SB 180 — Appropriations: department of health and human services; appropriations for fiscal year 2025-2026; provide for. Creates appropriation act.
Last action — referred to Committee on Appropriations
-
✓Introduced
-
✓In Committee
-
3Passed Senate
-
4Passed House
-
5To Executive
-
6Enacted
This bill has passed the Senate. Introduced May 14, 2025. It now moves to the second chamber.
Next likely step: consideration and a floor vote in the House.
Odds of enactment
Moderate chanceBased on the sponsor, cosponsors, and committee posture, this bill has a moderate chance of becoming law.
Upgrade to see the exact probability and what's driving it.
A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.
Prognosis
-
Passed Senate
Current position in the legislative process.
-
1 sponsor
1 primary, 0 co-sponsors signed on.
-
Single-party support
Sponsorship is currently within one party (1 D).
-
Cleared a recorded vote
Passed 2 recorded votes so far.
Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.
Summary
Appropriations: department of health and human services; appropriations for fiscal year 2025-2026; provide for. Creates appropriation act.
Bill Text
What changed in the latest version
3096 added · 3082 removedPlain-language change summary
The most recent version of Bill SB 180 has a total gross appropriation increased by about $10 million, raising it to approximately $39.3 billion. It also adds funding for opioid response activities, increasing that specific budget by $10 million to enhance efforts in combating opioid addiction. These changes are important as they reflect a commitment to addressing public health concerns, especially regarding the opioid crisis, by allocating more resources for treatment and prevention.
SB-180, As Passed Senate, May 13, 2025 SUBSTITUTE FOR SENATE BILL NO.
DEPARTMENT OF HEALTH AND HUMAN SERVICES APPROPRIATION SUMMARY Full-time equated unclassified positions 6.0 Full-time equated classified positions 16,024.5 EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey Average population 798.0 GROSS APPROPRIATION $ 39,308,554,60039,318,554,700 Interdepartmental grant revenues:
Total local revenues 188,378,200 Total private revenues 180,133,600 Michigan merit award trust fund 177,886,200 Total other state restricted revenues 4,000,721,7004,010,721,700 State general fund/general purpose $ 7,267,705,8007,267,705,900 Sec.
DEPARTMENTAL ADMINISTRATION AND SUPPORT Full-time equated unclassified positions 6.0 Full-time equated classified positions 1,020.4 Unclassified salaries--FTEs 6.0 $ 1,474,500 Administrative hearings officers 9,995,400 Child welfare institute--FTEs 57.0 9,962,700 Coordinated children's healthcare policy and supports--FTEs 74.0 24,688,300 Demonstration projects--FTEs 7.0 7,076,900 EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey Departmental administration and management-- FTEs 646.4 109,337,700 Legal services 100,000 Office of inspector general--FTEs 211.0 29,590,100 Property management 65,006,000 Terminal leave payments 7,091,300 Training and program support--FTEs 25.0 3,660,200 Worker's compensation 8,322,300 GROSS APPROPRIATION $ 276,305,400 Appropriated from:
CHILD SUPPORT ENFORCEMENT Full-time equated classified positions 193.7 Child support enforcement operations--FTEs 187.7 $ 30,634,900 EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey Child support incentive payments 24,409,600 Legal support contracts 132,600,300 State disbursement unit--FTEs 6.0 7,391,200 GROSS APPROPRIATION $ 195,036,000 Appropriated from:
EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey Social security act, temporary assistance for needy families 36,165,800 Capped federal revenues 109,393,900 Total other federal revenues 14,945,400 State general fund/general purpose $ 36,682,000 Sec.
CHILDREN'S SERVICES AGENCY - CHILD WELFARE Full-time equated classified positions 4,089.2 Adoption subsidies $ 226,500,000 Adoption support services--FTEs 10.0 42,897,700 Attorney general contract 5,191,100 Child abuse and neglect - children's justice act--FTE 1.0 630,100 Child care fund 309,748,600 Child care fund - indirect cost allotment 3,500,000 Child protection 2,050,300 Child welfare administration travel 390,000 Child welfare licensing--FTEs 59.0 7,681,000 Child welfare local office staff - noncaseload compliance--FTEs 353.0 43,144,700 Child welfare medical/psychiatric evaluations 9,428,500 Children's protective services - caseload staff--FTEs 1,598.0 176,223,900 Children's protective services supervisors-- FTEs 387.0 50,201,200 Children's services administration--FTEs 218.2 29,141,000 Children trust Michigan--FTEs 12.0 5,208,200 Contractual services, supplies, and materials 9,567,600 EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey Court-appointed special advocates 2,250,000 Education planners--FTEs 15.0 1,995,400 Family preservation and prevention services administration--FTEs 9.0 1,443,400 Family preservation programs--FTEs 34.0 65,586,300 Foster care payments 339,545,500 Foster care services - caseload staff--FTEs 955.0 101,190,300 Foster care services supervisors--FTEs 227.0 32,351,400 Guardianship assistance program 12,666,700 Interstate compact 179,600 Juvenile justice reform--FTEs 0.0 100 Peer coaches--FTEs 45.5 6,579,600 Performance-based funding implementation--FTEs 3.0 310,400 Permanency resource managers--FTEs 28.0 3,666,700 Prosecuting attorney contracts 8,142,800 Second line supervisors and technical staff-- FTEs 126.0 20,609,200 Settlement monitor 2,709,800 Strong families/safe children 11,600,000 Title IV-E compliance and accountability office--FTEs 4.0 477,200 Youth in transition--FTEs 4.5 10,702,200 GROSS APPROPRIATION $ 1,543,510,500 Appropriated from:
EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey Social security act, temporary assistance for needy families 288,955,800 Capped federal revenues 103,713,900 Total other federal revenues 265,352,500 Special revenue funds:
EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey Local funds - state share education funds 1,527,500 Local funds - county chargeback 10,484,300 State general fund/general purpose $ 19,353,900 Sec.
Social security act, temporary assistance for needy families 123,281,000 Capped federal revenues 182,905,800 EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey Total other federal revenues 3,495,068,300 Special revenue funds:
EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey Interdepartmental grant revenues:
BEHAVIORAL HEALTH PROGRAM ADMINISTRATION AND SPECIAL PROJECTS Full-time equated classified positions 99.0 EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey Behavioral health program administration--FTEs 59.0 $ 51,245,600 Community substance use disorder prevention, education, and treatment--FTEs 9.0 79,457,800 Family support subsidy 16,290,400 Federal and other special projects 2,535,600 Gambling addiction--FTEs 4.0 9,530,100 Mental health diversion council 3,349,900 Michigan clinical consultation and care 5,264,000 Office of recipient rights--FTEs 25.0 3,563,200 Opioid response activities--FTEs 2.0 112,157,200122,157,200 Protection and advocacy services support 194,400 GROSS APPROPRIATION $ 283,588,200293,588,200 Appropriated from:
Total private revenues 2,704,700 Total other state restricted revenues 57,380,10067,380,100 State general fund/general purpose $ 44,610,300 Sec.
BEHAVIORAL HEALTH SERVICES Full-time equated classified positions 12.0 Autism services $ 483,715,500 Behavioral health community supports and services--FTEs 8.0 40,972,800 Certified community behavioral health clinic demonstration 891,062,700 EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey Civil service charges 297,500 Community mental health non-Medicaid services 125,578,200 Federal mental health block grant--FTEs 4.0 24,483,900 Health homes 50,239,800 Healthy Michigan plan - behavioral health 535,508,300 Medicaid mental health services 3,357,455,500 Medicaid substance use disorder services 98,752,100 Multicultural integration funding 25,884,900 Nursing home PAS/ARR-OBRA 15,213,600 State disability assistance program substance use disorder services 2,018,800 GROSS APPROPRIATION $ 5,651,183,600 Appropriated from:
STATE PSYCHIATRIC HOSPITALS AND FORENSIC MENTAL HEALTH SERVICES Full-time equated classified positions 2,546.6 Average population 798.0 Caro Regional Mental Health Center - psychiatric hospital - adult--FTEs 530.7 $ 66,322,100 EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey Average population 145.0 Center for forensic psychiatry--FTEs 624.5 114,162,800 Average population 240.0 Developmental disabilities council and projects--FTEs 10.0 3,221,100 Gifts and bequests for patient living and treatment environment 1,000,000 IDEA, federal special education 120,000 Kalamazoo Psychiatric Hospital - adult--FTEs 561.2 69,704,600 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 5,801,900 Walter P.
Total local revenues 23,283,200 Total private revenues 1,000,000 Total other state restricted revenues 19,189,200 State general fund/general purpose $ 291,153,400 EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey Sec.
EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey Interdepartmental grant revenues:
EPIDEMIOLOGY, EMERGENCY MEDICAL SERVICES, AND LABORATORY Full-time equated classified positions 454.9 Bioterrorism preparedness--FTEs 53.0 $ 31,131,300 Childhood lead program--FTEs 4.5 2,351,200 Emergency medical services program--FTEs 33.0 10,919,000 Epidemiology administration--FTEs 73.5 26,963,000 EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey Healthy homes program--FTEs 65.0 56,102,700 Laboratory services--FTEs 102.0 32,855,300 Newborn screening follow-up and treatment services--FTEs 10.5 10,202,600 PFAS and environmental contamination response-- FTEs 43.0 19,364,600 Vital records and health statistics--FTEs 70.4 11,719,800 GROSS APPROPRIATION $ 201,609,500 Appropriated from:
LOCAL HEALTH AND ADMINISTRATIVE SERVICES Full-time equated classified positions 191.1 AIDS prevention, testing, and care programs-- FTEs 79.5 $ 110,924,100 Cancer prevention and control program--FTEs 18.0 15,939,900 Chronic disease control and health promotion administration--FTEs 28.4 11,240,100 Diabetes and kidney program--FTEs 8.0 4,217,400 Essential local public health services 81,419,300 EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey Implementation of 1993 PA 133, MCL 333.17015 20,000 Local health services--FTEs 4.3 14,029,400 Medicaid outreach cost reimbursement to local health departments 12,500,000 Public health administration--FTEs 9.0 2,316,400 Sexually transmitted disease control program-- FTEs 20.0 8,585,900 Smoking prevention program--FTEs 15.0 7,188,000 Violence prevention--FTEs 8.9 19,078,900 GROSS APPROPRIATION $ 287,459,400 Appropriated from:
FAMILY HEALTH SERVICES Full-time equated classified positions 136.1 Child and adolescent health care and centers $ 47,300,000 Dental programs--FTEs 5.3 7,933,300 Drinking water declaration of emergency 4,549,400 Family, maternal, and child health administration--FTEs 49.0 10,729,800 Family planning local agreements 15,810,700 EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey Immunization program--FTEs 20.8 19,933,400 Local MCH services 7,268,100 Pregnancy prevention program 1,297,900 Prenatal care outreach and service delivery support--FTEs 19.0 42,440,700 Special projects 6,789,100 Sudden and unexpected infant death and suffocation prevention program 321,300 Women, infants, and children program administration and special projects--FTEs 42.0 19,768,700 Women, infants, and children program local agreements and food costs 251,285,000 GROSS APPROPRIATION $ 435,427,400 Appropriated from:
CHILDREN'S SPECIAL HEALTH CARE SERVICES Full-time equated classified positions 51.8 Bequests for care and services--FTEs 9.8 $ 2,394,700 Children's special health care services administration--FTEs 42.0 9,285,200 Medical care and treatment 391,972,700 EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey Outreach and advocacy 6,722,200 GROSS APPROPRIATION $ 410,374,800 Appropriated from:
HEALTH AND AGING SERVICES ADMINISTRATION Full-time equated classified positions 523.0 Aging services administration--FTEs 43.0 $ 9,697,700 EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey Health services administration--FTEs 480.0 142,182,800 GROSS APPROPRIATION $ 151,880,500 Appropriated from:
HEALTH SERVICES Adult home help services $ 637,148,800 Ambulance services 29,035,300 Auxiliary medical services 5,505,500 Dental clinic program 1,000,000 Dental services 301,306,500 Federal Medicare pharmaceutical program 384,182,300 Federally qualified health centers 264,493,400 Health plan services 8,048,274,3008,048,274,400 Healthy Michigan plan 6,339,387,600 Home health services 5,545,900 Hospice services 195,335,700 Hospital services and therapy 635,521,100 Integrated care organizations 435,081,300 Long-term care services 2,740,528,800 Maternal and child health 37,330,900 Medicaid home- and community-based services waiver 585,924,000 EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey Medicaid orthodontic benefit 4,744,400 Medicare premium payments 919,001,400 Mothering justice decision - adult home help wage continuation 315,000,000 Personal care services 4,978,700 Pharmaceutical services 357,448,600 Physician services 185,453,900 Program of all-inclusive care for the elderly 284,291,100 School-based services 178,823,900 Special Medicaid reimbursement 358,460,800 Transportation 14,210,000 GROSS APPROPRIATION $ 23,268,014,20023,268,014,300 Appropriated from:
Total local revenues 33,844,300 Total private revenues 10,942,500 Michigan merit award trust fund 173,817,500 Total other state restricted revenues 3,624,031,400 State general fund/general purpose $ 2,823,916,8002,823,916,900 Sec.
INFORMATION TECHNOLOGY Full-time equated classified positions 11.0 Bridges information system--FTEs 10.0 $ 123,932,600 Child support automation 45,101,900 Comprehensive child welfare information system 8,750,300 Information technology services and projects 238,586,800 Michigan Medicaid information system--FTE 1.0 104,020,300 EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey Michigan statewide automated child welfare information system 22,474,200 GROSS APPROPRIATION $ 542,866,100 Appropriated from:
ONE-TIME APPROPRIATIONS Addiction pilot program $ 1,000,000 Adoption placement software pilot project 750,000 Affordable housing project 2,000,000 Air quality sensor pilot project 100,000 Alternative payment model 18,000,000 Cancer drug repository program 3,000,000 Community-based care project 2,000,000 Community mental health projects 3,000,000 Continuous eligibility study 100 Dementia support 100 EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey Dental programs 100 Diaper assistance procurement 185,800 Disability and independent living program 100 Family planning local agreements 10,000,000 Food pantry grants 1,000,000 Health and wellness program 250,000 Health workforce development 1,250,000 Hispanic maternal mortality study 100 Hospital infrastructure grant 100 Incarcerate individuals community reentry Medicaid benefit 2,500,000 Liver screening pilot project 1,000,000 Maternal electronic health records pilot project 1,000,000 Medical debt relief pilot program 5,000,000 Menopause initiatives 2,500,000 Michigan nurse scholarship 3,000,000 Nonprofit mental health clinic 1,400,000 Primary care clinic 2,000,000 Social determinants of health hub - one-time 3,000,000 State psych DSH disallowance 78,664,100 Underserved healthcare facility project 1,500,000 Uterine fibroid study 250,000 Water affordability 6,000,000 GROSS APPROPRIATION $ 150,350,500 Appropriated from:
State general fund/general purpose $ 150,350,500 PART 2 EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey PROVISIONS CONCERNING APPROPRIATIONS FOR FISCAL YEAR 2025-2026 GENERAL SECTIONS Sec.
In accordance with section 30 of article IX of the state constitution of 1963, for the current fiscal year, total state spending under part 1 from state sources is $11,446,313,700.00$11,456,313,800.00 and state spending under part 1 from state sources to be paid to local units of government is $2,090,124,900.00.
DEPARTMENT OF HEALTH AND HUMAN SERVICES CHILD SUPPORT ENFORCEMENT Child support incentive payments $ 9,548,700 Legal support contracts 1,300 COMMUNITY SERVICES AND OUTREACH Homeless programs 7,500 Housing and support services 144,700 CHILDREN'S SERVICES AGENCY – CHILD WELFARE Child care fund 181,232,500 Child care fund - indirect cost allotment 3,500,000 Child welfare licensing 63,900 Children's trust fund 57,500 Contractual services, supplies, and materials 10,500 Foster care payments 2,592,100 Prosecuting attorney contracts 1,290,500 Strong families/safe children 52,900 Youth in transition 700 EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey CHILDREN'S SERVICES AGENCY – JUVENILE JUSTICE Bay Pines Center 45,800 Community support services 331,900 County juvenile officers 101,900 PUBLIC ASSISTANCE Emergency services local office allocations 2,066,500 Indigent burial 4,800 Michigan energy assistance program 261,200 State disability assistance payments 216,500 Water affordability 3,000,000 LOCAL OFFICE OPERATIONS AND SUPPORT SERVICES Contractual services, supplies, and materials 87,400 Employment and training support services 5,000 DISABILITY DETERMINATION SERVICES Disability determination operations 3,600 BEHAVIORAL HEALTH PROGRAM ADMINISTRATION AND SPECIAL PROJECTS Behavioral health program administration 125,100 Community substance use disorder prevention, education, and treatment 8,033,400 Mental health diversion council 100,000 Opioid response activities 20,000 BEHAVIORAL HEALTH SERVICES Autism services 113,925,300 Behavioral health community supports and services 25,000 Certified community behavioral health clinic demonstration 92,500,000 EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey Community mental health non-Medicaid services 123,235,100 Health homes 2,600,000 Healthy Michigan plan - behavioral health 46,945,400 Medicaid mental health services 997,601,400 Medicaid substance use disorder services 28,979,700 Multicultural integration funding 1,097,200 Nursing home PAS/ARR-OBRA 4,926,500 State disability assistance program substance use disorder services 1,754,300 STATE PSYCHIATRIC HOSPITALS AND FORENSIC MENTAL HEALTH SERVICES Caro Regional Mental Health Center - psychiatric hospital – adult 153,700 Center for forensic psychiatry 564,100 Kalamazoo Psychiatric Hospital - adult 55,400 Walter P.
Reuther Psychiatric Hospital – adult, children, and adolescents 92,000 HEALTH AND HUMAN SERVICES POLICY AND INITIATIVES Community health programs 1,500,000 Crime victim rights services grants 1,150,000 Crime victim rights sustaining grants 100 Domestic violence prevention and treatment 163,000 Primary care services 75,000 EPIDEMIOLOGY, EMERGENCY MEDICAL SERVICES, AND LABORATORY Epidemiology administration 541,400 Healthy homes program 1,769,000 EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey PFAS and environmental contamination response 900 LOCAL HEALTH AND ADMINISTRATIVE SERVICES AIDS prevention, testing, and care programs 2,805,800 Cancer prevention and control program 28,900 Essential local public health services 69,414,600 Local health services 2,072,700 Public health administration 2,000 Sexually transmitted disease control program 698,600 Smoking prevention program 242,100 FAMILY HEALTH SERVICES Drinking water declaration of emergency 130,300 Family planning local agreements 3,600,000 Immunization program 1,814,400 Pregnancy prevention program 65,000 Prenatal care outreach and service delivery support 7,672,700 CHILDREN'S SPECIAL HEALTH CARE SERVICES Medical care and treatment 833,600 Outreach and advocacy 2,991,000 AGING SERVICES Community services 29,044,900 Nutrition services 13,204,900 Respite care program 5,999,000 Senior volunteer service programs 943,500 HEALTH SERVICES Adult home help services 53,000 Ambulance services 943,000 Dental services 887,400 EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey Healthy Michigan plan 960,600 Home health services 1,400 Hospital services and therapy 1,351,300 Long-term care services 96,870,300 Medicaid home- and community-based services waiver 15,237,200 Mothering justice – adult home help wage continuation 193,528,700 Personal care services 22,300 Pharmaceutical services 800 Physician services 2,864,500 Transportation 280,000 ONE-TIME APPROPRIATIONS Water affordability 3,000,000 TOTAL OF PAYMENTS TO LOCAL UNITS OF GOVERNMENT $ 2,090,124,900 Sec.
(f) "Current fiscal year" means the fiscal year ending EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey September 30, 2026.
(v) "MiCAFE" means Michigan's coordinated access to food for EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey the elderly.
(gg) "Settlement" means the settlement agreement entered in EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey the case of Dwayne B.
(a) The funds must not be used for the purchase of foreign goods or services, or both, if competitively priced and of EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey comparable quality American goods or services, or both, are available.
The department shall submit the report to the EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey standard report recipients and to the senate and house of representatives appropriations committees.
Federal contingency authorization must not be made available to increase EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey TANF authorization.
EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey (d) The number of active employees by job classification.
EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey (a) Affect the operations of the department.
(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 and includes reimbursements, refunds, adjustments, and settlements from EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey prior years.
(1) The department may contract with the Michigan Public Health Institute for the design and implementation of EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey projects and for other public health-related activities prescribed in section 2611 of the public health code, 1978 PA 368, MCL 333.2611.
Show all 306 changed lines (266 more)
EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey Sec.
If collected fees are appropriated under this section in an amount that exceeds the current fiscal year appropriation, not later than EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey 30 days after the collected fee appropriation, the department shall notify the standard report recipients of that fact.
If the department receives tobacco tax funds and Healthy Michigan fund revenue from part 1, not later than April 1 of the current fiscal year, the department shall submit, to the EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey standard report recipients, a report on both of the following activities during the previous fiscal year:
(2) If the department is required to make a reduction in expenditures under section 395(1) or (2) of the management and budget act, 1984 PA 431, MCL 18.1395, for any appropriation under this part or part 1, the department must notify the standard report EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey recipients not later than 10 days after the reduction.
(a) Continue the direct care wage increase funded at $3.20 per hour and provide sufficient funding to increase the wages paid to direct care workers by $0.20 per hour more than the previous fiscal year for the services noted in the department's Medicaid provider EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey letter L 21-76 under the Medicaid managed care organization's relevant program.
The spending plan must include the following EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey information regarding planned expenditures for each category:
EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey (2) From the funds appropriated in part 1, local governments shall report any action or policy that attempts to restrict or interfere with the duties of the local health officer.
On a monthly basis, the department shall submit, to the standard report recipients, a report on any line-item appropriation for which the department estimates total annual expenditures would exceed the funds appropriated for the line-item EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey appropriation by 5% or more.
EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey (iv) An entity registered with the department of licensing and regulatory affairs or the department of attorney general that has been in existence for at least the 12 months preceding the effective date of this act.
(c) Verify to the extent possible that a grant recipient will use funds for a public purpose that serves the economic prosperity, EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey health, safety, or general welfare of the residents of this state.
(4) The process for the identification and sponsorship of a EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey grant described in subsection (1) is as follows:
If a legislative sponsor is not identified within 60 days after the effective date of this act, the department EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey shall do 1 of the following:
(e) A claw-back provision that allows the department of EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey treasury to recoup or otherwise collect any funds that are declined, unspent, or otherwise misused.
The grant agreement required under this section must include signed assurance by the chief executive EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey officer or other executive officer of the grant recipient that the requirements of this subsection will be met.
EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey (12) On request, beginning 75 days after the effective date of this act, the state budget office shall release information received for grant applications.
EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey (2) On a semiannual basis, the department shall submit, to the standard report recipients, a report that summarizes the status of any new or ongoing discussions with CMS, the United States Department of Health and Human Services, or another federal agency regarding any potential or future waiver applications and the status of any submitted waivers that have not yet received federal approval.
On the day that is 1 week after the day that the governor submits the executive budget proposal for the ensuing EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey fiscal year to the legislature, the department, in collaboration with the state budget office, shall submit, to the standard report recipients, a report on spending and revenue projections for each of the capped federal funds listed in this subsection.
(2) On a quarterly basis, the department shall submit, to the standard report recipients, a report on the realignment of federal EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey fund sources transacted to date in the current fiscal year under subsection (1), including the dates, line items, and amounts of the transactions.
The report must be submitted to the senate and house of EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey representatives appropriations committees and to the standard report recipients.
EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey (a) Each contractor shall have an accreditation that attests to the contractor's competency and effectiveness in providing services.
(3) From the federal money received for child support incentive payments, $14,500,000.00 must be paid to counties based EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey on each county's performance level for each of the performance measures under 45 CFR 305.2.
(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 EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey legal support contracts to reduce federal authorization by 66% of the escheated amount and increase general fund/general purpose authorization by the same amount.
(2) Not later than July 15 of the current fiscal year, the Northeast Michigan Community Service Agency shall submit a report to the department on the number of children and families served and EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey the services that were provided to families to meet the performance objectives identified in this section.
(2) Not later than March 1 of the current fiscal year, the department shall submit, to the standard report recipients, a report on the total amount expended for the emergency shelter EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey program in the prior 2 fiscal years, the total number of shelter nights provided, and the average length of stay in an emergency shelter.
EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey Sec.
EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey Sec.
EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey (3) From the funds appropriated in this section, at least 1% must be allocated to a national nonprofit organization that is organized under the laws of this state, is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, was founded in 1991 with 100 to 250 employees, is a national leader in supportive housing, and provides technical assistance and capacity building support to organizations providing permanent supportive housing services.
From the funds appropriated in part 1 for senior university, the department shall allocate $400,000.00 to a community action alliance located in a city with a population over 500,000 according to the most recent federal decennial census to EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey improve connectivity and computer skills to seniors.
EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey (b) The work project will be accomplished through partnerships with diaper assistance programs, maternity homes, and other nonprofit agencies.
EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey Sec.
(b) The number of children currently in foster care for longer than 24 months and the percentage of those children that had paid Medicaid behavioral health claims or encounters within the last EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey year.
(2) As a condition for receiving the funding in part 1, the West Michigan Partnership of Children Consortium shall maintain a EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey contract agreement with the department that supports a global capitated payment model.
(c) That the West Michigan Partnership for Children Consortium cooperate with the department on an independent fiscal analysis of EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey costs incurred and revenues received.
EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey (d) The required and actual staff-to-youth ratios.
(2) For cases accepted before the implementation of the new rate structure described in subsection (1), the department shall maintain the increase of contracted rates paid to private child placing agencies, including the $23.00 per diem for all foster EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey youth from the date of the case acceptance to the date of adoption petition acceptance or 150 days, whichever occurs sooner, for licensed child placing agencies contracted with the department to provide adoption services for foster youth.
The goal of the program is for not less than 85% of children to have an EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey initial medical and mental health examination that is not later than 30 days after entry into foster care.
EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey (c) The out-of-state facility meets all of the licensing standards for a comparable facility in this state.
(2) Not later than March 1 of the current fiscal year, the department shall submit, to the standard report recipients, a report on the total number of licensed foster parents and unlicensed relative caregivers that were provided respite services, the average amount of respite time per month, and the total amount EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey of funding spent on respite services during the previous fiscal year.
For a child placed in a family foster care home located out of this state, the department may ask a state or private child placing agency contracted by the receiving state to carry out required visits and any additional visits that the EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey department finds necessary.
Not later than February 15 of the current fiscal EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey year, the department shall submit, to the standard report recipients, a report 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, and independent living.
(1) Not later than February 15 of the current fiscal year, the department shall submit, to the standard report recipients, a report on the families first, family reunification, EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey and families together building solutions family preservation programs.
From the funds appropriated in part 1 for court- appointed special advocates, the department shall allocate $2,250,000.00 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, located in a charter township with a population between 18,000 and 19,000 that is located in a EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey county with a population between 600,000 and 700,000, according to the most recent federal decennial census.
(2) Not later than February 1 of the current fiscal year, the department shall submit, to the standard report recipients, a report detailing measurable performance indicators, desired EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey outcomes, and an assessment of the quality of services provided by the department during the previous fiscal year.
(f) For licensed relative caregivers without placements, the EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey status of title IV-E claims for foster care maintenance payments and foster care administrative payments.
(3) If required by the federal government to meet title IV-E requirements, on a quarterly basis, providers of foster care services shall submit a report on expenditures to the department to EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey identify actual costs of providing foster care services.
Sixty days after a county's child care fund review EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey is completed, including the receipt of all requested documentation from the county, the department shall provide the results of the review to the county.
(1) From the funds appropriated in part 1 for EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey adoption support services, not later than December 1 of the current fiscal year, the department shall allocate $500,000.00 to the Adoptive Family Support Network to operate and expand its adoptive parent mentor program to provide a listening ear, knowledgeable guidance, and community connections to adoptive parents and children who were adopted in this state or another state.
All of the following individuals shall meet an 85% success rate, after accounting for factors outside of EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey caseworker control:
The report must include, but not be limited to, aggregated recipient data from EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey contracted implementing agencies with each contracted implementing agency providing the age, race, ethnicity, Hispanic or Latino origin, federal poverty level funding source, and zip codes of all program recipients.
(1) From the funds appropriated in part 1 for foster care payments, $1,975,000.00 is allocated to support family incentive grants to private and community-based foster care service providers and relative caregivers for assistance with home EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey improvements to alleviate safety concerns or obtain items needed to ensure compliance with licensing rule requirements and to accommodate children in foster care.
EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey (e) Developing methods to promote and improve collaboration between state, county, and local governments and agencies and private stakeholders for all of the following reasons:
EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey Sec.
(1) Concurrently with public release, the department EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey shall transmit, without revision, all reports from the court- appointed settlement monitor, including, but not limited to, the needs assessment and period outcome reporting, to the standard report recipients.
EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey (d) In appropriate cases, the percent of sibling placement evaluations completed when 1 or more children remain in the home after a child has been removed.
Not later EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey than 15 business days after receiving a request from a county for reimbursement of a disputed charge, the department shall commence activity to investigate and resolve the disputed reimbursement charge.
EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey Sec.
EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey (b) Has a monthly budgetable income that is less than the payment standards.
County department offices shall require each recipient of family independence program and state disability assistance who has applied with the Social Security Administration for SSI to sign a contract to repay any assistance rendered through the family independence program or state disability assistance EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey program on receipt of retroactive SSI benefits.
Not later than 30 days before a proposed reduction in the state supplementation level, the department shall EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey notify the legislature of the proposed reduction.
EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey (c) The adult burial without services allowance is $570.00.
EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey (i) Payment if an irrevocable funeral agreement exists.
(1) The department shall determine a Medicaid EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey applicant's Medicaid eligibility not later than 90 days after the Medicaid applicant completes a Medicaid application if the Medicaid applicant's disability is an eligibility factor.
The department shall consider an individual or EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey family to be homeless for purposes of eligibility for state emergency relief, if the individual or family is living temporarily with another in order to escape domestic violence.
Not later than 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 EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey for the previous fiscal year, to the standard report recipients.
The report must also include the number of Michigan bridge card trafficking instances and overall welfare fraud referrals, that includes, but is not limited to, information on 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 EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey number of program disqualifications imposed.
The percentage established must not be less EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey than 50%.
EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey (2) From the funds appropriated in part 1 for family independence program – child supplemental payment, the department shall allocate $7,000,000.00 of TANF revenue to provide a supplemental payment for the current fiscal year for each child 6 years of age or older but under 14 years of age within a family receiving cash assistance.
EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey (4) The department shall make a reasonable attempt to obtain an up-to-date telephone number for an individual seeking medical assistance benefits during the eligibility determination or redetermination process for the individual.
EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey (c) The number of cases sanctioned because of a school truancy policy.
EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey (3) By September 30 of the current fiscal year, the department, through agreements with contracted implementing agencies, shall report to the standard report recipients information through June 30 of the current fiscal year on the aggregated demographic data of all program recipients regardless of underlying funding source.
EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey Sec.
(3) Not later than February 15 of the current fiscal year, the department shall submit a report to the standard report recipients 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 EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey service spending plans not approved by October 15.
From the funds appropriated in part 1 for local office staff travel, the department shall allocate up to $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 EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey Association.
From the funds appropriated in part 1 for employment and training support services, the department shall allocate $750,000.00 to a nonprofit organization that is organized under the EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey laws of this state, 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 greater than 600,000 according to the most recent federal decennial census, to support the operation and expansion of a neighborhood-based medical clinic that provides essential health services to residents in underserved areas of the city in which the organization is located.
The department EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey shall submit the report to the standard report recipients not later than 30 days after the department receives the report from the Prosecuting Attorneys Association of Michigan.
(5) The department shall classify as a limited-term FTE a new employee who is hired to fill a donated funds position contract or EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey is hired to fill a vacancy from an employee who transferred to a donated funds position.
The department shall use the funds appropriated in part 1 to support a system of comprehensive community mental health EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey 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 law and the law of this state.
(1) Not later than September 30 of the current EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey 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 standard report recipients that includes the information required by this section.
EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey (ii) The number of individuals who requested services but did not receive services.
Additionally, data on length of stay, referral EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey source, and participation in other state programs.
(2) Each managing entity shall continue current efforts to collaborate on the delivery of services to clients with mental illness and substance use disorder diagnoses, with the goal of EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey providing services in an administratively efficient manner.
Written interagency agreements describing what EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey 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.
From the funds appropriated in part 1 for behavioral EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey health program administration, the department shall allocate $100,000.00 as a grant to a nonprofit mental health clinic located in a county with a population between 290,000 and 300,000 according to the most recent federal decennial census that provides counseling services, accepts clients regardless of their ability to pay for services through sliding scale copayments and volunteer services, and uses fundraising to support their clinic.
(1) From the funds appropriated in part 1 for opioid response activities, the department shall allocate $45,000,000.00$55,000,000.00 from the Michigan opioid healing and recovery fund created under section 3 of the Michigan trust fund act, 2000 PA 489, MCL 12.253, as follows:
To receive funding under this subdivision, the nonprofit organization must have a stated mission to offer community-based, compassionate, best-practice/evidence-based services to those suffering from addiction, to their loved ones, EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey and to erase the stigma of addiction and instill compassion and hope.
(h) $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 EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey federal decennial census, has an aim to lead and support communities to dispel the myths and stigmas about drug addiction through public education, shares stories of recovery, partners with local and state leaders, creates positive social changes, and provides recovery support services for individuals in need.
(j) $10,000,000.00 to support naloxone distribution efforts and needle exchange programs.
(c) Estimated revenues to be deposited into and the spending EMR S01524'25 (S-1)_SB180_APS_1 rz9vey plan for the Michigan opioid healing and recovery fund for the next 12 months.
EMR S01524'25 (S-1) 1hbzi9 Sec.
The contracting entity EMR S01524'25 (S-1)_SB180_APS_1 rz9vey that receives funds appropriated under this section shall also develop accompanying trainings and resources for users.
EMR S01524'25 (S-1) 1hbzi9 Additionally, the contracting entity that receives funds appropriated under this section shall work closely with the Michigan Health Information Network Shared Services and the department to develop the technical specifications for integrating the protected health information consent tool with other relevant systems and applications, including, but not limited to, CareConnect360.
(2) The substance use and case management provider receiving funds under this section shall collect and submit to the department EMR S01524'25 (S-1)_SB180_APS_1 rz9vey data on the outcomes of the project throughout the duration of the project and the department shall submit a report on the project's EMR S01524'25 (S-1) 1hbzi9 outcomes to the standard report recipients.
(1) In accordance with section 236 of the mental health code, 1974 PA 258, MCL 330.1236, the department shall review EMR S01524'25 (S-1)_SB180_APS_1 rz9vey expenditures for each CMHSP to identify any CMHSP with a projected allocation surplus and to identify any CMHSP with a projected EMR S01524'25 (S-1) 1hbzi9 allocation shortfall.
(1) From the funds appropriated in part 1 for autism services, the department shall continue to cover all Medicaid EMR S01524'25 (S-1)_SB180_APS_1 rz9vey autism services to Medicaid enrollees eligible for the services that were covered on January 1, 2019.
EMR S01524'25 (S-1) 1hbzi9 (2) To restrain cost increases in the autism services line item, the department shall do all of the following:
EMR S01524'25 (S-1)_SB180_APS_1 rz9vey (f) Require that Medicaid eligibility be confirmed through prior evaluations conducted by qualified licensed practitioners as EMR S01524'25 (S-1) 1hbzi9 determined by the department and CMHSPs.
From the funds appropriated in part 1 for behavioral health program administration, the department shall allocate not less than $9,386,400.00 of 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 for both of the following in accordance with section 165 of the mental health code, 1974 PA 258, EMR S01524'25 (S-1)_SB180_APS_1 rz9vey MCL 330.1165:
(a) Primary coverage in a region where a regional national EMR S01524'25 (S-1) 1hbzi9 suicide prevention lifeline center does not provide coverage.
EMR S01524'25 (S-1)_SB180_APS_1 rz9vey (3) As used in this section, "mental health diversion council" means the council as that term is defined in section 207e of the EMR S01524'25 (S-1) 1hbzi9 mental health code, 1974 PA 258, MCL 330.1207e.
(a) Are a current CMHSP or an eligible organization as defined in section 223(a)(2)(F) of the protecting access to Medicare act of EMR S01524'25 (S-1)_SB180_APS_1 rz9vey 2014, Public Law 113-93, with a CCBHC grant from the federal substance abuse and mental health services administration for at EMR S01524'25 (S-1) 1hbzi9 least 1 year.
EMR S01524'25 (S-1)_SB180_APS_1 rz9vey (2) On a semiannual basis, the department shall submit a report to the standard report recipients on the number of EMR S01524'25 (S-1) 1hbzi9 individuals being served and expenditures incurred by each PIHP region by site.
EMR S01524'25 (S-1)_SB180_APS_1 rz9vey (k) The comparison of costs for a random sample of enrollees between care provided by a CCBHC provider and a Medicaid provider EMR S01524'25 (S-1) 1hbzi9 that is not a CCBHC.
EMR S01524'25 (S-1)_SB180_APS_1 rz9vey (d) Whenever possible, promote fair and adequate direct care reimbursement, including, but not limited to, fair wages for direct EMR S01524'25 (S-1) 1hbzi9 service workers.
(b) The quantity, measured by days or other relevant unit of EMR S01524'25 (S-1)_SB180_APS_1 rz9vey service, of each community support and service purchased.
(c) The quantifiable impact of the purchase of community EMR S01524'25 (S-1) 1hbzi9 supports and services, including the number of individuals served, the number of successful discharges, and the number of re- escalations to either the discharging entity or a state psychiatric hospital.
(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 EMR S01524'25 (S-1)_SB180_APS_1 rz9vey maintain their eligibility for funding.
EMR S01524'25 (S-1) 1hbzi9 (a) Each contractor or subcontractor shall have accreditations that attest to their competency and effectiveness as behavioral health and social service agencies.
(4) From the funds appropriated in part 1 for multicultural integration services, $8,600,000.00 is allocated in the same manner EMR S01524'25 (S-1)_SB180_APS_1 rz9vey as the funds in section 122 of article 6 of 2024 PA 121.
From the funds appropriated in part 1 for federal EMR S01524'25 (S-1) 1hbzi9 mental health block grant, the department shall, to the extent possible, provide grants pursuant to federal law 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) The department shall not implement a closure or consolidation of a state hospital, center, or agency, until each CMHSP or PIHP affected by the closure or consolidation has programs and services in place for the individuals currently in the hospital, center, or agency that is to be closed or consolidated, and has a plan for providing services to the individuals who would EMR S01524'25 (S-1)_SB180_APS_1 rz9vey have been admitted to the hospital, center, or agency.
(2) A closure or consolidation is dependent on adequate EMR S01524'25 (S-1) 1hbzi9 department-approved CMHSP and PIHP plans that include a discharge and aftercare plan for each individual currently in a facility described in subsection (1).
Effective October 1 of the current fiscal year, the department, in consultation with the department of technology, EMR S01524'25 (S-1)_SB180_APS_1 rz9vey management, and budget, may maintain a bid process to identify 1 or more private contractors to provide food and custodial services for EMR S01524'25 (S-1) 1hbzi9 the administrative areas at a state hospital identified by the department as capable of generating savings through the outsourcing of food and custodial services.
EMR S01524'25 (S-1)_SB180_APS_1 rz9vey (f) The average wait time for a child who is awaiting admission into another state-operated hospital or center through EMR S01524'25 (S-1) 1hbzi9 the civil admissions process.
(l) The most recent 12-month total number of children requested to be admitted to a state-operated hospital or center through the EMR S01524'25 (S-1)_SB180_APS_1 rz9vey civil admissions process.
(m) The number of individuals determined not guilty by reason EMR S01524'25 (S-1) 1hbzi9 of insanity by an order of the criminal court that were removed from the admissions waiting list and the reason for the removal from the admissions waiting list.
The report must EMR S01524'25 (S-1)_SB180_APS_1 rz9vey include, but is not limited to, the following:
(a) The number of direct care and clinical staff positions EMR S01524'25 (S-1) 1hbzi9 that are currently vacant by hospital, and how that number compares to the number of vacancies during the previous fiscal year.
The unit EMR S01524'25 (S-1)_SB180_APS_1 rz9vey and support team described in this subsection shall augment the continuum of behavioral health services for high-need youth and EMR S01524'25 (S-1) 1hbzi9 provide additional continuity of care and transition into supportive community-based services.
The department shall take steps necessary to work EMR S01524'25 (S-1)_SB180_APS_1 rz9vey with the Indian Health Service, tribal health program facilities, or Urban Indian Health Program facilities, that provide services EMR S01524'25 (S-1) 1hbzi9 under a contract with a Medicaid managed care entity to ensure that the facilities described in this section receive the maximum amount allowable under federal law for Medicaid services.
EMR S01524'25 (S-1)_SB180_APS_1 rz9vey Sec.
From the funds appropriated in part 1 for cellular therapy for Versiti Michigan, $750,000.00 is allocated to Versiti EMR S01524'25 (S-1) 1hbzi9 Michigan.
The funds allocated under EMR S01524'25 (S-1)_SB180_APS_1 rz9vey this section must be used to support staff compensation and training, victim needs, and community awareness, education, and EMR S01524'25 (S-1) 1hbzi9 prevention programs.
From the funds appropriated in part 1 for child EMR S01524'25 (S-1)_SB180_APS_1 rz9vey advocacy centers - supplemental grants, the department shall allocate $8,000,000.00 to provide additional funding to child EMR S01524'25 (S-1) 1hbzi9 advocacy centers to support the general operations of child advocacy centers.
A community-based health clinic shall provide EMR S01524'25 (S-1)_SB180_APS_1 rz9vey preventive health supports and services, be established in communities with high social vulnerability and health disparities, EMR S01524'25 (S-1) 1hbzi9 and be operated in cooperation with trusted community partners with demonstrated experience in serving as an access point for preventive health supports and services.
EMR S01524'25 (S-1)_SB180_APS_1 rz9vey (a) Use an evidence-informed integrated trauma recovery service model for providing and delivering services.
EMR S01524'25 (S-1) 1hbzi9 (b) Comply with applicable statutory requirements for the trauma facility's administration and operation, and for service requirements and funding.
The goals of the childhood lead program must include improving the identification of children affected by lead exposure, improving the timeliness of EMR S01524'25 (S-1)_SB180_APS_1 rz9vey case follow-up, and attaining nurse care management for children with lead exposure, and to achieve a long-term reduction in the EMR S01524'25 (S-1) 1hbzi9 percentage of children in this state with elevated blood lead levels.
The department shall integrate the stroke and STEMI system into the statewide trauma care system within the emergency medical services system and shall ensure that the stroke and STEMI system complies with at least all EMR S01524'25 (S-1)_SB180_APS_1 rz9vey of the following requirements:
(a) A requirement that a facility is designated as a stroke EMR S01524'25 (S-1) 1hbzi9 and STEMI facility if the department verifies that national certification or accreditation standards for the facility have been met.
The amount appropriated in part 1 for implementation of the 1993 additions of or amendments to sections 9161, 16221, 16226, 17015, and 17515 of the public health code, 1978 PA 368, MCL 333.9161, 333.16221, 333.16226, 333.17015, and 333.17515, must be used to reimburse local health departments for EMR S01524'25 (S-1)_SB180_APS_1 rz9vey costs incurred to implement section 17015(18) of the public health code, 1978 PA 368, MCL 333.17015.
EMR S01524'25 (S-1) 1hbzi9 Sec.
(2) The department shall not distribute funds under subsection (1) to a county unless the county maintains local spending in the current fiscal year in an amount that is equal to or exceeds the amount the county expended in fiscal year 1992-1993 for the EMR S01524'25 (S-1)_SB180_APS_1 rz9vey services described in subsection (1).
(3) Not later than February 1 of the current fiscal year, the EMR S01524'25 (S-1) 1hbzi9 department shall submit a report to the standard report recipients on the planned allocation of the funds appropriated for essential local public health services.
(2) To be eligible for a grant under this section, a community EMR S01524'25 (S-1)_SB180_APS_1 rz9vey provider of violence interventions services must not have received a grant from the department for this purpose in the previous fiscal EMR S01524'25 (S-1) 1hbzi9 year.
The department shall allocate the funding to address issues including, but not limited to, staffing, planning and response, and creating and disseminating materials related to PFAS contamination EMR S01524'25 (S-1)_SB180_APS_1 rz9vey issues and other emerging public health issues and threats.
(2) Not later than March 1 of the current fiscal year, the EMR S01524'25 (S-1) 1hbzi9 department shall submit a report to the standard report recipients on actual expenditures in the previous fiscal year and planned spending in the current fiscal year of the funds described in subsection (1).
Efforts must be continuous to ensure that the EMR S01524'25 (S-1)_SB180_APS_1 rz9vey department's activities are not duplicative with activities of another department or agency.
EMR S01524'25 (S-1) 1hbzi9 Sec.
EMR S01524'25 (S-1)_SB180_APS_1 rz9vey (2) The department shall ensure that the distribution of funds through the programs described in subsection (1) takes into account EMR S01524'25 (S-1) 1hbzi9 the needs of rural communities.
EMR S01524'25 (S-1)_SB180_APS_1 rz9vey (d) Nursing services, breastfeeding education, evidence-based home visiting programs, intensive services, and outreach for EMR S01524'25 (S-1) 1hbzi9 children exposed to lead coordinated through local community mental health organizations.
The funds must be used for enhanced support and education to nursing teams or other teams of health EMR S01524'25 (S-1)_SB180_APS_1 rz9vey professionals that the department considers qualified, client recruitment in areas designated as underserved for obstetrical and EMR S01524'25 (S-1) 1hbzi9 gynecological services and in 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.
From the funds appropriated in part 1, the EMR S01524'25 (S-1)_SB180_APS_1 rz9vey department shall enhance the department's education and outreach efforts that encourage women of childbearing age to seek the EMR S01524'25 (S-1) 1hbzi9 confirmation of a pregnancy at the earliest indication of a possible pregnancy and to initiate continuous and routine prenatal care on the confirmation of a pregnancy.
From the funds appropriated in part 1 for prenatal EMR S01524'25 (S-1)_SB180_APS_1 rz9vey care outreach and service delivery support, the department shall allocate $5,000,000.00 to support grants to local collaboratives to EMR S01524'25 (S-1) 1hbzi9 enhance the ability of local collaboratives to coordinate and improve maternal and infant health outcomes.
(1) From the funds appropriated in part 1 for dental programs, the department shall allocate $4,260,000.00 of state and local funds, plus any private contributions received to EMR S01524'25 (S-1)_SB180_APS_1 rz9vey support the program, to establish and maintain the dental oral assessment program described in section 9316 of the public health EMR S01524'25 (S-1) 1hbzi9 code, 1978 PA 368, MCL 333.9316.
EMR S01524'25 (S-1)_SB180_APS_1 rz9vey (d) Provide human growth hormone to eligible individuals.
(e) Provide mental health care to eligible individuals for EMR S01524'25 (S-1) 1hbzi9 mental health needs that result from, or are a symptom of, the individual's qualifying medical condition.
EMR S01524'25 (S-1)_SB180_APS_1 rz9vey (a) Provide the legislature with a recommended definition for palliative care in this state.
EMR S01524'25 (S-1) 1hbzi9 (b) Conduct research on palliative care.
EMR S01524'25 (S-1)_SB180_APS_1 rz9vey (b) Detailed expenditures by each area agency on aging by individual program and administration, including both state-funded EMR S01524'25 (S-1) 1hbzi9 resources and locally funded resources.
The department shall coordinate with the department of licensing and regulatory affairs to ensure that, on the issuance EMR S01524'25 (S-1)_SB180_APS_1 rz9vey of an order suspending the license of an adult foster care facility, home for the aged, or nursing home, the department of EMR S01524'25 (S-1) 1hbzi9 licensing and regulatory affairs provides a notice to the department, to the house and senate appropriations subcommittees on the department budget, and to the members of the house of representatives and senate that represent the legislative districts of the county in which the adult foster care facility, home for the aged, or nursing home is located.
All claims submitted for payment for obstetrical and prenatal care must be paid at the Medicaid fee-for-service rate if a contract does not exist between EMR S01524'25 (S-1)_SB180_APS_1 rz9vey the Medicaid participating obstetrical or prenatal care provider and the managed care plan.
The applicant must receive a listing of EMR S01524'25 (S-1) 1hbzi9 Medicaid physicians and managed care plans in the immediate vicinity of the applicant's residence.
(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 EMR S01524'25 (S-1)_SB180_APS_1 rz9vey Medicare, those amounts established for Medicaid-only patients.
Other EMR S01524'25 (S-1) 1hbzi9 than an approved Medicaid copayment, no portion of a provider's charge shall be billed to the recipient or any person acting on behalf of the recipient.
EMR S01524'25 (S-1)_SB180_APS_1 rz9vey (c) If the drug is indicated as nonpreferred on the department's preferred drug list, $9.00 or the pharmacy's submitted EMR S01524'25 (S-1) 1hbzi9 dispensing fee, whichever is less.
(2) Not later than March 1 of the current fiscal year, the EMR S01524'25 (S-1)_SB180_APS_1 rz9vey department shall submit a report including the information provided under subsection (1) to the standard report recipients.
EMR S01524'25 (S-1) 1hbzi9 (3) Any nonaggregated information submitted under this section is confidential and must not be disclosed to any person by the department.
The wholesaler pricing must be based on the price available from at least 2 wholesalers who deliver drugs in this EMR S01524'25 (S-1)_SB180_APS_1 rz9vey state.
Not later than April 1 of the current fiscal year, EMR S01524'25 (S-1) 1hbzi9 from the funds appropriated in part 1 for Medicaid dental services, the department shall submit a report to the standard report recipients on the dental service benefit.
(iii) The annual change in dental utilization of children enrolled in the Healthy Kids Dental program broken down by dental EMR S01524'25 (S-1)_SB180_APS_1 rz9vey benefit manager.
(iv) Service expenditures for the Healthy Kids Dental program EMR S01524'25 (S-1) 1hbzi9 broken down by dental benefit manager.
constricted palate, deep impinging overbite, Class III malocclusion, including EMR S01524'25 (S-1)_SB180_APS_1 rz9vey skeletal Class III cases when a protraction facemask/reverse pull headgear is necessary at a young age, craniofacial anomalies, EMR S01524'25 (S-1) 1hbzi9 anterior cross bite, or dentition exhibiting results of harmful habits or traumatic interferences between erupting teeth.
(d) The tentative completion date for the work project is EMR S01524'25 (S-1)_SB180_APS_1 rz9vey September 30, 2029.
(3) As used in this section, "CDT" means the code on dental EMR S01524'25 (S-1) 1hbzi9 procedures and nomenclature.
1634.
From the funds appropriated in part 1 for health plan services, the department shall allocate $100.00 to implement 2024 PA 244.
Sec.
(1) From the funds appropriated in part 1, the department shall update the Medicaid Provider Manual policy for the Class I nursing facility current asset value bed limit to use a rolling 15-year history of new construction when establishing a EMR S01524'25 (S-1)_SB180_APS_1 rz9vey current asset value bed limit for the fiscal year beginning on October 1 of the current fiscal year.
(2) It is the intent of the legislature that, for the fiscal year beginning October 1, 2026, and subsequent fiscal years, the increase in the current asset value bed limit based on the rolling EMR S01524'25 (S-1) 1hbzi9 15-year history of new construction shall not exceed 4% of the previous fiscal year's limit.
This EMR S01524'25 (S-1)_SB180_APS_1 rz9vey funding must include all costs incurred by the employer, including, but not limited to, payroll taxes, due to the wage increase.
(1) From the funds appropriated in part 1, the department shall increase wages by 85 cents per hour above the level paid for the fiscal year ending September 30, 2023 for EMR S01524'25 (S-1) 1hbzi9 eligible nonclinical staff employed by skilled nursing facilities and for regularly scheduled full-time and part-time, nontemporary employees that are contracted out by skilled nursing facilities.
(m) Noncertified aides, including, but not limited to, resident aides, resident care aides, activities aides, and nurse's EMR S01524'25 (S-1)_SB180_APS_1 rz9vey aides.
EMR S01524'25 (S-1) 1hbzi9 Sec.
(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 EMR S01524'25 (S-1)_SB180_APS_1 rz9vey considered to be medically necessary.
The external quality review must analyze and evaluate aggregated information on quality, timeliness, and access EMR S01524'25 (S-1) 1hbzi9 to health care services that the HMO or its contractors furnish to Medicaid beneficiaries.
(2) The department shall provide up to 1 year of continuous EMR S01524'25 (S-1)_SB180_APS_1 rz9vey eligibility to a child eligible for the MIChild program unless the child reaches age 19.
From the funds appropriated in part 1 for the MIChild program, the department shall provide, at a minimum, all benefits available under the Michigan benchmark plan that are EMR S01524'25 (S-1) 1hbzi9 delivered through contracted providers and consistent with federal law, including, but not limited to, the following medically necessary services:
(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 EMR S01524'25 (S-1)_SB180_APS_1 rz9vey regulations.
EMR S01524'25 (S-1) 1hbzi9 (3) Not later than March 1 of the current fiscal year, the department shall report to the standard report recipients on penalty money received by the department as described in subsection (1).
The department shall modify and update the Medicaid Provider Manual policy to recognize expenses incurred by nursing facilities for skilled staffing fees attributable to in-home EMR S01524'25 (S-1)_SB180_APS_1 rz9vey dialysis services as a reimbursable base cost, to take effect October 1, 2025.
The department and the state EMR S01524'25 (S-1) 1hbzi9 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.
EMR S01524'25 (S-1)_SB180_APS_1 rz9vey Sec.
From the funds appropriated in part 1 for special Medicaid reimbursement, $2,628,500.00 of general fund/general purpose revenue and any associated federal match must be distributed for poison control services to an academic health care system that has a high volume of providing care to indigent EMR S01524'25 (S-1) 1hbzi9 individuals.
These additional funds must be used to attract and retain highly EMR S01524'25 (S-1)_SB180_APS_1 rz9vey 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 setting possible.
The department shall obtain proof from all Medicaid recipients that they are United States citizens or otherwise EMR S01524'25 (S-1) 1hbzi9 legally residing in this country and that they are residents of this state before approving Medicaid eligibility.
EMR S01524'25 (S-1)_SB180_APS_1 rz9vey (a) The status of any extension received from CMS for the MI Health Link demonstration.
(c) The status of the transition, by MI Health Link service EMR S01524'25 (S-1) 1hbzi9 region and by individual county within a region.
EMR S01524'25 (S-1)_SB180_APS_1 rz9vey (2) The health centers careers training program described in subsection (1) must do all of the following:
(a) Provide recruiting and training opportunities for professions, including, but not limited to, medical and dental assistants, community health workers, doulas, medical billing and EMR S01524'25 (S-1) 1hbzi9 coding professionals, pharmacy technicians, and opticians.
From the funds appropriated in part 1 for federally EMR S01524'25 (S-1)_SB180_APS_1 rz9vey qualified health centers, the department shall allocate not less than $11,300,000.00 in general fund/general purpose revenue and any associated federal match to maintain Medicaid prospective payment system reimbursement rates.
The department shall maintain the current EMR S01524'25 (S-1) 1hbzi9 practitioner rates paid for 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 the age of 21.
From the funds appropriated in part 1 for physician EMR S01524'25 (S-1)_SB180_APS_1 rz9vey services and health plan services, the department shall continue the increase to Medicaid rates for primary care services provided only by primary care providers.
The department shall not provide the increase to Medicaid rates under this section to primary care providers whose primary practice is as a non-primary-care EMR S01524'25 (S-1) 1hbzi9 subspecialty.
For the current fiscal year, a hospital that met established occupied bed criteria based on Medicaid cost reports as of the EMR S01524'25 (S-1)_SB180_APS_1 rz9vey fiscal year ending September 30, 2011, and that is located within a county with a population of not more than 165,000 and within a city, village, or township with a population of not more than 16,000, according to the 2000 federal decennial census, is eligible.
EMR S01524'25 (S-1) 1hbzi9 (b) $15,204,800.00 in general fund/general purpose revenue and any associated federal match awarded as rural access payments to noncritical access hospitals that meet criteria established by the department for services to low-income rural residents.
EMR S01524'25 (S-1)_SB180_APS_1 rz9vey Sec.
(1) From the funds appropriated in part 1, the department shall allocate not less than $1,000,000.00 of general fund/general purpose revenue and any associated federal matching funds to provide perinatal and gynecological services when perinatal and gynecological services are provided by a perinatal or EMR S01524'25 (S-1) 1hbzi9 gynecological professional who is licensed, registered, or otherwise authorized to practice in this state, including, but not limited to, a licensed midwife acting within the scope of the licensed midwife's license.
EMR S01524'25 (S-1)_SB180_APS_1 rz9vey Sec.
Not later than June 1 of the current fiscal year, and using the most recent available cost reports, the department shall complete a report of 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 EMR S01524'25 (S-1) 1hbzi9 through the MiDocs consortium.
From the funds appropriated in part 1 for hospital services and therapy, the department shall allocate $10,000,000.00 EMR S01524'25 (S-1)_SB180_APS_1 rz9vey to continue to support hospitals in this state to improve maternal safety and outcomes by administering and expanding a data-driven maternal safety and quality improvement initiative that is based on interdisciplinary and consensus-based practices.
The initiative expansion must focus on mitigating pregnancy-associated injury and EMR S01524'25 (S-1) 1hbzi9 death, work to improve outcomes for underserved groups, and address problems related to substance use disorders.
The funds appropriated in part 1 for PACE must EMR S01524'25 (S-1)_SB180_APS_1 rz9vey support a current fiscal year enrollment cap that is not less than 8,597.
From the funds appropriated in part 1 for PACE, to the extent that funding is available in the PACE line item and unused program slots are available, the department may do the EMR S01524'25 (S-1) 1hbzi9 following:
(2) Not later than September 15 of the current fiscal year, each Medicaid-enrolled hospice with a residence that receives funds EMR S01524'25 (S-1)_SB180_APS_1 rz9vey under this section shall provide a report to the department on the utilization of the grant funding provided in subsection (1).
EMR S01524'25 (S-1) 1hbzi9 (b) The number of days served.
1861.
From the funds appropriated in part 1 for transportation, on a monthly basis, the department shall submit, to the standard report recipients and contracted Medicaid health plans, a report with sufficient information to allow for the appropriate and timely adjudication of claims for non-emergency EMR S01524'25 (S-1)_SB180_APS_1 rz9vey medical transportation related to substance use disorders and behavioral health services.
The information reported must include, but is not limited to, member demographic information, provider information, and dates of service.
Sec.
The new primary care residency slots must be in 1 of the following EMR S01524'25 (S-1) 1hbzi9 specialties:
(4) The MiDocs consortium shall work with the department to EMR S01524'25 (S-1)_SB180_APS_1 rz9vey integrate the Michigan inpatient psychiatric admissions discussion (MIPAD) recommendations and, when possible, prioritize training opportunities in state psychiatric hospitals and community mental health organizations.
(6) Not later than September 1 of the current fiscal year, the MiDocs consortium shall submit a report to the standard report EMR S01524'25 (S-1) 1hbzi9 recipients that includes all of the following information:
(b) Maximizing training opportunities with community health centers, rural critical access hospitals, solo or group private practice physician practices, schools, and other community-based EMR S01524'25 (S-1)_SB180_APS_1 rz9vey clinics, in addition to the required training through rotations at inpatient hospitals.
(8) Unexpended and unencumbered funds up to a maximum $11,000,000.00 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 must not lapse at the end of the fiscal year and must be available for expenditures for the MiDocs consortium to create new primary care residency slots in underserved communities under this section until EMR S01524'25 (S-1) 1hbzi9 the work project has been completed.
From the funds appropriated in part 1 for personal care services, the department shall maintain the monthly Medicaid EMR S01524'25 (S-1)_SB180_APS_1 rz9vey personal care supplement paid to adult foster care facilities and homes for the aged that provide personal care services to Medicaid recipients in place during the previous fiscal year.
The report shall include, for the previous fiscal year, the total Medicaid EMR S01524'25 (S-1) 1hbzi9 pharmaceutical costs and the total Medicaid pharmaceutical rebates.
(c) The total Medicaid pharmaceutical rebates received by the department in the previous fiscal year and the single preferred EMR S01524'25 (S-1)_SB180_APS_1 rz9vey drug list supplemental rebates invoices in the previous fiscal year.
EMR S01524'25 (S-1) 1hbzi9 (ii) The total amount of expenditures for prescriptions paid by the department during the previous fiscal year.
Any single preferred drug list utilization management criteria will be established in consultation with the Medicaid health plans and the Michigan pharmacy and therapeutics committee described in section 9705 of the public health code, 1978 PA 368, MCL 333.9705, with consideration given to EMR S01524'25 (S-1)_SB180_APS_1 rz9vey applicable United States Food and Drug Administration dosing guidelines, subsequent evidence-based literature or studies, and current treatment guidelines.
(1) The department shall submit a report on a semiannual basis to the standard report recipients that lists the EMR S01524'25 (S-1) 1hbzi9 projects approved in the previous 6 months and provides the purpose for approving each project including any federal, state, court, or legislative requirement for each project.
The report must include, but is not 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 EMR S01524'25 (S-1)_SB180_APS_1 rz9vey Administration for Children and Families.
EMR S01524'25 (S-1) 1hbzi9 (d) Any additional overtime or other staffing costs to address known issues and volume of help tickets.
EMR S01524'25 (S-1)_SB180_APS_1 rz9vey (j) Progress in developing and implementing custom integrated systems for private agencies.
(3) Not later than July 1 of the current fiscal year, the department shall submit to the standard report recipients a report on the department's efforts and recommendations to 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 EMR S01524'25 (S-1) 1hbzi9 homes.
(2) From the funds appropriated in part 1 for bridges EMR S01524'25 (S-1)_SB180_APS_1 rz9vey information system, the department shall only encumber or expend funds for the operation, maintenance, and improvements of Bridges and MIBridges.
(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 EMR S01524'25 (S-1) 1hbzi9 improvements to the comprehensive child welfare information system.
To ensure full transparency, the project must be included in the ITIF portfolio for executive, legislative, and EMR S01524'25 (S-1)_SB180_APS_1 rz9vey external reporting purposes.
EMR S01524'25 (S-1) 1hbzi9 ONE-TIME APPROPRIATIONS Sec.
EMR S01524'25 (S-1)_SB180_APS_1 rz9vey (b) The organization shall ensure that there are no adverse tax or income implications for a patient due to the elimination of the medical debt.
Unencumbered or unallotted funds shall not lapse at EMR S01524'25 (S-1) 1hbzi9 the end of the fiscal year and shall be available for expenditures under this section until the project has been completed.
From the funds appropriated in part 1 for uterine fibroid study, the department shall allocate $250,000.00 to commission a study to evaluate options to expand services for the detection and treatment of uterine fibroids, increase awareness of EMR S01524'25 (S-1)_SB180_APS_1 rz9vey services for the detection and treatment of uterine fibroids, and increase access to services for the detection and treatment of uterine fibroids.
The following is in compliance with section EMR S01524'25 (S-1) 1hbzi9 451a of the management and budget act, 1984 PA 431, MCL 18.1451a:
From the funds appropriated in part 1 for cancer drug repository program, the department shall allocate $3,000,000.00 as a grant to a nonprofit organization that is organized under the laws of this state, is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, is located in a county with a population between 300,000 and 400,000 and in a city with a population greater than EMR S01524'25 (S-1)_SB180_APS_1 rz9vey 100,000 according to the most recent federal decennial census, and operates an interconnected system of cancer drug repository programs at health care sites located in this state.
EMR S01524'25 (S-1) 1hbzi9 (b) $500,000.00 to renovate a space to house an integrated care assessment center to improve care coordination for individuals with complex needs, to provide access to mental health services for individuals who otherwise might not seek care due to stigma, and to provide services to address elevated levels of anxiety, depression, substance use disorder, or other concerns.
The funding must be used to expand services at a social determinants of health hub to reduce EMR S01524'25 (S-1)_SB180_APS_1 rz9vey barriers to health care access and expand the use of community health workers.
To be eligible for the funding, the organization must have been established in 2021 and have a stated mission of investing in the safety and well-being of children and families through building community, providing support, and EMR S01524'25 (S-1) 1hbzi9 promoting advocacy.
(c) Supporting reasonable water affordability plans that are based on an individual's ability to pay, including capped payments based on household income to prevent accumulating a balance on future water bills and funding to qualified providers to cover the EMR S01524'25 (S-1)_SB180_APS_1 rz9vey remaining cost of service.
EMR S01524'25 (S-1) 1hbzi9 (4) Qualified providers receiving grants under this section shall report to the department by September 30 of the current fiscal year on outcomes and performance measures for the program, including, but not limited to, all of the following:
EMR S01524'25 (S-1)_SB180_APS_1 rz9vey (6) The unexpended funds appropriated in part 1 for water affordability are designated as a work project appropriation, and any unencumbered or unallotted funds shall not lapse at the end of the fiscal year and shall be available for expenditures for projects under this section until the projects have been completed.
EMR S01524'25 (S-1) 1hbzi9 (c) The total estimated cost of the project is $6,000,000.00.
EMR S01524'25 (S-1)_SB180_APS_1 rz9vey Sec.
EMR S01524'25 (S-1) 1hbzi9 (b) To support an annual community health fair.
From the funds appropriated in part 1 for disability and independent living program, the department shall allocate $100.00 to a nonprofit organization that is organized under the laws of this state, 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 2,600 and 3,200 in a county with a population greater than 1,500,000 EMR S01524'25 (S-1)_SB180_APS_1 rz9vey according to the most recent federal decennial census.
(a) Identify barriers and inequality in care that impact EMR S01524'25 (S-1) 1hbzi9 Hispanic maternal and infant mortality rates.
(2) To be eligible for a grant under this section, the community food pantry must have been in existence for at least 12 EMR S01524'25 (S-1)_SB180_APS_1 rz9vey months.
(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 by promoting quality EMR S01524'25 (S-1) 1hbzi9 of life, continuous improvement, social awareness, and healing.
EMR S01524'25 (S-1)_SB180_APS_1 rz9vey (b) The project will be accomplished by a CARF International accredited wellness center.
The nonprofit organization must utilize a matching algorithm that analyzes key attributes of both children and prospective families and have a stated vision to EMR S01524'25 (S-1) 1hbzi9 empower people to create connections to achieve a reality in which every child is rooted in family.
EMR S01524'25 (S-1)_SB180_APS_1 rz9vey (c) The estimated cost of the project is $750,000.00.
From the funds appropriated in part 1 for Michigan nurse scholarship, the department shall allocate $3,000,000.00 to a statewide nonprofit foundation that is organized under the laws of this state and is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, to EMR S01524'25 (S-1) 1hbzi9 support a scholarship program for nursing students or existing nurses who are seeking advanced degrees or certifications in this state.
(1) From the funds appropriated in part 1 for EMR S01524'25 (S-1)_SB180_APS_1 rz9vey health workforce development, the department shall allocate $1,250,000.00 for a 4-year pilot program to increase the number of prepared psychiatric mental health nurse practitioners to expand access to mental health services and to provide care in underserved communities throughout this state.
All of the EMR S01524'25 (S-1) 1hbzi9 following are in compliance with section 451a of the management and budget act, 1984 PA 431, MCL 18.1451a:
(1) From the funds appropriated in part 1 for dental programs, $100.00 of general fund/general purpose revenue and any associated federal match must be distributed to a qualified nonprofit provider of dental services that partners with local health departments for the purpose of expanding capacity and ensuring operational efficiencies that may include equipment and EMR S01524'25 (S-1)_SB180_APS_1 rz9vey technology upgrades.
From the funds appropriated in part 1 for affordable housing project, the department shall allocate $2,000,000.00 to a nonprofit organization that is organized under the laws of this state, is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, EMR S01524'25 (S-1) 1hbzi9 and 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 decennial census, for capital costs resulting from construction of an affordable housing apartment complex.
The pilot project must include, but is not limited to, screening for cholestatic EMR S01524'25 (S-1)_SB180_APS_1 rz9vey liver disorders associated with increased risk of end-stage liver disease.
EMR S01524'25 (S-1) 1hbzi9 (d) Recommendations on investments and strategies to increase screening and genetic testing for cholestatic liver disorders.
To be eligible for funds under this section, the nonprofit organization must have been established in 1979 and have a stated mission to ensure EMR S01524'25 (S-1)_SB180_APS_1 rz9vey humanity lives in every community by providing core human needs to all people.
EMR S01524'25 (S-1) 1hbzi9 (b) Provision of interactive educational programming and outreach to equip individuals living with dementia and their family care partners with essential resources needed to thrive and live well with dementia.
From the funds appropriated in part 1 for addiction pilot program, the department shall allocate $1,000,000.00 to the EMR S01524'25 (S-1)_SB180_APS_1 rz9vey prosecutor's office in a county with a population between 700,000 and 1,200,000 according to the most recent federal decennial census, for a pilot program to support recovery for individuals impacted by 1 or multiple substance use disorders by stabilizing the systems addiction damages most.
From the funds appropriated in part 1 for menopause EMR S01524'25 (S-1) 1hbzi9 initiatives, the department shall allocate $2,500,000.00 to do both of the following:
(1) From the funds appropriated in part 1 for air quality sensor pilot project, the department shall allocate $100,000.00 as a grant to a nonprofit organization that is organized under the laws of this state, is exempt from federal EMR S01524'25 (S-1)_SB180_APS_1 rz9vey income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and is located in a county with a population between 300,000 and 400,000 and is in a city with a population greater than 25,000 according to the most recent federal decennial census.
EMR S01524'25 (S-1) 1hbzi9 (3) The unexpended funds appropriated in part 1 for air quality sensor pilot project are designated as a work project appropriation.
EMR S01524'25 (S-1)_SB180_APS_1 rz9vey Sec.
(2) The unexpended funds appropriated in part 1 for EMR S01524'25 (S-1) 1hbzi9 alternative payment model transition are designated as a work project appropriation.
EMR S01524'25 (S-1)_SB180_APS_1 rz9vey (3) It is the intent of the legislature that the department begin, no later than January 1, to develop and seek any appropriate federal approvals to implement an alternative payment methodology for FQHCs in the medical assistance program and Healthy Michigan Plan as authorized in section 1902(bb)(6) of the social security act, 42 USC 1396a.
Final Page EMR S01524'25 (S-1)(S-1)_SB180_APS_1 1hbzi9rz9vey
Show all 306 changed rows (266 more)
View plain text versions (7)
- As Passed by the Senate View text Current pdf
- Substitute Substitute (S-1) pdf
- Substitute Substitute (S-1) - 2 pdf
- Substitute Substitute (S-1) - 3 pdf
- Substitute Substitute (S-1) - 4 pdf
- Substitute Substitute (S-1) - 5 pdf
- Introduced Senate Introduced Bill pdf
Action History
-
referred to Committee on Appropriations
Sponsors
- Sylvia Santana · Primary
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 0 co-sponsors · 146 not signed on · 18 voted No
Sponsors (1)
- Sylvia Santana Democrat
Co-sponsors (0)
None.
Not signed on (146)
146 members have not signed on to this bill.
Show all 146 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democrat | 19 | 0 | 0 | 0 |
| Republican | 0 | 17 | 0 | 0 |
| Unaffiliated | 0 | 1 | 0 | 0 |
| Total | 19 | 18 | 0 | 0 |
| % of votes cast | 51% | 49% | 0% | 0% |
How each member voted (37)
| Member | Party | Vote |
|---|---|---|
| Outman | — | Nay |
| Darrin Camilleri | Democrat | Yea |
| Dayna Polehanki | Democrat | Yea |
| Erika Geiss | Democrat | Yea |
| Jeff Irwin | Democrat | Yea |
| Jeremy Moss | Democrat | Yea |
| John Cherry | Democrat | Yea |
| Kevin Hertel | Democrat | Yea |
| Mallory McMorrow | Democrat | Yea |
| Mary Cavanagh | Democrat | Yea |
| Paul Wojno | Democrat | Yea |
| Rosemary Bayer | Democrat | Yea |
| Sam Singh | Democrat | Yea |
| Sarah Anthony | Democrat | Yea |
| Sean McCann | Democrat | Yea |
| Stephanie Chang | Democrat | Yea |
| Sue Shink | Democrat | Yea |
| Sylvia Santana | Democrat | Yea |
| Veronica Klinefelt | Democrat | Yea |
| Winnie Brinks | Democrat | Yea |
| Aric Nesbitt | Republican | Nay |
| Dan Lauwers | Republican | Nay |
| Edward McBroom | Republican | Nay |
| Jim Runestad | Republican | Nay |
| John Damoose | Republican | Nay |
| Jon Bumstead | Republican | Nay |
| Jonathan Lindsey | Republican | Nay |
| Joseph Bellino Jr. | Republican | Nay |
| Kevin Daley | Republican | Nay |
| Lana Theis | Republican | Nay |
| Mark Huizenga | Republican | Nay |
| Michael Webber | Republican | Nay |
| Michele Hoitenga | Republican | Nay |
| Roger Hauck | Republican | Nay |
| Roger Victory | Republican | Nay |
| Ruth Johnson | Republican | Nay |
| Thomas Albert | Republican | Nay |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democrat | 19 | 0 | 0 | 0 |
| Republican | 0 | 18 | 0 | 0 |
| Total | 19 | 18 | 0 | 0 |
| % of votes cast | 51% | 49% | 0% | 0% |
How each member voted (37)
| Member | Party | Vote |
|---|---|---|
| Darrin Camilleri | Democrat | Yea |
| Dayna Polehanki | Democrat | Yea |
| Erika Geiss | Democrat | Yea |
| Jeff Irwin | Democrat | Yea |
| Jeremy Moss | Democrat | Yea |
| John Cherry | Democrat | Yea |
| Kevin Hertel | Democrat | Yea |
| Mallory McMorrow | Democrat | Yea |
| Mary Cavanagh | Democrat | Yea |
| Paul Wojno | Democrat | Yea |
| Rosemary Bayer | Democrat | Yea |
| Sam Singh | Democrat | Yea |
| Sarah Anthony | Democrat | Yea |
| Sean McCann | Democrat | Yea |
| Stephanie Chang | Democrat | Yea |
| Sue Shink | Democrat | Yea |
| Sylvia Santana | Democrat | Yea |
| Veronica Klinefelt | Democrat | Yea |
| Winnie Brinks | Democrat | Yea |
| Aric Nesbitt | Republican | Nay |
| Dan Lauwers | Republican | Nay |
| Edward McBroom | Republican | Nay |
| Jim Runestad | Republican | Nay |
| John Damoose | Republican | Nay |
| Jon Bumstead | Republican | Nay |
| Jonathan Lindsey | Republican | Nay |
| Joseph Bellino Jr. | Republican | Nay |
| Kevin Daley | Republican | Nay |
| Lana Theis | Republican | Nay |
| Mark Huizenga | Republican | Nay |
| Michael Webber | Republican | Nay |
| Michele Hoitenga | Republican | Nay |
| Rick Outman | Republican | Nay |
| Roger Hauck | Republican | Nay |
| Roger Victory | Republican | Nay |
| Ruth Johnson | Republican | Nay |
| Thomas Albert | Republican | Nay |
Subjects
Frequently asked questions
- What does SB 180 do?
- Appropriations: department of health and human services; appropriations for fiscal year 2025-2026; provide for. Creates appropriation act.
- Who sponsors SB 180?
- SB 180 is sponsored by Sylvia Santana (Democrat).
- What is the current status of SB 180?
- This bill has passed the Senate. Introduced May 14, 2025. It now moves to the second chamber.
- Where can I track SB 180?
- Track SB 180 free on One Click Politics — get push/email alerts when it moves.
Make your voice heard on SB 180
Find the representatives who decide this bill and tell them where you stand — for yourself, or mobilize your whole list in one click with One Click Politics advocacy software.
Stay ahead of SB 180
Last checked for changes 3 months ago · updated continuously
One Click Politics tracks every bill in Congress and all 50 states.
Track this bill →