DEPARTMENT OF HEALTH AND HUMAN SERVICES FY 2021-22 DECISION DOCUMENT PART 2 BOILERPLATE

Article 6, House Bill 4410 (H-2) JUNE HOUSE OMNIBUS AS PASSED BY THE HOUSE "House" is HB 4399, "Senate" is SB 79 HOUSE APPROPRIATIONS SUBCOMMITTEE ON HEALTH AND HUMAN SERVICES

Rep. , Chair Rep. , Majority Vice-Chair Rep. Rep. HOUSE FISCAL AGENCY Rep. Rep. Mary Ann Cleary, Director Rep. Greg VanWoerkom Kevin Koorstra, Deputy Director Rep. Susan Frey, Senior Fiscal Analyst Rep. , Minority Vice-Chair Viola Bay Wild, Senior Fiscal Analyst Rep. Kent Dell, Fiscal Analyst Rep. Rep. Felicia Brabec Rep. June 30, 2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for General Sections

FY 2020-21 FY 2021-2022 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

GENERAL SECTIONS

State Spending to Local Governments

Sec. 201. Pursuant to section 30 of article IX of the state Sec. 201. Pursuant to Sec. 201. Pursuant to Sec. 201. Pursuant to Sec. 201. Pursuant to constitution of 1963, total state spending from state section 30 of article IX of section 30 of article IX of section 30 of article IX of section 30 of article IX of sources under part 1 for fiscal year 2020-2021 is the state constitution of the state constitution of the state constitution of the state constitution of $8,079,851,200.00 and state spending from state 1963, total state spending 1963, total state spending 1963, total state spending 1963, total state spending sources to be paid to local units of government for fiscal from state sources under from state sources under from state sources under from state sources under year 2020-2021 is $1,673,960,400.00. The itemized part 1 for the fiscal year part 1 for fiscal year 2020- part 1 for fiscal year 2020- part 1 for fiscal year 2020- statement below identifies appropriations from which 2020-2021 2022 is 2021 2021-2022 is 2021 2021-2022 is 2021 2021-2022 is spending to local units of government will occur: $8,079,851,200.00 $8,079,851,200.00 $8,079,851,200.00 $8,079,851,200.00 $8,370,796,000.00 and $7,265,426,300.00 and $8,330,762,000.00 and $8,192,922,800.00 and DEPARTMENT OF HEALTH AND HUMAN SERVICES state spending from state state spending from state state spending from state state spending from state sources to be paid to local sources to be paid to local sources to be paid to local sources to be paid to local units of government for units of government for units of government for units of government for fiscal year 2020-2021 2022 fiscal year 2020-2021 2021- fiscal year 2020-2021 2021- fiscal year 2020-2021 2021- is $1,673,960,400.00 2022 is $1,673,960,400.00 2022 is $1,673,960,400.00 2022 is $1,673,960,400.00 $1,743,164,400.00. The $1,658,556,000.00. The $1,742,019,200.00. The $1,730,887,600.00. The itemized statement below itemized statement below itemized statement below itemized statement below identifies appropriations identifies appropriations identifies appropriations identifies appropriations from which spending to from which spending to from which spending to from which spending to local units of government local units of government local units of government local units of government will occur: will occur: will occur: will occur:

DEPARTMENT OF DEPARTMENT OF DEPARTMENT OF DEPARTMENT OF HEALTH AND HUMAN HEALTH AND HUMAN HEALTH AND HUMAN HEALTH AND HUMAN SERVICES SERVICES SERVICES SERVICES

Departmental DEPARTMENTAL DEPARTMENTAL DEPARTMENTAL administration and ADMINISTRATION AND ADMINISTRATION AND ADMINISTRATION AND management SUPPORT SUPPORT SUPPORT …………………… $ 1,000 Departmental Departmental Departmental administration and administration and administration and management ……………… management ……… management $300 $1,000 …………………… $ 1,000

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FY 2020-21 FY 2021-2022 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

CHILD SUPPORT ENFORCEMENT CHILD SUPPORT CHILD SUPPORT CHILD SUPPORT CHILD SUPPORT Child support incentive payments ...... $ 9,465,000 ENFORCEMENT ENFORCEMENT ENFORCEMENT ENFORCEMENT Legal support contracts ...... 53,000 Child support incentive Child support incentive Child support incentive Child support incentive payments ...... $9,465,000 payments ...... $9,465,000 payments ...... $9,465,000 payments ...... $9,465,000 9,570,000 9,570,000 9,570,000 9,570,000 Legal support contracts Legal support contracts Legal support contracts Legal support contracts ...... 53,000 4,000 ...... 53,000 4,000 ...... 53,000 4,000 ...... 53,000 4,000

COMMUNITY SERVICES AND OUTREACH COMMUNITY SERVICES COMMUNITY SERVICES COMMUNITY SERVICES COMMUNITY SERVICES Community services and outreach AND OUTREACH AND OUTREACH AND OUTREACH AND OUTREACH administration ...... 1,000 Community services and Community services and Community services and Community services and Crime victim rights services grants ………. 9,792,000 outreach outreach outreach outreach Domestic violence prevention administration ...... 1,000 administration ...... 1,000 administration ...... 1,000 administration ...... 1,000 and treatment...... 23,000 Crime victim rights services Crime victim rights services Crime victim rights services Crime victim rights services Homeless programs ...... 4,000 grants ………...... 9,792,000 grants ………. .... 9,792,000 grants ………. .... 9,792,000 grants ………. .... 9,792,000 Housing and support services ...... 33,000 10,813,000 10,813,000 10,813,000 10,813,000 Domestic violence Domestic violence Domestic violence Domestic violence prevention prevention prevention prevention and treatment...... and treatment...... and treatment...... and treatment...... 23,000 226,000 ...... 23,000 56,500 ...... 23,000 226,000 ...... 23,000 226,000 Homeless programs ... 4,000 Homeless programs ... 4,000 Homeless programs ... 4,000 Homeless programs ... 4,000 6,000 6,000 6,000 6,000 Housing and support Housing and support Housing and support Housing and support services ..... 33,000 126,000 services ..... 33,000 126,000 services ..... 33,000 126,000 services ...... 33,000 126,000

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FY 2020-21 FY 2021-2022 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

CHILDREN’S SERVICES AGENCY - CHILD CHILDREN’S SERVICES CHILDREN’S SERVICES CHILDREN’S SERVICES CHILDREN’S SERVICES WELFARE AGENCY - CHILD AGENCY - CHILD AGENCY - CHILD AGENCY - CHILD Child care fund ...... 197,186,700 WELFARE WELFARE WELFARE WELFARE Child care fund - indirect cost allotment...... 3,500,000 Child care fund 197,186,700 Child care fund 197,186,700 Child care fund 197,186,700 Child care fund 197,186,700 Child welfare licensing...... 179,000 159,000,000 159,000,000 144,005,000 143,858,300 Child welfare medical/psychiatric evaluations...... 19,000 Child care fund - indirect cost Child care fund - indirect cost Child care fund - indirect cost Child care fund - indirect cost Children’s trust fund grants ...... 70,000 allotment...... 3,500,000 allotment...... 3,500,000 allotment...... 3,500,000 allotment...... 3,500,000 Contractual services, supplies, and materials ...... 3,000 3,483,000 3,483,000 3,483,000 3,483,000 Family preservation programs ...... 71,000 Child welfare licensing...... Child welfare licensing...... Child welfare licensing...... Child welfare licensing...... Foster care payments ...... 1,711,000 ...... 179,000 84,000 ...... 179,000 21,000 ...... 179,000 84,000 ...... 179,000 84,000 Strong families/safe children ...... 7,000 Child welfare Child welfare Child welfare Child welfare Youth in transition...... 4,000 medical/psychiatric medical/psychiatric medical/psychiatric medical/psychiatric evaluations ...... 19,000 evaluations ...... 19,000 evaluations ...... 19,000 evaluations ...... 19,000 12,000 12,000 12,000 12,000 Children’s trust fund grants Children’s trust fund grants Children’s trust fund grants Children’s trust fund grants ...... 70,000 35,000 ...... 70,000 35,000 ...... 70,000 35,000 ...... 70,000 35,000 Contractual services, Contractual services, Contractual services, Contractual services, supplies, and materials . supplies, and materials . supplies, and materials . supplies, and materials ...... 3,000 8,000 ...... 3,000 8,000 ...... 3,000 8,000 ...... 3,000 8,000 Family preservation Family preservation Family preservation Family preservation programs ...... 71,000 programs ...... 71,000 programs ...... 71,000 programs ...... 71,000 Foster care payments Foster care payments Foster care payments Foster care payments …..1,711,000 1,377,000 …..1,711,000 1,377,000 …..1,711,000 1,377,000 …..1,711,000 1,377,000 Strong families/safe children Strong families/safe children Strong families/safe children Strong families/safe children ...... 7,000 19,000 ...... 7,000 19,000 ...... 7,000 19,000 ...... 7,000 19,000 Youth in Youth in Youth in Youth in transition...... transition...... transition...... transition...... 4,000 ...... 4,000 ...... 4,000 ...... 4,000

CHILDREN’S SERVICES AGENCY - JUVENILE CHILDREN’S SERVICES CHILDREN’S SERVICES CHILDREN’S SERVICES CHILDREN’S SERVICES JUSTICE AGENCY - JUVENILE AGENCY - JUVENILE AGENCY - JUVENILE AGENCY - JUVENILE Bay Pines Center...... 32,000 JUSTICE JUSTICE JUSTICE JUSTICE Community support services ...... 362,000 Bay Pines Center Bay Pines Center Bay Pines Center Bay Pines Center Shawono Center ...... 11,000 ...... 32,000 ...... 32,000 7,500 ...... 32,000 ...... 32,000 30,000 Community support 30,000 30,000 Community support services.. 362,000 68,500 Community support Community support services.. 362,000 274,000 Shawono Center ...... 11,000 services.. 362,000 274,000 services.. 362,000 274,000 Shawono Center ...... 11,000 9,000 Shawono Center ...... 11,000 Shawono Center ...... 11,000 9,000 9,000 9,000

House Fiscal Agency General Sections BP - 3 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for General Sections

FY 2020-21 FY 2021-2022 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

PUBLIC ASSISTANCE PUBLIC ASSISTANCE PUBLIC ASSISTANCE PUBLIC ASSISTANCE PUBLIC ASSISTANCE Emergency services local office allocations ….. 598,000 Emergency services local Emergency services local Emergency services local Emergency services local Family independence program ...... 1,000 office allocations ….. office allocations ….. office allocations ….. office allocations ….. Indigent burial ...... 4,000 598,000 635,000 598,000 635,000 598,000 635,000 598,000 635,000 Multicultural integration funding...... 1,425,000 Family independence Family independence Family independence Family independence State disability assistance payments ...... 243,000 program ...... 1,000 program ...... 1,000 program ...... 1,000 program ...... 1,000 Indigent burial ... 4,000 3,000 Indigent burial ... 4,000 3,000 Indigent burial .. 4,000 3,000 Indigent burial .. 4,000 3,000 Multicultural integration Multicultural integration Multicultural integration Multicultural integration funding ...... 1,425,000 funding ...... 1,425,000 funding ...... 1,425,000 funding ...... 1,425,000 Michigan energy Michigan energy Michigan energy Michigan energy assistance program assistance program assistance program assistance program …………. 184,000 …………. 800 …………. 184,000 …………. 184,000 State disability assistance State disability assistance State disability assistance State disability assistance payments .. 243,000 258,000 payments .. 243,000 258,000 payments . 243,000 258,000 payments .. 243,000 251,200

FIELD OPERATIONS AND SUPPORT SERVICES FIELD OPERATIONS AND FIELD OPERATIONS AND FIELD OPERATIONS AND FIELD OPERATIONS AND Contractual services, supplies, and materials….. 41,000 SUPPORT SERVICES SUPPORT SERVICES SUPPORT SERVICES SUPPORT SERVICES Employment and training support services ……… 6,000 Contractual services, Contractual services, Contractual services, Contractual services, supplies, and materials….. supplies, and materials….. supplies, and materials….. supplies, and materials…...... 41,000 23,000 ...... 41,000 23,000 ...... 41,000 23,000 ...... 41,000 23,000 Employment and training Employment and training Employment and training Employment and training support services ……… support services ……… support services ……… support services ……… ...... 6,000 9,000 ...... 6,000 9,000 ...... 6,000 9,000 ...... 6,000 9,000

DISABILITY DETERMINATION SERVICES DISABILITY DISABILITY DISABILITY DISABILITY Disability determination operations ...... 3,000 DETERMINATION DETERMINATION DETERMINATION DETERMINATION SERVICES SERVICES SERVICES SERVICES Disability determination Disability determination Disability determination Disability determination operations ...... 3,000 4,000 operations ...... 3,000 1,000 operations ...... 3,000 4,000 operations ...... 3,000 4,000

House Fiscal Agency General Sections BP - 4 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for General Sections

FY 2020-21 FY 2021-2022 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

BEHAVIORAL HEALTH PROGRAM BEHAVIORAL HEALTH BEHAVIORAL HEALTH BEHAVIORAL HEALTH BEHAVIORAL HEALTH ADMINISTRATION AND SPECIAL PROJECTS PROGRAM PROGRAM PROGRAM PROGRAM Behavioral health program administration.....3,849,000 ADMINISTRATION AND ADMINISTRATION AND ADMINISTRATION AND ADMINISTRATION AND Gambling addiction ...... …1,494,000 SPECIAL PROJECTS SPECIAL PROJECTS SPECIAL PROJECTS SPECIAL PROJECTS Behavioral health program Behavioral health program Behavioral health program Behavioral health program administration .....3,849,000 administration .....3,849,000 administration .....3,849,000 administration .....3,849,000 343,000 343,000 343,000 343,000 Community substance Community substance Community substance Community substance use disorder prevention, use disorder prevention, use disorder prevention, use disorder prevention, education, and treatment education, and treatment education, and treatment education, and treatment ...... 16,753,400 ...... 2,988,300 ...... 16,753,400 ...... 16,753,400 Gambling addiction Gambling addiction Gambling addiction Gambling addiction ...... …1,494,000 768,000 ...... …1,494,000 768,000 ...... …1,494,000 768,000 ...... …1,494,000 768,000 Mental health diversion Mental health diversion Mental health diversion Mental health diversion council .,. 1,348,000 council .,. 1,348,000 council .,. 1,348,000 council .,. 1,348,000

House Fiscal Agency General Sections BP - 5 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for General Sections

FY 2020-21 FY 2021-2022 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

BEHAVIORAL HEALTH SERVICES BEHAVIORAL HEALTH BEHAVIORAL HEALTH BEHAVIORAL HEALTH BEHAVIORAL HEALTH Autism services...... 99,057,600 SERVICES SERVICES SERVICES SERVICES Community mental health non-Medicaid Autism services Autism services Autism services Autism services services ...... 125,578,200 …...... 99,057,600 …...... 99,057,600 …...... 99,057,600 …...... 99,057,600 Community substance use disorder prevention, 117,632,400 117,632,400 117,632,400 111,118,600 education, and treatment ...... 16,171,000 Certified community Certified community Certified community Certified community Health homes ...... 2,496,300 behavioral health clinic behavioral health clinic behavioral health clinic behavioral health clinic Healthy Michigan plan - behavioral health .. 58,689,300 demonstration … demonstration … demonstration … demonstration … Medicaid mental health services ...... 877,733,300 4,500,000 4,638,500 4,500,000 4,500,000 Medicaid substance use disorder services . 31,933,900 Community mental health Community mental health Community mental health Community mental health Nursing home PAS/ARR-OBRA ...... 3,181,000 non-Medicaid non-Medicaid non-Medicaid non-Medicaid State disability assistance program substance use services ...... 125,578,200 services ...... 125,578,200 services ...... 125,578,200 services ...... 125,578,200 disorder services ...... 2,018,800 Community substance use Community substance use Community substance use Community substance use disorder prevention, disorder prevention, disorder prevention, disorder prevention, education, and treatment education, and treatment education, and treatment education, and treatment ...... 16,171,000 ...... 16,171,000 ...... 16,171,000 ...... 16,171,000 Health homes ...... 2,496,300 Health homes ...... 2,496,300 Health homes ...... 2,496,300 Health homes ...... 2,496,300 37,000 37,000 37,000 37,000 Healthy Michigan plan - Healthy Michigan plan - Healthy Michigan plan - Healthy Michigan plan - behavioral health behavioral health behavioral health behavioral health ...... 58,689,300 56,360,200 ...... 58,689,300 56,360,200 ...... 58,689,300 56,360,200 ...... 58,689,300 60,323,900 Medicaid mental health Medicaid mental health Medicaid mental health Medicaid mental health services ...... 877,733,300 services ...... 877,733,300 services ...... 877,733,300 services ...... 877,733,300 963,018,000 885,308,900 971,171,500 959,336,900 Medicaid substance use Medicaid substance use Medicaid substance use Medicaid substance use disorder services 31,933,900 disorder services 31,933,900 disorder services 31,933,900 disorder services 31,933,900 26,513,700 26,513,700 26,513,700 37,375,800 Multicultural integration Multicultural integration Multicultural integration Multicultural integration funding... 1,494,000 funding... 1,494,000 funding... 1,494,000 funding... 1,494,000 Nursing home PAS/ARR- Nursing home PAS/ARR- Nursing home PAS/ARR- Nursing home PAS/ARR- OBRA . 3,181,000 3,476,200 OBRA .... 3,181,000 869,000 OBRA . 3,181,000 3,476,200 OBRA.. 3,181,000 3,476,200 State disability assistance State disability assistance State disability assistance State disability assistance program substance use program substance use program substance use program substance use disorder services . 2,018,800 disorder services . 2,018,800 disorder services . 2,018,800 disorder services . 2,018,800 2,018,000 2,018,800 2,018,800 2,018,800

House Fiscal Agency General Sections BP - 6 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for General Sections

FY 2020-21 FY 2021-2022 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

STATE PSYCHIATRIC HOSPITALS AND FORENSIC STATE PSYCHIATRIC STATE PSYCHIATRIC STATE PSYCHIATRIC STATE PSYCHIATRIC MENTAL HEALTH SERVICES HOSPITALS AND HOSPITALS AND HOSPITALS AND HOSPITALS AND Caro Regional Mental Health Center - psychiatric FORENSIC MENTAL FORENSIC MENTAL FORENSIC MENTAL FORENSIC MENTAL hospital - adult ...... 214,000 HEALTH SERVICES HEALTH SERVICES HEALTH SERVICES HEALTH SERVICES Center for forensic psychiatry ...... 582,000 Caro Regional Mental Caro Regional Mental Caro Regional Mental Caro Regional Mental Hawthorn Center - psychiatric hospital - children and Health Center - psychiatric Health Center - psychiatric Health Center - psychiatric Health Center - psychiatric adolescents ...... 68,000 hospital - adult ...... 214,000 hospital - adult ...... 214,000 hospital - adult ...... 214,000 hospital - adult ..... 214,000 Kalamazoo Psychiatric Hospital – adult ………….33,300 228,000 228,000 228,000 228,000 Walter P. Reuther Psychiatric Hospital - adult ….46,000 Center for forensic Center for forensic Center for forensic Center for forensic psychiatry ...... psychiatry ...... psychiatry ...... psychiatry ...... 582,000 504,000 ...... 582,000 504,000 ...... 582,000 504,000 ...... 582,000 504,000 Hawthorn Center - Hawthorn Center - Hawthorn Center - Hawthorn Center - psychiatric hospital - psychiatric hospital - psychiatric hospital - psychiatric hospital - children and adolescents children and adolescents children and adolescents children and adolescents ...... 68,000 ...... 68,000 ...... 68,000 ...... 68,000 Kalamazoo Psychiatric Kalamazoo Psychiatric Kalamazoo Psychiatric Kalamazoo Psychiatric Hospital – adult Hospital – adult Hospital – adult Hospital – adult ………….33,300 40,000 ………….33,300 40,000 ………….33,300 40,000 ………….33,300 40,000 Walter P. Reuther Walter P. Reuther Walter P. Reuther Walter P. Reuther Psychiatric Hospital - adult Psychiatric Hospital - adult Psychiatric Hospital - adult Psychiatric Hospital - adult ….46,000 50,000 ….46,000 50,000 ….46,000 50,000 ….46,000 50,000

HEALTH AND HUMAN SERVICES POLICY AND HEALTH AND HUMAN HEALTH AND HUMAN HEALTH AND HUMAN HEALTH AND HUMAN INITIATIVES SERVICES POLICY AND SERVICES POLICY AND SERVICES POLICY AND SERVICES POLICY AND Primary care services ...... 89,000 INITIATIVES INITIATIVES INITIATIVES INITIATIVES Primary care services Primary care services Primary care services Primary care services ...... 89,000 99,000 ...... 89,000 99,000 ...... 89,000 99,000 ...... 89,000 99,000

EPIDEMIOLOGY, EMERGENCY MEDICAL EPIDEMIOLOGY, EPIDEMIOLOGY, EPIDEMIOLOGY, EPIDEMIOLOGY, SERVICES, AND LABORATORY EMERGENCY MEDICAL EMERGENCY MEDICAL EMERGENCY MEDICAL EMERGENCY MEDICAL Emergency medical services program ...... 5,000 SERVICES, AND SERVICES, AND SERVICES, AND SERVICES, AND Epidemiology administration ...... 217,000 LABORATORY LABORATORY LABORATORY LABORATORY Healthy homes program ...... 250,000 Emergency medical Emergency medical Emergency medical Emergency medical PFAS and environmental contamination services program ...... 5,000 services program ...... 5,000 services program ...... 5,000 services program ...... 5,000 response ...... 868,000 Epidemiology administration Epidemiology administration Epidemiology administration Epidemiology administration ...... 217,000 354,000 ...... 217,000 354,000 ...... 217,000 354,000 ...... 217,000 354,000 Healthy homes program Healthy homes program Healthy homes program Healthy homes program ...... 250,000 601,000 ...... 250,000 601,000 ...... 250,000 601,000 ...... 250,000 601,000 PFAS and environmental PFAS and environmental PFAS and environmental PFAS and environmental contamination contamination contamination contamination response ...... 868,000 response ...... 868,000 response ...... 868,000 response ...... 868,000

House Fiscal Agency General Sections BP - 7 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for General Sections

FY 2020-21 FY 2021-2022 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

LOCAL HEALTH AND ADMINISTRATIVE SERVICES LOCAL HEALTH AND LOCAL HEALTH AND LOCAL HEALTH AND LOCAL HEALTH AND AIDS prevention, testing, and care programs.. 2,481,000 ADMINISTRATIVE ADMINISTRATIVE ADMINISTRATIVE ADMINISTRATIVE Cancer prevention and control program ……….. 53,000 SERVICES SERVICES SERVICES SERVICES Chronic disease control and health promotion AIDS prevention, testing, AIDS prevention, testing, AIDS prevention, testing, AIDS prevention, testing, administration ...... 3,000 and care programs.. and care programs.. and care programs.. and care programs.. Essential local public health services ...... 46,269,300 2,481,000 2,470,000 2,481,000 1,233,400 2,481,000 2,470,000 2,481,000 2,470,000 Local health services...... 1,182,000 Cancer prevention and Cancer prevention and Cancer prevention and Cancer prevention and Public health administration...... 2,000 control program ……….. control program ……….. control program ……….. control program ……….. Sexually transmitted disease control program.. 459,000 ...... 53,000 71,000 ...... 53,000 71,000 ...... 53,000 71,000 ...... 53,000 71,000 Chronic disease control and Chronic disease control and Chronic disease control and Chronic disease control and health promotion health promotion health promotion health promotion administration administration administration administration ...... 3,000 280,000 ...... 3,000 280,000 ...... 3,000 280,000 ...... 3,000 280,000 Essential local public health Essential local public health Essential local public health Essential local public health services …..… 46,269,300 services …..… 46,269,300 services …..… 46,269,300 services …..… 46,269,300 Local health services Local health services 51,269,300 Local health services ...... 1,182,000 2,658,000 ...... 1,182,000 1,201,700 Local health services ...... 1,182,000 2,658,000 Public health administration Public health administration ...... 1,182,000 2,658,000 Public health administration ...... 2,000 ...... 2,000 Public health administration ...... 2,000 Sexually transmitted Sexually transmitted ...... 2,000 Sexually transmitted disease control program.. disease control program.. Sexually transmitted disease control program...... 459,000 484,000 ...... 459,000 484,000 disease control program...... 459,000 484,000 Smoking prevention Smoking prevention ...... 459,000 484,000 Smoking prevention program ...……152,000 program ...……152,000 Smoking prevention program ...……152,000 program ...……152,000

House Fiscal Agency General Sections BP - 8 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for General Sections

FY 2020-21 FY 2021-2022 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

FAMILY HEALTH SERVICES FAMILY HEALTH FAMILY HEALTH FAMILY HEALTH FAMILY HEALTH Drinking water declaration of emergency ...... 1,460,000 SERVICES SERVICES SERVICES SERVICES Family planning local agreements ...... 196,000 Dental programs Dental programs Dental programs Dental programs Immunization program ...... 1,087,000 ……………….. 1,760,000 ……………….. 440,000 ……………….. 1,760,000 ……………….. 1,760,000 Prenatal care outreach and service Drinking water declaration of Drinking water declaration of Drinking water declaration of Drinking water declaration of delivery support ...... 4,817,000 emergency ...... 1,460,000 emergency ...... 1,460,000 emergency ...... 1,460,000 emergency ...... 1,460,000 Family planning local Family planning local Family planning local Family planning local agreements ...... 196,000 agreements ...... 196,000 agreements ...... 196,000 agreements ...... 196,000 267,000 7,138,000 267,000 267,000 Immunization program Immunization program Immunization program Immunization program ...... 1,087,000 2,310,000 ...... 1,087,000 1,393,800 ...... 1,087,000 2,310,000 ...... 1,087,000 2,310,000 Pregnancy prevention Pregnancy prevention Pregnancy prevention Pregnancy prevention program ….. 226,000 program ….. 411,500 program ….. 226,000 program ….. 226,000 Prenatal care outreach and Prenatal care outreach and Prenatal care outreach and Prenatal care outreach and service service service delivery support service delivery support ... 4,817,000 delivery support ... 4,817,000 ...... 4,817,000 3,548,000 delivery support .. 4,817,000 3,548,000 3,548,000 3,548,000

CHILDREN’S SPECIAL HEALTH CARE SERVICES CHILDREN’S SPECIAL CHILDREN’S SPECIAL CHILDREN’S SPECIAL CHILDREN’S SPECIAL Children’s special health care services HEALTH CARE SERVICES HEALTH CARE SERVICES HEALTH CARE SERVICES HEALTH CARE SERVICES administration ...... 5,000 Children’s special health Children’s special health Children’s special health Children’s special health Medical care and treatment ...... 1,093,000 care services care services care services care services Outreach and advocacy ...... 2,755,000 administration ...... 5,000 administration ...... 5,000 administration ...... 5,000 administration ...... 5,000 Medical care and treatment Medical care and treatment Medical care and treatment Medical care and treatment ...... 1,093,000 897,000 ...... 1,093,000 897,000 ...... 1,093,000 897,000 ...... 1,093,000 897,000 Outreach and advocacy Outreach and advocacy Outreach and advocacy Outreach and advocacy ...... 2,755,000 ...... 2,755,000 2,755,000 ...... 2,755,000

AGING AND ADULT SERVICES AGENCY AGING AND ADULT AGING AND ADULT AGING AND ADULT AGING AND ADULT Aging and adult services administration ...... 1,249,000 SERVICES AGENCY SERVICES AGENCY SERVICES AGENCY SERVICES AGENCY Community services ...... 23,785,700 Aging and adult services Aging and adult services Aging and adult services Aging and adult services Nutrition services ...... 12,597,200 administration ...... 1,249,000 administration ...... 1,249,000 administration ...... 1,249,000 administration ..... 1,249,000 Respite care program ...... 6,468,700 1,359,000 Community 1,359,000 Community 1,359,000 Community 1,359,000 Community Senior volunteer service programs ...... 829,000 services ...... 23,785,700 services ...... 23,785,700 services ...... 23,785,700 services ...... 23,785,700 27,800,100 27,800,100 28,495,600 27,800,100 Nutrition services Nutrition services Nutrition services Nutrition services ...... 12,597,200 ...... 12,597,200 ...... 12,597,200 ...... 12,597,200 Respite care program Respite care program Respite care program Respite care program ...... 6,468,700 ...... 6,468,700 ...... 6,468,700 ...... 6,468,700 Senior volunteer service Senior volunteer service Senior volunteer service Senior volunteer service programs .. 829,000 672,000 programs .. 829,000 672,000 programs .. 829,000 672,000 programs ... 829,000 672,000 House Fiscal Agency General Sections BP - 9 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for General Sections

FY 2020-21 FY 2021-2022 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

MEDICAL SERVICES MEDICAL SERVICES MEDICAL SERVICES MEDICAL SERVICES MEDICAL SERVICES Adult home help services ...... 223,000 Adult home help services . Adult home help services . Adult home help services . Adult home help services . Ambulance services...... 540,000 ...... 223,000 172,000 ...... 223,000 172,000 ...... 223,000 172,000 ...... 223,000 172,000 Auxiliary medical services ...... 1,000 Ambulance Ambulance Ambulance Ambulance Dental services ...... 963,000 services...... 540,000 services...... 540,000 services...... 540,000 services...... 540,000 Healthy Michigan plan ...... 628,000 527,000 527,000 527,000 527,000 Home health services ...... 10,000 Auxiliary medical services Auxiliary medical services Auxiliary medical services Auxiliary medical services Hospice services...... 16,000 ...... 1,000 ...... 1,000 ...... 1,000 ...... 1,000 Hospital disproportionate share payments ...... 40,000 Dental services ...... 963,000 Dental services ...... 963,000 Dental services ...... 963,000 Dental services ...... 963,000 Hospital services and therapy...... 2,428,000 632,000 632,000 632,000 632,000 Long-term care services ...... 96,266,000 Healthy Michigan plan Healthy Michigan plan Healthy Michigan plan Healthy Michigan plan Medicaid home- and community-based ...... 628,000 1,089,000 ...... 628,000 1,089,000 ...... 628,000 1,089,000 ...... 628,000 1,089,000 services waiver ...... 12,186,000 Home health services Home health services Home health services Home health services Personal care services ...... 31,000 ...... 10,000 8,000 ...... 10,000 8,000 ...... 10,000 8,000 ...... 10,000 8,000 Pharmaceutical services...... 23,000 Hospice services ...... 16,000 Hospice services ...... 16,000 Hospice services ...... 16,000 Hospice services ...... 16,000 Physician services...... 2,629,000 43,000 43,000 43,000 43,000 Special Medicaid reimbursement ...... 1,121,400 Hospital disproportionate Hospital disproportionate Hospital disproportionate Hospital disproportionate Transportation ...... 191,000 share payments ...... 40,000 share payments ...... 40,000 share payments ...... 40,000 share payments ...... 40,000 20,000 20,000 20,000 20,000 Hospital services and Hospital services and Hospital services and Hospital services and therapy 2,428,000 3,274,000 therapy 2,428,000 3,274,000 therapy 2,428,000 3,274,000 therapy 2,428,000 3,274,000 Long-term care services Long-term care services Long-term care services Long-term care services ...... 96,266,000 99,363,000 ...... 96,266,000 99,363,000 ...... 96,266,000 99,363,000 ...... 96,266,000 99,363,000 Medicaid home- and Medicaid home- and Medicaid home- and Medicaid home- and community-based community-based community-based community-based services waiver .. 12,186,000 services waiver .. 12,186,000 services waiver . 12,186,000 services waiver . 12,186,000 13,383,000 13,383,000 13,383,000 13,383,000 Personal care services Personal care services Personal care services Personal care services ...... 31,000 32,000 ...... 31,000 32,000 ...... 31,000 32,000 ...... 31,000 32,000 Pharmaceutical services Pharmaceutical services Pharmaceutical services Pharmaceutical services ………. 23,000 18,000 ………. 23,000 18,000 ………. 23,000 18,000 ………. 23,000 18,000 Physician services Physician services Physician services Physician services ...... 2,629,000 3,376,000 ...... 2,629,000 3,376,000 ...... 2,629,000 3,376,000 ...... 2,629,000 3,376,000 Special Medicaid Special Medicaid Special Medicaid Special Medicaid reimbursement .... 1,121,400 reimbursement .... 1,121,400 reimbursement .... 1,121,400 reimbursement .... 1,121,400 40,000 40,000 40,000 40,000 Transportation ...... 191,000 Transportation ...... 191,000 Transportation ...... 191,000 Transportation ...... 191,000 158,000 158,000 158,000 158,000

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ONE-TIME ONE-TIME ONE-TIME ONE-TIME ONE-TIME APPROPRIATIONS APPROPRIATIONS APPROPRIATIONS APPROPRIATIONS APPROPRIATIONS Children’s center...... 200,000 Children’s center...... Children’s center...... Children’s center...... Children’s center...... County coronavirus related youth funding ...... 250,000 ...... 200,000 ...... 200,000 ...... 200,000 ...... 200,000 County coronavirus related County coronavirus related County coronavirus related County coronavirus related youth funding ...... 250,000 youth funding ...... 250,000 youth funding ...... 250,000 youth funding ...... 250,000

TOTAL OF PAYMENTS TO LOCAL UNITS OF TOTAL OF PAYMENTS TO TOTAL OF PAYMENTS TO TOTAL OF PAYMENTS TO TOTAL OF PAYMENTS TO GOVERNMENT ...... $ 1,673,960,400 LOCAL UNITS OF LOCAL UNITS OF LOCAL UNITS OF LOCAL UNITS OF GOVERNMENT ...... $ GOVERNMENT ...... $ GOVERNMENT ...... $ GOVERNMENT ...... $ 1,673,960,400 1,673,960,400 1,673,960,400 1,673,960,400 $1,743,164,400 $1,658,556,000 $1,742,019,200 $1,730,887,600

Appropriations Subject to Management and Budget Act

Sec. 202. The appropriations authorized under this part Sec. 202. The Sec. 202. No changes from Sec. 202. No changes from Sec. 202. No changes from and part 1 are subject to the management and budget appropriations authorized current law. current law. current law. act, 1984 PA 431, MCL 18.1101 to 18.1594. under this part and part 1 article are subject to the management and budget act, 1984 PA 431, MCL 18.1101 to 18.1594.

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Terms and Acronyms (ONLY changed items are (ONLY changed items are (ONLY changed items are shown below). shown below). shown below). Sec. 203. As used in this part and part 1: (a) “AIDS” means acquired immunodeficiency Sec. 203. As used in this Sec. 203. Concur with the syndrome. part and part 1 article: House. (b) “CMHSP” means a community mental health services program as that term is defined in section 100a of the mental health code, 1974 PA 258, MCL 330.1100a. (c) “CMS” means the Centers for Medicare and Medicaid Services. (d) “Current fiscal year” means the fiscal year ending (d) “Current fiscal year” (d) “Current fiscal year” (d) “Current fiscal year” September 30, 2021. means the fiscal year means the fiscal year means the fiscal year (e) “Department” means the department of health and ending September 30, ending September 30, 2021 ending September 30, 2021 human services. 2021. 2022. 2022. (f) “Director” means the director of the department. (g) “DSH” means disproportionate share hospital. (h) “EPSDT” means early and periodic screening, diagnosis, and treatment. (i) “Federal poverty level” means the poverty guidelines (h) “EPSDT” means early published annually in the Federal Register by the United and periodic screening, States Department of Health and Human Services under diagnosis, and treatment. its authority to revise the poverty line under 42 USC 9902. (j) “FTE” means full-time equated. (k) “GME” means graduate medical education. (l) “Health plan” means, at a minimum, an organization that meets the criteria for delivering the comprehensive package of services under the department’s comprehensive health plan. (m) “HEDIS” means healthcare effectiveness data and information set. (n) “HMO” means health maintenance organization. (o) “IDEA” means the individuals with disabilities education act, 20 USC 1400 to 1482. (p) “IDG” means interdepartmental grant.

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(q) “MCH” means maternal and child health. (ONLY changed items are (ONLY changed items are (ONLY changed items are Sec. 203. Concur with the (r) “Medicaid” means subchapter XIX of the social shown below). shown below). shown below). House. security act, 42 USC 1396 to 1396w-5. (s) “Medicare” means subchapter XVIII of the social security act, 42 USC 1395 to 1395lll. (t) “MiCAFE” means Michigan’s coordinated access to food for the elderly. (u) “MIChild” means the program described in section 1670 of this part. (v) “MiSACWIS” means Michigan statewide automated child welfare information system. (w) “PAS/ARR-OBRA” means the preadmission screening and annual resident review required under the omnibus budget reconciliation act of 1987, section 1919(e)(7) of the social security act, 42 USC 1396r. (x) “PFAS” means perfluoroalkyl and polyfluoroalkyl substances. (y) “PIHP” means an entity designated by the department (y) No change except strike as a regional entity or a specialty prepaid inpatient health "inpatient" from the last plan for Medicaid mental health services, services to sentence (where underlined individuals with developmental disabilities, and at left). substance use disorder services. Regional entities are described in section 204b of the mental health code, 1974 PA 258, MCL 330.1204b. Specialty prepaid inpatient health plans are described in section 232b of the mental health code, 1974 PA 258, MCL 330.1232b. (z) “Previous fiscal year” means the fiscal year ending (z) “Previous fiscal year” (z) “Previous fiscal year” (z) “Previous fiscal year” September 30, 2020. means the fiscal year means the fiscal year means the fiscal year ending September 30, ending September 30, 2020 ending September 30, 2020 2020. 2021. 2021.

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(aa) “Quarterly reports” means 4 reports shall be (aa) – (hh) No changes (ONLY changed items are (ONLY changed items are Sec. 203. Concur with the submitted to the required recipients by the following from current law. shown below). shown below). House. dates: February 1, April 1, July 1, and September 30 of the current fiscal year. All items are re-lettered (bb) “Semiannual basis” means March 1 and September following (d). 30 of the current fiscal year. (cc) “Settlement” means the settlement agreement entered in the case of Dwayne B. v Snyder, docket no. 2:06-cv-13548 in the United States District Court for the Eastern District of Michigan. (dd) “Temporary assistance for needy families” or “TANF” or “title IV-A” means part A of subchapter IV of the social security act, 42 USC 601 to 619. (ee) “Title IV-B” means part B of title IV of the social (ee) “Title IV-B” means part (ee) “Title IV-B” means part security act, 42 USC 620 to 629m. B of title IV of the social B of title IV of the social (ff) “Title IV-D” means part D of title IV of the social security act, 42 USC 620 security act, 42 USC 620 security act, 42 USC 651 to 669b. 621 to 629m. 621 to 629m. (gg) “Title IV-E” means part E of title IV of the social security act, 42 USC 670 to 679c. (hh) “Title X” means subchapter VIII of the public health service act, 42 USC 300 to 300a-8, which establishes grants to states for family planning services.

Internet Reporting Requirements

Sec. 204. The department and agencies receiving Sec. 204. The department Sec. 204. The department Sec. 204. The department Sec. 204. Concur with the appropriations in part 1 shall use the internet to fulfill the departments and agencies and agencies receiving and agencies receiving Senate. reporting requirements of this part and part 1. This receiving appropriations in appropriations in part 1 shall appropriations in part 1 shall requirement shall include transmission of reports via part 1 shall use the internet use the internet to fulfill the use the internet to fulfill the electronic mail to the recipients identified for each to fulfill the reporting reporting requirements of reporting requirements of reporting requirement, and it shall include placement of requirements of this part this part and part 1. This this part and part 1. This reports on the internet. and part 1 article. This requirement shall include requirement shall include requirement shall include transmission of, including transmission of reports via transmission of reports via transmitting reports via electronic mail email to the electronic mail to the electronic mail by email to recipients identified for each recipients identified for each the recipients identified for reporting requirement, and it reporting requirement, and each reporting requirement, shall include placement of or it shall include placement and it shall include reports on the internet. of reports on the an internet placement of placing or intranet site. reports on the internet.

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Purchasing Preference for American, Michigan, and Veteran Goods or Services

Sec. 205. Funds appropriated in part 1 shall not be used Sec. 205. To the extent Sec. 205. No changes from Sec. 205. To the extent Sec. 205. Concur with the for the purchase of foreign goods or services, or both, if permissible under MCL current law. permissible under section Senate. competitively priced and of comparable quality American 18.1261: 261 of the management goods or services, or both, are available. Preference (a) Funds appropriated in and budget act, 1984 PA shall be given to goods or services, or both, part 1 shall not be used for 431, MCL 18.1261: manufactured or provided by Michigan businesses if they the purchase of foreign (a) Funds appropriated in are competitively priced and of comparable quality. In goods or services, or both, if part 1 shall not be used for addition, preference shall be given to goods or services, competitively priced and of the purchase of foreign or both, that are manufactured or provided by Michigan comparable quality goods or services, or both, if businesses owned and operated by veterans if they are American goods or competitively priced and of competitively priced and of comparable quality. services, or both, are comparable quality available. American goods or (b) Preference shall be services, or both, are given to goods or services, available. or both, manufactured or (b) Preference shall be provided by Michigan given to goods or services, businesses, if they are or both, manufactured or competitively priced and of provided by Michigan comparable quality. businesses, if they are (c) In addition, preference competitively priced and of shall should be given to comparable quality. goods or services, or both, (c) In addition, preference that are manufactured or shall be given to goods or provided by Michigan services, or both, that are businesses owned and manufactured or provided operated by veterans, if by Michigan businesses they are competitively owned and operated by priced and of comparable veterans, if they are quality. competitively priced and of comparable quality.

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Businesses in Deprived and Depressed Communities

Sec. 206. To the extent permissible under the Sec. 206. To the extent Sec. 206. No changes from Sec. 206. No changes from Sec. 206. No changes from management and budget act, 1984 PA 431, MCL permissible under the current law. current law. current law. 18.1101 to 18.1594, the director shall take all reasonable management and budget steps to ensure businesses in deprived and depressed act, 1984 PA 431, MCL communities compete for and perform contracts to 18.1101 to 18.1594, the provide services or supplies, or both. The director shall director shall take all strongly encourage firms with which the department reasonable steps to ensure contracts to subcontract with certified businesses in businesses in deprived and depressed and deprived communities for services, depressed communities supplies, or both. compete for and perform contracts to provide services or supplies, or both. The director shall strongly encourage firms with which the department contracts to subcontract with certified businesses in depressed and deprived communities for services, supplies, or both.

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Out-of-State Travel Report

Sec. 207. The department and agencies receiving Sec. 207. Consistent with Sec. 207. Consistent with Sec. 207. Consistent with Sec. 207. Concur with the MCL 18.1217, the section 217 of the section 217 of the appropriations in part 1 shall prepare a report on out-of- departments The department management and budget act, management and budget act, Senate. state travel expenses not later than January 1 of each and agencies receiving 1984 PA 431, MCL 18.1217, 1984 PA 431, MCL 18.1217, year. The travel report shall be a listing of all travel by appropriations in part 1 shall the The department and the The department and classified and unclassified employees outside this state prepare a report on out-of- agencies receiving agencies receiving in the previous fiscal year that was funded in whole or state travel expenses not later appropriations in part 1 shall appropriations in part 1 shall in part with funds appropriated in the department’s than January 1 of each year. prepare a report on out-of- prepare a report on out-of- budget. The report shall be submitted to the senate and The travel report shall be a state travel expenses not later state travel expenses not later house appropriations committees, the house and listing of all travel by classified than January 1 of each year. than January 1 of each year. and unclassified employees The travel report shall be a The travel report shall be a senate fiscal agencies, and the state budget director. outside this state in the listing of list all travel by listing of list all travel by The report shall include the following information: previous immediately classified and unclassified classified and unclassified preceding fiscal year that was employees outside this state in employees outside this state in (a) The dates of each travel occurrence. funded in whole or in part with the previous immediately the previous fiscal year that (b) The transportation and related costs of each travel funds appropriated in the preceding fiscal year that was was funded in whole or in part occurrence, including the proportion funded with state department’s budget. The funded in whole or in part with with funds appropriated in the general fund/general purpose revenues, the proportion report shall be submitted to the funds appropriated in the department’s budget. The funded with state restricted revenues, the proportion senate and house department’s budget. The report shall be submitted to the appropriations committees, the report shall be submitted to the senate and house funded with federal revenues, and the proportion house and senate fiscal senate and house appropriations committees, the funded with other revenues. agencies, and the state budget appropriations committees, the house and senate fiscal director. The report shall house and senate fiscal agencies, and the state budget include the following agencies, and the state budget director. The report shall information: director. The report shall include the following include the following information: (a) The dates of each travel information: occurrence. (a) The dates of each travel (b) The transportation and (a) The dates of each travel occurrence. related costs of each travel occurrence. (b) The transportation and occurrence, including the (b) The transportation and related costs of each travel proportion funded with state related costs of each travel occurrence, including the general fund/general purpose occurrence, including the proportion funded with state revenues, the proportion proportion funded with state general fund/general purpose funded with state restricted general fund/general purpose revenues, the proportion revenues, the proportion revenues, the proportion funded with state restricted funded with federal revenues, funded with state restricted revenues, the proportion and the proportion funded with revenues, the proportion funded with federal revenues, other revenues. funded with federal revenues, and the proportion funded with and the proportion funded with other revenues. other revenues.

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Legal Services of Attorney General

Sec. 208. Funds appropriated in part 1 shall not be Sec. 208. No changes from Sec. 208. No changes from Sec. 208. No changes from Sec. 208. No changes from used by a principal executive department, state agency, current law. current law. current law. current law. or authority to hire a person to provide legal services that are the responsibility of the attorney general. This prohibition does not apply to legal services for bonding activities and for those outside services that the attorney general authorizes.

General Fund/General Purpose Appropriation Lapse Report

Sec. 209. Not later than November 30, the state budget Sec. 209. No changes from Sec. 209. No changes from Sec. 209. No changes from Sec. 209. No changes from office shall prepare and transmit a report that provides current law except: current law. current law. current law. for estimates of the total general fund/general purpose appropriation lapses at the close of the previous fiscal "Not later than November year. This report shall summarize the projected year- 30 December 31, the …" end general fund/general purpose appropriation lapses by major departmental program or program areas. The report shall be transmitted to the chairpersons of the senate and house appropriations committees, and the senate and house fiscal agencies.

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Contingency Fund Appropriations

Sec. 210. (1) In addition to the funds appropriated in Sec. 210. (1) In addition to Sec. 210. (1) In addition to Striking current law. Sec. 210. (1) Concur with part 1, there is appropriated an amount not to exceed the funds appropriated in the funds appropriated in the House. $20,000,000.00 for federal contingency funds. These part 1, there is appropriated part 1, there is appropriated funds are not available for expenditure until they have an amount not to exceed an amount not to exceed been transferred to another line item in part 1 under $20,000,000.00 $20,000,000.00 for federal section 393(2) of the management and budget act, $400,000,000.00 for federal contingency funds 1984 PA 431, MCL 18.1393. These funds shall not be contingency funds. These authorization. These funds made available to increase TANF authorization. funds are not available for are not available for expenditure until they have expenditure until they have been transferred to another been transferred to another line item in part 1 this line item in part 1 under article under section 393(2) section 393(2) of the of the management and management and budget budget act, 1984 PA 431, act, 1984 PA 431, MCL MCL 18.1393. These funds 18.1393. These funds shall shall not be made available not be made available to to increase TANF increase TANF authorization. authorization.

(2) In addition to the funds appropriated in part 1, there (2) In addition to the funds (2) In addition to the funds Striking current law. (2) Concur with the House. is appropriated an amount not to exceed appropriated in part 1, there appropriated in part 1, there $20,000,000.00 for state restricted contingency funds. is appropriated an amount is appropriated an amount These funds are not available for expenditure until they not to exceed not to exceed have been transferred to another line item in part 1 $20,000,000.00 $20,000,000.00 for state under section 393(2) of the management and budget $90,000,000.00 for state restricted contingency funds act, 1984 PA 431, MCL 18.1393. restricted contingency authorization. These funds funds. These funds are not are not available for available for expenditure expenditure until they have until they have been been transferred to another transferred to another line line item in part 1 under item in part 1 this article section 393(2) of the under section 393(2) of the management and budget management and budget act, 1984 PA 431, MCL act, 1984 PA 431, MCL 18.1393. 18.1393.

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(3) In addition to the funds appropriated in part 1, there (3) In addition to the funds (3) In addition to the funds Striking current law. (3) Concur with the House. is appropriated an amount not to exceed $5,000,000.00 appropriated in part 1, there appropriated in part 1, there for local contingency funds. These funds are not is appropriated an amount is appropriated an amount available for expenditure until they have been not to exceed not to exceed transferred to another line item in part 1 under section $5,000,000.00 $5,000,000.00 for local 393(2) of the management and budget act, 1984 PA $40,000,000.00 for local contingency funds 431, MCL 18.1393. contingency funds. These authorization. These funds funds are not available for are not available for expenditure until they have expenditure until they have been transferred to another been transferred to another line item in part 1 this line item in part 1 under article under section 393(2) section 393(2) of the of the management and management and budget budget act, 1984 PA 431, act, 1984 PA 431, MCL MCL 18.1393. 18.1393.

(4) In addition to the funds appropriated in part 1, there (4) In addition to the funds (4) In addition to the funds Striking current law. (4) Concur with the House. is appropriated an amount not to exceed $2,000,000.00 appropriated in part 1, there appropriated in part 1, there for private contingency funds. These funds are not is appropriated an amount is appropriated an amount available for expenditure until they have been not to exceed not to exceed transferred to another line item in part 1 under section $2,000,000.00 $2,000,000.00 for private 393(2) of the management and budget act, 1984 PA $60,000,000.00 for private contingency funds 431, MCL 18.1393. contingency funds. These authorization. These funds funds are not available for are not available for expenditure until they have expenditure until they have been transferred to another been transferred to another line item in part 1 this line item in part 1 under article under section 393(2) section 393(2) of the of the management and management and budget budget act, 1984 PA 431, act, 1984 PA 431, MCL MCL 18.1393. 18.1393.

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Accessible Website Data on Expenditures and Payments

Sec. 211. The department shall cooperate with the Sec. 211. From the funds Sec. 211. Concur with the Sec. 211. Concur with the Sec. 211. Concur with the department of technology, management, and budget to appropriated in part 1, the Executive. Executive. House and Senate. maintain a searchable website accessible by the public The department shall at no cost that includes, but is not limited to, all of the cooperate with provide to following for each department or agency: the department of technology, management, (a) Fiscal year-to-date expenditures by category. and budget information (b) Fiscal year-to-date expenditures by appropriation sufficient to maintain a unit. searchable website (c) Fiscal year-to-date payments to a selected vendor, accessible by the public at including the vendor name, payment date, payment no cost that includes, but is amount, and payment description. not limited to, all of the (d) The number of active department employees by job following for each classification. department or agency: (e) Job specifications and wage rates. (a) Fiscal year-to-date expenditures by category. (b) Fiscal year-to-date expenditures by appropriation unit. (c) Fiscal year-to-date payments to a selected vendor, including the vendor name, payment date, payment amount, and payment description. (d) The number of active department employees by job classification. (e) Job specifications and wage rates.

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State Restricted Funds Report

Sec. 212. Within 14 days after the release of the Sec. 212. Within 14 days Sec. 212. No changes from Sec. 212. No changes from Sec. 212. No changes from executive budget recommendation, the department after the release of the current law. current law. current law. shall cooperate with the state budget office to provide executive budget the senate and house appropriations chairs, the senate recommendation, the and house appropriations subcommittees chairs, and department shall cooperate the senate and house fiscal agencies with an annual with provide to the state report on estimated state restricted fund balances, state budget office information restricted fund projected revenues, and state restricted sufficient to provide the fund expenditures for the previous fiscal year and the senate and house current fiscal year. The department shall provide to the appropriations chairs, the state budget office information sufficient to complete the senate and house report required under this section. appropriations subcommittees chairs, and the senate and house fiscal agencies with an annual report on estimated state restricted fund balances, state restricted fund projected revenues, and state restricted fund expenditures for the previous fiscal year and the current fiscal year fiscal years ending September 30, 2021 and September 30, 2022. The department shall provide to the state budget office information sufficient to complete the report required under this section.

Performance Metrics

Sec. 213. The department shall maintain, on a publicly Sec. 213. No changes from Sec. 213. No changes from Sec. 213. No changes from Sec. 213. No changes from accessible website, a department scorecard that current law. current law. current law. current law. identifies, tracks, and regularly updates key metrics that are used to monitor and improve the department’s performance.

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Legacy Costs

Sec. 214. Total authorized appropriations from all Sec. 214. Total authorized Sec. 214. Total authorized Sec. 214. Total authorized Sec. 214. Concur with the sources under part 1 for legacy costs for the current appropriations from all appropriations from all appropriations from all House and Senate. fiscal year are estimated at $359,304,200.00. From this sources under part 1 for sources under part 1 for sources under part 1 for amount, total agency appropriations for pension-related legacy costs for the current legacy costs for the current legacy costs for the current legacy costs are estimated at $172,398,600.00. Total fiscal year ending fiscal year are estimated at fiscal year are estimated at agency appropriations for retiree health care legacy September 30, 2022 are $359,304,200.00 $359,304,200.00 costs are estimated at $186,905,600.00. estimated at $326,296,500.00. From this $326,296,500.00. From this $359,304,200.00 amount, total agency amount, total agency $326,296,500.00. From this appropriations for pension- appropriations for pension- amount, total agency related legacy costs are related legacy costs are appropriations for pension- estimated at estimated at related legacy costs are $172,398,600.00 $172,398,600.00 estimated at $182,808,800.00. Total $182,808,800.00. Total $172,398,600.00 agency appropriations for agency appropriations for $182,808,800.00. Total retiree health care legacy retiree health care legacy agency appropriations for costs are estimated at costs are estimated at retiree health care legacy $186,905,600.00 $186,905,600.00 costs are estimated at $143,487,700.00. $143,487,700.00. $186,905,600.00 $143,487,700.00.

House Fiscal Agency General Sections BP - 23 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for General Sections

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Notification When Legislative Objectives Conflict with Federal Regulation or When Grant Unused

Sec. 215. If either of the following events occur, within Striking current law. Sec. 215. If either of the Sec. 215. If either of the Sec. 215. Concur with the 30 days the department shall notify the state budget following events occur, following events occur, House and Senate. director, the chairs of the house and senate within 30 days after that within 30 days after that appropriations subcommittees on the department event the department shall event the department shall budget, and the house and senate fiscal agencies and notify the state budget notify the state budget policy offices of that fact: director, the chairs of the director, the chairs of the house and senate house and senate (a) A legislative objective of this part or of a bill or appropriations appropriations amendment to a bill to amend the social welfare act, subcommittees on the subcommittees on the 1939 PA 280, MCL 400.1 to 400.119b, cannot be department budget, and the department budget, and the implemented because implementation would conflict house and senate fiscal house and senate fiscal with or violate federal regulations. agencies and policy offices agencies and policy offices (b) A federal grant, for which a notice of an award has of that fact: of that fact: been received, cannot be used, or will not be used. (a) A legislative objective of (a) A legislative objective of this part or of a bill or this part or of a bill or amendment to a bill to amendment to a bill to amend the social welfare amend the social welfare act, 1939 PA 280, MCL act, 1939 PA 280, MCL 400.1 to 400.119b, cannot 400.1 to 400.119b, cannot be implemented because be implemented because implementation would implementation would conflict with or violate conflict with or violate federal regulations. federal regulations. (b) A federal grant, for (b) A federal grant, for which a notice of an award which a notice of an award has been received, cannot has been received, cannot be used, or will not be used. be used, or will not be used.

Use of Prior-Year Revenue

Sec. 216. (1) In addition to funds appropriated in part 1 Sec. 216. (1) No changes Sec. 216. (1) No changes Sec. 216. (1) No changes Sec. 214. (1) Concur with for all programs and services, there is appropriated for from current law. from current law. from current law. the Senate. write-offs of accounts receivable, deferrals, and for prior year obligations in excess of applicable prior year appropriations, an amount equal to total write-offs and prior year obligations, but not to exceed amounts available in prior year revenues.

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(2) The department’s ability to satisfy appropriation fund (2) No changes from current (2) The department’s ability (2) The department’s ability (2) Concur with the Senate. sources in part 1 shall not be limited to collections and law. to satisfy appropriation fund to satisfy appropriation fund accruals pertaining to services provided in the current sources in part 1 shall are sources in part 1 shall is not fiscal year, but shall also include reimbursements, not be limited to collections be limited to collections and refunds, adjustments, and settlements from prior years. and accruals pertaining to accruals pertaining to services provided in the services provided in the current fiscal year, but shall current fiscal year, but shall also include also include includes reimbursements, refunds, reimbursements, refunds, adjustments, and adjustments, and settlements from prior settlements from prior years. years.

Detailed Fund Sources Report

Sec. 217. (1) By February 1 of the current fiscal year, Sec. 217. (1) No changes Sec. 217. (1) No changes Sec. 217. (1) No changes Sec. 217. (1) No changes the department shall report to the house and senate from current law. from current law. from current law. from current law. appropriations subcommittees on the department budget, the house and senate fiscal agencies, and the state budget director on the detailed name and amounts of estimated federal, restricted, private, and local sources of revenue that support the appropriations in each of the line items in part 1.

(2) Upon the release of the next fiscal year executive Striking current law. (2) No changes from current (2) No changes from current (2) No changes from current budget recommendation, the department shall report to law. law. law. the same parties in subsection (1) on the amounts and detailed sources of federal, restricted, private, and local revenue proposed to support the total funds appropriated in each of the line items in part 1 of the next fiscal year executive budget proposal.

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Basic Health Services

Sec. 218. (1) As required under part 23 of the public Striking current law. Sec. 218. (1) No changes Sec. 218. (1) No changes Sec. 218. (1) No changes health code, 1978 PA 368, MCL 333.2301 to 333.2321, from current law. from current law. from current law. the list of basic health services to be funded in the current fiscal year from the appropriations in part 1 shall include the following:

(a) Immunizations. (b) Communicable disease control. (c) Sexually transmitted disease control. (d) Tuberculosis control. (e) Prevention of gonorrhea eye infection in newborns. (f) Screening newborns for the conditions listed in section 5431 of the public health code, 1978 PA 368, MCL 333.5431, or recommended by the newborn screening quality assurance advisory committee created under section 5430 of the public health code, 1978 PA 368, MCL 333.5430. (g) Health and human services annex of the Michigan emergency management plan. (h) Prenatal care.

(2) By January 1 of the current fiscal year, the Striking current law. (2) No changes from current (2) No changes from current (2) No changes from current department shall report to the house and senate law. law. law. appropriations subcommittees on the department budget, the house and senate fiscal agencies, the house and senate policy offices, and the state budget office on the revisions to the list of basic health services, listed in subsection (1), and program statements that have been prepared and published as required under section 2311 of the public health code, 1978 PA 368, MCL 333.2311.

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Contract with Michigan Public Health Institute

Sec. 219. (1) The department may contract with the Sec. 219. (1) No Sec. 219. (1) No changes from Sec. 219. (1) The Sec. 219. (1) No changes Michigan Public Health Institute for the design and changes from current law, except: department may contract from current law. implementation of projects and for other public health- current law. with the Michigan Public related activities prescribed in section 2611 of the Health Institute for the public health code, 1978 PA 368, MCL 333.2611. The design and implementation department may develop a master agreement with the of projects and for other Michigan Public Health Institute to carry out these (SEE "((1) CONTINUED)" BELOW, public health-related purposes for up to a 3-year period. … WHICH IS DESIGNATED AS activities prescribed in SUBSECTION (7)). section 2611 of the public SEE "((1) CONTINUED)" BELOW FOR REMAINDER health code, 1978 PA 368, OF (1). MCL 333.2611. The department may develop a master agreement with the Michigan Public Health Institute to carry out these purposes for up to a 3-year 6-month period. …

SEE "((1) CONTINUED)" BELOW FOR REMAINDER OF (1).

NEW HOUSE SUBSECTION (2) FOR SEC. 219 (2) The Michigan Public Health Does not include. Does not include. Institute shall not be a passthrough, contract manager, or indirect contract manager for a contract with the department for a project or other public health-related activity.

NEW HOUSE SUBSECTION (3) FOR SEC. 219 (3) The following shall apply: Does not include. Does not include. (a) An individual who is a current employee of the department shall not be simultaneously employed by or under contract for services with the Michigan Public Health Institute.

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NEW HOUSE SUBSECTION (3) FOR SEC. 219 (b) An individual who is a former Does not include. Does not include. employee of the department shall not begin employment with or contractual services with the Michigan Public Health Institute within 3 months after the date of the cessation of the person's employment with the department.

NEW HOUSE SUBSECTION (3) FOR SEC. 219 (c) An individual who is a current Does not include. Does not include. employee of the department or who is currently under contract with the department shall not serve as a member of the board of directors of the Michigan Public Health Institute during the duration of the employment or contractual commitment with the department.

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NEW HOUSE SUBSECTION (4) FOR SEC. 219 (4) On the fifteenth day of each Does not include. Does not include. month, the department shall provide a report listing all active contracts between the department and the Michigan Public Health Institute during the previous month to the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, the house and senate policy offices, and the state budget director. The list shall include, but not be limited to, the project, the purpose of the project, the initial project date, the project period, the contractual project amount, the cumulative annual expenditures through the reporting period, and the source of the funds.

NEW HOUSE SUBSECTION (5) FOR SEC. 219 (5) A contract between the Does not include. Does not include. department and the Michigan Public Health Institute for a project of $5,000,000.00 or greater shall be submitted to the legislature for approval at least 30 days in advance of the effective date of the contract. If the legislature does not take action, the contract may take effect.

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NEW HOUSE SUBSECTION (6) FOR SEC. 219 (6) A request for extension of a Does not include. Does not include. contract between the department and the Michigan Public Health Institute that is more than 36 months beyond the initial effective date of the contract shall be submitted to the legislature for approval at least 30 days in advance of the effective date of the extension of the contract extension. If the legislature does not take action, the extension of the contract may take effect.

((1) CONTINUED) Sec. 219. (1) No (7) The department shall report to Sec. 219. (1) …(continued) ((1) CONTINUED) The department shall report to the house and senate changes from the house and senate No changes from current The department shall report appropriations subcommittees on the department current law. appropriations subcommittees on law. to the house and senate budget, the house and senate fiscal agencies, and the the department budget, the house appropriations state budget director on or before January 1 of the and senate fiscal agencies, and the subcommittees on the current fiscal year all of the following: state budget director on or before department budget, the January 1 of the current fiscal year house and senate fiscal (a) A detailed description of each funded project. all of the following: agencies, and the state (b) The amount allocated for each project, the budget director on or before appropriation line item from which the allocation is (a) A detailed description of each January 1 of the current funded, and the source of financing for each project. funded project. fiscal year on a (c) The expected project duration. (b) The amount allocated for each semiannual basis all of the (d) A detailed spending plan for each project, including project, the appropriation line item following: a list of all subgrantees and the amount allocated to from which the allocation is funded, each subgrantee. and the source of financing for (No changes from current each project. law for (a) - (d).) (c) The expected project duration. (d) A detailed spending plan for each project, including a list of all subgrantees and the amount allocated to each subgrantee.

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(2) On or before December 30 of the current fiscal year, (2) No changes from (2) (8) On or before December 30 (2) No changes from current (2) On or before December the department shall provide to the same parties listed current law. 31 of the current fiscal year, the law. 30 of the current fiscal year in subsection (1) a copy of all reports, studies, and department shall provide to the a semiannual basis, the publications produced by the Michigan Public Health same parties listed in subsection department shall provide to Institute, its subcontractors, or the department with the (1) a copy of all reports, studies, the same parties listed in funds appropriated in the department’s budget in the and publications produced by the subsection (1) a copy of all previous fiscal year and allocated to the Michigan Michigan Public Health Institute, its reports, studies, and Public Health Institute. subcontractors, or the department publications produced by with the funds appropriated in the the Michigan Public Health department’s budget in the Institute, its subcontractors, previous fiscal year and allocated or the department with the to the Michigan Public Health funds appropriated in the Institute. department’s budget in the previous fiscal year and allocated to the Michigan Public Health Institute.

NEW HOUSE SEC. 219A. Sec. 219a. (1) An individual who Does not include. Does not include. is a current employee of the department shall not be simultaneously employed by or under contract for services with an outside agency that is currently under contract with the department. (2) An individual who is a former employee of the department shall not begin employment with or contractual services with an outside agency that is currently under contract with the department within 3 months after the date of the cessation of the individual's employment with the department.

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Faith-Based Contracts and Services

Sec. 220. The department shall ensure that faith-based Sec. 220. No changes from Sec. 220. No changes from Sec. 220. No changes from Sec. 220. No changes from organizations are able to apply and compete for current law. current law. current law. current law. services, programs, or contracts that they are qualified and suitable to fulfill. The department shall not disqualify faith-based organizations solely on the basis of the religious nature of their organization or their guiding principles or statements of faith.

Time-Limited Addendum to Social Welfare Act

Sec. 221. According to section 1b of the social welfare Sec. 221. No changes from Sec. 221. No changes from Sec. 221. No changes from Sec. 221. No changes from act, 1939 PA 280, MCL 400.1b, the department shall current law. current law. current law. current law. treat part 1 and this part as a time-limited addendum to the social welfare act, 1939 PA 280, MCL 400.1 to 400.119b.

Notification and Report of Policy Changes

Sec. 222. (1) The department shall provide written Striking current law. Sec. 222. (1) The Sec. 222. (1) The Sec. 222. (1) Concur with notification to the senate and house appropriations department shall provide department shall provide the House and Senate. subcommittees on the department budget, the senate written notification to the written notification to the and house fiscal agencies, the senate and house policy senate and house senate and house offices, and the state budget office of any major policy appropriations appropriations changes at least 30 days before the implementation subcommittees on the subcommittees on the date. department budget, the department budget, the senate and house fiscal senate and house fiscal agencies, the senate and agencies, the senate and house policy offices, and house policy offices, and the state budget office of the state budget office of any major policy changes at any major policy changes at least 30 days before the least 30 days before the implementation date of implementation date of those policy changes. those policy changes.

(2) The department shall make the entire policy and Striking current law. (2) No changes from current (2) No changes from current (2) No changes from current procedures manual available and accessible to the law. law. law. public via the department website.

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(3) The department shall report by April 1 of the current Striking current law. (3) No changes from current (3) No changes from current (3) No changes from current fiscal year on each specific policy change made to law. law. law. implement a public act affecting the department that took effect during the prior calendar year to the house and senate appropriations subcommittees on the budget for the department, the joint committee on administrative rules, the senate and house fiscal agencies, and policy offices. The department shall attach each policy bulletin issued during the prior calendar year to this report.

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Fees for Publications, Videos, Conferences, and Workshops

Sec. 223. The department may establish and collect Sec. 223. No changes from Sec. 223. The department Sec. 223. The department Sec. 223. No changes from fees for publications, videos and related materials, current law. may establish and collect may establish and collect current law. conferences, and workshops. Collected fees are fees for publications, videos fees for publications, videos appropriated when received and shall be used to offset and related materials, and related materials, expenditures to pay for printing and mailing costs of the conferences, and conferences, and publications, videos and related materials, and costs of workshops. Collected fees workshops. Collected fees the workshops and conferences. The department shall are appropriated when are appropriated when not collect fees under this section that exceed the cost received and shall be used received and shall be used of the expenditures. When collected fees are to offset expenditures to pay to offset expenditures to pay appropriated under this section in an amount that for printing and mailing for printing and mailing exceeds the current fiscal year appropriation, within 30 costs of the publications, costs of the publications, days the department shall notify the chairs of the house videos and related videos and related and senate appropriations subcommittees on the materials, and costs of the materials, and costs of the department budget, the house and senate fiscal workshops and workshops and agencies and policy offices, and the state budget conferences. The conferences. The director of that fact. department shall not collect department shall not collect fees under this section that fees under this section that exceed the cost of the exceed the cost of the expenditures. When If expenditures. When collected fees are collected fees are appropriated under this appropriated under this section in an amount that section in an amount that exceeds the current fiscal exceeds the current fiscal year appropriation, within 30 year appropriation, within 30 days after the department days after the department shall notify the chairs of the shall notify the chairs of the house and senate house and senate appropriations appropriations subcommittees on the subcommittees on the department budget, the department budget, the house and senate fiscal house and senate fiscal agencies and policy offices, agencies and policy offices, and the state budget and the state budget director of that fact. director of that fact.

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Food Assistance Overissuance Collections

Sec. 224. The department may retain all of the state’s Sec. 224. No changes from Sec. 224. The department Sec. 224. The department Sec. 224. Concur with the share of food assistance overissuance collections as an current law. may retain all of the state’s may retain all of the state’s House and Senate. offset to general fund/general purpose costs. Retained share of food assistance share of food assistance collections shall be applied against federal funds overissuance collections as overissuance collections as deductions in all appropriation units where department an offset to general an offset to general costs related to the investigation and recoupment of fund/general purpose costs. fund/general purpose costs. food assistance overissuances are incurred. Retained Retained collections shall Retained collections shall collections in excess of such costs shall be applied be applied against federal be applied against federal against the federal funds deducted in the departmental funds deductions in all funds deductions in all administration and support appropriation unit. appropriation units where appropriation units where department costs related to department costs related to the investigation and the investigation and recoupment of food recoupment of food assistance overissuances assistance overissuances are incurred. Retained are incurred. Retained collections in excess of collections in excess of such those costs shall be such those costs shall be applied against the federal applied against the federal funds deducted in the funds deducted in the departmental administration departmental administration and support appropriation and support appropriation unit. unit.

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Public and Private Service Providers

Sec. 225. (1) For providers and entities receiving funds Striking current law. Sec. 225. (1) No changes Sec. 225. (1) For providers Sec. 225. (1) Concur with from the appropriations in part 1, sanctions, from current law. and entities receiving funds the House. suspensions, conditions for provisional license status, from the appropriations and other penalties shall not be more stringent for Funds appropriated in part private service providers than for public entities 1, for unclassified salaries performing equivalent or similar services. are contingent upon sanctions, suspensions, Note: Governor's signing letter states section is conditions for provisional unenforceable. license status, and other penalties shall not be being more stringent for private service providers than for public entities performing equivalent or similar services.

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(2) For services to be provided from the appropriations Striking current law. (2) No changes from current (2) For services to be (2) Concur with the House. in part 1, both of the following apply: law. provided from the appropriations Funds (a) Neither the department nor private service providers appropriated in part 1, for or licensees shall be granted preferential treatment or unclassified salaries are considered automatically to be in compliance with contingent upon both of administrative rules based on whether they have the following apply: collective bargaining agreements with direct care (a) Neither the department workers. nor private service providers (b) Private service providers or licensees without or licensees shall be being collective bargaining agreements shall not be subjected granted preferential to additional requirements or conditions of licensure treatment or considered based on their lack of collective bargaining agreements. automatically to be in compliance with Note: Governor's signing letter states section is administrative rules based unenforceable. on whether they have collective bargaining agreements with direct care workers. (b) Private service providers or licensees without collective bargaining agreements shall not be being subjected to additional requirements or conditions of licensure based on their lack of collective bargaining agreements.

Fee Revenue Carryforward

Sec. 226. If the revenue collected by the department Sec. 226. No changes from Sec. 226. No changes from Sec. 226. No changes from Sec. 226. No changes from from fees and collections exceeds the amount current law. current law. current law. current law. appropriated in part 1, the revenue may be carried forward with the approval of the state budget director into the subsequent fiscal year. The revenue carried forward under this section shall be used as the first source of funds in the subsequent fiscal year.

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Tobacco Tax Funds and Healthy Michigan Fund Report Sec. 227. No changes from Sec. 227. The state Sec. 227. The state Sec. 227. Concur with the Sec. 227. The state departments, agencies, and current law. departments, agencies, and departments, agencies, and House and Senate. commissions receiving tobacco tax funds and Healthy commissions receiving commissions receiving Michigan fund revenue from part 1 shall report by April tobacco tax funds and tobacco tax funds and 1 of the current fiscal year to the senate and house Healthy Michigan fund Healthy Michigan fund appropriations committees, the senate and house fiscal revenue from part 1 shall revenue from part 1 shall agencies, and the state budget director on the report by April 1 of the report by April 1 of the following: current fiscal year to the current fiscal year to the senate and house senate and house (a) Detailed spending plan by appropriation line item appropriations committees, appropriations committees, including description of programs and a summary of the senate and house fiscal the senate and house fiscal organizations receiving these funds. agencies, and the state agencies, and the state (b) Description of allocations or bid processes including budget director on the budget director on the need or demand indicators used to determine following: following: allocations. (c) Eligibility criteria for program participation and (a) Detailed A detailed (a) Detailed A detailed maximum benefit levels where applicable. spending plan by spending plan by (d) Outcome measures used to evaluate programs, appropriation line item appropriation line item including measures of the effectiveness of these including description of including description of programs in improving the health of Michigan residents. programs and a summary of programs and a summary of organizations receiving organizations receiving these funds. these funds. (b) Description A (b) Description A description of allocations description of allocations or bid processes including or bid processes including need or demand indicators need or demand indicators used to determine used to determine allocations. allocations. (c) Eligibility criteria for (c) Eligibility criteria for program participation and program participation and maximum benefit levels maximum benefit levels where applicable. where applicable. (d) Outcome measures (d) Outcome measures used to evaluate programs, used to evaluate programs, including measures of the including measures of the effectiveness of these effectiveness of these programs in improving the programs in improving the health of Michigan residents health of Michigan residents of this state. of this state.

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Interest Payable to DHHS on Late Payments

Sec. 228. (1) If the department is authorized under Sec. 228. (1) No changes Sec. 228. (1) If the Sec. 228. (1) If the Sec. 228. (1) Concur with state or federal law to collect an overpayment owed to from current law. department is authorized department is authorized the House and Senate. the department, the department may assess a penalty under state or federal law to under state or federal law to of 1% per month beginning 60 days after notification. If collect an overpayment collect an overpayment caused by department error, a penalty may not be owed to the department, the owed to the department, the assessed until 6 months after the initial notification date department may assess a department may assess a of the overpayment amount. The department shall not penalty of 1% per month penalty of 1% per month collect penalty interest in an amount that exceeds the beginning 60 days after beginning 60 days after amount of the original overpayment. The state share of notification. If an notification. If an any funds collected under this section shall be overpayment is caused by overpayment is caused by deposited in the state general fund. department error, a penalty department error, a penalty may not be assessed until 6 may not be assessed until 6 months after the initial months after the initial notification date of the notification date of the overpayment amount. The overpayment amount. The department shall not collect department shall not collect penalty interest in an penalty interest in an amount that exceeds the amount that exceeds the amount of the original amount of the original overpayment. The state overpayment. The state share of any funds collected share of any funds collected under this section shall be under this section shall be deposited in the state deposited in the state general fund. general fund.

(2) By September 30 of the current fiscal year, the (2) No changes from current (2) No changes from current (2) No changes from current (2) No changes from current department shall report to the house and senate law. law. law. law. appropriations subcommittees on the department budget, the house and senate fiscal agencies, and the state budget office on penalty amounts assessed and paid by account during the current fiscal year, the reason for the penalty, and the current status of the account.

House Fiscal Agency General Sections BP - 39 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for General Sections

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Interagency Agreement with LEO for Use of TANF Striking current law. Sec. 229. (1) The department Sec. 229. (1) The From the Sec. 229. (1) Concur with Funds shall extend the interagency $370,000.00 of TANF revenue the Senate. agreement coordinate with the appropriated in part 1 for office of employment and training and program Sec. 229. (1) The department shall extend the training within the department support, the department shall interagency agreement with the office of employment of labor and economic extend the interagency and training within the department of labor and opportunity for the duration of agreement with the office of economic opportunity for the duration of the current the current fiscal year, on employment and training within fiscal year, which concerns TANF funding to provide job reporting regarding the the department of labor and readiness and welfare-to-work programming. The interagency agreement which economic opportunity for the interagency agreement shall require the office of concerns TANF funding in the duration of the current fiscal employment and training within the department of labor department of labor and year, which concerns TANF economic opportunity budget funding to provide job and economic opportunity to report the following to provide job readiness and readiness and welfare-to-work specific outcome and performance measures to the welfare-to-work programming. programming. The interagency senate and house appropriations subcommittees on the The department shall request agreement shall require the department budget, the senate and house that reporting regarding the office of employment and appropriations subcommittees on general government, The interagency agreement training within $10,000.00 of the senate and house fiscal agencies, the senate and shall require by the office of TANF revenue is house policy offices, and the state budget office by employment and training within appropriated in part 1 for the January 1 of the current fiscal year for the previous the department of labor and department of labor and economic opportunity to report economic opportunity to report fiscal year: include the following specific the following specific outcome outcome and performance and performance measures to (a) An itemized spending report on TANF funding, measures and is reported to the senate and house including all of the following: the senate and house appropriations subcommittees (i) Direct services to recipients. appropriations subcommittees on the department budget, the (ii) Administrative expenditures. on the department budget, the senate and house senate and house appropriations subcommittees appropriations subcommittees on general government, the on general government, the senate and house fiscal senate and house fiscal agencies, the senate and agencies, the senate and house policy offices, and the house policy offices, and the state budget office by January state budget office by January 1 of the current fiscal year for 1 of the current fiscal year for the previous fiscal year: the previous fiscal year: (a) An itemized spending report (a) An itemized spending report on TANF funding, including all on TANF funding, including all of the following: of the following: (i) Direct services to recipients. (i) Direct services to recipients. (ii) Administrative expenditures. (ii) Administrative expenditures.

House Fiscal Agency General Sections BP - 40 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for General Sections

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(b) The number of family independence program (FIP) Striking current law. (b) No changes from current (b) No changes from current (b) No changes from current recipients served through the TANF funding, including law. law. law. all of the following: (i) The number and percentage who obtained employment through Michigan Works! (ii) The number and percentage who fulfilled their TANF work requirement through other job readiness programming. (iii) Average TANF spending per recipient. (iv) The number and percentage of recipients who were referred to Michigan Works! but did not receive a job or job readiness placement and the reasons why.

(c) The following data itemized by Michigan Works! Striking current law. (c) No changes from current (c) No changes from current (c) No changes from current agency: law. law. law. (i) The number of referrals to Michigan Works! job readiness programs. (ii) The number of referrals to Michigan Works! job readiness programs who became a participant in the Michigan Works! job readiness programs. (iii) The number of participants who obtained employment, and the cost per participant case.

NOTE If retained as current law, the "(1)" designation can be removed as there is no (2).

House Fiscal Agency General Sections BP - 41 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for General Sections

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Implementation of Prior Year Funding Increases Report

Sec. 230. By December 31 of the current fiscal year, Sec. 230. No changes from Sec. 230. No changes from Sec. 230. No changes from Sec. 230. No changes from the department shall report to the senate and house current law. current law. current law. current law. appropriations subcommittees on the department budget, the senate and house fiscal agencies and policy offices, and the state budget office on the status of the implementation of any noninflationary, noncaseload, programmatic funding increases in the current fiscal year from the previous fiscal year. The report shall confirm the implementation of already implemented funding increases and provide explanations for any planned implementation of funding increases that have not yet occurred. For any planned implementation of funding increases that have not yet occurred, the department shall provide an expected implementation date and the reasons for delayed implementation.

Sec. 231. New Language. Sec. 1000. (1) From the Sec. 1000. (1) From the Sec. 231. (1) From the Sec. 231. (1) From the Current law similar language includes 2 one-time funds appropriated in part funds appropriated in part funds appropriated in part funds appropriated in part supplemental appropriations boilerplate sections: 1, the department of 1, the department shall 1, the department shall 1, the department shall Sec.356, 2020 PA 257, and Sec. 251, 2021 PA 2 health and human provide sufficient funding provide sufficient funding provide sufficient funding services shall provide for wages paid to direct to increase the wages for wages paid to direct sufficient funding to care workers described in paid to direct care care workers so that increase the wages paid subsection (2) by no less workers described in direct care wages paid are to direct care workers than rates paid on March subsection (2) by $2.35 by no less than the rates described in subsection 1, 2021 for the current per hour above the rates paid on March 1, 2021 for (2) by $2.00 per hour fiscal year. This funding paid on March 1, 2020 for the current fiscal year. above the rates paid on shall include all costs the current fiscal year. This funding shall include March 1, 2020 for the incurred by the employer, all costs incurred by the current fiscal year. including payroll taxes. employer, including payroll taxes.

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Sec. 231. New Language. (2) The direct care wage (2) The direct care wage (2) The direct care wage (2) Concur with the House. Current law similar language includes 2 one-time increase shall be provided shall be provided to direct increase shall be provided supplemental appropriations boilerplate sections: to direct care workers care workers for the entire to direct Sec.356, 2020 PA 257, and Sec. 251, 2021 PA 2 employed by the fiscal year. care workers employed by department of health and the department, its human services, its contractors, and its contractors, and its subcontractors who subcontractors who received a received a $2.00 per hour $2.00 per hour state- state-funded wage funded wage increase increase beginning in beginning in April 2020. April 2020. The total The total combined direct combined direct care care wage increases from wage increases from the the April 2020 direct care April 2020 direct care wage increase and the wage increase and the wage increase outlined in wage increase this section shall be $2.00 outlined in this section is per hour and shall be in $2.35 per hour and is in effect for the current effect for the current fiscal year. fiscal year.

Sec. 231. New Language. (3) From the funds House includes in its (3) From the funds Concur with the House Current law similar language includes 2 one-time appropriated in part 1, the definition subsection (5) appropriated in part 1, the supplemental appropriations boilerplate sections: department of health and department shall provide Sec.356, 2020 PA 257, and Sec. 251, 2021 PA 2 human services shall sufficient funding to provide sufficient funding increase the wages paid to increase the wages to direct care workers paid to direct care described in workers described in subsections (4), (5), (6), subsections (4) and (5) by and (7) by $2.35 per hour $2.00 per hour above the above the rates paid on rates paid on June 1, 2020 June 1, 2020 for the for the current fiscal year. current fiscal year.

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Sec. 231. New Language. (4) A direct care wage House includes in its (4) A direct care wage Concur with the House Current law similar language includes 2 one-time increase of $2.00 per hour definition subsection (5) increase of $2.35 per hour supplemental appropriations boilerplate sections: shall be provided to direct shall be provided to direct Sec.356, 2020 PA 257, and Sec. 251, 2021 PA 2 care workers employed by care workers employed by skilled nursing facilities skilled nursing facilities for the current fiscal year. for the current fiscal year. This funding shall include This funding shall include all costs incurred by the all costs incurred by the employer, including employer, including payroll taxes, due to the payroll taxes, due to the $2.00 per hour increase. $2.35 per hour increase. As used in this As used in this subsection, "direct care subsection, “direct care workers" means a workers” means a registered nurse, licensed registered professional practical nurse, nurse, licensed practical competency-evaluated nurse, competency- nursing assistant, and evaluated nursing respiratory therapist. assistant, and respiratory therapist.

Sec. 231. New Language. (5) A direct care wage House includes in its (5) A direct care wage Concur with the House Current law similar language includes 2 one-time increase of $2.00 per hour definition subsection (5) increase of $2.35 per hour supplemental appropriations boilerplate sections: shall be provided to direct shall be provided to direct Sec.356, 2020 PA 257, and Sec. 251, 2021 PA 2 care workers employed by care workers employed by area agencies on aging area agencies on aging and its contractors for in- and its contractors for in- home and respite services home and respite services for the current fiscal year. for the current fiscal year. This funding shall include This funding shall include all costs incurred by the all costs incurred by the employer, including employer, including payroll taxes, due to the payroll taxes, due to the $2.00 per hour increase. $2.35 per hour increase.

House Fiscal Agency General Sections BP - 44 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for General Sections

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Sec. 231. New Language. Does not include. House includes in its (6) A direct care wage Does not include. Current law similar language includes 2 one-time definition subsection (5) increase of $2.35 per hour supplemental appropriations boilerplate sections: shall be provided for the Sec.356, 2020 PA 257, and Sec. 251, 2021 PA 2 current fiscal year to direct care workers employed by licensed adult foster care homes and licensed homes for the aged who were not eligible for any direct care worker pay adjustment under any other subsection of this section. This funding shall include all costs incurred by the employer, including payroll taxes, due to the $2.35 per hour increase.

Sec. 231. New Language. Does not include. Does not include. (7) A direct care wage Does not include. Current law similar language includes 2 one-time increase of $2.35 per hour supplemental appropriations boilerplate sections: shall be provided for the Sec.356, 2020 PA 257, and Sec. 251, 2021 PA 2 current fiscal year to direct support employees and job coaches who work in supported employment arrangements and who were not eligible for any direct care worker pay adjustment under any other subsection of this section. This funding shall include all costs incurred by the employer, including payroll taxes, due to the $2.35 per hour increase.

House Fiscal Agency General Sections BP - 45 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for General Sections

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Sec. 231. New Language. Does not include. House includes in its (8) From the funds Does not include. Current law similar language includes 2 one-time definition subsection (5) appropriated in part 1, a supplemental appropriations boilerplate sections: direct care wage increase Sec.356, 2020 PA 257, and Sec. 251, 2021 PA 2 of $2.00 per hour shall be provided for the current fiscal year to front line workers employed by child caring institutions. This funding shall include all costs incurred by the employer, including payroll taxes, due to the $2.00 per hour increase. As used in this section, a "child caring institution" means that term as defined in 1973 PA 116, MCL 722.111 TO 722.128.

Sec. 231. New Language. Does not include. (3) As part of the annual Does not include. (3) Concur with the House. Current law similar language includes 2 one-time review process, supplemental appropriations boilerplate sections: contractors and Sec.356, 2020 PA 257, and Sec. 251, 2021 PA 2 subcontractors receiving funding to support direct care workers are required to provide documentation according to this section to the department that the worker wages are no less than the rates paid on March 1, 2021.

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Sec. 231. New Language. (6) Contractors and Does not include. (9) Contractors and Does not include. Current law similar language includes 2 one-time subcontractors receiving subcontractors receiving supplemental appropriations boilerplate sections: funding to support these funding to support these Sec.356, 2020 PA 257, and Sec. 251, 2021 PA 2 direct care wage direct care wage increases shall be increases shall be required to provide required to provide documentation of the documentation of the wage increases provided wage increases provided pursuant to this section to under this section to the the department of health department. and human services.

Sec. 231. New Language. (7) Any payment Does not include. (10) Any payment Does not include. Current law similar language includes 2 one-time enhancement above the enhancement above the supplemental appropriations boilerplate sections: hourly rate in effect hourly rate in effect Sec.356, 2020 PA 257, and Sec. 251, 2021 PA 2 immediately prior to the immediately before the wage increase shall be of wage increase is of no no effect in determining effect in determining any any employee's average employee's average compensation as compensation as provided by any contract provided by any contract or other provision of law. or other provision of law.

House Fiscal Agency General Sections BP - 47 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for General Sections

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Sec. 231. New Language. (8) A direct care worker Does not include. (11) A direct care worker Does not include. Current law similar language includes 2 one-time may elect to not receive may elect to not receive supplemental appropriations boilerplate sections: the wage increase the wage increase Sec.356, 2020 PA 257, and Sec. 251, 2021 PA 2 provided in this section. provided in this section. The election to not The election to not receive the wage increase receive the wage increase in this section must be in this section must be made either in writing or made either in writing or electronically. The electronically. The employer of a direct care employer of a direct care worker who has elected to worker who has elected to not receive the wage not receive the wage increase in this section increase in this section must remit back to the must remit back to this state any of the funds state any of the funds authorized by this section authorized by this section based on the number of based on the number of direct care workers it direct care workers it employs who have employs who have elected to not receive the elected to not receive the wage increase authorized wage increase authorized by this section. by this section.

Sec. 231. New Language. Does not include, but Does not include, but (12) Contractors and (4) Contractors and Current law similar language includes 2 one-time retains similar reporting in retains similar reporting in subcontractors receiving subcontractors receiving supplemental appropriations boilerplate sections: Sec. 1009. Sec. 1009. funding to support the funding to support the Sec.356, 2020 PA 257, and Sec. 251, 2021 PA 2 direct care wage increase direct care wages under under this section shall this section shall report to report to the department the department by by February 1 of the February 1 of the current current fiscal year the fiscal year the range of range of wages paid to wages paid to direct care direct care workers, workers, including including information on information on the the number of direct care number of direct care workers at each wage workers at each wage level. level.

House Fiscal Agency General Sections BP - 48 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for General Sections

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Sec. 231. New Language. Does not include, but Does not include, but (13) The department shall (5) The department shall Current law similar language includes 2 one-time retains similar reporting in retains similar reporting in report the information report the information supplemental appropriations boilerplate sections: Sec. 1009. Sec. 1009. required to be reported required to be reported Sec.356, 2020 PA 257, and Sec. 251, 2021 PA 2 according to subsection according to subsection (12) to the senate and (6) to the senate and house appropriations house appropriations subcommittees on the subcommittees on the department budget, the department budget, the senate and house fiscal senate and house fiscal agencies, the senate and agencies, the senate and house policy offices, and house policy offices, and the state budget office by the state budget office by March 1 of the current March 1 of the current fiscal year. fiscal year. The range of wages paid reported by each contractor or subcontractor receiving funding to support the direct care wages under this section must include a range of direct care workers paid at state minimum wage, and each range thereafter must not exceed $0.50 increments.

Sec. 231. New Language. Does not include. (4) It is the intent of the Does not include. Does not include. Current law similar language includes 2 one-time legislature that direct care supplemental appropriations boilerplate sections: workers make no less Sec.356, 2020 PA 257, and Sec. 251, 2021 PA 2 than $2.00 above the state minimum wage.

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Sec. 231. New Language. Defines in separate (5) As used in this Defines in separate (6) As used in this Current law similar language includes 2 one-time subsections section, a “direct care subsections section, a “direct care supplemental appropriations boilerplate sections: worker” means all of the worker” means all of the Sec.356, 2020 PA 257, and Sec. 251, 2021 PA 2 following: following:

(a) Direct care workers (a) Direct care workers employed by the employed by the department, its department, its contractors, and its contractors, and its subcontractors who subcontractors who received a $2.00 per hour received a $2.00 per hour state-funded wage state-funded wage increase beginning in increase beginning in April 2020. April 2020. (b) Direct care workers (b) Direct care workers employed by skilled employed by skilled nursing facilities nursing facilities including and limited to: including and limited to:

(i) A registered nurse. (i) A registered nurse. (ii) A licensed practical (ii) A licensed practical nurse. nurse. (iii) A competency- (iii) A competency- evaluated nursing evaluated nursing assistant. assistant. (iv) A respiratory (iv) A respiratory therapist. therapist. (c) Direct care workers (c) Direct care workers employed by area employed by area agencies on aging and agencies on aging and their contractors for in- their contractors for in- home and respite home and respite services. services. (d) Direct care workers employed by licensed adult foster care homes and licensed homes for the aged. (e) Front line workers employed by private child caring institutions.

House Fiscal Agency General Sections BP - 50 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for General Sections

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Line Item Spending Plans

Sec. 232. (1) The department shall provide the Striking current law. Sec. 232. (1) No changes to Sec. 232. (1) The Sec. 232. (1) Concur with approved spending plan for each line item receiving an current law. department shall provide the Senate.. appropriation in the current fiscal year to the senate and the approved spending plan house appropriations subcommittees on the department for each line item receiving budget and the senate and house fiscal agencies within an appropriation in the 60 days of approval by the department but not later current fiscal year to the than January 15 of the current fiscal year. Compliance senate and house with this section is not met unless a line-item appropriations appropriation name is included in all places that a line- subcommittees on the item appropriation number is listed. The spending plan department budget and the shall include the following information regarding senate and house fiscal planned expenditures for each category: allocation in agencies within 60 days of the previous period, change in the allocation, and new after approval by the allocation. The spending plan shall include the following department but not later information regarding each revenue source for the line than January 15 of the item: category of the fund source indicated by general current fiscal year. … fund/general purpose, state restricted, local, private or federal. Figures included in the approved spending plan (No changes to remainder shall not be assumed to constitute the actual final of (1)). expenditures, as line items may be updated on an as- needed basis to reflect changes in projected expenditures and projected revenue. The department shall supplement the spending plan information by providing a list of all active contracts and grants in the department’s contract system. For amounts listed in the other contracts category of each spending plan, the department shall provide a list of all contracts and grants and amounts for the current fiscal year, and include the name of the line item and the name of the fund source related to each contract or grant and amount. For amounts listed in the all other costs category of each spending plan, the department shall provide a list detailing planned expenditures and amounts for the current fiscal year, and include the name of the line item and the name of the fund source related to each amount and expenditure.

House Fiscal Agency General Sections BP - 51 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for General Sections

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(2) Notwithstanding any other appropriation authority Striking current law. (2) No changes from current (2) No changes from current (2) No changes from current granted in part 1, the department shall not appropriate law. law. law. any additional general fund/general purpose funds or any related federal and state restricted funds without providing a written 30-day notice to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the senate and house policy offices.

Legislative and State Administrative Board Transfers

Sec. 233. If the state administrative board, acting under Striking current law. Sec. 233. No changes from Sec. 233. No changes from Sec. 233. No changes from section 3 of 1921 PA 2, MCL 17.3, transfers funds from current law. current law. current law. an amount appropriated under this article, the legislature may, by a concurrent resolution adopted by a majority of the members elected to and serving in each house, inter-transfer funds within this article for the particular department, board, commission, officer, or institution.

Receipt and Retention of Reports

Sec. 234. The departments and agencies receiving Striking current law. Sec. 234. No changes from Sec. 234. No changes from Sec. 234. No changes from appropriations in part 1 shall receive and retain copies current law. current law. current law. of all reports funded from appropriations in part 1. Federal and state guidelines for short-term and long- term retention of records shall be followed. The department may electronically retain copies of reports unless otherwise required by federal and state guidelines.

House Fiscal Agency General Sections BP - 52 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for General Sections

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Reappropriation of Unexpended Federal Coronavirus Relief Funds

Sec. 235. Any coronavirus relief funds appropriated in Striking current law. Striking current law. Striking current law. Striking current law. part 1 for which expenditures have not been incurred as of December 30, 2020 are unappropriated and immediately reappropriated for deposit into the unemployment compensation fund established under section 26 of the Michigan employment security act, 1936 (Ex Sess) PA 1, MCL 421.26, to support costs incurred from March 1, 2020 through December 30, 2020 due to the COVID-19 public health emergency.

NEW HOUSE SEC. 236. Sec. 236.(1) From the funds Does not include. Sec. 236. (1) (a) Concur appropriated in part 1, the with the House. department shall do all of the following: (a) Report to the house and senate appropriations committees, the house and senate fiscal agencies, the house and senate policy offices, and the state budget office any amount of severance pay for a department director, deputy director, or other high-ranking department official not later than 14 days after a severance agreement with the director or official is signed. The name of the director or official and the amount of severance pay must be included in the report required by this subdivision.

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NEW HOUSE SEC. 236. (b) Maintain an internet site that Does not include. (b) Concur with the House. posts any severance pay in excess of 6 weeks of wages, regardless of the position held by the former department employee receiving severance pay.

NEW HOUSE SEC. 236. (c) By February 1, report to the Does not include. (c) Concur with the House house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, the house and senate policy offices, and the state budget office on the total amount of severance pay remitted to former department employees during the fiscal year ending September 30, 2021 and the total number of former department employees that were remitted severance pay during the fiscal year ending September 30, 2021.

NEW HOUSE SEC. 236. (2) As used in this section Does not include. (2) Concur with the House "severance pay" means compensation that is both payable or paid upon the termination of employment and in addition to either wages or benefits earned during the course of employment or generally applicable retirement benefits.

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NEW SENATE SEC. 236. Does not include. Sec. 236. For behavioral Sec. 236 239. For and physical health behavioral and physical services provided through health services provided managed care or the fee- through managed care or for-service program, the the fee-for-service department shall require program, the department the same reimbursement shall require, FOR THE for that service, if that NONFACILITY service is provided COMPONENT OF THE through telemedicine, as REIMBURSEMENT RATE, if the service involved AT LEAST the same face-to-face contact reimbursement for that between the health care service, if that service is professional and the provided through patient. telemedicine, as if the service involved face-to- face contact between the health care professional and the patient.

NEW HOUSE SEC. 237. Sec. 237. Any department, Does not include Sec. 237. Concur with the agency, board, House. commission, subdivision, or other executive branch entity or official of this state that receives funding under part 1 shall not do the following:

(a) Require as a condition of accessing any state services or facilities that an individual provide proof he or she has received a COVID-19 vaccine.

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NEW HOUSE SEC. 237. (b) Produce, develop, and (b) Senate includes similar Concur with the House. issue a COVID-19 vaccine language in Sec. 249. passport for the purpose of certifying that an individual has received a COVID-19 vaccine.

(c) Provide information of Does not include. an individual’s COVID-19 vaccine status to any person, company, or governmental entity for inclusion in a COVID-19 vaccine passport.

NEW HOUSE SEC. 238. Sec. 238. The funds Does not include. Sec. 238. The funds appropriated in part 1 appropriated in part 1 shall not be used to shall not be used to vaccinate an individual for vaccinate an individual for the COVID-19 virus under the COVID-19 virus under a mandatory vaccination IMPLEMENT a mandatory program of his or her COVID-19 vaccination employer or of the state program of his or her AN government. employer or of the state government.

NEW SEC. 239 SEE SENATE SEC. 236.

Use of Existing Work Project Authorization

Sec. 240. Appropriations in part 1 shall, to the extent Striking current law. Sec. 240. No changes from Sec. 240. No changes from Sec. 240. No changes from possible by the department, not be expended in cases current law. current law. current law. where existing work project authorization is available for the same expenditures.

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NEW HOUSE SEC. 241. Sec. 241. By March 1 of Does not include. Sec. 241. Concur with the the current fiscal year, the House. department shall report to the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, the house and senate policy offices, and the state budget director on total actual expenditures in the previous fiscal year for advertising and media outreach, including the purpose and amount by program or appropriation line item.

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NEW SENATE SEC. 241. Does not include. Sec. 241. From the funds Sec. 241 242. Concur with appropriated in part 1 for the Senate, EXCEPT AS departmental SHOWN BELOW, and administration and renumber. management, $100,000.00 is allocated to produce a ….. description of programs report for the previous fiscal year by February 1 "… a description of of the current fiscal year. programs report for the The report shall be previous current fiscal submitted to the senate year by February 1 of the and house appropriations current fiscal year …" committees, the senate and house fiscal agencies, and the senate and house policy offices. The report shall include the appropriation unit, the line-item name and number, the appropriation history, the program name, the program overview, the financing detail, and where applicable, the legal basis for the program and program effectiveness and outcomes.

NEW SEC. 242 SEE SENATE SEC. 241

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NEW SEC. 243 Sec. 243. From the funds appropriated in part 1, the department shall allocate $50,000.00 to provide notice and information to health care providers and the public that the department shall not use state restricted funds or state general funds, or allow grantees or subcontractors to use those funds, appropriated in part 1 to fund any elective abortion. As used in this section, "elective abortion" means the intentional use of an instrument, drug, or other substance or device to terminate a woman’s pregnancy for a purpose other than to increase the probability of a live birth, to preserve the life or health of the child after live birth, or to remove a fetus that has died as a result of natural causes, accidental trauma, or a criminal assault on the pregnant woman. Elective abortion does not include any of the following: (a) The use or prescription of a drug or device intended as a contraceptive. (b) The intentional use of an instrument, drug, or other substance or device by a physician to terminate a woman’s pregnancy if the woman’s physical condition, in the physician’s reasonable medical judgment, necessitates the termination of the woman’s pregnancy to avert her death. (c) Treatment upon a pregnant woman who is experiencing a miscarriage or has been diagnosed with an ectopic pregnancy. House Fiscal Agency General Sections BP - 59 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for General Sections

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NEW SENATE SEC. 249 House includes similar Sec. 249. From the funds Do not include. language under Sec. appropriated in part 1, no 237(b). funds shall be expended to develop, create, implement, or enforce any proposal or process that creates a vaccine passport or any other such physical or virtual document that is to be used to restrict access to employment or services by people who have not received a COVID-19 vaccination.

NEW SENATE SEC. 250 Does not include. Sec. 250. From the funds Do not include. appropriated in part 1, no funds shall be expended to develop, create, promulgate, or enforce any orders or other directives under section 2226 of the public health code, 1978 PA 368, MCL 333.2226 that require an individual in this state who is under the age of 18 to wear a face mask or face covering.

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Over Expenditure Reporting

Sec. 251. On a monthly basis, the department shall Sec. 251. No changes from Sec. 251. No changes from Sec. 251. Concur with the Sec. 251. No changes from report to the senate and house appropriations current law, except: current law. Executive. current law. subcommittees on the department budget, the senate and house fiscal agencies, and the state budget office ……….. on any line-item appropriation for which the department estimates total annual expenditures would exceed the "Sec. 251. On a monthly funds appropriated for that line-item appropriation by quarterly basis, …" 5% or more. The department shall provide a detailed explanation for any relevant line-item appropriation exceedance and shall identify the corrective actions undertaken to mitigate line-item appropriation expenditures from exceeding the funds appropriated for that line-item appropriation by a greater amount. This section does not apply for line-item appropriations that are part of the May revenue estimating conference caseload and expenditure estimates.

Appropriations for Healthy Michigan Plan

Sec. 252. The appropriations in part 1 for Healthy Sec. 252. No changes from Sec. 252. No changes from Sec. 252. No changes from Sec. 252. No changes from Michigan plan - behavioral health, Healthy Michigan current law. current law. current law. current law. plan administration, and Healthy Michigan plan are contingent on the provisions of the social welfare act, 1939 PA 280, MCL 400.1 to 400.119b, that were contained in 2013 PA 107 not being amended, repealed, or otherwise altered to eliminate the Healthy Michigan plan. If that occurs, then, upon the effective date of the amendatory act that amends, repeals, or otherwise alters those provisions, the remaining funds in the Healthy Michigan plan - behavioral health, Healthy Michigan plan administration, and Healthy Michigan plan line items shall only be used to pay previously incurred costs and any remaining appropriations shall not be allotted to support those line items.

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Information Technology Agile Software Move to Information Development Plan Technology boilerplate as Sec. Sec. 253. (1) From the funds appropriated in part 1 for Striking current law. Sec. 253. (1) No Sec. 253. (1) From the funds 1910. any information technology system or project, the changes from current appropriated in part 1 for any department shall implement an agile software law. information technology system or development plan that is funded with a time and project, the department shall No changes from materials contract. implement, $254,364,200.00 is current law. appropriated for information technology services and projects. For all expenditures of funds appropriated in this subsection, the department shall report to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the senate and house policy offices on any expenditure that was not made under an agile software development plan that is funded with a time and materials contract.

New Senate language in Sec. 253 Does not include. (2) From the funds appropriated in Do not include. part 1, $63,867,200.00 is appropriated for Bridges information system. For all expenditures of funds appropriated in this subsection, the department shall report to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the senate and house policy offices on any expenditure that was not made under an agile software development plan funded with a time and materials contract.

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New Senate language in Sec. 253 Does not include. (3) From the funds appropriated in Do not include. part 1, $21,543,500.00 is appropriated for Michigan statewide automated child welfare information system. For all expenditures of funds appropriated in this subsection, the department shall report to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the senate and house policy offices on any expenditure that was not made under an agile software development plan funded with a time and materials contract.

New Senate language in Sec. 253 Does not include. (4) From the funds appropriated in Do not include. part 1, $137,882,200.00 is appropriated for Michigan Medicaid information system. For all expenditures of funds appropriated in this subsection, the department shall report to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the senate and house policy offices on any expenditure that was not made under an agile software development plan funded with a time and materials contract.

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New Senate language in Sec. 253 Does not include. (5) From the funds appropriated in Do not include. part 1, $43,819,500.00 is appropriated for child support automation. For all expenditures of funds appropriated in this subsection, the department shall report to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the senate and house policy offices on any expenditure that was not made under an agile software development plan funded with a time and materials contract.

New Senate language in Sec. 253 Does not include. (6) From the funds appropriated in Do not include. part 1, $15,984,600.00 is appropriated for technology supporting integrated service delivery. For all expenditures of funds appropriated in this subsection, the department shall report to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the senate and house policy offices on any expenditure that was not made under an agile software development plan funded with a time and materials contract.

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New Senate language in Sec. 253 Does not include. (7) From the funds appropriated in Do not include. part 1, $3,762,200.00 is appropriated for comprehensive child welfare information system. For all expenditures of funds appropriated in this subsection, the department shall report to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the senate and house policy offices on any expenditure that was not made under an agile software development plan funded with a time and materials contract.

(2) The state shall be the owner of software described Striking current law. (2) No changes from (2) (8) From the funds appropriated (2) No changes from in subsection (1) or it shall be committed to the public current law. in part 1, $3,762,200.00 is current law. domain. appropriated for comprehensive child welfare information system. The This state shall be the owner of any software described in subsection (1) purchased or developed from expenditures made under this subsection or it shall be committed to the public domain.

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(3) The department shall choose a product owner that Striking current law. (3) No changes from (3) (9) From the funds appropriated (3) No changes from will implement a user-centered design that includes current law. in part 1, $3,762,200.00 is current law. user stories into the development of any information appropriated for comprehensive technology system. The product owner must be an child welfare information system employee of the department who has specific work and $1,000,000.00 of these funds experience relevant to the information technology shall be used by the The department system or project. shall to choose a product owner that will implement a user-centered design that includes user stories into the development of any comprehensive child welfare information technology system. The department shall report to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the senate and house policy offices on the selection of a product owner for comprehensive child welfare information system. The product owner must be an employee of the department who has specific work experience relevant to the information technology system or project.

(4) At the commencement of the project, the Striking current law. (4) No changes from Striking current law. (4) No changes from department shall report to the house and senate current law. current law. appropriations subcommittees on the department budget, the house and senate fiscal agencies, and the state budget office on the individual who has been chosen as the product owner.

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(5) For any expenditures associated with the Striking current law. (5) No changes from (5) (10) For any expenditures (5) Concur with the development of systems or projects subject to current law, except: associated with the development House. subsections (1), (2), (3), and (4), the department shall of systems or projects subject to provide updates as requested by the chairs of the …. subsections (1), (2), (3), and (4), house and senate appropriations committees or the the department shall From the chairs of the house and senate appropriations "(5) For any expenditures funds appropriated in part 1, subcommittees on the department budget. Information associated with the $3,762,200.00 is appropriated updates provided by the department, upon request, development of systems for comprehensive child welfare shall also be accessible to the house and senate fiscal or projects subject to information system and agencies, the house and senate policy offices, and the subsections (1), (2), (3), $1,000,000.00 of these funds state budget office on the status of the work completed and (4) this section, the shall be used by the department to date. The updates shall include demonstrations of department shall provide to provide updates as requested the completed work during the sprint period. During updates as requested by by the chairs of the house and these demonstrations, the department shall provide a the chairs of the house senate appropriations committees quality assessment surveillance plan as shown in and senate or the chairs of the house and appendix B of “De-risking custom technology projects” appropriations senate appropriations from the United States General Services committees … ". subcommittees on the department Administration. At each demonstration, the department budget. Information updates shall validate which user stories have been included provided by the department, upon into the software development and the remaining user request, shall also be accessible stories that will be included into the product. to the house and senate fiscal agencies, the house and senate policy offices, and the state budget office on the status of the work completed to date. The updates shall include demonstrations of the completed work during the sprint period. During these demonstrations, the department shall provide a quality assessment surveillance plan as shown in appendix B of “De- risking custom technology projects” from the United States General Services Administration. At each demonstration, the department shall validate which user stories have been included into the software development and the remaining user stories that will be included into the product.

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(6) As used in this section: Striking current law. (6) No changes from current (6) (11) No changes from (6) No changes from current (a) Agile software development” means the use of law. current law. law. development methodologies using iterative development with work completed by cross-functional teams of software development. (b) Product owner” means a department employee who iteratively prioritizes and defines the work for the product team, works with users, stakeholders, technologists, and the software vendor to envision the direction for the product, and ensures that value is being delivered to end users as quickly as possible. (c) “User centered design” means software development that places the highest priority on the needs of the specific people who are expected to use the software. (d) User stories” means a task that the agile software development team will focus on over a given 2-week development period and includes clearly labeled progress towards meeting the needs of the end users.

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Revise Education Modules Regarding Sexual Move to Community Move to Local Health and Move to Community Move to Family Health Services Abuse Prevention Services and Outreach Administrative Services Services and Outreach boilerplate as Sec. 1321. boilerplate as Sec. 463. boilerplate as Sec. 1223. boilerplate as Sec. 463.

Sec. 256. The department may, in consultation with Sec. 256 1223. From the Sec. 256 463. The Sec. 256 1321. From the funds the Michigan department of education, the Michigan Sec. 256 463. No changes funds appropriated in part 1 department may, in appropriated in part 1 for the domestic and sexual violence prevention and from current law. for the Michigan model for consultation with the Michigan model for health treatment board, and the Michigan Coalition to End health comprehensive health Michigan department of comprehensive health Domestic and Sexual Violence, redraft the curriculum education curriculum, the education, the Michigan education curriculum in the for the “Growing Up & Staying Healthy” and “Healthy The department may, in domestic and sexual family, maternal, and child & Responsible Relationships” modules to include age- consultation with the Michigan violence prevention and health administration line appropriate information about the importance of department of education, the treatment board, and the item, the The department may, Michigan domestic and sexual Michigan Coalition to End consent, setting and respecting personal boundaries, violence prevention and Domestic and Sexual in consultation with the Michigan and the prevention of child sexual abuse as outlined treatment board, and the Violence, redraft the department of education, the in MCL 380.1505 and consistent with the Michigan Coalition to End curriculum for the “Growing Michigan domestic and sexual recommendations and guidelines set by the task force Domestic and Sexual Violence, Up & Staying Healthy” and violence prevention and on the prevention of sexual abuse of children created redraft the curriculum for the “Healthy & Responsible treatment board, and the under section 12b of the child protection law, 1975 PA “Growing Up & Staying Relationships” modules to Michigan Coalition to End 238, MCL 722.632b, and the prevention of sexual Healthy” and “Healthy & include age-appropriate Domestic and Sexual Violence, assault and dating violence. Responsible Relationships” information about the redraft the curriculum for the modules to include age- importance of consent, appropriate information about setting and respecting “Growing Up & Staying Healthy” the importance of consent, personal boundaries, and and “Healthy & Responsible setting and respecting personal the prevention of child Relationships” modules to boundaries, and the prevention sexual abuse as outlined in include age-appropriate of child sexual abuse as section 1505 of the information about the outlined in section 1505 of the revised school code, importance of consent, setting revised school code, 1976 PA 1976 PA 451, MCL and respecting personal 451, MCL 380.1505 and 380.1505, and consistent boundaries, and the prevention consistent with the with the recommendations recommendations and and guidelines set by the of child sexual abuse as guidelines set by the task force task force on the outlined in section 1505 of the on the prevention of sexual prevention of sexual abuse revised school code, 1976 PA abuse of children created under of children created under 451, MCL 380.1505 and section 12b of the child section 12b of the child consistent with the protection law, 1975 PA 238, protection law, 1975 PA recommendations and MCL 722.632b, and the 238, MCL 722.632b, and guidelines set by the task force prevention of sexual assault the prevention of sexual on the prevention of sexual and dating violence. assault and dating violence. abuse of children created under section 12b of the child protection law, 1975 PA 238, MCL 722.632b, and the prevention of sexual assault and dating violence.

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Education Initiatives Regarding Trauma, Human Trafficking, and Sexual Abuse Prevention

Sec. 258. In collaboration with the department of Striking current law. Sec. 258. (1) In collaboration with the Sec. 258. No Sec. 258. Concur with the education, the department shall promote and support department of education, the changes from current House. initiatives in schools and other educational department shall promote and support law. organizations that include, but are not limited to, initiatives in schools and other training for educators, teachers, and other personnel in educational organizations that include, school settings for all of the following: but are not limited to, training for educators, teachers, and other (a) The utilization of trauma-informed practices. personnel in school settings for all of (b) Age-appropriate education and information on the following: human trafficking. (c) Age-appropriate education and information on (a) The utilization of trauma-informed sexual abuse prevention. practices. (b) Age-appropriate education and information on human trafficking. (c) Age-appropriate education and information on sexual abuse prevention.

(2) The collaboration shall include the child welfare institute within the department which provides training and education for public and private employees who work within the child protective services, foster care, adoption, and juvenile justice systems.

(3) The department shall report by March 1 of the current fiscal year on the activities and status of implementation of the requirements described in subsections (1) and (2) to the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, the house and senate policy offices, and the state budget office.

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Communications with Legislature Regarding Waivers

Sec. 263. (1) Except as otherwise provided in this Sec. 263. (1) Except as Sec. 263. (1) No changes Sec. 263. (1) No changes Sec. 263. (1) No changes subsection, before submission of a waiver, a state plan otherwise provided in this from current law. from current law. from current law. amendment, or a similar proposal to CMS or other subsection, before federal agency, the department shall provide written submission of a waiver, a notification of the planned submission to the house and state plan amendment, or a senate appropriations subcommittees on the similar proposal to CMS or department budget, the house and senate fiscal other federal agency, the agencies and policy offices, and the state budget office. department shall provide This subsection does not apply to the submission of a written notification of the waiver, a state plan amendment, or similar proposal planned submission to the that does not propose a material change or is outside of house and senate the ordinary course of waiver, state plan amendment, or appropriations similar proposed submissions. subcommittees on the department budget, the house and senate fiscal agencies and policy offices, and the state budget office. This subsection does not apply to the submission of a waiver, a state plan amendment, or similar proposal that does not propose a material change or is outside of the ordinary course of waiver, state plan amendment, or similar proposed submissions.

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(2) The department shall provide written reports on a (2) The department shall (2) No changes from current (2) No changes from current (2) No changes from current semiannual basis to the senate and house provide written reports on a law. law. law. appropriations subcommittees on the department semiannual basis to the budget, the senate and house fiscal agencies, and the senate and house state budget office summarizing the status of any new appropriations or ongoing discussions with CMS or the United States subcommittees on the Department of Health and Human Services or other department budget, the federal agency regarding potential or future waiver senate and house fiscal applications as well as the status of submitted waivers agencies, and the state that have not yet received federal approval. If, at the budget office summarizing time a semiannual report is due, there are no reportable the status of any new or items, then no report is required to be provided. ongoing discussions with CMS or the United States Department of Health and Human Services or other federal agency regarding potential or future waiver applications as well as the status of submitted waivers that have not yet received federal approval. If, at the time a semiannual report is due, there are no reportable items, then no report is required to be provided.

DHHS Employee Communication with Legislature

Sec. 264. The department shall not take disciplinary Striking current law. Sec. 264. No changes from Sec. 264. No changes from Sec. 264. No changes from action against an employee of the department or current law. current law. current law. departmental agency in the state classified civil service because the employee communicates with a member of the legislature or his or her staff, unless the communication is prohibited by law and the department or agency taking disciplinary action is exercising its authority as provided by law.

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Expenses Recovered from Legal Actions as Notified by Attorney General

Sec. 270. The department shall advise the legislature of Sec. 270. No changes from Sec. 270. No changes from Sec. 270. No changes from Sec. 270. No changes from the receipt of a notification from the attorney general’s current law. current law. current law. current law. office of a legal action in which expenses had been recovered according to section 106(6) of the social welfare act, 1939 PA 280, MCL 400.106. By February 1 of the current fiscal year, the department shall submit a written report to the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, and the state budget office that includes, at a minimum, all of the following:

(a The total amount recovered from the legal action. (b) The program or service for which the money was originally expended. (c) Details on the disposition of the funds recovered such as the appropriation or revenue account in which the money was deposited. (d) A description of the facts involved in the legal action.

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Capped Federal Funds Reports and Legislative Intent

Sec. 274. (1) The department, in collaboration with the Striking current law. Sec. 274. (1) No changes Sec. 274. (1) No changes Sec. 274. (1) Concur with state budget office, shall submit to the house and from current law, except: from current law. the House. senate appropriations subcommittees on the department budget, the house and senate fiscal “… for the fiscal year agencies, and the house and senate policy offices 1 beginning October 1, 2021 week after the day the governor submits to the 2022 for …”. legislature the budget for the ensuing fiscal year a report on spending and revenue projections for each of the capped federal funds listed below. The report shall contain actual spending and revenue in the previous fiscal year, spending and revenue projections for the current fiscal year as enacted, and spending and revenue projections within the executive budget proposal for the fiscal year beginning October 1, 2021 for each individual line item for the department budget. The report shall also include federal funds transferred to other departments. The capped federal funds shall include, but not be limited to, all of the following:

(a) TANF. (b) Title XX social services block grant. (c) Title IV-B part I child welfare services block grant. (d) Title IV-B part II promoting safe and stable families funds. (e) Low-income home energy assistance program.

(2) It is the intent of the legislature that the department, Striking current law. (2) No changes from current (2) No changes from current (2) No changes from current in collaboration with the state budget office, not utilize law. law. law. capped federal funding for economics adjustments for FTEs or other economics costs that are included as part of the budget submitted to the legislature by the governor for the ensuing fiscal year, unless there is a reasonable expectation for increased federal funding to be available to the department from that capped revenue source in the ensuing fiscal year.

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(3) By February 15 of the current fiscal year, the Striking current law. (3) No changes from current (3) No changes from current (3) No changes from current department shall prepare an annual report of its efforts law. law. law. to identify TANF maintenance of effort sources and rationale for any increases or decreases from all of the following, but not limited to:

(a) Other departments. (b) Local units of government. (c) Private sources.

Federal Funds Adjustments Quarterly and Year-End

Sec. 275. (1) On a quarterly basis, the department, with Sec. 275. (1) No changes Sec. 275. (1) No changes Sec. 275. (1) No changes Sec. 275. (1) No changes the approval of the state budget director, is authorized from current law. from current law. from current law. from current law. to realign sources between other federal, TANF, and capped federal financing authorizations in order to maximize federal revenues. This realignment of financing shall not produce a gross increase or decrease in the department’s total individual line item authorizations, nor will it produce a net increase or decrease in total federal revenues, or a net increase in TANF authorization.

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(2) On a quarterly basis the department shall report to (2) On a quarterly basis the (2) No changes from current (2) No changes from current (2) No changes from current the house and senate appropriations subcommittees on department shall report to law. law. law. the department budget, the house and senate fiscal the house and senate agencies, and the house and senate policy offices on appropriations the realignment of federal fund sources transacted to subcommittees on the date in the current fiscal year under the authority of department budget, the subsection (1), including the dates, line items, and house and senate fiscal amounts of the transactions. agencies, and the house and senate policy offices on the realignment of federal fund sources transacted to date in the current fiscal year under the authority of subsection (1), including the dates, line items, and amounts of the transactions. If, at the time a quarterly report is due, no transactions were made under the authority of this language, then no report is required to be provided.

(3) Within 30 days after the date on which year-end (3) No changes from current (3) No changes from current (3) No changes from current (3) No changes from current book closing is completed, the department shall submit law. law. law. law. to the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, and the house and senate policy offices a report on the realignment of federal fund sources that took place as part of the year-end closing process for the previous fiscal year.

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Personnel-Related Costs Report

Sec. 280. By March 1 of the current fiscal year, the Sec. 280. No changes from Sec. 280. No changes from Sec. 280. No changes from Sec. 280. No changes from department shall provide a report to the house and current law. current law. current law. current law. senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, the house and senate policy offices, and the state budget director that provides all of the following for each line item in part 1 containing personnel-related costs, including the specific individual amounts for salaries and wages, payroll taxes, and fringe benefits:

(a) FTE authorization. (b) Spending authorization for personnel-related costs, by fund source, under the spending plan. (c) Actual year-to-date expenditures for personnel- related costs, by fund source, through the end of the prior month. (d) The projected year-end balance or shortfall for personnel-related costs, by fund source, based on actual monthly spending levels through the end of the prior month. (e) A specific plan for addressing any projected shortfall for personnel-related costs at either the gross or fund source level.

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Certification of Destruction of Information from Canceled Contract

Sec. 281. (1) No later than November 1 of the current Striking current law. Striking current law. Striking current law. Striking current law. fiscal year, the department shall do all of the following:

(a) Certify in writing to the senate and house appropriations committees that the department has received certification from Great Lakes Community Engagement that Great Lakes Community Engagement has destroyed all copies of data received or collected under the Data Use and Non-Disclosure Agreement Concerning Protected Health Information or Other Confidential Information between the department and Great Lakes Community Engagement, dated on or about April 14, 2020. (b) Provide a copy to the senate and house appropriations committees of the affidavit of destruction from Great Lakes Community Engagement pursuant to the agreement described in subdivision (a), or, if the department has not received an affidavit of destruction from Great Lakes Community Engagement, certify in writing to the senate and house appropriations committees that the department has not received such affidavit of destruction from Great Lakes Community Engagement. (c) Certify in writing to the senate and house appropriations committees that no patient identifiable data or personally identifiable information for the purposes of contact tracing was sent to Great Lakes Community Engagement, Michigan Public Health Institute; or EveryAction VAN.

(2) The appropriations in section 102 in part 1 are Striking current law. Striking current law. Striking current law. Striking current law. contingent on compliance with the requirements described in subsection (1).

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Services and Administrative Limitations for New Contracts

Sec. 288. (1) Beginning October 1 of the current fiscal Sec. 288. (1) Beginning Sec. 288. (1) Beginning Sec. 288. (1) Beginning Sec. 288. (1) Concur with year, no less than 90% of a new department contract October 1 of the current October 1 of the current October 1 of the current the House. supported solely from state restricted funds or general fiscal year, no less than fiscal year, no less than fiscal year, no less than fund/general purpose funds and designated in this part 90% of a new department 90% of a new department 90% of a new department or part 1 for a specific entity for the purpose of providing contract supported Indirect contract supported solely contract supported solely services to individuals shall be expended for such costs shall be limited to from state restricted funds from state restricted funds services after the first year of the contract. no more than 10% of a or general fund/general or general fund/general grant award funded solely purpose funds and purpose funds and from state restricted funds designated in this part or designated in this part or or general fund/general part 1 for a specific entity for part 1 for a specific entity for purpose funds and the purpose of providing the purpose of providing designated in this part or services to individuals shall services to individuals shall part 1 for a specific entity for be expended for such those be expended for such those the purpose of providing services after the first year services after the first year funding services to of the contract. of the contract. individuals shall be expended for such services after the first year of the contract.

(2) The department may allow a contract to exceed the (2) The department may (2) The department may (2) The department may (2) Concur with the House. limitation on administrative and services costs if it can allow a contract grant allow a contract to exceed allow a contract to exceed be demonstrated that an exception should be made to award to exceed the the limitation on the limitation on the provision in subsection (1). limitation on administrative administrative and services administrative and services and services indirect costs costs under subsection (1) costs under subsection (1) if it can be demonstrated if it can be demonstrated a if it can be demonstrated to that an exception should be grantee can demonstrate the department that an made to the provision in to the department that an exception should be made subsection (1). exception should be made to the provision in to the provision in subsection (1). subsection (1).

House Fiscal Agency General Sections BP - 79 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for General Sections

FY 2020-21 FY 2021-2022 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

(3) By September 30 of the current fiscal year, the (3) By September 30 of the (3) By September 30 of the (3) By September 30 of the (3) Concur with the House department shall report to the house and senate current fiscal year, the current fiscal year, the current fiscal year, the and Senate. appropriations subcommittees on the department department shall report to department shall report to department shall report to budget, house and senate fiscal agencies, and state the house and senate the house and senate the house and senate budget office on the rationale for all exceptions made to appropriations appropriations appropriations the provision in subsection (1) and the number of subcommittees on the subcommittees on the subcommittees on the contracts terminated due to violations of subsection (1). department budget, house department budget, house department budget, house and senate fiscal agencies, and senate fiscal agencies, and senate fiscal agencies, and state budget office on and state budget office on and state budget office on the rationale for all the rationale for all the rationale for all exceptions made to the exceptions made to the exceptions made to the provision in subsection (1) provision in subsection (1) provision in subsection (1) and the number of contracts and the number of contracts and the number of contracts grant agreements terminated due to violations terminated due to violations terminated due to violations of subsection (1). of subsection (1). of subsection (1). If, at the time the report is due, no exceptions were made or contracts were terminated under the authority of this language, then no report is required to be provided.

Supervisor-to-Staff Ratio Report

Sec. 289. By March 1 of the current fiscal year, the Sec. 289. No changes from Sec. 289. No changes from Sec. 289. No changes from Sec. 289. No changes from department shall provide to the senate and house current law. current law. current law. current law. appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the senate and house policy offices an annual report on the supervisor-to-staff ratio by department divisions and subdivisions.

Welfare Fraud Hotline

Sec. 290. Any public advertisement for public Sec. 290. No changes from Sec. 290. No changes from Sec. 290. No changes from Sec. 290. No changes from assistance shall also inform the public of the welfare current law. current law. current law. current law. fraud hotline operated by the department.

House Fiscal Agency General Sections BP - 80 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for General Sections

FY 2020-21 FY 2021-2022 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

Multicultural Integration Funding Move to Behavioral Health Move to Behavioral Health Move to Behavioral Health Move to Behavioral Health Services boilerplate as Sec. Services boilerplate as Sec. Services boilerplate as Sec. Services boilerplate as Sec. Sec. 295. (1) From the funds appropriated in part 1 to 1014. (1) 1014. (1) 1014. (1) 1014. (1) agencies providing physical and behavioral health services to multicultural populations, the department Sec. 295 1014. (1) No Sec. 295 1014. (1) From the Sec. 295 1014. (1) From the Sec. 295 1014. (1) Concur shall award grants in accordance with the changes from current law, funds appropriated in part 1 funds appropriated in part 1 with the Senate. requirements of subsection (2). The state is not liable except: to agencies providing to agencies providing for any spending above the contract amount. Funds physical and behavioral physical and behavioral shall not be released until reporting requirements "… section 295 of 2019 PA health services to health services to under section 295 of 2019 PA 67 are satisfied. 67 2020 PA 166 are multicultural populations, multicultural populations, satisfied." the department shall award the department shall award grants in accordance with grants in accordance with the requirements of the requirements of subsection (2). The This subsection (2). The This state is not liable for any state is not liable for any spending above the contract spending above the contract amount. Funds shall not be amount. The department released until reporting Funds shall not be released requirements under section release funds until 295 of 2019 PA 67 article 6 reporting requirements of 2020 PA 166 are under section 295 of 2019 satisfied. PA 67 article 6 of 2020 PA 166 are satisfied.

House Fiscal Agency General Sections BP - 81 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for General Sections

FY 2020-21 FY 2021-2022 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

(2) The department shall require each contractor Sec. 295 1014. (2) No Sec. 295 1014. (2) The Sec. 295 1014. (2) The (2) Concur with the Senate. described in subsection (1) that receives greater than changes from current law, department shall require department shall require $1,000,000.00 in state grant funding to comply with each contractor described in each contractor described in performance-related metrics to maintain their eligibility subsection (1) that receives subsection (1) that receives for funding. The organizational metrics shall include, but greater than $1,000,000.00 greater than $1,000,000.00 not be limited to, all of the following: in state grant funding to in state grant funding to comply with performance- comply with performance- (a) Each contractor or subcontractor shall have related metrics to maintain related metrics to maintain accreditations that attest to their competency and their eligibility for funding. their eligibility for funding. effectiveness as behavioral health and social service The organizational The organizational agencies. performance-related performance-related (b) Each contractor or subcontractor shall have a metrics shall include, but metrics shall include, but mission that is consistent with the purpose of the not be limited to, all of the not be limited to, all of the multicultural agency. following: following: (c) Each contractor shall validate that any subcontractors utilized within these appropriations (a) – (f) No changes from (a) – (f) No changes from share the same mission as the lead agency receiving current law. current law. funding. (d) Each contractor or subcontractor shall demonstrate cost-effectiveness. (e) Each contractor or subcontractor shall ensure their ability to leverage private dollars to strengthen and maximize service provision. (f) Each contractor or subcontractor shall provide timely and accurate reports regarding the number of clients served, units of service provision, and ability to meet their stated goals.

House Fiscal Agency General Sections BP - 82 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for General Sections

FY 2020-21 FY 2021-2022 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

(3) The department shall require an annual report from Sec. 295 1014. (3) No Sec. 295 1014. (3) No Sec. 295 1014. (3) The (3) Concur with the Senate. the contractors described in subsection (2). The annual changes from current law, changes from current law, department shall require an report, due 60 days following the end of the contract annual report from the period, shall include specific information on services contractors described in and programs provided, the client base to which the subsection (2). The annual services and programs were provided, information on report, due 60 days any wraparound services provided, and the following the end of the expenditures for those services. The department shall contract period, shall provide the annual reports to the senate and house include specific information appropriations subcommittees on health and human on services and programs services, the senate and house fiscal agencies, and the provided, the client base to state budget office. which the services and programs were provided, information on any wraparound services provided, and the expenditures for those services. The department shall provide the annual reports to the senate and house appropriations subcommittees on health and human services the department budget, the senate and house fiscal agencies, and the state budget office.

House Fiscal Agency General Sections BP - 83 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for General Sections

FY 2020-21 FY 2021-2022 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

Employee Legal Costs Related to Flint Water System

Sec. 296. From the funds appropriated in part 1, Sec. 296. No changes from Sec. 296. From the funds Sec. 296. From the funds Sec. 296. Concur with the the department to the extent permissible under current law. appropriated in part 1, the appropriated in part 1, the House and Senate. MCL 691.1408 is responsible for the necessary and department to the extent department to the extent reasonable attorney fees and costs incurred by permissible under section 8 permissible under section 8 private and independent legal counsel chosen by of 1964 PA 170, MCL of 1964 PA 170, MCL current and former classified and unclassified 691.1408, is responsible for 691.1408, is responsible for department employees in the defense of the the necessary and the necessary and employees in any state or federal lawsuit or reasonable attorney fees reasonable attorney fees investigation related to the water system in a city or and costs incurred by and costs incurred by community in which a declaration of emergency was private and independent private and independent issued because of drinking water contamination. legal counsel chosen by legal counsel chosen by current and former current and former classified and unclassified classified and unclassified department employees in department employees in the defense of the the defense of the employees in any state or employees in any state or federal lawsuit or federal lawsuit or investigation related to the investigation related to the water system in a city or water system in a city or community in which a community in which a declaration of emergency declaration of emergency was issued because of was issued because of drinking water drinking water contamination. contamination.

House Fiscal Agency General Sections BP - 84 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for General Sections

FY 2020-21 FY 2021-2022 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

FTE and Remote Work Reports

Sec. 297. (1) On a quarterly basis, the department Striking current law. Sec. 297. (1) No changes Sec. 297. (1) No changes Sec. 297. (1) No changes shall report to the senate and house appropriations from current law. from current law. from current law, except: committees, the senate and house appropriations …………………. subcommittees on the department budget, and the senate and house fiscal agencies the following Sec. 297. (1) On a quarterly information: semiannual basis, …

(a) The number of FTEs in pay status by type of staff and civil service classification. (b) A comparison by line item of the number of FTEs authorized from funds appropriated in part 1 to the actual number of FTEs employed by the department at the end of the reporting period.

House Fiscal Agency General Sections BP - 85 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for General Sections

FY 2020-21 FY 2021-2022 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

(2) By April 1 of the current fiscal year and Striking current law. (2) By April 1 of the current (2) By April 1 of the current (2) By April March 1 of the semiannually thereafter, the department shall report to fiscal year and semiannually fiscal year and semiannually current fiscal year and the senate and house appropriations committees, the thereafter, the department thereafter, the department semiannually thereafter, the senate and house appropriations subcommittees on the shall report to the senate shall report to the senate department shall report to department budget, and the senate and house fiscal and house appropriations and house appropriations the senate and house agencies the following information: committees, the senate and committees, the senate and appropriations committees, house appropriations house appropriations the senate and house (a) Number of employees that were engaged in remote subcommittees on the subcommittees on the appropriations work in 2020. department budget, and the department budget, and the subcommittees on the (b) Number of employees authorized to work remotely senate and house fiscal senate and house fiscal department budget, and the and the actual number of those working remotely in the agencies the following agencies the following senate and house fiscal current reporting period. information: information: agencies the following (c) Estimated net cost savings achieved by remote information: work. (a) Number The number of (a) Number The number of (d) Reduced use of office space associated with remote employees that were employees that were (a) Number The number of work. engaged in remote work in engaged in remote work in employees that were 2020. 2020. engaged in remote work in (b) Number The number of (b) Number The number of 2020. employees of the employees of the (b) Number The number of department authorized to department authorized to employees of the work remotely and the work remotely and the department authorized to actual number of those actual number of those work remotely and the working remotely in the working remotely in the actual number of those current reporting period. current reporting period. working remotely in the (c) Estimated The (c) Estimated The current reporting period. estimated net cost savings estimated net cost savings (c) Estimated The achieved by the achieved by the estimated net cost savings department by remote department by remote achieved by the work. work. department by remote (d) Reduced The reduced (d) Reduced The reduced work. use of office space use of office space (d) Reduced The reduced associated with remote associated with remote use of office space work for the department. work by the department. associated with remote work by the department.

House Fiscal Agency General Sections BP - 86 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for General Sections

FY 2020-21 FY 2021-2022 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

Request for Proposal for Contract

Sec. 299. (1) No state department or agency shall issue Striking current law. Striking current law. Sec. 299. (1) No changes Sec. 299. (1) Concur with a request for proposal (RFP) for a contract in excess of from current law. the Senate. $5,000,000.00, unless the department or agency has first considered issuing a request for information (RFI) or a request for qualification (RFQ) relative to that contract to better enable the department or agency to learn more about the market for the products or services that are the subject of the RFP. The department or agency shall notify the department of technology, management, and budget of the evaluation process used to determine if an RFI or RFQ was not necessary prior to issuing the RFP.

House Fiscal Agency General Sections BP - 87 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for General Sections

FY 2020-21 FY 2021-2022 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

(2) From funds appropriated in part 1, for all RFPs Striking current law. Striking current law. (2) From funds appropriated (2) Concur with the Senate. issued during the current fiscal year where an existing in part 1, for all RFPs issued service received proposals by multiple vendors, the during the current fiscal department shall notify all vendors within 30 days of the year where an existing RFP decision. The notification to vendors shall include service received proposals details on the RFP process, including the respective by multiple vendors, the RFP scores and the respective cost for each vendor. If department shall notify all the highest scored RFP or lowest cost RFP does not vendors within 30 days of receive the contract for an existing service offered by after the RFP decision. The the department, the notification shall issue an notification to vendors shall explanation for the reasons that the highest scored RFP include details on the RFP or lowest cost RFP did not receive the contract and process, including the detail the incremental cost target amount or service respective RFP scores and level required that was required to migrate the service the respective cost for each to a new vendor. Additionally, the department shall vendor. If the highest include in the notification details as to why a cost or scored RFP or lowest cost service difference is justifiable if the highest scored or RFP does not receive the lowest cost vendor does not receive the contract. contract for an existing service offered by the department, the notification shall issue an explanation for the reasons that the highest scored RFP or lowest cost RFP did not receive the contract and detail the incremental cost target amount or service level required that was required to migrate the service to a new vendor. Additionally, the department shall include in the notification details as to why a cost or service difference is justifiable if the highest scored or lowest cost vendor does not receive the contract.

House Fiscal Agency General Sections BP - 88 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for General Sections

FY 2020-21 FY 2021-2022 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

(3) The department shall submit to the senate and Striking current law. Striking current law. (3) No changes from current (3) Concur with the Senate. house appropriations subcommittees on the department law. budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office by September 30 of the current fiscal year, a report that includes the following:

(a) A summary of all RFPs issued for a contract in excess of $5,000,000.00 including whether an RFI or RFQ was considered, and whether an RFI or RFQ was issued before issuing the RFP or whether the issuance of an RFI or RFQ was determined not to be necessary. (b) A summary of all RFPs during the current fiscal year if an existing service received proposals by multiple vendors. (c) A list of all finalized RFPs if there was a divergence from awarding the contract to the lowest-cost or highest- scoring vendor, and details as to why a divergence is justifiable as provided in the notification to vendors under subsection (2). (d) The cost or service threshold required by department policy that must be satisfied in order for an existing contract to be received by a new vendor.

House Fiscal Agency General Sections BP - 89 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for Departmentwide Administration

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS

DEPARTMENTAL ADMINISTRATION AND SUPPORT

2-1-1 Statewide Call System

Sec. 307. (1) From the funds appropriated in part 1 for Sec. 307 1152. (1) Sec. 307 1152. (1) Concur Sec. 307. (1) No changes Sec. 307 1152. (1) Concur demonstration projects, $950,000.00 shall be distributed as Retaining current law, with the Executive. from current law. with the House. provided in subsection (2). The amount distributed under this except: "demonstration subsection shall not exceed 50% of the total operating projects, policy and NOTE: House NOTE: Annualize expenses of the program described in subsection (2), with the planning Subcommittee bill reflects appropriations remaining 50% paid by local United Way organizations and administration…" 25% of the annual funding other nonprofit organizations and foundations. for this item. (2) Funds distributed under subsection (1) shall be distributed (2) No changes from (2) No changes from (2) No changes from (2) No changes from to Michigan 2-1-1, a nonprofit corporation organized under the current law. current law. current law. current law. laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and whose mission is to coordinate and support a statewide 2-1-1 system. Michigan 2-1-1 shall use the funds only to fulfill the Michigan 2-1-1 business plan adopted by Michigan 2-1-1 in January 2005. Michigan 2-1-1 shall refer to the department any calls received reporting fraud, waste, or abuse of state- administered public assistance. (3) Michigan 2-1-1 shall report annually to the department and (3) No changes from (3) No changes from (3) No changes from (3) No changes from the house and senate standing committees with primary current law. current law. current law. current law. jurisdiction over matters relating to human services and telecommunications on 2-1-1 system performance, the senate and house appropriations subcommittees on the department budget, and the senate and house fiscal agencies, including, but not limited to, call volume by health and human service needs and unmet needs identified through caller data and number and percentage of callers referred to public or private provider types.

House Fiscal Agency Departmental Administration BP - 90 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for Departmentwide Administration

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Health Literacy Demonstration Project

Sec. 309. By April 1 of the current fiscal year the department, Striking current law. Striking current law. Sec. 309. No changes from Striking current law. in consultation with stakeholders, shall design a demonstration current law. project to implement web-based intensive information therapy within the Medicaid managed care program. The purpose of this demonstration project shall be to connect health care providers, beneficiaries, and Medicaid health plans for the purpose of addressing deficiencies in health literacy and its potential impact on a beneficiary’s health disparities, care compliance, health outcomes per capita expenditures, and per capita utilization.

Terminal Leave Payments

Sec. 316. From the funds appropriated in part 1 for terminal Striking current law. Sec. 316 301. No changes Sec. 316. No changes from Sec. 316 301. Concur with leave payments, the department shall not spend in excess of from current law. current law. the House. its annual gross appropriation unless it identifies and requests a legislative transfer from another budgetary line item supporting administrative costs, as provided by section 393(2) of the management and budget act, 1984 PA 431, MCL 18.1393.

House Fiscal Agency Departmental Administration BP - 91 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Child Support Enforcement

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

CHILD SUPPORT ENFORCEMENT

Child Support Incentive Payments and Enforcement System Requirements

Sec. 401. (1) The appropriations in part 1 assume a Sec. 401. (1) The Sec. 401. (1) Concur with Sec. 401. (1) Concur with the Sec. 401. (1) Concur with the total federal child support incentive payment of appropriations in part 1 the Executive. Executive. Executive. $26,000,000.00. assume a total federal child support incentive payment of $26,000,000.00

$26,500,000.00.

(2) From the federal money received for child support (2) From the federal money (2) Concur with the (2) Concur with the Executive. (2) Concur with the Executive. incentive payments, $11,500,000.00 shall be retained received for child support Executive. by the state and expended for child support program incentive payments, expenses. $11,500,000.00 $12,000,000.00 shall be retained by the state and expended for child support program expenses. (3) From the federal money received for child support (3) No changes from current (3) Concur with the (3) Concur with the Executive. (3) Concur with the Executive. incentive payments, $14,500,000.00 shall be paid to law. Executive. the counties based on each county’s performance level for each of the federal performance measures as established in 45 CFR 305.2. (4) If the child support incentive payment to the state (4) If the child support (4) Concur with the (4) Concur with the Executive. (4) Concur with the Executive. from the federal government is greater than incentive payment to the Executive. $26,000,000.00, then 100% of the excess shall be state from the federal retained by the state and is appropriated until the total government is greater than retained by the state reaches $15,397,400.00. $26,000,000.00, $26,500,000.00 then 100% of the excess shall be retained by the state and is appropriated until the total retained by the state reaches $15,397,400.00. (5) If the child support incentive payment to the state (5) No changes from current (5) Concur with the (5) Concur with the Executive. (5) Concur with the Executive. from the federal government is greater than the law. Executive. amount needed to satisfy the provisions identified in subsections (1), (2), (3), and (4), the additional funds shall be subject to appropriation by the legislature. House Fiscal Agency Child Support BP - 92 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Child Support Enforcement

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS (6) If the child support incentive payment to the state (6) If the child support (6) Concur with the (6) Concur with the Executive. (6) Concur with the Executive. from the federal government is less than incentive payment to the Executive. $26,000,000.00, then the state and county share shall state from the federal each be reduced by 50% of the shortfall. government is less than $26,000,000.00 $26,500,000.00 then the state and county share shall each be reduced by 50% of the shortfall.

County Incentive for Child Support Collections

Sec. 409. (1) If statewide retained child support Sec. 409. (1) No changes Sec. 409. (1) No changes Sec. 409. (1) No changes from Sec. 409. (1) No changes from collections exceed $38,300,000.00, 75% of the from current law. from current law. current law. current law. amount in excess of $38,300,000.00 is appropriated to legal support contracts. This excess appropriation may be distributed to eligible counties to supplement and not supplant county title IV-D funding.

(2) Each county whose retained child support (2) No changes from current (2) No changes from (2) No changes from current (2) No changes from current collections in the current fiscal year exceed its fiscal law. current law. law. law. year 2004- 2005 retained child support collections, excluding tax offset and financial institution data match collections in both the current fiscal year and fiscal year 2004-2005, shall receive its proportional share of the 75% excess.

Escheated Child Support Collections Authorization Adjustment

Sec. 410. (1) If title IV-D-related child support Sec. 410. (1) No changes Sec. 410. (1) No changes Sec. 410. (1) No changes from Sec. 410. (1) No changes from collections are escheated, the state budget director is from current law. from current law. current law. current law. authorized to adjust the sources of financing for the funds appropriated in part 1 for legal support contracts to reduce federal authorization by 66% of the escheated amount and increase general fund/general purpose authorization by the same amount. This budget adjustment is required to offset the loss of federal revenue due to the escheated amount being counted as title IV-D program income in accordance with federal regulations at 45 CFR 304.50.

House Fiscal Agency Child Support BP - 93 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Child Support Enforcement

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS (2) The department shall notify the chairs of the house (2) No changes from current 2) The department shall 2) Concur with the House. 2) Concur with the House. and senate appropriations subcommittees on the law. notify the chairs of the department budget and the house and senate fiscal house and senate agencies within 15 days of the authorization appropriations adjustment in subsection (1). subcommittees on the

department budget and the house and senate fiscal agencies within 15 days of after the authorization adjustment in subsection (1).

House Fiscal Agency Child Support BP - 94 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Community Services and Outreach

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

COMMUNITY SERVICES AND OUTREACH

School Success Partnership Program

Sec. 450. (1) From the funds appropriated in Sec. 450. (1) No changes from Sec. 450. (1) No changes Sec. 450. (1) No changes Sec. 450. (1) No changes part 1 for school success partnership program, current law. from current law. from current law. from current law. the department shall allocate $525,000.00 of TANF revenue by December 1 of the current fiscal year to support the Northeast Michigan Community Service Agency programming. The department shall require the following performance objectives be measured and reported for the duration of the state funding for the school success partnership program: (a) Increasing school attendance and decreasing chronic absenteeism. (b) Increasing academic performance based on grades with emphasis on math and reading. (c) Identifying barriers to attendance and success and connecting families with resources to reduce these barriers. (d) Increasing parent involvement with the parent’s child’s school and community. (2) By July 15 of the current fiscal year, the (2) No changes from current law. (2) No changes from current (2) No changes from current (2) No changes from current Northeast Michigan Community Service Agency law. law. law. shall provide reports to the department on the number of children and families served and the services that were provided to families to meet the performance objectives identified in this section. The department shall distribute the reports within 1 week after receipt to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office.

House Fiscal Agency Community Services BP - 95 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Community Services and Outreach

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Allocation of Funds for Forensic Nurse Examiner Programs

Sec. 452. From the funds appropriated in part 1 Sec. 452. No changes from Sec. 452. No changes from Sec. 452. No changes from Sec. 452. No changes from for crime victim justice assistance grants, the current law. current law. current law. current law. department shall continue to support forensic nurse examiner programs to facilitate training for improved evidence collection for the prosecution of sexual assault. The funds shall be used for program coordination and training.

Homeless Programs Per Diem Increases

Sec. 453. (1) From the funds appropriated in Sec. 453. (1) From the funds Sec. 453. (1) From the funds Sec. 453. (1) Concurs with Sec. 453. (1) Concur with the part 1 for homeless programs, the department appropriated in part 1 for appropriated in part 1 for the Executive. House. shall maintain emergency shelter program per homeless programs, the homeless programs, the diem rates at $18.00 per bed night to support department shall maintain department shall maintain efforts of shelter providers to move homeless allocate funds to the emergency allocate funds to the individuals and households into permanent shelter program per diem rates at emergency shelter program housing as quickly as possible. Expected $18.00 per bed night to support per diem rates at $18.00 per outcomes are increased shelter discharges to efforts of shelter providers to move bed night to support efforts of stable housing destinations, decreased homeless individuals and shelter providers to move recidivism rates for shelter clients, and a households into permanent homeless individuals and reduction in the average length of stay in housing as quickly as possible. households into permanent emergency shelters. Expected outcomes are increased housing as quickly as shelter discharges to stable possible. Funding provided housing destinations, decreased shall be equal to or exceed recidivism rates for shelter clients, the amount a provider and a reduction in the average would receive if paid an length of stay in emergency $18.00 per diem rate per shelters. bed night. Expected outcomes are increased shelter discharges to stable housing destinations, decreased recidivism rates for shelter clients, and a reduction in the average length of stay in emergency shelters.

House Fiscal Agency Community Services BP - 96 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Community Services and Outreach

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS (2) By March 1 of the current fiscal year, the (2) No changes from current law. (2) By March 1 of the current (2) Concur with the House. (2) Concur with the House. department shall submit to the house and senate fiscal year, the department appropriations subcommittees on the shall submit to the house and department budget, the house and senate fiscal senate appropriations agencies, the house and senate policy offices, subcommittees on the and the state budget office a report on the total department budget, the house and senate fiscal amount expended for the program in the agencies, the house and previous year, as well as the total number of senate policy offices, and the shelter nights provided and the average length state budget office a report on of stay in an emergency shelter. the total amount expended for the program in the previous year, as well as the total number of shelter nights provided, and the average length of stay in an

emergency shelter.

Homeless Programs Funding

Sec. 454. The department shall allocate the full Sec. 454. No changes from Sec. 454. No changes from Sec. 454. No changes from Sec. 454. No changes from amount of funds appropriated in part 1 for current law. current law. current law. current law. homeless programs to provide services for homeless individuals and families, including, but not limited to, third-party contracts for emergency shelter services.

House Fiscal Agency Community Services BP - 97 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Community Services and Outreach

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Homeless Programs TANF Eligibility

Reporting

Sec. 455. As a condition of receipt of federal Sec. 455. No changes from Sec. 455. No changes from Sec. 455. No changes from Sec. 455. No changes from TANF revenue, homeless shelters and human current law. current law. current law. current law. services agencies shall collaborate with the department to obtain necessary TANF eligibility information on families as soon as possible after admitting a family to the homeless shelter. From the funds appropriated in part 1 for homeless programs, the department is authorized to make allocations of TANF revenue only to the homeless shelters and human services agencies that report necessary data to the department for the purpose of meeting TANF eligibility reporting requirements. Homeless shelters or human services agencies that do not report necessary data to the department for the purpose of meeting TANF eligibility reporting requirements will not receive reimbursements that exceed the per diem amount they received in fiscal year 2000. The use of TANF revenue under this section is not an ongoing commitment of funding.

House Fiscal Agency Community Services BP - 98 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Community Services and Outreach

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Birth Certificate Fees for Homeless Individuals

Sec. 456. From the funds appropriated in part 1 Sec. 456. No changes from Sec. 456. No changes from Sec. 456. From the funds Sec. 456. No changes from for homeless programs, the department shall current law. current law. appropriated in part 1 for current law. allocate $90,000.00 to reimburse public service homeless programs, the agencies that provide documentation of paying department shall allocate birth certificate fees on behalf of category 1 $90,000.00 to reimburse public service agencies that homeless clients at county clerk’s offices. Public provide documentation of service agencies shall be reimbursed for the paying birth certificate fees cost of the birth certificate fees quarterly until this on behalf of category 1 allocation is fully spent. homeless clients at county clerk’s offices. Public service agencies shall be reimbursed for the cost of the birth certificate fees quarterly until this allocation is fully spent.

House Fiscal Agency Community Services BP - 99 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Community Services and Outreach

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Uniform Statewide Sexual Assault Evidence Kit Tracking System

Sec. 457. (1) From the funds appropriated in Sec. 457. (1) No changes from Sec. 457. (1) No changes Sec. 457. (1) No changes Sec. 457. (1) No changes part 1 for the uniform statewide sexual assault current law. from current law. from current law. from current law. evidence kit tracking system, in accordance with the final report of the Michigan sexual assault evidence kit tracking and reporting commission, $800,000.00 is allocated from the sexual assault evidence tracking fund to contract for the administration of a uniform statewide sexual assault evidence kit tracking system. The system shall include the following: (a) A uniform statewide system to track the submission and status of sexual assault evidence kits. (b) A uniform statewide system to audit untested kits that were collected on or before March 1, 2015 and were released by victims to law enforcement. (c) Secure electronic access for victims. (d) The ability to accommodate concurrent data entry with kit collection through various mechanisms, including web entry through computer or smartphone, and through scanning devices.

(2) By March 30 of the current fiscal year, the (2) No changes from current law. (2) No changes from current (2) No changes from current (2) No changes from current department shall submit to the senate and house law. law. law. appropriations subcommittees on the department budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office a status report on the administration of the uniform statewide sexual assault evidence kit tracking system, including operational status and any known issues regarding implementation.

House Fiscal Agency Community Services BP - 100 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Community Services and Outreach

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS (3) The sexual assault evidence tracking fund (3) No changes from current law. (3) The sexual assault (3) Concur with the House. (3) Concur with the House. established in section 1451 of 2017 PA 158 shall evidence tracking fund continue to be maintained in the department of established in section 1451 of treasury. Money in the sexual assault evidence 2017 PA 158 shall continue to tracking fund at the close of a fiscal year shall be maintained in the remain in the sexual assault evidence tracking department of treasury. fund and shall not revert to the general fund and Money in the sexual assault shall be appropriated as provided by law for the evidence tracking fund at the development and implementation of a uniform statewide sexual assault evidence kit tracking close of a fiscal year shall system as described in subsection (1). remains in the sexual assault evidence tracking fund, and shall does not revert to the general fund, and shall be appropriated as provided by law for the development and implementation of a uniform statewide sexual assault evidence kit tracking system as described in subsection (1).

House Fiscal Agency Community Services BP - 101 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Community Services and Outreach

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS (4) By September 30 of the current fiscal year, (4) No changes from current law (4) Concur with the (4) Concur with the (4) Concur with the the department shall submit to the senate and except adding phrase "and in Executive. Executive. Executive. house appropriations subcommittees on the compliance with" after "required department budget, the senate and house fiscal by" as follows: agencies, the senate and house policy offices, and the state budget office a report on the By September 30 of the current findings of the annual audit of the proper fiscal year, the department shall submission of sexual assault evidence kits as submit to the senate and house required by the sexual assault kit evidence submission act, 2014 PA 227, MCL 752.931 to appropriations subcommittees on 752.935. The report must include, but is not the department budget, the senate limited to, a detailed county-by-county and house fiscal agencies, the compilation of the number of sexual assault senate and house policy offices, evidence kits that were properly submitted and and the state budget office a report the number that met or did not meet deadlines on the findings of the annual audit established in the sexual assault kit evidence of the proper submission of sexual submission act, 2014 PA 227, MCL 752.931 to assault evidence kits as required 752.935, the number of sexual assault evidence by and in compliance with the kits retrieved by law enforcement after analysis, sexual assault kit evidence and the physical location of all released sexual submission act……. assault evidence kits collected by health care providers in that year, as of the date of the annual draft report for each reporting agency.

House Fiscal Agency Community Services BP - 102 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Community Services and Outreach

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Crime Victim Advocates Funding

Sec. 458. From the funds appropriated in part 1 Sec. 458. No changes from Sec. 458. From the funds Sec. 458. No changes from Sec. 458. Concur with the for crime victim rights services grants, the current law. appropriated in part 1 for current law. House. department shall allocate $2,000,000.00 of crime victim rights services crime victim’s rights fund to maintain increased grants, the department shall grant funding to support the further use of crime allocate $2,000,000.00 of victim advocates in the criminal justice system. from the crime victim’s rights The purpose of the additional funding is to fund to maintain increased increase available grant funding for crime victim grant funding to support the advocates to ensure that the advocates have the further use of crime victim resources, training, and funding needed to advocates in the criminal respond to the physical and emotional needs of justice system. The purpose crime victims and to provide victims with the of the additional funding is to necessary services, information, and assistance increase available grant in order to help them understand and participate funding for crime victim in the criminal justice system and experience a advocates to ensure that the measure of safety and security throughout the advocates have the legal process. resources, training, and

funding needed to respond to the physical and emotional needs of crime victims and to provide victims with the necessary services, information, and assistance in order to help them understand and participate in the criminal justice system and experience a measure of safety and security

throughout the legal process.

House Fiscal Agency Community Services BP - 103 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Community Services and Outreach

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Child Advocacy Centers

Sec. 459. From the funds appropriated in part 1 Sec. 459. No changes from Sec. 459. From the funds Sec. 459. From the funds Sec. 459. Concur with the for child advocacy centers, the department shall current law. appropriated in part 1 for child appropriated in part 1 for child House. allocate advocacy centers, the advocacy centers, the $1,000,000.00 to provide additional funding to department shall allocate department shall allocate child advocacy centers to support the general $1,000,000.00 to continue to maintain the recent operations of child advocacy centers. The provide additional funding to $1,000,000.00 increase to purpose of this additional funding is to increase child advocacy centers to provide additional funding to the amount of services provided to children and support the general child advocacy centers to their families who are victims of abuse over the operations of child advocacy support the general amount provided in the previous fiscal year. centers. The purpose of this operations of child advocacy None of the additional funding directed in this additional funding is to centers. The purpose of this section shall be used for purposes other than increase the amount of additional funding is to those described under section 4 of the children’s services provided to children increase the amount of advocacy center act, 2008 PA 544, MCL and their families who are services provided to children 722.1044. victims of abuse over the and their families who are amount provided in the victims of abuse over the previous fiscal year. None of amount provided in the the The additional funding previous fiscal year. None of directed in this section shall the additional funding only be used for the directed in this section shall purposes other than those be used for purposes other described under section 4 of than those described under the children’s advocacy section 4 of the children’s center act, 2008 PA 544, advocacy center act, 2008 MCL 722.1044. PA 544, MCL 722.1044.

House Fiscal Agency Community Services BP - 104 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Community Services and Outreach

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Runaway and Homeless Youth Services Grants

Sec. 461. (1) From the funds appropriated in Striking current law. Sec. 461. (1) No changes Striking current law. Sec. 461. (1) Concur with the part 1 for runaway and homeless youth grants, from current law. House. the department shall maintain the recent $500,000.00 state general fund/general purpose revenue increase to funding to support the runaway and homeless youth services program. The purpose of the additional funding is to support current programs for contracted providers that provide emergency shelter and services to homeless and runaway youth. (2) From the funds appropriated in part 1 for Striking current law. (2) No changes from current Striking current law. (2) Concur with the House. runaway and homeless youth grants, the law. department shall allocate $400,000.00 to support runaway and homeless youth services programs. The purpose of the additional funding is to support current programs for contracted providers that provide emergency shelter and services to homeless and runaway youth. (3) By March 1 of the current fiscal year, the (3) Sec. 461. No changes from (3) By March 1 of the current (3) Sec. 461. Concur with (3) Concur with the House. department shall submit to the house and senate current law. fiscal year, the department the House. appropriations subcommittees on the shall submit to the house and department budget, the house and senate fiscal senate appropriations agencies, the house and senate policy offices, subcommittees on the and the state budget office a report on the total department budget, the amount expended for runaway and homeless house and senate fiscal youth services programs in the previous year, as agencies, the house and well as the total number of shelter nights for senate policy offices, and the youth provided. state budget office a report on the total amount expended for runaway and homeless youth services programs in the previous year, as well as and the total number of shelter nights for youth

provided.

House Fiscal Agency Community Services BP - 105 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Community Services and Outreach

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS Trauma Recovery Center Pilots

Sec. 462. (1) If funding becomes available from Striking current law. Sec. 462. (1) If funding Sec. 462. (1) No changes Sec. 462. (1) No changes the funds appropriated in part 1 for crime victim becomes available from from current law. from current law. justice assistance grants, the department shall From the funds appropriated allocate $4,000,000.00 to implement 4 trauma in part 1 for crime victim recovery center program pilot projects. The pilot justice assistance grants, the projects shall utilize the evidence-informed department shall allocate integrated trauma recovery services model $4,000,000.00 to implement developed by the University of California - San 4 trauma recovery center Francisco for service provision and shall be program pilot projects. The located in a city with a population between pilot projects shall utilize the 52,300 and 55,000 according to the most recent evidence-informed integrated federal decennial census, in a city with a trauma recovery services population between 100,000 and 105,000 model developed by the according to the most recent federal decennial University of California - San census, in a city with a population between Francisco for service 150,000 and 200,000 according to the most provision and shall be located recent federal decennial census, and in a city in a city with a population with a population greater than 500,000 between 52,300 and 55,000 according to the most recent federal decennial according to the most recent census. federal decennial census, in a city with a population between 100,000 and 105,000 according to the most recent federal decennial census, in a city with a population between 150,000 and 200,000 according to the most recent federal decennial census, and in a city with a population greater than 500,000 according to the most recent federal decennial

census.

(2) It is the intent of the legislature that each pilot Striking current law. (2) No changes from current (2) No changes from current (2) No changes from current project shall be designed to last at least 3 years. law. law. law.

House Fiscal Agency Community Services BP - 106 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Community Services and Outreach

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS (3) If funding becomes available, by March 1 of Striking current law. (3) If funding becomes (3) No changes from current (3) No changes from current the current fiscal year, the department shall available, by By March 1 of law. law. report to the senate and house subcommittees the current fiscal year, the on the department budget, the senate and house department shall report to the fiscal agencies, the senate and house policy senate and house offices, and the state budget office on all of the subcommittees on the following: department budget, the senate and house fiscal (a) The number of participants by pilot project agencies, the senate and site. house policy offices, and the (b) The number of participants by crime type, state budget office on all of broken down by pilot project site. the following: (c) The number of direct service providers by pilot project site. (a) The number of (d) The number of direct services provided, participants by pilot project broken down by type of service and by pilot site. project site. (b) The number of (e) The administrative costs by pilot project site. participants by crime type, (f) The average length of service provision by broken down by pilot project pilot project site. site. (g) The average length of service provision, (c) The number of direct broken down by type of service and by pilot service providers by pilot project site. project site. (h) The average cost per participant by pilot (d) The number of direct project site. services provided, broken down by type of service and by pilot project site. (e) The administrative costs by pilot project site. (f) The average length of service provision by pilot project site. (g) The average length of service provision, broken down by type of service and by pilot project site. (h) The average cost per participant by pilot project site.

House Fiscal Agency Community Services BP - 107 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Community Services and Outreach

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS (4) The department may (4) Not included. (4) Concur with the House. explore the development of a mobile trauma recovery center to provide services to rural areas in this state.

Executive transfers Sec. 256 to this unit. Sec. 256 463. The department House moves Sec. 256 to Sec. 256 463. The Move to Sec. 1321 with may, in consultation with the Sec. 1223 in the Public department may, in changes.

Michigan department of education, Health unit. consultation with the the Michigan domestic and sexual Michigan department of violence prevention and treatment education, the Michigan board, and the Michigan Coalition domestic and sexual violence to End Domestic and Sexual prevention and treatment Violence, redraft the curriculum for board, and the Michigan the "Growing Up & Staying Coalition to End Domestic Healthy" and "Healthy & and Sexual Violence, redraft Responsible Relationships" the curriculum for the modules to include age- "Growing Up & Staying appropriate information about the Healthy" and "Healthy & importance of consent, setting and Responsible Relationships" respecting personal boundaries, modules to include age- and the prevention of child sexual appropriate information about abuse as outlined in MCL the importance of consent, 380.1505 and consistent with the setting and respecting recommendations and guidelines personal boundaries, and the set by the task force on the prevention of child sexual prevention of sexual abuse of abuse as outlined in section children created under section 12b 1505 of the revised school of the child protection law, 1975 code, 1976 PA 451, MCL PA 238, MCL 722.632b, and the 380.1505 and consistent with prevention of sexual assault and the recommendations and dating violence. guidelines set by the task force on the prevention of sexual abuse of children created under section 12b of the child protection law, 1975 PA 238, MCL 722.632b, and the prevention of sexual

assault and dating violence.

House Fiscal Agency Community Services BP - 108 6/30/2021

4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

CHILDREN'S SERVICES AGENCY – CHILD

WELFARE

Foster Care Time Limit Goals

Sec. 501. (1) A goal is established that not more Sec. 501. (1) No changes Sec. 501. (1) No changes Sec. 501. (1) No changes Sec. 501. (1) No changes than 25% of all children in foster care at any given from current law. from current law. from current law. from current law. time during the current fiscal year, if in the best interest of the child, will have been in foster care

for 24 months or more.

(2) By March 1 of the current fiscal year, the (2) No changes from current (2) No changes from current (2) No changes from current (2) No changes from current department shall provide to the senate and house law. law. law. law. appropriations subcommittees on the department budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office a report describing the steps that will be taken to achieve the specific goal established in this section and on the percentage of children who currently are in foster care and who have

been in foster care a total of 24 or more months.

House Fiscal Agency CSA- Child Welfare BP - 109 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Indian Tribal Government Foster Care Reimbursement

Sec. 502. From the funds appropriated in part 1 Sec. 502. From the funds Sec. 502. From the funds Sec. 502. From the funds Sec. 502. Concur with the for foster care, the department shall provide 50% appropriated in part 1 for appropriated in part 1 for appropriated in part 1 for House. reimbursement to Indian tribal governments for foster care, the department foster care, the department foster care, the department foster care expenditures for children who are shall provide 50% shall provide 50% shall provide 50% under the jurisdiction of Indian tribal courts and reimbursement to Indian tribal reimbursement to Indian tribal reimbursement to Indian tribal who are not otherwise eligible for federal foster governments for foster care governments for foster care governments for foster care care cost sharing. expenditures for children who expenditures for children who expenditures for children who are under the jurisdiction of are under the jurisdiction of are under the jurisdiction of Indian tribal courts and who Indian tribal courts and who Indian tribal courts and who are not otherwise eligible for are not otherwise eligible for are not otherwise eligible for federal foster care cost federal foster care cost federal foster care cost sharing. The department sharing. The department sharing. The department may provide up to 100% may provide up to 100% may provide up to 100% reimbursement to Indian reimbursement to Indian reimbursement to Indian tribes that enter into a tribal governments that tribes that enter into a state- State-tribal Title IV-E enter into a state-tribal title tribal title IV-E agreement agreement allowed under IV-E agreement allowed allowed under this state's Michigan’s Title IV-E State under this state's title IV-E title IV-E state plan. Plan. state plan.

House Fiscal Agency CSA- Child Welfare BP - 110 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Child Welfare Performance-Based Funding

Sec. 503. (1) In accordance with the final report Sec. 503. (1) In accordance Sec. 503. (1) Concur with the Sec. 503. (1) No changes Sec. 503. (1) Concur with the of the Michigan child welfare performance-based with the final report of the Executive. from current law. Senate. funding task force issued in response to section Michigan child welfare 503 of article X of 2013 PA 59, the department performance-based funding shall continue to review, update, or develop task force issued in response actuarially sound case rates for necessary child to section 503 of article X of welfare foster care case management services 2013 PA 59, the department that achieve permanency by the department and shall continue to review, private child placing agencies in a prospective update, or develop an payment system under a performance-based actuarially sound case rates funding model. for necessary global capitated payment model for child welfare foster care case management services that achieve permanency by the department and private child placing agencies in a prospective payment system under a performance-based

funding model.

(2) From the funds appropriated in part 1, by Striking current law. (2) Concur with the Executive. (2) Concur with the Executive. (2) Concur with the Executive. March 1 of the current fiscal year, the department shall allocate $250,000.00 to provide to the senate and house appropriations committees on the department budget, the senate and house fiscal agencies and policy offices, and the state budget office a report on a full cost analysis to provide annual actuarially sound rates for foster care child placing agency administrative rates and child caring institution residential rates. The report shall include, but not be limited to, all rate factors necessary for consideration and shall give estimates on the cost to implement actuarially

sound rates based on actual child welfare data.

House Fiscal Agency CSA- Child Welfare BP - 111 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS (3) In accordance with the final report of the (3) (2) No changes from (3) (2) No changes from (3) (2) No changes from (3) (2) No changes from Michigan child welfare performance-based current law. current law. current law. current law. funding task force issued in response to section 503 of article X of 2013 PA 59, the department shall continue an independent, third-party evaluation of the performance-based funding model. (4) The department shall only implement the (4) (3) No changes from (4) (3) No changes from (4) (3) No changes from (4) (3) No changes from performance-based funding model into additional current law. current law. current law. current law. counties where the department, private child welfare agencies, the county, and the court operating within that county have signed a memorandum of understanding that incorporates the intentions of the concerned parties in order to implement the performance-based funding

model.

(5) The department, in conjunction with members (5) (4) No changes from (5) (4) Concur with the (5) (4) No changes from (5) (4) Concur with the from both the house of representatives and current law, except: Executive. current law, except: Senate. senate, private child placing agencies, the courts, and counties shall continue to implement the add "model pilot" add "model pilot program" recommendations that are described in the after "to establish a workgroup report that was provided in section 503 after "to establish a performance-based funding" of article X of 2013 PA 59 to establish a performance-based funding" in first sentence. performance-based funding for public and private in first sentence. child welfare services providers. The department shall provide quarterly reports on the status of the performance-based contracting model to the senate and house appropriations subcommittees on the department budget, the senate and house standing committees on families and human services, and the senate and house fiscal

agencies and policy offices.

House Fiscal Agency CSA- Child Welfare BP - 112 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS (6) From the funds appropriated in part 1 for the (6) (5) No changes from (6) (5) No changes from (6) (5) No changes from (6) (5) No changes from performance-based funding model pilot, the current law. current law. current law. current law. department shall continue to work with the West Michigan Partnership for Children Consortium on the implementation of the performance- based funding model pilot. The consortium shall accept and comprehensively assess referred youth, assign cases to members of its continuum or leverage services from other entities, and make appropriate case management decisions during the duration of a case. The consortium shall operate an integrated continuum of care structure, with services provided by both private and public agencies, based on individual case needs. The consortium shall demonstrate significant organizational capacity and competencies, including experience with managing risk-based contracts, financial strength, experienced staff and leadership, and

appropriate governance structure.

West Michigan Partnership for Children Consortium

Sec. 504. (1) From the funds appropriated in part Sec. 504. (1) No changes to Sec. 504. (1) Concur with the Sec. 504. (1) Concur with the Sec. 504. (1) Concur with the 1, the department shall continue the master current law, except: Executive. Executive. Executive. agreement with the West Michigan Partnership for Children Consortium for the fourth year of the Changes "fourth year" to planned 5-year agreement to pilot a performance- "fifth year". based child welfare contracting pilot program. The consortium shall consist of a network of affiliated child welfare service providers that will accept and comprehensively assess referred youth, assign cases to members of its continuum or leverage services from other entities, and make appropriate case management decisions during

the duration of a case.

House Fiscal Agency CSA- Child Welfare BP - 113 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS (2) As a condition for receiving the funding in part 1, the (2) No changes from current (2) No changes from current (2) Concur with the Executive. (2) Concur with the Executive. West Michigan Partnership of Children Consortium shall law, except: law, except: maintain a revised contract agreement with the department that supports the transition to a global capitated payment deletes "revised" and "the deletes "the transition to" model. The capitated payment amount shall be based on transition to" historical averages of the number of children served in Kent after "maintain a revised after "maintain a revised contract agreement with the County and for the costs per foster care case. The West contract agreement with the department that supports the Michigan Partnership for Children Consortium is required to department that supports the transition to"…. manage the cost of the child population it serves. The transition to"…. capitated payment amount shall be reviewed and adjusted no less than twice during the current fiscal year or due to any policy changes implemented by the department that result in a volume of placements that differ in a statistically significant manner from the amount allocated in the annual contract between the department and the West Michigan Partnership for Children as determined by an independent actuary as well as to account for changes in case volumes and any statewide rate increases that are implemented. The contract agreement requires that the West Michigan Partnership for Children Consortium shall maintain the following stipulations and conditions: (a) That the service component of the capitated payment will be calculated assuming rates paid to providers under the pilot program are generally consistent with the department’s payment policies for providers throughout the rest of this state. (b) To maintain a risk reserve of at least $1,500,000.00 to ensure it can meet unanticipated expenses within a given fiscal year. (c) That until the risk reserve is established, the West Michigan Partnership for Children Consortium shall submit to the department a plan for how they will manage expenses to fit within their capitated payment revenue. The department shall review and approve any new investments in provider payments above statewide rates and norms to ensure they are supported by offsetting savings so that costs remain within available revenue. (d) To cooperate with the department on an independent fiscal analysis of costs incurred and revenues received during the course of the pilot program to date. House Fiscal Agency CSA- Child Welfare BP - 114 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS (3) By March 1 of the current fiscal year, the (3) No changes from current (3) No changes from current (3) No changes from current (3) No changes from current consortium shall provide to the department and law. law. law. law. the house and senate appropriations subcommittees on the department budget a report on the consortium, including, but not limited to, actual expenditures, number of children placed by agencies in the consortium, fund balance of

the consortium, and the outcomes measured.

DHHS Juvenile Justice Report

Sec. 505. By March 1 of the current fiscal year, Sec. 505. By March 1 of the Sec. 505. By March 1 of the Sec. 505. Concur with the Sec. 505. Concur with the the department shall provide to the senate and current fiscal year, the current fiscal year, the Executive. House. house appropriations subcommittees on the department shall provide to department shall provide to department budget, the senate and house fiscal the senate and house the senate and house agencies and policy offices, and the state budget appropriations appropriations office a report for youth referred or committed to subcommittees on the subcommittees on the the department for care or supervision in the department budget, the department budget, the previous fiscal year and in the first quarter of the senate and house fiscal senate and house fiscal current fiscal year outlining the number of youth agencies and policy offices, agencies and policy offices, served by the department within the juvenile and the state budget office a and the state budget office a justice system, the type of setting for each youth, report for covering youth report for on youth referred or performance outcomes, and financial costs or referred or committed to the committed to the department savings. department for care or for care or supervision in the supervision in the previous previous fiscal year and in the fiscal year and in the first first quarter of the current quarter of the current fiscal fiscal year outlining the year outlining the number of number of youth served by youth served by the the department within the department within the juvenile juvenile justice system, the justice system, the type of type of setting for each youth, setting for each youth, performance outcomes, and performance outcomes, and financial costs or savings.

financial costs or savings.

House Fiscal Agency CSA- Child Welfare BP - 115 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS Wayne County Juvenile Justice Data Report

Sec. 506. From the funds appropriated in part 1 for attorney Striking current law. Sec. 506. From the funds Sec. 506. No changes from current Sec. 506. No changes from current general contract, by March 1 of the current fiscal year, the appropriated in part 1 for attorney law. law. department shall submit to the senate and house general contract, by March 1 of the appropriations subcommittees on the department budget, current fiscal year, the department the senate and house fiscal agencies, the senate and house shall cooperate with the attorney policy offices, and the state budget office, a report on the general to submit to the senate and juvenile justice system in any county in which funds house appropriations appropriated in part 1 are expended. The report shall subcommittees on the department include, but not be limited to, the following: budget, the senate and house (a) The number of youth referred or committed to the appropriations subcommittees on department for care or supervision in the previous fiscal year general government, the senate and in the first quarter of the current fiscal year. and house fiscal agencies, the (b) The number of youth referred or committed to the care or senate and house policy offices, and supervision of the county in which funds appropriated in part the state budget office, a report on 1 were expended for the previous fiscal year and the first the juvenile justice system in any quarter of the current fiscal year. county in which funds appropriated in (c) The type of setting for each youth referred or committed part 1 are expended. The report shall for care or supervision, any applicable performance include, but not be limited to, the outcomes, and identified financial costs or savings. following: (a) The number of youth referred or committed to the department for care or supervision in the previous fiscal year and in the first quarter of the current fiscal year. (b) The number of youth referred or committed to the care or supervision of the county in which funds appropriated in part 1 were expended for the previous fiscal year and the first quarter of the current fiscal year. (c) The type of setting for each youth referred or committed for care or supervision, any applicable performance outcomes, and

identified financial costs or savings.

House Fiscal Agency CSA- Child Welfare BP - 116 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Foster Care Private Collections

Sec. 507. The department’s ability to satisfy Sec. 507. No changes from Sec. 507. The department’s Sec. 507. The department’s Sec. 507. Concur with the appropriation deducts in part 1 for foster care current law. ability to satisfy appropriation ability to satisfy appropriation Senate. private collections shall not be limited to deducts in part 1 for foster deducts in part 1 for foster collections and accruals pertaining to services care private collections shall care private collections shall provided only in the current fiscal year but may not be are not limited to not be is not limited to include revenues collected during the current collections and accruals collections and accruals fiscal year for services provided in prior fiscal pertaining to services pertaining to services years. provided only in the current provided only in the current fiscal year but may include fiscal year but may include revenues collected during the revenues collected during the current fiscal year for services current fiscal year for services

provided in prior fiscal years. provided in prior fiscal years.

Children Trust Fund (CTF) Revenues and Joint Projects

Sec. 508. (1) In addition to the amount Sec. 508. (1) No changes Sec. 508. (1) No changes Sec. 508. (1) No changes Sec. 508. (1) No changes appropriated in part 1 for children’s trust fund from current law. from current law. from current law. from current law. grants, money granted or money received as gifts or donations to the children’s trust fund created by 1982 PA 249, MCL 21.171 to 21.172, is appropriated for expenditure. (2) For the funds described in subsection (1), the (2) No changes from current (2) No changes from current (2) No changes from current (2) No changes from current department shall ensure that administrative law. law. law. law. delays are avoided and the local grant recipients and direct service providers receive money in an expeditious manner. The department and board shall make available the children’s trust fund contract funds to grantees within 31 days of the start date of the funded project.

House Fiscal Agency CSA- Child Welfare BP - 117 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Adoption Placement Rate Increase

Sec. 509. By October 1 of the current fiscal year, Striking current law. Sec. 509. By October 1 of the Sec. 509. By October 1 of the Sec. 509. Concur with the from the funds appropriated in part 1 for adoption current fiscal year, from the current fiscal year, fFrom the Senate. support services, $1,000,000.00 and any eligible funds appropriated in part 1 funds appropriated in part 1 federal matching funds shall be allocated to for adoption support services, for adoption support services, increase contracted rates paid to private child $1,000,000.00 and any $1,000,000.00 and any placing agencies for adoption placement rates. eligible federal matching eligible federal matching funds shall be allocated the funds shall be allocated to the department shall maintain department shall maintain the increase from the the increase of contracted previous year and allocate rates paid to private child it to increase contracted rates placing agencies for adoption paid to private child placing placement rates. agencies for adoption ds

placement rates.

Physical and Mental Health Assessment Reports

Sec. 511. The department shall provide reports Sec. 511. No changes from Sec. 511. No changes from Sec. 511. No changes from Sec. 511. No changes from on a semiannual basis to the senate and house current law except: current law. current law. current law. appropriations subcommittees on the department budget, the senate and house standing Changes semiannual reports committees on families and human services, and to "an annual" report. the senate and house fiscal agencies and policy offices on the number and percentage of children who received timely physical and mental health examinations after entry into foster care. The goal of the program is that at least 85% of children shall have an initial medical and mental health examination within 30 days after entry into foster care.

House Fiscal Agency CSA- Child Welfare BP - 118 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Foster Care Services Provided by Relatives Report

Sec. 512. As required by the settlement, by March Sec. 512. As required by the Sec. 512. Concur with the Sec. 512. No changes from Sec. 512. No changes from 1 of the current fiscal year, the department shall settlement, b By March 1 of Executive. current law. current law. report to the senate and house appropriations the current fiscal year, the subcommittees on the department budget, the department shall report to the senate and house fiscal agencies, the senate and senate and house house policy offices, and the state budget office appropriations on the following information for cases of child subcommittees on the abuse or child neglect from the previous fiscal department budget, the year: senate and house fiscal (a) The total number of relative care placements. agencies, the senate and (b) The total number of relatives with a placement house policy offices, and the who became licensed. state budget office on the (c) A list of the reasons from a sample of cases following information for where relatives were denied foster home cases of child abuse or child licensure as documented by the department. neglect from the previous fiscal year: (a) The total number of relative care placements. (b) The total number of relatives with a placement who became licensed. (c) A list of the reasons from a sample of cases where relatives were denied foster home licensure as documented by the

department.

House Fiscal Agency CSA- Child Welfare BP - 119 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Child Placements in Out-of-State Facilities

Sec. 513. (1) The department shall not expend Sec. 513. (1) No changes Sec. 513. (1) The department Sec. 513. (1) No changes Sec. 513. (1) Concur with the funds appropriated in part 1 to pay for the direct from current law. shall not expend funds from current law. House. placement by the department of a child in an out- appropriated in part 1 to pay of-state facility unless all of the following for the direct placement by the conditions are met: department of a child in an (a) There is no appropriate placement available in out-of-state facility unless all this state as determined by the department of the following conditions are interstate compact office. met: (b) An out-of-state placement exists that is nearer (a) There is no appropriate to the child’s home than the closest appropriate placement available in this in-state placement as determined by the state as determined by the department interstate compact office. department's interstate (c) The out-of-state facility meets all of the compact office. licensing standards of this state for a comparable (b) An out-of-state placement facility. exists that is nearer to the (d) The out-of-state facility meets all of the child’s home than the closest applicable licensing standards of the state in appropriate in-state which it is located. placement as determined by (e) The department has done an on-site visit to the department's interstate the out-of-state facility, reviewed the facility compact office. records, reviewed licensing records and reports (c) The out-of-state facility on the facility, and believes that the facility is an meets all of the licensing appropriate placement for the child. standards of this state for a comparable facility. (d) The out-of-state facility meets all of the applicable licensing standards of the state in which it is located. (e) The department has done an on-site visit to the out-of- state facility, reviewed the facility records, reviewed licensing records and reports on the facility, and believes that the facility is an appropriate placement for the child.

House Fiscal Agency CSA- Child Welfare BP - 120 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS (2) The department shall not expend money for a (2) No changes from current (2) No changes from current (2) No changes from current (2) No changes from current child placed in an out-of-state facility without law. law. law. law. approval of the executive director of the children’s services agency. (3) The department shall submit an annual report (3) No changes from current (3) No changes from current (3) No changes from current (3) No changes from current by March 1 of the current fiscal year to the state law. law. law. law. court administrative office, the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, the house and senate policy offices, and the state budget office on the number of Michigan children residing in out-of-state facilities in the previous fiscal year and shall include the total cost and average per diem cost of these out-of-state placements to this state, and a list of each such placement arranged by the Michigan county of residence for each child.

Child Protective Services Report

Sec. 514. The department shall make a Sec. 514. The department shall Sec. 514. No changes from Sec. 514. Concurs with the Sec. 514. Concurs with the comprehensive report concerning children’s make a comprehensive report current law, except change House. House. protective services (CPS) to the legislature, concerning children’s protective "shall make" to "shall including the senate and house policy offices and services (CPS) to the legislature, submit" in the first line. the state budget director, by March 1 of the including the senate and house current fiscal year, that shall include all of the policy offices and the state budget following: director, by March 1 of the current fiscal year, that shall include all of (a) Statistical information including, but not limited the following: to, all of the following: (i) The total number of reports of child abuse or (a) Statistical information including, child neglect investigated under the child but not limited to, all of the following: protection law, 1975 PA 238, MCL 722.621 to (i) The total number of reports of 722.638, and the number of cases classified child abuse or child neglect under category I or category II and the number of investigated under the child cases classified under category III, category IV, or protection law, 1975 PA 238, MCL category V. 722.621 to 722.638, and the number (ii) Characteristics of perpetrators of child abuse of cases classified under category I or child neglect and the child victims, such as age, or category II and the number of relationship, race, and ethnicity and whether the cases classified under category III, perpetrator exposed the child victim to drug category IV, or category V. House Fiscal Agency CSA- Child Welfare BP - 121 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS activity, including the manufacture of illicit drugs, (ii) Characteristics of perpetrators of that exposed the child victim to substance abuse, child abuse or child neglect and the a drug house, or methamphetamine. child victims, such as age, relationship, race, and ethnicity and whether the perpetrator exposed the child victim to drug activity, including the manufacture of illicit drugs, that exposed the child victim to substance abuse, a drug house, or methamphetamine.

(iii) The mandatory reporter category in which the (iii) (ii) The mandatory reporter category No changes from current law. No changes from current law. No changes from current law. individual who made the report fits, or other in which the individual who made the categorization if the individual is not within a group report fits, or other categorization if the required to report under the child protection law, 1975 individual is not within a group required to PA 238, MCL 722.621 to 722.638. report under the child protection law, (iv) The number of cases that resulted in the separation 1975 PA 238, MCL 722.621 to 722.638. of the child from the parent or guardian and the period (iv) The number of cases that resulted in of time of that separation, up to and including the separation of the child from the termination of parental rights. parent or guardian and the period of time (v) For the reported complaints of child abuse or child of that separation, up to and including neglect by teachers, school administrators, and school termination of parental rights. counselors, the number of cases classified under (v) (iii) For the reported complaints of child abuse or child neglect by teachers, category I or category II and the number of cases classified under category III, category IV, or category V. school administrators, and school (vi) For the reported complaints of child abuse or child counselors, the number of cases neglect by teachers, school administrators, and school classified under category I or category II counselors, the number of cases that resulted in and the number of cases classified under separation of the child from the parent or guardian and category III, category IV, or category V. the period of time of that separation, up to and including termination of parental rights. (vi) (iv) For the reported complaints of (b) New policies related to children’s protective services child abuse or child neglect by teachers, school administrators, and school including, but not limited to, major policy changes and court decisions affecting the children’s protective counselors, the number of cases that services system during the immediately preceding 12- resulted in separation of the child from month period. The report shall also include a summary the parent or guardian and the period of of the actions undertaken and applicable expenditures time of that separation, up to and to achieve compliance with the office of the auditor including termination of parental rights. general audit number 431-1285-16. (b) New policies related to children’s (c) Statistical information regarding families that were protective services including, but not classified in category III, including, but not limited to, all limited to, major policy changes and court decisions affecting the children’s of the following: (i) The total number of cases classified in category III. protective services system during the immediately preceding 12-month period. The report shall also include a summary House Fiscal Agency CSA- Child Welfare BP - 122 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS (ii) The number of cases in category III referred to of the actions undertaken and applicable No changes from current law. No changes from current law. No changes from current law. voluntary community services and closed with no expenditures to achieve compliance with additional monitoring. the office of the auditor general audit (iii) The number of cases in category III referred to number 431-1285-16. voluntary community services and monitored for up to (c) Statistical information regarding 90 days. families that were classified in category (iv) The number of cases in category III for which the III, including, but not limited to, all of the department entered more than 1 determination that following: there was evidence of child abuse or child neglect. (i) The total number of cases classified in (v) The number of cases in category III that the category III. department reclassified from category III to category II. (ii) The number of cases in category III (vi) The number of cases in category III that the referred to voluntary community services department reclassified from category III to category I. and closed with no additional monitoring. (vii) The number of cases in category III that the (iii) The number of cases in category III department reclassified from category III to category I referred to voluntary community services that resulted in a removal. and monitored for up to 90 days. (d) Statistical information regarding category III (iv) The number of cases in category III open/close policy including the number of cases that for which the department entered more were open/closed, the number of cases that were than 1 determination that there was opened for monitoring, and the 12-month recidivism rate evidence of child abuse or child neglect. for both. (v) The number of cases in category III (e) The department policy, or changes to the that the department reclassified from department policy, regarding children who have been category III to category II. exposed to the production or manufacture of (vi) The number of cases in category III methamphetamines. that the department reclassified from category III to category I. (vii) The number of cases in category III that the department reclassified from category III to category I that resulted in a removal. (d) Statistical information regarding category III open/close policy including the number of cases that were open/closed, the number of cases that were opened for monitoring, and the 12- month recidivism rate for both. (e) (d) The department policy, or changes to the department policy, regarding children who have been exposed to the production or manufacture of methamphetamines.

House Fiscal Agency CSA- Child Welfare BP - 123 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Child Protection Services (CPS) Caseworker Home Visit Safety

Sec. 515. If a child protection services Striking current law. Sec. 515. No changes from Sec. 515. No changes from Sec. 515. Concur with the caseworker requests approval for another child current law, but changes current law. House. protection services caseworker or other "protection" to "protective". department employee to accompany them on a home visit because the caseworker believes it would be unsafe to conduct the home visit alone, the department shall not deny the request.

County Child Care Fund (CCF) Indirect Cost Payments

Sec. 516. From funds appropriated in part 1 for Sec. 516. No changes from Sec. 516. No changes from Sec. 516. No changes from Sec. 516. No changes from child care fund, the administrative or indirect cost current law. current law. current law. current law. payment equal to 10% of a county’s total monthly gross expenditures shall be distributed to the county on a monthly basis and a county is not required to submit documentation to the department for any of the expenditures that are covered under the 10% payment as described in section 117a(4)(b)(ii) and (iv) of the social welfare act, 1939 PA 280, MCL 400.117a.

Title IV-E Appeals Process

Sec. 517. The department shall retain the same Striking current law. Sec. 517. No changes from Sec. 517. The department Sec. 517. Concur with the title IV-E appeals policy in place as of the fiscal current law. shall retain the same title IV-E Senate. year ending September 30, 2017. appeals policy in place as of the fiscal year ending September 30, 2017. From the funds appropriated in part 1, no title IV-E funds are appropriated under any title IV-E policy that differs from the appeals policy in place as of the fiscal year ending September 30, 2017.

House Fiscal Agency CSA- Child Welfare BP - 124 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Supervisory Oversight of CPS Caseworker Reports

Sec. 518. Supervisors must make an initial read Striking current law. Sec. 518. Supervisors must Sec. 518. Supervisors must Sec. 518. Concur with the of a caseworker’s report on a child abuse or child make an initial read of a make an initial read of a House. neglect investigation and note any corrections caseworker’s report on a child caseworker’s report on a child required, or approve the report, within 5 business abuse or child neglect abuse or child neglect days. The caseworker must resubmit a report that investigation and note any investigation and note any needs corrections within 3 business days. corrections required, or corrections required, or approve the report, within 5 approve the report, within 5 business days after the business days after the report is submitted by the initial reading of a caseworker. The caseworker caseworker's report. The must resubmit a report that caseworker must resubmit a needs corrections within 3 report that needs corrections business days after the report is returned by the within 3 business days after supervisor. the receipt of a report that requires corrections.

Treatment Foster Care

Sec. 519. The department shall permit any private Sec. 519. No changes from Sec. 519. No changes from Sec. 519. No changes from Sec. 519. No changes from agency that has an existing contract with this current law. current law. current law. current law. state to provide foster care services to be also eligible to provide treatment foster care services.

House Fiscal Agency CSA- Child Welfare BP - 125 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Out-of-Home Placements Report

Sec. 520. (1) The department shall submit a Sec. 520. (1) No changes Sec. 520. (1) No changes Sec. 520. (1) No changes Sec. 520. (1) No changes report to the house and senate appropriations from current law. from current law. from current law. from current law. subcommittees on the department budget, the house and senate fiscal agencies, the house and senate policy offices, and the state budget office by February 15 of the current fiscal year on the number of days of care and expenditures by funding source for the previous fiscal year for out- of-home placements by specific placement programs for child abuse or child neglect and juvenile justice, including, but not limited to, paid relative placement, department direct family foster care, private agency supervised foster care, private child caring institutions, county- supervised facilities, court-supervised facilities, and independent living. The report shall also include the number of days of care for department-operated residential juvenile justice facilities by security classification. (2) For the purposes of the report in subsection (2) No changes from current (2) No changes from current (2) No changes from current (2) No changes from current (1), living arrangements include, but are not law. law. law. law. limited to, paid relative placement, department direct family foster care, private agency supervised foster care, private child caring institutions, county-supervised facilities, court- supervised facilities, and independent living.

Child Care Fund (CCF) – Indirect Cost Allotment

Sec. 521. (1) From the funds appropriated in part Sec. 521. (1) No changes Sec. 521. (1) No changes Sec. 521. (1) No changes Sec. 521. (1) No changes 1 for child care fund – indirect cost allotment, the from current law. from current law. from current law. from current law. department shall allocate $3,500,000.00 to counties and tribal governments that receive reimbursements in part 1 from child care fund.

House Fiscal Agency CSA- Child Welfare BP - 126 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS (2) The amount described in subsection (1) shall (2) The amount described in (2) No changes from current (2) No changes from current (2) No changes from current be distributed to each county or tribal government subsection (1) shall be law. law. law. in the same proportion as indirect cost allotments distributed to each county or are provided to counties in the manner described tribal government in section 117a of the social welfare act, 1939 PA proportionate to the 280, MCL 400.117a. percentage of their prior fiscal year child care fund expenditures of the total child care fund expenditures reported statewide. in the same proportion as indirect cost allotments are provided to counties in the manner described in section 117a of the social welfare act, 1939

PA 280, MCL 400.117a.

Fostering Futures Scholarship Program

Sec. 522. (1) From the funds appropriated in part Sec. 522. (1) No changes Sec. 522. (1) No changes Sec. 522. (1) No changes Sec. 522. (1) No changes 1 for youth in transition, the department shall from current law. from current law. from current law. from current law. allocate $750,000.00 for scholarships through the fostering futures scholarship program in the Michigan education trust to youths who were in foster care because of child abuse or child neglect and are attending a college or a career technical educational institution located in this state. Of the funds appropriated, 100% shall be used to fund scholarships for the youths described in this section.

House Fiscal Agency CSA- Child Welfare BP - 127 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS (2) On a semiannual basis, the department shall (2) On a semiannual annual (2) On a semiannual basis, (2) Concur with the House. (2) Concur with the House. provide a report to the senate and house basis, the department shall the department shall provide appropriations subcommittees on the department provide a report to the senate a report to the senate and budget, the senate and house fiscal agencies, the and house appropriations house appropriations senate and house policy offices, and the state subcommittees on the subcommittees on the budget office that includes the number of youths department budget, the department budget, the who received scholarships and the amount of senate and house fiscal senate and house fiscal each scholarship, and the total amount of funds agencies, the senate and agencies, the senate and spent or encumbered in the current fiscal year. house policy offices, and the house policy offices, and the state budget office that state budget office that includes the number of youths includes the number of youths who received scholarships who received scholarships and the amount of each under this section and the scholarship, and the total amount of each scholarship, amount of funds spent or and the total amount of funds encumbered in the current spent or encumbered in the fiscal year. current fiscal year.

Family Preservation Program Report and TANF Eligibility Reporting

Sec. 523. (1) By February 15 of the current fiscal Sec. 523. (1) No changes Sec. 523. (1) No changes Sec. 523. (1) No changes Sec. 523. (1) No changes year, the department shall submit to the senate from current law. from current law. from current law. from current law. and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office a report on the families first, family reunification, and families together building solutions family preservation programs. The report shall provide population and outcome data based on contractually required follow-up evaluations for families who received family preservation services and shall include information for each program on any innovations that may increase child safety and risk reduction.

House Fiscal Agency CSA- Child Welfare BP - 128 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS (2) From the funds appropriated in part 1 for youth (2) From the funds (2) Concur with the (2) Concur with the (2) Concur with the House. in transition and domestic violence prevention appropriated in part 1 for Executive, but changes Executive, but adds and treatment, the department is authorized to runaway and homeless make allocations of TANF revenue only to youth grant and in transition "grant" to "grants". "runaway homeless youth agencies that report necessary data to the and domestic violence grant" instead of department for the purpose of meeting TANF prevention and treatment, the "runaway and homeless eligibility reporting requirements. department is authorized to youth grant". make allocations of TANF revenue only to agencies that report necessary data to the department for the purpose of meeting TANF eligibility reporting requirements. (3) By October 1 of the current fiscal year, from (3) By October 1 of the current (3) By October 1 of the current (3) By October 1 of the current (3) Concur with the Senate. the funds appropriated in part 1 for family fiscal year, from the funds fiscal year, from the funds fiscal year, from the funds preservation services, the department shall appropriated in part 1 for appropriated in part 1 for appropriated in part 1 for allocate $1,750,000.00 and any eligible federal family preservation services, family preservation services, family preservation services, matching funds to increase rates paid to current the department shall retain the department shall retain the department shall retain family preservation service providers in the the rates established by the the rates established by the the rates established by the following manner: increase provided in 2020 increase provided in 2020 increase provided in (a) $1,075,000.00 for the families first program. P.A. 166. allocate PA 166. allocate section 523(3) of article 6 of (b) $303,900.00 for the family reunification $1,750,000.00 and any $1,750,000.00 and any 2020 PA 166. allocate program. eligible federal matching eligible federal matching $1,750,000.00 and any (c) $370,800.00 for the families together building funds to increase rates paid to funds to increase rates paid to eligible federal matching solutions program. current family preservation current family preservation funds to increase rates paid to service providers in the service providers in the current family preservation following manner: following manner: service providers in the (a) $1,075,000.00 for the (a) $1,075,000.00 for the following manner: families first program. families first program. (a) $1,075,000.00 for the (b)$303,900.00 for the family (b)$303,900.00 for the family families first program. reunification program. reunification program. (b)$303,900.00 for the family (c) $370,800.00 for the (c) $370,800.00 for the reunification program. families together building families together building (c) $370,800.00 for the solutions program. solutions program. families together building solutions program.

House Fiscal Agency CSA- Child Welfare BP - 129 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Strong Families/Safe Children Spending Plan

Sec. 524. As a condition of receiving funds Sec. 524. No changes from Sec. 524. No changes from Sec. 524. No changes from Sec. 524. No changes from appropriated in part 1 for strong families/safe current law. current law. current law. current law. children, counties must submit the service spending plan to the department by October 1 of the current fiscal year for approval. The department shall approve the service spending plan within 30 calendar days after receipt of a properly completed service spending plan.

On-Site Evaluations

Sec. 525. The department shall implement the Sec. 525. No changes from Sec. 525. No changes from Sec. 525. No changes from Sec. 525. No changes from same on-site evaluation processes for privately current law. current law. current law. current law. operated child welfare and juvenile justice residential facilities as is used to evaluate state- operated facilities. Penalties for noncompliance shall be the same for privately operated child welfare and juvenile justice residential facilities and state-operated facilities.

House Fiscal Agency CSA- Child Welfare BP - 130 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Court-Appointed Special Advocates

Sec. 526. From the funds appropriated in part 1 Sec. 526. No changes from Sec. 526. From the funds Sec. 526. From the funds Sec. 526. Concur with the for court-appointed special advocates, the current law. appropriated in part 1 for appropriated in part 1 for House. department shall allocate $500,000.00 to fund a court-appointed special court-appointed special project with a nonprofit, community-based advocates, the department advocates, the department organization organized under the laws of this shall allocate $500,000.00 to shall allocate $500,000.00 state that are exempt from federal income tax fund a project with a nonprofit, $1,000,000.00 to fund a under section 501(c)(3) of the internal revenue community-based project with a nonprofit, code of 1986, 26 USC 501, located in a charter organization organized under community-based township with a population of between 16,000 and the laws of this state that are organization organized under 17,000 according to the most recent federal exempt from federal income the laws of this state that are decennial census which charter township is tax under section 501(c)(3) of exempt from federal income located in a county with a population of between the internal revenue code of tax under section 501(c)(3) of 600,000 and 605,000 according to the most 1986, 26 USC 501, located in the internal revenue code of recent federal decennial census. The nonprofit a charter township with a 1986, 26 USC 501, located in organization recipient shall have an existing population of between 16,000 a charter township with a network of affiliate programs operating in at least and 17,000 according to the population of between 16,000 25 counties in this state. The nonprofit most recent federal decennial and 17,000 according to the organization shall use the funds to recruit, screen, census which charter most recent federal decennial train, and supervise volunteers who provide township that is located in a census which charter advocacy services on behalf of abused and county with a population of township that is located in a neglected children. between 600,000 and county with a population of 605,000 according to the between 600,000 and most recent federal decennial 605,000 according to the census. The nonprofit most recent federal decennial organization recipient shall census. The nonprofit have an existing network of organization recipient shall affiliate programs operating in have an existing network of at least 25 counties in this affiliate programs operating in state. The nonprofit at least 25 counties in this organization shall use the state. The nonprofit funds to recruit, screen, train, organization shall use the and supervise volunteers who funds to recruit, screen, train, provide advocacy services on and supervise volunteers who behalf of abused and provide advocacy services on neglected children. behalf of abused and neglected children.

House Fiscal Agency CSA- Child Welfare BP - 131 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Private Child Placing Agencies’ Adoption Worker Caseloads

Sec. 527. With the approval of the settlement Striking current law. Sec. 527. No changes from Sec. 527. With the approval of Sec. 527. Concur with the monitor, for the purposes of calculating adoption current law. the settlement monitor, for the House. worker caseloads for private child placing purposes of calculating From agencies, the department shall exclude the the funds appropriated in following case types: part 1 for settlement (a) Cases in which there are multiple applicants monitor, $500,000.00 is as that term is defined in section 22(e) of chapter allocated for the department X of the probate code of 1939, 1939 PA 288, MCL to calculate adoption worker 710.22, also known as a competing party case, in caseloads for private child which the case has a consent motion pending placing agencies, and the from Michigan’s children’s institute or the court for department shall exclude the more than 30 days. following case types with the (b) Cases in which a birth parent has an order or approval of the settlement motion for a rehearing or an appeal as of right that monitor: has been pending for more than 15 days. (a) Cases in which there are multiple applicants as that term is defined in section 22(e) of chapter X of the probate code of 1939, 1939 PA 288, MCL 710.22, also known as a competing party case, in which the case has a consent motion pending from Michigan’s children’s institute or the court for more than 30 days. (b) Cases in which a birth parent has an order or motion for a rehearing or an appeal as of right that has been pending for more than 15 days.

House Fiscal Agency CSA- Child Welfare BP - 132 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS Sec. 528. New House Language. Sec. 528. From the funds appropriated in Sec. 528. Not included. Sec. 528. Not included. part 1 for adoption support services, the department shall allocate $10,000,000.00 to fund marketing programs that promote the adoption of infants and to develop factual educational information materials on adoption as an alternative to abortion including the ability of the birth mother to establish a pre-birth plan. The department shall issue a request for proposal for a contract for the development of marketing programs and information materials. The department shall notify the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the senate and house policy offices on vendors submitting bids for the contract, vendors receiving the contract, the evaluation process, and criteria used by the department to award the contract for marketing programs.

House Fiscal Agency CSA- Child Welfare BP - 133 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS Sec. 529. New Senate Language. Not included. Sec. 529. From the funds Sec. 529. From the funds appropriated in part 1 for family appropriated in part 1 for family preservation programs, the preservation programs, the department shall maintain the department shall maintain the funding levels of the families funding levels of the families first, family reunification, and first, family reunification, and families together building families together building solutions family preservation solutions family preservation programs as of September 30, programs as of September 30, 2021. For the current fiscal year 2021. For the current fiscal year as the department moves as the department moves towards implementation of the towards implementation of the federal family first prevention federal family first prevention services act, Public Law 115-123, services act, Public Law 115-123, the funding available to serve the funding available to serve families through the existing families through the existing family preservation programs family preservation programs shall not be reduced or diverted shall not be reduced or diverted to other programs. to other programs.

Performance-Based Contracting

Sec. 530. (1) All master contracts relating to Sec. 530. (1) No changes Sec. 530. (1) No changes Sec. 530. (1) No changes Sec. 530. (1) No changes foster care and adoption services as funded by from current law. from current law. from current law. from current law. the appropriations in section 105 of part 1 shall be performance-based contracts that employ a client-centered results-oriented process that is based on measurable performance indicators and desired outcomes and includes the annual assessment of the quality of services provided. (2) By February 1 of the current fiscal year, the (2) No changes from current (2) No changes from current (2) No changes from current (2) No changes from current department shall provide the senate and house law. law. law. law. appropriations subcommittees on the department budget, the senate and house fiscal agencies and policy offices, and the state budget office a report detailing measurable performance indicators, desired outcomes, and an assessment of the quality of services provided by the department during the previous fiscal year.

House Fiscal Agency CSA- Child Welfare BP - 134 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Child Welfare Contract Change Notification

Sec. 531. The department shall notify the house Sec. 531. The department Sec. 531. No changes from Sec. 531. No changes from Sec. 531. No changes from and senate appropriations subcommittees on the shall notify the house and current law. current law. current law. department budget, the house and senate fiscal senate appropriations agencies, and the house and senate policy offices subcommittees on the of any changes to a child welfare master contract department budget, the template, including the adoption master contract house and senate fiscal template, the independent living plus master agencies, and the house and contract template, the child placing agency foster senate policy offices of any care master contract template, and the residential changes to a child welfare foster care juvenile justice master contract master contract template, template, not less than 30 days before the change including the adoption master takes effect. contract template, the independent living plus master contract template, the child placing agency foster care master contract template, and the residential foster care juvenile justice master contract template, not less than 30 days before the change takes effect. prior to the time when the changes take effect.

House Fiscal Agency CSA- Child Welfare BP - 135 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Child Welfare Payment Promptness

Sec. 533. The department shall make payments Sec. 533. The department Sec. 533. The department Sec. 533. Concur with the Sec. 533. Concur with the to child placing facilities for in-home and out-of- shall make payments to child shall make payments to child House. House. home care services and adoption services within placing facilities for in-home placing facilities for in-home 30 days of receiving all necessary documentation and out-of-home care and out-of-home care from those agencies. It is the intent of the services and adoption services and adoption legislature that the burden of ensuring that these services within 30 days of services within 30 days of payments are made in a timely manner and no receiving all necessary after receiving all necessary payments are in arrears is upon the department. documentation from those documentation from those agencies. It is the intent of the agencies. It is the intent of the legislature that the burden of legislature that the burden of ensuring that these payments ensuring that these payments are made in a timely manner are made in a timely manner and no payments are in and no payments are in arrears is upon the arrears is upon the department. department.

House Fiscal Agency CSA- Child Welfare BP - 136 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Adoption Subsidies Report

Sec. 534. The department shall submit to the Sec. 534. No changes from Sec. 534. No changes from Sec. 534. The department Sec. 534. Concur with the senate and house appropriations subcommittees current law. current law. shall submit to the senate and Senate.

on the department budget, the senate and house house appropriations fiscal agencies, the senate and house policy subcommittees on the offices, and the state budget office by March 1 of department budget, the the current fiscal year a report on the adoption senate and house fiscal subsidies expenditures from the previous fiscal agencies, the senate and year. The report shall include, but is not limited to, house policy offices, and the the range of annual adoption support subsidy state budget office by March 1 amounts, for both title IV-E eligible cases and of the current fiscal year a state-funded cases, paid to adoptive families, the report on the adoption number of title IV-E and state-funded cases, the subsidies expenditures from number of cases in which the adoption support the previous fiscal year. The subsidy request of adoptive parents for report shall include, but is not assistance was denied by the department, and limited to, the range of non- the number of adoptive parents who requested a $0.00 annual adoption redetermination of adoption support subsidy. support subsidy amounts, for both title IV-E eligible cases and state-funded cases, paid to adoptive families, the number of title IV-E and state- funded cases, the number of cases in which the adoption support subsidy request of adoptive parents for assistance was denied by the department, and the number of adoptive parents who requested a redetermination

of adoption support subsidy.

House Fiscal Agency CSA- Child Welfare BP - 137 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS Federal IV-E Claims for Foster Care Payments to Unlicensed Relatives

Sec. 535. (1) By December 1 of the current fiscal Striking current law. Sec. 535 (1). No changes Sec. 535. (1) By December 1 Sec. 535. (1) Concur with year, the department shall create a process in from current law. of the current fiscal year, the the House. which unlicensed relatives are reviewed and department shall create a approved as meeting the standards established process From the funds for state licensing for foster care. For any appropriated in part 1 for placements approved as meeting the standards children's services established for state licensing for foster care, the administration, department shall seek title IV-E claims for foster $5,000,000.00 is allocated care maintenance payments and foster care for the department by administrative payments. December 1 of the current fiscal year, to create a program in which unlicensed relatives are reviewed and approved as meeting the standards established for state licensing for foster care. For any placements approved as meeting the standards established for state licensing for foster care, the department shall seek title IV- E claims for foster care maintenance payments and foster care administrative payments. (2) By March 1 of the current fiscal year, the Striking current law. Striking current law. (2) No changes from current Striking current law. department shall submit to the senate and house (Similar language moved to law. (Similar language moved to appropriations subcommittees on the department new Sec. 537.) new Sec. 537.) budget, the senate and house fiscal agencies, and the senate and house policy offices a report on the number of unlicensed relative placements not approved as meeting the standards established for state licensing and the status of title IV-E claims described in subsection (1).

House Fiscal Agency CSA- Child Welfare BP - 138 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS Report on Implementation of Federal Family First Prevention Services Act (FFPSA)

Sec. 536. By March 1 of the current fiscal year, Sec. 536. No changes from Sec. 536. Concur with the Sec. 536. Concur with the Sec. 536. Concur with the the department shall submit to the senate and current law, except change Executive. Executive. Executive. house appropriations subcommittees on the spelling in department budget, the senate and house fiscal agencies, and the policy offices a report on the "John H. Chaffee" to "John H. status of the department’s planned and achieved Chafee" in last sentence. implementation of the federal family first prevention services act, Public Law 115-123. The report shall include, but not be limited to, an estimate of the 5-year spending plan for administrative and compliance costs, a summary of all historical expenditures made to date for implementation by line-item appropriation and program type, information regarding compliance with title IV-E prevention requirements, the status of statewide compliance with the qualified residential treatment program requirements, a summary of provider concerns with respect to requirements under the qualified residential treatment program as that term is defined in section 1 of 1973 PA 116, MCL 722.111, a detailed methodology in determining any savings realized or estimated from a reduction in congregate care or residential placements, the department’s conformity with federal model licensing standards, the department’s plan for tracking and preventing child maltreatment deaths, and the department’s plan for extending John H. Chaffee foster care independence programs up to age 23.

House Fiscal Agency CSA- Child Welfare BP - 139 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS Sec. 537. New House Language Sec. 537. By March 1 of the current Sec. 537. Not Sec. 537. By March 1 of the current fiscal year, the department shall included. fiscal year, the department shall submit to the senate and house submit to the senate and house appropriations subcommittees on appropriations subcommittees on the department budget, the senate the department budget, the senate and house fiscal agencies, and the and house fiscal agencies, and the senate and house policy offices a senate and house policy offices a report on the number of report on the number of unlicensed unlicensed relative placements not relative placements not approved approved as meeting the as providers with a relative placement standards established for state denied a foster home license because licensing for foster care. The of not meeting the standards report shall also include the status established for state licensing for of title IV-E claims for foster care foster care. The report shall also maintenance payments and foster include the status of title IV-E care administrative payments for claims for foster care maintenance unlicensed relative placements payments and foster care that have been approved for state administrative payments for

licensing. unlicensed licensed relative caregivers with placements. placements that have been

approved for state licensing.

Sec. 537. New Senate Language Not included. Sec. 537. The department, in Not included. collaboration with child placing agencies, shall continue to comply with section 115o of the social welfare act, 1939 PA 280, MCL 400.115o. Department caseworkers responsible for preparing a recommendation to a court concerning a juvenile placement shall provide, as part of the recommendation, information regarding the requirements of section 115o of the social welfare

act, 1939 PA 280, MCL 400.115o.

House Fiscal Agency CSA- Child Welfare BP - 140 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Child and Family Services Review Report

Sec. 538. By October 1 of the current fiscal year, Striking current law. Sec. 538. No changes from Sec. 538. No changes from Sec. 538. No changes from the department shall submit to the senate and current law. current law. current law. house appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the policy offices a report on the status of the department’s program improvement plan associated with round 3 of the child and family services review (CFSR). The report shall also include, but not be limited to, a specific and detailed plan to provide an update on areas of substantial nonconformity identified in the CFSR such as the inadequacy of caseworker training provided by the department, the estimated costs necessary to reduce travel time for service delivery to rural areas, plans to improve caseworker engagement to reduce maltreatment in care, and steps undertaken by the department to emphasize permanency in case planning. Additionally, the department shall include the status for items currently being implemented and the description and cost estimate for the implementation for items that will be implemented in the current fiscal year.

House Fiscal Agency CSA- Child Welfare BP - 141 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Psychotropic Medication For Youth in Out-of- Home Placements

Sec. 540. If a physician or psychiatrist who is Sec. 540. No changes from Sec. 540. No changes from Sec. 540. No changes from Sec. 540. No changes from providing services to state or court wards placed current law. current law. current law. current law. in a residential facility submits a formal request to the department to change the psychotropic medication of a ward, the department shall, if the ward is a state ward, make a determination on the proposed change within 7 business days after the request or, if the ward is a temporary court ward, seek parental consent within 7 business days after the request. If parental consent is not provided within 7 business days, the department shall petition the court on the eighth business day.

Note: Governor's signing letter states section is unenforceable. Sec. 541. New House Language Sec. 541. It is the intent of Sec. 541. Not included. Sec. 541. It is the intent of the legislature that the the legislature that the The department shall explore department shall explore the implementation of a the implementation of a program to help foster care program to help foster care caseworkers achieve caseworkers achieve forgiveness for their forgiveness for their student loan debt. By July student loan debt. By July 1 of the current fiscal year, 1 of the current fiscal year, the department shall submit the department shall submit to the house and senate to the house and senate appropriations appropriations subcommittees on the subcommittees on the department budget, the department budget, the house and senate fiscal house and senate fiscal agencies, and the house agencies, and the house and senate policy offices a and senate policy offices a report on the department's report on the department's

findings. findings.

House Fiscal Agency CSA- Child Welfare BP - 142 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS Sec. 541. New Senate Language Not included. Sec 541. From the funds Sec. 541. Not included (See included in part 1 for children's Sec. 545). services administration, $250,000.00 is allocated to the department in order to provide training for all employees responsible for the investigation of complaints and licensing determinations for child caring institutions consistent with the practices taught under therapeutic crisis

intervention training.

Sec. 542. New House Language Sec. 542. The department shall Sec. 542. Not included. Sec. 542. The department develop and implement shall develop and strategies to prioritize the use implement strategies to of the input from court- prioritize the use of the appointed special advocates input from court-appointed and foster care parents special advocates and throughout case management foster care parents and any legal proceedings for throughout case abused and neglected children management and any legal

in foster care. proceedings for abused and

neglected children in foster care. Sec. 543. New House Language Sec. 543. The department shall Sec. 543. Not included. Sec. 543. Concur with the develop a clear policy that House. caseworkers ensure that children who are victims of abuse or child neglect have the ability either in the courtroom or in the judge's chambers to speak directly to, or be interviewed by, the judge or magistrate who is overseeing their case, in order to give children the opportunity to provide input into the legal

proceedings.

House Fiscal Agency CSA- Child Welfare BP - 143 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS Sec. 544. New House Language Sec. 544. The department shall Sec. 544. Not included. Sec. 544. The department shall require all foster care parents, may require all foster care caseworkers, and guardians ad parents, caseworkers, and litem to receive trauma-informed guardians ad litem to receive

training. trauma-informed training.

Sec. 545. New House Language Sec. 545. From the funds Sec. 545. Not included. Sec. 545. From the funds appropriated in part 1 for the appropriated in part 1 for the child welfare institute, the child welfare institute, the department shall develop a department shall provide training program to offer trauma support that is consistent with the directly to all child welfare practices taught under caseworkers to help deal with therapeutic crisis intervention

the effects of secondary trauma. training to all employees responsible for the investigation of complaints and licensing determinations for child caring institutions and offer trauma support directly to all child welfare caseworkers to help deal with the effects of secondary

trauma.

House Fiscal Agency CSA- Child Welfare BP - 144 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Foster Care Agency Administrative Rates

Sec. 546. (1) From the funds appropriated in part Sec. 546. (1) No changes Sec. 546. (1) From the funds Sec. 546. (1) No changes Sec. 546. (1) Concur with the 1 for foster care payments and from child care from current law. appropriated in part 1 for from current law. House. fund, the department shall pay providers of foster care payments and general foster care, independent living, and trial from child care fund, the reunification services not less than a $46.20 department shall pay administrative rate. providers of general foster care, independent living, and trial reunification services not less than a $46.20 $55.20 administrative rate that would include a 19.5% rate increase over the rate in place on April 1, 2021. It is the intent of the legislature that the administrative rate increase provided in the current fiscal year would, in part, help provide funding to increase the compensation of foster care caseworkers

employed by the agencies.

House Fiscal Agency CSA- Child Welfare BP - 145 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS (2) From the funds appropriated in part 1, the (2) No changes from current (2) From the funds (2) No changes from current (2) Concur with the House. department shall pay providers of independent law. appropriated in part 1, the law. living plus services statewide per diem rates for department shall pay staff-supported housing and host-home housing providers of independent based on proposals submitted in response to a living plus services statewide solicitation for pricing. The independent living plus per diem rates for staff- program provides staff-supported housing and supported housing and host- services for foster youth ages 16 through 19 who, home housing based on because of their individual needs and proposals submitted in assessments, are not initially appropriate for response to a solicitation for general independent living foster care. pricing. The independent living plus program provides staff-supported housing and services for foster youth ages 16 through 19 who, because of their individual needs and assessments, are not initially appropriate for general independent living foster care. By October 1 of the current fiscal year, the department shall increase rates paid to independent living plus service providers by 12% for all independent living plus rate categories. (3) If required by the federal government to meet (3) No changes from current (3) No changes from current (3) No changes from current (3) No changes from current title IV-E requirements, providers of foster care law. law. law. law. services shall submit quarterly reports on expenditures to the department to identify actual costs of providing foster care services. (4) From the funds appropriated in part 1, the (4) No changes from current Striking current law. (4) No changes from current (4) No changes from current department shall maintain rates that are no less law. law. law. than the rates in place on March 20, 2020 provided to each private provider of residential services.

House Fiscal Agency CSA- Child Welfare BP - 146 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Guardianship Assistance Rates

Sec. 547. (1) From the funds appropriated in part Sec. 547. (1) No changes Sec. 547. (1) No changes Sec. 547. (1) No changes Sec. 547. (1) No changes 1 for the guardianship assistance program, the from current law. from current law. from current law. from current law. department shall pay a minimum rate that is not less than the approved age-appropriate payment rates for youth placed in family foster care. (2) The department shall report quarterly to the (2) No changes from current (2) No changes from current (2) No changes from current (2) No changes from current state budget office, the senate and house law, except: law. law. law. appropriations subcommittees on the department budget, the senate and house fiscal agencies, Change "shall report and the senate and house policy offices on the quarterly" number of children enrolled in the guardianship to "shall report assistance and foster care – children with serious semiannually". emotional disturbance waiver programs.

Child Care Fund (CCF) – County Reimbursement Restrictions

Sec. 550. (1) The department shall not offset Sec. 550. (1) No changes Sec. 550. (1) No changes Sec. 550. (1) No changes Sec. 550. (1) No changes against reimbursement payments to counties or from current law. from current law. from current law. from current law. seek reimbursement from counties for charges that were received by the department more than 12 months before the department seeks to offset against reimbursement. A county shall not request reimbursement for and reimbursement payments shall not be paid for a charge that is more than 12 months after the date of service or original status determination when initially submitted by the county. (2) All service providers shall submit a request for (2) No changes from current (2) No changes from current (2) No changes from current (2) No changes from current payment within 12 months after the date of law. law. law. law. service. Any request for payment submitted 12 months or more after the date of service requires the provider to submit an exception request to the county or the department for approval or denial. (3) The county is not subject to any offset, (3) No changes from current (3) No changes from current (3) No changes from current (3) No changes from current chargeback, or reimbursement liability for prior law. law. law. law. expenditures resulting from an error in foster care fund source determinations. House Fiscal Agency CSA- Child Welfare BP - 147 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

CCF County Clarification Requests Response Deadline

Sec. 551. The department shall respond to Sec. 551. No changes from Sec. 551. The department Sec. 551. The department Sec. 551. Concur with the counties within 30 days regarding any request for current law. shall respond to counties shall respond to counties House. a clarification requested through the department’s within 30 days regarding any within 30 days regarding after child care fund management unit electronic mail request for a clarification any request for a clarification address. requested through the is requested through the department’s child care fund department’s child care fund management unit electronic management unit electronic mail email address. mail email address.

County CCF Review Results

Sec. 552. Sixty days after a county’s child care Sec. 552. Sixty days after a Sec. 552. Concur with the Sec. 552. Concur with the Sec. 552. Concur with the fund on-site review is completed, the department county’s child care fund on- Executive. Executive. Executive. shall provide the results of the review to the site review is completed, county. The department shall not evaluate the including the receipt of all relevancy, quality, effectiveness, efficiency, or requested documentation impact of the services provided to youth of the from the county, the county’s child care fund programs in the review. department shall provide the Pursuant to state law, the department shall not results of the review to the release the results of the review to a third-party county. The department shall without the permission of the county being not evaluate the relevancy, reviewed. quality, effectiveness, efficiency, or impact of the services provided to youth of the county’s child care fund programs in the review. Pursuant to state law, the department shall not release the results of the review to a third-party without the permission of the county being reviewed. Sec. 553. New House Language Sec. 553. A child protective services Sec. 553. Not included. Sec. 553. Not included. caseworker shall not be allowed to place an individual on the child abuse registry without prior court

approval.

House Fiscal Agency CSA- Child Welfare BP - 148 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS Sec. 554. New House Language Sec. 554. From the funds Sec. 554. Not included. Sec. 554. Not included. appropriated in part 1 for foster care payments, the department shall allocate $50,000.00 to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, that currently has locations in 3 cities and operates on a 100% volunteer basis with a board of directors consisting of up to 15 members, and are a dedicated community of individuals that give their time, talent and resources to provide the best quality "shopping" environment they can to local children in need and provide clothing, shoes, toys, linens, nursery furniture, strollers, car seats, school supplies, hygiene products, and safety equipment to local foster children and their families free of

charge.

Sec. 555. New House Language Sec. 555. The department shall Sec. 555. Not included. Sec. 555. Concur with the require that foster care parents House. caring for a foster child for whom a petition of adoption has been filed with the court shall continue to receive the regularly scheduled maintenance payments until the

child is no longer in their care.

House Fiscal Agency CSA- Child Welfare BP - 149 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS Sec. 556. New House Language Sec. 556. From the funds Sec. 556. Not included. Sec. 556. Not included. appropriated in part 1 for child welfare licensing, the department shall work to develop and implement a simpler and more streamlined process for the annual renewal of the license for family foster care homes, and shall explore the development of a simpler and more efficient version of the application form for renewal of the license for family foster care homes. By July 1 of the current fiscal year, the department shall submit to the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, and the house and senate policy offices a report on the department's efforts and

recommendations.

Sec. 557. New House Language Sec. 557. If a vehicle that is Sec. 557. Not included. Sec. 557. Concur with the owned by the state is available House. and not scheduled for use by other state workers, the department may consider it an allowable use of the vehicle for a child protective services caseworker or a foster care caseworker to drive it to foster home visits or to drive it to their own home if it would be helpful to the worker in conducting their

work.

House Fiscal Agency CSA- Child Welfare BP - 150 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Child Welfare Training Institute

Sec. 558. From the funds appropriated in part 1 for child Striking current law. Sec. 558. No changes from current Sec. 558. From the funds Sec. 558. Concur with the House. welfare institute, by January 1 of the current fiscal year, the law. appropriated in part 1 for child department shall provide all the necessary training and welfare institute, by January 1 of the materials to designated private child placing agency staff in current fiscal year, the department order for all pre-service training requirements specified by shall on a quarterly basis report to the settlement to be completed by private child placing the house and senate agency staff at agency facilities. It shall be department policy appropriations subcommittees on that the designated private child placing agency staff trained the department budget, the house by the department to deliver training are authorized to deliver and senate fiscal agencies, and pre-service training to any private child placing agency staff, the house and senate policy regardless of agency. This section does not modify or amend offices on the limits in current licensing, certification, or subject matter standards providing provide all the necessary required by federal law, state law, or the settlement. training and materials to designated private child placing agency staff in order for all pre-service training requirements specified by the settlement to be completed by private child placing agency staff at agency facilities. From the funds appropriated in part 1 for child welfare institute, $1,000,000.00 is allocated for It shall be department policy that the designated private child placing agency staff to be trained by the department in order to deliver training are authorized to deliver pre-service training to any private child placing agency staff, regardless of agency. This section does not modify or amend current licensing, certification, or subject matter standards required by federal

law, state law, or the settlement.

House Fiscal Agency CSA- Child Welfare BP - 151 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Parent-to-Parent

Sec. 559. (1) From the funds appropriated in part Sec. 559. (1) From the funds Sec. 559. (1) No changes Sec. 559. (1) No changes Sec. 559. (1) No changes 1 for adoption support services, the department appropriated in part 1 for from current law. from current law. from current law. shall allocate $250,000.00 to the Adoptive Family adoption support services, Support Network by December 1 of the current the department shall allocate fiscal year to operate and expand its adoptive $250,000.00 to the Adoptive parent mentor program to provide a listening ear, Family Support Network by knowledgeable guidance, and community December 1 of the current connections to adoptive parents and children who fiscal year to operate and were adopted in this state or another state. 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.

(2) The Adoptive Family Support Network shall (2) No changes from current (2) No changes from current (2) No changes from current (2) No changes from current submit to the senate and house appropriations law. law. law. law. subcommittees on the department budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office by March 1 of the current fiscal year a report on the program described in subsection (1), including, but not limited to, the number of cases served and the number of cases in which the program prevented an out- of-home placement.

House Fiscal Agency CSA- Child Welfare BP - 152 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Time and Travel Reimbursements for Foster Parents

Sec. 562. The department shall provide time and Sec. 562. No changes from Sec. 562. The department Sec. 562. Concur with the Sec. 562. Concur with the travel reimbursements for foster parents who current law. shall provide time and travel House. House. transport a foster child to parent-child visitations. reimbursements for foster As part of the foster care parent contract, the parents who transport a foster department shall provide written confirmation to child to parent-child foster parents that states that the foster parents visitations. As part of the have the right to request these reimbursements foster care parent contract, for all parent-child visitations. The department the department shall provide shall provide these reimbursements within 60 written confirmation to foster days of receiving a request for eligible parents that states that the reimbursements from a foster parent. foster parents have the right to request these reimbursements for all parent-child visitations. The department shall provide these reimbursements within 60 days of after receiving a request for eligible reimbursements from a foster

parent.

Parent-Child and Parent-Caseworker Visitations

Sec. 564. (1) The department shall develop a Sec. 564. (1) No changes Sec. 564. (1) Concur with the Sec. 564. (1) Concur with the Sec. 564. (1) Concur with the clear policy for parent-child visitations. The local from current law, except Executive. Executive. Executive. county offices, caseworkers, and supervisors change shall meet an 85% success rate, after accounting for factors outside of the caseworkers’ control. "develop" to "maintain". (2) Per the court-ordered number of required (2) No changes from current (2) No changes from current (2) No changes from current (2) No changes from current meetings between caseworkers and a parent, the law. law. law. law. caseworkers shall achieve a success rate of 85%, after accounting for factors outside of the caseworkers’ control.

House Fiscal Agency CSA- Child Welfare BP - 153 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS (3) By March 1 of the current fiscal year, the (3) No changes from current (3) No changes from current (3) No changes from current (3) No changes from current department shall provide to the senate and house law. law. law. law. appropriations subcommittees on the department budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office a report on the following: (a) The percentage of success rate for parent- child visitations and court-ordered required meetings between caseworkers referenced in subsections (1) and (2) for the previous year. (b) The barriers to achieve the success rates in subsections (1) and (2) and how this information is tracked.

House Fiscal Agency CSA- Child Welfare BP - 154 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Medical Passports

Sec. 567. The department shall submit to the Sec. 567. No changes from Sec. 567. The department Sec. 567. Concur with the Sec. 567. Concur with the senate and house appropriations subcommittees current law. shall submit to the senate and House. House. on the department budget, the senate and house house appropriations fiscal agencies, the senate and house policy subcommittees on the offices, and the state budget office by March 1 of department budget, the the current fiscal year a report on transfer of senate and house fiscal medical passports for children in foster care, agencies, the senate and including the following: house policy offices, and the (a) From the total medical passports transferred, state budget office by March 1 the percentage that transferred within 2 weeks of the current fiscal year a from the date of placement or return to the home. report on transfer of medical (b) From the total school records, the percentage passports for children in foster that transferred within 2 weeks from the date of care, including the following: placement or return to the home. (a) From the total medical (c) The implementation steps that have been passports transferred, the taken to improve the outcomes for the measures percentage that transferred in subdivision (a). within 2 weeks from after the date of placement or return to the home. (b) From the total school records, the percentage that transferred within 2 weeks from after the date of placement or return to the home. (c) The implementation steps that have been taken to improve the outcomes for the

measures in subdivision (a).

House Fiscal Agency CSA- Child Welfare BP - 155 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Private Agency Adoption Completion Payment Rate

Sec. 569. The department shall reimburse private Sec. 569. No changes from Sec. 569. No changes from Sec. 569. No changes from Sec. 569. No changes from child placing agencies that complete adoptions at current law. current law. current law. current law. the rate according to the date on which the petition for adoption and required support documentation was accepted by the court and not according to the date the court’s order placing for adoption was entered.

Foster Care Providers Per Diem Administrative Rates

Sec. 573. (1) From the funds appropriated in part Striking current law. Sec. 573. (1) No changes Sec. 573. (1) No changes Sec. 573. (1) No changes 1 for foster care payments and child care fund, the from current law. from current law. from current law. department shall, if funds become available, pay providers of foster care services a per diem daily administrative rate for every case on a caseworker’s caseload for the duration of a case from referral acceptance to the discharge of wardship. (2) The department shall complete an actuarial Striking current law. (2) No changes from current (2) No changes from current (2) No changes from current study to review case rates paid to private child law. law. law. placing agencies every even-numbered year.

House Fiscal Agency CSA- Child Welfare BP - 156 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS (3) The department shall submit a request to the Striking current law. (3) No changes from current (3) From the funds (3) No changes from current settlement monitor to define caseload ratios in the law. appropriated in part 1 for law. settlement to only include active cases or to children's services designate a zero case weight for cases that are administration, routed for case closure but remain open to $1,000.000.00 is allocated complete administrative activities. for the The department to shall submit a request to the settlement monitor to define caseload ratios in the settlement to only include active cases or to designate a zero case weight for cases that are routed for case closure but remain open to complete administrative

activities.

Family Incentive Grants to Foster Care Service Providers

Sec. 574. (1) From the funds appropriated for Sec. 574. (1) No changes Sec. 574. (1) No changes Sec. 574. (1) No changes Sec. 574. (1) No changes foster care payments, $375,000.00 is allocated to from current law. from current law, except from current law, except from current law. support family incentive grants to private and change "375,000.00" to change "375,000.00" to community-based foster care service providers to "400,000.00". "1,375,000.00". assist with home improvements or payment for physical exams for applicants needed by foster families and unlicensed relatives caring for a family member through the child welfare system

to accommodate children in foster care.

(2) By March 1 of the current fiscal year, the (2) No changes from current (2) No changes from current (2) No changes from current (2) No changes from current department shall submit to the house and senate law. law. law. law. appropriations subcommittees on the department budget, the house and senate fiscal agencies, the house and senate policy offices, and the state budget office a report on the total amount expended in the previous year for grants to private and community-based foster care service providers for home improvements or physical exams as referenced in subsection (1) and the

number of grants issued.

House Fiscal Agency CSA- Child Welfare BP - 157 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Kinship Caregiver Advisory Council

Sec. 575. From the funds appropriated in part 1 Sec. 575. No changes from Sec. 575. From the funds Sec. 575. Not included. Sec. 575. No changes from for children’s services administration, the current law. appropriated in part 1 for current law. department shall allocate $200,000.00 to provide children’s services support and coordinated services to the kinship administration, the caregiver advisory council created in the kinship department shall allocate caregiver advisory council act. $200,000.00 to provide support and coordinated services to the kinship caregiver advisory council created in the kinship caregiver advisory council act

section 576.

House Fiscal Agency CSA- Child Welfare BP - 158 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Sec. 576. New House Language Sec. 576. (1) The kinship caregiver advisory council is created within the Sec. 576. Sec. 576. Not included. department. Not (2) The department shall provide support and coordinated services to the council included. sufficient to carry out the council’s duties, powers, and responsibilities. (3) The council shall be composed of all of the following members: (a) The director of the department’s children services agency or his or her designee. (b) The director of the department’s aging and adult services agency or his or her designee. (c) The superintendent of public instruction, or his or her designee. (d) The state court administrator, or his or her designee. (e) Nineteen public members appointed by the governor with the advice and consent of the senate as follows: (i) Three members who are kinship caregivers, 1 who represents kinship caregivers over 60 years old, 1 who represents kinship caregivers in the formal child welfare system, and 1 who represents kinship caregivers who had children informally placed with them. (ii) One member who is an adult who was raised by a kinship caregiver. (iii) Two members who represent nonprofit child advocacy organizations. (iv) Four members who represent private agencies that contract with the state to provide child welfare services, with at least 1 member who represents agencies that make foster care placements, 1 member who represents agencies that provide postadoption or postguardianship services, 1 member who represents agencies that provide adoption services, and 1 member who represents agencies that provide prevention and family preservation services. (v) Two members who represent mental health professionals with 1 member who has expertise in dealing with adverse childhood experiences and 1 member who has expertise in substance use disorder. One member appointed under this subparagraph must be a licensed psychologist or psychiatrist and the other member must be a licensed master’s social worker. (vi) Two members who are licensed attorneys. (vii) One member who represents local area agencies on aging. (viii) One member who represents all the federally recognized tribes in this state. (ix) One member who represents an agency that provides kinship navigation services. (x) One member who is a parent who previously had a child in a kinship care arrangement but has since been reunited with that child. (xi) One member who has demonstrated expertise in domestic violence victim services and advocacy. (4) The members first appointed to the council must be appointed within 90 days after the effective date of this act. Public members of the council shall serve for terms of 3 years or until a successor is appointed, whichever is later, except that of the public members first appointed, 6 shall serve for 1 year, 6 shall serve for 2 years, and 5 shall serve for 3 years.

House Fiscal Agency CSA- Child Welfare BP - 159 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS Sec. 576. New House Language (continued) If a vacancy occurs on the council, the governor shall make an appointment for Not Not included. the unexpired term in the same manner as the original appointment. included. (5) The governor shall designate a chairperson of the council. The chairperson shall serve in that position at the pleasure of the governor. The council may elect other officers and establish committees as it considers appropriate. (6) To the extent practicable, the council must be composed of geographic, ethnic, age, and gender diversity and represent the demographic composition of this state. Every public member of the council must have experience and knowledge in kinship caregiver issues. Members of the council shall serve without compensation. Subject to appropriation, members of the council may be reimbursed for actual and necessary expenses incurred in performing their duties as members of the council. (7) The council shall meet not less than 4 times per year and shall hold at least 2 public meetings across the state to address local issues regarding kinship caregiving and to provide a process that incorporates the public in the development of the council’s recommendations. (8) The council shall conduct its business at a public meeting held in compliance with the open meetings act, 1976 PA 267, MCL 15.261 to 15.275. Public notice of the time, date, and place of the meeting must be given in the manner required by the open meetings act, 1976 PA 267, MCL 15.261 to 15.275. The council shall establish its own procedures and requirements with respect to quorum, place, and conduct of its meetings and other matters. A writing prepared, owned, used, in the possession of, or retained by the council in the performance of an official function is subject to the freedom of information act, 1976 PA 442, MCL 15.231 to 15.246. (9) The council may remove a member for misfeasance, malfeasance, or nonfeasance in office, after notice and a hearing. Missing 3 or more consecutive meetings is considered malfeasance. (10) The council may do all of the following: (a) Establish a public awareness campaign to educate the public about kinship caregivers and the state’s efforts to better serve kinship caregivers. (b) Consult and coordinate with the kinship caregiver navigator program to collect aggregate data on individuals being served by the kinship caregiver navigator program, including information on what services these individuals need. (c) Consult and collaborate with the provider of the kinship caregiver navigator program on the design and administration of that program. (d) Establish, maintain, and update a list of local support groups and programs that provide services to kinship families. Devise a plan of action for engaging with the groups and programs on the list in order to obtain a better understanding of the issues facing kinship families. (e) Develop methods to promote and improve collaboration between state, county, and local governments and agencies, and private stakeholders to obtain a broad understanding of the characteristics and prevalence of kinship caregiving, to improve service delivery, and to include these in the council’s recommendations under subsection (14).

House Fiscal Agency CSA- Child Welfare BP - 160 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS Sec. 576. New House Language (continued) (11) For the purposes of carrying out its duties under this section, the council may Not Not included. do both of the following: included. (a) Accept federal money granted for the purposes of this act as well as gifts, grants, bequests, or donations from individuals, private organizations, or foundations. Accepting or using federal money does not commit state money and does not place an obligation on the legislature to continue the purposes for which the federal money is made available. (b) Plan, manage, or conduct a campaign to solicit gifts, bequests, grants, or donations of money or property, or pledges of gifts, bequests, grants, or donations.

(12) Money received in the manner described in subsection (11) shall be transmitted to the state treasurer for deposit in the general fund and made available only to the council for carrying out its duties under this section. (13) Subject to receiving funds through grants from nonprofit entities or other third parties or appropriations from the legislature, the council shall conduct an assessment on kinship caregivers and children being raised by kinship caregivers. The council may contract with a third party to conduct the assessment required under this subsection. The assessment required under this subsection must be submitted to the council not more than 12 months after the date of the council’s first meeting and must do all of the following: (a) Address the prevalence, challenges, and needs of kinship families. (b) Identify and evaluate current state and federal policies, programs and services for kinship caregivers in this state and other states. (c) Investigate the benefits of creating a program dedicated to providing support and assistance to kinship families utilizing child placing agencies or similar agencies. (d) Provide policy options for supporting and empowering kinship caregivers. (14) By no later than 18 months after the date of the council’s first meeting, subject to receiving funds in the manner described in subsection (13), the council shall provide an initial report to the legislature, the governor, the department, the foster care review board program, the children’s trust fund, and the governor’s task force on child abuse and neglect that includes all of the following: (a) The findings of the assessment under subsection (13). (b) Items not listed in the assessment, such as barriers that block access to services for kinship families, best practices, or other challenges identified that kinship caregivers and kinship families encounter. (c) Concerns or public comments from kinship caregivers. (d) Identification of applicable policy areas, including federal and state guidelines, related to kinship caregivers and kinship families. (e) Recommendations on how to improve services, systems, programs, state law, executive policy, and administrative rules to become more responsive to kinship caregivers.

House Fiscal Agency CSA- Child Welfare BP - 161 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS Sec. 576. New House Language (continued) (15) The council shall provide a follow-up report each year to the legislature, the Not Not included. governor, the department, the foster care review board program, the children’s included. trust fund, and the governor’s task force on child abuse and neglect. The annual follow-up report must include all of the following: (a) A summary of previous report recommendations, including action taken to implement the recommendations. (b) An update on the status and characteristics of kinship families. (c) An update on the public awareness campaign and the kinship caregiver navigator program. (d) A description of ongoing projects regarding local support groups. (e) New recommendations. (16) The department shall promulgate rules to implement this section according to the administrative procedures act of 1969, 1969 PA 306, MCL 24.201 to 24.328.

House Fiscal Agency CSA- Child Welfare BP - 162 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS Sec. 577. New House Language Sec. 577. (1) The department shall establish and maintain the kinship caregiver Sec. 577. Sec. 577. Not included. navigator program. Before establishing the navigator program, the department must Not submit to the United States Department of Health and Human Services included. Administration on Children, Youth and Families an attachment to the state title IV-E plan. The attachment must include, at a minimum, all of the following: (a) The kinship navigator model the department will use to create the program. The department must provide an assurance that this model meets the requirements of federal law. (b) The date the navigator program began or will begin. (c) Information describing the navigator program target population and service area. (d) Information on how the department will implement the navigator program. (2) The department shall enter into a contract with a third party to provide navigator services to kinship caregivers. (3) In addition to providing navigator services, the navigator services provider shall establish a website regarding local support groups, resources, and services for kinship caregivers. The website must provide, at a minimum, all of the following: (a) Information on outreach, education, and training. (b) Information on financial assistance and legal services, including, but not limited to, pro bono and low bono legal aid providers. (c) Forms needed to file a petition in court, and guides to kinship care legal issues. (d) Information on health care, mental health, and substance use disorder services. (e) Information on child and respite care, support groups, parenting tips, and resources for caring for children with special needs. (f) Any other information the provider considers necessary. (4) The navigator services provider shall establish and maintain a single statewide toll-free telephone number for kinship caregivers to call for information or services. (5) The navigator services provider shall do all of the following: (a) Consult with the kinship caregiver advisory council established in section 576 on the design and continuation of the navigator program. (b) Consult with the kinship caregiver advisory council established in section 576 on developing outreach and educational material to provide to kinship families. (c) Promote partnerships between public and private agencies to increase knowledge of the needs of kinship families and to increase responsiveness to those needs, including working with other navigation systems for foster care and adoption, as well as for general information and referral systems. (d) Develop training material for navigators that is based on industry best practices. (e) Share aggregate data with the kinship caregiver advisory council established in section 576 regarding who is being served under the kinship caregiver navigator program and what services are being provided. The provider shall not share information on individual identification under this subdivision. (6) The kinship caregiver navigator program shall do all of the following: (a) Assist kinship caregivers in learning about, finding, and using programs and

services to meet the needs of the children they are raising.

House Fiscal Agency CSA- Child Welfare BP - 163 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS Sec. 577. New House Language (continued) (b) Work with state, local, and nonprofit agencies that promote Not included. Not included. service coordination or provide information and referral services. (c) Establish information and referral systems that link, by toll-free access, kinship caregivers, kinship support group facilitators, and kinship caregiver service providers to each other. These information and referral systems shall include, but are not limited to, the following: (i) Eligibility and enrollment information. (ii) Relevant training to assist kinship caregivers in caregiving. (iii) Connections to legal aid and assistance providers. (d) Comply with all federal regulations and statutes, including the provisions of 42 USC 627 and 671, to qualify for reimbursement of 50% of the costs for the kinship caregiver navigator program. (7) The navigator services provider may do all of the following: (a) Identify and maintain relationships with the State Bar of Michigan, law school clinics, and other nonprofit legal services agencies. These relationships shall facilitate developing a county or regional pro bono or low bono legal representation referral program. (b) Develop and maintain training materials and training programs designed to educate pro bono attorneys, low bono attorneys, or both, on how to provide legal advice, assistance, and representation specific to kinship caregivers. (c) Apply for and accept grants from other public or private entities to develop legal services initiatives. (8) The kinship caregiver navigator fund is created within the department. The department may receive money or other assets from any source for deposit into the fund. The department shall direct the investment of the fund and shall credit to the fund interest and earnings from fund investments. Money in the fund at the close of the fiscal year remains in the fund and does not lapse to the general fund. The department’s children’s services agency is the administrator of the fund for auditing purposes. The department’s children’s services agency shall expend money from the fund, upon appropriation, only for the purpose of carrying out the provisions of this section.

House Fiscal Agency CSA- Child Welfare BP - 164 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Sec. 578. New House Language Sec. 578. The department shall explore Sec. 578. Not included. Sec. 578. Concur with the the development and implementation House. of a foster care worker apprenticeship program for college students majoring in social work who are interested in working in child welfare. The goals of the program would be to expose students directly to foster care work and provide work experience to aid in the recruitment of future child welfare caseworkers, and to provide current caseworkers with apprentice support staff. By August 1 of the current fiscal year, the department shall submit to the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, and the house and senate policy offices a report on the department's recommendation for an apprenticeship program. It is the intent of the legislature that the department develop the program so that it can be implemented in the following year and that students in the apprenticeship program would receive payment for their services, if funding is made available.

Sec. 579. New House Language Sec. 579. The department shall require Sec. 579. Not included. Sec. 579. Not included. that caseworkers work to ensure that children who are victims of child abuse and child neglect have court redetermination hearings more frequently than every 90 days when in the best interest of the child. The intent of this language is to decrease the time it will take for permanency to be

finalized for the child.

House Fiscal Agency CSA- Child Welfare BP - 165 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Sec. 580. New House Language Sec. 580. (1) From the funds appropriated Sec. 580. (1) Not included. Sec. 580. (1) Not included. in part 1 for Children's Indigent Defense, the department shall explore establishing a child indigent defense services program.

(2) By June 1 of the current fiscal year, the (2) Not included. (2) Not included. department shall submit to the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, and the house and senate policy offices a report detailing the projected costs of the services, the number of children anticipated to need services by county, any local investment in child legal services by county, and the legal services needs of children currently in the foster care system or children at risk

of entering the foster care system.

Sec. 581. New House Language Sec. 581. From the funds appropriated in Sec. 581. Not included. Sec. 581. Not included. part 1 for foster care payments, the department shall allocate $50,000.00 to provide $10.00 gift cards for caseworkers to distribute when considered appropriate by the caseworker to provide meals or other urgent needs for children upon removal from their home or other dangerous environment, including children who are victims of human trafficking. The department shall track the distribution of the gift cards and by June 1 of the current fiscal year shall submit to the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, and the house and senate policy offices a report on the number of gift cards distributed and the number of

children receiving the gift cards.

House Fiscal Agency CSA- Child Welfare BP - 166 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Foster Parents Report

Sec. 583. By March 1 of the current fiscal year, Sec. 583. No changes from Sec. 583. By March 1 of the Sec. 583. Concur with the Sec. 583. Concur with the the department shall provide to the senate and current law. current fiscal year, the House. House. house appropriations subcommittees on the department shall provide to department budget, the senate and house the senate and house standing committees on families and human appropriations services, the senate and house fiscal agencies subcommittees on the and policy offices, and the state budget office a department budget, the report that includes: senate and house standing (a) The number and percentage of foster parents committees on families and that dropped out of the program in the previous human services, the senate fiscal year and the reasons the foster parents left and house fiscal agencies and the program and how those figures compare to policy offices, and the state prior fiscal years. budget office a report that (b) The number and percentage of foster parents includes all of the following: successfully retained in the previous fiscal year (a) The number and and how those figures compare to prior fiscal percentage of foster parents years. that dropped out of the program in the previous fiscal year, and the reasons the foster parents left the program, and how those figures compare to prior fiscal years. (b) The number and percentage of foster parents successfully retained in the previous fiscal year and how those figures compare to prior

fiscal years.

Private Agency Staff Training

Sec. 585. The department shall make available at Sec. 585. No changes from Sec. 585. No changes from Sec. 585. No changes from Sec. 585. No changes from least 1 pre-service training class each month in current law. current law. current law. current law. which new caseworkers for private foster care and adoption agencies can enroll.

House Fiscal Agency CSA- Child Welfare BP - 167 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Sec. 586. New House Language Sec. 586. By March 1 of the current Sec. 586. Not included. Sec. 586. Not included. fiscal year, the department shall submit to the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, and the house and senate policy offices a comprehensive list of the course titles of all of the courses offered to foster care parents through the

department.

Reports from Children's Rights Settlement Monitor

Sec. 588. (1) Concurrently with public release, the Sec. 588. (1) No changes Sec. 588. (1) No changes Sec. 588. (1) No changes Sec. 588. (1) No changes department shall transmit all reports from the from current law. from current law. from current law. from current law. court- appointed settlement monitor, including, but not limited to, the needs assessment and period outcome reporting, to the state budget office, the senate and house appropriations subcommittees on the department budget, and the senate and house fiscal agencies and policy offices, without revision. (2) By October 1 of the current fiscal year, the Striking current law. (2) No changes from current (2) No changes from current (2) No changes from current department shall submit to the senate and house law. law. law. appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the policy offices a detailed plan that will terminate and dismiss with prejudice the settlement by September 30 of the current fiscal year.

House Fiscal Agency CSA- Child Welfare BP - 168 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Payment of Foster Care Administrative Rate

Sec. 589. (1) From the funds appropriated in part Sec. 589. (1) From the funds Sec. 589. (1) No changes Sec. 589. (1) Concur with the Sec. 589. (1) No changes 1 for child care fund, the department shall pay appropriated in part 1 for child from current law. Executive. from current law. 100% of the administrative rate for all new cases care fund, the department referred to providers of foster care services. shall pay 100% of the administrative rate for all new cases referred to providers of general foster care and treatment foster care

services.

(2) On a quarterly basis, the department shall (2) On a quarterly (2) No changes from current (2) No changes from current (2) No changes from current report on the monthly number of all foster care semiannual basis, the law. law. law. cases administered by the department and all department shall report on the foster care cases administered by private monthly number of all foster providers. care cases administered by the department and all foster care cases administered by

private providers.

House Fiscal Agency CSA- Child Welfare BP - 169 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS Child Protective Services Data

Sec. 592. The department shall submit quarterly Sec. 592. The department Sec. 592. No changes from Sec. 592. Concur with the Sec. 592. Concur with the reports to the chairs of the house and senate shall submit quarterly reports current law, except to add House. House. standing oversight committees, the house and report to the chairs of the "the" as the first word of (a) senate appropriations subcommittees on the house and senate standing through (g). department budget, the house and senate fiscal oversight committees, the agencies, the house and senate policy offices, house and senate and the state budget office that include data from appropriations children’s protective services staff for each of the subcommittees on the following for the most recent 30-day period before department budget, the the report is submitted: house and senate fiscal (a) Percent of investigations commenced within agencies, the house and 24 hours after receiving a report. senate policy offices, and the (b) Percent of central registry reviews performed state budget office by for required individuals. January 1, April 1, July 1, (c) Percent of face-to-face contacts made within and September 30 of the the established timeframe required by the current fiscal year that department. include data from children’s (d) In appropriate cases, the percent of sibling protective services staff for placement evaluations completed when 1 or more each of the following for the children remain in the home after a child has been last month of the previous removed. quarter most recent 30-day (e) Percent of supervisory reviews performed in a period before the report is timely manner. submitted: (f) Results of a department survey of child protective services investigators on the number of [Includes (a) through (g) with investigators who are concerned for his or her no changes] own personal safety. (g) Percent of investigators using the mobile application or other tool to document compliance.

House Fiscal Agency CSA- Child Welfare BP - 170 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

County Child Abuse and Child Neglect Investigation and Interview Protocols

Sec. 593. (1) The department shall conduct an Sec. 593. (1) No changes Sec. 593. (1) No changes Sec. 593. (1) No changes Sec. 593. (1) No changes annual review in each county to determine if the from current law. from current law. from current law. from current law. county has adopted and implemented standard child abuse and child neglect investigation and interview protocols as required in section 8(6) of the child protection law, 1975 PA 238, MCL 722.628. (2) By March 1 of the current fiscal year, the (2) No changes from current (2) No changes from current (2) No changes from current (2) No changes from current department shall submit an annual report to the law. law. law. law. chairs of the house and senate standing oversight committees, the governor’s task force on child abuse and neglect, the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, the house and senate policy offices, and the state budget office on the findings of each county’s review described in subsection (1).

Foster Care Parent Retention and Michigan Youth Opportunities Initiative (MYOI) Funding

Sec. 594. From the funds appropriated in part 1 Sec. 594. No changes from Sec. 594. No changes from Sec. 594. No changes from Sec. 594. No changes from for foster care payments, the department shall current law. current law. current law. current law. support regional resource teams to provide for the recruitment, retention, and training of foster and adoptive parents and shall expand the Michigan youth opportunities initiative to all Michigan counties. The purpose of this funding is to increase the number of annual inquiries from prospective foster parents, increase the number of nonrelative foster homes that achieve licensure each year, increase the annual retention rate of nonrelative foster homes, reduce the number of older foster youth placed outside of family settings, and provide older youth with enhanced support in transitioning to adulthood.

House Fiscal Agency CSA- Child Welfare BP - 171 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

CPS Staff and DHHS/Private Agency Caseload Ratio

Sec. 595. (1) Due to the exigent circumstances Striking current law. Sec. 595. (1) No changes Sec. 595. (1) No changes Sec. 595. (1) No changes found in the department’s children’s protective from current law. from current law. from current law. services (CPS) program by the office of the auditor general (OAG) audit number 431-1285- 16, from the funds appropriated in part 1, the department shall expend the funding for children’s protective services - caseload staff in order to dedicate resources to CPS investigations. The department shall hire staff from the funds appropriated in part 1 for children’s protective services - caseload staff for the department to come into compliance and sustain measured corrective action as determined by the OAG for OAG audit number 431-1285-16. (2) From the funds appropriated in part 1 for foster Striking current law. (2) No changes from current (2) No changes from current (2) No changes from current care services - caseload staff, the department law. law. law. shall not expend any funds on hiring foster care workers or licensing workers and shall not assume any direct supervisory responsibility of foster care cases unless 1 of the following conditions is met: (a) An initial review of the case indicated that the case is not eligible for title IV-E reimbursement. (b) The department is already providing direct foster care service to 1 or more siblings of the child ordered into a placement, and a department direct service provision can provide placement to the entire sibling group. (c) The court has ordered placement for only some of the children in the family, requiring the department to monitor the children remaining at home.

House Fiscal Agency CSA- Child Welfare BP - 172 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS (3) From the funds appropriated in part 1 for foster Striking current law. (3) No changes from current (3) No changes from current (3) No changes from current care payments, all new foster care cases coming law. law. law. into care shall be placed with a private child placing agency supervision unless any of the conditions in subsection (1) are met or until the statewide ratio of foster care cases is 55% for private child placing agency supervision to 45% department case management supervision respectively. (4) This section does not require an individual Striking current law. (4) No changes from current (4) No changes from current (4) No changes from current county to meet the case ratio described in law. law. law. subsection (3). (5) This section does not modify or amend Striking current law. (5) No changes from current (5) No changes from current (5) No changes from current caseload ratios required under the settlement. law. law. law.

House Fiscal Agency CSA- Child Welfare BP - 173 6/30/2021 4"Sen DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children's Services Agency – Child Welfare

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE HOUSE OMNIBUS

Child Care Fund (CCF) County Partial Reimbursements Requirement

Sec. 598. Partial child care fund reimbursements Sec. 598. Partial state and Sec. 598. No changes from Sec. 598. No changes from Sec. 598. No changes from to counties for undisputed charges shall be made child care fund current law. current law. current law. within 45 business days after the receipt of the reimbursements to counties required forms and documentation. The for undisputed charges shall department shall notify a county within 15 be made within 45 business business days after a disputed reimbursement days after the receipt of all the request. The department shall reimburse for required forms and corrected charges within 45 business days after a documentation. The properly corrected submission by the county. department shall commence activity to investigate and resolve all disputed reimbursement requests, up to and including use of formal appeals process, pursuant to statute and published department chargeback policy. The department shall notify a county within 15 business days after a disputed reimbursement request. The department shall reimburse for corrected charges within 45 business days after a properly corrected submission by the

county.

House Fiscal Agency CSA- Child Welfare BP - 174 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Public Assistance

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS

PUBLIC ASSISTANCE

Shelter Vendor Payments

Sec. 601. Whenever a client agrees to the Sec. 601. No changes from Sec. 601. No changes from Sec. 601. No changes from Sec. 601. No changes from release of his or her name and address to the current law. current law, except: current law, except: current law, except: local housing authority, the department shall request from the local housing authority information regarding whether the housing unit for which vendoring has been requested meets applicable local housing codes. Vendoring shall be terminated for those units that the local "…until such time as the "…until such time as the "…until such time as the authority indicates in writing do not meet local local…" local…" local…" housing codes until such time as the local authority indicates in writing that local housing codes have been met.

Multiple Disability Applications

Sec. 602. The department shall conduct a full Sec. 602. No changes from Sec. 602. No changes from Sec. 602. No changes from Sec. 602. No changes from evaluation of an individual’s assistance needs if current law. current law. current law. current law. the individual has applied for disability more than 1 time within a 1-year period.

Public Assistance Benefits Notification

Sec. 603. For any change in the income of a Striking current law. Sec. 603. No changes from Sec. 603. No changes from Sec. 603. No changes from recipient of the food assistance program, the current law. current law. current law. family independence program, or state disability assistance that results in a benefit decrease, the department must notify the affected recipient of the decrease in benefits amount no later than 15 work days before the first day of the month in which the change takes effect.

House Fiscal Agency Public Assistance BP - 175 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Public Assistance

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS

State Disability Assistance (SDA) Program Sec. 604. (1) From the funds Sec. 604. (1) From the funds Sec. 604. (1) From the funds appropriated in Part 1 for state appropriated in Part 1 for state appropriated in Part 1 for state disability assistance payments, The the disability assistance payments, The the disability assistance payments, The the Sec. 604. (1) The department shall operate a state disability Sec. 604. (1) No changes from current department shall operate a state disability department shall operate a state disability department shall operate a state disability assistance program. Except as provided in subsection (3), persons law, except: "From the funds assistance program. Except as provided in assistance program. Except as provided in assistance program. Except as provided in eligible for this program shall include needy citizens of the United appropriated in Part 1 for state subsection (3), persons eligible for this subsection (3), persons eligible for this subsection (3), persons eligible for this States or aliens exempted from the supplemental security income disability assistance payments, The program shall include needy citizens of the program shall include needy citizens of the program shall include needy citizens of the citizenship requirement who are at least 18 years of age or the department shall… United States or aliens exempted from the United States or aliens exempted from the United States or aliens exempted from the emancipated minors meeting 1 or more of the following supplemental security income citizenship supplemental security income citizenship supplemental security income citizenship requirements: requirement who are at least 18 years of requirement who are at least 18 years of requirement who are at least 18 years of age or emancipated minors meeting who age or emancipated minors meeting who age or emancipated minors meeting who (a) A recipient of supplemental security income, social security, or meet 1 or more of the following meet 1 or more of the following meet 1 or more of the following medical assistance due to disability or 65 years of age or older. requirements: requirements: requirements: (b) A person with a physical or mental impairment that meets federal supplemental security income disability standards, except (a) Is a A recipient of supplemental (a) Is a A recipient of supplemental (a) Is a A recipient of supplemental that the minimum duration of the disability shall be 90 days. security income, social security, or security income, social security, or security income, social security, or Substance use disorder alone is not defined as a basis for medical assistance due to disability or 65 medical assistance due to disability or 65 medical assistance due to disability or 65 eligibility. years of age or older. years of age or older. years of age or older. (c) A resident of an adult foster care facility, a home for the aged, (b) Is an individual A person with a (b) Is an individual A person with a (b) Is an individual A person with a a county infirmary, or a substance use disorder treatment center. physical or mental impairment that meets physical or mental impairment that meets physical or mental impairment that meets (d) A person receiving 30-day postresidential substance use federal supplemental security income federal supplemental security income federal supplemental security income disorder treatment. disability standards, except that the disability standards, except that the disability standards, except that the (e) A person diagnosed as having acquired immunodeficiency minimum duration of the disability shall be minimum duration of the disability shall be minimum duration of the disability shall be syndrome. 90 days. Substance use disorder alone is 90 days. Substance use disorder alone is 90 days. Substance use disorder alone is (f) A person receiving special education services through the local not defined as a basis for eligibility. not defined as a basis for eligibility. not defined as a basis for eligibility. intermediate school district. (c) Is a A resident of an adult foster care (c) Is a A resident of an adult foster care (c) Is a A resident of an adult foster care (g) A caretaker of a disabled person who meets the requirements facility, a home for the aged, a county facility, a home for the aged, a county facility, a home for the aged, a county specified in subdivision (a), (b), (e), or (f). infirmary, or a substance use disorder infirmary, or a substance use disorder infirmary, or a substance use disorder treatment center. treatment center. treatment center. (d) Is an individual A person receiving (d) Is an individual A person receiving (d) Is an individual A person receiving 30-day postresidential substance use 30-day postresidential substance use 30-day postresidential substance use disorder treatment. disorder treatment. disorder treatment. (e) Is an individual A person diagnosed (e) Is an individual A person diagnosed (e) Is an individual A person diagnosed as having acquired immunodeficiency as having acquired immunodeficiency as having acquired immunodeficiency syndrome. syndrome. syndrome. (f) Is an individual A person receiving (f) Is an individual A person receiving (f) Is an individual A person receiving special education services through the special education services through the special education services through the local intermediate school district. local intermediate school district. local intermediate school district. (g) Is a A caretaker of a disabled person (g) Is a A caretaker of a disabled person (g) Is a A caretaker of a disabled person individual who meets the requirements individual who meets the requirements individual who meets the requirements specified in subdivision (a), (b), (e), or (f). specified in subdivision (a), (b), (e), or (f). specified in subdivision (a), (b), (e), or (f).

House Fiscal Agency Public Assistance BP - 176 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Public Assistance

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (2) Applicants for and recipients of the state (2) No changes from current (2) Applicants for and (2) Applicants for and (2) Applicants for and disability assistance program shall be law. recipients of the state disability recipients of the state disability recipients of the state disability considered needy if they: assistance program shall be assistance program shall be assistance program shall be considered needy if they do considered needy if they do considered needy if they do (a) Meet the same asset test as is applied for the both of the following: both of the following: both of the following: family independence program. (a) Meet the same asset test (b) Have a monthly budgetable income that is as is applied for the family (a) Meet the same asset test (a) Meet the same asset test less than the payment standards. independence program. as is applied for the family as is applied for the family (b) Have a monthly budgetable independence program. independence program. income that is less than the (b) Have a monthly budgetable (b) Have a monthly budgetable payment standards. income that is less than the income that is less than the payment standards. payment standards.

House Fiscal Agency Public Assistance BP - 177 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Public Assistance

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (3) Except for a person described in subsection (3) No changes from current (3) No changes from current (3) Except for a person an (3) Concur with the Senate. (1)(c) or (d), a person is not disabled for law. law. individual described in purposes of this section if his or her drug subsection (1)(c) or (d), a addiction or alcoholism is a contributing factor person an individual is not material to the determination of disability. disabled for purposes of this “Material to the determination of disability” section if his or her drug means that, if the person stopped using drugs or addiction or alcoholism is a alcohol, his or her remaining physical or mental contributing factor material to limitations would not be disabling. If his or her the determination of disability. remaining physical or mental limitations would “Material to the determination be disabling, then the drug addiction or of disability” means that, if the alcoholism is not material to the determination of person stopped using drugs or disability and the person may receive state alcohol, his or her remaining disability assistance. Such a person must physical or mental limitations actively participate in a substance abuse would not be disabling. If his or treatment program, and the assistance must be her remaining physical or paid to a third party or through vendor payments. mental limitations would be For purposes of this section, substance abuse disabling, then the drug treatment includes receipt of inpatient or addiction or alcoholism is not outpatient services or participation in alcoholics material to the determination anonymous or a similar program. of disability and the person may receive state disability assistance. Such a person must actively participate in a substance abuse treatment program, and the assistance must be paid to a third party or through vendor payments. For purposes of this section, substance abuse treatment includes receipt of inpatient or outpatient services or participation in alcoholics anonymous or a similar program.

House Fiscal Agency Public Assistance BP - 178 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Public Assistance

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS

SDA Reimbursement

Sec. 605. No changes from Sec. 605. No changes from Sec. 605. The level of reimbursement provided to Sec. 605. No changes from Sec. 605. No changes from current law. current law. state disability assistance recipients in licensed current law. current law. adult foster care facilities shall be the same as the prevailing supplemental security income rate under the personal care category.

Repayment Agreements for Retroactive

Supplemental Security Income (SSI)

Payments

Sec. 606. No changes from Sec. 606. No changes from Sec. 606. No changes from Sec. 606. No changes from

Sec. 606. County department offices shall require current law. current law. current law. current law. each recipient of family independence program and state disability assistance who has applied with the social security administration for supplemental security income to sign a contract to repay any assistance rendered through the family independence program or state disability assistance program upon receipt of retroactive supplemental security income benefits.

Public Assistance Recovery and

Recoupment Revenue Sec. 607. (1) No changes from Sec. 607. (1) No changes from Sec. 607. (1) The department’s ability to satisfy Sec. 607. (1) No changes from Sec. 607. (1) No changes from current law. current law. appropriation deductions in part 1 for state current law. current law. disability assistance/ supplemental security income recoveries and public assistance recoupment revenues shall not be limited to recoveries and accruals pertaining to state disability assistance, or family independence assistance grant payments provided only in the current fiscal year, but may include revenues collected during the current year that are prior year related and not a part of the department’s accrued entries.

House Fiscal Agency Public Assistance BP - 179 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Public Assistance

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (2) The department may use supplemental (2) No changes from current (2) No changes from current (2) No changes from current (2) No changes from current security income recoveries to satisfy the deduct law. law. law. law. in any line in which the revenues are appropriated, regardless of the source from which the revenue is recovered.

Adult Foster Care and Homes for the Aged

Payment Limits

Sec. 608. Adult foster care facilities providing Sec. 608. No changes from Sec. 608. No changes from Sec. 608. No changes from Sec. 608. No changes from domiciliary care or personal care to residents current law. current law, except: current law, except: current law, except: receiving supplemental security income or homes for the aged serving residents receiving supplemental security income shall not require "…security income shall not be "…security income shall not be "…security income shall not be those residents to reimburse the home or facility are not prohibited from are not prohibited from are not prohibited from for care at rates in excess of those legislatively accepting…". accepting…" accepting…" authorized. To the extent permitted by federal law, adult foster care facilities and homes for the aged serving residents receiving supplemental security income shall not be prohibited from accepting third-party payments in addition to supplemental security income if the payments are not for food, clothing, shelter, or result in a reduction in the recipient’s supplemental security income payment.

SSI State Supplementation

Sec. 609. The state supplementation level under Sec. 609. No changes from Sec. 609. No changes from Sec. 609. No changes from Sec. 609. No changes from the supplemental security income program for current law, except: current law. current law. current law. the personal care/ adult foster care and home for the aged categories shall not be reduced during the current fiscal year. The legislature shall be notified not less than 30 days before any "…not less than 30 days proposed reduction in the state supplementation before upon…" level.

House Fiscal Agency Public Assistance BP - 180 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Public Assistance

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS

State Emergency Relief (SER)

Sec. 610. (1) No changes from Sec. 610. (1) In developing good cause criteria Sec. 610. (1) No changes from Sec. 610. (1) No changes from Sec. 610. (1) No changes from for the state emergency relief program, the current law. current law. current law. current law. department shall grant exemptions if the emergency resulted from unexpected expenses related to maintaining or securing employment. (2) For purposes of determining housing (2) No changes from current (2) No changes from current (2) No changes from current (2) No changes from current affordability eligibility for state emergency relief, law. law. law. law. a group is considered to have sufficient income to meet ongoing housing expenses if their total housing obligation does not exceed 75% of their total net income. (3) State emergency relief payments shall not be (3) No changes from current (3) No changes from current (3) No changes from current (3) No changes from current made to individuals who have been found guilty law. law. law. law. of fraud in regard to obtaining public assistance. (4) State emergency relief payments shall not be (4) No changes from current (4) No changes from current (4) No changes from current (4) No changes from current made available to persons who are out-of-state law. law. law. law. residents or illegal immigrants (5) State emergency relief payments for rent (5) No changes from current (5) No changes from current (5) No changes from current (5) No changes from current assistance shall be distributed directly to law. law. law. law. landlords and shall not be added to Michigan bridge cards.

State Supplementation Rate Restriction

Sec. 611. The state supplementation level under Sec. 611. No changes from Sec. 611. No changes from Sec. 611. No changes from Sec. 611. No changes from the supplemental security income program for current law. current law. current law. current law. the living independently or living in the household of another categories shall not exceed the minimum state supplementation level as required under federal law or regulations.

House Fiscal Agency Public Assistance BP - 181 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Public Assistance

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS

Indigent Burial

Sec. 613. (1) The department shall provide Sec. 613. (1) No changes from Sec. 613. (1) No changes from Sec. 613. (1) No changes from Sec. 613. (1) Concur with the reimbursements for the final disposition of current law. current law, except: current law. House. indigent persons. The reimbursements shall include the following: "…shall include all of the

following…" (a) The maximum allowable reimbursement for the final disposition is $840.00. (b) The adult burial with services allowance is $765.00. (c) The adult burial without services allowance is $530.00. (d) The infant burial allowance is $210.00.

(2) Reimbursement for a cremation permit fee of (2) No changes from current (2) No changes from current (2) No changes from current (2) No changes from current up to $75.00 and for mileage at the standard rate law. law. law. law. will be made available for an eligible cremation. The reimbursements under this section shall take into consideration religious preferences that prohibit cremation.

House Fiscal Agency Public Assistance BP - 182 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Public Assistance

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS New Senate Subsection (3) The department shall report to Does not include. the senate and house of representatives appropriations subcommittees on the department budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office by October 1 of the current fiscal year on burial services payments issued from the state emergency relief program during the previous fiscal year. The report shall include the number of payments by burial services category for each of the following: (a) Fetus or infant under age 1 month. (b) Burial with memorial service. (c) Burial without memorial service. (d) Cremation with memorial service

(e) Cremation without memorial service. (f) Transportation of a donated or unclaimed body being cremated. (g) Cremation permit fee for an unclaimed body. (h) Disposition of an unclaimed body. (i) Payment where an irrevocable funeral agreement exists.

House Fiscal Agency Public Assistance BP - 183 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Public Assistance

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS

SDA Recipients Eligible for SSI Benefits

Sec. 614. The department shall report to the Sec. 614. No changes from Sec. 614. No changes from Sec. 614. No changes from Sec. 614. No changes from senate and house of representatives current law. current law. current law. current law. appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the senate and house policy offices by January 15 of the current fiscal year on the number and percentage of state disability assistance recipients who were determined to be eligible for federal supplemental security income benefits in the previous fiscal year.

Illegal Alien Public Assistance Prohibition

Sec. 615. Except as required by federal law or Sec. 615. No changes from Sec. 615. No changes from Sec. 615. No changes from Sec. 615. No changes from regulations, funds appropriated in part 1 shall not current law. current law, except: current law, except: current law, except: be used to provide public assistance to a person who is not a United States citizen, permanent resident alien, or refugee. This section shall not "…This section shall does not "…This section shall does not "…This section shall does not prohibit the department from entering into prohibit…" prohibit…" prohibit…" contracts with food banks, emergency shelter providers, or other human services agencies who may, as a normal part of doing business, provide food or emergency shelter.

Electronic Benefit Transfer (EBT) Fees

Sec. 616. The department shall require retailers Sec. 616. No changes from Sec. 616. No changes from Sec. 616. No changes from Sec. 616. No changes from that participate in the electronic benefits transfer current law. current law. current law. current law. program to charge no more than $2.50 in fees for cash back as a condition of participation.

House Fiscal Agency Public Assistance BP - 184 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Public Assistance

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS

Parole/Probation Absconder Report

Sec. 618. By March 1 of the current fiscal year, Sec. 618. No changes from Sec. 618. No changes from Sec. 618. No changes from Sec. 618. No changes from the department shall report to the senate and current law. current law. current law. current law. house appropriations subcommittees on the department budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office the quarterly number of supervised individuals who have absconded from supervision and whom a law enforcement agency, the department of corrections, or the department is actively seeking according to section 84 of the corrections code of 1953, 1953 PA 232, MCL 791.284.

Title IV-A (TANF) and Food Assistance

Benefit Exemption

Sec. 619. The department shall not deny title IV- Sec. 619. No changes from Sec. 619. No changes from Striking current law. Sec. 619. No changes from A assistance and food assistance benefits under current law. current law. current law. 21 USC 862a to any individual who has been convicted of a felony that included the possession, use, or distribution of a controlled substance, for which the act that resulted in the conviction occurred after August 22, 1996, if the individual is not in violation of his or her probation or parole requirements.

House Fiscal Agency Public Assistance BP - 185 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Public Assistance

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS

Medicaid Eligibility Determination Standards of Promptness

Sec. 620. (1) The department shall make a Sec. 620. (1) No changes from Sec. 620. (1) The department Sec. 620. (1) The department Sec. 620. (1) The department determination of Medicaid eligibility not later than current law. shall make a determination of shall make a determination of shall make a determination of 90 days if disability is an eligibility factor. For all Medicaid eligibility not later Medicaid eligibility not later Medicaid eligibility not later other Medicaid applicants, including patients of a than 90 days after completion than 90 days after completion than 90 days after completion nursing home, the department shall make a of Medicaid application if of Medicaid application if of Medicaid application if determination of Medicaid eligibility within 45 disability is an eligibility factor. disability is an eligibility factor. disability is an eligibility factor. days of application. For all other Medicaid For all other Medicaid For all other Medicaid applicants, including patients of applicants, including patients of applicants, including patients of a nursing home, the a nursing home, the a nursing home, the department shall make a department shall make a department shall make a determination of Medicaid determination of Medicaid determination of Medicaid eligibility within 45 days of eligibility within 45 days of eligibility within 45 days of after application. after application. after application. (2) The department shall provide quarterly (2) No changes from current (2) No changes from current (2) No changes from current (2) No changes from current reports to the senate and house appropriations law, except: law. law. law. subcommittees on the department budget, the "…shall provide quarterly senate and house standing committees on semiannual reports to…" families and human services, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office on the average Medicaid eligibility standard of promptness for each of the required standards of promptness under subsection (1) and for medical review team reviews achieved statewide and at each local office.

House Fiscal Agency Public Assistance BP - 186 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Public Assistance

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS

Domestic Violence Homeless Criteria for

State Emergency Relief

Sec. 645. An individual or family is considered Sec. 645. No changes from Sec. 645. No changes from Sec. 645. No changes from Sec. 645. No changes from homeless, for purposes of eligibility for state current law. current law. current law. current law. emergency relief, if living temporarily with others in order to escape domestic violence. For purposes of this section, domestic violence is defined and verified in the same manner as in the department’s policies on good cause for not cooperating with child support and paternity requirements.

Domestic Violence Exemption to Food

Assistance Requirements

Sec. 653. From the funds appropriated in part 1 Sec. 653. No changes from Sec. 653. No changes from Sec. 653. No changes from Sec. 653. Concur with the for food assistance program benefits, an current law. current law, except: current law. House. individual who is the victim of domestic violence and does not qualify for any other exemption "…victim of domestic violence may be exempt from the 3-month in 36- month or human trafficking and limit on receiving food assistance under 7 USC does not…" 2015. This exemption can be extended an additional 3 months upon demonstration of continuing need.

House Fiscal Agency Public Assistance BP - 187 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Public Assistance

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS

Food Assistance Program (FAP) Double Up

Food Bucks Program

Sec. 654. The department shall notify recipients Sec. 654. No changes from Sec. 654. No changes from Sec. 654. No changes from Sec. 654. No changes from of food assistance program benefits that their current law. current law. current law. current law. benefits can be spent with their bridge cards at many farmers’ markets in the state. The department shall also notify recipients about the Double Up Food Bucks program that is administered by the Fair Food Network. Recipients shall receive information about the Double Up Food Bucks program, including information that when the recipient spends $20.00 at participating farmers’ markets through the program, the recipient can receive an additional $20.00 to buy Michigan produce.

Low Income Home Energy Assistance

Program (LIHEAP) Spending Plan

Sec. 655. Within 14 days after the spending plan Sec. 655. No changes from Sec. 655. No changes from Sec. 655. No changes from Sec. 655. No changes from for low-income home energy assistance current law. current law. current law. current law. program is approved by the state budget office, the department shall provide the spending plan, including itemized projected expenditures, to the chairpersons of the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office.

House Fiscal Agency Public Assistance BP - 188 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Public Assistance

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS

Food Bank Council TANF Eligibility Reporting

Sec. 660. From the funds appropriated in part 1 Striking current law. Striking current law. Striking current law. Striking current law. for Food Bank Council of Michigan, the department is authorized to make allocations of TANF revenue only to the agencies that report necessary data to the department for the purpose of meeting TANF eligibility reporting requirements. The agencies that do not report necessary data to the department for the purpose of meeting TANF eligibility reporting requirements will not receive allocations in excess of those received in fiscal year 2000. The use of TANF revenue under this section is not an ongoing commitment of funding.

Annual FIP Clothing Allowance

Sec. 669. From the funds appropriated in part 1 Sec. 669. No changes from Sec. 669. No changes from Sec. 669. No changes from Sec. 669. No changes from for family independence program, the current law. current law. current law. current law. department shall allocate $7,230,000.00 for the annual clothing allowance. The allowance shall be granted to all eligible children in a family independence program group.

House Fiscal Agency Public Assistance BP - 189 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Public Assistance

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS

Electronic Benefit Transfer Card Abuse Report Sec. 672. (1) No changes from Sec. 672. (1) No changes from Sec. 672. (1) No changes from Sec. 672. (1) Concur with the Sec. 672. (1) The department’s office of current law. current law, except current law. House. inspector general shall report to the senate and standardizes language to house of representatives appropriations reflect "Michigan bridge card" subcommittees on the department budget, the in place of "bridge card", senate and house fiscal agencies, and the "electronic benefits card", or senate and house policy offices by February 15 "EBT card". of the current fiscal year on department efforts to reduce inappropriate use of Michigan bridge cards and food assistance program trafficking. The department shall provide information on the number of recipients of services who used their electronic benefit transfer card inappropriately and the current status of each case, the number of recipients whose benefits were revoked, whether permanently or temporarily, as a result of inappropriate use, and the number of retailers that were fined or removed from the electronic benefit transfer program for permitting inappropriate use of the cards. The report shall also include the number of Michigan bridge card trafficking instances and overall welfare fraud referrals that includes such information as the number of investigations completed, fraud and intentional program violation dollar amounts identified, the number of referrals to prosecutors, the number of administrative hearing referrals and waivers, and the number of program disqualifications imposed. The report shall distinguish between savings and cost avoidance. Savings include receivables established from instances of fraud committed. Cost avoidance includes expenditures avoided due to front-end eligibility investigations and other preemptive actions undertaken in the prevention of fraud. House Fiscal Agency Public Assistance BP - 190 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Public Assistance

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (2) The department shall require an explanation (2) The department shall (2) Concur with the Executive, (2) No changes from current (2) The department shall from a recipient if a bridge card is replaced more require an explanation from a except standardizes language law. require an explanation from a than 2 times over any 3-month period. recipient if a bridge card is to reflect "Michigan bridge recipient if a Michigan bridge replaced more than 2 times card" in place of "bridge card", card is replaced more than 2 over any 3-month period. "electronic benefits card", or times over any 3-month When a fourth EBT card has "EBT card". period. been issued in a 12 month period, the department shall notify the household that they have reached the number of issued cards threshold. At their fifth and each subsequent card replacement request, a card will not be issued until the recipient has spoken directly to the local office district manager or county director. The district manager or county director may issue a new EBT card under their authority based on their assessment of the recipient’s situation and explanation.

House Fiscal Agency Public Assistance BP - 191 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Public Assistance

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (3) As used in this section, “inappropriate use” (3) No changes from current (3) as used in this section, (3) as used in this section, (3) Concur with the Senate. means not used to meet a family’s ongoing basic law. "inappropriate use" means not "inappropriate use" means not needs, including food, clothing, shelter, utilities, used to meet a family's used to meet a family's household goods, personal care items, and ongoing basic needs, ongoing basic needs, general incidentals. including food, clothing, including food, clothing, shelter, utilities, household shelter, utilities, household goods, personal care items, goods, personal care items, and general incidentals. and general incidentals. (4) As used in this section, (a) (4) As used in this section, (a) "Food assistance trafficking" "Food assistance trafficking" means the buying and selling means the buying and selling of food assistance benefits for of food assistance benefits for cash or items not authorized cash or items not authorized under the food and nutrition under the food and nutrition act, 7 usc 2036. act, 7 usc 2036. (b) "Inappropriate use" (b) "Inappropriate use" means not used to meet a means not used to meet a family's ongoing basic family's ongoing basic needs, including food, needs, including food, clothing, shelter, utilities, clothing, shelter, utilities, household goods, personal household goods, personal care items, and general care items, and general incidentals. incidentals. (4) As used in this section, “food assistance (4) No changes from current (4) No changes from current Striking current law. Striking current law. trafficking” means the buying and selling of food law. law. assistance benefits for cash or items not authorized under the food and nutrition act, 7 USC 2036.

Family Independence Program (FIP) Goals

Sec. 677. (1) The department shall establish a Sec. 677. (1) No changes from Sec. 677. (1) No changes from Sec. 677. (1) No changes from Sec. 677. (1) No changes from state goal for the percentage of family current law. current law. current law. current law. independence program cases involved in employment activities. The percentage established shall not be less than 50%. The goal for long- term employment shall be 15% of cases for 6 months or more.

House Fiscal Agency Public Assistance BP - 192 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Public Assistance

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (2) The department shall provide quarterly (2) No changes from current (2) Concur with the Executive. (2) No changes from current (2) No changes from current reports to the senate and house appropriations law, except: law. law, except: subcommittees on the department budget, the "…shall provide quarterly "…shall provide quarterly senate and house fiscal agencies and policy semiannual reports to…" semiannual reports to…" offices, and the state budget director on the number of cases referred to Partnership. Accountability. Training. Hope. (PATH), the current percentage of family independence program cases involved in PATH employment activities, an estimate of the current percentage of family independence program cases that meet federal work participation requirements on the whole, and an estimate of the current percentage of the family independence program cases that meet federal work participation requirements for those cases referred to PATH. (3) The department shall submit to the senate (3) No changes from current (3) Concur with the Executive. (3) No changes from current (3) No changes from current and house appropriations subcommittees on the law, except: law. law, except: department budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office quarterly reports that include all of the following: "…state budget office quarterly "…state budget office quarterly semiannual reports that semiannual reports that (a) The number and percentage of nonexempt include…" include…" family independence program recipients who are employed. (b) The average and range of wages of employed family independence program recipients. (c) The number and percentage of employed family independence program recipients who remain employed for 6 months or more.

House Fiscal Agency Public Assistance BP - 193 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Public Assistance

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS

Caseworker Public Assistance Policies

Sec. 686. (1) The department shall confirm that Sec. 686. (1) No changes from Sec. 686. (1) No changes Sec. 686. (1) No changes from Sec. 686. (1) No changes from individuals presenting personal identification current law. from current law. current law. current law. issued by another state seeking assistance through the family independence program, food assistance program, state disability assistance program, or medical assistance program are not receiving benefits from any other state. (2) The department shall confirm the address (2) No changes from current (2) No changes from current (2) No changes from current (2) No changes from current provided by any individual seeking family law. law. law. law. independence program benefits or state disability assistance benefits. (3) The department shall prohibit individuals with (3) No changes from current (3) No changes from current (3) No changes from current (3) No changes from current property assets assessed at a value higher than law. law. law. law. $200,000.00 from accessing assistance through department-administered programs, unless such a prohibition would violate federal rules and guidelines. (4) The department shall obtain an up-to-date Striking current law. Striking current law. (4) No changes from current (4) No changes from current telephone number during the eligibility law. law. determination or redetermination process for individuals seeking medical assistance benefits.

House Fiscal Agency Public Assistance BP - 194 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Public Assistance

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS

Application and Case Closure Information

Sec. 687. (1) The department shall, in quarterly Sec. 687. (1) No changes from Sec. 687. (1) No changes from Sec. 687. (1) No changes from Sec. 687. (1) No changes from reports, compile and make available on its current law. current law. current law. current law. website all of the following information about the family independence program, state disability assistance, the food assistance program, Medicaid, and state emergency relief:

(a) The number of applications received. (b) The number of applications approved. (c) The number of applications denied. (d) The number of applications pending and neither approved nor denied. (e) The number of cases opened. (f) The number of cases closed. (g) The number of cases at the beginning of the quarter and the number of cases at the end of the quarter. (2) The information provided under subsection (2) No changes from current (2) No changes from current (2) No changes from current (2) No changes from current (1) shall be compiled and made available for the law. law. law. law. state as a whole and for each county and reported separately for each program listed in subsection (1).

House Fiscal Agency Public Assistance BP - 195 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Public Assistance

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (3) The department shall, in quarterly reports, (3) No changes from current (3) The department shall, in (3) The department shall, in (3) The department shall, in compile and make available on its website the law, except: quarterly reports, compile and quarterly reports, compile and quarterly reports, compile and family independence program information listed make available on its website make available on its website make available on its website as follows: the following family the following family the following family independence program independence program independence program (a) The number of new applicants who "…21 10-day assessment…" information listed as follows: information listed as follows: information listed as follows: successfully met the requirements of the 21-day "…21 10-day assessment…" "…21 10-day assessment…" "…21 10-day assessment…" assessment period for PATH. (b) The number of new applicants who did not "…21 10-day assessment…" meet the requirements of the 21-day "…21 10-day assessment…" "…21 10-day assessment…" "…21 10-day assessment…" assessment period for PATH. (c) The number of cases sanctioned because of the school truancy policy. (d) The number of cases closed because of the 48-month and 60-month lifetime limits. (e) The number of first-, second-, and third-time sanctions. (f) The number of children ages 0-5 living in FIP- "…FIP family independence "…FIP family independence "…FIP family independence "…FIP family independence sanctioned households. program-sanctioned program-sanctioned program-sanctioned program-sanctioned households." households." households." households."

Heat and Eat Program

Sec. 688. From the funds appropriated in part 1 Sec. 688. No changes from Sec. 688. No changes from Striking current law. Sec. 688. No changes from for the low-income home energy assistance current law. current law. current law. program, the department shall make an additional $20.01 payment to each food assistance program case that is not currently eligible for the standard utility allowance to enable each case to receive expanded food assistance benefits through the program commonly known as the heat and eat program.

House Fiscal Agency Public Assistance BP - 196 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Public Assistance

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS

Diaper Assistance Program Sec. 689. From the funds Does not include. appropriated in part 1 for New Senate Section diaper assistance payments, $250,000.00 shall be allocated as grants to diaper assistance programs established as of January 1, 2020. The funds shall only be used to purchase diapering supplies for children under 36 months of age. Funds shall be evenly distributed to all regions of the State as defined by the Michigan economic recovery council.

House Fiscal Agency Public Assistance BP - 197 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children’s Services Agency – Juvenile Justice FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE CONFERENCE

CHILDREN’S SERVICES AGENCY - JUVENILE JUSTICE

Residential Facility Contracts

Sec. 701. Unless required from changes to federal or Sec. 701. No changes from Sec. 701. No changes from Sec. 701. No changes from Sec. 701. No changes from state law or at the request of a provider, the current law. current law. current law. current law. department shall not alter the terms of any signed contract with a private residential facility serving children under state or court supervision without written consent from a representative of the private residential facility.

Alternative Regional Detention Services County Charge-Back

Sec. 706. Counties shall be subject to 50% Sec. 706. No changes from Sec. 706. No changes from Sec. 706. No changes from Sec. 706. No changes from chargeback for the use of alternative regional current law. current law. current law. current law. detention services, if those detention services do not fall under the basic provision of section 117e of the social welfare act, 1939 PA 280, MCL 400.117e, or if a county operates those detention services programs primarily with professional rather than volunteer staff.

Child Care Fund Reimbursement TANF Eligibility Reporting Requirements

Sec. 707. In order to be reimbursed for child care Sec. 707. No changes from Sec. 707. No changes from Sec. 707. Concur with the Sec. 707. Concur with the fund expenditures, counties are required to submit current law. current law, except change House. House. department-developed reports to enable the "section 117a(11) of the department to document potential federally claimable social welfare act" to expenditures. This requirement is in accordance with "section 117a(11 12) of the the reporting requirements specified in section social welfare act" 117a(11) of the social welfare act, 1939 PA 280, MCL

400.117a.

House Fiscal Agency CSA- Juvenile Justice BP - 198 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children’s Services Agency – Juvenile Justice FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE CONFERENCE

County Child Care Fund Spending Plan

Sec. 708. (1) As a condition of receiving funds Sec. 708. (1) No changes Sec. 708. (1) No changes Sec. 708. (1) No changes Sec. 708. (1) No changes appropriated in part 1 for the child care fund line item, from current law. from current law. from current law. from current law. by October 15 of the current fiscal year, counties shall have an approved service spending plan for the current fiscal year. Counties must submit the service spending plan for the following fiscal year to the department by August 15 of the current fiscal year for approval. Upon submission of the county service spending plan, the department shall approve within 30 calendar days after receipt of a properly completed service plan that complies with the requirements of the social welfare act, 1939 PA 280, MCL 400.1 to 400.119b. The department shall notify and submit county service spending plan revisions to any county whose county service spending plan is not accepted upon initial submission. The department shall not request any additional revisions to a county service spending plan outside of the requested revision notification submitted to the county by the department. The department shall notify a county within 30 days after approval that its service plan was approved.

(2) Counties must submit amendments to current (2) No changes from current (2) Counties must submit (2) Concur with the House. (2) Concur with the House. fiscal year county service plans no later than August law. amendments to current fiscal 30. Counties must submit current fiscal year payable year county service plans to estimates to the department no later than September the department no later

15. than August 30. Counties

must submit current fiscal year payable estimates to the department no later than

September 15.

House Fiscal Agency CSA- Juvenile Justice BP - 199 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children’s Services Agency – Juvenile Justice FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE CONFERENCE (3) The department shall submit a report to the house (3) No changes from current (3) No changes from current (3) No changes from current (3) No changes from current and senate appropriations subcommittees on the law. law. law. law. department budget, the house and senate fiscal agencies, the house and senate policy offices, and the state budget office by February 15 of the current fiscal year on the number of counties that fail to submit a service spending plan by August 15 of the previous fiscal year and the number of service spending plans not approved by October 15. The report shall include the number of county service spending plans that were not approved as first submitted by the counties, as well as the number of plans that were not approved by the department after being resubmitted by the county with the first revisions that were requested by the department.

House Fiscal Agency CSA- Juvenile Justice BP - 200 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children’s Services Agency – Juvenile Justice FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE CONFERENCE

Juvenile Justice Residential Foster Care Services Master Contracts

Sec. 709. The department’s master contract for Sec. 709. No changes from Sec. 709. No changes from Sec. 709. No changes from Sec. 709. No changes from juvenile justice residential foster care services shall current law. current law. current law. current law. prohibit contractors from denying a referral for placement of a youth, or terminating a youth’s placement, if the youth’s assessed treatment needs are in alignment with the facility’s residential program type, as identified by the court or the department. In addition, the master contract shall require that youth placed in juvenile justice residential foster care facilities must have regularly scheduled treatment sessions with a licensed psychologist or psychiatrist, or both, and access to the licensed psychologist or psychiatrist as needed.

Juvenile Justice Diversion Programs

Sec. 710. (1) The department shall create and Striking current law. Striking current law. Sec. 710. (1) No changes Striking current law. participate in a workgroup to make recommendations from current law. to ensure the use of juvenile justice diversion programs in this state. The workgroup shall include a representative from the department, the state court administrative office, members of the house of representatives and the senate, and other individuals or organizations as determined appropriate by the department.

House Fiscal Agency CSA- Juvenile Justice BP - 201 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children’s Services Agency – Juvenile Justice FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE CONFERENCE (2) By April 15 of the current fiscal year, the Striking current law. Striking current law. (2) No changes from current Striking current law. department shall provide a report to the house and law. senate appropriations subcommittees on the department budget, the senate and house fiscal agencies, the house and senate policy offices, and the state budget office. The report produced by the workgroup shall include, but not be limited to, all of the following: (a) Best practices established for juvenile justice diversion programs. (b) Outcomes for juveniles from juvenile justice diversion programs. (c) Types of diversion programs currently being used in this state. (d) Recommendations to promote consistency in juvenile justice screening programs across this state. (e) Recommendations for training standards for juvenile justice screening programs to be developed by the department.

House Fiscal Agency CSA- Juvenile Justice BP - 202 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children’s Services Agency – Juvenile Justice FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE CONFERENCE

New Executive language. Sec. 715. (1) As a condition Sec. 715. (1) As a condition Sec. 715. (1) As a condition of Sec. 715. (1) Concur with

of receiving funds of receiving funds receiving funds appropriated the House. appropriated in part 1 for appropriated in part 1 for in part 1 for raise the age fund, raise the age fund, by raise the age fund, by by deadlines established and deadlines established and deadlines established and advised by the department, advised by the department, advised by the counties or tribal entities shall counties shall have an department, counties shall have an approved raise the age approved budget plan for have an approved budget fund budget plan for the the current fiscal year. plan for the current fiscal current fiscal year. Counties Counties must submit the year. Counties must must submit the raise the age budget plan for the submit the budget plan for fund budget plan for the following fiscal year to the the following fiscal year to following current fiscal year to department by deadlines the department by the department by deadlines established and advised by deadlines established and established and advised by the department in the advised by the department the department February 1 of current fiscal year for in the current fiscal year the current fiscal year. in the approval. The budget plan for approval. The budget current fiscal year for shall specifically identify plan shall specifically approval. The raise the age the types of costs to be identify the types of costs fund budget plan shall reimbursed, estimated to be reimbursed, specifically identify the types costs for each item, and the estimated costs for each of costs to be reimbursed, total estimated cost to be item, and the total estimated costs for each item, reimbursed. The types of estimated cost to be and the total estimated cost to costs to be reimbursed reimbursed. The types of be reimbursed. The types of must comply with the costs to be reimbursed costs to be reimbursed must requirements of the social must comply with the comply with the requirements welfare act, 1939 PA 280, requirements of section of section 117i of the social MCL 400.117i. 117i of the social welfare welfare act, 1939 PA 280, MCL

act, 1939 PA 280, MCL 400.117i. $500,000.00 of the 400.117i. raise the age fund shall be

reserved for tribal entities. A county shall not receive more funding from the raise the age fund than that county would receive under a grant system based on the respective population of the county.

House Fiscal Agency CSA- Juvenile Justice BP - 203 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children’s Services Agency – Juvenile Justice FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE CONFERENCE

(2) County reimbursement (2) Concur with the (2) County and tribal entity (2) Concur with the House. from the raise the age fund Executive. reimbursement from the is limited to eligible youth raise the age fund is limited and items specifically to eligible youth and items identified in approved specifically identified in budget plans and shall not approved raise the age exceed the total estimated budget plans and shall not cost included in the exceed the total estimated approved budget plan. cost included in the approved raise the age fund

budget plan.

(3) Counties must submit (3) Concur with the (3) Counties and tribal (3) Concur with the House. amendments to current Executive. entities must submit fiscal year county budget amendments to current plans by deadlines as fiscal year county raise the established and advised by age fund budget plans by the department. Counties deadlines as established must submit current fiscal and advised by the year payable estimates for department. Counties must raise the age funds to the submit current fiscal year department by deadlines payable estimates for raise established and advised by the age funds to the

the department. department by deadlines established and advised by

the department.

House Fiscal Agency CSA- Juvenile Justice BP - 204 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES

Boilerplate for Children’s Services Agency – Juvenile Justice FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE CONFERENCE (4) As used in this section, (4) As used in this section, (4) As used in this section, (4) Concur with the Senate. eligible youth shall include "eligible youth" shall "eligible youth" shall

both of the following: includes both of the includes both of the

following: following: (a) Pre-Adjudication Eligible Youth: a youth for whom a (a) Pre-Adjudication (a) Pre-adjudication eligible petition has been filed Eligible Youth: a A youth youth: a A youth for whom a alleging commission of a for whom a petition has petition has been filed status or criminal offense been filed alleging alleging commission of a on or after his or her commission of a status or status or criminal offense reaching the age of 17, but criminal offense on or after on or after his or her prior to age 18. his or her reaching the age reaching the age of 17, but of 17, but prior to age prior to age before reaching (b) Post-Adjudication before reaching the age of the age of 18. Eligible Youth: a youth who 18. has been adjudicated for a (b) Post-adjudication status or criminal offense (b) Post-Adjudication eligible youth: a A youth for which a petition was Eligible Youth: a A youth who has been adjudicated filed alleging commission of who has been adjudicated for a status or criminal a status or criminal offense for a status or criminal offense for which a petition on or after his or her offense for which a was filed alleging reaching the age of 17, but petition was filed alleging commission of a status or prior to age 18. commission of a status or criminal offense on or after criminal offense on or after his or her reaching the age his or her reaching the age of 17, but prior to age before of 17, but prior to age reaching the age of 18. before reaching the age of

18.

House Fiscal Agency CSA- Juvenile Justice BP - 205 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for Field Operations and Support Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS

FIELD OPERATIONS AND SUPPORT SERVICES

Food Assistance Program Error Rate Sec. 801. (1) No changes from Sec. 801. (1) The department Sec. 801. (1) The department Sec. 801. (1) The department Sec. 801. (1) The department shall report current law, except: "…department shall report monthly on the shall report monthly on the shall report monthly on the monthly on the most recent food assistance shall report monthly quarterly…" most recent food assistance most recent food assistance most recent food assistance program error rate derived from the active program error rate derived program error rate derived program error rate derived cases, reported to the United States from the active cases, from the active cases, from the active cases, Department of Agriculture – Food and Nutrition reported to the United States reported to the United States reported to the United States Services for the supplemental nutrition Department of Agriculture – Department of Agriculture – Department of Agriculture – assistance program, to the house and senate Food and Nutrition Services Food and Nutrition Services Food and Nutrition Services appropriations subcommittees on the for the supplemental nutrition for the supplemental nutrition for the supplemental nutrition department budget, the house and senate fiscal assistance program, to the assistance program, to the assistance program, to the agencies, the house and senate policy offices, house and senate house and senate house and senate and the state budget office. appropriations appropriations appropriations subcommittees on the subcommittees on the subcommittees on the department budget, the department budget, the department budget, the house and senate fiscal house and senate fiscal house and senate fiscal agencies, the house and agencies, the house and agencies, the house and senate policy offices, and the senate policy offices, and the senate policy offices, and the state budget office on the state budget office on the state budget office on the most recent food most recent food most recent food assistance program error assistance program error assistance program error rate derived from the active rate derived from the active rate derived from the active cases, reported to the cases, reported to the cases, reported to the united states department of united states department of united states department of agriculture – food and agriculture – food and agriculture – food and nutrition services for the nutrition services for the nutrition services for the supplemental nutrition supplemental nutrition supplemental nutrition assistance program. assistance program. assistance program. (2) By March 1 of the current fiscal year, the (2) No changes from current law. (2) No changes from current (2) No changes from current (2) No changes from current department shall report on the progress of the law. law. law. corrective action taken utilizing the funds appropriated for food assistance reinvestment in lowering the food assistance program error rate and improving program payment accuracy.

House Fiscal Agency Field Operations BP - 206 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for Field Operations and Support Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS

Travel Reimbursement to Local County Board Members and Directors

Sec. 802. From the funds appropriated in part 1 Sec. 802. No changes from current Sec. 802. From the funds Sec. 802. No changes from Sec. 802. No changes from for field staff travel, the department shall law. appropriated in part 1 for field current law. current law. allocate up to staff travel, the department $100,000.00 toward reimbursing local county shall allocate up to board members and county department $100,000.00 annually toward directors for out-of-pocket travel costs to attend reimbursing local county 1 meeting per year of the Michigan County board members and county Social Services Association. department directors counties for the out-of- pocket travel costs of board members and county department directors to attend 1 meeting per year statewide meetings of the Michigan County Social Services Association.

House Fiscal Agency Field Operations BP - 207 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for Field Operations and Support Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS

Michigan MiCAFE Contract

Sec. 807. From the funds appropriated in part 1 Sec. 807. No changes from current Sec. 807. No changes from Sec. 807. No changes from Sec. 807. No changes from for Elder Law of Michigan MiCAFE contract, the law. current law. current law. current law. department shall allocate not less than $350,000.00 to the Elder Law of Michigan MiCAFE to assist this state’s elderly population in participating in the food assistance program. Of the $350,000.00 allocated under this section, the department shall use $175,000.00, which are general fund/general purpose funds, as state matching funds for not less than $175,000.00 in United States Department of Agriculture funding to provide outreach program activities, such as eligibility screening and information services, as part of a statewide food assistance hotline.

House Fiscal Agency Field Operations BP - 208 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for Field Operations and Support Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS

Nutrition Education Program Report

Sec. 808. By March 1 of the current fiscal year, Sec. 808. No changes from current Sec. 808. No changes from Sec. 808. No changes from Sec. 808. No changes from the department shall provide a report to the law. current law, except: current law, except: current law, except: senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office on the nutrition education program. The report shall include requirements made by the agriculture improvement act of 2018, Public Law 115-334, such as how the department shall use an electronic reporting system to evaluate projects and an accounting of allowable state agency administrative costs. The report shall also include documentation of the steps the department shall take to ensure that projects and subgrantee programs are evidence-based, "…meet the criteria for an "…meet the criteria for an "…meet the criteria for an appropriated for, and meet the criteria for eligible individuals as that eligible individuals as that eligible individuals as that eligible individuals as defined in section term is defined in section term is defined in section term is defined in section 2036a(a) of the food and nutrition act, 7 USC 2036a(a) of the food and 2036a(a) of the food and 2036a(a) of the food and 2036, and quantitative evidence that the nutrition act, 7 USC 2036, nutrition act, 7 USC 2036, nutrition act, 7 USC 2036, programs contribute to a reduction in obesity or an increase in the consumption of healthy and quantitative…" and quantitative…" and quantitative…" foods. Additionally, the report shall include planned allocation and actual expenditures for the supplemental nutrition assistance program education funding, planned and actual grant amounts for the supplemental nutrition assistance program education funding, the total amount of expected carryforward balance at the end of the current fiscal year for the supplemental nutrition assistance program education funding and for each subgrantee program, a list of all supplemental nutrition assistance program education funding programs by implementing agency, and the stated purpose of each of the programs and each of the subgrantee programs.

House Fiscal Agency Field Operations BP - 209 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for Field Operations and Support Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS

Pathways to Potential Program

Sec. 809. (1) The purpose of the pathways to Sec. 809. (1) No changes from Sec. 809. (1) No changes Sec. 809. (1) No changes Sec. 809. (1) Concur with the potential program is to reduce chronic current law, except: "…to reduce from current law, except: from current law. House. absenteeism and decrease the number of chronic absenteeism increase "…to reduce chronic students who repeat grades for schools that are graduation rate…" absenteeism, increase current or future participants in the pathways to graduation rate, and potential program. Before any deployment of decrease the number…" resources into a participant school, the department and the participant school shall establish performance objectives for each participant school based on a 2-year baseline prior to pathways to potential being established in the participant school and shall evaluate the progress made in the above categories from the established baseline. By March 1 of the current fiscal year, the department shall provide to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the senate and house policy offices a report listing all participant schools, the number of staff assigned to each school by participant school, and the percentage of participating schools that "…in each of the 2 3 achieved improved performance in each of the outcomes listed…" 2 outcomes listed above compared to the previous year, by each individual outcome. It is the intent of the legislature that after a 2-year period without attaining an increase in success "…in meeting the 2 3 listed in meeting the 2 listed outcomes from the outcomes…" established baseline, the department shall work with the participant school to examine the cause of the lack of progress and shall seek to implement a plan to increase success in meeting the identified outcomes. It is the intent of the legislature that progress or the lack of progress made in meeting the performance objectives shall be used as a determinant in future pathways to potential resource allocation decisions.

House Fiscal Agency Field Operations BP - 210 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for Field Operations and Support Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (2) As used in this section, “baseline” means (2) No changes from current law. (2) No changes from current (2) No changes from current (2) Concur with the House. the initial set of data from the center for law, except: law. educational performance and information in the department of technology, management, and budget of the 2 measured outcomes as "…and budget of the 2 3 described in subsection (1). measured outcomes…"

Vehicle Repairs

Sec. 825. (1) From the funds appropriated in Sec. 825. (1) No changes from Sec. 825. (1) No changes Sec. 825. (1) No changes Sec. 825. (1) No changes part 1, the department shall provide individuals current law. from current law. from current law. from current law. not more than $500.00 for vehicle repairs, including any repairs done in the previous 12 months. However, the department may in its discretion pay for repairs up to $900.00. Payments under this section shall include the combined total of payments made by the department and work participation program. (2) By November 30 of the current fiscal year, (2) No changes from current law. (2) No changes from current (2) No changes from current (2) No changes from current the department shall provide to the senate and law. law. law. house appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the senate and house policy offices a report detailing the total number of payments for repairs, the number of payments for repairs that exceeded $500.00, the number of payments for repairs that cost exactly $500.00, and the number of payments for repairs that cost exactly $900.00 in the previous fiscal year.

House Fiscal Agency Field Operations BP - 211 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for Field Operations and Support Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS

Out-Stationed Eligibility Specialists

Sec. 850. (1) The department shall maintain Sec. 850. (1) No changes from Sec. 850. (1) No changes Sec. 850. (1) No changes Sec. 850. (1) No changes out-stationed eligibility specialists in current law. from current law. from current law. from current law. community-based organizations, community mental health agencies, nursing homes, adult placement and independent living settings, federally qualified health centers, and hospitals unless a community-based organization, community mental health agency, nursing home, adult placement and independent living setting, federally qualified health centers, or hospital requests that the program be discontinued at its facility. (2) From the funds appropriated in part 1 for (2) No changes from current law. (2) No changes from current (2) No changes from current (2) No changes from current donated funds positions, the department shall law. law. law. enter into contracts with agencies that are able and eligible under federal law to provide the required matching funds for federal funding, as determined by federal statute and regulations. (3) A contract for an assistance payments (3) No changes from current law. (3) No changes from current (3) No changes from current (3) No changes from current donated funds position must include, but not be law. law. law. limited to, the following performance metrics:

(a) Meeting a standard of promptness for processing applications for Medicaid and other public assistance programs under state law. (b) Meeting required standards for error rates in determining programmatic eligibility as determined by the department. (4) The department shall only fill additional (4) No changes from current law. (4) No changes from current (4) No changes from current (4) No changes from current donated funds positions after a new contract law. law. law. has been signed. That position shall also be abolished when the contract expires or is terminated. (5) The department shall classify as limited- (5) No changes from current law. (5) No changes from current (5) No changes from current (5) No changes from current term FTEs any new employees who are hired law. law. law. to fulfill the donated funds position contracts or are hired to fill any vacancies from employees who transferred to a donated funds

House Fiscal Agency Field Operations BP - 212 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for Field Operations and Support Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (6) By March 1 of the current fiscal year, the (6) No changes from current law. (6) No changes from current (6) No changes from current (6) No changes from current department shall submit a report to the senate law. law. law. and house appropriations subcommittees on the department budget, the senate and house fiscal agencies and policy offices, and the state budget office detailing information on the donated funds positions, including the total number of occupied positions, the total private contribution of the positions, and the total cost to the state for any nonsalary expenditure for the donated funds position employees.

Adult Services Field Staff Ratios

Sec. 851. (1) From the funds appropriated in Sec. 851. (1) No changes from Sec. 851. (1) No changes Sec. 851. (1) No changes Sec. 851. (1) No changes part 1 for adult services field staff, the current law. from current law. from current law. from current law. department shall seek to reduce the number of older adults who are victims of crime and fraud by increasing the standard of promptness in every county, as measured by commencing an investigation within 24 hours after a report is made to the department, establishing face-to- face contact with the client within 72 hours after a report is made to the department, and completing the investigation within 30 days after a report is made to the department.

House Fiscal Agency Field Operations BP - 213 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES - Boilerplate for Field Operations and Support Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (2) The department shall report no later than (2) No changes from current law. (2) No changes from current (2) No changes from current (2) No changes from current March 1 of the current fiscal year to the house law. law. law. and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, and the house and senate policy offices on the services provided to older adults who were victims of crime or fraud in the previous fiscal year. The report shall include, but is not limited to, the following by county: the percentage of investigations commenced within 24 hours after a report is made to the department, the number of face-to-face contacts established with the client within 72 hours after a report is made to the department, the number of investigations completed within 30 days after a report is made to the department, and the total number of older adults that were victims of crime or fraud in the previous fiscal year and were provided services by the department as a result of being victims of crime or fraud.

DISABILITY DETERMINATION SERVICES

Unit Rate Increase for Medical Consultants

Sec. 890. From the funds appropriated in part 1 Sec. 890. No changes from current Sec. 890. No changes from Sec. 890. No changes from Sec. 890. No changes from for disability determination services, the law. current law. current law. current law. department shall maintain the unit rates in effect on September 30, 2019 for medical consultants performing disability determination services, including physicians, psychologists, and speech-language pathologists.

House Fiscal Agency Field Operations BP - 214 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS BEHAVIORAL HEALTH SERVICES

Comprehensive System of Community Mental Health Services

Sec. 901. The funds appropriated in part Sec. 901. No changes from Sec. 901. No changes from Sec. 901. No changes from Sec. 901. No changes from 1 are intended to support a system of current law. current law. current law. current law. comprehensive community mental health services under the full authority and responsibility of local CMHSPs or PIHPs in accordance with the mental health code, 1974 PA 258, MCL 330.1001 to 330.2106, the Medicaid provider manual, federal Medicaid waivers, and all other applicable federal and state laws.

Contracts Between DHHS and CMHSPs/PIHPs Sec. 902. (1) No changes from Sec. 902. (1) No changes from Sec. 902. (1) No changes from Sec. 902. (1) No changes from Sec. 902. (1) From the funds appropriated current law. current law. current law. current law. in part 1, final authorizations to CMHSPs or PIHPs shall be made upon the execution of contracts between the department and CMHSPs or PIHPs. The contracts shall contain an approved plan and budget as well as policies and procedures governing the obligations and responsibilities of both parties to the contracts. Each contract with a CMHSP or PIHP that the department is authorized to enter into under this subsection shall include a provision that the contract is not valid unless the total dollar obligation for all of the contracts between the department and the CMHSPs or PIHPs entered into under this subsection for the current fiscal year does not exceed the amount of money appropriated in part 1 for the contracts authorized under this subsection.

House Fiscal Agency Behavioral Health Services BP - 215 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS (2) The department shall immediately (2) No changes from current law. (2) No changes from current law (2) No changes from current law (2) No changes from current law report to the senate and house except technical changes. except technical changes. except technical changes. appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the state budget director if either of the following occurs: (a) Any new contracts the department has entered into with CMHSPs or PIHPs that would affect rates or expenditures. (b) Any amendments to contracts the department has entered into with CMHSPs or PIHPs that would affect rates or expenditures. (3) The report required by subsection (2) (3) No changes from current law. (3) No changes from current law (3) No changes from current law (3) No changes from current law shall include information about the except technical changes. except technical changes. except technical changes. changes and their effects on rates and expenditures. CMHSPs, PIHPs, and Designated Regional Entities for Substance Use Disorders Report Sec. 904. (1) No changes from Sec. 904. (1) No changes from Sec. 904. (1) No changes from Sec. 904. (1) No changes from Sec. 904. (1) By May 31 of the current current law. current law. current law. current law. 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 members of the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, and the state budget director that includes the information required by this section.

House Fiscal Agency Behavioral Health Services BP - 216 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS (2) The report shall contain information for (2) No changes from current law. (2) No changes from current law (2) No changes from current law (2) No changes from current law each CMHSP, PIHP, and designated except technical changes. except technical changes. except technical changes. regional entity for substance use disorder prevention and treatment, and a statewide summary, each of which shall include at least the following information: (a) A demographic description of service recipients that, minimally, shall include reimbursement eligibility, client population, age, ethnicity, housing arrangements, and diagnosis. (b) Per capita expenditures in total and by client population group and cultural and ethnic groups of the services area, including the deaf and hard of hearing population. (c) Financial information that, minimally, includes a description of funding authorized; expenditures by diagnosis group, service category, and reimbursement eligibility; and cost information by Medicaid, Healthy Michigan plan, state appropriated non- Medicaid mental health services, local funding, and other fund sources, including administration and funds specified for all outside contracts for services and products. Financial information must include the amount of funding, from each fund source, used to cover clinical services and supports. Service category includes all department-approved services.

House Fiscal Agency Behavioral Health Services BP - 217 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS (d) Data describing service outcomes that No changes from current law. No changes from current law No changes from current law. Concurs with the House. include, but are not limited to, an except: evaluation of consumer satisfaction, consumer choice, and quality of life concerns including, but not limited to, housing and employment. (e) Information about access to (e) Information about access to CMHSPs CMHSPs, and PIHPs and and designated regional entities for designated regional entities for substance use disorder prevention and substance use disorder treatment that includes, but is not limited prevention and treatment that to, the following: includes, but is not limited to, the (I) The number of people receiving following: requested services. (ii) The number of people who requested services but did not receive services. (f) The number of second opinions requested under the mental health code, 1974 PA 258, MCL 330.1001 to 330.2106, and the determination of any appeals. (g) Lapses and carryforwards during the previous fiscal year for CMHSPs, PIHPs, and designated regional entities for substance use disorder prevention and treatment. (h) Performance indicator information required to be submitted to the department in the contracts with CMHSPs, PIHPs, and designated regional entities for substance use disorder prevention and treatment. (i) Administrative expenditures of each CMHSP, PIHP, and designated regional entity for substance use disorder prevention and treatment that include a breakout of the salary, benefits, and pension of each executive- level staff and shall include the director, chief executive, and chief operating officers and other members identified as executive staff.

House Fiscal Agency Behavioral Health Services BP - 218 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS (3) The report shall contain the following (3) No changes from current law. (3) No changes from current law (3) No changes from current law (3) No changes from current law information from the previous fiscal year except technical changes. except technical changes. except technical changes. on substance use disorder prevention, education, and treatment programs: (a) Expenditures stratified by department- designated community mental health entity, by central diagnosis and referral agency, by fund source, by subcontractor, by population served, and by service type. (b) Expenditures per state client, with data on the distribution of expenditures reported using a histogram approach. (c) Number of services provided by central diagnosis and referral agency, by subcontractor, and by service type. Additionally, data on length of stay, referral source, and participation in other state programs. (d) Collections from other first- or third- party payers, private donations, or other state or local programs, by department- designated community mental health entity, by subcontractor, by population served, and by service type. (4) The department shall include data (4) No changes from current law. (4) No changes from current law (4) No changes from current law (4) No changes from current law reporting requirements listed in except technical changes. except technical changes. except technical changes. subsections (2) and (3) in the annual contract with each individual CMHSP, PIHP, and designated regional entity for substance use disorder treatment and prevention. (5) The department shall take all (5) No changes from current law. (5) No changes from current law. (5) No changes from current law. (5) No changes from current law. reasonable actions to ensure that the data required are complete and consistent among all CMHSPs, PIHPs, and designated regional entities for substance use disorder prevention and treatment.

House Fiscal Agency Behavioral Health Services BP - 219 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS Psychiatric Transitional Unit and Children's Transition Support Team

Sec. 905. (1) From the funds appropriated Transfers to Sec. 1063. And Sec. 905 1063. (1) From the Sec. 905 1063. (1) From the Sec. 905 1063. (1) Concur with in part 1 for behavioral health program revises: funds appropriated in part 1 for funds appropriated in part 1 for the House. administration, the department shall behavioral health program behavioral health program maintain a psychiatric transitional unit and behavioral health program administration Hawthorn administration Hawthorn children’s transition support team. These administration Hawthorn Center-Psychiatric Hospital- Center-Psychiatric Hospital- services will augment the continuum of Center-Psychiatric Hospital- Children and Adolescents, the Children and Adolescents, the behavioral health services for high-need Children and Adolescents department shall maintain a department shall maintain a youth and provide additional continuity of psychiatric transitional unit and psychiatric transitional unit and care and transition into supportive children’s transition support children’s transition support community-based services. team. These services will team. These services will shall programs shall augment the augment the continuum of continuum of behavioral health behavioral health services for services for high-need youth and high-need youth and provide provide additional continuity of additional continuity of care and care and transition into transition into supportive supportive community-based community-based services. services. (2) Outcomes and performance measures Transfers to Sec. 1063 (2) Outcomes and performance (2) Outcomes and performance (2) Concur with the House. for this initiative include, but are not measures for this initiative these measures for this initiative limited to, the following: programs include, but are not program include, but are not (a) The rate of rehospitalization for youth limited to, the following: limited to, the following: served through the program at 30 and 180 (a) The rate of rehospitalization (a) The rate of rehospitalization days. for youth served through the for youth served through the (b) Measured change in the Child and program at 30 and 180 days. program at 30 and 180 days. Adolescent Functional Assessment Scale (b) The measured change in the for children served through the program. Child and Adolescent Functional (b) Measured change in the Assessment Scale for children Child and Adolescent Functional served through the program Assessment Scale for children these programs. served through the program.

House Fiscal Agency Behavioral Health Services BP - 220 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS Community Substance Use Disorder Prevention, Education, and Treatment

Sec. 907. (1) The amount appropriated in Sec. 907. (1) No changes from Sec. 907. (1) No changes from Sec. 907. (1) No changes from Sec. 907. (1) No changes from part 1 for community substance use current law. current law. current law. current law. disorder prevention, education, and treatment shall be expended to coordinate care and services provided to individuals with severe and persistent mental illness and substance use disorder diagnoses. (2) The department shall approve (2) No changes from current law. (2) No changes from current law. (2) No changes from current law. (2) No changes from current law. managing entity fee schedules for providing substance use disorder services and charge participants in accordance with their ability to pay. (3) The managing entity shall continue (3) No changes from current law. (3) No changes from current law. (3) No changes from current law. (3) No changes from current law. current efforts to collaborate on the delivery of services to those clients with mental illness and substance use disorder diagnoses with the goal of providing services in an administratively efficient manner. Sec. 908. New Senate Language. Not included. Sec. 908. As a condition of Not included. their contracts with the department, PIHPs and CMHSPs, in consultation with the Community Mental Health Association of Michigan, shall work with the department to implement section 206b of the mental health code, MCL 330.1206b, to establish a uniform community mental health services credentialing program.

House Fiscal Agency Behavioral Health Services BP - 221 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS Medical Marihuana Regulatory Fund

Sec. 909. From the funds appropriated in Sec. 909. From the funds Sec. 909. Concur with the Sec. 909. Concur with the Sec. 909. Concur with the part 1 for community substance use appropriated in part 1 for Executive. Executive. Executive. disorder prevention, education, and community substance use treatment, the department shall use disorder prevention, education, available revenue from the marihuana and treatment health homes, regulatory fund established in section 604 the department shall use of the medical marihuana facilities available revenue from the licensing act, 2016 PA 281, MCL marihuana regulatory fund 333.27604, to improve physical health; established in section 604 of the expand access to substance use disorder medical marihuana facilities prevention and treatment services; and licensing act, 2016 PA 281, MCL strengthen the existing prevention, 333.27604, to improve physical treatment, and recovery systems. health; expand access to substance use disorder prevention and treatment services; and strengthen the existing prevention, treatment, and recovery systems. Substance Use Disorder Treatment for Public Assistance Recipients

Sec. 910. The department shall ensure Sec. 910. No changes from Sec. 910. No changes from Sec. 910. No changes from Sec. 910. No changes from that substance use disorder treatment is current law. current law. current law. current law. provided to applicants and recipients of public assistance through the department who are required to obtain substance use disorder treatment as a condition of eligibility for public assistance.

House Fiscal Agency Behavioral Health Services BP - 222 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS Jail Diversion Services for Persons with Mental Illness or Developmental Disability Sec. 911. (1) No changes from Sec. 911. (1) No changes from Sec. 911. (1) No changes from Sec. 911. (1) No changes from Sec. 911. (1) The department shall current law. current law. current law. current law. ensure that each contract with a CMHSP or PIHP requires the CMHSP or PIHP to implement programs to encourage diversion of individuals with serious mental illness, serious emotional disturbance, or developmental disability from possible jail incarceration when appropriate. (2) Each CMHSP or PIHP shall have jail (2) No changes from current law. (2) No changes from current law. (2) No changes from current law. (2) No changes from current law. diversion services and shall work toward establishing working relationships with representative staff of local law enforcement agencies, including county prosecutors’ offices, county sheriffs’ offices, county jails, municipal police agencies, municipal detention facilities, and the courts. Written interagency agreements describing what services each participating agency is prepared to commit to the local jail diversion effort and the procedures to be used by local law enforcement agencies to access mental health jail diversion services are strongly encouraged.

House Fiscal Agency Behavioral Health Services BP - 223 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS Salvation Army Harbor Light Program

Sec. 912. The department shall contract Striking current law. Sec. 912. No changes from Sec. 912. No changes from Sec. 912. No changes from directly with the Salvation Army Harbor current law. current law. current law. Light program to provide non-Medicaid substance use disorder services if the local coordinating agency or the department confirms the Salvation Army Harbor Light program meets the standard of care. The standard of care shall include, but is not limited to, utilization of the medication assisted treatment option. Sec. 913. (1) New House Language. Sec. 913. (1) From the funds appropriated Included as Sec. 906. (1) From the funds Sec. 913. (1) From the funds appropriated in in part 1 for behavioral health program appropriated in part 1 for behavioral health part 1 for behavioral health program administration, the department shall program administration, the department shall administration, the department shall allocate allocate $1,025,000.00 for the autism allocate appropriate $1,025,000.00 for to $1,025,000.00 for the autism navigator navigator program. The department shall support the autism navigator program. The program. The department shall require any require any contractor receiving funds department shall require any contractor contractor receiving funds from under this from this section to comply with receiving funds from under this section to section to comply with performance-related performance-related metrics to maintain comply with performance-related metrics to metrics to maintain eligibility for funding. The eligibility for funding. The performance- maintain eligibility for funding. The performance-related metrics shall include, related metrics shall include, but not be performance-related metrics shall include, but not be limited to, all of the following: limited to, all of the following: but not be limited to, all of the following: (a) Each contractor shall have accreditations (a) Each contractor shall have (a) Each contractor shall have accreditations that attest to their competency and accreditations that attest to their that attest to their competency and effectiveness in providing services. competency and effectiveness in effectiveness in providing services. (b) Each contractor shall demonstrate cost- providing services. (b) Each contractor shall demonstrate cost- effectiveness. (b) Each contractor shall demonstrate effectiveness. (c) Each contractor shall ensure their ability cost-effectiveness. (c) Each contractor shall ensure their ability to leverage private dollars to strengthen and (c) Each contractor shall ensure their to leverage private dollars to strengthen and maximize service provision. ability to leverage private dollars to maximize service provision. (d) Each contractor shall provide quarterly strengthen and maximize service (d) Each contractor shall provide quarterly reports to the department regarding the provision. reports to the department regarding the number of clients served by PIHP region, (d) Each contractor shall provide number of clients served by PIHP region, units of service provision by PIHP region, quarterly reports to the department units of service provision by PIHP region, and ability to meet their stated goals. regarding the number of clients served by and ability to meet their stated goals. PIHP region, units of service provision by PIHP region, and ability to meet their stated goals.

House Fiscal Agency Behavioral Health Services BP - 224 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS (2) New House Language. (2) The department shall (2) Concur with the House. Not included. require an annual report from any contractor receiving funding from this section. The annual report, due to the department 60 days following the end of the contract period, shall include specific information on services and programs provided, the client base to which the services and programs were provided, and the expenditures for those services. The department shall provide the annual reports to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the state budget office. Sec. 913. New Senate Language. Not included. Sec. 913. From the funds Not included. appropriated in part 1 for community substance use disorder prevention, education, and treatment and opioid response activities, the department shall provide grants, pursuant to federal laws, rules, and regulations, to local public entities that provide substance use disorder services and to 1 private entity that has a statewide contract to provide community-based substance use disorder services.

House Fiscal Agency Behavioral Health Services BP - 225 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS Sec. 914. New House Language. Sec. 914. By March 1 of the Not included. Not included. current fiscal year, the department shall submit a report to the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, the house and senate policy offices, and the state budget office on outcomes of the funds provided in part 1 to the Michigan Child Collaborative Care (MC3). The outcomes reported must include, but is not limited to, number of same day phone consultations with primary care providers and number of local resource recommendations made to primary care providers who are providing medical care to patients who need behavioral health services.

House Fiscal Agency Behavioral Health Services BP - 226 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS Medicaid Mental Health Payments and Cases Report

Sec. 918. On or before the twenty-fifth of Sec. 918. No changes from Sec. 918. No changes from Sec. 918. No changes from Sec. 918. No changes from each month, the department shall report current law. current law. current law. current law. to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the state budget director on the amount of funding paid to PIHPs to support the Medicaid managed mental health care program in the preceding month. The information shall include the total paid to each PIHP, per capita rate paid for each eligibility group for each PIHP, and number of cases in each eligibility group for each PIHP, and year- to- date summary of eligibles and expenditures for the Medicaid managed mental health care program. Rate-Setting Process for PIHPs

Sec. 920. (1) As part of the Medicaid rate- Sec. 920. (1) No changes from Sec. 920. (1) No changes from Sec. 920. (1) No changes from Sec. 920. (1) No changes from setting process for behavioral health current law. current law. current law. current law. services, the department shall work with PIHP network providers and actuaries to include any state and federal wage and compensation increases that directly impact staff who provide Medicaid-funded community living supports, personal care services, respite services, skill-building services, and other similar supports and services as part of the Medicaid rate. (2) It is the intent of the legislature that any Striking current law. (2) No changes from current law. (2) No changes from current law. (2) No changes from current law. increased Medicaid rate related to state minimum wage increases shall also be distributed to direct care employees.

House Fiscal Agency Behavioral Health Services BP - 227 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS Autism Services Fee Schedule

Sec. 924. From the funds appropriated in Sec. 924. No changes from Sec. 924. No changes from Sec. 924. No changes from Sec. 924. No changes from part 1 for autism services, for the current law. current law. current law. current law. purposes of actuarially sound rate certification and approval for Medicaid behavioral health managed care programs, the department shall maintain a fee schedule for autism services reimbursement rates for direct services. Expenditures used for rate setting shall not exceed those identified in the fee schedule. The rates for behavioral technicians shall not be less than $50.00 per hour and not more than $55.00 per hour.

House Fiscal Agency Behavioral Health Services BP - 228 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS Conference of Western Wayne Substance Use Disorder Pilot

Sec. 926. (1) From the funds appropriated Sec. 926. (1) No changes from Sec. 926. (1) No changes from Sec. 926. (1) No changes from Sec. 926. (1) From the funds in part 1 for community substance use current law. current law. current law except: appropriated in part 1 for disorder prevention, education, and community substance use treatment, $500,000.00 is allocated for a disorder prevention, education, specialized substance use disorder The department shall not and treatment, $500,000.00 is detoxification pilot project administered by release funds until reporting allocated for a specialized a 9-1-1 service district in conjunction with requirements under section substance use disorder a substance use and case management 926 of article 6 of 2020 PA 166 detoxification pilot project provider and at a hospital in a city with a are satisfied. administered by a 9-1-1 service population between 95,000 and 97,000 district in conjunction with a according to the most recent federal substance use and case decennial census within a county with a management provider and at a population of at least 1,500,000 according hospital in a city with a to the most recent federal decennial population between 95,000 and census. The hospital must have a wing 97,000 according to the most with at least 10 beds dedicated to recent federal decennial census stabilizing patients suffering from within a 9-1-1 services districy addiction by providing a specialized with at least 600,000 residents trauma therapist as well as a peer support and 15 member communities specialist to assist with treatment and within a county with a population counseling. of at least 1,500,000 according to the most recent federal decennial census. The hospital must have a wing with at least 10 beds dedicated to stabilizing patients suffering from addiction by providing a specialized trauma therapist as well as a peer support specialist to assist with treatment and counseling.

House Fiscal Agency Behavioral Health Services BP - 229 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS (2) The substance use and case (2) No changes from current law. (2) No changes from current law. (2) No changes from current law. (2) The substance use and case management provider receiving funds management provider receiving under this section shall collect and submit funds under this section shall to the department data on the outcomes collect and submit to the of the pilot project throughout the duration department data on the of the pilot project and shall provide a outcomes of the pilot project report on the pilot project’s outcomes to throughout the duration of the the house and senate appropriations pilot project and the department subcommittees on the department shall provide submit a report on budget, the house and senate fiscal the pilot project’s outcomes to agencies, and the state budget office. the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, and the state budget office. Uniform Behavior Health Service Provider Audits

Sec. 927. (1) The department shall, in Striking current law. Sec. 927. (1) No changes from Sec. 927. (1) No changes from Sec. 927. (1) No changes from consultation with the Community Mental current law. current law. current law. Health Association of Michigan, establish, maintain, and review as necessary, a uniform community mental health services auditing process for use by CMHSPs and PIHPs.

House Fiscal Agency Behavioral Health Services BP - 230 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS (2) The uniform auditing process required Striking current law. (2) No changes from current law. (2) No changes from current law. (2) No changes from current law. under this section must do all of the following: (a) Create uniformity in the collection of data and consistent measurement of the quality, efficacy, and cost effectiveness of provided services and supports. (b) Establish a uniform audit tool that contains information necessary for the uniform community mental health services auditing process and adheres to national standards. (c) Strive to meet the needs of community mental health service beneficiaries and meet all statewide audit requirements. (d) Maintain audit responsibility at the local agency level. (3) By March 1 of the current fiscal year, Striking current law. (3) No changes from current law. (3) No changes from current law. (3) No changes from current law. the department shall submit a report to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the senate and house policy offices on the implementation status of the uniform auditing process and any barriers to implementation. (4) A state department or agency that Striking current law. (4) No changes from current law. (4) No changes from current law. (4) No changes from current law. provides, either directly or through a contract, community mental health services and supports must comply with the uniform auditing process and utilize the audit tool maintained by the department. All forms, processes, and contracts used by the state that relate to the provision of community mental health services and supports must comply with the uniform auditing process.

House Fiscal Agency Behavioral Health Services BP - 231 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS (5) As used in this section, “national Striking current law. (5) No changes from current law. (5) No changes from current law. (5) No changes from current law. standards” means standards established by a national accrediting entity such as the Joint Commission, Commission on Accreditation of Rehabilitation Facilities, Council on Accreditation, National Committee for Quality Assurance, or other credible body as approved by the department. Local Funds for Capitation Rates Increase for PIHPs

Sec. 928. (1) Each PIHP shall provide, Sec. 928. (1) No changes from Sec. 928. (1) No changes from Sec. 928. (1) No changes from Sec. 928. (1) No changes from from internal resources, local funds to be current law. current law. current law. current law. used as a part of the state match required under the Medicaid program in order to increase capitation rates for PIHPs. These funds shall not include either state funds received by a CMHSP for services provided to non-Medicaid recipients or the state matching portion of the Medicaid capitation payments made to a PIHP. (2) It is the intent of the legislature that any Striking current law. Striking current law. (2) No changes from current law. (2) No changes from current law. funds that lapse from the funds appropriated in part 1 for Medicaid mental health services shall be redistributed to individual CMHSPs as a reimbursement of local funds on a proportional basis to those CMHSPs whose local funds were used as state Medicaid match. By April 1 of the current fiscal year, the department shall report to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office on the lapse by PIHP from the previous fiscal year and the projected lapse by PIHP in the current fiscal year.

House Fiscal Agency Behavioral Health Services BP - 232 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS (3) It is the intent of the legislature that the Striking current law. Striking current law. (3) No changes from current law. Striking current law. amount of local funds used in subsection (1) be phased out and offset with state general fund/general purpose revenue in equal amounts over a 5-year period. (4) Until the local funds are phased out as Striking current law. Striking current law. (4) No changes from current law. Striking current law. described in subsection (3), each PIHP shall not be required to provide local funds, used as part of the state match required under the Medicaid program in order to increase capitation rates for PIHPs, at an amount greater than what each PIHP received from local units of government, either directly or indirectly, during the fiscal year ending September 30, 2018 for this purpose. County Matching Funds to CMHSP

Sec. 935. A county required under the Sec. 935. No changes from Sec. 935. No changes from Sec. 935. No changes from Sec. 935. No changes from provisions of the mental health code, current law. current law. current law. current law. 1974 PA 258, MCL 330.1001 to 330.2106, to provide matching funds to a CMHSP for mental health services rendered to residents in its jurisdiction shall pay the matching funds in equal installments on not less than a quarterly basis throughout the fiscal year, with the first payment being made by October 1 of the current fiscal year.

House Fiscal Agency Behavioral Health Services BP - 233 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS Transferring and Withdrawing CMHSP Allocations

Sec. 940. (1) According to section 236 of Sec. 940. (1) According to Sec. 940. (1) Concur with the Sec. 940. (1) No changes from Sec. 940. (1) Concur with the the mental health code, 1974 PA 258, section 236 of the mental health Executive. current law. Executive. MCL 330.1236, the department shall do code, 1974 PA 258, MCL both of the following: 330.1236, the department shall (a) Review expenditures for each CMHSP do both of the following: to identify CMHSPs with projected (a) Review expenditures for allocation surpluses and to identify each CMHSP to identify CMHSPs with projected allocation CMHSPs with projected shortfalls. The department shall allocation surpluses and to encourage the board of a CMHSP with a identify CMHSPs with projected projected allocation surplus to concur with allocation shortfalls. The the department’s recommendation to department shall encourage the reallocate those funds to CMHSPs with board of a CMHSP with a projected allocation shortfalls. projected allocation surplus to (b) Withdraw unspent funds that have concur with the department’s been allocated to a CMHSP if other recommendation to reallocate reallocated funds were expended in a those funds to CMHSPs with manner not provided for in the approved projected allocation shortfalls. contract, including expending funds on (b) Withdraw unspent funds that services and programs provided to have been allocated to a individuals residing outside of the CMHSP if other reallocated CMHSP's geographic region. funds were expended in a . manner not provided for in the approved contract, including expending funds on services and programs provided to individuals residing outside of the CMHSP's geographic region.

House Fiscal Agency Behavioral Health Services BP - 234 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS (2) A CMHSP that has its funding (2) A CMHSP that has its funding (2) Concur with the Executive. (2) No changes from current law. (2) Concur with the Executive. allocation transferred out or withdrawn allocation transferred out or during the current fiscal year as described withdrawn during the current in subsection (1) is not eligible for any fiscal year as described in additional funding reallocations during the subsection (1) is not eligible for remainder of the current fiscal year, any additional funding unless that CMHSP is responding to a reallocations during the public health emergency as determined remainder of the current fiscal by the department. year, unless that CMHSP is responding to a public health emergency as determined by the department. (3) CMHSPs shall report to the (3) No changes from current law. (3) No changes from current law. (3) No changes from current law. (3) No changes from current law. department on any proposed reallocations described in this section at least 30 days before any reallocations take effect. (4) The department shall notify the chairs (4) The department shall notify (4) Concur with the Executive. (4) No changes from current law. (4) Concur with the Executive. of the appropriation subcommittees on the chairs of the appropriation the department budget when a request is subcommittees on the made and when the department grants department budget when a approval for reallocation or withdraw as request is made and when the described in subsection (1). By department grants approval for September 30 of the current fiscal year, reallocation or withdraw as the department shall provide a report on described in subsection (1). By the amount of funding reallocated or September 30 of the current withdrawn to the senate and house fiscal year, the department shall appropriations subcommittees on the provide a report on the amount department budget, the senate and house of funding reallocated or fiscal agencies, the senate and house withdrawn to the senate and policy offices, and the state budget office. house appropriations subcommittees on the department budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office.

House Fiscal Agency Behavioral Health Services BP - 235 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS CMHSP Notice of Reduction, Termination, or Suspension of CMHSP Provided Services Sec. 942. No changes from Sec. 942. No changes from Sec. 942. No changes from Sec. 942. No changes from Sec. 942. A CMHSP shall provide at least current law. current law. current law. current law. 30 days’ notice before reducing, terminating, or suspending services provided by a CMHSP to CMHSP clients, with the exception of services authorized by a physician that no longer meet established criteria for medical necessity.

House Fiscal Agency Behavioral Health Services BP - 236 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS Sec. 950. New House Language. Sec. 950. From the funds Not included. Not included. appropriated in part 1 for court- appointed guardian reimbursements, the department shall allocate not more than $100.00 to reimburse court-appointed guardians $83.00 per client per month for any individual determined by the court to be developmentally disabled or legally incapacitated, and no other funding source has been identified or the funding source is less than $83.00 per client per month. It is the intent of the legislature that these funds are to supplement and not supplant any other funds currently paid to court-appointed guardians. The maximum amount paid from the funds appropriated in part 1 for court-appointed guardian reimbursements to court-appointed guardians shall not exceed $83.00 per client per month. By September 15 of the current fiscal year, the department shall provide a report to the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, the house and senate policy offices, and the state budget office on the number of legally incapacitated individuals who received these funds.

House Fiscal Agency Behavioral Health Services BP - 237 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS Autism Services Provision and Cost Workgroup

Sec. 959. (1) The department shall Striking current law. Sec. 959. (1) No changes from Sec. 959. (1) No changes from Sec. 959. (1) No changes from continue to convene a workgroup in current law. current law. current law. collaboration with the chairs of the house and senate appropriations subcommittees on the department budget or their designees, CMHSP members, autism services provider clinical and administrative staff, community members, Medicaid autism services clients, and family members of Medicaid autism services clients to make recommendations to ensure appropriate cost and service provision, including, but not limited to, the following: (a) Evaluation and reduction of the variability in diagnostic rates across different regions of the state. (b) Evaluation of the factors resulting in the voluntary disenrollment from, or declination of, therapeutic services by eligible families. (2) By April 15 of the current fiscal year, Striking current law. (2) No changes from current law (2) No changes from current law. (2) No changes from current law. the department shall provide an update except: on the workgroup’s recommendations and findings to the senate and house April 15 June 15 appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the state budget office. Autism Services Cost Containment

Sec. 960. (1) From the funds appropriated Striking current law. Sec. 960. (1) No changes from Sec. 960. (1) No changes from Sec. 960. (1) No changes from in part 1 for autism services, the current law. current law. current law. department shall continue to cover all Medicaid autism services to Medicaid enrollees eligible for the services that were covered on January 1, 2019.

House Fiscal Agency Behavioral Health Services BP - 238 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS (2) To restrain cost increases in the autism services line Striking current law. No changes from current law except No changes from current law except No changes from current law except item, the department shall do all of the following: technical adjustments. technical adjustments. technical adjustments. (a) By March 1 of the current fiscal year, develop and implement specific written guidance for standardization of Medicaid PIHPs and CMHSPs autism spectrum disorder administrative services, including, but not limited to, reporting requirements, coding, and reciprocity of credentialing and training between PIHPs and CMHSPs to reduce administrative duplication at the PIHP, CMHSP, and service provider levels. (b) Require consultation with the client’s evaluation diagnostician and PIHP to approve the client’s ongoing therapy for 3 years, unless the client’s evaluation diagnostician recommended an evaluation prior to the 3 years or if a clinician on the treatment team recommended an evaluation for the client prior to the third year. (c) Limit the authority to perform a diagnostic evaluation for Medicaid autism services to qualified licensed practitioners. Qualified licensed practitioners are limited to the following: (i) A physician with a specialty in psychiatry or neurology. (ii) A physician with a subspecialty in developmental pediatrics, development-behavioral pediatrics, or a related discipline. (iii) A physician with a specialty in pediatrics or other appropriate specialty with training, experience, or expertise in autism spectrum disorders or behavioral health. (iv) A psychologist with a specialty in clinical child psychology, behavioral and cognitive psychology, or clinical neuropsychology, or other appropriate specialty with training, experience, or expertise in autism spectrum disorders or behavioral health. (v) A clinical social worker with at least 1 year of experience working within his or her scope of practice who is qualified and experienced in diagnosing autism spectrum disorders. (vi) An advanced practice registered nurse with training, experience, or expertise in autism spectrum disorders or behavioral health. (vii) A physician assistant with training, experience, or expertise in autism spectrum disorders or behavioral health.

House Fiscal Agency Behavioral Health Services BP - 239 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS (d) Require that a client whose initial Striking current law. (d) Require that a client whose initial diagnosis was performed by a diagnosis was performed by a diagnostician diagnostician with master’s level with master’s level credentials should have credentials should have their diagnosis their diagnosis and treatment and treatment recommendations recommendations reviewed by a physician, reviewed by a physician, psychiatric psychiatric nurse practitioner, physician nurse practitioner, or fully credentialed assistant with training, experience, or psychologist. expertise in autism spectrum disorders (e) Allow and expand the utilization of (f) Prohibit CMHSPs from or behavioral health, or fully credentialed telemedicine and telepsychiatry to allowing specific providers to psychologist. increase access to diagnostic evaluation provide both diagnosis and (e) Allow and expand the utilization of services. treatment services to individual telemedicine and telepsychiatry to increase (f) Prohibit CMHSPs from allowing clients. access to diagnostic evaluation services. specific providers to provide both (f) Prohibit CMHSPs from allowing specific diagnosis and treatment services to and renumber remaining providers to provide both diagnosis and individual clients. subdivisions accordingly treatment services to individual clients. (g) Coordinate with the department of (gf) Coordinate with the department of insurance and financial services oversight insurance and financial services oversight for compliance with the Paul Wellstone for compliance with the Paul Wellstone and and Pete Domenici mental health parity Pete Domenici mental health parity and and addiction equity act of 2008, Public addiction equity act of 2008, Public Law 110- Law 110-343, as it relates to autism 343, as it relates to autism spectrum spectrum disorder services, to ensure disorder services, to ensure appropriate cost appropriate cost sharing between public sharing between public and private payers. and private payers. (hg) Require that Medicaid eligibility be (h) Require that Medicaid eligibility be confirmed through prior evaluations confirmed through prior evaluations conducted by physicians, psychiatric nurse conducted by physicians, psychiatric practitioners, physician assistant with nurse practitioners, or fully credentialed training, experience, or expertise in psychologists to the extent possible. autism spectrum disorders or behavioral (i) Maintain regular statewide provider health, or fully credentialed psychologists to trainings on autism spectrum disorder the extent possible. standard clinical best practice guidelines (ih) Maintain regular statewide provider for treatment and diagnostic services. trainings on autism spectrum disorder standard clinical best practice guidelines for treatment and diagnostic services.

House Fiscal Agency Behavioral Health Services BP - 240 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS (3) By March 1 of the current fiscal year, Striking current law. (3) No changes from current law (3) No changes from current law (3) No changes from current law the department shall report to the senate except technical adjustments. except technical adjustments. except technical adjustments. and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office on total autism services spending broken down by PIHP, and CMHSP for the previous fiscal year and current fiscal year; and total administrative costs broken down by PIHP, CMHSP, and type of administrative cost for the previous fiscal year and current fiscal year. Providers of Services to High-Need Children or Adults

Sec. 962. For the purposes of special Sec. 962. No changes from Sec. 962. No changes from Sec. 962. No changes from Sec. 962. No changes from projects involving high-need children or current law. current law. current law. current law. adults, including the not guilty by reason of insanity population, the department may contract directly with providers of services to these identified populations.

House Fiscal Agency Behavioral Health Services BP - 241 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS Behavioral Health Fee Schedule

Sec. 964. By July 1 of the current fiscal Striking current law. Sec. 964. No changes from Sec. 964. No changes from Sec. 964. No changes from year, the department shall provide the current law except: current law. current law, house and senate appropriations subcommittees on the department July 1 June 15 budget, the house and senate fiscal agencies, the house and senate policy offices, and the state budget office with the standardized fee schedule for Medicaid behavioral health services and supports. The report shall also include the adequacy standards to be used in all contracts with PIHPs and CMHSPs. In the development of the standardized fee schedule for Medicaid behavioral health services and supports during the current fiscal year, the department must prioritize and support essential service providers and must develop a standardized fee schedule for revenue code 0204.

House Fiscal Agency Behavioral Health Services BP - 242 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS Medication Assisted Treatment New House Language:

Sec. 965. The department shall explore Striking current law. Sec. 965. From the funds Sec. 965. No changes from Sec. 965. No changes from requiring that CMHSPs reimburse appropriated in part 1 for current law. current law. medication assisted treatment providers Healthy Michigan Plan – no less than $12.00 per dose, and behavioral health, Medicaid reimburse drug screen collection at no substance use disorder less than $12.00 per manual screen. services, and opioid recovery services, for outpatient treatment facilities, the Medicaid behavioral health fee schedule shall offer a bundled rate for all medication assisted treatment services to provide efficient and effective billing. This rate shall be $16 per day for patients receiving methadone therapy and $19 per day for patients receiving suboxone or buprenorphine. This bundled rate does not include standard reimbursement for patient admission. The department shall prioritize the use of state opioid response grant funding from the United States Department of Health and Human Services to assist in providing efficient and effective billing for outpatient medication assisted treatment services.

House Fiscal Agency Behavioral Health Services BP - 243 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS Skill Building Assistance Services

Sec. 970. The department shall maintain Striking current law. Sec. 970. No changes from Sec. 970. No changes from Sec. 970. No changes from the policies in effect on October 1, 2018 current law. current law. current law. for the federal home and community- based services rule as it relates to skill building assistance services. The skill building assistance services shall remain eligible for federal match until March 17, 2022 as stated in the CMS informational bulletin dated May 9, 2017. From the funds appropriated in part 1, the department shall continue to seek federal matching funds for skill building assistance services. As a condition of their contracts with the department, CMHSPs shall retain any federally approved skill building assistance services available as of October 1, 2018.

House Fiscal Agency Behavioral Health Services BP - 244 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS Michigan Crisis and Access Line (MiCAL)

Sec. 972. From the funds appropriated in Sec. 972. No changes from current law. Sec. 972. No changes from current law Sec. 972. No changes from current law. Striking current law. behavioral health program administration, the except: department shall utilize up to $1,500,000.00 general fund/general purpose revenues, and any "inpatient psychiatric bed registry" additional federal revenues, to develop, implement, and maintain the Michigan crisis and access line (MiCAL) pursuant to section 165 of the mental health code, 1974 PA 258, MCL 330.1165, and the psychiatric bed registry pursuant to section 151 of the mental health code, 1974 PA 258, MCL 330.1151. In accordance with section 165 of the mental health code, 1974 PA 258, MCL 330.1165, the psychiatric bed registry must be integrated with and be part of the MiCAL system, including any related procurement. In accordance with both section 165 of the mental health code, 1974 PA 258, MCL 330.1165, and section 151 of the mental health code, 1974 PA 258, MCL 330.1151, for MiCAL and the psychiatric bed registry, respectively, any procurement or purchasing related contracts must be managed by the department in conjunction with the department of technology, management, and budget and state information technology procurement laws, regulations, and policies. No other state department or agency outside of the department, in conjunction with the department of technology, management, and budget, may develop a psychiatric bed registry for the purposes of compliance with section 151 of the mental health code, 1974 PA 258, MCL 330.1151, and section 165 of the mental health code, 1974 PA 258, MCL 330.1165.

House Fiscal Agency Behavioral Health Services BP - 245 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS Intellectual or Developmental Disability Service Delivery

Sec. 974. The department and PIHPs Sec. 974. No changes from Sec. 974. No changes from Sec. 974. No changes from Sec. 974. No changes from shall allow an individual with an current law. current law. current law. current law. intellectual or developmental disability who receives supports and services from a CMHSP to instead receive supports and services from another provider if the individual shows that he or she is eligible and qualified to receive supports and services from another provider. Other providers may include, but are not limited to, MIChoice and program of all-inclusive care for the elderly (PACE). Recovery High School Grant

Sec. 977. From the funds appropriated in Striking current law. Sec. 977. From the funds Sec. 977. No changes from Sec. 977. Concur with the part 1 for community substance use appropriated in part 1 for current law. House. disorder prevention, education, and community substance use treatment, $600,000.00 of federal state disorder prevention, education, response to the opioid crisis grant and treatment, $600,000.00 of revenue is allocated as grants to high federal state response to the schools specifically designated for opioid crisis grant revenue is students recovering from a substance use allocated as grants to high disorder to support the costs of schools specifically designated counselors, therapeutic staff, and for students recovering from a recovery coaching staff, with a priority substance use disorder to placed on the cost of substance use support the costs of counselors, disorder counselors. Each grant shall not therapeutic staff, and recovery exceed $150,000.00 per high school. coaching staff, with a priority placed on the cost of substance use disorder counselors. Each grant shall not exceed $150,000.00 per high school in accordance with section 273a of the mental health code, 1974 PA 258, MCL 330.1273a.

House Fiscal Agency Behavioral Health Services BP - 246 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS Recovery Community Organization

Sec. 978. From the funds appropriated in part 1 for Striking current law. Sec. 978. From the funds appropriated in Sec. 978. No changes from current law. Sec. 978. Concur with the House. community substance use disorder prevention, part 1 for community substance use education, and treatment, the department shall disorder prevention, education, and allocate $600,000.00 of federal state response to the treatment, the department shall allocate opioid crisis grant revenue to create a competitive $600,000.00 of federal state response to grant for recovery community organizations to offer or the opioid crisis grant revenue to create a expand recovery support center services or recovery competitive as grants for recovery community center services to individuals seeking community organizations to offer or long-term recovery from substance use disorders. An expand recovery support center services organization may not receive a grant in excess of or recovery community center services to $150,000.00. In awarding grants, priority shall be individuals seeking long-term recovery placed on recovery community organizations that do from substance use disorders in the following: accordance with section 273b of the mental health code, 1974 PA 258, MCL (a) Provide recovery support navigation that includes 330.1273b. An organization may not the following: receive a grant in excess of $150,000.00. (i) Multiple recovery pathways. In awarding grants, priority shall be placed (ii) Assisting individuals navigate recovery resources on recovery community organizations that such as detoxification, treatment, recovery housing, do the following: support groups, peer support, and family support. (iii) The promotion of community wellness and (a) – (c) striking current law engagement. (iv) Recovery advocacy that provides hope and encourages recovery. (v) A peer-led, peer-driven organization that offers recovery to any individual seeking recovery from addiction. (b) Provide recovery outreach education that includes the following: (i) On-site recovery education in the workplace. (ii) All staff employee meetings. (iii) On-site support for employees and family members. (iv) Connections for employees and family members of employees suffering from addiction to local recovery resources such as treatment, recovery housing, and support groups. (v) Connections with employers to provide recovery advocacy.

House Fiscal Agency Behavioral Health Services BP - 247 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS (c) Provide recovery activities and events Striking current law. Striking current law. No changes from current law. Striking current law. that include the following: (i) Safe, ongoing recovery activities and events. (ii) Opportunities to volunteer and participate in activities and events. (iii) Opportunities for family members and supporters of recovery to be involved. (iv) Meetings and activities on nutrition, health, and wellness. (v) Meetings and activities on mindfulness, meditation, and yoga. Adult Psychiatric Residential Treatment Facilities

Sec. 979. If funds become available, the Striking current law. Sec. 979. No changes from Sec. 979. No changes from Sec. 979. No changes from department shall seek the appropriate current law. current law. current law. federal approvals to allow for the utilization of Medicaid funding for services provided at adult psychiatric residential treatment facilities. By March 1 of the current fiscal year, the department shall report on its progress toward receiving the appropriate federal approvals to allow for federal Medicaid reimbursements for services provided at adult psychiatric residential treatment facilities to the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, the house and senate policy offices, and the state budget office.

House Fiscal Agency Behavioral Health Services BP - 248 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS Mental Health Diversion Council

Sec. 995. From the funds appropriated in Sec. 995. From the funds Sec. 995. From the funds Sec. 995. (1) Concur with the Sec. 995. (1) Concur with the part 1 for mental health diversion council, appropriated in part 1 for mental appropriated in part 1 for mental Executive. House. $3,850,000.00 is intended to address the health diversion council, health diversion council, the recommendations of the mental health $3,850,000.00 is the department shall allocate diversion council. department shall continue to $3,850,000.00 is to continue to implement the jail diversion implement the jail diversion pilot programs intended to pilot programs intended to address the recommendations address the recommendations of the mental health diversion of the mental health diversion council. council. (2) New Senate Language. Not included. (2) by March 1 of the current (2) Concur with the Senate. fiscal year, the department shall report to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the senate and house policy offices on the planned allocation of the funds appropriated for mental health diversion council. Family Support Subsidy

Sec. 996. From the funds appropriated in Sec. 996. No changes from Sec. 996. No changes from Sec. 996. No changes from Sec. 996. No changes from part 1 for family support subsidy, the current law. current law. current law. current law. department shall make monthly payments of $229.31 to the parents or legal guardians of children approved for the family support subsidy by a CMHSP. Distribution of Substance Use Disorder Block Grant Funds Sec 997. No changes from Sec 997. No changes from Sec. 997. The population data used in Sec 997. No changes from Sec 997. No changes from current law. current law. determining the distribution of substance current law. current law. use disorder block grant funds shall be from the most recent federal data from the United States Census Bureau.

House Fiscal Agency Behavioral Health Services BP - 249 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS Distribution of General Funds to CMHSPs Sec. 998. No changes from Sec. 998. No changes from Sec. 998. No changes from Sec. 998. No changes from Sec. 998. For distribution of state general current law. current law. current law. current law. funds to CMHSPs, if the department decides to use census data, the department shall use the most recent federal data from the United States Census Bureau. PIHP Reimbursement Audit Report

Sec. 999. Within 30 days after the Sec. 999. No changes from Sec. 999. No changes from Sec. 999. No changes from Sec. 999. No changes from completion of a statewide PIHP current law. current law. current law. current law. reimbursement audit, the department shall provide the audit report to the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, the house and senate policy offices, and the state budget office. BEHAVIORAL HEALTH SERVICES

Direct Care Worker Wage Increase

Sec. 1000. New Executive Language. [See Sec. 231. For Exec Sec. [See Sec. 231. For House Sec. [Senate Language found at Sec. [House Omnibus Language 1000.] 1000.] 231.] found at Sec. 231.]

House Fiscal Agency Behavioral Health Services BP - 250 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS CMHSP Populations Served Report

Sec. 1001. By December 31 of the current Sec. 1001. No changes from Sec. 1001. No changes from Sec. 1001. No changes from Sec. 1001. No changes from fiscal year, each CMHSP shall submit a current law. current law. current law. current law. report to the department that identifies populations being served by the CMHSP broken down by program eligibility category. The report shall also include the percentage of the operational budget that is related to program eligibility enrollment. By February 15 of the current fiscal year, the department shall submit the report described in this section to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office. Policies and Procedures for PIHPs or CMHSPs

Sec. 1003. The department shall notify Sec. 1003. No changes from Sec. 1003. No changes from Sec. 1003. No changes from Sec. 1003. No changes from the Community Mental Health Association current law. current law. current law. current law. of Michigan when developing policies and procedures that will impact PIHPs or CMHSPs.

House Fiscal Agency Behavioral Health Services BP - 251 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS CMHSP and PIHP Rebasing Notification Sec. 1004. No changes from Sec. 1004. No changes from Sec. 1004. No changes from Sec. 1004. No changes from Sec. 1004. The department shall provide current law except: current law. current law. current law. the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the state budget office any rebased formula changes to either "90 days" Medicaid behavioral health services or non-Medicaid mental health services 90 days before implementation. The notification shall include a table showing the changes in funding allocation by PIHP for Medicaid behavioral health services or by CMHSP for non-Medicaid mental health services. Health Home Program Expansion

Sec. 1005. From the funds appropriated Striking current law. Sec. 1005. From the funds Sec. 1005. No changes from Sec. 1005. Concur with the in part 1 for health homes, the department appropriated in part 1 for health current law. House. shall maintain and expand the number of homes, the department shall behavioral health homes in PIHP regions maintain and expand the 1, 2, and 8 and expand the number of number of behavioral health opioid health homes in PIHP regions 1, 2, homes in PIHP regions 1, 2, and 4, and 9. 8 and expand maintain the number of opioid substance use disorder health homes in PIHP regions 1, 2, 4, and 9. The department may expand the number of behavioral health homes and the number of substance use disorder health homes in 2 additional PIHP regions.

House Fiscal Agency Behavioral Health Services BP - 252 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS Intellectual or Developmental Disability Health Homes

Sec. 1006. The department shall explore Striking current law. Sec. 1006. No changes from Striking current law. Sec. 1006. The department shall the feasibility of implementing a Medicaid current law. explore the feasibility of health home under 42 USC 1396w-4 for implementing a Medicaid health individuals with an intellectual or home under 42 USC 1396w-4 developmental disability diagnosis. By for individuals with an intellectual March 1 of the current fiscal year, the or developmental disability department shall provide a report that diagnosis. By March 1 of the provides information, on a statewide and current fiscal year, the PIHP regional basis, on the prospective department shall provide a number of eligible individuals, the report that provides information, anticipated enrolled individuals, the on a statewide and PIHP estimated cost, the delivery system regional basis, on the structure, and the timeline for prospective number of eligible implementation if feasible to the house individuals, the anticipated and senate appropriations enrolled individuals, the subcommittees on the department estimated cost, the delivery budget, the house and senate fiscal system structure, and the agencies, the house and senate policy timeline for implementation if offices, and the state budget office. feasible to the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, the house and senate policy offices, and the state budget office.

House Fiscal Agency Behavioral Health Services BP - 253 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS Standalone Intellectual or Developmental Disability Medicaid Delivery System

Sec. 1007. The department may explore Striking current law. Sec. 1007. No changes from Sec. 1007. No changes from Sec. 1007. No changes from the feasibility of creating a distinct stand- current law. current law. current law. alone Medicaid delivery system for individuals with an intellectual or developmental disability diagnosis. By March 1 of the current fiscal year, the department may provide a report that provides information on potential delivery system structures, prospective number of eligible individuals, possible federal Medicaid authorities, and the estimated impact on current Medicaid delivery systems that administer benefits for individuals with intellectual or developmental disabilities to the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, the house and senate policy offices, and the state budget office.

House Fiscal Agency Behavioral Health Services BP - 254 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS PIHP and CMHSP Administrative Costs, Mental Health Care, Service Rates, and Direct Care Reimbursement

Sec. 1008. PIHPs and CMHSPs shall do Sec. 1008. No changes from Sec. 1008. No changes from Sec. 1008. No changes from Sec. 1008. No changes from all of the following: current law. current law. current law. current law. (a) Work to reduce administration costs by ensuring that PIHP and CMHSP responsible functions are efficient in allowing optimal transition of dollars to those direct services considered most effective in assisting individuals served. Any consolidation of administrative functions must demonstrate, by independent analysis, a reduction in dollars spent on administration resulting in greater dollars spent on direct services. Savings resulting from increased efficiencies shall not be applied to PIHP and CMHSP net assets, internal service fund increases, building costs, increases in the number of PIHP and CMHSP personnel, or other areas not directly related to the delivery of improved services. (b) Take an active role in managing mental health care by ensuring consistent and high-quality service delivery throughout its network and promote a conflict-free care management environment. (c) Ensure that direct service rate variances are related to the level of need or other quantifiable measures to ensure that the most money possible reaches direct services. (d) Whenever possible, promote fair and adequate direct care reimbursement, including fair wages for direct service workers.

House Fiscal Agency Behavioral Health Services BP - 255 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS Direct Care Wage Increase

Sec. 1009. (1) From the funds Sec. 1009. (1) From the funds Sec. 1009. (1) From the funds Striking current law. Striking current law. appropriated in part 1 for Medicaid mental appropriated in part 1 for appropriated in part 1 for health services and Healthy Michigan Medicaid mental health services Medicaid mental health services plan - behavioral health, the department and Healthy Michigan plan - and Healthy Michigan plan - shall maintain the hourly wage for direct behavioral health, the behavioral health, the care workers from the previous fiscal department shall continue department shall maintain the year. Funds provided in this section must maintain the $2.00 hourly wage hourly wage for direct care be utilized by a PIHP to maintain the wage increase for direct care workers workers from the previous fiscal increase for direct care worker wages, for as implemented in from the year ending September 30, the employer’s share of federal insurance previous fiscal year. Funds 2019. Funds provided in this contributions act costs, purchasing provided in this section must be section must be utilized by a worker’s compensation insurance, or the utilized by a PIHP to maintain the PIHP to maintain the wage employer’s share of unemployment costs. wage increase for direct care increase for direct care worker worker wages, for the wages, for the employer’s share employer’s share of federal of federal insurance insurance contributions act contributions act costs, costs, purchasing worker’s purchasing worker’s compensation insurance, or the compensation insurance, or the employer’s share of employer’s share of unemployment costs. unemployment costs. (2) Each PIHP shall report to the (2) No changes from current law. (2) Each PIHP shall report to the Striking current law. Striking current law. department by February 1 of the current department by February 1 of the fiscal year the range of wages paid to current fiscal year the range of direct care workers, including information wages paid to direct care on the number of direct care workers at workers, including information each wage level. on the number of direct care workers at each wage level. The range of wages paid reported by each PIHP must include a range of direct care workers paid at state minimum wage, and each range thereafter must not exceed $0.50 increments.

House Fiscal Agency Behavioral Health Services BP - 256 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS (3) The department shall report the (3) No changes from current law. (3) No changes from current law. Striking current law. Striking current law. information required to be reported according to subsection (2) to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office by March 1 of the current fiscal year. Behavioral Health Community New House Language: Supports and Services

Sec. 1010. The funds appropriated in part Sec. 1010. No changes from Sec. 1010. The funds Sec. 1010. No changes from Sec. 1010. Concur with the 1 for behavioral health community current law. appropriated in part 1 for current law. House. supports and services must be used to behavioral health community expand assertive community treatment supports and services must (ACT), forensic assertive community be used to reduce waiting lists treatment (FACT), and supportive at state-operated hospitals housing and residential programs for the and centers through cost- purpose of reducing waiting lists at state- effective community-based operated hospitals and centers through and residential services, cost-effective community-based services. including, but not limited to, crisis stabilization units in accordance with chapter 9A of the mental health code, 1974 PA 258, MCL 330.1971 to 330.1979, and psychiatric residential treatment facilities in accordance with section 137a of the mental health code, 1974 PA 258. MCL 330.1137a.

House Fiscal Agency Behavioral Health Services BP - 257 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS Out-of-State Crisis Resolution and Outpatient Services

Sec. 1011. To the extent permissible Striking current law. Sec. 1011. No changes from Sec. 1011. No changes from Sec. 1011. No changes from under MCL 330.1919, the funds current law except technical current law except technical current law except technical appropriated in part 1 for behavioral changes. changes. changes. health services may be used to reimburse out-of-state providers of crisis resolution services and outpatient services if the out- of-state provider is enrolled as a state Medicaid provider and the out-of-state provider is located closer to the client’s home than an in-state provider. Medicaid Reimbursement for Justice- Involved Individuals

Sec. 1012. It is the intent of the legislature Striking current law. Sec. 1012. No changes from Sec. 1012. No changes from Sec. 1012. No changes from that the department pursue any and all current law. current law. current law. federal Medicaid waivers to maximize the use of federal Medicaid reimbursements for substance use disorder services and treatments for justice-involved individuals. As part of the executive budget presentation for the fiscal year ending September 30, 2022 on behavioral health services to the house and senate appropriations subcommittees on the department budget, the department shall provide an update on the types of substance use disorder waivers submitted by the department, whether those waivers have been approved by the federal Centers for Medicare and Medicaid Services, and the steps the department will take to request any and all federal Medicaid waivers to maximize the use of federal Medicaid reimbursements for substance use disorder services and treatments.

House Fiscal Agency Behavioral Health Services BP - 258 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS Transportation to Preadmission Screening Units

Sec. 1013. CMHSPs that operate Striking current law. Sec. 1013. No changes from Sec. 1013. No changes from Sec. 1013. No changes from preadmission screening units, or that current law. current law. current law. have designated a hospital as a preadmission screening unit, may permit a sheriff’s office to use a qualified contracted entity to transport an individual for preadmission screening. Multicultural Integration Funding

Sec. 295. Sec. 295. 1014. Move to Sec. 295. 1014. (1) From the Sec. 295. 1014. (1) From the Sec. 295. 1014. (1) Concur with Behavioral Health, no changes funds appropriated in part 1 to funds appropriated in part 1 to the Senate. to current law except: agencies providing physical and agencies providing physical and behavioral health services to behavioral health services to 2019 PA 67 2020 PA 166 multicultural populations, the multicultural populations, the department shall award grants in department shall award grants in accordance with the accordance with the requirements of subsection (2). requirements of subsection (2). TheThis state is not liable for TheThis state is not liable for any spending above the contract any spending above the contract amount. Funds shall not be amount. FundsThe department released until reporting shall not be releasedrelease requirements under section 295 funds until reporting of 2019 PA 67 article 6 OF 2020 requirements under section 295 PA 166 are satisfied. of 2019 PA 67 article 6 OF 2020 PA 166 are satisfied. (2) No changes to current law (2) Concur with technical (2) Concur with technical except changes. changes.

"organizational performance- related"

House Fiscal Agency Behavioral Health Services BP - 259 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS (3) No changes to current law. (3) No changes except: (3) Concur with the Senate.

"the senate and house appropriations subcommittees on health and human services the department budget"

Sec. 1015. New Senate Language. Not included. Sec. 1015. From the funds Not included. appropriated in part 1 for federal mental health block grant, the shall provide grants, pursuant to federal laws, rules, and regulations, to local public entities that provide substance use disorder services and to 1 private entity that has a statewide contract to provide community-based mental health services. Sec. 1016. New Senate Language. Not included. Sec. 1016. From the funds Not included. appropriated in part 1 for crisis stabilization units, the department shall appropriate $100.00 to establish a grant program for qualified entities, as determined by the department, to establish crisis stabilization units pursuant to chapter 9a of the mental health code, 1974 PA 258, MCL 330.1971 to MCL 330.1979.

House Fiscal Agency Behavioral Health Services BP - 260 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS STATE PSYCHIATRIC HOSPITALS AND FORENSIC MENTAL HEALTH SERVICES

Third-Party Payments and Revenue Recapture Project

Sec. 1051. The department shall continue Sec. 1051. No changes from Sec. 1051. No changes from Sec. 1051. No changes from Sec. 1051. No changes from a revenue recapture project to generate current law. current law. current law. current law. additional revenues from third parties related to cases that have been closed or are inactive. A portion of revenues collected through project efforts may be used for departmental costs and contractual fees associated with these retroactive collections and to improve ongoing departmental reimbursement management functions. Gifts and Bequests

Sec. 1052. The purpose of gifts and Sec. 1052. No changes from Sec. 1052. No changes from Sec. 1052. No changes from Sec. 1052. No changes from bequests for patient living and treatment current law. current law. current law. current law. environments is to use additional private funds to provide specific enhancements for individuals residing at state-operated facilities. Use of the gifts and bequests shall be consistent with the stipulation of the donor. The expected completion date for the use of gifts and bequests donations is within 3 years unless otherwise stipulated by the donor.

House Fiscal Agency Behavioral Health Services BP - 261 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS Closures or Consolidations of State Hospitals and Centers

Sec. 1055. (1) The department shall not Sec. 1055. (1) No changes from Sec. 1055. (1) No changes from Sec. 1055. (1) No changes from Sec. 1055. (1) No changes from implement any closures or consolidations current law. current law. current law. current law. of state hospitals, centers, or agencies until CMHSPs or PIHPs have programs and services in place for those individuals currently in those facilities and a plan for service provision for those individuals who would have been admitted to those facilities. (2) All closures or consolidations are (2) No changes from current law. (2) No changes from current law. (2) No changes from current law. (2) No changes from current law. dependent upon adequate department- approved CMHSP and PIHP plans that include a discharge and aftercare plan for each individual currently in the facility. A discharge and aftercare plan shall address the individual’s housing needs. A homeless shelter or similar temporary shelter arrangements are inadequate to meet the individual’s housing needs. (3) Four months after the certification of (3) No changes from current law. (3) No changes from current law. (3) No changes from current law. (3) No changes from current law. closure required in section 19(6) of the state employees’ retirement act, 1943 PA 240, MCL 38.19, the department shall provide a closure plan to the house and senate appropriations subcommittees on the department budget and the state budget director. (4) Upon the closure of state-run (4) No changes from current law. (4) No changes from current law. (4) No changes from current law. (4) No changes from current law. operations and after transitional costs have been paid, the remaining balances of funds appropriated for that operation shall be transferred to CMHSPs or PIHPs responsible for providing services for individuals previously served by the operations.

House Fiscal Agency Behavioral Health Services BP - 262 6/30/2021

DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS Patient Reimbursement

Sec. 1056. The department may collect Sec. 1056. No changes from Sec. 1056. No changes from Sec. 1056. No changes from Sec. 1056. No changes from revenue for patient reimbursement from current law. current law. current law. current law. first- and third-party payers, including Medicaid and local county CMHSP payers, to cover the cost of placement in state hospitals and centers. The department is authorized to adjust financing sources for patient reimbursement based on actual revenues earned. If the revenue collected exceeds current year expenditures, the revenue may be carried forward with approval of the state budget director. The revenue carried forward shall be used as a first source of funds in the subsequent year. Privatization of Food and Custodial Services

Sec. 1058. Effective October 1 of the Sec. 1058. No changes from Sec. 1058. No changes from Sec. 1058. No changes from Sec. 1058. No changes from current fiscal year, the department, in current law. current law. current law. current law. consultation with the department of technology, management, and budget, may maintain a bid process to identify 1 or more private contractors to provide food service and custodial services for the administrative areas at any state hospital identified by the department as capable of generating savings through the outsourcing of such services.

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DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS State Psychiatric Hospital and Center for Forensic Psychiatry Performance Report Sec. 1059. (1) The department shall Sec. 1059. (1) The department shall Sec. 1059. (1) Concur with the identify specific outcomes and identify specific outcomes and House. Sec. 1059. (1) The department shall identify Sec. 1059. No changes from performance measures for state-operated performance measures for state- specific outcomes and performance measures current law. hospitals and centers, including, but not operated hospitals and centers, for state-operated hospitals and centers, limited to, the following: including, but not limited to, the including, but not limited to, the following: (a) The average wait time for persons following: (a) The average wait time for persons individuals determined incompetent to (a) The average wait time for determined incompetent to stand trial before stand trial before admission to the center persons individuals determined admission to the center for forensic psychiatry. for forensic psychiatry. incompetent to stand trial before (b) The average wait time for persons (b) The average wait time for persons admission to the center for forensic determined incompetent to stand trial before individuals determined incompetent to psychiatry. admission to other state- operated psychiatric stand trial before admission to other state- (b) The average wait time for facilities. operated psychiatric facilities. persons individuals determined (c) The number of persons waiting to receive (c) The average number of persons incompetent to stand trial before services at the center for forensic psychiatry. individuals waiting to receive services at admission to other state- operated (d) The number of persons waiting to receive admission into the center for forensic psychiatric facilities. services at other state-operated hospitals and psychiatry. (c) The number of persons centers. (d) The number of persons individuals individuals waiting to receive (e) The number of persons determined not waiting to receive services at admission services at the center for forensic guilty by reason of insanity or incompetent to into the other state-operated hospitals psychiatry. stand trial by an order of a probate court that and centers. (d) The number of persons have been determined to be ready for (e) The average wait time for individuals waiting to receive discharge to the community, and the average individuals awaiting admission to a services at other state-operated wait time between being determined to be state-operated hospital or center hospitals and centers. ready for discharge to the community and through the civil admissions process. (e) The number of persons actual community placement. (e) (f) The number of persons individuals individuals determined not guilty by (f) The number of persons denied services at determined not guilty by reason of insanity reason of insanity or incompetent to the center for forensic psychiatry. or incompetent to stand trial by an order of stand trial by an order of a probate (g) The number of persons denied services at a probate court that have been court that have been determined to other state-operated hospitals and centers. determined to be ready for discharge to be ready for discharge to the the community, and the average wait time community, and the average wait between being determined to be ready for time between being determined to be discharge to the community and actual ready for discharge to the community community placement. and actual community placement. (f) (g) The number of persons individuals (f) The number of persons denied services at admission into the individuals denied services at the center for forensic psychiatry. center for forensic psychiatry. (g) (h) The number of persons (g)The number of persons individuals denied services at individuals denied services at other admission into the other state-operated state-operated hospitals and hospitals and centers. centers.

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DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS (2) By March 1 of the current fiscal year, (2) No changes from current law. (2) No changes from current law. (2) No changes from current law. (2) No changes from current law. the department shall report to the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, the house and senate policy offices, and the state budget office on the outcomes and performance measures in subsection (1).

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DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Behavioral Health Services

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS State Psychiatric Hospital Staffing Workgroup

Sec. 1060. By March 1 of the current fiscal Sec. 1060. By March 1 of the current Sec. 1060. No changes from current Sec. 1060. Concur with the Sec. 1060. No changes from current year, the department shall provide a status fiscal year, the department shall law. Executive. law. update on the department’s implementation of provide a report status update on the previous fiscal year’s workgroup’s the department’s implementation of recommendations to address mandatory the previous fiscal year’s overtime, staff turnover, and staff retention at workgroup’s recommendations to the state psychiatric hospitals and centers to address mandatory overtime, staff the senate and house appropriations turnover, and staff retention at the subcommittees on the department budget, the state psychiatric hospitals and senate and house fiscal agencies, and the centers to the senate and house state budget office. The report shall include, but appropriations subcommittees on is not limited to, the following: the department budget, the senate and house fiscal agencies, and the (a) Descriptions of all of the measures being state budget office. The report shall implemented. include, but is not limited to, the (b) Descriptions of all of the measures not following: being implemented and barriers preventing (a) Descriptions of all of the implementation. measures being implemented. (c) The number of direct care and clinical staff (b) Descriptions of all of the positions that are currently vacant by hospital, measures not being implemented and how that compares to the number of and barriers preventing vacancies during the previous fiscal year. implementation. (d) A breakdown of voluntary and mandatory (c) (a) The number of direct care and overtime hours worked by position and by clinical staff positions that are hospital, and how that compares to the currently vacant by hospital, and how breakdown of voluntary and mandatory that compares to the number of overtime hours during the previous fiscal year. vacancies during the previous fiscal (e) The ranges of wages paid by position and year. by hospital, and how that compares to wages (d) (b) A breakdown of voluntary and paid during the previous fiscal year. mandatory overtime hours worked by position and by hospital, and how that compares to the breakdown of voluntary and mandatory overtime hours during the previous fiscal year. (e) (c) The ranges of wages paid by position and by hospital, and how that compares to wages paid during the previous fiscal year.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS Caro Regional Mental Health Center

Sec. 1061. The funds appropriated in part Sec. 1061. The funds Sec. 1061. No changes from Sec. 1061. No changes from Sec. 1061. No changes from 1 for Caro Regional Mental Health Center appropriated in part 1 for Caro current law. current law. current law. shall only be utilized to support a Regional Mental Health Center psychiatric hospital located at its current shall only be utilized to support a location. It is the intent of the legislature psychiatric hospital located at its that the Caro Regional Mental Health current location. It is the intent of Center shall remain open and operational the legislature that the Caro at its current location on an ongoing basis. Regional Mental Health Center Capital outlay funding shall be utilized for shall remain open and planning and construction of a new or operational at its current location updated facility at the current location on an ongoing basis. Capital instead of at a new location. outlay funding shall be utilized for planning and construction of a new or updated facility at the current location instead of at a new location. 5-Year Inpatient Psychiatric Bed Plan

Sec. 1062. It is the intent of the legislature Striking current law. Sec. 1062. It is the intent of the Sec. 1062. No changes from Sec. 1062. Concur with the that the department shall provide a 5-year legislature that By March 1 of current law. House. plan to address the need for adult and the current fiscal year, the children inpatient psychiatric beds to the department shall provide a 5- house and senate appropriations year plan to address the need for subcommittees on the department adult and children inpatient budget, the house and senate fiscal psychiatric beds to the house agencies, the house and senate policy and senate appropriations offices, and the state budget office. The subcommittees on the report shall include recommendations for department budget, the house utilizing both public and public-private and senate fiscal agencies, the partnership beds. house and senate policy offices, and the state budget office. The report shall include recommendations for utilizing both public and public-private partnership beds. Sec. 1063. Executive transfers Sec. 905. Transfers Sec. 905 to 1063 and Transfers Sec. 905 to 1063 and Transfers Sec. 905 to 1063 and Transfers Sec. 905 to 1063 and renames part 1 line item. renames part 1 line item. renames part 1 line item. renames part 1 line item.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

HEALTH AND HUMAN SERVICES POLICY AND INITIATIVES

Free Health Clinic Funding

Sec. 1140. From the funds appropriated in part 1 for primary Sec. 1140. No changes Sec. 1140. No changes Sec. 1140. No changes Sec. 1140. No changes care services, $400,000.00 shall be allocated to free health from current law. from current law. from current law. from current law. clinics operating in the state. The department shall distribute the funds equally to each free health clinic. For the purpose of this NOTE: House bill reflects appropriation, “free health clinics” means nonprofit organizations 25% of the annual funding that use volunteer health professionals to provide care to for this section. uninsured individuals.

Options for Incentivizing Primary Care Medical School Students to Stay in Michigan

Sec. 1142. The department shall continue to seek means to Sec. 1142. No changes Sec. 1142. No changes Sec. 1142. No changes Sec. 1142. No changes increase retention of Michigan medical school students for from current law. from current law. from current law. from current law. completion of their primary care residency requirements within this state and ultimately, for some period of time, to remain in this state and serve as primary care physicians. The department is encouraged to work with Michigan institutions of higher education.

Island Primary Care Allocations

Sec. 1143. From the funds appropriated in part 1 for primary Sec. 1143. No changes Sec. 1143. No changes Sec. 1143. No changes Sec. 1143. No changes care services, the department shall allocate no less than from current law. from current law. from current law. from current law. $675,000.00 for island primary health care access and services including island clinics, in the following amounts: NOTE: House bill reflects 25% of the annual funding (a) Beaver Island, $250,000.00. for this section. (b) Mackinac Island, $250,000.00. (c) Drummond Island, $150,000.00. (d) Bois Blanc Island, $25,000.00.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

Community Health Innovation Region (CHIR) Data Reporting

Sec. 1144. From the funds appropriated in part 1, the Striking current law. Sec. 1144. No changes Sec. 1144. No changes Sec. 1144. No changes department shall report by June 30 of the current fiscal year from current law, except: from current law. from current law. trended cost and utilization, including inpatient and emergency department, claims data reports in aggregate by local community health innovation regions (CHIRs) and specific to "… September 30, 2015 each Medicaid health plan for their beneficiaries that were 2016 …" . clients of local CHIRs, for the period beginning with the fiscal year that ended September 30, 2015 through the current fiscal year to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office.

Payments to Indian or Tribal Facilities for Medical Services

Sec. 1145. The department will take steps necessary to work Sec. 1145. No changes Sec. 1145. No changes Sec. 1145. No changes Sec. 1145. No changes with Indian Health Service, tribal health program facilities, or from current law. from current law. from current law. from current law. Urban Indian Health Program facilities that provide services under a contract with a Medicaid managed care entity to ensure that those facilities receive the maximum amount allowable under federal law for Medicaid services.

Bone Marrow Donor Program

Sec. 1146. From the funds appropriated in part 1 for bone Sec. 1146. No changes Sec. 1146. No changes Sec. 1146. No changes Sec. 1146. No changes marrow donor and blood bank programs, $250,000.00 shall be from current law. from current law. from current law. from current law. allocated to Versiti Blood Center, the partner of the match registry of the national marrow donor program. The funds shall be used to offset ongoing tissue typing expenses associated with donor recruitment and collection services and to expand those services to better serve the citizens of this state.

Blood Bank Programs

Sec. 1147. From the funds appropriated in part 1 for bone Sec. 1147. No changes Sec. 1147. No changes Sec. 1147. No changes Sec. 1147. No changes marrow donor and blood bank programs, $500,000.00 shall be from current law. from current law. from current law. from current law. allocated to Versiti Blood Center for a cord blood bank. The funds shall be used to enhance the collection of fetal umbilical cord blood and stem cells for transplant, expand cord blood laboratory capabilities, and expand the diversity of collections. House Fiscal Agency Population Health BP - 269 6/30/2021 170 DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Population Health

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NEW HOUSE SEC. 1148. Sec. 1148. From the Does not include. Do not include. funds appropriated in part 1 for policy and planning administration, $100,000.00 is allocated for enforcement of section 27(2)(a) of article I of the state constitution of 1963 regarding human embryo and embryonic stem cell research.

NEW HOUSE SEC. 1149. Sec. 1149. From the Does not include. Do not include. funds appropriated in part 1 for policy and planning administration, the department shall appropriate $100.00 to continue the implementation and expansion of the community health innovation regions.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

Opioid Addiction Treatment Education Collaboration

Sec. 1151. The department shall coordinate with the Striking current law. Sec. 1151. No changes Sec. 1151. No changes Sec. 1151. Concur with department of licensing and regulatory affairs, the department of from current law, except from current law, except the House and Senate. the attorney general, all appropriate law enforcement agencies, breaks into subsection breaks into subsection and the Medicaid health plans to work with local substance use (1), and subsection (2) (1), and subsection (2) disorder agencies and addiction treatment providers to help beginning "By October 1 beginning "By October 1 inform Medicaid beneficiaries of all medically appropriate of the current fiscal of the current fiscal treatment options for opioid addiction when their treating year,…". year,…". physician stops prescribing prescription opioid medication for pain, and to address other appropriate recommendations of the prescription drug and opioid abuse task force outlined in its report of October 2015. By October 1 of the current fiscal year, the department shall submit a report to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office on how the department is working with local substance use disorder agencies and addiction treatment providers to ensure that Medicaid beneficiaries are informed of all available and medically appropriate treatment options for opioid addiction when their treating physician stops prescribing prescription opioid medication for pain, and to address other appropriate recommendations of the task force. The report shall include any potential barriers to medication-assisted treatment, as recommended by the Michigan medication-assisted treatment guidelines, for Medicaid beneficiaries in both office-based opioid treatment and opioid treatment program facility settings.

Move from Sec. 307 Departmental Administration and NEW SEC. 1152. Support boilerplate. EXECUTIVE RENUMBERS CURRENT LAW SECTION 307 TO SECTION 1152. Sec. 307 1152. (1) – (4) Sec. 307 1152. (1) – (4) Does not concur with the Sec. 307 1152. (1) – (4) No changes from current Concur with the Executive. Concur with the Executive law, except change line Executive. name reference in first sentence from NOTE: House bill reflects "demonstration projects" 25% of the annual funding to "policy and planning for this item. administration". House Fiscal Agency Population Health BP - 271 6/30/2021 170 DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Population Health

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

EPIDEMIOLOGY, EMERGENCY MEDICAL SERVICES, AND LABORATORY

Public Health Drinking Water and Childhood Lead Initiatives

Sec. 1180. From the funds appropriated in part 1 for Sec. 1180. No changes Sec. 1180. No changes Sec. 1180. No changes Sec. 1180. No changes epidemiology administration and for childhood lead program, from current law. from current law. from current law. from current law. the department shall maintain a public health drinking water unit and maintain enhanced efforts to monitor child blood lead levels. The public health drinking water unit shall ensure that appropriate investigations of potential health hazards occur for all community and noncommunity drinking water supplies where chemical exceedances of action levels, health advisory levels, or maximum contaminant limits are identified. The goals of the childhood lead program shall include improving the identification of affected children, the timeliness of case follow-up, and attainment of nurse care management for children with lead exposure, and to achieve a long-term reduction in the percentage of children in this state with elevated blood lead levels.

Vapor Intrusion Response

Sec. 1181. From the funds appropriated in part 1 for Sec. 1181. No changes Sec. 1181. No changes Sec. 1181. No changes Sec. 1181. No changes epidemiology administration, the department shall maintain a from current law. from current law. from current law. from current law. vapor intrusion response unit. The vapor intrusion response unit shall assess risks to public health at vapor intrusion sites and respond to vapor intrusion risks where appropriate. The goals of the vapor intrusion response unit shall include reducing the number of residents of this state exposed to toxic substances through vapor intrusion and improving health outcomes for individuals that are identified as having been exposed to vapor intrusion.

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Lead Abatement of Homes

Sec. 1182. (1) From the funds appropriated in part 1 for the Sec. 1182. (1) No Sec. 1182. (1) From the Sec. 1182. (1) No Sec. 1182. (1) Concur healthy homes program, no less than $7,392,900.00 of general changes from current law. funds appropriated in part changes from current law. with the House (as shown fund/general purpose funds and $18,157,100.00 of federal 1 for the healthy homes for full funding). funds shall be allocated for lead abatement of homes. program, no less than $7,392,900.00 $6,898,000.00 of general fund/general purpose funds and $18,157,100.00 $18,652,000.00 of federal funds shall be allocated for lead abatement of homes.

NOTE: House bill reflects 25% of the annual funding for this section.

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(2) By April 1 of the current fiscal year, the department shall (2) No changes from (2) By April 1 of the (2) By April 1 of the (2) Concur with the provide a report to the house and senate appropriations current law. current fiscal year, the current fiscal year, the House. subcommittees on the department budget, the house and department shall provide department shall provide senate fiscal agencies, and the state budget office on the a report to the house and a report to the house and expenditures and activities undertaken by the lead abatement senate appropriations senate appropriations program in the previous fiscal year from the funds appropriated subcommittees on the subcommittees on the in part 1 for the healthy homes program. The report shall department budget, the department budget, the include, but is not limited to, a funding allocation schedule, house and senate fiscal house and senate fiscal expenditures by category of expenditure and by subcontractor, agencies, and the state agencies, and the state revenues received, description of program elements, number of budget office on the budget office on the housing units abated of lead-based paint hazards, and expenditures and expenditures and description of program accomplishments and progress. activities undertaken by activities undertaken by the lead abatement the lead abatement program in the previous program in the previous fiscal year from the funds fiscal year from the funds appropriated in part 1 for appropriated in part 1 for the healthy homes the healthy homes program. The report shall program. The report shall include, but is not limited include, but is not limited to, a funding allocation to, a funding allocation schedule, the schedule, the expenditures by category expenditures by category of expenditure and by of expenditure and by subcontractor, the subcontractor, revenues revenues received, a received, a description of description of program program elements, the elements, the number of number of housing units housing units abated of abated of lead-based lead-based paint hazards, paint hazards, and a and a description of description of program program accomplishments and accomplishments and progress. progress.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

Emergency Medical Response Service Data Exemption

Sec. 1183. The department shall not require a medical first Striking current law. Striking current law. Sec. 1183. No changes Sec. 1183. No changes response service to submit data for purposes of the Michigan from current law. from current law, except: emergency medical services information system if the medical first response service is located in a county with a population of less than 85,000 according to the most recent federal decennial " … according to the most census and is composed of only medical first responders who recent 2010 federal provide services without expecting or receiving money, goods, decennial census …" or services in return for providing those services. A medical first response service described in this subsection shall ensure that a medical first responder provides, in writing, at least all of the following information to an emergency medical technician, emergency medical technician specialist, or paramedic, arriving at the scene after the medical first responder: (a) The time of the initial medical first responder’s arrival at the scene. (b) The patient’s condition at the time of the initial medical first responder’s arrival at the scene. (c) Information gathered from a patient assessment, including, but not limited to, the patient’s vital signs and level of consciousness.

Emergency Medical Services - Process for Change in Guidance

Sec. 1184. (1) From the funds appropriated in part 1 for Striking current law. Sec. 1184. (1) No Sec. 1184. (1) No Sec. 1184. (1) No emergency medical services program, the department shall, in changes from current law. changes from current law. changes from current law. coordination with the state emergency medical services coordination committee established under section 20915 of the public health code, 1978 PA 368, MCL 333.20915, medical control authorities, and other emergency medical services organizations, review, revise, and improve the process for the consideration, discussion, announcement, and implementation of any changes proposed by the department for emergency medical services system guidance, guidelines, or protocols.

(2) The goal to improve the current process shall be the Striking current law. (2) No changes from (2) No changes from (2) No changes from effective and safe provision of emergency medical services. current law. current law. current law.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

(3) The revised and improved process shall include, but not be Striking current law. (3) No changes from (3) No changes from (3) Concur with the House limited to, the following: current law, except in (b) current law, except in (b) and Senate. change "prior to" to change "prior to" to (a) Increased communication, transparency, and collaboration, "before". "before". to culminate in clarity of, and real-time access to, current department guidance, guidelines, or protocols, and the status of any changes being considered. (b) Formal notification of proposed changes to guidance, guidelines, or protocols from the department to the state emergency medical services coordination committee no less than 30 days prior to implementation. (c) Receipt by the department of a recommendation from the state emergency medical services coordination committee regarding the proposed changes to guidance, guidelines, or protocols before implementation by the department of the changes.

(4) The department shall provide access and status updates, Striking current law. (4) No changes from (4) No changes from (4) No changes from including any proposed rules being considered through the current law. current law. current law. administrative rules process, to the public on the department’s website, which shall be updated by the department on a weekly basis.

(5) The department shall report to the house and senate Striking current law. (5) No changes from (5) No changes from (5) No changes from appropriations subcommittees on the department budget, the current law. current law. current law. house and senate fiscal agencies and policy offices, and the state budget director by April 15 of the current fiscal year on the findings of the review and include summaries of actions undertaken to identify, revise, and improve any weaknesses in the current process.

Family Emergency Readiness Public Event

Sec. 1185. From the funds appropriated in part 1 for emergency Striking current law. Sec. 1185. No changes Striking current law. Sec. 1185. No changes medical services program, $25,000.00 is allocated for a grant to from current law. from current law, except: fund a free family emergency readiness public expo event held in a county with a population between 180,000 and 181,000 according to the most recent federal decennial census. The " … according to the most purpose of the event shall be to educate local residents about recent 2010 federal preparedness in an emergency, disaster, or crisis including decennial census …" planning, assessing specific personal and household needs, and skills to cope, survive, recover, and prevail. House Fiscal Agency Population Health BP - 276 6/30/2021 170 DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Population Health

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NEW HOUSE SEC. 1186. Sec. 1186. The department shall Does not include. Do not include. evaluate issues of staffing and financing of public and volunteer emergency medical services and systems and the requirement for provision of services regardless of ability to pay. The department shall explore ways and related costs to address the issues including changes in policy, practice, or financing, which may include consideration of foundation grants using state restricted crime victim’s rights fund or other state restricted revenue, or state general fund/general purpose funds, and Medicaid rate adjustments. By March 15 of the current fiscal year the department shall report to the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, the house and senate policy offices, and the state budget director on the findings of the evaluation and ways to address the issues described in this section.

NEW SENATE SEC. 1186. Sec. 1186. (1) From the funds Do not include. appropriated in part 1 for emergency medical services program, the department shall allocate $3,000,000.00 to establish a statewide stroke and STEMI system of care for time- sensitive emergencies. This system must be integrated into the statewide trauma care system within the emergency medical services system and must include at least all of the following:

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

NEW SENATE SEC. 1186. (a) The designation of facilities as Do not include. stroke and STEMI facilities based on a verification that national certification or accreditation standards, as approved by the stroke advisory subcommittee and the STEMI advisory subcommittee as established under section 20910(1)(m) of the public health code, 1978 PA 368, MCL 333.20910, have been met.

NEW SENATE SEC. 1186. (b) A requirement that a hospital Do not include. is not required to be designated as providing certain levels of care for stroke or STEMI.

NEW SENATE SEC. 1186. (c) The development and Do not include. utilization of stroke and STEMI registries that utilize nationally recognized data platforms with confidentiality standards, as approved by the stroke advisory subcommittee and the STEMI advisory subcommittee as established under section 20910(1)(m) of the public health code, 1978 PA 368, MCL 333.20910.

NEW SENATE SEC. 1186. (2) For the purposes of this Do not include. section, "STEMI" means an ST- elevation myocardial infarction.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

LOCAL HEALTH AND ADMINISTRATIVE SERVICES

Reimbursement of Local Costs Related to Informed Consent Law

Sec. 1220. The amount appropriated in part 1 for Sec. 1220. No changes Sec. 1220. No changes Sec. 1220. No changes Sec. 1220. No changes implementation of the 1993 additions of or amendments to from current law. from current law. from current law. from current law. sections 9161, 16221, 16226, 17014, 17015, and 17515 of the public health code, 1978 PA 368, MCL 333.9161, 333.16221, 333.16226, 333.17014, 333.17015, and 333.17515, shall be used to reimburse local health departments for costs incurred related to implementation of section 17015(18) of the public health code, 1978 PA 368, MCL 333.17015.

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Penalty for Dissolution of Multi-County Local Health Department

Sec. 1221. If a county that has participated in a district health Sec. 1221. No changes Sec. 1221. If a county that Sec. 1221. If a county that Sec. 1221. Concur with department or an associated arrangement with other local from current law. has participated in a has participated in a the House and Senate. health departments takes action to cease to participate in such district health department district health department an arrangement after October 1 of the current fiscal year, the or an associated or an associated department shall have the authority to assess a penalty from the arrangement with other arrangement with other local health department’s operational accounts in an amount local health departments local health departments equal to no more than 6.25% of the local health department’s takes action to cease to takes action to cease to essential local public health services funding. This penalty shall participate in such an that participate in such an that only be assessed to the local county that requests the arrangement after arrangement after dissolution of the health department. October 1 of the current October 1 of the current fiscal year, the fiscal year, the department shall have the department shall have the authority to may assess a authority to may assess a penalty from the local penalty from the local health department’s health department’s operational accounts in an operational accounts in an amount equal to no more amount equal to no more than 6.25% of the local than 6.25% of the local health department’s health department’s essential local public essential local public health services funding. health services funding. This penalty shall only be This penalty shall only be assessed to the local assessed to the local county that requests the county that requests the dissolution of the health dissolution of the health department. department.

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Essential Local Public Health Services

Sec. 1222. (1) Funds appropriated in part 1 for essential local Sec. 1222. (1) No Sec. 1222. (1) No Sec. 1222. (1) No Sec. 1222. (1) No public health services shall be prospectively allocated to local changes from current law. changes from current law. changes from current law. changes from current law. health departments to support immunizations, infectious disease control, sexually transmitted disease control and prevention, hearing screening, vision services, food protection, public water supply, private groundwater supply, and on-site sewage management. Food protection shall be provided in consultation with the department of agriculture and rural development. Public water supply, private groundwater supply, and on-site sewage management shall be provided in consultation with the department of environment, Great Lakes, and energy.

(2) Local public health departments shall be held to contractual (2) No changes from (2) No changes from (2) No changes from (2) No changes from standards for the services in subsection (1). current law. current law. current law. current law.

(3) Distributions in subsection (1) shall be made only to counties (3) No changes from (3) No changes from (3) No changes from (3) No changes from that maintain local spending in the current fiscal year of at least current law. current law. current law. current law. the amount expended in fiscal year 1992-1993 for the services described in subsection (1).

(4) By February 1 of the current fiscal year, the department shall (4) No changes from (4) No changes from (4) No changes from (4) No changes from provide a report to the house and senate appropriations current law. current law. current law. current law. subcommittees on the department budget, the house and senate fiscal agencies, and the state budget director on the planned allocation of the funds appropriated for essential local public health services.

(5) The department shall continue implementation of the (5) No changes from (5) No changes from (5) No changes from (5) No changes from distribution formula for the allocation of essential local public current law. current law. current law. current law. health services funding to local health departments as specified by section 1234 of article X of 2018 PA 207.

(6) From the funds appropriated in part 1 for essential local (6) No changes from (6) No changes from (6) No changes from (6) No changes from public health services, each local public health department is current law. current law. current law. current law. allocated not less than the amount allocated to that local public health department during the previous fiscal year.

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NEW SEC. 1223. (Executive Sec. 256 1223. From the funds (Senate concurs with (Revised from House and HOUSE RENUMBERS CURRENT LAW SECTION 256 TO renumbered Sec appropriated in part 1 for the the Executive and renumbered to Sec. 1321) SECTION 1123. 256 to Sec. 463) Michigan model for health revises to include legal comprehensive health citation for Sec 1505 as education curriculum, the The included by House). department may, in consultation with the Michigan department of education, the Michigan domestic and sexual violence prevention and treatment board, and the Michigan Coalition to End Domestic and Sexual Violence, redraft the curriculum for the “Growing Up & Staying Healthy” and “Healthy & Responsible Relationships” modules to include age-appropriate information about the importance of consent, setting and respecting personal boundaries, and the prevention of child sexual abuse as outlined in section 1505 of the revised school code, 1976 PA 451, MCL 380.1505 and consistent with the recommendations and guidelines set by the task force on the prevention of sexual abuse of children created under section 12b of the child protection law, 1975 PA 238, MCL 722.632b, and the prevention of sexual assault and dating violence.

Michigan Health Endowment Fund

Sec. 1225. The department shall work with the Michigan health Sec. 1225. No changes Sec. 1225. No changes Sec. 1225. No changes Sec. 1225. No changes endowment fund corporation established under section 653 of from current law. from current law. from current law. from current law. the nonprofit health care corporation reform act, 1980 PA 350, MCL 550.1653, to explore ways to fund and evaluate current and future policies and programs.

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School Children's Healthy Exercise Program Move to Family Health Services boilerplate as Sec. 1226. From the funds appropriated in part 1 for chronic Sec. 1342. disease control and health promotion administration, $500,000.00 shall be allocated for a school children’s healthy Sec. 1226 1342. No Sec. 1226 1342. Concur Sec. 1226 1342. Concur Sec. 1226 1342. Concur exercise program to promote and advance physical health for changes from current law with the Executive. with the Executive. with the House and school children in kindergarten through grade 8. The except change Senate. department shall recommend model programs for sites to appropriation line item implement that incorporate evidence-based best practices. The name in first sentence department shall grant the funds appropriated in part 1 for from "chronic disease before- and after-school programs. The department shall control and health establish guidelines for program sites, which may include promotion administration" schools, community-based organizations, private facilities, to "family, maternal, and recreation centers, or other similar sites. The program format child health shall encourage local determination of site activities and shall administration". encourage local inclusion of youth in the decision-making regarding site activities. Program goals shall include children experiencing improved physical health and access to physical activity opportunities, the reduction of obesity, providing a safe place to play and exercise, and nutrition education. To be eligible to participate, program sites shall provide a 20% match to the state funding, which may be provided in full, or in part, by a corporation, foundation, or private partner. The department shall seek financial support from corporate, foundation, or other private partners for the program or for individual program sites.

Health and Wellness Initiatives Criteria

Sec. 1227. The department shall establish criteria for all funds Sec. 1227. No changes Sec. 1227. No changes Sec. 1227. No changes Sec. 1227. No changes allocated for health and wellness initiatives. The criteria must from current law. from current law. from current law. from current law. include a requirement that all programs funded be evidence- based and supported by research, include interventions that have been shown to demonstrate outcomes that lower cost and improve quality, and be designed for statewide impact. Preference must be given to programs that utilize the funding as match for additional resources, including, but not limited to, federal sources.

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PFAS Contamination and Other Public Health Threats – Local Health Department Response

Sec. 1231. (1) From the funds appropriated for local health Sec. 1231. (1) No Sec. 1231. (1) No Sec. 1231. (1) No Sec. 1231. (1) No services, up to $4,750,000.00 shall be allocated for grants to changes from current law. changes from current law. changes from current law. changes from current law. local public health departments to support PFAS response and emerging public health threat activities. A portion of the funding NOTE: House bill reflects shall be allocated by the department in a collaborative fashion 25% of the annual funding with local public health departments in jurisdictions experiencing for this section. PFAS contamination. The remainder of the funding shall be allocated to address infectious and vector-borne disease threats, and other environmental contamination issues such as vapor intrusion, drinking water contamination, and lead exposure. The funding shall be allocated to address issues including, but not limited to, staffing, planning and response, and creation and dissemination of materials related to PFAS contamination issues and other emerging public health issues and threats.

(2) By May 1 of the current fiscal year, the department shall (2) No changes from (2) No changes from (2) No changes from (2) No changes from provide a report to the house and senate appropriations current law. current law, except: current law. current law, except: subcommittees on the department budget, the house and senate fiscal agencies, and the state budget office on actual (2) By May March 1 of (2) By May March 1 of expenditures in the previous fiscal year and planned spending …". …". in the current fiscal year of the funds described in subsection (1), including recipient entities, amount of allocation, general category of allocation, and detailed uses.

Reimbursement for PFAS Environmental Contamination Response

Sec. 1232. The department may work to ensure that the United Sec. 1232. No changes Sec. 1232. The Sec. 1232. The Sec. 1232. Concur with States Department of Defense shall reimburse the state for from current law. department may work to department may work to the House and Senate. costs associated with PFAS and environmental contamination ensure that the United ensure that the United response at military training sites and support facilities. States Department of States Department of Defense shall reimburse Defense shall reimburse reimburses the state for reimburses the state for costs associated with costs associated with PFAS and environmental PFAS and environmental contamination response contamination response at military training sites at military training sites and support facilities. and support facilities. House Fiscal Agency Population Health BP - 284 6/30/2021 170 DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Population Health

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Expenditure of Funding for PFAS Contamination Response

Sec. 1233. General fund and state restricted fund Sec. 1233. No changes Sec. 1233. No changes Sec. 1233. No changes Sec. 1233. No changes appropriations in part 1 shall not be expended for PFAS and from current law. from current law. from current law. from current law. environmental contamination response where federal funding or private grant funding is available for the same expenditures.

Lead Elimination and Response Workgroup

Sec. 1238. The department shall establish a workgroup to Striking current law. Striking current law. Striking current law. Striking current law. determine the cost of establishing lead elimination and response. By March 1 of the current fiscal year, the department shall provide a report on the findings of the workgroup to the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, the house and senate policy offices, and the state budget director.

MPART Participation

Sec. 1239. The department shall participate in and give Sec. 1239. No changes Sec. 1239. No changes Sec. 1239. No changes Sec. 1239. No changes necessary assistance to the Michigan PFAS action response from current law. from current law. from current law. from current law. team (MPART) pursuant to Executive Order No. 2019-03. The department shall collaborate with MPART and other departments to carry out appropriate activities, actions, and recommendations as coordinated by MPART. Efforts shall be continuous to ensure that the department’s activities are not duplicative with activities of another department or agency.

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Rare Disease Review Committee

Sec. 1240. From the funds appropriated in part 1 for chronic Sec. 1240. No changes Sec. 1240. From the Sec. 1240. From the Sec. 1240. From the disease control and health promotion administration, from current law. funds appropriated in part funds appropriated in part funds appropriated in part $70,000.00 is allocated to support a rare disease review 1 for chronic disease 1 for chronic disease 1 for chronic disease committee and responsibilities of the committee, which may control and health control and health control and health include all of the following: promotion administration, promotion administration, promotion administration, $70,000.00 is allocated to $70,000.00 is allocated to $70,000.00 is allocated to (a) Develop a list of rare diseases. support a rare disease support a rare disease support a rare disease (b) Post the list of rare diseases on the department’s website. review committee and review committee and review committee (c) Update the list of rare diseases every 2 years. responsibilities of the responsibilities of the advisory council and (d) Annually investigate and report to the legislature on 1 rare committee, which may committee, which may responsibilities of the disease on the list, and include legislative recommendations in include all of the following: include all of the following: committee council, which the report. may include all of the (a) Develop Developing a (a) Develop Developing a following: list of rare diseases. list of rare diseases. (b) Post Posting the list (b) Post Posting the list (a) Develop Developing of rare diseases on the of rare diseases on the a list of rare diseases. department’s website. department’s website. (b) Post Posting the list (c) Update Updating the (c) Update Updating the of rare diseases on the list of rare diseases every list of rare diseases every department’s website. 2 years. 2 years. (c) Update Updating the (d) Annually investigate (d) Annually investigate list of rare diseases every and report investigating and report investigating 2 years. and reporting to the and reporting to the (d) Annually investigate legislature on 1 rare legislature on 1 rare and report investigating disease on the list, and disease on the list, and and reporting to the include including include including legislature on 1 rare legislative legislative disease on the list, and recommendations in the recommendations in the include including report. report. legislative recommendations in the report.

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FAMILY HEALTH SERVICES

Pregnancy Planning, Prenatal, and Maternal and Child Health Programs Report

Sec. 1301. (1) Before April 1 of the current fiscal year, the Sec. 1301. (1) No Sec. 1301. (1) No Sec. 1301. (1) No Sec. 1301. (1) Concur department shall submit a report to the house and senate fiscal changes from current law. changes from current law. changes from current law, with the Senate agencies and the state budget director on planned allocations except: from the amounts appropriated in part 1 for local MCH services, ……. prenatal care outreach and service delivery support, family planning local agreements, and pregnancy prevention (b) Actual number of programs. Using applicable federal definitions, the report shall women, children, and include information on all of the following: adolescents served and amounts expended for (a) Funding allocations. each group for the (b) Actual number of women, children, and adolescents served immediately preceding and amounts expended for each group for the immediately previous fiscal year. preceding fiscal year. (c) A breakdown of the expenditure of these funds between urban and rural communities.

(2) The department shall ensure that the distribution of funds (2) No changes from (2) No changes from (2) No changes from (2) No changes from through the programs described in subsection (1) takes into current law. current law. current law. current law. account the needs of rural communities.

(3) For the purposes of this section, “rural” means a county, city, (3) No changes from (3) For the purposes of (3) For the purposes of (3) For the purposes of village, or township with a population of 30,000 or less, current law. As used in this section, As used in this section, As used in this section, including those entities if located within a metropolitan statistical “rural community” means “rural community” means “rural” means a county, area. a county, city, village, or a county, city, village, or city, village, or township township with a township with a with a population of population of 30,000 or population of 30,000 or 30,000 or less, including less, including those less, including those those entities if located entities if located within a entities if located within a within a metropolitan metropolitan statistical metropolitan statistical statistical area. area. area.

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Family Planning Federal Title X Performance and Quality Assurance Compliance

Sec. 1302. Each family planning program receiving federal title Striking current law. Striking current law. Sec. 1302. No changes Striking current law. X family planning funds under 42 USC 300 to 300a-8 shall be in from current law. compliance with all performance and quality assurance indicators that the office of population affairs within the United States Department of Health and Human Services specifies in the program guidelines for project grants for family planning services. An agency not in compliance with the indicators shall not receive supplemental or reallocated funds.

Contract Restrictions for Family Planning Local Agreements with State Funds

Sec. 1303. The department shall not contract with an Striking current law. Sec. 1303. No changes Sec. 1303. No changes Sec. 1303. No changes organization that provides elective abortions, abortion from current law. from current law. from current law. counseling, or abortion referrals, for services that are to be funded with state restricted or state general fund/general purpose funds appropriated in part 1 for family planning local agreements. An organization under contract with the department shall not subcontract with an organization that provides elective abortions, abortion counseling, or abortion referrals, for services that are to be funded with state restricted or state general fund/general purpose funds appropriated in part 1 for family planning local agreements.

Prohibit Use of State Funds for Abortion Counseling, Referrals, or Services

Sec. 1304. The department shall not use state restricted funds Striking current law. Sec. 1304. No changes Sec. 1304. No changes Sec. 1304. No changes or state general funds, or allow grantees or subcontractors to from current law. from current law. from current law. use those funds, appropriated in part 1 in the pregnancy prevention program or family planning local agreements appropriation line items for abortion counseling, referrals, or services.

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Contract Restrictions and Priorities for Family Planning and Pregnancy Prevention

Sec. 1305. (1) From the funds appropriated in part 1 for family Striking current law. Sec. 1305. (1) No Sec. 1305. (1) No Sec. 1305. (1) No planning local agreements and the pregnancy prevention changes from current law. changes from current law. changes from current law. program, the department shall not contract with or award grants to an entity that engages in 1 or more of the activities described in section 1(2) of 2002 PA 360, MCL 333.1091, if the entity is located in a county or health district where family planning or pregnancy prevention services are provided by the county, the health district, or a qualified entity that does not engage in any of the activities described in section 1(2) of 2002 PA 360, MCL 333.1091.

Note: Governor's signing letter states section is unenforceable.

(2) The department shall give priority to counties or health Striking current law. (2) No changes from (2) No changes from (2) No changes from districts where no contracts or grants currently exist for family current law. current law. current law. planning or pregnancy prevention services before contracting with or awarding grants to an entity that engages in 1 or more of the activities described in section 1(2) of 2002 PA 360, MCL 333.1091, if that entity is located in a county where family planning and pregnancy prevention services are provided by the county, the health district, or another qualified entity that does not engage in the activities described in section 1(2) of 2002 PA 360, MCL 333.1091.

Note: Governor's signing letter states section is unenforceable.

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Drinking Water Declaration of Emergency

Sec. 1306. (1) From the funds appropriated in part 1 for the Sec. 1306. (1) No Sec. 1306. (1) No Sec. 1306. (1) No Sec. 1306. (1) No drinking water declaration of emergency, the department shall changes from current law. changes from current law. changes from current law. changes from current law. allocate funds to address needs in a city in which a declaration of emergency was issued because of drinking water contamination. These funds may support, but are not limited to, the following activities:

(a) Nutrition assistance, nutritional and community education, food bank resources, and food inspections. (b) Epidemiological analysis and case management of individuals at risk of elevated blood lead levels. (c) Support for child and adolescent health centers, children’s healthcare access program, and pathways to potential programming. (c) Nursing services, breastfeeding education, evidence-based home visiting programs, intensive services, and outreach for children exposed to lead coordinated through local community mental health organizations. (d) Department field operations costs. (e) Lead poisoning surveillance, investigations, treatment, and abatement. (f) Nutritional incentives provided to local residents through the double up food bucks expansion program. (g) Genesee County health department food inspectors to perform water testing at local food service establishments. (h) Transportation related to health care delivery. (i) Senior initiatives. (j) Lead abatement contractor workforce development.

(2) From the funds appropriated in part 1 for the drinking water (2) No changes from (2) No changes from (2) No changes from (2) No changes from declaration of emergency, the department shall allocate current law. current law. current law. current law. $300,000.00 for Revive Community Health Center for health support services as the center pursues certification as a federally qualified health center.

(3) From the funds appropriated in part 1 for the drinking water (3) No changes from (3) No changes from (3) No changes from (3) No changes from declaration of emergency, the department shall allocate current law. current law. current law. current law. $500,000.00 for rides to wellness through the Flint mass transportation authority.

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NEW HOUSE SEC 1307. Sec. 1307. From the funds Does not include. Do not include. appropriated in part 1 for prenatal care outreach and service delivery support, $700,000.00 of TANF revenue shall be allocated for a pregnancy and parenting support services program, which must promote childbirth, alternatives to abortion, and grief counseling. The department shall establish a program with a qualified contractor that will contract with qualified service providers to provide free counseling, support, and referral services to eligible women during pregnancy through 12 months after birth. As appropriate, the goals for client outcomes shall include an increase in client support, an increase in childbirth choice, an increase in adoption knowledge, an improvement in parenting skills, and improved reproductive health through abstinence education. The contractor of the program shall provide for program training, client educational material, program marketing, and annual service provider site monitoring. The department shall submit a report to the house and senate appropriations subcommittees on the department budget and the house and senate fiscal agencies by April 1 of the current fiscal year on the number of clients served.

NOTE: House bill reflects 25% of the annual funding for this section.

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Enhanced Nurse Family Partnership Program Support

Sec. 1308. From the funds appropriated in part 1 for prenatal Sec. 1308. No changes Sec. 1308. No changes Sec. 1308. No changes Sec. 1308. No changes care outreach and service delivery support, not less than from current law. from current law. from current law. from current law. $500,000.00 of funding shall be allocated for evidence-based programs to reduce infant mortality including nurse family partnership programs. The funds shall be used for enhanced support and education to nursing teams or other teams of qualified health professionals, client recruitment in areas designated as underserved for obstetrical and gynecological services and other high-need communities, strategic planning to expand and sustain programs, and marketing and communications of programs to raise awareness, engage stakeholders, and recruit nurses.

Maternal and Child Health Contractual Services

Sec. 1309. The department shall allocate funds appropriated in Striking current law. Sec. 1309. The Sec. 1309. No changes Sec. 1309. The section 117 of part 1 for family, maternal, and child health department shall allocate from current law. department shall allocate according to section 1 of 2002 PA 360, MCL 333.1091. funds appropriated in funds Funds appropriated section 117 116 of part 1 for educational and Note: If Sec. 1309 is retained, revise to reference Section 116 for family, maternal, and other programs and of part 1. child health according to services primarily section 1 of 2002 PA 360, pertaining to family MCL 333.1091. planning or reproductive health services, or both, in any line item in section 117 116 of part 1 for family, maternal, and child health services, shall be allocated by the department according to section 1 of 2002 PA 360, MCL 333.1091.

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Family Planning Federal Title X Rule Compliance

Sec. 1310. Each family planning program receiving federal title Striking current law. Striking current law. Sec. 1310. No changes Striking current law. X family planning funds under 42 USC 300 to 300a-8 must be in from current law. compliance with all title X rules established by the Office of Population Affairs within the United States Department of Health and Human Services. The department shall monitor all title X family planning programs to ensure compliance with all federal title X rules. An agency not in compliance with the rules shall not receive supplemental or reallocated funds.

Rural Home Visitation Service Provider Contracting

Sec. 1311. From the funds appropriated in part 1 for prenatal Sec. 1311. No changes Sec. 1311. No changes Sec. 1311. No changes Sec. 1311. No changes care outreach and service delivery support, not less than from current law. from current law. from current law. from current law. $2,750,000.00 state general fund/general purpose funds shall be allocated for a rural home visit program. Equal consideration shall be given to all eligible evidence-based providers in all regions in contracting for rural home visitation services.

Prenatal Care and Premature Birth Avoidance Grant Allocation

Sec. 1312. From the funds appropriated in part 1 for prenatal Sec. 1312. No changes Sec. 1312. No changes Sec. 1312. No changes Sec. 1312. No changes care and premature birth avoidance grant, the department shall from current law. from current law. from current law. from current law, except: allocate $1,000,000.00 as a grant to help fulfill contract obligations between the department and a federal Healthy Start Program located in a county with a population between 600,000 " … according to the most and 610,000 according to the most recent decennial census. To recent 2010 federal be eligible to receive funding, the organization must be a decennial census …" partnership between various health agencies, and utilize a social impact bonding strategy approved by the department to enhance support to underserved populations for prenatal care and premature birth avoidance.

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Fetal Alcohol Syndrome Services

Sec. 1313. (1) The department shall continue developing an Sec. 1313. (1) The Sec. 1313. (1) Concur Sec. 1313. (1) Concur Sec. 1313. (1) Concur outreach program on fetal alcohol syndrome services, targeting department shall continue with the Executive. with the Executive. with the House and health promotion, prevention, and intervention as described in developing an outreach Senate. the Michigan fetal alcohol spectrum disorders 5-year plan 2015- program on fetal alcohol 2020. syndrome services, targeting health promotion, prevention, and intervention as described in the Michigan fetal alcohol spectrum disorders 5-year plan 2015-2020.

(2) The department shall explore federal grant funding to (2) No changes from (2) No changes from (2) No changes from (2) No changes from address prevention services for fetal alcohol syndrome and current law. current law. current law. current law. reduce alcohol consumption among pregnant women.

(3) By February 1 of the current fiscal year, the department shall Striking current law. (3) No changes from (3) No changes from (3) No changes from provide a report to the house and senate appropriations current law. current law. current law. subcommittees on the department budget, the house and senate fiscal agencies, and the state budget office on planned spending of appropriations within the department budget for fetal alcohol syndrome projects and services, including appropriation line item, agency or recipient entities, amount and purpose of allocation, and detailed uses. The report shall include a summary of outcomes accomplished by the funding investments and metrics used to determine outcomes, if available.

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Promotion of Early and Regular Prenatal Care

Sec. 1314. The department shall seek to enhance education Sec. 1314. No changes Sec. 1314. No changes Sec. 1314. No changes Sec. 1314. No changes and outreach efforts that encourage women of childbearing age from current law. from current law. from current law. from current law. to seek confirmation at the earliest indication of possible pregnancy and initiate continuous and routine prenatal care upon confirmation of pregnancy. The department shall seek to ensure that department programs, policies, and practices promote prenatal and obstetrical care by doing the following:

(a) Supporting access to care. (b) Reducing and eliminating barriers to care. (c) Supporting recommendations for best practices. (d) Encouraging optimal prenatal habits such as prenatal medical visits, use of prenatal vitamins, and cessation of use of tobacco, alcohol, or drugs. (e) Tracking of birth outcomes to study improvements in prevalence of fetal drug addiction, fetal alcohol syndrome, and other preventable neonatal disease. (f) Tracking of maternal increase in healthy behaviors following childbirth.

Volunteer Dental Services Program for the Uninsured

Sec. 1315. (1) From the funds appropriated in part 1 for dental Sec. 1315. (1) No Sec. 1315. (1) No Sec. 1315. (1) No Sec. 1315. (1) No programs, $150,000.00 shall be allocated to the Michigan changes from current law. changes from current law. changes from current law. changes from current law. Dental Association for the administration of a volunteer dental program that provides dental services to the uninsured.

(2) By December 1 of the current fiscal year, the department (2) No changes from (2) Concur with the (2) Concur with the (2) Concur with the House shall report to the senate and house appropriations current law except: Executive. Executive. and Senate. subcommittees on the department budget, the senate and house standing committees on health policy, the senate and "By December 1 house fiscal agencies, and the state budget office the number of February 1 of the current individual patients treated, number of procedures performed, fiscal year …". and approximate total market value of those procedures from the previous fiscal year.

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Use of Mobile Dentistry Facility Permit Fee Revenue

Sec. 1316. The department shall use revenue from mobile Sec. 1316. No changes Sec. 1316. No changes Sec. 1316. No changes Sec. 1316. No changes dentistry facility permit fees received under section 21605 of the from current law. from current law. from current law. from current law. public health code, 1978 PA 368, MCL 333.21605, to offset the cost of the permit program.

Outstate Public Health Dental Initiative

Sec. 1317. (1) From the funds appropriated in part 1 for dental Sec. 1317. (1) No Sec. 1317. (1) From the Sec. 1317. (1) No Sec. 1317. (1) No programs, $1,550,000.00 of general fund/general purpose changes from current law. funds appropriated in part changes from current law. changes from current law. revenue and any associated federal match shall be distributed 1 for dental programs, to local health departments who partner with a qualified $1,550,000.00 nonprofit provider of dental services for the purpose of providing $1,750,000.00 of general high-quality dental homes for seniors, children, and adults fund/general purpose enrolled in Medicaid, and low-income uninsured. revenue and any associated federal match shall be distributed to local health departments who partner with a qualified nonprofit provider of dental services for the purpose of providing high-quality dental homes for seniors, children, and adults enrolled in Medicaid, and low-income uninsured.

NOTE: House bill reflects 25% of the annual funding for this section.

(2) In order to be considered a qualified nonprofit provider of (2) No changes from (2) No changes from (2) No changes from (2) No changes from dental services, the provider must demonstrate the following: current law. current law. current law. current law.

(a) An effective health insurance enrollment process for uninsured patients. (b) An effective process of charging patients on a sliding scale based on the patient’s ability to pay. (c) Utilization of additional fund sources including, but not limited to, federal Medicaid matching funds. House Fiscal Agency Population Health BP - 296 6/30/2021 170 DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Population Health

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

(3) Providers shall report to the department by September 30 of (3) No changes from (3) No changes from (3) No changes from (3) No changes from the current fiscal year on outcomes and performance measures current law. current law. current law. current law. for the program under this section including, but not limited to, the following:

(a) The number of uninsured patients who visited a participating dentist over the previous year, broken down between adults and children. (b) The number of patients assisted with health insurance enrollment, broken down between adults and children. (c) A 5-year trend of the number of uninsured patients being served, broken down between adults and children. (d) The number of unique patient visits by center. (e) The number of unique Medicaid or Healthy Michigan plan patients served broken down by center. (f) The number of children, seniors, and veterans served broken down by center. (g) The total value of services rendered by the organization broken down by center.

(4) Within 15 days after receipt of the report required in (4) No changes from (4) No changes from (4) No changes from (4) No changes from subsection (3), the department shall provide a copy of the report current law. current law. current law. current law. to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office.

NEW SENATE SEC. 1318. House Sec. 1346 (1) is Sec. 1318. (1) From the Do not include. similar language. funds appropriated in part 1 for pregnancy resource centers, the department shall allocate $100.00 as grants to pregnancy resource centers operating in this state. The department shall distribute the funds equally to each pregnancy resource center at an amount of not more than $10,000.00 each. House Fiscal Agency Population Health BP - 297 6/30/2021 170 DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Population Health

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

NEW SENATE SEC. 1318. House Sec. 1346 (2) is (2) As used in this Do not include. identical language. section, "pregnancy resource centers" means private nonprofit organizations that promote childbirth and alternatives to abortion, provide referrals and information, and may also provide other services related to pregnancy or postpregnancy.

Legislative Intent for Oral Health Screening and Assessment for School Children

Sec. 1319. It is the intent of the legislature that the department Striking current law. Striking current law. Striking current law. Striking current law. develop an oral health screening and assessment program for children entering school, and pursue alternative funding sources to aid in financing the program.

Family Planning and Pregnancy Prevention Media Campaign Messaging

Sec. 1320. It is the intent of the legislature that funds Striking current law. Sec. 1320. It is the intent Sec. 1320. No changes Sec. 1320. No changes appropriated in part 1 that may be expended for a public media of the legislature that funds from current law. from current law. campaign regarding publicly funded family planning or Funds appropriated in part pregnancy prevention services shall not be used to 1 that may be expended communicate in that media campaign any message that implies, for a public media states, or can be interpreted to mean that abortion is a method campaign regarding of family planning or pregnancy prevention. publicly funded family planning or pregnancy prevention services shall not be used to communicate in that media campaign any message that implies, states, or can be interpreted to mean that abortion is a method of family planning or pregnancy prevention. House Fiscal Agency Population Health BP - 298 6/30/2021 170 DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Population Health

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NEW SEC. 1321. (Executive renumbered Sec. 256 1223. From the (Senate concurs with Sec. 256 1321. From the HOUSE OMNIBUS RENUMBERS CURRENT LAW SECTION Sec 256 to Sec. 463) funds appropriated in the Executive and funds appropriated in part 256 TO SECTION 1321 part 1 for the Michigan revises to include 1 for the Michigan model model for health legal citation for Sec for health comprehensive comprehensive health 1505 as included by health education education curriculum, the House). curriculum in the family, The department may, in maternal, and child health consultation with the administration line item, Michigan department of the The department may, in education, the Michigan consultation with the domestic and sexual Michigan department of violence prevention and education, the Michigan treatment board, and the domestic and sexual Michigan Coalition to End violence prevention and Domestic and Sexual treatment board, and the Violence, redraft the Michigan Coalition to End curriculum for the “Growing Domestic and Sexual Up & Staying Healthy” and Violence, redraft the “Healthy & Responsible curriculum for the “Growing Relationships” modules to Up & Staying Healthy” and include age-appropriate “Healthy & Responsible information about the Relationships” modules to importance of consent, include age-appropriate setting and respecting information about the personal boundaries, and importance of consent, the prevention of child setting and respecting sexual abuse as outlined in personal boundaries, and the section 1505 of the prevention of child sexual revised school code, abuse as outlined in section 1976 PA 451, MCL 1505 of the revised school 380.1505 and consistent code, 1976 PA 451, MCL with the recommendations 380.1505 and consistent with and guidelines set by the the recommendations and task force on the guidelines set by the task prevention of sexual abuse force on the prevention of of children created under sexual abuse of children section 12b of the child created under section 12b of protection law, 1975 PA the child protection law, 1975 238, MCL 722.632b, and PA 238, MCL 722.632b, and the prevention of sexual the prevention of sexual assault and dating assault and dating violence. violence. House Fiscal Agency Population Health BP - 299 6/30/2021 170 DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Population Health

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

State Immunization Policy and Practices Report

Sec. 1322. The department shall provide a report by April 15 of Sec. 1322. No changes Sec. 1322. (1) No Sec. 1322. No changes Sec. 1322. No changes the current fiscal year to the house and senate appropriations from current law. changes from current law, from current law. from current law. subcommittees on the department budget, the house and except add (2): senate fiscal agencies, the house and senate policy offices, and ……………………. the state budget office on state immunization policy and practices. The report shall include all of the following items: (2) From the funds appropriated in part 1 (a) A list of recommended vaccinations. for immunization (b) The basis and rationale for inclusion of each listed item. program, $50,000.00 (c) The indicators, measures, and performance outcomes that shall be allocated for document improvement in human health for each listed item. the purpose of publishing and printing the report described in subsection (1) in a summary format to be made available to the public as an informational brochure, provided free of charge through the department's health promotions clearinghouse to providers, groups, or individuals for free distribution.

WIC Eligibility Guidance

Sec. 1341. The department shall utilize income eligibility and Sec. 1341. No changes Sec. 1341. No changes Sec. 1341. No changes Sec. 1341. No changes verification guidelines established by the Food and Nutrition from current law. from current law. from current law. from current law. Service agency of the United States Department of Agriculture in determining eligibility of individuals for the special supplemental nutrition program for women, infants, and children (WIC) as stated in current WIC policy.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

NEW SEC. 1342. Move from Sec. 1226 Local EXECUTIVE RENUMBERS CURRENT LAW SECTION 1226 Health and Administrative TO SECTION 1342. Services boilerplate.

Sec. 1226 1342. No changes from current law Sec. 1226 1342. Sec. 1226 1342. Concurs Sec. 1226 1342. Concurs except change Concurs with the with the Executive. with the House and appropriation line item Executive. Senate. name in first sentence from "chronic disease control and health promotion administration" to "family, maternal, and child health administration".

NEW SEC. 1343. Sec. 1343. From the Sec. 1343. From the Sec. 1343. From the Sec. 1343. Concur with EXECUTIVE PROPOSED NEW BOILERPLATE funds appropriated in funds appropriated in funds appropriated in the House. part 1 for dental part 1 for dental part 1 for dental programs, the programs, the programs, the department shall department shall department shall allocate $1,760,000.00 in allocate $1,760,000.00 in allocate $1,760,000.00 in general fund/general general fund/general general fund/general purpose revenue plus purpose revenue of purpose revenue plus any private state and local funds any private contributions received plus any private contributions received to support the program contributions received to support the program to establish and to support the program to establish and maintain a dental oral to establish and maintain a dental oral assessment program to maintain a dental oral assessment program to provide assessments to assessment program to provide assessments to school children as provide assessments to school children as required by 2020 PA school children as required by 2020 PA 261 261. required by 2020 PA 261 provided in section 9316 provided in section 9316 of the public health of the public health code, 1978 PA 368, MCL code, 1978 PA 368, MCL 333.9316. 333.9316.

NOTE: House bill reflects 25% of the annual funding for this section.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

NEW HOUSE SEC. 1344. Sec. 1344. Programs funded in Does not include. Do not include. the department budget in the previous fiscal year with federal title X family planning funds or federal social security act title V MCH block grant funds shall be funded in the current fiscal year with general fund/general purpose funds. For these programs, the department shall not contract with any direct or third party vendor that provides abortion services.

NEW HOUSE SEC. 1345. Sec. 1345. From the funds Does not include. Do not include. appropriated in part 1 for maternal navigator pilot program, the department must establish not less than 2 geographically diverse maternal navigator pilot programs. Eligible maternal navigator pilot program grantees must be a nonprofit counseling or other similar nonprofit service organization that promotes childbirth and alternatives to abortion. The services provided by the maternal navigator pilot programs must include, but are not limited to, all of the following:

(a) Referral services, and partial or full reimbursement, for counseling for victims of rape and other forms of abuse and violence that result in pregnancy.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

NEW HOUSE SEC. 1345. (b) Referral services, and partial Does not include. Do not include. or full reimbursement, for specialized substance use disorder services, including residential services.

(c) Referral services, and partial or full reimbursement, to a hospital or health system for information and services for women of childbearing age who are seeking nutritional, prenatal, childbirth, and postnatal care and who are also in need of assistance with understanding recent advances in prenatal and postnatal medicines.

(d) Referral services, and partial Does not include. Do not include. or full reimbursement, for counseling, emotional support services, genetic counseling, and other services to individuals and couples experiencing difficulties or having genetic concerns related to pregnancy or parenting.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

NEW HOUSE SEC. 1346. Sec. 1346. (1) From the funds Senate Sec. 1318 (1) is Do not include. appropriated in part 1 for similar language pregnancy resource centers, the department shall allocate $1,500,000.00 as grants to pregnancy resource centers operating in the state. The department shall accept applications from pregnancy resource centers through December 31 of the current fiscal year and distribute the grant funds equally to each eligible pregnancy resource center applicant.

(2) As used in this section, "pregnancy resource centers" means private nonprofit organizations that promote childbirth and alternatives to abortion, provide referrals and Senate Sec. 1318 (2) is information, and may also identical language. provide other services related to pregnancy or post-pregnancy.

NEW HOUSE SEC. 1347. Sec. 1347. The department shall Does not include. Do not include. not use state restricted funds or state general funds appropriated in part 1, or allow grantees or subcontractors to use those funds, for abortion counseling, referrals, or services, or for any activities regarding human cloning or research in which a human embryo or embryos are destroyed or discarded.

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NEW HOUSE SEC. 1348. Sec. 1348. From the Does not include. Do not include. funds appropriated in part 1, the department shall submit a report by June 1, 2021 to the senate and house appropriations committees, the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the senate and house policy offices on any request for proposals issued by this state for the healthy moms healthy babies program and on any healthy moms healthy babies programs that are established.

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DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Children’s Special Health Care

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS CHILDREN'S SPECIAL HEALTH CARE SERVICES

Children's Special Health Care Services Coverage

Sec. 1360. The department may do 1 or more of Sec. 1360. No changes to Sec. 1360. No changes from Sec. 1360. No changes to Sec. 1360. No changes from the following: current law except adds: current law except: current law except adds: current law except: (a) Provide special formula for eligible clients with specified metabolic and allergic disorders. "formulaS" "formulaS" (b) Provide medical care and treatment to eligible patients with cystic fibrosis who are 21 years of age or older. (f) Provide medical care and (f) Provide medical care and (f) Provide medical care and (c) Provide medical care and treatment to eligible treatment to eligible patients treatment to eligible patients treatment to eligible patients patients with hereditary coagulation defects, with sickle cell disease who with sickle cell disease who with sickle cell disease who commonly known as hemophilia, who are 21 are 21 years of age or older. are 21 years of age or older are 21 years of age or older. years of age or older. effective April 1 of the (d) Provide human growth hormone to eligible current fiscal year. patients. (e) Provide mental health care for mental health needs that result from, or are a symptom of, the individual’s qualifying medical condition. Expansion of Telemedicine Capacity and Chronic Care

Sec. 1361. From the funds appropriated in part 1 Sec. 1361. No changes from Sec. 1361. No changes from Sec. 1361. No changes from Sec. 1361. No changes from for medical care and treatment, the department current law. current law. current law. current law. may spend those funds for the continued development and expansion of telemedicine capacity to allow families with children in the children’s special health care services program to access specialty providers more readily and in a more timely manner. The department may spend funds to support chronic complex care management of children enrolled in the children’s special health care services program to minimize hospitalizations and reduce costs to the program while improving outcomes and quality of life.

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DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Children’s Special Health Care

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS Sec. 1362. New House Language. Sec. 1362. From the funds Does not include. Does not include. appropriated in part 1 for medical care and treatment, the department may expend up to $4,000.000.00 to expand the number of childhood rare diseases covered under the children's special health care services for individuals under the age of 21. Sec. 1363. New House Language. Sec. 1363. From the funds Does not include. Does not include. appropriated in part 1 for children's special health care services administration, the department shall allocate $1,000,000.00 as a grant to an independent biomedical research and science education organization in a county with a population between 600,000 and 610,000 and in a city with a population over 185,000 according to the most recent federal decennial census to be used for matching federal funds, private and nonprofit grants, and private contributions.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

AGING AND ADULT SERVICES AGENCY

Food Access Collaboration

Sec. 1402. The department may encourage the Food Bank Council Sec. 1402. The Sec. 1402. Concur with Sec. 1402. Concur with Sec. 1402. Concur with of Michigan to collaborate directly with each area agency on aging department may the Executive. the Executive. the House and Senate. and any other organizations that provide senior nutrition services to encourage the Food Bank secure the food access of vulnerable seniors. Council of Michigan to collaborate directly with each area agency on aging and any other organizations that provide senior nutrition services to secure the food access of vulnerable seniors older adults.

Home-Delivered Meals Waiting Lists

Sec. 1403. (1) By February 1 of the current fiscal year, the aging Sec. 1403. (1) No Sec. 1403. (1) No Sec. 1403. (1) No Sec. 1403. (1) No and adult services agency shall require each region to report to the changes from current law. changes from current law. changes from current law. changes from current law. aging and adult services agency and to the legislature home- delivered meals waiting lists based upon standard criteria. Determining criteria shall include all of the following:

(a) The recipient's degree of frailty. (b) The recipient's inability to prepare his or her own meals safely. (c) Whether the recipient has another care provider available. (d) Any other qualifications normally necessary for the recipient to receive home-delivered meals.

(2) Data required in subsection (1) shall be recorded only for (2) No changes from (2) No changes from (2) No changes from (2) No changes from individuals who have applied for participation in the home-delivered current law. current law. current law. current law. meals program and who are initially determined as likely to be eligible for home-delivered meals.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

Area Agency on Aging Allocations and Expenditures Report

Sec. 1417. The department shall provide to the senate and house Sec. 1417. No changes Sec. 1417. No changes Sec. 1417. No changes Sec. 1417. Concur with appropriations subcommittees on the department budget, senate from current law. from current law, except from current law, except the House and Senate. and house fiscal agencies, and state budget director a report by in (b) change "Detail in (b) change "Detail March 30 of the current fiscal year that contains all of the following: expenditure" to "Detailed expenditure" to "Detailed expenditures" expenditures" (a) The total allocation of state resources made to each area agency on aging by individual program and administration. (b) Detail expenditure by each area agency on aging by individual program and administration including both state-funded resources and locally funded resources.

Allocation of $1.1 Million for Locally-Determined Needs

Sec. 1421. From the funds appropriated in part 1 for community Sec. 1421. No changes Sec. 1421. No changes Sec. 1421. No changes Sec. 1421. No changes services, $1,100,000.00 shall be allocated to area agencies on from current law. from current law. from current law. from current law. aging for locally determined needs.

Elder Abuse Prosecuting Attorney Contract

Sec. 1422. (1) From the funds appropriated in part 1 for aging and Sec. 1422. (1) No Sec. 1422. (1) No Sec. 1422. (1) No Sec. 1422. (1) No adult services administration, not less than $300,000.00 shall be changes from current law. changes from current law. changes from current law. changes from current law. allocated for the department to contract with the Prosecuting Attorneys Association of Michigan to provide the support and services necessary to increase the capability of the state’s prosecutors, adult protective service system, and criminal justice system to effectively identify, investigate, and prosecute elder abuse and financial exploitation.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

(2) By March 1 of the current fiscal year, the Prosecuting Attorneys (2) By March 1 of the (2) By March 1 of the (2) By March 1 of the (2) Concur with the Association of Michigan shall provide a report on the efficacy of the current fiscal year, the current fiscal year, the current fiscal year, the Senate. contract to the state budget office, the house and senate Prosecuting Attorneys Prosecuting Attorneys Prosecuting Attorneys appropriations subcommittees on the department budget, the Association of Michigan Association of Michigan Association of Michigan house and senate fiscal agencies, and the house and senate policy shall provide a report to shall provide a report to shall provide a report to offices. the department on the the department on the the department on the efficacy of the contract. efficacy of the contract. efficacy of the contract. Upon request, the BY MARCH 1 OF THE THE department shall department shall submit CURRENT FISCAL submit the report to the the report to the state YEAR, the department state budget office, the budget office, the house shall submit the report house and senate and senate appropriations to the state budget office, appropriations subcommittees on the the house and senate subcommittees on the department budget, the appropriations department budget, the house and senate fiscal subcommittees on the house and senate fiscal agencies, and the house department budget, the agencies, and the house and senate policy offices. house and senate fiscal and senate policy offices agencies, and the house within 30 days after and senate policy offices. receipt from the Prosecuting Attorneys Association of Michigan..

Notification from LARA of License Suspension of Care Facility

Sec. 1425. The department shall coordinate with the department of Sec. 1425. No changes Sec. 1425. No changes Sec. 1425. No changes Sec. 1425. No changes licensing and regulatory affairs to ensure that, upon receipt of the from current law. from current law. from current law. from current law. order of suspension of a licensed adult foster care home, home for the aged, or nursing home, the department of licensing and regulatory affairs shall provide notice to the department, to the house and senate appropriations subcommittees on the department budget, and to the members of the house and senate that represent the legislative districts of the county in which the facility lies.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE JUNE HOUSE OMNIBUS

Senior Call Check Pilot Program

Sec. 1426. From the funds appropriated in part 1 for community Sec. 1426. From the Sec. 1426. Concur with Sec. 1426. Concur with Sec. 1426. Concur with services, $40,000.00 shall be allocated for a senior call check pilot funds appropriated in part the Executive, and also the Executive, and also the House and Senate. program. The purpose of the pilot program is to allow an older 1 for community services, change "60 or over" to change "60 or over" to person to voluntarily sign up to receive a daily or weekly automated $40,000.00 shall be "60 or older". "60 or older". call checking on the older person’s well-being and possible allocated for a senior call conversation with an individual. The department shall provide check pilot program to online and toll-free telephone options for signing up for the pilot expand existing friendly program. The program shall be available to all residents of this state reassurance and age 60 or over and shall target isolated or homebound seniors to friendly caller programs provide a check on mental health, physical health and wellness, through the area and address feelings of loneliness or depression. agencies on aging. The purpose of the pilot program these programs is to allow an older person to voluntarily sign up to receive a daily or weekly automated call checking on the older person’s well-being and possible conversation with an individual. The department shall provide online and toll-free telephone options for signing up for the pilot program. The program shall be available to all residents of this state age 60 or over and shall target isolated or homebound seniors to provide a check on mental health, physical health and wellness, and address feelings of loneliness or depression.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS MEDICAL SERVICES ADMINISTRATION

Electronic Health Records Incentive

Program Work Project

Sec. 1501. No changes from Striking current law. Striking current law. Sec. 1501. (1) The unexpended funds Striking current law. current law. appropriated in part 1 for the electronic health records incentive program are designated as a work project appropriation, and any unencumbered or unallotted funds shall not lapse at the end of the fiscal year and shall be available for expenditures for projects under this section until the projects have been completed. The following is in compliance with section 451a(1) of the management and budget act, 1984 PA 431, MCL 18.1451a:

(a) The purpose of the work project is to implement the Medicaid electronic health record program that provides financial incentive payments to Medicaid health care providers to encourage the adoption and meaningful use of electronic health records to improve quality, increase efficiency, and promote safety. (b) The projects will be accomplished by utilizing state employees or contracts with service providers, or both, and according to the approved federal advanced planning document. (c) The total estimated cost of the work project is $37,477,500.00. (d) The tentative completion date is September 30, 2025.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (2) It is the intent of the legislature that Striking current law. (2) No changes from current Striking current law Striking current law dental providers be eligible for the funds law. available in part 1 for the Medicaid electronic health records incentive program, and that distributions of the funds be made to assist eligible dental providers to implement Medicaid electronic health record. Report on Office of Inspector General and Third Party Liability Savings

Sec. 1505. By March 1 of the current Sec. 1505. No changes from Sec. 1505. No changes from Sec. 1505. No changes from Sec. 1505. No changes from fiscal year, the department shall submit a current law. current law. current law. current law. report to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the state budget office on the actual reimbursement savings and cost offsets that have resulted from the funds appropriated in part 1 for the office of inspector general and third party liability efforts in the previous fiscal year. Public Assistance Call Center Report

Sec. 1506. The department shall submit Striking current law. Striking current law. Striking current law. Striking current law. to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office quarterly reports on the implementation status of the public assistance call center that include all of the following information:

(a) Call volume during the prior quarter. (b) Percentage of calls resolved through the public assistance call center. (c) Percentage of calls transferred to a local department office or other office for resolution.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Office of Inspector General Medicaid Managed Care Audits

Sec. 1507. From the funds appropriated Striking current law. Sec. 1507. No changes from Sec. 1507. No changes from Sec. 1507. No changes from in part 1 for office of inspector general, current law. current law. current law. the inspector general shall audit and recoup inappropriate or fraudulent payments from Medicaid managed care organizations to health care providers. Unless authorized by federal or state law, the department shall not fine, temporarily halt operations of, disenroll as a Medicaid provider, or terminate a managed care organization or health care provider from providing services due to the discovery of an inappropriate payment found during the course of an audit. Sec. 1508. New Senate language. Not included. Sec. 1508. The department Does not include. shall not use funds appropriated in part 1 to contract with any private company that has reached a settlement with this state resolving investigations into the company’s role providing consulting services to manufacturers of opioids in connection with designing the marketing plans and programs that helped cause and contributed to the opioid crisis in this state.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Healthy Michigan Plan Work Requirement Report

Sec. 1509. By September 30 of the Striking current law. Sec. 1509. No changes from Striking current law. Striking current law. current fiscal year, the department shall current law. report to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office on the implementation of employment-related activity requirements for medical assistance. The report shall include, but is not limited to, the number of recipients who are noncompliant with the required self- sufficiency goals, an explanation of the actions undertaken, and the number of recipients subject to employment-related activity requirements.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Healthy Michigan Plan Workforce Development Program Utilization Report

Sec. 1511. On a monthly basis, the Striking current law. Striking current law. Sec. 1511. No changes from Sec. 1511. No changes from department shall work with the current law. current law. department of labor and economic opportunity to report to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office on the utilization of workforce development programs by Healthy Michigan plan recipients through Michigan Works! The report shall include, but not be limited to, all of the following:

(a) The number of recipients currently receiving employment supports and services through workforce development programs. (b) The total year-to-date number of recipients who have received employment supports and services through workforce development programs. (c) The number of recipients who secured employment in this state after receiving employment supports and services through workforce development programs. (d) A summary of employment supports and services provided to recipients through workforce development programs.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Medicaid Utilization Report

Sec. 1512. The department shall update Sec. 1512. The department Sec. 1512. Concur with the Sec. 1512. Concur with the Sec. 1512. Concur with the the Medicaid utilization and net cost shall update the Medicaid Executive. Executive. Executive. report to separate nonclinical utilization and net cost report to administrative costs from actual claims separate nonclinical and encounters. administrative costs from actual claims and encounters. The updated Medicaid utilization and net cost report shall continue to separate nonclinical administrative costs from actual claims and encounter costs. Medicaid Inpatient Psychiatric Hospital Workgroup

Sec. 1513. (1) The department shall Striking current law. Sec. 1513. (1) No changes from Sec. 1513. (1) No changes from Sec. 1513. (1) No changes from participate in a workgroup to determine current law. current law. current law. an equitable and adequate reimbursement methodology for Medicaid inpatient psychiatric hospital care. The workgroup shall include representatives from the department, CMHSPs, PIHPs, the Michigan Association of Health Plans, the Michigan Health and Hospital Association, inpatient psychiatric facilities, Blue Cross Blue Shield of Michigan, the Community Mental Health Association of Michigan, and other individuals or organizations as determined appropriate by the department.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (2) By September 30 of the current fiscal Striking current law. (2) By September 30 June 15 of (2) No changes from current (2) Concur with the House. year, the workgroup shall report to the the current fiscal year… law. senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office on the implementation of recommendations made by the workgroup required by section 1513 of 2019 PA 67. The report shall include, but is not limited to, the following:

(a) Descriptions of the recommendations being implemented. (b) Descriptions of the recommendations not being implemented and barriers preventing implementation. (3) The department shall assist in Striking current law. (3) No changes from current (3) No changes from current (3) No changes from current providing data to inform the workgroup law. law. law. discussion, assist in modeling appropriate reimbursement methods, and assist in developing the final report. ClaimSure

Sec. 1514. From the funds appropriated Sec. 1514. No changes from Sec. 1514. No changes from Sec. 1514. No changes from Sec. 1514. No changes from in part 1 for medical services current law. current law. current law. current law. administration, the department shall allocate $300,000.00 general fund/general purpose revenue and any associated federal match to support a predictive modeling tool to improve provider billing accuracy and reduce fraud, waste, and abuse in the Medicaid program. The tool must provide a prepayment cost avoidance solution that uses statistical predictive modeling techniques to identify outlier claims.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Job Placement Agency Information Requests

Sec. 1515. A qualified job placement Striking current law. Sec. 1515. No changes from Sec. 1515. A qualified job Sec. 1515. Concur with the agency may request contact information current law. placement agency may request Senate. from the department for Healthy contact information from the Michigan plan recipients subject to the department for Healthy workforce engagement requirements Michigan plan recipients subject program in section 107b of the social to the workforce engagement welfare act, 1939 PA 280, MCL requirements program in 400.107b, for the geographic region the section 107b of the social agency services, who have not verified welfare act, 1939 PA 280, MCL their employment in the previous quarter 400.107b, for the geographic and are at risk of losing Medicaid benefits region the agency services, who as a result of failure by the recipient to have not verified their verify employment. This contact employment in the previous information shall not include personal quarter and are at risk of losing health information or extensive personal Medicaid benefits as a result of identifying information. For the purposes failure by the recipient to verify of this section, a “qualified job placement employment. This contact agency” means a regional Michigan information shall not include Works! agency or another nonprofit, personal health information or governmental, or quasi-governmental extensive personal identifying body that provides job placement information. For the purposes of assistance as designated by the this section, a "qualified job department. placement agency" means a regional Michigan Works! agency or another nonprofit, governmental, or quasi- governmental body that provides job placement assistance as designated by the department.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Sec. 1516. (1) New House language. Sec. 1516. (1) By March 1 of the Sec. 1616. (1) By September Sec. 1516. (1) Concur with the current fiscal year, the 30 of the current fiscal year, House. department shall do all of the the department shall do all of following: the following: (a) Seek any appropriate federal approvals to enroll and recognize (a) Seek federal authority, community health workers as through applicable means, to Medicaid providers and to enroll Community Health authorize Medicaid Workers (CHWs) as Medicaid reimbursement for community providers and utilize federal health worker services. The Medicaid matching funds for appropriate federal approval CHW services. The authority must allow for community health should allow the application worker services on a statewide basis and must not be a limited of CHWs statewide and geography waiver. The Medicaid maximize their utility by reimbursement must cover all providing financing for all services commensurate to services commensurate to community health workers' their scope of training and scope of training and abilities as abilities as provided by provided by evidence-based evidence-based research and research and programs. The programs. As used in this Medicaid reimbursement methodology may include fee- subdivision, “financing” for-service reimbursement, means fee-for-service value-based payment, or a reimbursement and value- combination of the 2. based payment, or a combination of both.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Sec. 1516. (1) New House language. (b) Develop and test a value- (b) Develop and test a value- Concur with the House. (continued) based payment approach for based payment approach for community health workers, CHWs, based on shared-risk, based on shared-risk, that that provides incentives to provides incentives to Medicaid managed care Medicaid health plans and organizations and other other health plans to use health plans to use CHWs to community health workers to improve the quality and cost improve the quality and cost of care, and patient of care and patient satisfaction, with a satisfaction. subsequent goal of (c) Work to pool Medicaid identifying any potential to health plan and other expand the number of department funding for community-based CHWs that community health workers to provide preventive services expand the number of education and care community health workers coordination within who provide preventive community-based human services education and care services organizations, coordination within public health agencies, community-based human primary care providers, services organizations, hospitals, healthcare public health agencies, systems and other primary care providers, appropriate locations. hospitals, health care (c) Identify the ratio of CHWs systems, and any other to Medicaid managed care appropriate setting. organization beneficiaries (d) Identify the ratio of that is optimal to meet the community health workers to needs of Medicaid managed Medicaid health plan care organization recipients that is optimal to beneficiaries in each county meet the needs of Medicaid in this state. health plan recipients in each (d) Identify the ratio of CHWs county or region in the state. to individuals that is optimal (e) Identify the ratio of to meet the needs of high-risk community health workers to individuals in each county in individuals that is optimal to this state. meet the needs of high-risk individuals in each county or region in the state.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (2) New House language. (2) By March 1 of the current (2) By September 30 of the (2) Concur with the House. fiscal year, the department current fiscal year, the shall report to the senate and department shall report to the house appropriations senate and house subcommittees on the appropriations department budget, the subcommittees on the senate and house fiscal department budget, the agencies, the senate and senate and house fiscal house policy offices, and the agencies, the senate and state budget office on the house policy offices, and the progress of meeting the state budget office on the requirements in subsection progress of meeting the (1). criteria in subsection (1). Sec. 1517. (1) New House language. Sec. 1517. (1) From the funds Does not include. appropriated in part 1 for medical services administration, the department shall allocate $500,000.00 to complete an actuarial analysis and any necessary federal approvals to create a specialty Medicaid managed care health plan for children in foster care. The specialty Medicaid managed care health plan must be responsible for comprehensive medical, behavioral, and dental services, including Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) exams, as well as case management, specialty supports and services, home- and community-based waiver services, and any other medically necessary value- added services.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (2) New House language. (2) By March 1 of the current Does not include. fiscal year, the department shall report to the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, the house and senate policy offices, and the state budget office on the implementation status of this section. MEDICAL SERVICES

Remedial Services Costs and Medicaid Eligibility

Sec. 1601. The cost of remedial services Sec. 1601. No changes from Sec. 1601. The cost of remedial Sec. 1601. No changes from Sec. 1601. No changes from incurred by residents of licensed adult current law. services incurred by residents of current law. current law. foster care homes and licensed homes licensed adult foster care for the aged shall be used in determining homes and licensed homes for financial eligibility for the medically the aged shall be used in needy. Remedial services include basic determining financial eligibility self-care and rehabilitation training for a for the medically needy. resident. Remedial services include basic self-care and rehabilitation training for a resident. Medicaid Protected Income Level

Sec. 1605. The protected income level Sec. 1605. No changes from Sec. 1605. No changes from Sec. 1605. No changes from Sec. 1605. No changes from for Medicaid coverage determined current law. current law. current law. current law. pursuant to section 106(1)(b)(iii) of the social welfare act, 1939 PA 280, MCL 400.106, shall be 100% of the related public assistance standard.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Medicaid Eligibility and Patient Pay Amount Deductions for Guardian and Conservator Charges

Sec. 1606. For the purpose of guardian Sec. 1606. No changes from Sec. 1606. No changes from Sec. 1606. No changes from Sec. 1606. No changes from and conservator charges, the current law. current law. current law. current law. department may deduct up to $83.00 per month as an allowable expense against a recipient’s income when determining medical services eligibility and patient pay amounts. Medicaid Presumptive Eligibility for Pregnant Women

Sec. 1607. (1) An applicant for Medicaid, Sec. 1607. (1) No changes from Sec. 1607. (1) No changes from Sec. 1607. (1) No changes from Sec. 1607. (1) No changes from whose qualifying condition is pregnancy, current law. current law. current law. current law. shall immediately be presumed to be eligible for Medicaid coverage unless the preponderance of evidence in her application indicates otherwise. The applicant who is qualified as described in this subsection shall be allowed to select or remain with the Medicaid participating obstetrician of her choice. (2) All qualifying applicants shall be (2) No changes from current (2) No changes from current (2) No changes from current (2) No changes from current entitled to receive all medically law. law. law. law. necessary obstetrical and prenatal care without preauthorization from a health plan. All claims submitted for payment for obstetrical and prenatal care shall be paid at the Medicaid fee-for-service rate in the event a contract does not exist between the Medicaid participating obstetrical or prenatal care provider and the managed care plan. The applicant shall receive a listing of Medicaid physicians and managed care plans in the immediate vicinity of the applicant’s residence.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (3) In the event that an applicant, (3) No changes from current (3) In the event that an (3) Concur with technical (3) Concur with technical presumed to be eligible pursuant to law. applicant, presumed to be changes. changes. subsection (1), is subsequently found to eligible pursuant to under be ineligible, a Medicaid physician or subsection (1), is subsequently managed care plan that has been found to be ineligible, a providing pregnancy services to an Medicaid physician or managed applicant under this section is entitled to care plan that has been reimbursement for those services until providing pregnancy services to such time as they are notified by the an applicant under this section department that the applicant was found is entitled to reimbursement for to be ineligible for Medicaid. those services until such time as they are notified by the department that the applicant was found to be ineligible for Medicaid. (4) If the preponderance of evidence in (4) No changes from current (4) No changes from current (4) No changes from current (4) No changes from current an application indicates that the applicant law. law. law. law. is not eligible for Medicaid, the department shall refer that applicant to the nearest public health clinic or similar entity as a potential source for receiving pregnancy-related services. (5) The department shall develop an (5) No changes from current (5) No changes from current (5) No changes from current (5) No changes from current enrollment process for pregnant women law. law. law. law. covered under this section that facilitates the selection of a managed care plan at the time of application. (6) The department shall mandate (6) No changes from current (6) The department shall (6) Concur with technical (6) Concur with technical enrollment of women, whose qualifying law. mandate enrollment of women, changes. changes. condition is pregnancy, into Medicaid whose qualifying condition for managed care plans. Medicaid is pregnancy, into Medicaid managed care plans. (7) The department shall encourage (7) No changes from current (7) No changes from current (7) No changes from current (7) No changes from current physicians to provide women, whose law. law. law. law. qualifying condition for Medicaid is pregnancy, with a referral to a Medicaid participating dentist at the first pregnancy-related appointment.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Medicaid Payment Rates

Sec. 1611. (1) For care provided to Sec. 1611. (1) No changes from Sec. 1611. (1) For care Sec. 1611. (1) Concur with Sec. 1611. (1) Concur with medical services recipients with other current law. provided to medical services technical changes. technical changes. third-party sources of payment, medical recipients with other third-party services reimbursement shall not sources of payment, medical exceed, in combination with such other services reimbursement shall resources, including Medicare, those not exceed, in combination with amounts established for medical such other resources, including services-only patients. The medical Medicare, those amounts services payment rate shall be accepted established for medical as payment in full. Other than an services-only patients. The approved medical services co-payment, medical services payment rate no portion of a provider’s charge shall be shall be accepted as payment in billed to the recipient or any person full. Other than an approved acting on behalf of the recipient. Nothing medical services co-payment, in this section shall be considered to no portion of a provider's charge affect the level of payment from a third- shall be billed to the recipient or party source other than the medical any person acting on behalf of services program. The department shall the recipient. Nothing in this this require a nonenrolled provider to accept section shall be considered to medical services payments as payment does not affect the level of in full. payment from a third-party source other than the medical services program. The department shall require a nonenrolled provider to accept medical services payments as payment in full. (2) Notwithstanding subsection (1), (2) No changes from current (2) No changes from current (2) No changes from current (2) No changes from current medical services reimbursement for law. law. law. law. hospital services provided to dual Medicare/medical services recipients with Medicare part B coverage only shall equal, when combined with payments for Medicare and other third-party resources, if any, those amounts established for medical services- only patients, including capital payments.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Encounter Claims Data Integrity

Sec. 1615. (1) To minimize errors and Sec. 1615. (1) No changes from Sec. 1615. (1) No changes Sec. 1615. (1) No changes from Sec. 1615. (1) No changes from overpayments, and to ensure the quality current law. from current law. current law. current law. of actuarial rate setting of capitated rates, the department shall provide effective oversight and ensure the integrity of encounter claims submitted to the department by Medicaid health plans. (2) The department may require Striking current law Striking current law (2) No changes from current (2) No changes from current Medicaid health plans to provide medical law. law. records to support claims data, upon request by the department. This subsection shall not require the disclosure of personal identifying information or any information that would be in violation of the health insurance portability and accountability act of 1996, Public Law 104-191. (3) It is the intent of the legislature that Striking current law Striking current law (3) No changes from current (3) No changes from current the department perform annual internal law. law. audits of Medicaid claims provided by Medicaid health plans and report the findings to the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, the house and senate policy offices, and the state budget office. Internal audits performed under this subsection shall be conducted utilizing quantitative methodologies that provide for valid statistical results to include, but not be limited to, minimizing the impact of selection bias and insufficient sample sizes.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (4) If an internal audit performed in Striking current law Striking current law (4) No changes from current (4) No changes from current accordance with this section identifies law. law. discrepancies in the quality of actuarial rates, the department shall develop and implement actuarial procedures to reconcile encounter claims data and shall provide for a publicly available explanation of these procedures on the department’s website. Pharmacy Dispensing Fee and Prescription Drug Co-payments

Sec. 1620. (1) For fee-for-service Sec. 1620. (1) No changes from Sec. 1620. (1) No changes Sec. 1620. (1) Concur with the Sec. 1620. (1) Concur with the Medicaid claims, the professional current law, except: from current law. Executive. Executive. dispensing fee for drugs indicated as specialty medications on the Michigan pharmaceutical products list is $20.02 or "…pharmacy's usual or the pharmacy’s usual or customary cash customary cash charge charge, whichever is less. submitted dispensing fee…"

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (2) For fee-for-service Medicaid claims, (2) For fee-for-service Medicaid (2) No changes from current (2) Concur with the Executive. (2) Concur with the Executive. for drugs not indicated as specialty drugs claims, for drugs not indicated law. on the Michigan pharmaceutical products as specialty drugs on the list, the professional dispensing fee for Michigan pharmaceutical medications is as follows: products list, the professional dispensing fee for medications (a) For medications indicated as is as follows: preferred on the department’s preferred drug list, $10.80 or the pharmacy’s usual (a) For medications indicated as or customary cash charge, whichever is preferred on the department’s less. preferred drug list, $10.80 or the (b) For medications not on the pharmacy’s usual or customary department’s preferred drug list, $10.64 cash charge submitted or the pharmacy’s usual or customary dispensing fee, whichever is cash charge, whichever is less. less. (c) For medications indicated as (b) For medications not on the nonpreferred on the department’s department’s preferred drug list, preferred drug list, $9.00 or the $10.64 or the pharmacy’s usual pharmacy’s usual or customary cash or customary cash charge charge, whichever is less. submitted dispensing fee, whichever is less. (c) For medications indicated as nonpreferred on the department’s preferred drug list, $9.00 or the pharmacy’s usual or customary cash charge submitted dispensing fee, whichever is less.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (3) The department shall require a (3) The department shall require (3) No changes from current (3) Concur with the Executive. (3) Concur with the Executive. prescription co-payment for Medicaid a prescription co-payment for law. recipients not enrolled in the Healthy Medicaid recipients not enrolled Michigan plan or with an income less in the Healthy Michigan plan or than 100% of the federal poverty level of with an income less than 100% $1.00 for a generic drug indicated as of the federal poverty level of preferred on the department’s preferred $1.00 for a generic drug or any drug list and $3.00 for a brand-name drug drug indicated as preferred on indicated as nonpreferred on the the department’s preferred drug department’s preferred drug list, except list and $3.00 for a brand-name as prohibited by federal or state law or drug not indicated as regulation. nonpreferred on the department’s preferred drug list, except as prohibited by federal or state law or regulation. (4) The department shall require a (4) The department shall require (4) No changes from current (4) Concur with the Executive. (4) Concur with the Executive. prescription co-payment for Medicaid a prescription co-payment for law. recipients enrolled in the Healthy Medicaid recipients enrolled in Michigan plan with an income of at least the Healthy Michigan plan with 100% of the federal poverty level of $4.00 an income of at least 100% of for a generic drug indicated as preferred the federal poverty level of on the department’s preferred drug list $4.00 for a generic drug or any and $8.00 for a brand-name drug drug indicated as preferred on indicated as nonpreferred on the the department’s preferred drug department’s preferred drug list, except list and $8.00 for a brand-name as prohibited by federal or state law or drug not indicated as regulation. nonpreferred on the department’s preferred drug list, except as prohibited by federal or state law or regulation.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Medicaid Managed Care Pharmacy Benefits Managers

Sec. 1625. (1) Beginning February 1, 2021, the Sec. 1625. (1) Beginning February 1, 2021, Sec. 1625. (1) Beginning February 1, 2021, Sec. 1625. (1) Beginning February 1, 2021, Sec. 1625. (1) Beginning February 1, 2021, department shall not enter into any contract with a The department shall not enter into any The theTHE department shall not enter into any theTHE department shall not enter into any Medicaid managed care organization that relies on a contract with a contractually require contract with a CONTRACTUALLY contract with a CONTRACTUALLY pharmacy benefit manager that does not do all of the Medicaid managed care organizations to Remainder, current law. REQUIRE Medicaid managed care REQUIRE Medicaid managed care following: require their that relies on a pharmacy organizationS TO REQUIRE THEIR that organizationS TO REQUIRE THEIR that benefit manager that does not do all of the relies on a pharmacy benefit managerS relies on a pharmacy benefit managerS (a) For pharmacies with not more than 7 retail outlets, following: that does not TO do all of the following: that does not TO do all of the following: utilizes a pharmacy reimbursement methodology of the (a) For pharmacies with not more than 7 national average drug acquisition cost plus a (a) For pharmacies with not more than 7 retail outlets, utilizes a pharmacy (a) For pharmacies with not more than 7 professional dispensing fee comparable to the retail outlets, utilizes a pharmacy reimbursement methodology OF THE retail outlets, utilizes a pharmacy applicable professional dispensing fee provided through reimbursement methodology of the lesser LESSER of the national average drug reimbursement methodology of the national section 1620. The pharmacy benefit manager or the of the national average drug wholesale acquisition cost OR THE PHARMACY- average drug acquisition cost plus a involved pharmacy services administrative organization acquisition cost or the pharmacy SUBMITTED INGREDIENT COST plus a professional dispensing fee comparable to shall not receive any portion of the additional submitted ingredient cost plus a professional dispensing fee comparable to the applicable professional dispensing fee professional dispensing fee. The department shall professional dispensing fee comparable to the applicable professional dispensing fee provided through section 1620. The identify the pharmacies this subdivision applies to and the applicable professional dispensing fee provided through section 1620, OR THE pharmacy benefit manager or the involved provide the list of applicable pharmacies to the Medicaid provided through section 1620, or the usual USUAL AND CUSTOMARY CHARGE BY pharmacy services administrative managed care organizations. and customary charge by the pharmacy. THE PHARMACY. The pharmacy benefit organization shall not receive any portion of (b) For pharmacies with not more than 7 retail outlets, The pharmacy benefit manager or the manager or the involved pharmacy the additional professional dispensing fee. utilizes a pharmacy reimbursement methodology, when involved pharmacy services administrative services administrative organization shall The department shall identify the a national average drug acquisition cost price is not organization shall not receive any portion of not receive any portion of the additional pharmacies this subdivision applies to and available, for brand drugs of the lesser of the wholesale the additional professional dispensing fee. professional dispensing fee. The provide the list of applicable pharmacies to acquisition cost, the average wholesale price less 16.7% The department shall identify the department shall identify the pharmacies the Medicaid managed care organizations. plus a professional dispensing fee comparable to the pharmacies this subdivision applies to and this subdivision applies to and provide the applicable professional dispensing fee provided through provide the list of applicable pharmacies to list of applicable pharmacies to the section 1620, or the usual and customary charge by the the Medicaid managed care organizations. Medicaid managed care organizations. pharmacy. The department shall identify the pharmacies (b) For pharmacies with not more than 7 (b) For pharmacies with not more than 7 (b) For pharmacies with not more than 7 this subdivision applies to and provide the list of retail outlets, utilizes a pharmacy retail outlets, utilizes a pharmacy retail outlets, utilizes a pharmacy applicable pharmacies to the Medicaid managed care reimbursement methodology, when a reimbursement methodology, when a reimbursement methodology, when a organizations. national average drug acquisition cost price national average drug acquisition cost price national average drug acquisition cost price is not available, for brand drugs of the lesser is not available, for brand drugs of the is not available, for brand drugs of the of the wholesale acquisition cost, the lesser of the wholesale acquisition cost , lesser of the wholesale acquisition cost, the average wholesale price less 16.7% plus a the average wholesale price less 16.7% average wholesale price less 16.7% plus a professional dispensing fee comparable to plus a professional dispensing fee professional dispensing fee comparable to the applicable professional dispensing fee comparable to the applicable professional the applicable professional dispensing fee provided through section 1620, or the usual dispensing fee provided through section provided through section 1620, or the usual and customary charge by the pharmacy. 1620, or the usual and customary charge and customary charge by the pharmacy. The department shall identify the by the pharmacy. The department shall The department shall identify the pharmacies this subdivision applies to and identify the pharmacies this subdivision pharmacies this subdivision applies to and provide the list of applicable pharmacies to applies to and provide the list of applicable provide the list of applicable pharmacies to the Medicaid managed care organizations. pharmacies to the Medicaid managed care the Medicaid managed care organizations. organizations.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (c) For pharmacies with not more than 7 retail (c) For pharmacies with not more than 7 retail (c) For pharmacies with not more than 7 retail outlets, utilizes a pharmacy reimbursement outlets, utilizes a pharmacy reimbursement outlets, utilizes a pharmacy reimbursement methodology, when a national average drug methodology, when a national average drug methodology, when a national average drug acquisition cost price is not available, for acquisition cost price is not available, for acquisition cost price is not available, for generic drugs of the lesser of wholesale generic drugs of the lesser of wholesale generic drugs of the lesser of wholesale acquisition cost plus a professional acquisition cost plus a professional acquisition cost plus a professional dispensing fee comparable to the applicable dispensing fee comparable to the applicable dispensing fee comparable to the applicable professional dispensing fee provided through professional dispensing fee provided through professional dispensing fee provided through section 1620, average wholesale price less section 1620, average wholesale price less section 1620, average wholesale price less 30.0% plus a professional dispensing fee 30.0% plus a professional dispensing fee 30.0% plus a professional dispensing fee comparable to the applicable professional comparable to the applicable professional comparable to the applicable professional dispensing fee provided through section 1620, dispensing fee provided through section 1620, dispensing fee provided through section 1620, or the usual and customary charge by the or the usual and customary charge by the or the usual and customary charge by the pharmacy. The department shall identify the pharmacy. The department shall identify the pharmacy. The department shall identify the pharmacies this subdivision applies to and pharmacies this subdivision applies to and pharmacies this subdivision applies to and provide the list of applicable pharmacies to the provide the list of applicable pharmacies to the provide the list of applicable pharmacies to the Medicaid managed care organizations." Medicaid managed care organizations." Medicaid managed care organizations." (d) Reimburses for a legally valid claim at a (d) Reimburses REIMBURSE for a legally (d) Reimburses REIMBURSE for a legally rate not less than the rate in effect at the time valid claim at a rate not less than the rate in valid claim at a rate not less than the rate in the original claim adjudication as submitted at effect at the time the original claim effect at the time the original claim the point of sale. adjudication as submitted at the point of sale. adjudication as submitted at the point of sale. (e) Agrees to move to a transparent "pass- (e) Agrees AGREE to move to a transparent (e) Agrees AGREE to move to UTILIZE a through" pricing model, in which the pharmacy "pass-through" pricing model, in which the transparent "pass-through" pricing model, in benefit manager discloses the administrative pharmacy benefit manager discloses the which the pharmacy benefit manager fee as a percentage of the professional administrative fee as a percentage of the discloses the administrative fee as a dispensing costs to the department. professional dispensing costs to the percentage of the professional dispensing (f) Agrees to not create new pharmacy department. costs to the department. administration fees and to not increase current (f) Agrees AGREE to not create new (f) Agrees AGREE to not create new fees more than the rate of inflation. This pharmacy administration fees and to not pharmacy administration fees and to not subdivision does not apply to any federal rule increase current fees more than the rate of increase current fees more than the rate of or action that creates a new fee. inflation. This subdivision does not apply to inflation. This subdivision does not apply to (g) Agrees to not terminate an existing contract any federal rule or action that creates a new any federal rule or action that creates a new with a pharmacy with not more than 7 retail fee. fee. outlets for the sole reason of the additional (g) Agrees AGREE to not terminate an (g) Agrees AGREE to not terminate an professional dispensing fee authorized under existing contract with a pharmacy with not existing contract with a pharmacy with not this section. more than 7 retail outlets for the sole reason more than 7 retail outlets for the sole reason of the additional professional dispensing fee of the additional professional dispensing fee authorized under this section. authorized under this section. (2) Nothing in this section shall prohibit a Medicaid Striking current law. Striking current law. Striking current law. Striking current law. managed care organization from implementing this section before February 1, 2021.

House Fiscal Agency Medical Services BP - 332 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Pharmacy Benefits Manager Reimbursements Report

Sec. 1626. (1) By January 15 of the current fiscal year, Sec. 1626. (1) By January 15 of the current Sec. 1626. (1) No changes from current law. Sec. 1626. (1) By January 15 of the current Sec. 1626. (1) No changes from current each pharmacy benefit manager that receives fiscal year, each pharmacy benefit manager fiscal year, each pharmacy benefit law except: reimbursements, either directly or through a Medicaid that receives reimbursements, either manager that receives reimbursements, health plan, from the funds appropriated in part 1 for directly or through a Medicaid health plan, either directly or through a Medicaid health medical services must submit all of the following from the funds appropriated in part 1 for plan, from the funds appropriated in part 1 information to the department for the previous fiscal medical services must submit all of the for medical services must submit all of the year: following information to the department for following information to the department for the previous fiscal year: the previous fiscal year: (a) The total number of prescriptions that were (a) The total number of prescriptions that dispensed. (a) The total number of prescriptions that were dispensed. (b) The aggregate wholesale acquisition cost for each were dispensed. (b) The aggregate total wholesale drug on its formulary. (b) The aggregate total wholesale acquisition cost for each drug on its (c) The aggregate amount of rebates, discounts, and acquisition cost for each drug on its formulary. price concessions that the pharmacy benefit manager formulary. (c) The aggregate total amount of rebates, received for each drug on its formulary. The amount of (c) The aggregate total amount of rebates, discounts, and price concessions that the rebates shall include any utilization discounts the discounts, and price concessions that the pharmacy benefit manager received for pharmacy benefit manager receives from a pharmacy benefit manager received for each drug on its formulary. The amount of manufacturer. each drug on its formulary. The amount of rebates shall include any utilization (d) The aggregate amount of administrative fees that the rebates shall include any utilization discounts the pharmacy benefit manager pharmacy benefit manager received from all discounts the pharmacy benefit manager receives from a manufacturer. pharmaceutical manufacturers. receives from a manufacturer. (d) The aggregate totsal amount of (e) The aggregate amount identified in subdivisions (b) (d) The aggregate total amount of administrative fees that the pharmacy and (c) that were retained by the pharmacy benefit administrative fees that the pharmacy benefit manager received from all manager and did not pass through to the department or benefit manager received from all pharmaceutical manufacturers. to the Medicaid health plan. pharmaceutical manufacturers. (e) The aggregate total amount identified (f) The aggregate amount of reimbursements the (e) The aggregate total amount identified in in subdivisions (b) and (c) that were pharmacy benefit manager pays to contracting subdivisions (b) and (c) that were retained retained by the pharmacy benefit manager pharmacies. by the pharmacy benefit manager and did and did not pass through to the department (g) Any other information as deemed necessary by the not pass through to the department or to the or to the Medicaid health plan. department. Medicaid health plan. (f) The aggregate total amount of (f) The aggregate total amount of reimbursements the pharmacy benefit reimbursements the pharmacy benefit manager pays to contracting pharmacies. manager pays to contracting pharmacies. (g) Any other information as deemed (g) Any other information as deemed (g) Any other information as deemed considered necessary by the department. considered necessary by the department. necessary by the department. (2) By March 1 of the current fiscal year, Striking current law. (2) No changes from current (2) No changes from current (2) No changes from current the department shall submit the law. law. law. information provided under subsection (1) to the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, the house and senate policy offices, and the state budget office. House Fiscal Agency Medical Services BP - 333 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (3) Any nonaggregated information Striking current law. (3) Any nonaggregated (3) Concurs with technical (3) Concurs with technical submitted under this section shall be information submitted under this changes. changes. confidential and shall not be disclosed to section shall be confidential and any person by the department. Such shall not be disclosed to any information shall not be deemed a public person by the department. Such record of the department. information shall is not be deemed considered a public record of the department. Sec. 1627. New Senate language. Sec. 1627. By April 1 of the Sec. 1627. Concur with the Senate. current fiscal year, the department shall provide a report to the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, and the house and senate policy offices on both of the following:

(a) The cost per Medicaid prescription for the fee-for- service population and separately the cost per Medicaid prescription for the managed care population for the fiscal years ending September 30, 2017 through September 30, 2021. (b) Projected cost per Medicaid prescription for the fee-for- service population and projected cost per Medicaid prescription for the managed care population for the current fiscal year. Maximum Allowable Cost Drug Pricing

Sec. 1629. The department shall utilize Sec. 1629. No changes from Sec. 1629. No changes from Sec. 1629. No changes from Sec. 1629. No changes from maximum allowable cost pricing for current law. current law. current law. current law. generic drugs that is based on wholesaler pricing to providers that is available from at least 2 wholesalers who deliver in this state.

House Fiscal Agency Medical Services BP - 334 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Medical Services Co-payments

Sec. 1631. (1) The department shall Sec. 1631. (1) No changes from Sec. 1631. (1) No changes from Sec. 1631. (1) No changes from Sec. 1631. (1) No changes from require co-payments on dental, podiatric, current law. current law. current law. current law. and vision services provided to Medicaid recipients, except as prohibited by federal or state law or regulation. (2) Except as otherwise prohibited by (2) No changes from current (2) No changes from current (2) No changes from current (2) No changes from current federal or state law or regulation, the law. law. law. law. department shall require Medicaid recipients not enrolled in the Healthy Michigan plan or with an income less than 100% of the federal poverty level to pay not less than the following co- payments:

(a) Two dollars for a physician office visit. (b) Three dollars for a hospital emergency room visit. (c) Fifty dollars for the first day of an inpatient hospital stay. (d) Two dollars for an outpatient hospital visit. (3) Except as otherwise prohibited by (3) No changes from current (3) No changes from current (3) No changes from current (3) No changes from current federal or state law or regulation, the law. law. law. law. department shall require Medicaid recipients enrolled in the Healthy Michigan plan with an income of at least 100% of the federal poverty level to pay the following co-payments:

(a) Four dollars for a physician office visit. (b) Eight dollars for a hospital emergency room visit. (c) One hundred dollars for the first day of an inpatient hospital stay. (d) Four dollars for an outpatient hospital visit or any other medical provider visit to the extent allowed by federal or state law or regulation.

House Fiscal Agency Medical Services BP - 335 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Institutional Provider Costs Reports

Sec. 1641. An institutional provider that Sec. 1641. No changes from Sec. 1641. No changes from Sec. 1641. No changes from Sec. 1641. No changes from is required to submit a cost report under current law. current law. current law. current law. the medical services program shall submit cost reports completed in full within 5 months after the end of its fiscal year. Nursing Facility Current Asset Value Bed Limit

Sec. 1645. (1) It is the intent of the Striking current law. Sec. 1645. (1) No changes for Sec. 1645. (1) No changes for Sec. 1645. (1) No changes for legislature that the department establish current law. current law. current law. the class I nursing facility current asset value bed limit based on the rolling 15- year history of new construction. (2) It is the intent of the legislature that, Striking current law. (2) It is the intent of the (2) It is the intent of the (2) Concur with the House. for the fiscal year beginning October 1, legislature that, for the fiscal legislature that, for the fiscal 2020, the department modify the class I year beginning October 1, 2020 year beginning October 1, 2020 nursing facility current asset value bed 2022, the department modify 2021, the department modify limit based on the rolling 15-year history the class I nursing facility the class I nursing facility of new construction. The increase in the current asset value bed limit current asset value bed limit current asset value bed limit shall not based on the rolling 15-year based on the rolling 15-year exceed 4% of the limit for the fiscal year history of new construction. The history of new construction. The beginning October 1, 2019. increase in the current asset increase in the current asset value bed limit shall not exceed value bed limit shall not exceed 4% of the limit for the fiscal year 4% of the limit for the fiscal year beginning October 1, 2019 beginning October 1, 2019. 2021.

House Fiscal Agency Medical Services BP - 336 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Nursing Facility Quality Measure Initiative Program

Sec. 1646. (1) From the funds appropriated in part Striking current law. Sec. 1646. (1) No changes Sec. 1646. (1) No changes from Sec. 1646. (1) No changes from 1 for long-term care services, the department shall from current law. current law. current law. continue to administer a nursing facility quality measure initiative program. The initiative shall be financed through the quality assurance assessment for nursing homes and hospital long- term care units, and the funds shall be distributed according to the following criteria:

(a) The department shall award more dollars to nursing facilities that have a higher CMS 5-star quality measure domain rating, then adjusted to account for both positive and negative aspects of a patient satisfaction survey. (b) A nursing facility with a CMS 5-star quality measure domain star rating of 1 or 2 must file an action plan with the department describing how it intends to use funds appropriated under this section to increase quality outcomes before funding shall be released. (c) The total incentive dollars must reflect the following Medicaid utilization scale: (i) For nursing facilities with a Medicaid participation rate of above 63%, the facility shall receive 100% of the incentive payment. (ii) For nursing facilities with a Medicaid participation rate between 50% and 63%, the facility shall receive 75% of the incentive payment. (iii) For nursing facilities with a Medicaid participation rate of less than 50%, the facility shall receive a payment proportionate to their Medicaid participation rate. (iv) For nursing facilities not enrolled in Medicaid, the facility shall not receive an incentive payment. (d) Facilities designated as special focus facilities are not eligible for any payment under this section. (e) Number of licensed beds.

House Fiscal Agency Medical Services BP - 337 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (2) The department and nursing facility Striking current law. (2) No changes from current (2) No changes from current (2) No changes from current representatives shall evaluate the quality law. law. law. measure incentive program’s effectiveness on quality, measured by the change in the CMS 5-star quality measure domain rating since the implementation of quality measure incentive program. By March 1 of the current fiscal year, the department shall report to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the senate and house policy offices on the findings of the evaluation. Health Plan Reimbursement for Hospital ER Service, and Medicaid ER Financial Incentives

Sec. 1657. (1) Reimbursement for Sec. 1657. (1) No changes from Sec. 1657. (1) No changes from Sec. 1657. (1) No changes from Sec. 1657. (1) No changes from medical services to screen and stabilize current law. current law. current law. current law. a Medicaid recipient, including stabilization of a psychiatric crisis, in a hospital emergency room shall not be made contingent on obtaining prior authorization from the recipient’s HMO. If the recipient is discharged from the emergency room, the hospital shall notify the recipient’s HMO within 24 hours of the diagnosis and treatment received. (2) If the treating hospital determines that (2) No changes from current (2) No changes from current (2) No changes from current (2) No changes from current the recipient will require further medical law. law. law. law. service or hospitalization beyond the point of stabilization, that hospital shall receive authorization from the recipient’s HMO prior to admitting the recipient. (3) Subsections (1) and (2) do not require (3) No changes from current (3) No changes from current (3) No changes from current (3) No changes from current an alteration to an existing agreement law. law. law. law. between an HMO and its contracting hospitals and do not require an HMO to reimburse for services that are not considered to be medically necessary.

House Fiscal Agency Medical Services BP - 338 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Quality Review and Analysis of Health Plan Performance

Sec. 1662. (1) The department shall Sec. 1662. (1) No changes from Sec. 1662. (1) No changes from Sec. 1662. (1) No changes from Sec. 1662. (1) No changes from ensure that an external quality review of current law. current law. current law. current law. each contracting HMO is performed that results in an analysis and evaluation of aggregated information on quality, timeliness, and access to health care services that the HMO or its contractors furnish to Medicaid beneficiaries. (2) The department shall require (2) No changes from current (2) No changes from current (2) No changes from current (2) No changes from current Medicaid HMOs to provide EPSDT law. law. law. law. utilization data through the encounter data system, and HEDIS well child health measures in accordance with the National Committee for Quality Assurance prescribed methodology. (3) The department shall provide a copy (3) No changes from current (3) The department shall (3) No changes from current (3) Concur with the House. of the analysis of the Medicaid HMO law. provide a copy of the analysis of law. annual audited HEDIS reports and the the Medicaid HMO annual annual external quality review report to audited HEDIS reports and the the senate and house appropriations annual external quality review subcommittees on the department report to the senate and house budget, the senate and house fiscal appropriations subcommittees agencies, and the state budget director, on the department budget, the within 30 days of the department’s senate and house fiscal receipt of the final reports from the agencies, and the state budget contractors. director, within 30 days of after the department’s receipt of the final reports from the contractors.

House Fiscal Agency Medical Services BP - 339 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS MIChild Program Eligibility

Sec. 1670. (1) The appropriation in part Sec. 1670. (1) No changes Sec. 1670. (1) The Sec. 1670. (1) Concurs with Sec. 1670. (1) Concurs with 1 for the MIChild program is to be used from current law. appropriation in part 1 for the technical changes. technical changes. to provide comprehensive health care to MIChild program is to be used to all children under age 19 who reside in provide comprehensive health families with income at or below 212% of care to all children under age 19 the federal poverty level, who are who reside in families with uninsured and have not had coverage by income at or below 212% of the other comprehensive health insurance federal poverty level, who are within 6 months of making application for uninsured and have not had MIChild benefits, and who are residents coverage by other of this state. The department shall comprehensive health develop detailed eligibility criteria insurance within 6 months of through the medical services making application after administration public concurrence applying for MIChild benefits, process, consistent with the provisions of and who are residents of this this part and part 1. state. The department shall develop detailed eligibility criteria through the medical services administration public concurrence process, consistent with the provisions of this part and part 1. (2) The department may provide up to 1 (2) No changes from current (2) No changes from current (2) No changes from current (2) No changes from current year of continuous eligibility to children law. law. law. law. eligible for the MIChild program unless the family fails to pay the monthly premium, a child reaches age 19, or the status of the children’s family changes and its members no longer meet the eligibility criteria as specified in the state plan. (3) The department may make payments (3) No changes from current (3) No changes from current (3) No changes from current (3) No changes from current on behalf of children enrolled in the law. law. law. law. MIChild program as described in the MIChild state plan approved by the United States Department of Health and Human Services, or from other medical services.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS MIChild Premiums

Sec. 1673. The department may Sec. 1673. No changes from Sec. 1673. No changes from Sec. 1673. No changes from Sec. 1673. No changes from establish premiums for MIChild eligible current law. current law. current law. current law. individuals in families with income at or below 212% of the federal poverty level. The monthly premiums shall be $10.00 per month.

House Fiscal Agency Medical Services BP - 341 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS MIChild Benefits

Sec. 1677. The MIChild program shall Sec. 1677. No changes from Sec. 1677. No changes from Sec. 1677. No changes from Sec. 1677. No changes from provide, at a minimum, all benefits current law. current law. current law. current law. available under the Michigan benchmark plan that are delivered through contracted providers and consistent with federal law, including, but not limited to, the following medically necessary services:

(a) Inpatient mental health services, other than substance use disorder treatment services, including services furnished in a state-operated mental hospital and residential or other 24-hour therapeutically planned structured services. (b) Outpatient mental health services, other than substance use disorder services, including services furnished in a state-operated mental hospital and community-based services. (c) Durable medical equipment and prosthetic and orthotic devices. (d) Dental services as outlined in the approved MIChild state plan. (e) Substance use disorder treatment services that may include inpatient, outpatient, and residential substance use disorder treatment services. (f) Care management services for mental health diagnoses. (g) Physical therapy, occupational therapy, and services for individuals with speech, hearing, and language disorders. (h) Emergency ambulance services.

House Fiscal Agency Medical Services BP - 342 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Penalty Money

Sec. 1682. (1) In addition to the Sec. 1682. (1) No changes from Sec. 1682. (1) No changes from Sec. 1682. (1) No changes from Sec. 1682. (1) No changes from appropriations in part 1, the department current law. current law. current law. current law. is authorized to receive and spend penalty money received as the result of noncompliance with medical services certification regulations. Penalty money, characterized as private funds, received by the department shall increase authorizations and allotments in the long- term care accounts. (2) Any unexpended penalty money, at (2) No changes from current (2) No changes from current (2) No changes from current (2) No changes from current the end of the year, shall carry forward to law. law. law. law. the following year. Medicaid School-Based Services

Sec. 1692. (1) The department is Sec. 1692. (1) No changes from Sec. 1692. (1) No changes from Sec. 1692. (1) No changes from Sec. 1692. (1) No changes from authorized to pursue reimbursement for current law. current law. current law. current law. eligible services provided in Michigan schools from the federal Medicaid program. The department and the state budget director are authorized to negotiate and enter into agreements, together with the department of education, with local and intermediate school districts regarding the sharing of federal Medicaid services funds received for these services. The department is authorized to receive and disburse funds to participating school districts pursuant to such agreements and state and federal law.

House Fiscal Agency Medical Services BP - 343 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (2) From the funds appropriated in part 1 (2) No changes from current (2) No changes from current (2) No changes from current (2) No changes from current for medical services school-based law. law. law. law. services payments, the department is authorized to do all of the following:

(a) Finance activities within the medical services administration related to this project. (b) Reimburse participating school districts pursuant to the fund-sharing ratios negotiated in the state-local agreements authorized in subsection (1). (c) Offset general fund costs associated with the medical services program. Special Medicaid Reimbursement Appropriation Increase

Sec. 1693. The special Medicaid Sec. 1693. No changes from Sec. 1693. No changes from Sec. 1693. No changes from Sec. 1693. No changes from reimbursement appropriation in part 1 current law. current law. current law. current law. may be increased if the department submits a medical services state plan amendment pertaining to this line item at a level higher than the appropriation. The department is authorized to appropriately adjust financing sources in accordance with the increased appropriation. Poison Control Services

Sec. 1694. From the funds appropriated Sec. 1694. No changes from Sec. 1694. No changes from Sec. 1694. No changes from Sec. 1694. No changes from in part 1 for special Medicaid current law. current law. current law. current law. reimbursement, $1,121,400.00 of general fund/general purpose revenue and any associated federal match shall be distributed for poison control services to an academic health care system that has a high indigent care volume.

House Fiscal Agency Medical Services BP - 344 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Healthy Michigan Plan Applicants

Sec. 1696. It is the intent of the Striking current law. Striking current law. Sec. 1696. No changes from Sec. 1696. No changes from legislature that if an applicant for current law. current law. Medicaid coverage through the Healthy Michigan plan received medical coverage in the previous fiscal year through traditional Medicaid, and is still eligible for coverage through traditional Medicaid, the applicant is not eligible to receive coverage through the Healthy Michigan plan. Healthy Michigan Plan Dental Networks

Sec. 1697. The department shall require Sec. 1697. No changes from Sec. 1697. No changes from Sec. 1697. No changes from Sec. 1697. No changes from that Medicaid health plans administering current law. current law. current law. current law. Healthy Michigan plan benefits maintain a network of dental providers in sufficient numbers, mix, and geographic locations throughout their respective service areas in order to provide adequate dental care for Healthy Michigan plan enrollees. Disproportionate Share Hospital (DSH) and Graduate Medical Education (GME) Payments

Sec. 1699. (1) The department may Sec. 1699. (1) No changes Sec. 1699. (1) No changes Sec. 1699. (1) No changes Sec. 1699. (1) No changes make separate payments in the amount from current law. from current law. from current law. from current law. of $45,000,000.00 directly to qualifying hospitals serving a disproportionate share of indigent patients and to hospitals providing GME training programs. If direct payment for GME and DSH is made to qualifying hospitals for services to Medicaid recipients, hospitals shall not include GME costs or DSH payments in their contracts with HMOs. (2) The department shall allocate (2) No changes from current (2) No changes from current (2) No changes from current (2) No changes from current $45,000,000.00 in DSH funding using the law. law. law. law. distribution methodology used in fiscal year 2003-2004.

House Fiscal Agency Medical Services BP - 345 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Special Hospital Payments Report

Sec. 1700. By December 1 of the current Sec. 1700. No changes from Sec. 1700. No changes from Sec. 1700. No changes from Sec. 1700. No changes from fiscal year, the department shall report to current law. current law. current law. current law. the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the state budget office on the distribution of funding provided, and the net benefit if the special hospital payment is not financed with general fund/general purpose revenue, to each eligible hospital during the previous fiscal year from the following special hospital payments: (a) DSH, separated out by unique DSH pool. (b) GME. (c) Special rural hospital payments provided under section 1802(2) of this part. (d) Lump-sum payments to rural hospitals for obstetrical care provided under section 1802(1) of this part.

House Fiscal Agency Medical Services BP - 346 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Private Duty Nursing Rate Increase

Sec. 1702. From the funds appropriated Sec. 1702. From the funds Sec. 1702. From the funds Sec. 1702. No changes from Sec. 1702. Concur with the in part 1, the department shall provide a appropriated in part 1, the appropriated in part 1, the current law. Executive. 10% rate increase for private duty department shall maintain the department shall provide a 10% nursing services for Medicaid current rates for provide a 10% rate increase from the rates beneficiaries under the age of 21. These rate increase for private duty established in fiscal year additional funds must be used to attract nursing services for Medicaid 2020-2021 for private duty and retain highly qualified registered beneficiaries under the age of nursing services for Medicaid nurses and licensed practical nurses to 21. These additional funds must beneficiaries under the age of provide private duty nursing services so be used to attract and retain 21. These additional funds must that medically frail children can be cared highly qualified registered be used to attract and retain for in the most homelike setting possible. nurses and licensed practical highly qualified registered nurses to provide private duty nurses and licensed practical nursing services so that nurses to provide private duty medically frail children can be nursing services so that cared for in the most homelike medically frail children can be setting possible. cared for in the most homelike setting possible. Enhanced Dental Benefit for Pregnant Women

Sec. 1704. (1) From the funds Sec. 1704. (1) No changes from Sec. 1704. (1) No changes from Sec. 1704. (1) No changes from Sec. 1704. (1) No changes from appropriated in part 1 for health plan current law. current law. current law. current law. services, the department shall maintain the Medicaid adult dental benefit for pregnant women enrolled in a Medicaid program. (2) By April 15 of the current fiscal year, (2) No changes from current (2) No changes from current (2) No changes from current (2) Concur with the Senate. the department shall report to the house law. law. law, except: and senate appropriations subcommittees on the department budget, the house and senate fiscal "(a) The number of pregnant agencies, and the state budget office on women enrolled in Medicaid the following: who visited a dentist over the priorprevious fiscal year." (a) The number of pregnant women enrolled in Medicaid who visited a dentist over the prior year. (b) The number of dentists statewide who participate in providing dental services to pregnant women enrolled in Medicaid.

House Fiscal Agency Medical Services BP - 347 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Medicaid Applicant's Legal Residence

Sec. 1757. The department shall obtain Sec. 1757. No changes from Sec. 1757. The department Sec. 1757. No changes from Sec. 1757. No changes from proof from all Medicaid recipients that current law. shall obtain proof from all current law. current law. they are legal United States citizens or Medicaid recipients that they otherwise legally residing in this country are legal United States citizens and that they are residents of this state or otherwise legally residing in before approving Medicaid eligibility. this country and that they are residents of this state before approving Medicaid eligibility. Actuarial Services Request for Proposal

Sec. 1763. It is the intent of the Striking current law. Sec. 1763. No changes from Sec. 1763. No changes from Sec. 1763. No changes from legislature that upon expiration of current law. current law. current law. contract no. 071b7700073, the department shall issue an RFP for a 3- year contract for actuarial services, including, but not limited to, capitation rate setting for Medicaid and the Healthy Michigan plan. The department shall notify the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the senate and house policy offices on what vendors submitted bids for the contract, which vendor received the contract, the evaluation process, and the criteria used by the department in awarding the contract for actuarial services.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Actuarial Soundness Certification of Medicaid Health Plan Rates

Sec. 1764. The department shall Sec. 1764. No changes from Sec. 1764. No changes from Sec. 1764. No changes from Sec. 1764. No changes from annually certify whether rates paid to current law. current law. current law. current law. Medicaid health plans and specialty PIHPs are actuarially sound in accordance with federal requirements and shall provide a copy of the rate certification and approval of rates paid to Medicaid health plans and specialty PIHPs within 5 business days after certification or approval to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the state budget office. Following the rate certification, the department shall ensure that no new or revised state Medicaid policy bulletin that is promulgated materially impacts the capitation rates that have been certified in a negative manner. Medicaid Managed Care for Dual Eligibles

Sec. 1775. (1) By March 1 of the current Sec. 1775. (1) No change from Sec. 1775. (1) No change from Sec. 1775. (1) No change from Sec. 1775. (1) No change from fiscal year, the department shall report to current law. current law. current law. current law. the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the state budget office on progress in implementing the waiver to implement managed care for individuals who are eligible for both Medicare and Medicaid, known as MI Health Link, including any problems and potential solutions as identified by the ombudsman described in subsection (2).

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (2) The department shall ensure the (2) No changes from current (2) No changes from current (2) No changes from current (2) No changes from current existence of an ombudsman program law. law. law. law. that is not associated with any project service manager or provider to assist MI Health Link beneficiaries with navigating complaint and dispute resolution mechanisms and to identify problems in the demonstrations and in the complaint and dispute resolution mechanisms. Immunization Media Campaign

Sec. 1782. Subject to federal approval, Sec. 1782. No changes from Sec. 1782. No changes from Sec. 1782. No changes from Sec. 1782. No changes from from the funds appropriated in part 1 for current law. current law. current law. current law. health plan services, the department shall allocate $740,000.00 general fund/general purpose plus any available work project funds and federal match through an administered contract with oversight from Medical Services Administration and Public Health Administration. The funds shall be used to support a statewide media campaign for improving this state’s immunization rates. Sec. 1789. New House language. Sec. 1789. The department Not included. Does not include. may increase the practitioner rates paid for physical and occupational therapy procedures through Medicaid fee-for-service and through the comprehensive Medicaid health plans up to 100% of the Medicare rate received for rehabilitation procedures provided for Medicaid recipients under the age of 21.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Pediatric Psychiatric Services Rate Increase Sec. 1790. The department Sec. 1790. Concur with the Sec. 1790. Concur with the Sec. 1790. Concur with the Sec. 1790. The department shall shall increase maintain the Executive. Executive. Executive. increase the practitioner rates paid for current practitioner rates paid current procedural terminology (CPT) for current procedural codes 90791 through 90899 for terminology (CPT) codes 90791 psychiatric procedures through Medicaid through 90899 for psychiatric fee-for-service and through the procedures through Medicaid comprehensive Medicaid health plans by fee-for-service and through the 15%, compared to the October 2019 fee comprehensive Medicaid health schedule, for psychiatric procedures plans by 15%, compared to the provided for Medicaid recipients under October 2019 fee schedule, for the age of 21. It is the intent of the psychiatric procedures provided legislature that the CPT specific rates for Medicaid recipients under paid through the comprehensive the age of 21. It is the intent of Medicaid health plans are not increased the legislature that the CPT by a uniform 15% but reflect the greater specific rates paid through the of either the actual rates paid during the comprehensive Medicaid health previous fiscal year or 100% of the plans are not increased by a Medicare rate received for those services uniform 15% but reflect the on the date the services are provided. greater of either the actual rates paid during the previous fiscal year or 100% of the Medicare rate received for those services on the date the services are provided. Neonatal Services Rate Increase

Sec. 1791. From the funds appropriated Sec. 1791. No changes from Sec. 1791. No changes from Sec. 1791. No changes from Sec. 1791. No changes from in part 1 for health plan services and current law. current law. current law. current law. physician services, the department shall provide Medicaid reimbursement rates for neonatal services at 95% of the Medicare rate received for those services in effect on the date the services are provided to eligible Medicaid recipients. The current procedural terminology (CPT) codes that are eligible for this reimbursement rate increase are 99468, 99469, 99471, 99472, 99475, 99476, 99477, 99478, 99479, and 99480.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Health Plan Encounter Data Report

Sec. 1792. By April 30 of the current Striking current law. Sec. 1792. No changes from Sec. 1792. No changes from Sec. 1792. No changes from fiscal year, the department shall evaluate current law. current law. current law. pharmacy encounter data through the first 2 quarters of the fiscal year to determine, in consultation with the Medicaid health plans, if rates must be recertified. By May 30 of the current fiscal year, the department shall report the evaluation results to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, the senate and house policy offices, the state budget office, and the Medicaid health plans.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Primary Care Rates

Sec. 1801. (1) From the funds appropriated in part Sec. 1801. (1) No changes Sec. 1801. (1) From the funds appropriated in Sec. 1801. (1) Concurs with technical Sec. 1801. (1) Concurs with technical 1 for physician services and health plan services, from current law. part 1 for physician services and health plan changes. changes. the department shall continue the increase to services, the department shall continue the Medicaid rates for primary care services provided increase to Medicaid rates for primary care only by primary care providers. For the purpose of services provided only by primary care providers. this section, a primary care provider is a physician, For the purpose of this section, a primary care or a practitioner working in collaboration with a provider is a physician, or a practitioner working physician, who is either licensed under part 170 or in collaboration with a physician, who is either part 175 of the public health code, 1978 PA 368, licensed under part 170 or part 175 of the public MCL 333.17001 to 333.17097 and 333.17501 to health code, 1978 PA 368, MCL 333.17001 to 333.17556, and working as a primary care 333.17097 and 333.17501 to 333.17556, and provider in general practice or board-eligible or working as a primary care provider in general certified with a specialty designation of family practice or board-eligible or certified with a medicine, general internal medicine, or pediatric specialty designation of family medicine, general medicine, or a provider who provides the internal medicine, or pediatric medicine, or a department with documentation of equivalency. provider who provides the department with Providers performing a service and whose primary documentation of equivalency. Providers practice is as a non-primary-care subspecialty is performing a service and whose primary practice not eligible for the increase. The department shall is as a non-primary-care subspecialty is are not establish policies that most effectively limit the eligible for the increase. The department shall increase to primary care providers for primary care establish policies that most effectively limit the services only. increase to primary care providers for primary care services only. As used in this section, "primary care provider" means a physician, or a practitioner working in collaboration with a physician, who is either licensed under part 170 or part 175 of the public health code, 1978 pa 368, mcl 333.17001 to 333.17097 and 333.17501 to 333.17556, and working as a primary care provider in general practice or board-eligible or certified with a specialty designation of family medicine, general internal medicine, or pediatric medicine, or a provider who provides the department with documentation of equivalency.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (2) By March 1 of the current fiscal year, Striking current law. Striking current law. (2) No changes from current Striking current law. the department shall provide to the law. senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office a list of medical specialties that were paid enhanced primary care rates in the fiscal year ending September 30, 2019. Rural Hospital Payments

Sec. 1802. (1) From the funds Sec. 1802. (1) No changes from Sec. 1802. (1) No changes from Sec. 1802. (1) No changes from Sec. 1802. (1) No changes from appropriated in part 1 for hospital current law. current law. current law. current law. services and therapy, $7,995,200.00 in general fund/general purpose revenue shall be provided as lump-sum payments to noncritical access hospitals that qualified for rural hospital access payments in fiscal year 2013-2014 and that provide obstetrical care in the current fiscal year. Payment amounts shall be based on the volume of obstetrical care cases and newborn care cases for all such cases billed by each qualified hospital in the most recent year for which data is available. Payments shall be made by January 1 of the current fiscal year.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (2) From the funds appropriated in part 1 for hospital (2) No changes from current law. (2) From the funds appropriated in part 1 (2) From the funds appropriated in part 1 (2) Concur with the House. services and therapy and Healthy Michigan plan, for hospital services and therapy and for hospital services and therapy and $13,904,800.00 in general fund/general purpose Healthy Michigan plan, $13,904,800.00 in Healthy Michigan plan, $13,904,800.00 in revenue and any associated federal match shall be general fund/general purpose revenue general fund/general purpose revenue awarded as rural access payments to noncritical and any associated federal match shall and any associated federal match shall access hospitals that meet criteria established by the be awarded as rural access payments to be awarded as rural access payments to department for services to low-income rural noncritical access hospitals that meet noncritical access hospitals that meet residents. One of the reimbursement components of criteria established by the department for criteria established by the department for the distribution formula shall be assistance with labor services to low-income rural residents. services to low-income rural residents. and delivery services. The department shall ensure One of the reimbursement components of One of the reimbursement components of that the rural access payments described in this the distribution formula shall be the distribution formula shall be subsection shall be distributed in a manner that assistance with labor and delivery assistance with labor and delivery ensures both of the following: services. The department shall ensure services. The department shall ensure that the rural access payments described that the rural access payments described (a) No hospital shall receive more than 10.0% of the in this subsection shall be are distributed in this subsection shall be are distributed total rural access funding referenced in this in a manner that ensures both of the in a manner that ensures both of the subsection. following: following: (b) To allow hospitals to understand their rural payment amounts under this subsection, the (a) No A hospital shall does not receive (a) No A hospital shall not receive more department shall provide hospitals with the more than 10.0% of the total rural access than 10.0% of the total rural access methodology for distribution under this subsection funding referenced in this subsection. funding referenced in this subsection. and provide each hospital with its applicable data that (b) To allow hospitals to understand their (b) To allow hospitals to understand their are used to determine the payment amounts by rural payment amounts under this rural payment amounts under this August 1 of the current fiscal year. The department subsection, the department shall provide subsection, the department shall provide shall publish the distribution of payments for the hospitals with the The methodology for hospitals with the methodology for current fiscal year and the immediately preceding distribution under this subsection and distribution under this subsection and fiscal year. provide each hospital with its applicable provide each hospital with its applicable data that are used to determine the data that are used to determine the payment amounts are provided to each payment amounts by August 1 of the hospital by August 1 of the current fiscal current fiscal year. The department shall year. The department shall publish the publish the distribution of payments for distribution of payments for the current the current fiscal year and the fiscal year and the immediately preceding immediately preceding fiscal year. fiscal year.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Portable X-Ray and Ultrasound Provider Type

Sec. 1803. The department shall Striking current law. Sec. 1803. No changes from Sec. 1803. No changes from Sec. 1803. No changes from maintain rules to allow for billing to and current law. current law. current law. reimbursement by the Medicaid program directly for transportation charges related to portable x-ray services rendered to patients residing in a nursing facility or an assisted living facility, or who are otherwise homebound. By October 1 of the current fiscal year, the department shall set payment rates for Medicaid transportation charges related to portable x-ray services.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Identification of Medicaid Beneficiaries Who Are Veterans

Sec. 1804. (1) The department shall utilize the Sec. 1804. (1) The department shall utilize the federal Sec. 1804. Concur with the Sec. 1804. (1) No changes from Sec. 1804. (1) No changes from public assistance reporting information system The federal public assistance reporting information department shall continue to work to identify Executive. current law. current law. system to identify Medicaid recipients who are Medicaid recipients who are veterans and who may be veterans and who may be eligible for federal eligible for federal veterans’ health care benefits or other veterans’ health care benefits or other benefits. benefits and shall continue to refer veterans to the The department shall identify the specific department of military and veterans affairs for outcomes and performance reporting assistance in securing additional benefits. To requirements described in this section. The accomplish this, the department may utilize the department shall acquire all of the following federal public assistance reporting information system. The department shall identify the specific information by January 1 of the current fiscal year outcomes and performance reporting requirements and report to the senate and house appropriations described in this section. The department shall acquire subcommittees on the department budget, the all of the following information by January 1 of the senate and house fiscal agencies, and the senate current fiscal year and report to the senate and house and house policy offices on the following: appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the (a) The number of veterans identified by the senate and house policy offices on the following: department through eligibility determinations. (a) The number of veterans identified by the department (b) The number of veterans referred to the through eligibility determinations. department of military and veterans affairs. (b) The number of veterans referred to the department (c) The number of referrals made by the of military and veterans affairs. department that were contacted by the (c) The number of referrals made by the department that department of military and veterans affairs. were contacted by the department of military and (d) The number of referrals made by the veterans affairs. department that were eligible for veterans health (d) The number of referrals made by the department that were eligible for veterans health care benefits or other care benefits or other benefits. benefits. (d) The specific actions and efforts undertaken by (d) The specific actions and efforts undertaken by the the department and the department of military and department and the department of military and veterans veterans affairs to identify female veterans who affairs to identify female veterans who are applying for are applying for public assistance benefits, but public assistance benefits, but who are eligible for who are eligible for veterans benefits. veterans benefits. (e) The specific actions and efforts undertaken by (e) The specific actions and efforts undertaken by the the department and the department of military and department and the department of military and veterans affairs to identify female veterans who are applying for veterans affairs to identify female veterans who public assistance benefits, but who are eligible for are applying for public assistance benefits, but veterans benefits. who are eligible for veterans benefits.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (2) By October 1 of the current fiscal Striking current law. Striking current law. (2) No changes from current (2) No changes from current year, the department shall change the law. law. public assistance application form from asking whether the prospective applicant was a veteran to asking whether the applicant had ever served in the military. (3) This section does not prohibit the Striking current law. Striking current law. (3) No changes from current (3) No changes from current department from entering into law. law. interagency agreements with any other public department or agency in this state in order to obtain the information detailed in subsection Health Plan Performance Data Reporting

Sec. 1810. In advance of the annual rate Sec. 1810. No changes from Sec. 1810. No changes from Sec. 1810. No changes from Sec. 1810. No changes from setting development, Medicaid health current law. current law. current law current law plans shall be given at least 60 days to dispute and correct any discarded encounter data before rates are certified. The department shall notify each contracting Medicaid health plan of any encounter data that have not been accepted for the purposes of rate setting. Graduate Medical Education Program Costs

Sec. 1812. By June 1 of the current fiscal Striking current law. Sec. 1812. No changes from Sec. 1812. No changes from Sec. 1812. No changes from year, and using the most recent available current law. current law. current law. 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 through the MiDocs consortium. The report shall be submitted to the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, and the state budget office.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Recognition of Medicaid Health Plan Accreditation

Sec. 1820. (1) In order to avoid Sec. 1820. (1) No changes Sec. 1820. (1) No changes Sec. 1820. (1) No changes Sec. 1820. (1) No changes duplication of efforts, the department from current law. from current law. from current law. from current law. shall utilize applicable national accreditation review criteria to determine compliance with corresponding state requirements for Medicaid health plans that have been reviewed and accredited by a national accrediting entity for health care services. (2) The department shall continue to (2) No changes from current (2) No changes from current (2) No changes from current (2) No changes from current comply with state and federal law and law. law. law. law. shall not initiate an action that negatively impacts beneficiary safety. (3) As used in this section, “national (3) No changes from current (3) No changes from current (3) No changes from current (3) No changes from current accrediting entity” means the National law. law. law. law. Committee for Quality Assurance, the URAC, formerly known as the Utilization Review Accreditation Commission, or other appropriate entity, as approved by the department. Telemedicine and Telepsychiatry Use in Underserved Areas

Sec. 1837. The department shall Sec. 1837. No changes from Sec. 1837. No changes from Sec. 1837. No changes from Sec. 1837. No changes from continue, and expand where appropriate, current law. current law. current law. current law. utilization of telemedicine and telepsychiatry as strategies to increase access to services for Medicaid recipients.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Graduate Medical Education Priorities

Sec. 1846. From the funds appropriated Sec. 1846. No changes from Sec. 1846. From the funds Sec. 1846. No changes from Sec. 1846. Concur with the in part 1 for graduate medical education, current law. appropriated in part 1 for current law. House. the department shall distribute the funds graduate medical education, the with an emphasis on the following health department shall distribute the care workforce goals: funds with an emphasis on the following health care workforce (a) The encouragement of the training of goals: physicians in specialties, including primary care, that are necessary to meet (a) The encouragement of the the future needs of residents of this training of physicians in state. specialties, including primary (b) The training of physicians in settings care, that are necessary to that include ambulatory sites and rural meet the future needs of locations. residents of this state. (b) The training of physicians in settings that include ambulatory sites and rural locations. (c) The training of practitioners providing pediatric psychiatry services. Eligibility Redetermination by Medicaid Health Plans

Sec. 1850. The department may allow Sec. 1850. No changes from Sec. 1850. No changes from Sec. 1850. No changes from Sec. 1850. No changes from Medicaid health plans to assist with current law. current law. current law. current law. maintaining eligibility through outreach activities to ensure continuation of Medicaid eligibility and enrollment in managed care. This may include mailings, telephone contact, or face-to- face contact with beneficiaries enrolled in the individual Medicaid health plan. Health plans may offer assistance in completing paperwork for beneficiaries enrolled in their plan.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Adult Home Help Mobile Electronic Visit Verification

Sec. 1851. From the funds appropriated Sec. 1851. No changes from Sec. 1851. No changes from Sec. 1851. No changes from Sec. 1851. No changes from in part 1 for adult home help services, the current law. current law. current law. current law. department shall allocate $150,000.00 state general fund/general purpose revenue plus any associated federal match to develop and deploy a mobile electronic visit verification solution to create administrative efficiencies, reduce error, and minimize fraud. The development of the solution shall be predicated on input from the results of the 2017 stakeholder survey. Sec. 1854. New House language. Sec. 1854. The funds Not included. Sec. 1854. Concur with the appropriated in part 1 for House. program of all-inclusive care for the elderly (PACE) must support a current fiscal year enrollment cap that is not less than 6,920.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Unused PACE Slots

Sec. 1855. From the funds appropriated Sec. 1855. No changes from Sec. 1855. No changes from Sec. 1855. No changes from Sec. 1855. Concurs with the in part 1 for program of all-inclusive care current law. current law, except: current law. House. for the elderly (PACE), to the extent that funding is available in the PACE line item and unused program slots are available, the department may do the following:

(a) Increase the number of slots for an already-established local PACE program if the local PACE program has provided appropriate documentation to the department indicating its ability to expand capacity to provide services to additional PACE clients. (b) Suspend the 10 member per month individual PACE program enrollment increase cap in order to allow unused (c) Give funding priority to and unobligated slots to be allocated to programs established in this address unmet demand for PACE state before calendar year services. 2021.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Hospice Room and Board Payments

Sec. 1856. (1) From the funds Sec. 1856. (1) No changes from Sec. 1856. (1) No changes from Sec. 1856. (1) No changes from Sec. 1856. (1) No changes from appropriated in part 1 for hospice current law. current law. current law. current law. services, $3,318,000.00 shall be expended to provide room and board for Medicaid recipients who meet hospice eligibility requirements and receive services at Medicaid enrolled hospice residences in this state. The department shall distribute funds through grants based on the total beds located in all eligible residences that have been providing these services as of October 1, 2017. Any eligible grant applicant may inform the department of their request to reduce the grant amount allocated for their residence and the funds shall be distributed proportionally to increase the total grant amount of the remaining grant- eligible residences. Grant amounts shall be paid out monthly with 1/12 of the total grant amount distributed each month to the grantees. (2) By September 15 of the current fiscal (2) No changes from current (2) No changes from current (2) No changes from current (2) No changes from current year, each Medicaid-enrolled hospice law. law. law. law. with a residence that receives funds under this section shall provide a report to the department on the utilization of the grant funding provided in subsection (1). The report shall be provided in a format prescribed by the department and shall include the following:

(a) The number of patients served. (b) The number of days served. (c) The daily room and board rates for the patients served. (d) If there is not sufficient funding to cover the total room and board need, the number of patients who did not receive care due to insufficient grant funding.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (3) If there is funding remaining at the (3) No changes from current (3) No changes from current (3) No changes from current (3) No changes from current end of the current fiscal year, the law. law. law. law. Medicaid-enrolled hospice with a residence shall return funding to the state. Managed Care Long-Term Support Services

Sec. 1857. By July 1 of the current fiscal Striking current law. Striking current law. Sec. 1857. No changes from Sec. 1857. No changes from year, the department shall explore the current law. current law. implementation of a managed care long- term support service. Pharmaceutical Carve Out Report

Sec. 1858. By April 1 of the current fiscal Striking current law. Sec. 1858. No changes from Sec. 1858. No changes from Sec. 1858. No changes from year, the department shall report to the current law. current law. current law. senate and house appropriations subcommittees on the department budget and the senate and house fiscal agencies on all of the following elements related to the current Medicaid pharmacy carve-out of pharmaceutical products as provided for in section 109h of the social welfare act, 1939 PA 280, MCL 400.109h:

(a) The number of prescriptions paid by the department during the previous fiscal year. (b) The total amount of expenditures for prescriptions paid by the department during the previous fiscal year. (c) The number of and total expenditures for prescriptions paid for by the department for generic equivalents during the previous fiscal year.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Medicaid Research Activities

Sec. 1859. The department shall partner Sec. 1859. No changes from Sec. 1859. No changes from Sec. 1859. No changes from Sec. 1859. No changes from with the Michigan Association of Health current law. current law. current law. current law. Plans (MAHP) and Medicaid health plans to develop and implement strategies for the use of information technology services for Medicaid research activities. The department shall make available state medical assistance program data, including Medicaid behavioral data, to MAHP and Medicaid health plans or any vendor considered qualified by the department for the purpose of research activities consistent with this state’s goals of improving health; increasing the quality, reliability, availability, and continuity of care; and reducing the cost of care for the eligible population of Medicaid recipients. Healthy Michigan Plan Co-Pay and Premium Report

Sec. 1860. By March 1 of the current Sec. 1860. No changes from Sec. 1860. No changes from Sec. 1860. No changes from Sec. 1860. No changes from fiscal year, the department shall provide current law. current law. current law. current law. a report to the senate and house appropriations subcommittees, the senate and house fiscal agencies, and the state budget office on uncollected co- pays and premiums in the Healthy Michigan plan. The report shall include information on the number of participants who have not paid their co-pays and premiums, the total amount of uncollected co-pays and premiums, and steps taken by the department and health plans to ensure greater collection of co- pays and premiums.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Obstetrical Rates

Sec. 1862. From the funds appropriated Sec. 1862. No changes from Sec. 1862. No changes from Sec. 1862. No changes from Sec. 1862. No changes from in part 1, the department shall maintain current law. current law. current law. current law. payment rates for Medicaid obstetrical services at 95% of Medicare levels effective October 1, 2014. Psychotropic Medicine Best Practices Workgroup

Sec. 1867. (1) The department shall continue a workgroup that includes Striking current law. Sec. 1867. (1) No changes Sec. 1867. (1) No changes Sec. 1867. (1) No changes psychiatrists, other relevant prescribers, from current law. from current law. from current law. and pharmacists to identify best practices and to develop a protocol for psychotropic medications. Any changes proposed by the workgroup shall protect a Medicaid beneficiary’s current psychotropic pharmaceutical treatment regimen by not requiring a physician currently prescribing any treatment to alter or adjust that treatment. (2) By March 1 of the current fiscal year, Striking current law. (2) No changes from current (2) No changes from current (2) No changes from current the department shall provide the law. law. law. workgroup’s recommendations to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the state budget office.

House Fiscal Agency Medical Services BP - 366 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS MiDocs Consortium

Sec. 1870. (1) From the funds Sec. 1870. (1) No changes from Sec. 1870. (1) No changes from Sec. 1870. (1) No changes from Sec. 1870. (1) No changes appropriated in part 1 for hospital current law. current law. current law, except: from current law. services and therapy, the department shall appropriate $5,100,000.00 in "…appropriate general fund/general purpose revenue $5,100,000.00$6,400,000.00 in plus any contributions from public general…" entities, up to $5,000,000.00, and any associated federal match to the MiDocs consortium to create new primary care residency slots in underserved communities. The new primary care residency slots must be in 1 of the following specialties: family medicine, general internal medicine, general pediatrics, general OB-GYN, psychiatry, or general surgery. (2) The department shall seek any (2) No changes from current (2) No changes from current (2) No changes from current (2) No changes from current necessary approvals from CMS to allow law. law. law. law. the department to implement the program described in this section. (3) Assistance with repayment of medical (3) No changes from current (3) No changes from current (3) No changes from current (3) No changes from current education loans, loan interest payments, law. law. law. law. or scholarships provided by MiDocs shall be contingent upon a minimum 2-year commitment to practice in an underserved community in this state post-residency and an agreement to forego any sub-specialty training for at least 2 years post-residency with the exception of a child and adolescent psychiatry fellowship which must be integrated with a psychiatry residency training program in a MiDocs affiliated institution.

House Fiscal Agency Medical Services BP - 367 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (4) The MiDocs shall work with the (4) No changes from current (4) No changes from current (4) No changes from current (4) No changes from current department to integrate the Michigan law. law. law. law. inpatient psychiatric admissions discussion (MIPAD) recommendations and, when possible, prioritize training opportunities in state psychiatric hospitals and community mental health organizations. (5) The MiDocs consortium may allocate (5) No changes from current (5) No changes from current Striking current law. (5) No changes from current local funding, and any associated federal law. law. law. match, to a community- based Accreditation Council for Graduate Medical Education (ACGME), which operates from the local funds appropriated in this subsection, to administer a community-based residency training program. The funds appropriated in this subsection may be allocated and administered on a local level to communities with high disparities related to COVID-19 and high infant mortality rates for community and public health- based training programs for providers in family medicine. The community-based residency training program shall have a particular emphasis on addressing local psychiatric issues, local health disparities, and local maternal child health issues. The department and the MiDocs consortium may secure federal match on local funds allocated in this subsection to serve Medicaid and uninsured individuals through this community-based residency training program.

House Fiscal Agency Medical Services BP - 368 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (6) In developing the number of primary Striking current law. Striking current law. Striking current law. Striking current law. care residency slots for the fiscal year ending September 30, 2022, it is the intent of the legislature that 5 additional primary care residency slots be added with the goal of those slots being awarded to minority applicants or applicants from underserved communities. (7) The department shall create a MiDocs (7) (6) The department shall (7) (6) Concur with the (7) (5) Concur with the (7) (6) Concur with the initiative advisory council to help support create a maintain the MiDocs Executive. Executive. Executive. implementation of the program described initiative advisory council to help in this section, and provide oversight. support implementation of the The advisory council shall be composed program described in this of the MiDocs consortium, the Michigan section, and provide oversight. Area Health Education Centers, the The advisory council shall be Michigan Primary Care Association, the composed of the MiDocs Michigan Center for Rural Health, the consortium, the Michigan Area Michigan Academy of Family Physicians, Health Education Centers, the and any other appointees designated by Michigan Primary Care the department. Association, the Michigan Center for Rural Health, the Michigan Academy of Family Physicians, and any other appointees designated by the department. (8) By September 1 of the current fiscal (8) (7) No changes from current (8) (7) No changes from current (8) (6) No changes from current (8) (7) No changes from current year, MiDocs shall report to the senate law. law. law. law. and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office, on the following:

(a) Audited financial statement of per- resident costs. (b) Education and clinical quality data. (c) Roster of trainees, including areas of specialty and locations of training. (d) Medicaid revenue by training site.

House Fiscal Agency Medical Services BP - 369 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (9) Outcomes and performance (9) (8) No changes from current (9) (8) No changes from current (9) (7) No changes from current (9) (8) Concur with the Senate. measures for this program include, but law. law. law, except: "…not limited to, all are not limited to, the following: of the following:…"

(a) Increasing this state’s ability to recruit, train, and retain primary care physicians and other select specialty physicians in underserved communities. (b) Maximizing training opportunities with community health centers, rural critical access hospitals, solo or group private practice physician practices, schools, and other community-based clinics, in addition to required rotations at inpatient hospitals. (c) Increasing the number of residency slots for family medicine, general internal medicine, general pediatrics, general OB-GYN, psychiatry, and general surgery.

House Fiscal Agency Medical Services BP - 370 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (10) Unexpended and unencumbered (10) (9) No changes from (10) (9) Concur with the (10) (8) No changes from (10) (9) Concur with the funds up to a maximum $5,100,000.00 in current law, except: Executive. current law, except: Executive. general fund/general purpose revenue "…a maximum $5,100,000.00 plus any contributions from public $6,400,000.00 in general entities, up to $5,000,000.00, and any fund/general purpose…" associated federal match remaining in accounts appropriated in part 1 for hospital services and therapy are "(d) The tentative completion designated as work project date is September 30, 2025 appropriations, and any unencumbered 2026." or unallotted funds shall not lapse at the end of the fiscal year and shall be available for expenditures for the MiDocs consortium to create new primary care residency slots in underserved communities under this section until the work project has been completed. All of the following are in compliance with section 451a(1) of the management and budget act, 1984 PA 431, MCL 18.1451a:

(a) The purpose of the work project is to fund the cost of the MiDocs consortium to create new primary care residency slots in underserved communities. (b) The work project will be accomplished by contracting with the MiDocs consortium to oversee the creation of "(d) The tentative completion new primary care residency slots. date is September 30, 2025 (c) The total estimated completion cost of 2026." the work project is $20,200,000.00. (d) The tentative completion date is September 30, 2025.

House Fiscal Agency Medical Services BP - 371 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Healthy Michigan Plan Healthy Behaviors Incentives

Sec. 1871. The funds appropriated in Sec. 1871. No changes from Sec. 1871. No changes from Sec. 1871. No changes from Sec. 1871. No changes from part 1 for the Healthy Michigan plan current law. current law. current law. current law. healthy behaviors incentives program shall only provide reductions in cost- sharing responsibilities and shall not include other financial rewards such as gift cards. Personal Care Services Rate Increase

Sec. 1872. From the funds appropriated Sec. 1872. No changes from Sec. 1872. No changes from Sec. 1872. No changes from Sec. 1872. No changes from in part 1 for personal care services, the current law. current law. current law. current law. department shall maintain the monthly Medicaid personal care supplement paid to adult foster care facilities and homes for the aged that provide personal care services to Medicaid recipients in place during the previous fiscal year. Nursing Facility Transition Initiative

Sec. 1873. From the funds appropriated Sec. 1873. No changes from Sec. 1873. No changes from Sec. 1873. No changes from Sec. 1873. No changes from in part 1 for long-term care services, the current law. current law. current law. current law. department may allocate up to $3,700,000.00 for the purpose of outreach and education to nursing home residents and the coordination of housing in order to move out of the facility. In addition, any funds appropriated shall be used for other quality improvement activities of the program. The department shall consider working with all relevant stakeholders to develop a plan for the ongoing sustainability of the nursing facility transition initiative.

House Fiscal Agency Medical Services BP - 372 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Program of All-Inclusive Care for the Elderly (PACE) Inclusion

Sec. 1874. The department shall ensure, Sec. 1874. No changes from Sec. 1874. No changes from Sec. 1874. No changes from Sec. 1874. No changes from in counties where program of all- current law. current law. current law. current law. inclusive care for the elderly or PACE services are available, that the program of all-inclusive care for the elderly (PACE) is included as an option in all options counseling and enrollment brokering for aging services and managed care programs, including, but not limited to, Area Agencies on Aging, centers for independent living, and the MiChoice home and community- based waiver. Such options counseling must include approved marketing and discussion materials. Prior Authorization for Certain Drugs

Sec. 1875. (1) The department and its Sec. 1875. No changes from Sec. 1875. No changes from Sec. 1875. (1) The department Sec. 1875. (1) The department contractual agents may not subject current law. current law. and its contractual agents may and its contractual agents may Medicaid prescriptions to prior not subject Medicaid not subject Medicaid authorization procedures during the prescriptions to prior prescriptions to prior current fiscal year if that drug is carved authorization procedures during authorization procedures during out or is not subject to prior authorization the current fiscal year if that the current fiscal year if that procedures as of January 22, 2020, and drug is carved out or is not drug is carved out or is not is generally recognized in a standard subject to prior authorization subject to prior authorization medical reference or the American procedures as of January 22, procedures as of January 22, Psychiatric Association’s Diagnostic and 2020, and is generally 2020, and is generally Statistical Manual for the Treatment of a recognized in a standard recognized in a standard Psychiatric Disorder. medical reference or the medical reference or the American Psychiatric American Psychiatric Association's Diagnostic and Association's Diagnostic and Statistical Manual for the Statistical Manual for the Treatment of a Psychiatric Treatment of a Psychiatric Disorder. Disorder.

House Fiscal Agency Medical Services BP - 373 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (2) The department and its contractual (2) No changes from current (2) The department and its (2) The department and its (2) The department and its agents may not subject Medicaid law. contractual agents may not contractual agents may not contractual agents may not prescriptions to prior authorization subject Medicaid prescriptions subject Medicaid prescriptions subject Medicaid prescriptions procedures during the current fiscal year to prior authorization to prior authorization to prior authorization if that drug is carved out or is not subject procedures during the current procedures during the current procedures during the current to prior authorization procedures as of fiscal year if that drug is carved fiscal year if that drug is carved fiscal year if that drug is carved January 22, 2020 and is a prescription out or is not subject to prior out or is not subject to prior out or is not subject to prior drug that is generally recognized in a authorization procedures as of authorization procedures as of authorization procedures as of standard medical reference for the January 22, 2020 and is a January 22, 2020 and is a January 22, 2020 and is a treatment of human immunodeficiency prescription drug that is prescription drug that is prescription drug that is virus or acquired immunodeficiency generally recognized in a generally recognized in a generally recognized in a syndrome, epilepsy or seizure disorder, standard medical reference for standard medical reference for standard medical reference for or organ replacement therapy. The the treatment of human the treatment of human the treatment of human department shall explore including immunodeficiency virus or immunodeficiency virus or immunodeficiency virus or medications for the treatment of acquired immunodeficiency acquired immunodeficiency acquired immunodeficiency Duchenne Muscular Dystrophy to the list syndrome, epilepsy or seizure syndrome, epilepsy or seizure syndrome, epilepsy or seizure of Medicaid prescriptions not subject to disorder, or organ replacement disorder, or organ replacement disorder, or organ replacement prior authorization. therapy. The department shall therapy. The department shall therapy. The department shall not require prior explore including medications not require prior authorization, step therapy, for the treatment of Duchenne authorization, step therapy, or other restrictions for Muscular Dystrophy to on the or other restrictions for medications approved by the list of Medicaid prescriptions not medications approved by the United States Food and Drug subject to prior authorization. United States Food and Drug Administration to treat opioid Administration to treat opioid withdrawal symptom withdrawal symptom management. The department management. The department shall explore including shall explore including medications for the treatment of medications for the treatment of Duchenne Muscular Dystrophy Duchenne Muscular Dystrophy to the list of Medicaid to on the list of Medicaid prescriptions not subject to prior prescriptions not subject to prior authorization. authorization.

House Fiscal Agency Medical Services BP - 374 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (3) As used in this section, “prior (3) No changes from current (3) No changes from current (3) No changes from current (3) Concur with the Senate. authorization” means a process law. law. law, except: implemented by the department or its "…denies delivery or of contractual agents that conditions, particular pharmacy delays, or denies delivery or particular services…" pharmacy services to Medicaid beneficiaries upon application of predetermined criteria by the department or its contractual agents to those pharmacy services. The process of prior authorization often requires that a prescriber do 1 or both of the following:

(a) Obtain preapproval from the department or its contractual agents before prescribing a given drug. (b) Verify to the department or its contractual agents that the use of a drug prescribed for an individual meets predetermined criteria from the department or its contractual agents for a prescription drug that is otherwise available under the Medicaid program in this state. Common Formulary - Deflazacort

Sec. 1876. The department shall include Striking current law. Striking current law. Striking current law. Striking current law. the corticosteroid deflazacort on the Medicaid health plan common formulary.

House Fiscal Agency Medical Services BP - 375 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Sec. 1877. (1) New House language. Sec. 1877. (1) The department Not included. Sec. 1877. (1) Concur with the must not subject providers of House. Medicaid-funded medical care or services to waiting more than 72 hours to receive prior authorization appeal decisions for urgent requests made by a provider. The department may use either electronic or written means to notify a provider of a Medicaid-funded services of its the prior authorization appeal decision.

House Fiscal Agency Medical Services BP - 376 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (2) New House language. (2) As used in this section Not included (2) Concur with the House. "urgent request" means a request for Medicaid-funded medical care or services where application of the time frame for making routine or non-life threatening medical care or services determinations would do any of the following: (a) Seriously jeopardize the life or health of the individual or the individual's ability to regain maximum function, based on a prudent layperson’s judgment. (b) Seriously jeopardize the life, health, or safety of the individual or others, due to the individual's psychological state. (c) In the opinion of a practitioner with knowledge of the individual's medical or behavioral condition, would subject the individual to adverse health consequences without the medical care or service that is the subject of the request.

House Fiscal Agency Medical Services BP - 377 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Hepatitis C Tracking

Sec. 1878. By March 1 of the current Striking current law. Sec. 1878. No changes from Striking current law. Striking current law. fiscal year, the department shall provide current law. a report to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office on hepatitis C tracking data. At a minimum, the report shall include information on the following for individuals treated with Harvoni or any other treatment used to cure hepatitis C during the current fiscal year or a previous fiscal year:

(a) The total number of people treated broken down by those treated through traditional Medicaid and those treated through the Healthy Michigan plan. (b) The total cost of treatment. (c) The total cost of treatment broken down by those treated through traditional Medicaid and those treated through the Healthy Michigan plan. (d) The cure rate broken down by Metavir Score, genotype, Medicaid match rate, and drug used during treatment. (e) The reinfection rate broken down by Metavir Score, genotype, Medicaid match rate, and drug used during treatment.

House Fiscal Agency Medical Services BP - 378 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Single Preferred Drug List

Sec. 1879. (1) The department shall Sec. 1879. (1) No changes from Sec. 1879. (1) The department Sec. 1879. (1) Concurs with Sec. 1879. (1) Concurs with maintain a single, standard preferred current law. shall maintain a single, standard technical changes. technical changes. drug list to be used by all contracted preferred drug list to be used by Medicaid managed health care all contracted Medicaid programs. Changes to the preferred drug managed health care programs. list shall be made in consultation with all Changes to the preferred drug contracted managed health care list shall be made in consultation programs and the Michigan pharmacy with all contracted managed and therapeutics committee to ensure health care programs and the sufficient access to medically necessary Michigan pharmacy and drugs for each disease state. The therapeutics committee to department shall have final authority over ensure sufficient access to the list and it shall be designed to ensure medically necessary drugs for access to clinically effective and each disease state. The appropriate drug therapies and maximize department shall have has final federal rebates and supplemental authority over the list and it shall rebates. be designed design the list to ensure access to clinically effective and appropriate drug therapies and maximize federal rebates and supplemental rebates.

House Fiscal Agency Medical Services BP - 379 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (2) By July 15 of the current fiscal year, the (2) No changes from current law. (2) By July 15 of the current fiscal year, (2) By July 15 of the current fiscal year, (2) Concur with the House. department shall submit a report to the senate and the department shall submit a report to the department shall submit a report to house appropriations subcommittees on the the senate and house appropriations the senate and house appropriations department budget, the senate and house fiscal subcommittees on the department subcommittees on the department agencies, the senate and house policy offices, and budget, the senate and house fiscal budget, the senate and house fiscal the state budget office that compares the agencies, the senate and house policy agencies, the senate and house policy managed care pharmacy expenditures prior to the offices, and the state budget office that offices, and the state budget office that implementation of a single, standard preferred compares the managed care pharmacy compares the managed care pharmacy drug list to managed care pharmacy expenditures expenditures, utilization, and rebates expenditures prior to the after the implementation of a single, standard prior to the implementation ofbefore implementation ofbefore preferred drug list. The report shall include data on implementing a single, standard implementing a single, standard collected rebates and expenditures by quarter for preferred drug list to managed care preferred drug list to managed care at least 8 quarters prior to implementing a single, pharmacy expenditures, utilization, pharmacy expenditures after the standard preferred drug list, and the experienced and rebates after the implementation implementation ofimplementing a rebates and expenditures for at least 2 quarters, of a single, standard preferred drug list. single, standard preferred drug list. The and the projected rebates and expenditures for at The report shall include data on report shall include data on collected least 6 quarters after the implementation of a collected rebates, pharmacy rebates and expenditures by quarter single, standard preferred drug list. The data shall utilization, and expenditures by for at least 8 quarters prior to be aggregated by the department so as not to quarter for at least 8 quarters prior to implementing a single, standard disclose the proprietary or confidential drug- implementing a single, standard preferred drug list, and the experienced specific information, or the proprietary or preferred drug list, and the experienced rebates and expenditures for at least 2 confidential information that directly or indirectly rebates, pharmacy utilization, and 6 quarters, and the projected rebates identifies financial information linked to a single expenditures for at least 26 quarters, and expenditures for at least 6 2 manufacturer. The report shall include any and the projected rebates, pharmacy quarters after the implementation administrative costs or savings associated with utilization, and expenditures for at ofimplementing a single, standard the continued implementation of a single, standard least 6 quarters 7 through 12 after the preferred drug list. The data shall be Medicaid preferred drug list and must include implementation of a single, standard aggregated by the department so as information on a per Medicaid prescription basis. preferred drug list. The data shall be not to disclose the proprietary or aggregated by the department so as confidential drug-specific information, not to disclose the proprietary or or the proprietary or confidential confidential drug-specific information, information that directly or indirectly or the proprietary or confidential identifies financial information linked to information that directly or indirectly a single manufacturer. The report shall identifies financial information linked to include any administrative costs or a single manufacturer. The report shall savings associated with the continued include any administrative costs or implementation of a single, standard savings associated with the continued Medicaid preferred drug list and must implementation of a single, standard include information on a per Medicaid Medicaid preferred drug list and must prescription basis. include information on a per Medicaid prescription basis.

House Fiscal Agency Medical Services BP - 380 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Single Preferred Drug List Report and Rate Setting

Sec. 1880. (1) By June 1 of the current Striking current law. Striking current law. Sec. 1880. (1) No changes from Striking current law. fiscal year, the department shall provide current law. a report to the senate and house committees on appropriations, the senate and house fiscal agencies, and the state budget office on the newly implemented statewide Medicaid preferred drug list policy. This report must include, but is not limited to, all of the following:

(a) The difference between estimated pharmacy expenditures and actual pharmacy expenditures incurred by the Medicaid health plans through the first 2 quarters of the fiscal year. (b) The difference between estimated federal and supplemental rebates and actual amount of federal and supplemental rebates realized from the Medicaid health plan pharmacy utilization through the first 2 quarters of the fiscal year. (c) The difference between the estimated ingredient cost increase and the actual ingredient cost increase incurred by the Medicaid health plans through the first 2 quarters of the fiscal year. (d) The difference between the estimated annual change in pharmacy utilization and the actual annual change in pharmacy utilization incurred by the Medicaid health plans through the first 2 quarters of the fiscal year.

House Fiscal Agency Medical Services BP - 381 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (2) By June 1 of the current fiscal year, Striking current law. Striking current law. (2) No changes from current Striking current law. the department shall provide law. adjustments to capitation rates paid to Medicaid health plans to reflect the difference between the rates implemented for fiscal year 2020-2021 and the per enrollee health benefit expenses incurred by contracted health plans to the senate and house committees on appropriations, the senate and house fiscal agencies, and the state budget office. Any adjustments made to the capitation rates under this section shall be made outside of the updated estimates of Medicaid expenditures revised pursuant to section 367b of the management and budget act, 1984 PA 431, MCL 18.1367b, in May of the current fiscal year for the impacted period.

House Fiscal Agency Medical Services BP - 382 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Risk Corridor Financial Reconciliation

Sec. 1881. (1) The funds appropriated in Striking current law. Striking current law. Striking current law. Striking current law. part 1 for health plan services and Healthy Michigan plan assume $36,000,000.00 in estimated general fund/general purpose revenue savings and $141,360,000.00 in gross savings from the financial reconciliation of the 2- way risk corridor implemented in the managed care capitation rates for the previous fiscal year. By September 1 of the current fiscal year, the department shall provide a report to the senate and house committees on appropriations, the senate and house fiscal agencies, and the state budget office on the actual amount of general fund/general purpose savings from the financial reconciliation of the 2-way risk corridor implemented in the managed care capitation rates for the previous fiscal year. Any adjustments made to the capitation rates under this section shall be made outside of the updated estimates of Medicaid expenditures revised pursuant to MCL 18.1367b in May of the current fiscal year. (2) It is the intent of the legislature that Striking current law. Striking current law. Sec. 1881. (2) It is the intent of Sec. 1881. (2) Concur with the the managed care capitation rates for the the legislature that theThe Senate.. fiscal year ending September 30, 2022 managed care capitation rates do not include a 2-way risk corridor. for the fiscal year ending September 30, 2022 do shall not include a 2-way risk corridor.

House Fiscal Agency Medical Services BP - 383 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Contract Performance Standards

Sec. 1888. The department shall Sec. 1888. No changes from Sec. 1888. No changes from Sec. 1888. No changes from Sec. 1888. Concur with the establish contract performance current law. current law, except: current law, except: House. standards associated with the capitation withhold provisions for Medicaid health "…at least 3 months in advance "…at least 3 months in advance plans at least 3 months in advance of the before of the implementation of of the implementation of before implementation of those standards. The those standards…" implementing those determination of whether performance standards…" standards have been met shall be based primarily on recognized concepts such as 1-year continuous enrollment and the healthcare effectiveness data and information set, HEDIS, audited data.

House Fiscal Agency Medical Services BP - 384 6/30/2021 1625 Sexz c10 DEPARTMENT OF HEALTH AND HUMAN SERVICES – Medical Services Boilerplate

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS Healthy Kids Dental Program Report

Sec. 1894. By March 1 of the current Sec. 1894. No changes from Sec. 1894. No changes from Sec. 1894. No changes from Sec. 1894. No changes from fiscal year, the department shall report to current law. current law. current law. current law. the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office on the Healthy Kids Dental program. The report shall include, but is not limited to, the following:

(a) The number of children enrolled in the Healthy Kids Dental program who visited the dentist during the previous fiscal year broken down by dental benefit manager. (b) The number of dentists who accept payment from the Healthy Kids Dental program broken down by dental benefit manager. (c) The annual change in dental utilization of children enrolled in the Healthy Kids Dental program broken down by dental benefit manager. (d) Service expenditures for the Healthy Kids Dental program broken down by dental benefit manager. (e) Administrative expenditures for the Healthy Kids Dental program broken down by dental benefit manager.

House Fiscal Agency Medical Services BP - 385 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Information Technology

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS

INFORMATION TECHNOLOGY

Information Technology Expansion and Integrated Service Projects Report

Sec. 1901. (1) The department shall provide a report Sec. 1901. (1) No changes Sec. 1901. No changes from Sec. 1901. No Sec. 1901. Concur with the House. on a quarterly basis to the senate and house from current law, except: current law, except: changes from appropriations subcommittees on the department "…report on a quarterly current law. budget, the senate and house fiscal agencies, the semiannual basis…" senate and house policy offices, and the state budget office on all of the following information:

(a) The process used to define requests for proposals for each expansion of information technology (b) If the department decides projects, including timelines, project milestones, and not to contract the services out intended outcomes. to design and implement each (b) If the department decides not to contract the element of the information services out to design and implement each element technology expansion, the of the information technology expansion, the department's shall submit its department shall submit its own project plan that own project plan that includes, includes, at a minimum, the requirements in at a minimum, the requirements subdivision (a). in subdivision (a). (c) A recommended project management plan with milestones and time frames. (d) The proposed benefits from implementing the information technology expansion, including customer service improvement, form reductions, potential time savings, caseload reduction, and return on investment. (e) Details on the implementation of the integrated service delivery project, and the progress toward "…approved in the previous meeting the outcomes and performance measures quarter six months and the…" listed in section 1904(2) of this part. (f) A list of projects approved in the previous quarter and the purpose for approving each project including any federal, state, court, or legislative requirement for each project.

House Fiscal Agency Information Technology BP - 386 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Information Technology

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (2) Once an award for an expansion of information (2) No changes from current (2) No changes from current (2) No changes (2) No changes from current law. technology is made, the department shall report to the law. law. from current law. senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office a projected cost of the expansion broken down by use and type of expense.

House Fiscal Agency Information Technology BP - 387 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Information Technology

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS

Michigan Medicaid Information System Project Revenue Sec. 1902. No changes from Sec. 1902. No changes from Striking current Striking current law. Sec. 1902. From the funds appropriated in part 1 for current law. current law. law. the Michigan Medicaid information system (MMIS) Note: Also removes associated line item, private revenue may be received from and private revenue authorization in Part allocated for other states interested in participating as 1. part of the broader MMIS initiative. By March 1 of the current fiscal year, the department shall provide a report on the use of MMIS by other states for the previous fiscal year, including a list of states, type of use, and revenue and expenditures related to the agreements with the other states to use the MMIS. The report shall be provided to the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, and the state budget office.

Michigan Statewide Automated Child Welfare Information System (MiSACWIS) Reports

Sec. 1903. (1) The department shall report to the Sec. 1903. (1) No changes Sec. 1903. (1) No changes from Sec. 1903. (1) No Sec. 1903. (1) No changes from senate and house appropriations subcommittees on from current law. current law. changes from current law. the department budget, the senate and house fiscal current law. agencies, the senate and house policy offices, and the state budget office by November 1 of the current fiscal year the status of an implementation plan regarding the appropriation in part 1 to modernize the MiSACWIS. The report shall include, but not be limited to, an update on the status of the settlement and efforts to bring the system in compliance with the settlement and other federal guidelines set forth by the United States Department of Health and Human Services Administration for Children and Families.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (2) The department shall report to the senate and house (2) No changes from current law, (2) "The department shall report (2) No changes from (2) Concur with the House. appropriations subcommittees on the department budget, the except: quarterly to the…" current law. senate and house fiscal agencies, the senate and house policy offices, and the state budget office by November 1, January 1, "…state budget office by November "…state budget office by November 1, March 1, May 1, July 1, and September 1 of the current fiscal year 1, January 1, March 1, May 1, July 1, January 1, March 1, May 1, July 1, and a status report on the planning, implementation, and operation, and September 1 of the current…" September 1 of the current fiscal regardless of the current operational status, regarding the year…" appropriation in part 1 to implement the MiSACWIS. The report shall provide details on the planning, implementation, and operation of the system, including, but not limited to, all of the following: "…operation of the system MiSACWIS, including…" (a) Areas where implementation went as planned, and in each area including whether the implementation results in either enhanced user interface or portal access, conversion to new modules, or substantial operation improvement to the MiSACWIS system. "…MiSACWIS system." (b) The number of known issues. (c) The average number of help tickets submitted per day. (d) Any additional overtime or other staffing costs to address known issues and volume of help tickets. (e) Any contract revisions to address known issues and volume of help tickets. (f) Other strategies undertaken to improve implementation, and for each strategy area including whether the implementation results in either enhanced user interface or portal access, conversion to new modules, or substantial operation improvement to the MiSACWIS system. "…MiSACWIS system." (g) Progress developing cross-system trusted data exchange with MiSACWIS. "…exchange with the MiSACWIS." (h) Progress in moving away from a statewide automated child welfare information system (SACWIS) to a comprehensive child welfare information system (CCWIS). (i) Progress developing and implementing a program to monitor data quality. (j) Progress developing and implementing custom integrated systems for private agencies. (k) A list of all change orders, planned or in progress. (l) The status of all change orders, planned or in progress. (m) The estimated costs for all planned change orders. (n) The estimated and actual costs for all change orders in progress. House Fiscal Agency Information Technology BP - 389 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Information Technology

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Integrated Services Delivery Enhancement

Sec. 1904. (1) From the funds appropriated in part 1 Sec. 1904. (1) No changes Sec. 1904. (1) No changes from Sec. 1904. (1) No Sec. 1904. (1) Concur with the for the technology supporting integrated service from current law. current law, except: changes from House. delivery line item, the department shall maintain current law. information technology tools and enhance existing systems to improve the eligibility and enrollment process for citizens accessing department "This information technology administered programs. This information technology system will shall consolidate…" system will consolidate beneficiary information, support department caseworker efforts in building a success plan for beneficiaries, and better support department staff in supporting enrollees in assistance programs. (2) Outcomes and performance measures for the (2) No changes from current (2) No changes from current (2) No changes (2) No changes from current law. initiative under subsection (1) include, but are not law. law. from current law. limited to, the following:

(a) Successful consolidation of data warehouses maintained by the department. (b) The amount of time a department caseworker devotes to data entry when initiating an enrollee application. (c) A reduction in wait times for persons enrolled in assistance programs to speak with department staff and get necessary changes made. (d) A reduction in department caseworker workload.

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Information Technology Spending Report

Sec. 1905. (1) The department shall report on a Sec. 1905. (1) No changes Sec. 1905. No changes from Sec. 1905. No Sec. 1905. Concur with the House. monthly basis to the chairs of the senate and house from current law, except: current law, except: changes from standing committees on appropriations, the senate "…shall report on a monthly current law. and house appropriations subcommittees on the quarterly basis to…" department budget, the senate and house appropriations subcommittees on the general government budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office on all of the following:

(a) Fiscal year-to-date information technology spending for the current fiscal year by service and project and by line-item appropriation. (b) Planned information technology spending for the remainder of the current fiscal year by service and project and by line-item appropriation. (c) Total fiscal year-to-date information technology spending and planned spending for the current fiscal year by service and project and by line-item "…more than $250,000.00 that appropriation. exceed their allotted budget as (d) A list of all information technology projects well as and all information estimated to cost more than $250,000.00 that exceed technology…" their allotted budget as well as all information technology projects that have exceeded their allotted budget by 25% or more. (2) As used in subsection (1), “project” means all of, (2) No changes from current (2) No changes from current (2) No changes (2) Concur with the House. but not limited to, the following major projects: law. law, except: from current law. "…"project" means includes, (a) Community health automated Medicaid but is not limited to, all of, but processing system (CHAMPS). not limited to, the following (b) Bridges and MIBridges eligibility determination. major…" (c) MiSACWIS. (d) Integrated service delivery.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (3) By April 30 of the current fiscal year, the (3) No changes from current (3) No changes from current (3) No changes (3) No changes from current law, department, in coordination with the department of law, except: law. from current law. except: technology, management, and budget, shall provide to the senate and house appropriations subcommittees on the department budget, the senate "…office a 5-year 3-year and house fiscal agencies, the senate and house strategic plan…" policy offices, and the state budget office a 5-year strategic plan for information technology services and projects for the department. The strategic plan shall "…over the 5-year 3-year identify any scheduled changes in the federal and period…" state shares of costs related to information technology services and projects over the 5-year period. As part of the strategic plan, the department shall include total "…and a return on investment, information technology expenditures from the total cost of ownership by previous fiscal year by fund source, total information project…" technology appropriations as a percentage of total department appropriations by fund source, and a The strategic plan shall also return on investment, by project, for all information include, for the previous 5 technology expenditures in the previous fiscal year. fiscal years, the department’s The strategic plan shall also include, for the previous information technology "…the department's information 5 fiscal years, the department’s information spending compared to similar technology spending compared to technology spending compared to similar departments in 3 other states similar departments the spending departments in 3 other states located in the Midwest. located in the Midwest. in the areas of public health, Medicaid, child protective services, child welfare, family and social services, human services, and child support enforcement in for 3 other states located in the Midwest."

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Child Welfare Information System Workgroup

Sec. 1906. (1) The workgroup, in collaboration with Striking current law. Striking current law. Sec. 1906. (1) No Striking current law. the Michigan Federation of Children and Families and changes from the Association of Accredited Child and Family current law. Agencies, shall issue a report to the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, the house and senate policy offices, and the state budget office no later than November 1, January 1, March 1, May 1, July 1, and September 1 of the current fiscal year that must consist of, but is not limited to, the following:

(a) Recommendations for the future funding and operations of MiSACWIS and the replacement state child welfare information system. (b) Recommendations for any remedial actions that the workgroup considers necessary for the department to implement in order to improve the functions of MiSACWIS and the subsequent state child welfare information system, and measures established to determine the success of MiSACWIS and the replacement state child welfare information system. (c) Any other information the workgroup would like to provide regarding MiSACWIS and the replacement state child welfare information system. (2) As used in this section, “workgroup” means the Striking current law. Striking current law. (2) No changes Striking current law. workgroup established by the department to facilitate from current law. the transition from the use of MiSACWIS to a replacement state child welfare information system, according to the independent assessment of Michigan’s statewide automated child welfare information system and child welfare data reporting infrastructure submitted to the United States District Court for the Eastern District of Michigan on February 25, 2019.

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Information Technology Contract Report

Sec. 1907. By October 1 and March 1 of the current Sec. 1907. No changes from Sec. 1907. No changes from Sec. 1907. No Sec. 1907. No changes from current fiscal year, the department shall report to the house current law, except: "By current law. changes from law. and senate appropriations subcommittees on the October 1 and March 1 of current law. department budget, the house and senate fiscal the…" agencies, the house and senate policy offices, and the state budget office on all current, contracted information technology-related projects, total contractual costs, spending in previous fiscal years, planned spending for the current fiscal year, and fiscal year-to-date spending, by project.

Information Technology Spending Restrictions

Sec. 1909. (1) From the funds appropriated in part 1 Sec. 1909. (1) No changes Sec. 1909. (1) No changes from Sec. 1909. (1) No Sec. 1909. (1) No changes from for child support automation, the department shall from current law. current law. changes from current law. only encumber or expend funds for the operation, current law. maintenance, and improvements of the Michigan child support enforcement system (MiCSES). (2) From the funds appropriated in part 1 for bridges (2) No changes from current (2) No changes from current (2) No changes (2) No changes from current law. information system, the department shall only law. law. from current law. encumber or expend funds for the operation, maintenance, and improvements of Bridges and MIBridges. (3) From the funds appropriated in part 1 for (3) No changes from current (3) No changes from current (3) No changes (3) No changes from current law. technology supporting integrated service delivery, the law. law. from current law. department shall only encumber or expend funds for the operation, maintenance, and improvements of integrated service delivery. (4) From the funds appropriated in part 1 for Michigan (4) No changes from current (4) No changes from current (4) No changes (4) No changes from current law. Medicaid information system, the department shall law. law. from current law. only encumber or expend funds for the operation, maintenance, and improvements of the community health automated Medicaid processing system (CHAMPS). (5) From the funds appropriated in part 1 for Michigan (5) No changes from current (5) No changes from current (5) No changes (5) No changes from current law. statewide automated child welfare information law. law. from current law. system, the department shall only encumber or expend funds for the operation, maintenance, and improvements of MiSACWIS. House Fiscal Agency Information Technology BP - 394 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for Information Technology

FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (6) From the funds appropriated in part 1 for (6) No changes from current (6) No changes from current (6) No changes (6) No changes from current law. comprehensive child welfare information system, the law. law. from current law. department shall only encumber or expend funds for the operation, maintenance, and improvements to the comprehensive child welfare information system. (7) From the funds appropriated in part 1 for (7) No changes from current (7) Concur with the Executive. (7) Concur with the (7) Concur with the Executive. comprehensive child welfare information system, the law, except: Executive. department shall allocate $4,389,400.00 to develop a "…shall allocate new information system to replace MiSACWIS $4,389,400.00 $3,762,200.00 consistent with the plan provided by the department to develop…" to the United States District Court for Eastern District of Michigan as a part of the settlement. The development of the comprehensive child welfare information system shall adhere to department of technology, management, and budget and IT Investment Fund (ITIF) policies and practices, including use of the state unified information technology environment methodology and agile development. The project team will also participate in and comply with the enterprise portfolio management office process and product quality assurance. To ensure full transparency, the project will be included in the ITIF portfolio for executive, legislative, and external reporting purposes. As a component of the ITIF portfolio, the project will be subject to governance and oversight by the IT investment management board.

Information Technology Agile Software Development Plan

Sec. 253. (1) From the funds appropriated in part 1 Sec. 253 1910. (1) No changes from for any information technology system or project, the current law. department shall implement an agile software development plan that is funded with a time and materials contract. (2) The state shall be the owner of software described (2) No changes from current law. in subsection (1) or it shall be committed to the public domain.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (3) The department shall choose a product owner that (3) No changes from current law. will implement a user-centered design that includes user stories into the development of any information technology system. The product owner must be an employee of the department who has specific work experience relevant to the information technology system or project. (4) At the commencement of the project, the (4) No changes from current law. department shall report to the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, and the state budget office on the individual who has been chosen as the product owner. (5) For any expenditures associated with the (5) Concur with the House changes development of systems or projects subject to noted in the General Sections. subsections (1), (2), (3), and (4), the department shall provide updates as requested by the chairs of the house and senate appropriations committees or the chairs of the house and senate appropriations subcommittees on the department budget. Information updates provided by the department, upon request, shall also be accessible to the house and senate fiscal agencies, the house and senate policy offices, and the state budget office on the status of the work completed to date. The updates shall include demonstrations of the completed work during the sprint period. During these demonstrations, the department shall provide a quality assessment surveillance plan as shown in appendix B of “De- risking custom technology projects” from the United States General Services Administration. At each demonstration, the department shall validate which user stories have been included into the software development and the remaining user stories that will be included into the product.

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FY 2020-21 FY 2021-22 CURRENT LAW EXECUTIVE HOUSE SENATE OMNIBUS (6) As used in this section: (6) No changes from current law. (a) Agile software development” means the use of development methodologies using iterative development with work completed by cross- functional teams of software development. (b) Product owner” means a department employee who iteratively prioritizes and defines the work for the product team, works with users, stakeholders, technologists, and the software vendor to envision the direction for the product, and ensures that value is being delivered to end users as quickly as possible. (c) “User centered design” means software development that places the highest priority on the needs of the specific people who are expected to use the software. (d) User stories” means a task that the agile software development team will focus on over a given 2-week development period and includes clearly labeled progress towards meeting the needs of the end users.

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ONE-TIME APPROPRIATIONS

Special Olympics Capital Improvement

Sec. 1910. From the funds appropriated in part 1 for Striking current law. Sec. 1910. No changes from Striking current law. Striking current law. Special Olympics capital improvement project, the current law. department shall allocate $1,000,000.00 to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and with a stated mission to provide year-round sports training and athletic competition for children and adults with intellectual disabilities. The funding shall be used to perform capital improvements on a facility located in a county with a population between 500,000 and 825,000 according to the most recent federal decennial census and ensure the facility complies with the Americans with disabilities act of 1990, Public Law 101-336.

Sec. 1910. New Senate language. Not included. Sec. 1910. From the funds Does not include. appropriated in part 1 for hospital infrastructure improvements, the department shall appropriate $2,826,000.00 to a hospital located in a village with a population between 250 and 1,000 within a county with a population between 61,300 and 63,900, according to the most recent federal decennial census for critical infrastructure improvements.

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First Responder and Public Safety Mental Health

Sec. 1911. From the funds appropriated in part 1 for first Striking current law. Sec. 1911. From the funds Sec. 1911. No changes Striking current law. responder and public safety staff mental health, the appropriated in part 1 for from current law except: department shall allocate $2,500,000.00 towards a first responder and public program to support firefighters, police officers, emergency safety staff mental health, "$2,500,000.00 $100.00" medical services personnel, dispatchers, and correctional the department shall officers suffering from post-traumatic stress syndrome and allocate $2,500,000.00 other mental health conditions. The program will primarily towards a program to provide grants to behavioral health providers and may also support firefighters, police include funding to improve information and referrals for officers, emergency medical these services. services personnel, dispatchers, and correctional officers suffering from post- traumatic stress syndrome and other mental health conditions. The program will primarily provide grants to behavioral health providers and may also include funding to the Michigan crisis and action line established under section 165 of the mental health code, 1974 PA 258, MCL 330.1165, to improve information and referrals for these services. The program must coordinate and integrate with the Michigan crisis and access line established under section 165 of the mental health code, 1974 PA 258, MCL 330.1165.

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Sec. 1912. (1) New Senate language. Sec. 1912. (1) From the funds Does not include. appropriated in part 1 for hospital behavioral health pilot program, the department shall appropriate $3,000,000.00 to McLaren Greater Lansing for a pilot program located in a county with a population between 280,000 and 281,000 according to the most recent federal decennial census for the purpose of operating a pilot program to ensure that the behavioral and physical health needs of residents are addressed. This pilot program shall seek to provide additional behavioral health services in a more efficient manner due to a partnership with state-based institutions on staffing assistance and shared services with a Michigan- based health system. The pilot program shall do all of the following: (a) Connect participants with available benefits. (b) Help participants maintain eligibility. (c) Link participants with necessary health care services. (d) Maintain participants’ medication routines. (e) Address participants’ barriers to care.

(2) For the duration of the pilot program, the department shall allow for the direct referral of patients to the pilot program. It is the intent of the legislature that this pilot program shall be designed to last 3 years and that the pilot program not exceed a maximum bed capacity of 45 beds.

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(3) New Senate language. (3) By September 30 of the Does not include. current fiscal year, the managing entity of the pilot program shall submit a report to the department, the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office. The report shall include, at a minimum, all of the following: (a) The number of patients served by the pilot program. (b) A breakdown of state expenditures for the pilot program. (c) A breakdown of cost savings compared to a facility solely operated by the state. (d) The average length of a patient stay. (e) The number of readmissions of a patient in a 365-day period. (f) The number of staffing hours worked by university students. (g) The number of admitted patients. (h) The distance traveled to reach the facility. (i) The number of patients who had previously been admitted to a mental health facility. (j) The number of patients who were admitted to a mental health facility for the first time.

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Lead Poisoning Prevention Fund

Sec. 1913. From the funds appropriated in part 1 for lead Striking current law. Sec. 1913. From the funds Sec. 1913. No changes Sec. 1913 1951. From the poisoning prevention fund, the department shall allocate appropriated in part 1 from current law. funds appropriated in part 1 $2,000,000.00 towards the establishment of a lead for lead for lead poisoning poisoning prevention fund. The lead poisoning prevention poisoning prevention fund, prevention fund – state fund would be administered by an independent third party the department shall fiscal recovery funds, the as a public private loan loss reserve fund that would allocate $2,000,000.00 department shall allocate support loans to landlords and homeowners remediating towards the establishment $2,000,000.00 towards the lead hazards from their property. of a to the lead establishment of a poisoning prevention fund $10,000,000.00 to the lead established according to poisoning prevention fund section 1913 of article 6 established according to of 2020 PA 166. The lead section 1913 of article 6 poisoning prevention fund of 2020 PA 166. The lead would be administered by poisoning prevention fund an independent third party would be administered by as a public private loan loss an independent third party reserve fund that would as a public private loan loss support for loans to reserve fund that would landlords and homeowners support for loans to to remediating remediate landlords and homeowners lead hazards from their to remediating remediate property. lead hazards from their property.

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County Coronavirus Related Youth Funding

Sec. 1914. From the funds appropriated in part 1 for county Striking current law. Striking current law. Striking current law. Striking current law. coronavirus related youth funding, $250,000.00 is allocated to a county with a population between 344,000 and 347,000 according to the most recent federal decennial census. The grant shall be allocated by the county to a network of human service providers and local youth development organizations to do all of the following:

(a) Provide daily academic and skills-building programs for youths. (b) Offer tutoring to low-income families. (c) Create mentoring programs to connect youth with youth or adult mentors in the community. (d) Establish a connection with families in low-income neighborhoods.

Sec. 1914. New Senate language. Does not include. Sec. 1914. (1) From the Does not include. funds appropriated in part 1 for nursing capacity and diversity pilot, the department shall appropriate $100.00 for an enhanced nursing capacity and diversity pilot project administered by a college of nursing at a 4-year state university located in a city with a population between 100,000 and 200,000 within a county with a population between 450,000 and 800,000, according to the most recent federal decennial census.

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Sec. 1914. New Senate language. Does not include. (2) Outcomes and Does not include. performance measures for the pilot project described under this section shall include, but are not limited to, the following:

(a) The number of nurses participating in the pilot project, broken down by race. (b) The number of nurses who obtained employment through the pilot project.

(c) The total expenditures for tuition support for pilot project participants. (d) The total expenditures for stipends for pilot project participants. (e) The total administrative expenses. (f) The average amount of time for a pilot project participant to complete their degree.

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Healthy Communities Grant

Sec. 1915. From the funds appropriated in part 1 for Striking current law. Sec. 1915. No changes Sec. 1915. From the funds Striking current law. healthy communities grant, $300,000.00 shall be allocated from current law. appropriated in part 1 for for a 1-time grant to Leaders Advancing and Helping healthy communities grant, Communities for community healthy living, obesity $300,000.00 $500,000.00 prevention, and substance abuse prevention programs. shall be allocated for a 1- time grant to Leaders Advancing and Helping Communities for community healthy living, obesity prevention, and substance abuse prevention programs.

Kids’ Food Basket

Sec. 1916. From the funds appropriated in part 1 for kids’ Striking current law. Sec. 1916. No changes Sec. 1916. No changes Striking current law. food basket, the department shall allocate $250,000.00 to from current law. from current law, except: fund a project with a nonprofit, community-based "…$250,000.00 organization organized under the laws of this state that is $500,000.00…" exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and is located in a city with a population between 185,000 and 195,000 according to the most recent federal decennial census which city is located in a county with a population between 600,000 and 605,000 according to the most recent federal decennial census. The nonprofit organization recipient shall have an existing network of food delivery to low-income children to at least 3 counties in this state. The nonprofit organization shall use the funds for increased operational costs due to the coronavirus pandemic and for expansion of services to additional schools and communities. The funding may be used to cover employee costs, food and supplies, equipment, and other operational costs identified by the organization to support their mission and goals.

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Infant Rapid Genome Sequencing for Treatment

Sec. 1917. From the funds appropriated in part 1 for infant Striking current law. Striking current law. Striking current law. Striking current law. rapid whole genome sequencing project, the department shall allocate $250,000.00 in general fund/general purpose revenue plus any associated private or federal match to support the Project Baby Deer rapid whole genome sequencing initiative. This program shall provide rapid whole genome sequencing for critically ill infants and children who meet established clinical criteria. It is the intent of the legislature that the projected turnaround time for sequencing shall be 1 to 3 days in order to limit the number of unnecessary procedures and allow for more rapid diagnosis of critically ill infants and children.

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Sec. 1917. New Senate language. Not included. Sec. 1917. From the funds Does not include. appropriated in part 1 for narcotics awareness program, the department shall allocate $100.00 to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and with headquarters in a township with a population between 96,500 and 97,000 within a county with a population between 700,000 and 1,000,000, according to the most recent federal decennial census. To be eligible to receive funding, the nonprofit organization must have a stated mission to offer community-based, compassionate, best practice/evidence-based services to those suffering from addiction, as well as their loved ones, and to erase the stigma of addiction and instill compassion and hope.

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SAFE Substance Abuse Coalition

Sec. 1918. From the funds appropriated in part 1 for Striking current law. Sec. 1918. No changes Striking current law. Striking current law. substance abuse community and school outreach, the from current law except: department shall allocate $100,000.00 to a coalition located in a county with a population of at least 1,500,000 "$100,000.00 with an aim to lead and support communities to dispel the $250,000.00". myths and stigmas about drug addiction through public education, sharing stories of recovery, partnering with local and state leaders, creating positive social changes, and providing recovery support services for those in need.

Sec. 1918. New Senate language. Does not include. Sec. 1918. From the Does not include. funds appropriated in part 1 for veterans health clinic, the department shall allocate $100.00 to McLaren Port Huron to expand telehealth and behavioral health services at a community health center located in a city with a population between 1,000 and 4,000 within a county with a population between 161,000 and 171,000, according to the most recent federal decennial census.

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Unified Clinics Resiliency Center for Families and Children

Sec. 1919. (1) From the funds appropriated in part 1 for Striking current law. Sec. 1919. (1) From the Striking current law. Striking current law. unified clinics resiliency center for families and children, funds appropriated in part 1 the department shall allocate $1,500,000.00 to a 4-year for unified clinics resiliency state university located in a county with a population center for families and between 250,000 and 251,000 according to the most children, the department recent decennial census to be used to develop and operate shall allocate $1,500,000.00 a resiliency center for families and children to address the $750,000 to a 4-year state multifaceted needs of those experiencing trauma, toxic university located in a stress, chronic disability, neurodevelopmental disorders, or county with a population addictions. between 250,000 and 251,000 according to the most recent decennial census to be used to develop and operate a resiliency center for families and children to address the multifaceted needs of those experiencing trauma, toxic stress, chronic disability, neurodevelopmental

disorders, or addictions.

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(2) Outcomes and performance measures for the resiliency Striking current law. (2) No change from current Striking current law. Striking current law. center funded under this section shall include, but not be law. limited to, the following:

(a) The number of children and families who received services from the center. (b) The types of screening offered by the center and the number of clients that received each screening type. (c) The number of trauma assessments completed through the center’s programs and the average cost of a trauma assessment for each type of client, including children, adults, and families. (d) The types of services offered by the center and the number of clients that received each service type. (e) The number of referrals for services made to children and families. (f) A breakdown of the expenditures made for the development of the resiliency center for families and children by major category.

(3) By August 1 of the current fiscal year, the resiliency Striking current law. (3) No change from current Striking current law. Striking current law. center for families and children shall report to the house law. and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, the house and senate policy offices, and the state budget office on the status of the development of the resiliency center funded under this section and on the information required in subsection (2).

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(4) The unexpended portion of funds appropriated in part 1 Striking current law. (4) The unexpended portion Striking current law. Striking current law. for unified clinics resiliency center for families and children of funds appropriated in is designated as a work project appropriation. Any part 1 for unified clinics unencumbered or unallotted funds shall not lapse at the resiliency center for families end of the fiscal year and shall be available for expenditure and children is designated for the project under this section until the project has been as a work project completed. The following is in compliance with section appropriation. Any 451a(1) of the management and budget act, 1984 PA 431, unencumbered or unallotted MCL 18.1451a: funds shall not lapse at the (a) The purpose of the work project is to provide funding end of the fiscal year and for the operation and maintenance of a unified clinics shall be available for resiliency center for families and children as provided by expenditure for the project this section. under this section until the (b) The project will be accomplished through funding to a project has been 4-year state university for the operation and maintenance completed. The following is of the center. in compliance with section (c) The total estimated cost of the work project is 451a(1) of the management $1,500,000.00 of general fund/general purpose revenue. and budget act, 1984 PA (d) The estimated completion date is September 30, 2023. 431, MCL 18.1451a: (a) The purpose of the work project is to provide funding for the operation and maintenance of a unified clinics resiliency center for families and children as provided by this section. (b) The project will be accomplished through funding to a 4-year state university for the operation and maintenance of the center. (c) The total estimated cost of the work project is $1,500,000.00 $750,000.00 of general fund/general purpose revenue. (d) The estimated completion date is

September 30, 2023 2024.

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(5) It is the intent of the legislature that this is the first year Striking current law. (5) It is the intent of the Striking current law. Striking current law. out of 3 years that funding is to be provided by the legislature that this is the legislature for the unified clinics resiliency center for first second year out of 3 families and children described in this section, and that in years that funding is to be each of the 2 following years, $750,000.00 be provided by provided by the legislature the legislature. for the unified clinics resiliency center for families and children described in this section, and that in each of the 2 the following years, $750,000.00 be provided by the legislature.

Sec. 1919. (1) New Senate language. Not included. Sec. 1919. (1) From the Does not include. funds appropriated in part 1 for jail diversion fund, the department shall allocate $100.00 to create the jail diversion fund. The jail diversion fund shall be administered by the mental health diversion council, in accordance with recommendations of the Michigan joint task force on jail and pretrial incarceration.

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(2) New Senate language. Not included. (2) The mental health diversion council shall Does not include. distribute grants to local entities for the purpose of establishing or expanding jail diversion programs in partnership with local law enforcement and private or public behavioral health service providers. Grants must be distributed as follows: (a) Half shall be distributed to community- based mobile crisis intervention services in partnership between law enforcement and mental health practitioners. The mental health diversion council must give priority to grant applications that demonstrate a commitment to a comprehensive co- response model that includes at least all of the following: (i) Full integration with existing 911 dispatch centers. (ii) Inclusion of both co-responder clinicians and co-responder peers. (iii) Access to residential treatment facilities. (iv) Inclusion of telehealth response and follow-up services. (v) Mental health professionals employed independently from law enforcement. (vi) Other best practices as identified by the council. (b) Half shall be distributed to any type of pre-arrest or post-arrest diversion program in which individuals with behavioral health needs are identified and diverted out of the criminal justice system. The mental health diversion council must give priority to local entities located in counties without an urbanized area of at least 50,000 people, according to the most recent federal decennial census.

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(3) New Senate language. Not included. (3) Grant applications may be made by any Does not include. applicable local entity and must be distributed to local entities using a prospective payment methodology.

(4) New Senate language. Not included. (4) The department shall seek federal Does not include. authority as outlined under section 9813 of the American Rescue Plan Act of 2021, Public Law 117-2, to utilize enhanced federal Medicaid matching funds for the operation of the programs described in this section. It is the intent of the legislature that local entities receiving grants under this section partner with philanthropic organizations to supplement state funding.

(5) New Senate language. Not included. (5) Local entities receiving grants under this Does not include. section must submit a report containing metrics pertinent to the progress of their diversion program to the mental health diversion council annually. The council must compile and submit an annual report to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, the senate and house policy offices, the state budget office and make the report publicly available within 30 days after receiving the report. Local entities may utilize a portion of grant funding received under this section to contract with independent organizations for the purpose of fulfilling this requirement. The mental health diversion council will determine the specific metrics required and notify the local entities at the time of the first grant disbursement. Metrics for grants may include, but are not limited to, all of the following:

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(5) New Senate language. Not included. (a) The number of calls to which co- Does not include. responders are dispatched alone and the number of calls to which co-responders are dispatched alongside law enforcement. (b) The number of calls transferred to telehealth co-responders with physical response follow-up and the number of calls transferred to telehealth co-responders without physical response follow-up. (c) The law enforcement call clear time when co-responders are dispatched, and the law enforcement call clear time when co-responders are not dispatched. (d) The co-responder, co-responder clinician and co-responder peer call time per call. (e) The number of co-responder-attended calls resulting in the following: (i) Jail admission. (ii) On-location de-escalation. (iii) Crisis center or crisis stabilization unit residential admission. (iv) Behavioral health facility inpatient admission. (v) Referral for behavioral or mental health services without residential or inpatient admission. (vi) Referral to community or social services such as homeless shelters, women’s shelters, food pantries, or other similar services. (f) The number of individuals served by co- responder-attended calls broken down by age, gender, and race and ethnicity. (g) The reduction in frequency of law enforcement interaction with known frequently served individuals. (h) The number of follow-up visits, including method and location. (i) The overall program costs broken down by administration, training, co-responder clinician, co-responder, and per-call costs. House Fiscal Agency One-time Appropriations BP - 415 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for One-Time Basis Only Appropriations

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(6) New Senate language. Not included. (6) The unexpended funds Does not include. appropriated in part 1 for jail diversion fund are designated as a work project appropriation, and any unencumbered or unallotted funds do not lapse at the end of the fiscal year and are available for expenditures for projects under this section until the fund is depleted. The following is in compliance with section 451a(1) of the management and budget act, 1984 PA 431, MCL 18.1451a: . (a) The purpose of the project is to distribute grant funds to local entities establishing or expanding jail diversion programs. (b) The projects will be accomplished through grants to local entities establishing or expanding jail diversion programs in partnership with local law enforcement and private or public behavioral health service providers. (c) The total estimated cost of the work project is $20,000,000.00. (d) The tentative completion date is September 30, 2025.

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Autism Navigator Program

Sec. 1920. (1) From the funds appropriated in part 1 for Striking current law. Move to Sec. 913. Move to Sec. 906. Move to Sec. 913. autism navigator, the department shall require any contractor receiving funds from this line item to comply with performance-related metrics to maintain eligibility for funding. The organizational metrics shall include, but not be limited to, all of the following:

(a) Each contractor shall have accreditations that attest to their competency and effectiveness in providing services. (b) Each contractor shall demonstrate cost-effectiveness. (c) Each contractor shall ensure their ability to leverage private dollars to strengthen and maximize service provision. (d) Each contractor shall provide quarterly reports to the department regarding the number of clients served, units of service provision, and ability to meet their stated goals.

(2) The department shall require an annual report from any Striking current law. Move to Sec. 913. Move to Sec. 906. Move to Sec. 913. contractor receiving funding from the autism navigator line item. The annual report, due to the department 60 days following the end of the contract period, shall include specific information on services and programs provided, the client base to which the services and programs were provided, and the expenditures for those services. The department shall provide the annual reports to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the state budget office.

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Statewide Health Information Exchange Projects

Sec. 1921. From the funds appropriated in part 1 for Striking current law. Sec. 1921. No changes Sec. 1921. From the funds Striking current law. statewide health information exchange projects, the from current law except: appropriated in part 1 for department shall allocate $2,750,000.00 to a public and statewide health information private non-profit collaboration that is designated as this "$2,750,000.00 $100.00". exchange projects, the state’s statewide health information exchange by department shall allocate cooperative agreement to implement health information $2,750,000.00 technology strategies for data management, data clean- $1,750,000.00 to a public up, and data governance. and private non-profit collaboration that is designated as this state’s statewide health information exchange by cooperative agreement to implement health information technology strategies for health information exchange development, data management, and population health at a statewide level. data management, data clean- up, and data governance.

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Access Health Actuarial Study

Sec. 1922. (1) From the funds appropriated in part 1 for actuarial study, Striking current law. Striking current law. Striking current law. Striking current law. $275,000.00 is allocated for the department to complete a study led by an actuarial firm capable of supporting this state’s pursuit of a state innovation waiver under section 1332 of the patient protection and affordable care act for community-based coverage entities to provide health coverage and educational and occupational training to qualifying individuals. The study will be completed with the assistance and support of department of insurance and financial services to ensure that the study meets all the criteria for a section 1332 state innovation waiver found at 45 CFR part 155. The study must be completed by April 30 of the current fiscal year. The study must include analyses and actuarial certifications data, assumptions, targets, and other information sufficient to provide the Secretary of the United States Department of Health and Human Services and the Secretary of the United States Department of Treasury with the necessary data to determine whether this state’s proposed waiver would do all of the following:

(a) Provide coverage that is at least as comprehensive as the coverage defined in section 1203(b) of the patient protection and affordable care act. (b) Provide coverage and cost sharing protections against excessive out-of-pocket spending that are at least as affordable as the provisions of title I of the patient protection and affordable care act. (c) Provide coverage to a comparable number of its residents as the provisions of title I of the patient protection and affordable care act would provide. (d) Not increase the federal deficit.

(2) The study under subsection (1) must create any Striking current law. Striking current law. Striking current law. Striking current law. actuarial analyses and certifications necessary to determine whether the estimates will comply with the above requirements. Furthermore, the study must produce an economic analysis that provides a detailed 10-year budget plan that is deficit neutral to the federal government and a detailed analysis regarding the estimated impact of the waiver on health insurance coverage in this state.

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(3) As used in this section, “patient protection and Striking current law. Striking current law. Striking current law. Striking current law. affordable care act” means the patient protection and affordable care act, Public Law 111-148, as amended by the federal health care and education reconciliation act of 2010, Public Law 111-152.

Senior Citizen Center Program Grants

Sec. 1923. From the funds appropriated in part 1 for senior Striking current law. Sec. 1923. No changes Striking current law. Striking current law. citizen center program grants, the department shall from current law. allocate $150,000.00 for a grant program administered by the aging and adult services agency to support health- related senior programs at multipurpose senior citizen centers. Program goals shall include mental and physical health maintenance and improvement for senior participants. Grant awards shall not exceed $5,000.00 for a program. Grantees are encouraged to match the funding with participant fees or other nonstate source of funds. A private housing facility with senior activity programs is not eligible for the grant program.

Children’s Center

Sec. 1924. From the funds appropriated in part 1 for Striking current law. Striking current law. Striking current law. Striking current law. children’s center, $200,000.00 shall be awarded to a children’s center located in a city with a population of greater than 600,000 according to the most recent federal decennial census. The grant shall be allocated to a nonprofit organization established in 1929 that has a stated mission of helping children and families shape their own futures. The funding shall be used for behavioral health programs and outreach, including an outpatient treatment program for families with children with autism spectrum disorders.

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Nonprofit Mental Health Clinics

Sec. 1925. From the funds appropriated in part 1 for Striking current law. Sec. 1925. No changes Striking current law. Striking current law. nonprofit mental health clinics, the department shall from current law. allocate $200,000.00 as grants to nonprofit mental health clinics that provide counseling services, accept clients regardless of their ability to pay for services through sliding scale copayments and volunteer services, and that use fundraising to support their clinic. The maximum grant per clinic is $100,000.00 and as a condition of receiving these grants, the clinic must have at least a like amount of funds collected through fundraising as the state grant award. By December 15 of the current fiscal year, the department shall submit a report on the number of grant applications and the status of the grant awards to the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, the house and senate policy offices, and the state budget office.

Great Lakes Recovery Center

Sec. 1926. From the funds appropriated in part 1 for Great Striking current law. Striking current law. Striking current law. Striking current law. Lakes recovery center, the department shall allocate a grant of $250,000.00 to a CARF accredited agency that specializes in substance abuse and mental health treatment through certified counselors and licensed professionals across the Upper Peninsula for costs related to men’s residential treatment and transition housing and women’s transition housing.

Vision Clinic

Sec. 1927. From the funds appropriated in part 1 for vision Striking current law. Striking current law. Striking current law. Striking current law. clinic, the department shall allocate $100,000.00 for a nonprofit vision clinic located in a county with a population between 200,000 and 225,000 according to the most recent federal decennial census. To be eligible to receive funding, the vision clinic must have a stated mission to provide optometric services to Michigan’s mentally and physically challenged population, as well as, low vision services to visually impaired and legally blind individuals.

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Skilled Nursing Facility Personal Protection Equipment

Sec. 1928. (1) From the funds appropriated in part 1 for Striking current law. Striking current law. Striking current law. Striking current law. skilled nursing facility personal protection equipment grants, the department shall allocate $20,000,000.00 to skilled nursing facilities to help cover personal protection equipment costs during the COVID-19 pandemic.

(2) The funding referenced in subsection (1) shall be Striking current law. Striking current law. Striking current law. Striking current law. allocated on a per licensed skilled nursing facility bed basis, with each skilled nursing facility receiving a fixed amount per licensed skilled nursing facility bed equal to $20,000,000.00 divided by the total number of licensed skilled nursing facility beds in the state. Striking current law. Striking current law. (3) The department shall allocate the funding referenced in Striking current law. Striking current law. (1) to skilled nursing facilities by October 31 of the current fiscal year.

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Sec. 1929. New House Language Sec. 1929. From the funds Not included. Does not include. appropriated in part 1 for behavioral health patient health information tool, the department shall allocate $100.00 to create an online and interactive version of the protected health information consent tool and make any revisions to the tool to reflect any recent legislative changes. The contracting entity that receives the funds appropriated in this section must also develop accompanying trainings and resources for users. Additionally, the contracting entity that receives the funds appropriated in this section must work closely with the department and its vendors to effectuate the substance use disorder health information technology plan as cited in the special terms and conditions of the relevant federal demonstration waiver approved under section 1115 of the social security act, 42, USC 1315. This includes, but is not limited to, working with the Michigan Health Information Network 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, the eConsent tool, provider electronic health records, and state databases such as the MDHHS Data Warehouse and CareConnect 360.

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Autism Train the Trainer

Sec. 1930. (1) From the funds appropriated in part 1 for Striking current law. Striking current law. Striking current law. Striking current law. autism train the trainer grant, the department shall appropriate $244,800.00 to implement a pilot project to train school employees on the principles and practices of applied behavior analysis and research-based intervention strategies. The pilot project must do both of the following:

(a) Train paraprofessionals and teachers in applied behavior analysis skills that match the national standard for behavior technician-level work and research-based intervention strategies. (b) Train teacher consultants, school social workers, school psychologists, and other school personnel responsible for conducting functional behavioral assessments and the development of behavior support plans methods for ensuring implementation of a behavior plan with fidelity and strategies for sharing understanding of evidence-based behavioral health approaches with other school-based personnel.

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(2) The pilot project sites receiving funding under subsection (1) must Striking current law. Striking current law. Striking current law. Striking current law. be 1 of the following:

(a) A school district with a headquarters located in a census designated place with a population between 3,410 and 3,500 according to the most recent federal decennial census, and in a county with a population between 24,200 and 24,700 according to the most recent federal decennial census. (b) A school district with a headquarters located in a township with a population between 53,400 and 71,000 according to the most recent federal decennial census, and in a county with a population between 1,000,000 and 1,800,000 according to the most recent federal decennial census. (c) A school district with a headquarters located in a township with a population between 41,000 and 43,000 according to the most recent federal decennial census, and in a county with a population between 1,000,000 and 1,800,000 according to the most recent federal decennial census. (d) An intermediate school district with a headquarters located in a census designated place with a population between 1,920 and 2,000 according to the most recent federal decennial census, and in a county with a population between 25,950 and 26,160 according to the most recent federal decennial census. (e) A constituent district of an intermediate school district with a headquarters located in a city with a population between 6,000 and 6,230 according to the most recent federal decennial census, and in a county with a population between 24,500 and 25,500 according to the most recent federal decennial census.

(3) Outcomes and performance measures for the pilot Striking current law. Striking current law. Striking current law. Striking current law. project funded under this section shall include, but not be limited to, the following:

(a) A decrease in the number of center-program and self- contained-classroom referrals. (b) A decrease in the number of suspensions, removals, and expulsions. (c) A decrease in paraprofessional absences. (d) An increase in teacher retention. (e) An increase in safety.

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(4) The department shall require an annual report from the Striking current law. Striking current law. Striking current law. Striking current law. districts described in subsection (2) on the information required in subsection (3). The department shall provide the reports to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office on the information required in subsection (2).

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Sec. 1931. New House Language. Sec. 1931. (1) From the funds Not included. Does not include. appropriated in part 1 for human trafficking victims inclusive services grant program, the department shall allocate $500,000.00 to create and implement the human trafficking victims services expansion pilot program. The pilot program shall utilize victim-centered and trauma informed approaches to serve human trafficking victims. (2) The human trafficking victims services expansion pilot program is a 3- year project administered by the division of victim services and shall do all of the following: a) Encourage the development of specific and dedicated human trafficking victims services. b) Focus on building capacity within eligible organizations to offer services specifically designed to meet the needs of human trafficking victims. c) Provide training and technical assistance to established organizations that support the development of human trafficking victims services that align with the criteria set forth in subsection (4). d) Increase organizations' capacity to provide victim services designed to meet the unique needs of human trafficking victims. e) Fund human trafficking service organizations that agree to develop services and accompanying policies and procedures for human trafficking victims aligned with the criteria of subsection (4). House Fiscal Agency One-time Appropriations BP - 427 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for One-Time Basis Only Appropriations

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Sec. 1931. New House Language (continued). (3) By January 1 of the current Not included. Does not include. fiscal year, the division of victim services shall make available to eligible entities the human trafficking victims service expansion pilot request for proposal.

(4) In order to be considered for funding under the human trafficking victims service expansion pilot program, eligible organizations must meet all of the following: a) Be a non-profit organization that is exempt from taxation under section 501(c)(3) of the internal revenue code, 26 USC 501. b) Have engaged in at least 1 year of providing human trafficking victims services or demonstrate meaningful collaboration with a human trafficking organization in its community. c) Adhere to the mission of the human trafficking health advisory board created in the human trafficking health advisory board act, 2014 PA 461, MCL 752.991 to 752.994.

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Sec. 1931. New House Language (continued). d) Agree to develop policies and Does not include. Does not include. procedures and provide services in accordance with the standards set forth by the division of victim services throughout the duration of the pilot program that include, at a minimum, both of the following: i) Providing victim-centered services. ii) Providing empowerment-based services that encourage self- determination.

(5) The unexpended portion of funds appropriated in part 1 for human trafficking victims inclusive services grant program is designated as a work project appropriation. Any unencumbered or unallotted funds shall not lapse at the end of the fiscal year and shall be available for expenditure for the project under this section until the project has been completed. The following is in compliance with section 451a(1) of the management and budget act, 1984 PA 431, MCL 18.1451a: a) The purpose of the work project is to provide funding for human trafficking victims services expansion pilot as provided by this section. b) The project will be accomplished through funding to the division of victim services for administration of the pilot program. c) The total estimated cost of the work project is $500,000.00 of general fund/general purpose revenue. d) The estimated completion date is

September 30, 2024.

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Sec. 1931. New House Language (continued). (6) As used in this section, Not included. Does not include. "human trafficking" means any of the following: a) Sex trafficking in which a commercial sex act is induced by force, fraud, or coercion, or in which the person induced to perform that act has not attained 18 years of age. b)The recruitment, harboring, transportation, provision, or obtaining of a person for labor or services, through the use of force, fraud, or coercion for the purpose of subjection to involuntary servitude, peonage, debt bondage, or slavery. c) A violation under chapter LXVIIA of the penal code, 1931 PA 328, MCL 750.462a to 750.462h.

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Legal Assistance

Sec. 1932. (1) From the funds appropriated in part 1 for Striking current law. Sec. 1932. (1) From the Striking current law. Striking current law. legal assistance, $60,000.00 shall be distributed to a funds appropriated in part 1 county legal assistance center located in a city with a for legal assistance, population between 4,900 and 5,000 according to the most $60,000.00 $20,000.00 recent federal decennial census, within a county with a shall be distributed to a population between 111,400 and 111,500, according to the county legal assistance most recent decennial census. The grantee must provide center located in a city with civil law legal assistance to low-income individuals. The a population between 4,900 funds appropriated in part 1 for legal assistance shall be and 5,000 according to the disbursed no later than March 1 of the current fiscal year. most recent federal decennial census, within a county with a population between 111,400 and 111,500, according to the most recent decennial census. The grantee must provide civil law legal assistance to low-income individuals. The funds appropriated in part 1 for legal assistance shall be disbursed no later than March 1 of the current fiscal year.

(2) The funds appropriated in part 1 for legal assistance Striking current law. (2) No changes from Striking current law. Striking current law. shall be disbursed no later than March 1 of the current current law. fiscal year.

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Sec. 1933. New Executive Language. Sec. 1933. From the funds Sec. 1933. Concur with Not included. Does not include. appropriated in part 1 for the Executive. Home Health and Safety, the department shall create a pilot health and safety fund grant program. The creation of the pilot program shall be supported by a work group which may include representatives from the department, Michigan energy utility companies, residential energy efficiency and weatherization experts and companies, community- action agencies, low-income and affordable housing organizations, affordable housing owners and renters, and environmental and public health organizations. Funds from the pilot shall be used for the purpose of making grants for construction, reconstruction, improvement, or repair of single-family and multi-family residential buildings to correct health and safety conditions as identified by the department's weatherization assistance program's energy audit, directed by the weatherization assistance manager that would require a deferral from participation in energy efficiency and weatherization programs targeted at low-income residential buildings.

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Sec. 1934. (1) New Executive Language. Sec. 1934. (1) From the Sec. 1934. (1) From the Sec. 1934. (1) From the Does not include. funds appropriated in part funds appropriated in part 1 funds appropriated in part 1 1 for long-term care for long-term care facility for long-term care facility facility supports, the supports, the department supports, the department department shall allocate shall allocate $9,000,000.00 shall allocate $9,000,000.00 $9,000,000.00 general general fund and any general fund and any fund and any associated associated federal matching associated federal matching federal matching funds funds $37,500,000.00 of funds for a supplemental for a supplemental federal Coronavirus state payment to nursing facilities payment to nursing fiscal recovery funds for a home providers. This facilities. This payment supplemental payment to payment shall be structured shall be structured as a nursing facilities. This as a 1.5% increase to the 1.5% increase to the payment shall be structured Medicaid per-bed day Medicaid per-bed day as a 1.5% increase to the variable cost variable cost Medicaid per-bed day reimbursement rate. reimbursement rate. variable cost Payment will shall not be Payment will not be made reimbursement rate. made until the department until the department has Payment will not be made has received federal received federal approval. until the department has approval. received federal approval.

(2) New Executive Language. (2) The intent of the (2) Concur with the (2) Concur with the Does not include. payment in (1) is to Executive. Executive. provide 1-time support for nursing home providers to support additional COVID related expenditures and decreasing census during the coronavirus public health emergency.

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Sec. 1935. New House language. Sec. 1935. (1) From the funds Does not include. Does not include. appropriated in part 1 for nurse practitioner expansion program, the department shall allocate $1,573,000.00 general fund/general purpose funds for a 4-year pilot program to increase the number of prepared advanced practice psychiatric-mental health nurse practitioners to expand access to mental health services and provide care in underserved communities throughout the state. The office of nursing programs may oversee the program. The program shall be piloted through a college of nursing at a 4-year state university located in a county with a population greater than 1,500,000 according to the most recent decennial census.

Sec. 1935. New House language. (2) The unexpended portion of Does not include. Does not include. funds appropriated in part 1 for nurse practitioner expansion program is designated as a work project appropriation. Any unencumbered or unallotted funds shall not lapse at the end of the fiscal year and shall be available for expenditure for the project under this section until the project has been completed. The following is in compliance with section 451a(1) of the management and budget act, 1984 PA 431, MCL 18.1451a:

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Sec. 1935. New House language. (a) The purpose of the work Does not include. Does not include. project is to recruit, educate, and train an additional 32 advanced practice psychiatric- mental health nurse practitioners and to provide each new psychiatric-mental health nurse practitioner student with a 1-time stipend to commit to practicing for 2 years in a medically underserved community upon completion of the student's program. (b) The work project will be accomplished through funding to a 4-year state university with oversight by the department and the office of nursing programs. (c) The total estimated cost of the work project is $1,573,000.00 of general fund/general purpose revenue. (d) The estimated completion date of the work project is September 30, 2026.

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Sec. 1936. New House language. Sec. 1936. From the funds Does not include. Does not include. appropriated in part 1 for primary care and wellness services, $250,000.00 shall be allocated for integrated services including primary care, mental health, dental health, and other related support services to underserved populations in Detroit, Wayne County, surrounding counties, and throughout Michigan, to be provided by an organization with a stated mission of providing an array of comprehensive behavioral and physical health services in an environment that promotes quality of life, continuous improvement, and social awareness.

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Sec. 1937. New House Language. Sec. 1937. From the funds Does not include. Does not include. appropriated in part 1 for injury control intervention – traumatic brain injury, $100.00 shall be allocated for implementation of evidence-based, real-time, quality assurance decision support software in the treatment of pediatric traumatic brain injury and adult strokes and for protocols that are to be available to all hospitals providing those trauma services. The funds shall be used to purchase statewide licenses for pediatric traumatic brain injury and adult stroke treatment software and related software services and to offset hospital software integration costs. The department shall seek federal matching funds that may be available for implementation of this section.

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Sec. 1938. New House Language. Sec. 1938. From the funds Not included. Does not include. appropriated in part 1 for the special residential care facility, the department shall allocate $300,000.00 to a private nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, that was established in 1960 and is a residential community for children and adults with intellectual and developmental disabilities administered by the Servants of Charity and has the mission of serving individuals with intellectual and developmental disabilities in an intentional,

faith-based community.

Sec. 1950. New HOUSE OMNIBUS Language Sec. 1950. From the funds appropriated in part 1 for community-based coverage entity, the department shall allocate $1,000,000.00 to a health care coverage program located in a county with a population between 172,000 and 173,000 according to the 2010 federal decennial census for low income workers in a "three-share model" where costs are shared between local business, local workers, and the public. The funds appropriated in this section must, at a minimum, be used to support the public share of the health coverage program. House Fiscal Agency One-time Appropriations BP - 438 6/30/2021 DEPARTMENT OF HEALTH AND HUMAN SERVICES Boilerplate for One-Time Basis Only Appropriations

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House Omnibus Sec. 1951. See. Sec. 1913 which is revised and renumbered to Sec. 1951.

Supplemental – Medicaid Risk Corridor - VETOED

Sec. 351. In the establishment of any risk corridor for the Not included. Not included. Not included. Not included. fiscal years ending September 30, 2020 and September 30, 2021 for existing contracts between this state and Medicaid health plans, the medical expenses used in the risk corridor shall include covered services and approved in-lieu-of services, benefit expenses including incurred but not yet paid expenses within a time frame developed by the department of health and human services, as well as health care quality improvement expenses as defined in 42 CFR 438.8(e)(3). In addition, the department of health and human services must include all COVID-19 related expenses, including nonbenefit expenses, as allowable costs in the risk corridor.

Supplemental – Coronavirus Response Activities

Sec. 352. From the funds appropriated in part 1 for Striking current law. Striking current law. Striking current law. Striking current law. coronavirus response activities, the department shall allocate $22,550,000.00 to be used for the continued testing of vulnerable populations in nursing facilities, adult foster care facilities, and homes for the aged, additional community testing sites, homeless and domestic violence shelters, and rapid or mobile response teams for hospitals and nursing facilities. Not less than $3,333,000.00 shall be used for jail reimbursement and not less than $3,400,000.00 shall be used for antigen tests for public and nonpublic school employees.

Supplemental – Coronavirus Response Activities

Sec. 353. From the funds appropriated in part 1 for Striking current law. Striking current law. Striking current law. Striking current law. coronavirus response activities, the department shall use $3,333,300.00 to reimburse hospitals for retaining COVID- 19 positive nursing home residents.

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Supplemental – Coronavirus Supplies Purchasing

Sec. 354. From the funds appropriated in part 1 for Striking current law. Striking current law. Striking current law. Striking current law. coronavirus supplies purchasing, the department shall allocate not less than $15,000,000.00 to purchase necessary supplies and equipment to support coronavirus testing and vaccination efforts, including personal protective equipment, test kits, and dry ice.

Supplemental – Coronavirus Vaccine Strategy

Sec. 355. From the funds appropriated in part 1 for Striking current law. Striking current law. Striking current law. Striking current law. coronavirus vaccine strategy, the department shall allocate not less than $48,668,000.00 for establishing sufficient health system capacity to manage the administration of a coronavirus vaccine to all Michigan residents through financial support to local health departments and other health care providers. The department shall use not more than $2,666,700.00 of the funds appropriated in part 1 for coronavirus vaccine strategy for departmental administrative costs, including, but not limited to, staff and contract support. The funds appropriated in this section shall follow the Michigan COVID-19 vaccination interim prioritization guidance and United States Centers for Disease Control (CDC) prevention recommendations and shall not be used to support a mandatory vaccination program.

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Supplemental – Long-Term Care COVID-19 Enhancement Payments

Sec. 357. From the funds appropriated in part 1 for long- Striking current law. Striking current law. Striking current law. Striking current law. term care COVID-19 enhancement payments, the department shall enhance payments to facilities that operate a care and recovery center that is subject to the conditions of medical services administration (MSA) policy bulletin MSA 20-72. Care and recovery centers subject to the conditions of medical services administration policy bulletin MSA 20-72 shall be provided an enhanced payment of $200.00 per day to be paid beyond any other payments per occupied day of care for a COVID positive resident.

Supplemental – Medicaid Reimbursement for Remdesivir

Sec. 358. From the funds appropriated in part 1 for Striking current law. Striking current law. Striking current law. Striking current law. Medicaid reimbursement for remdesivir, the department and Medicaid health plans shall reimburse hospitals up to $3,100.00 per 5-day treatment to cover the costs of remdesivir when remdesivir is used, in accordance with treatment protocols, for Medicaid patients diagnosed with COVID-19 who are being treated in inpatient hospital setting.

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Supplemental – Temporary Hospital Staffing Assistance

Sec. 359. (1) From the funds appropriated in part 1 for Striking current law. Striking current law. Striking current law. Striking current law. temporary hospital staffing assistance, the department shall contract with a nonprofit hospital trade association to distribute grants to hospitals and health systems. The grants shall be distributed based on criteria that consider the number of staff hours reimbursed for traveling and visiting health providers, expected need of future staffing, and other staffing costs.

(2) No hospital or health system shall receive more than 20% of the funds distributed by the grant program described in subsection (1).

(3) At least 25% of the funds appropriated in this section shall be provided to hospitals that are eligible for rural access payments pursuant to section 1802(2) of article 6 of 2020 PA 166.

Supplemental – Coronavirus FMAP Reports

Sec. 360. (1) Beginning on January 1, 2021 and lasting for Striking current law. Striking current law. Striking current law. Striking current law. as long as the increase in the state’s federal medical assistance percentage (FMAP) authorized under the federal families first coronavirus response act is in effect, the department of health and human services shall provide monthly reports to the senate and house appropriations committees and the state budget director on the following:

(a) The fiscal impact of the enhancement in the FMAP on GF/GP spending in Medicaid during the previous month. (b) The cumulative benefit to the state in reduced GF/GP costs since the enhanced FMAP was implemented.

(2) The monthly reports on the impact of the enhanced FMAP described in subsection (1) shall be due to the parties described in subsection (1) by the 28th day of the following month.

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