personnel, public safety tele-communicators, correctional officers, juvenile detention employees, and individuals working on special teams such as internet sex crimes, sexual crimes against children, or traffic fatalities suffering from post-traumatic stress syndrome and other mental health conditions. The grant program must primarily provide grants to behavioral health providers and may also include funding to the Michigan crisis and action line established under section 165 of the mental health code, 1974 PA 258, MCL 330.1165, to improve information and referrals for these services. The program must coordinate and integrate with the Michigan crisis and access line established under section 165 of the mental health code, 1974 PA 258, MCL 330.1165. (2) The unexpended funds appropriated in part 1 for first responder and public safety staff mental health are designated as a work project appropriation. Unencumbered or unallotted funds shall not lapse at the end of the fiscal year and shall be available for expenditures under this section until the project has been completed. All of the following are in compliance with section 451a of the management and budget act, 1984 PA 431, MCL 18.1451a: (a) The purpose of the project is to ensure that first responder and public safety staff who are dealing with post-traumatic stress syndrome and other mental health conditions have access to enhanced mental health services. (b) The project will be accomplished by utilizing state employees, contracting with vendors, or working with local partners. (c) The estimated cost of the project is $5,000,000.00. (d) The tentative completion date is September 30, 2028. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Sec. 1955. (1) From the funds appropriated in part 1 for environmental public health program, the department shall allocate $1,000,000.00 to a community development corporation organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, located in a city with a population greater than 600,000 according to the most recent federal decennial census to complete home assessments and coordinate health action plans to improve safe and quality housing for low-income individuals and families. To be eligible for funding under this section, a community development coordination must have partnered with an FQHC to establish a health center and have a stated mission of supporting residents and businesses in building a healthy and thriving community. (2) The unexpended funds appropriated in part 1 for environmental public health program are designated as a work project appropriation. Unencumbered or unallotted funds shall not lapse at the end of the fiscal year and shall be available for expenditures under this section until the project has been completed. All of the following are in compliance with section 451a of the management and budget act, 1984 PA 431, MCL 18.1451a: (a) The purpose of the project is to complete home assessments and coordinate health action plans to improve safe and quality housing for low-income individuals and families. (b) The project will be accomplished by a nonprofit 501(c)(3) organization. (c) The estimated cost of the project is $1,000,000.00. (d) The tentative completion date is September 30, 2028. Sec. 1956. (1) From the funds appropriated in part 1 for emergency homeless shelter repair and services grant, the 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 department shall allocate $1,000,000.00 to a nonprofit, community-based organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, located in a city with a population between 600,000 and 650,000 according to the most recent federal decennial census. In order to be eligible for the funding under this section, the entity must use the grant to make capital and infrastructure repairs to structures in order to convert the structures into emergency homeless shelters for women and children and shelters for individuals who are parolees from the department of corrections. (2) The unexpended funds appropriated in part 1 for emergency homeless shelter repair and services grant are designated as a work project appropriation. Unencumbered or unallotted funds shall not lapse at the end of the fiscal year and shall be available for expenditures under this section until the project has been completed. All of the following are in compliance with section 451a of the management and budget act, 1984 PA 431, MCL 18.1451a: (a) The purpose of the project is to make capital and infrastructure repairs to structures in order to convert the structures into emergency homeless shelters for women and children and shelters for individuals who are parolees from the department of corrections. (b) The project will be accomplished by a nonprofit 501(c)(3) organization. (c) The estimated cost of the project is $1,000,000.00. (d) The tentative completion date is September 30, 2028. Sec. 1957. (1) From the funds appropriate in part 1 for substance use treatment center, the department shall appropriate 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 $10,000,000.00 to a nonprofit, community-based organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, located in a city with a population between 90,000 and 105,000 and located in a county with a population greater than 1,500,000 according to the most recent federal decennial census. The nonprofit, community-based organization must be a licensed mental health and substance use treatment provider with a stated mission to empower communities to improve their health and their economic, social, and cultural well-being. (2) The unexpended funds appropriated in part 1 for substance use treatment center are designated as a work project appropriation. Unencumbered or unallotted funds shall not lapse at the end of the fiscal year and shall be available for expenditures under this section until the project has been completed. All of the following are in compliance with section 451a of the management and budget act, 1984 PA 431, MCL 18.1451a: (a) The purpose of the project is to purchase, renovate, and equip a disused medical office building to provide comprehensive outpatient substance use disorder treatment services. (b) The project will be accomplished by a nonprofit 501(c)(3) organization. (c) The estimated cost of the project is $10,000,000.00. (d) The tentative completion date is September 30, 2028. Sec. 1958. From the funds appropriated in part 1 for health care facility expansion, the department shall appropriate $1,500,000.00 to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, that 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 provides physical and behavioral health services and community and cultural wellness services, that was founded before 1979, and that is located in a city with a population greater than 600,000 according to the most recent federal decennial census for the expansion of a health care facility. Sec. 1959. From the funds appropriated in part 1 for healthy communities grant, $1,500,000.00 shall be allocated for a 1-time grant to a nonprofit, community-based organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, located in a city with a population between 100,000 and 600,000 and in a county with a population greater than 1,500,000 according to the most recent federal decennial census to prevent substance use, expand community support for fighting drug and alcohol misuse, and improve and expand nutrition education services. Sec. 1960. (1) From the funds appropriated in part 1 for psychiatric outpatient clinic, the department shall appropriate $8,000,000.00 general fund/general purpose revenue as a grant to a nonprofit Michigan health system organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, that operates not fewer than 3 licensed adult psychiatric inpatient programs located in counties with a population not less than 1,000,000 according to the most recent federal decennial census and with a hospital dedicated to mental health located in a city with a population between 108,000 and 120,000 according to the most recent federal decennial census for the purpose of supporting a new psychiatric residency training program. (2) The unexpended funds appropriated in part 1 for 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 psychiatric outpatient clinic are designated as a work project appropriation. Unencumbered or unallotted funds shall not lapse at the end of the fiscal year and shall be available for expenditures under this section until the project has been completed. All of the following are in compliance with section 451a of the management and budget act, 1984 PA 431, MCL 18.1451a: (a) The purpose of the project is to support a new psychiatric residency training program. (b) The project will be accomplished by a Michigan health system that is a nonprofit 501(c)(3) organization. (c) The estimated cost of the project is $8,000,000.00. (d) The tentative completion date is September 30, 2028. Sec. 1961. (1) From the funds appropriated in part 1 for jail diversion fund, the department shall allocate $5,000,000.00 to support the jail diversion fund created by section 207c of the mental health code, 1974 PA 258, MCL 330.1207c. (2) The department shall distribute grants from the jail diversion fund in accordance with sections 207d to 207f of the mental health code, 1974 PA 258, MCL 330.1207d to 330.1207f. Sec. 1962. (1) From the funds appropriated in part 1 for alternative payment model transition, the department shall allocate $15,000,000.00 in general fund/general purpose revenue and any associated federal match or federal grant funding, to support the implementation of a Medicaid alternative payment methodology for federally qualified health centers (FQHCs). The alternative payment methodology must be a population-based payment system that is based on a per-patient reimbursement for each Medicaid recipient assigned to each federally qualified health center. Funds appropriated in this section shall be used both to support alternative payment 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 methodology implementation costs incurred by the department and to provide funding to support the preparation and success of FQHCs participating in the alternative payment methodology. (2) The unexpended funds appropriated in part 1 for alternative payment model transition are designated as a work project appropriation. Unencumbered or unallotted funds shall not lapse at the end of the fiscal year and shall be available for expenditures under this section until the project has been completed. All of the following are in compliance with section 451a of the management and budget act, 1984 PA 431, MCL 18.1451a: (a) The purpose of the project is to design and implement a FQHC Medicaid alternative payment methodology as well as provide funding to help FQHCs prepare for and be successful in their alternative payment methodology participation. (b) The project will be accomplished by utilizing state employees, contracting with vendors, and providing funding to FQHCs. (c) The estimated cost of the project is $15,000,000.00. (d) The tentative completion date is September 30, 2028. (3) It is the intent of the legislature that the transition described in subsection (1) is phased in over a period of several fiscal years with pre-implementation and preparation occurring this fiscal year and implementation of the alternative payment methodology in the following fiscal year, with additional FQHCs having the opportunity to begin participation in the alternative payment methodology in subsequent fiscal years. (4) The department shall coordinate with the Michigan Primary Care Association on the design of the alternative payment methodology, to identify FQHCs that are able to implement the 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 necessary care delivery and system changes required for the alternative payment methodology described in subsection (1), and to develop funding approaches that support the preparation and success of FQHCs participating in the alternative payment methodology. Sec. 1963. From the funds appropriated in part 1 for women's health grant backfill, the department shall appropriate $2,000,000.00 to a 4-year state university located in a city with a population greater than 600,000 according to the most recent federal decennial census to support the office of women's health located at the university. Sec. 1964. (1) From the funds appropriated in part 1 for homeless shelter operations, the department shall allocate $1,000,000.00 to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and that is located in a city with a population greater than 20,000 in a county with a population between 154,500 and 160,000 according to the most recent federal decennial census to support and sustain homeless shelter operations. To be eligible for funding under this section, the nonprofit organization must have been established in 2015, with a stated mission to rebuild the community, restore families, and repurpose individuals. (2) The unexpended funds appropriated in part 1 for homeless shelter operations are designated as a work project appropriation. Unencumbered or unallotted funds shall not lapse at the end of the fiscal year and shall be available for expenditures under this section until the project has been completed. All of the following are in compliance with section 451a of the management and budget act, 1984 PA 431, MCL 18.1451a: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 (a) The purpose of the project is to support and sustain homeless shelter operations. (b) The project will be accomplished by a nonprofit 501(c)(3) organization. (c) The estimated cost of the project is $1,000,000.00. (d) The tentative completion date is September 30, 2028. Sec. 1965. From the funds appropriated in part 1 for domestic and sexual violence prevention and treatment, the department shall allocate $3,610,300.00 to nonprofit organizations organized under the laws of this state that are exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and receive appropriations in part 1 funded with victims of crime act grant dollars for domestic violence and sexual assault prevention. Sec. 1966. From the funds appropriated in part 1 for community house capital grant, the department shall allocate $1,000,000.00 to renovate an existing site as well as expand affordable senior housing and child care options in a city with a population between 80,000 and 200,000 in a county with a population between 450,000 and 850,000 according to the most recent federal decennial census. To be eligible for the funding in this section, the entity must be a nonprofit, community-based organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, established in 1902 with a mission statement of increasing the ability of children, youth, adults, and families to succeed in a diverse community. Sec. 1967. (1) From the funds appropriated in part 1 for senior citizen home renovation, the department shall appropriate 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 $3,000,000.00 to a city with a population greater than 600,000 according to the most recent federal decennial census to provide home repairs and renovations to ensure that homes are compliant with the Americans with disabilities act of 1990, 42 USC 12101 to 12213. In order to be eligible for home repairs and renovations under this section, an individual must be a resident of the city and must be 65 years of age or older or disabled. (2) The unexpended funds appropriated in part 1 for senior citizen home renovation are designated as a work project appropriation. Unencumbered or unallotted funds shall not lapse at the end of the fiscal year and shall be available for expenditures under this section until the project has been completed. All of the following are in compliance with section 451a of the management and budget act, 1984 PA 431, MCL 18.1451a: (a) The purpose of the project is to provide home repairs and renovations to ensure that homes are ADA compliant. (b) The project will be accomplished through a partnership with a city with a population greater than 600,000 according to the most recent federal decennial census. (c) The estimated cost of the project is $3,000,000.00. (d) The tentative completion date is September 30, 2028. Sec. 1968. From the funds appropriated in part 1 for affordable housing project, the department shall allocate $2,000,000.00 to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, that has a headquarters in a city with a population between 60,000 and 135,000 and is located in a county with a population between 700,000 and 1,000,000, according to the most recent federal 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 decennial census, for capital costs resulting from construction of an affordable housing apartment complex. To be eligible for funds under this section the nonprofit organization must have been established in 2006 and be dedicated to improving the stability, health, and wellness of those served through advocacy, acculturation, community development, and cultural preservation. Sec. 1969. (1) From the funds appropriated in part 1 for homelessness prevention pilot program, the department shall appropriate $2,000,000.00 to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, that is located in a county with a population between 900,000 and 1,500,000 according to the most recent federal decennial census, and that operates as that county's continuum of care provider to establish a pilot program to prevent homelessness in the county. The pilot program must provide emergency assistance to help individuals stay in their homes. (2) Eligible expenditures from the funds identified in subsection (1) must include: (a) Payment of rent. (b) Payment of utility bills. (c) Payment of home repairs. (d) Costs associated with moving. (3) To be eligible to receive funds under this section, a household must have an average median household income equal to or less than 100% of the average median household income in a county with a population between 900,000 and 1,500,000 according to the most recent federal decennial census. (4) A household may not receive more than $3,600.00 from the 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 funds appropriated in this section. Sec. 1970. From the funds appropriated in part 1 for disability and independent living program, the department shall allocate $150,000.00 to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and that is located in a city with a population between 2,600 and 3,200 in a county with a population greater than 1,500,000 according to the most recent federal decennial census. To be eligible for funds under this section, the nonprofit organization must have a stated mission to enhance the lives of the organization's participants with disabilities and that through therapeutic, social, work-based, and community engagement, it seeks to support, enrich, inspire, and embolden the organization's participants and the participants' families so that the participants can achieve the participants' goals. Sec. 1971. From the funds appropriated in part 1 for children's healthcare access program, the department shall allocate $500,000.00 to a children's healthcare access program that serves children in counties with populations greater than 700,000 according to the most recent federal decennial census to provide vaccinations, lead testing, and developmental screenings to children enrolled in Medicaid. Sec. 1972. From the funds appropriated in part 1 for farm day program, the department shall allocate $150,000.00 to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and that is located in a township with a population between 20,000 and 22,000 located in a county 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 with a population between 900,000 and 1,500,000 according to the most recent federal decennial census, to provide support to individuals with autism or other disabilities, provide special education services, and operate a supported employment program. In order to be eligible for funds under this section, the nonprofit organization must have a stated mission of empowering and supporting adults with disabilities to live a life of purpose, inclusion, and dignity. Sec. 1973. From the funds appropriated in part 1 for substance use disorder center capital costs, the department shall appropriate $1,500,000.00 to a nonprofit behavioral health care organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, that was established in 1967, and that is the sole provider of withdrawal management and residential services located in a county with a population between 135,000 and 154,500 according to the most recent federal decennial census. Sec. 1974. From the funds appropriated in part 1 for children's health care, the department shall allocate $5,000,000.00 to a nonprofit health care facility with fewer than 190 beds that is affiliated with a physician partner group to build a children's rehabilitation hospital. To be eligible for funding under this section, the nonprofit health care facility must be located in a county with a population between 450,000 and 850,000 in a city with a population between 80,000 and 250,000 according to the most recent federal decennial census. Sec. 1975. From the funds appropriated in part 1 for caregiver resource center, the department shall appropriate $9,400,000.00 to area agencies on aging to improve services and supports to unpaid 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 family and informal caregivers. The department shall distribute the funds as a lump sum payment to area agencies on aging using the interstate funding formula approved by the commission on services to the aging. Sec. 1976. From the funds appropriated in part 1 for senior center administration, the department shall allocate $1,000,000.00 to senior centers operating in this state. The department shall distribute the funds as a lump sum payment to each senior center proportional to the number of participants at each center. Sec. 1977. From the funds appropriated in part 1 for behavioral health care services and facilities, the department shall allocate $3,000,000.00 for a public-private partnership to open a behavioral health center with no fewer than 40 inpatient beds during phase I of operation and no fewer than 100 inpatient beds during phase II of operation. The behavioral health center must be located in a city with a population between 2,500 and 20,000 located in a county with a population between 96,000 and 103,000 according to the most recent federal decennial census. Sec. 1978. (1) From the funds appropriated in part 1 for adult day center, the department shall allocate $1,000,000.00 to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, that provides adult and teen mental health services located in a city with a population between 135,000 and 195,000 located in a county with a population between 700,000 and 1,000,000 according to the most recent federal decennial census. To be eligible for funding under this section, the nonprofit organization must have a stated mission to provide and coordinate support services and programs that help clients stay 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 active and healthier both physically and mentally; to be committed to the wellness of individuals, their families, and the community through prevention, intervention, treatment, and education; to assist individuals and families in the enhancement of their emotional, mental, and physical well-being; and also to provide an engaging and safe place that enhances dignity, uniqueness, and independence for adults. (2) The unexpended funds appropriated in part 1 for adult day center are designated as a work project appropriation. Unencumbered or unallotted funds shall not lapse at the end of the fiscal year and shall be available for expenditures under this section until the project has been completed. All of the following are in compliance with section 451a of the management and budget act, 1984 PA 431, MCL 18.1451a: (a) The purpose of the project is to provide adult day care services. (b) The project will be accomplished by a nonprofit 501(c)(3) organization. (c) The estimated cost of the project is $1,000,000.00. (d) The tentative completion date is September 30, 2028. Sec. 1979. (1) From the funds appropriated in part 1 for prenatal and infant cash allowance pilot program, the department shall allocate $100.00 to establish a pilot program in a city with a population greater than 50,000 in a county with a population between 375,000 and 600,000 according to the most recent federal decennial census. The pilot program must do both of the following: (a) Provide a 1-time prenatal allowance of $1,500.00 to all expectant mothers residing in the city described in this subsection. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 (b) Provide a $500.00 per month allowance for all infants between 0 years of age and 1 year of age residing in the city described in this subsection. (2) The department must partner with a pediatric public health initiative house in a 4-year state university located in a county with a population between 265,000 and 290,000 according to the most recent decennial census and a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, located in a city with a population greater than 50,000 in a county with a population between 375,000 and 600,000 according to the most recent federal decennial census with a stated mission to improve the health status of our residents and improve the quality and cost-effectiveness of the health care system in our community to implement the pilot program described in this section. (3) It is the intent of the legislature that the funds appropriated in this section be used to operate the first year of a 5-year pilot program. (4) Funds appropriated in part 1 for prenatal and infant cash allowance pilot shall be considered work project funds and shall not lapse at the close 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 of the management and budget act, 1984 PA 431, MCL 18.1451a: (a) The purpose of the work project is to provide 1-time prenatal allowances and monthly allowances for children 0 years of age to 1 year of age to combat the effects of economic instability. (b) The project will be accomplished through partnerships with a 4-year state university and a nonprofit 501(c)(3) organization. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 (c) The total estimated cost of the work project is $100.00. (d) The tentative completion date is September 30, 2028. Sec. 1980. (1) From the funds appropriated in part 1 for developmental milestones toolkit, the department shall allocate $1,000,000.00 to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, educating the public about prevention efforts in an effort to reduce medical costs and improve the quality of life for those living at risk of a mental disability to increase their operations to provide developmental milestones toolkits to low-income families located in a county with a population greater than 1,500,000 according to the most recent federal decennial census. The nonprofit organization must be located in a city with a population between 90,000 and 105,000 according to the most recent federal decennial census with a stated mission of providing evidence-informed strategies and training to parents, educators, community stakeholders, and policymakers to ameliorate common childhood conditions. (2) The unexpended funds appropriated in part 1 for developmental milestones toolkit are designated as a work project appropriation. Unencumbered or unallotted funds shall not lapse at the end of the fiscal year and shall be available for expenditures under this section until the project has been completed. All of the following are in compliance with section 451a of the management and budget act, 1984 PA 431, MCL 18.1451a: (a) The purpose of the project is to provide developmental milestones toolkits to low-income families located in a county with a population greater than 1,500,000 according to the most recent 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 federal decennial census. (b) The project will be accomplished by a nonprofit 501(c)(3) organization. (c) The estimated cost of the project is $1,000,000.00. (d) The tentative completion date is September 30, 2028. Sec. 1981. From the funds appropriated in part 1 for rides to wellness, the department shall allocate $250,000.00 to the entity described in subsection (3) of section 1306 of this part. Sec. 1982. From the funds appropriated in part 1 for food market expansion, the department shall appropriate $1,400,000.00 to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and that is located in a city with a population between 77,000 and 85,000 in a county with a population between 900,000 and 1,500,000 according to the most recent federal decennial census, for expansion of a food market that operates to support a food pantry. In order to be eligible for funding under this section, the nonprofit organization must have a stated mission to offer comprehensive support services for individuals and their families in and around the area that are in need or have limited access to everyday necessities due to insufficient financial resources or family instability. Sec. 1983. (1) From the funds appropriated in part 1 for permanent supportive housing, the department shall appropriate $13,000,000.00 to expand supportive housing services. The funds must be prioritized to serve people living in supportive housing who need additional services to maintain employment and stability, and currently homeless individuals moving into supportive housing with rental support. The funds should prioritize households whose 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 children are at risk of being placed in out-of-home care, households that are working toward reunification with children who are out of home, and youth aging out of the foster care system. (2) Funds appropriated for permanent supportive housing shall be considered work project funds, shall not lapse at the close of the fiscal year, and shall be available for expenditures for projects under this section until the projects have been completed. The following are in compliance with section 451a of the management and budget act, 1984 PA 431, MCL 18.1451a: (a) The purpose of the work project is to provide funding for grants for eligible entities to provide permanent supportive housing services for eligible households. (b) The work project will be accomplished through partnerships with community-based agencies that provide supportive housing services, the Michigan state housing development authority, and local governments. (c) The total estimated cost of the work project is $13,000,000.00. (d) The tentative completion date is September 30, 2028. Sec. 1984. From the funds appropriated in part 1 for community opportunity hub, the department shall appropriate $1,000,000.00 to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, that was established in 2010, and that is located in a city with a population greater than 500,000 according to the most recent federal decennial census, to renovate and repurpose former school buildings into opportunity hubs, repair owner-occupied homes, and provide other community wraparound supports. To be eligible for funds under this section, 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 the nonprofit organization must organize an annual 6-day event to beautify the area surrounding the opportunity hub. Sec. 1985. From the funds appropriated in part 1 for public health authority operations, the department shall allocate $5,000,000.00 to a public health authority located in a city with a population between 100,000 and 600,000 in a county with a population greater than 1,500,000 according to the most recent federal decennial census, to expand services, provide public health interventions that are culturally competent, and safeguard the health of residents. Sec. 1986. From the funds appropriated in part 1 for federally qualified health center, the department shall appropriate $1,500,000.00 to an FQHC with a main clinic located in a city with a population greater than 50,000 in a county with a population between 375,000 and 600,000 according to the most recent federal decennial census, and that was originally established in 1982, for the construction of a new clinic location. Sec. 1987. From the funds appropriated in part 1 for lifesharing community center, the department shall allocate $2,000,000.00 to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, for capital costs related to the construction of a lifesharing community located in a county with a population between 300,000 and 400,000 according to the most recent federal decennial census. The proposed community must be located on no less than 75 acres of land and be comprised of at least 8 homes. An eligible nonprofit organization must have a stated mission to build and sustain quality care, housing, learning, and activities for those with a 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 disability while educating the next generation of service professionals using a lifesharing model. Sec. 1988. From the funds appropriated in part 1 for social determinants of health hub - one-time, the department shall allocate $1,000,000.00 to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, located in a city with a population between 80,000 and 82,000 according to the most recent federal decennial census that runs health equity programs. The funding must be used for start-up costs necessary to create a social determinants of health hub, to offer technical assistance to other communities across this state, and to provide multisector coordination necessary to become a social determinants of health hub. Sec. 1989. From the funds appropriated in part 1 for hospital equipment modernization, the department shall allocate $2,000,000.00 to a hospital verified as a level III trauma center by the American College of Surgeons located in a city with a population between 13,000 and 16,400 in a county with a population greater than 1,500,000 according to the most recent federal decennial census, for physical facility improvement and equipment modernization. Sec. 1990. From the funds appropriated in part 1 for sickle cell center, the department shall allocate $2,500,000.00 to the Sickle Cell Disease Association of America, to the Sickle Cell Center of Excellence. Sec. 1991. From the funds appropriated in part 1 for mobile health units, the department shall allocate $3,500,000.00 to support 1-time marketing, staffing, and supply costs to establish 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 the mobile health units described in section 1159 of this part. Sec. 1994. From the funds appropriated in part 1 for warming center services, the department shall allocate $800,000.00 to a city with a population between 50,000 and 110,000 according to the most recent federal decennial census and located in a county with a population between 265,000 and 290,000 according to the most recent federal decennial census to support an emergency housing program for adults that provides shelter and case management services. Sec. 1995. From the funds appropriated in part 1 for child and family campus project, the department shall appropriate $6,000,000.00 to a nonprofit, community-based organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and is located in a city with a population between 50,000 and 110,000 according to the most recent federal decennial census and located in a county with a population between 265,000 and 290,000 according to the most recent federal decennial census to construct and renovate a consolidated facility on a site formerly owned by a hospital system. To be eligible for funds under this section, the nonprofit organization must have been established in 1911 and have a stated mission to strengthen and support children, families, and individuals as they evolve and grow in a changing community. Sec. 1996. From the funds appropriated in part 1 for critical access hospital renovation, the department shall allocate $100.00 to a critical access hospital located in a county with a population between 3,750 and 5,750 according to the most recent federal decennial census to implement multiple infrastructure renovations, including all of the following, to improve patient care: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 (a) Remodeling and upgrading family clinics to meet current codes and practices. (b) Expanding operating room and recovery facilities for basic orthopedic surgeries. (c) Improving windows, parking lots, and other areas. Sec. 1997. From the funds appropriated in part 1 for sexual assault nurse examiner program, the department shall allocate $100.00 of state general fund/general purpose revenue for a sexual assault nurse examiners program at a hospital in a city with a population between 21,600 and 21,700 according to the most recent federal decennial census within a county with a population between 64,300 and 64,400 according to the most recent federal decennial census. Funds must be used to support staff compensation and training, victim needs, and community awareness, education, and prevention programs. Sec. 1998. From the funds appropriated in part 1 for nursing staff supports, the department shall appropriate $100.00 to the Michigan Nurses Association to support nursing staff training and education initiatives. Sec. 1999. From the funds appropriated in part 1 for genemarkers, the department shall allocate $100.00 to Ferris State University to develop and provide for a test that identifies genetic risk factors correlated with opioid use disorder. Sec. 2000. (1) From the funds appropriated in part 1 for community health residency programs, the department shall allocate $100.00 to implement a residency program in a nonprofit health center in a city with a population of between 61,000 and 63,000 and within a county with a population between 1,270,000 and 1,275,000 according to the most recent federal decennial census. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 (2) The unexpended portion of funds appropriated in part 1 for the residency program is designated as a work project appropriation. Any unencumbered or unallotted funds shall not lapse at the end of the fiscal year and shall be available for expenditure for the project under this section until the project has 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 work project is to provide funding for the start-up costs and ensure the first cohort graduates within three years while awaiting federal funding. (b) The project will be accomplished by a nonprofit 501(c)(3) health center organization. (c) The total estimated cost of the work project is $100.00. (d) The estimated completion date is September 30, 2028. |
|---|