SENATE BILL No. 1083

 

 

February 28, 2006, Introduced by Senators CHERRY and EMERSON and referred to the Committee on Appropriations.

 

 

 

      A bill to make appropriations for the department of community

 

health and certain state purposes related to mental health, public health,

 

and medical services for the fiscal year ending September 30, 2007, to

 

provide for the expenditure of those appropriations; to create funds; to

 

require and provide for reports; to prescribe the powers and duties of

 

certain local and state agencies and departments; and to provide for

 

disposition of fees and other income received by the various state agencies.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

PART 1

 

LINE-ITEM APPROPRIATIONS

 

     Sec. 101. Subject to the conditions set forth in this article,

 

the amounts listed in this part are appropriated for the department

 


of community health for the fiscal year ending September 30, 2007,

 

from the funds indicated in this part. The following is a summary

 

of the appropriations in this part:

 

DEPARTMENT OF COMMUNITY HEALTH

 

APPROPRIATION SUMMARY:

 

   Full-time equated unclassified positions.......... 6.0

 

   Full-time equated classified positions........ 4,665.1

 

   Average population............................ 1,109.0

 

GROSS APPROPRIATION.................................... $ 11,262,257,000

 

   Interdepartmental grant revenues:

 

Total interdepartmental grants and intradepartmental

 

   transfers............................................        37,286,100

 

ADJUSTED GROSS APPROPRIATION........................... $ 11,224,970,900

 

   Federal revenues:

 

Total federal revenues.................................     6,103,178,000

 

   Special revenue funds:

 

Total local revenues...................................       241,177,400

 

Total private revenues.................................        61,326,900

 

Total other state restricted revenues..................     1,817,312,800

 

State general fund/general purpose..................... $  3,001,975,800

 

   Sec. 102. DEPARTMENTWIDE ADMINISTRATION

 

   Full-time equated unclassified positions.......... 6.0

 

   Full-time equated classified positions.......... 207.0

 

Director and other unclassified--6.0 FTE positions..... $        581,500

 

Community health advisory council......................             7,000

 

Departmental administration and management--197.0 FTE

 

   positions............................................        22,394,900

 


Worker's compensation program..........................        10,600,000

 

Human resources optimization user charges..............           277,600

 

Rent and building occupancy............................        10,877,700

 

Developmental disabilities council and projects--10.0

 

   FTE positions........................................         2,724,000

 

GROSS APPROPRIATION.................................... $     47,462,700

 

    Appropriated from:

 

   Federal revenues:

 

Total federal revenues.................................        11,646,500

 

   Special revenue funds:

 

Total private revenues.................................            35,900

 

Total other state restricted revenues..................         3,488,400

 

State general fund/general purpose..................... $     32,291,900

 

   Sec. 103. MENTAL HEALTH/SUBSTANCE ABUSE SERVICES

 

ADMINISTRATION AND SPECIAL PROJECTS

 

   Full-time equated classified positions.......... 109.0

 

Mental health/substance abuse program administration--

 

   108.0 FTE positions.................................. $     12,149,100

 

Consumer involvement program...........................           189,100

 

Gambling addiction--1.0 FTE position...................         3,500,000

 

Protection and advocacy services support...............           777,400

 

Mental health initiatives for older persons............         1,291,200

 

Community residential and support services.............         2,906,800

 

Highway safety projects................................           400,000

 

Federal and other special projects.....................         2,152,200

 

Family support subsidy.................................        19,036,000

 

Housing and support services...........................         7,806,800

 


GROSS APPROPRIATION.................................... $     50,208,600

 

    Appropriated from:

 

   Federal revenues:

 

Total federal revenues.................................        32,435,100

 

   Special revenue funds:

 

Total private revenues.................................           190,000

 

Total other state restricted revenues..................         3,500,000

 

State general fund/general purpose..................... $     14,083,500

 

   Sec. 104. COMMUNITY MENTAL HEALTH/SUBSTANCE ABUSE

 

SERVICES PROGRAMS

 

   Full-time equated classified positions............ 9.5

 

Medicaid mental health services........................ $  1,786,894,900

 

Community mental health non-Medicaid services..........       317,772,300

 

Medicaid adult benefits waiver.........................        40,000,000

 

Multicultural services.................................         4,963,800

 

Medicaid substance abuse services......................        35,622,900

 

Respite services.......................................         1,000,000

 

CMHSP, purchase of state services contracts............       128,681,500

 

Civil service charges..................................         1,765,500

 

Federal mental health block grant--2.5 FTE positions...        15,355,000

 

State disability assistance program substance abuse

 

   services.............................................         2,509,800

 

Community substance abuse prevention, education, and

 

   treatment programs...................................        85,519,100

 

Children's waiver home care program....................        19,549,800

 

Omnibus reconciliation act implementation-7.0 FTE

 

   positions............................................        12,505,200

 


Children with serious emotional disturbance waiver.....           570,000

 

GROSS APPROPRIATION.................................... $  2,452,709,800

 

    Appropriated from:

 

   Federal revenues:

 

Total federal revenues.................................     1,158,607,200

 

   Special revenue funds:

 

Total local revenues...................................        26,072,100

 

Total other state restricted revenues..................       112,208,900

 

State general fund/general purpose..................... $  1,155,821,600

 

   Sec. 105. STATE PSYCHIATRIC HOSPITALS, CENTERS FOR

 

PERSONS WITH DEVELOPMENTAL DISABILITIES, AND FORENSIC

 

AND PRISON MENTAL HEALTH SERVICES

 

   Total average population...................... 1,109.0

 

   Full-time equated classified positions........ 2,939.3

 

Caro regional mental health center - psychiatric

 

   hospital - adult--461.7 FTE positions................ $     41,511,600

 

   Average population.............................. 179.0

 

Kalamazoo psychiatric hospital - adult--486.3 FTE

 

   positions............................................        40,392,200

 

   Average population.............................. 186.0

 

Walter P. Reuther psychiatric hospital - adult--429.0

 

   FTE positions........................................        40,549,700

 

   Average population.............................. 236.0

 

Hawthorn center - psychiatric hospital - children and

 

   adolescents--210.2 FTE positions.....................        19,556,300

 

   Average population............................... 74.0

 

Mount Pleasant center - developmental disabilities--

 


   529.7 FTE positions..................................        42,882,500

 

   Average population.............................. 209.0

 

Center for forensic psychiatry--493.0 FTE positions....        49,408,800

 

   Average population.............................. 225.0

 

Forensic mental health services provided to the

 

   department of corrections--318.4 FTE positions.......        36,018,600

 

Revenue recapture......................................           750,000

 

IDEA, federal special education........................           120,000

 

Special maintenance and equipment......................           335,300

 

Purchase of medical services for residents of

 

   hospitals and centers................................         2,045,600

 

Closed site, transition, and related costs--11.0 FTE

 

   positions............................................           712,300

 

Severance pay..........................................           216,900

 

Gifts and bequests for patient living and treatment

 

   environment..........................................         1,000,000

 

GROSS APPROPRIATION.................................... $    275,499,800

 

    Appropriated from:

 

   Interdepartmental grant revenues:

 

Interdepartmental grant from the department of

 

   corrections..........................................        36,018,600

 

   Federal revenues:

 

Total federal revenues.................................        35,269,100

 

   Special revenue funds:

 

CMHSP, purchase of state services contracts............       128,681,500

 

Other local revenues...................................        15,548,400

 

Total private revenues.................................         1,000,000

 


Total other state restricted revenues..................        10,229,300

 

State general fund/general purpose..................... $     48,752,900

 

   Sec. 106. PUBLIC HEALTH ADMINISTRATION

 

   Full-time equated classified positions........... 86.4

 

Public health administration--11.0 FTE positions....... $      1,802,400

 

Minority health grants and contracts--3.0 FTE positions   1,592,500

 

Vital records and health statistics--72.4 FTE

 

   positions............................................         7,658,400

 

GROSS APPROPRIATION.................................... $     11,053,300

 

    Appropriated from:

 

   Interdepartmental grant revenues:

 

Interdepartmental grant from the department of human

 

   services.............................................           724,100

 

   Federal revenues:

 

Total federal revenues.................................         2,854,000

 

   Special revenue funds:

 

Total other state restricted revenues..................         5,972,700

 

State general fund/general purpose..................... $      1,502,500

 

   Sec. 107. HEALTH POLICY, REGULATION, AND PROFESSIONS

 

   Full-time equated classified positions.......... 405.6

 

Health systems administration--197.6 FTE positions..... $     21,684,400

 

Emergency medical services program--15.5 FTE positions.         2,012,400

 

Radiological health administration--21.4 FTE positions.         2,506,700

 

Health professions--125.0 FTE positions................        15,205,400

 

Health policy, regulation, and professions

 

   administration--26.7 FTE positions...................         5,366,800

 

Nurse scholarship, education, and research program--

 


3.0 FTE positions....................................           903,800

 

Certificate of need program administration--14.0 FTE

 

   positions............................................         1,726,400

 

Rural health services--1.0 FTE position................         1,390,500

 

Michigan essential health provider.....................         1,847,100

 

Primary care services--1.4 FTE positions...............         2,265,500

 

GROSS APPROPRIATION.................................... $     54,909,000

 

    Appropriated from:

 

   Interdepartmental grant revenues:

 

Interdepartmental grant from treasury..................           113,000

 

   Federal revenues:

 

Total federal revenues.................................        22,559,600

 

   Special revenue funds:

 

Total local revenues...................................           227,700

 

Total private revenues.................................           150,000

 

Total other state restricted revenues..................        24,150,900

 

State general fund/general purpose..................... $      7,707,800

 

   Sec. 108. INFECTIOUS DISEASE CONTROL

 

   Full-time equated classified positions........... 49.0

 

AIDS prevention, testing, and care programs--12.0 FTE

 

   positions............................................ $     34,928,800

 

Immunization local agreements..........................        13,990,300

 

Immunization program management and field support--

 

   15.0 FTE positions...................................         1,930,700

 

Pediatric AIDS prevention and control..................         1,224,800

 

Sexually transmitted disease control local agreements..         3,423,200

 

Sexually transmitted disease control management and

 


   field support--22.0 FTE positions....................         3,624,900

 

GROSS APPROPRIATION.................................... $     59,122,700

 

    Appropriated from:

 

   Federal revenues:

 

Total federal revenues.................................        40,921,800

 

   Special revenue funds:

 

Total private revenues.................................         5,497,900

 

Total other state restricted revenues..................         8,575,800

 

State general fund/general purpose..................... $      4,127,200

 

   Sec. 109. LABORATORY SERVICES

 

   Full-time equated classified positions.......... 122.0

 

Bovine tuberculosis--2.0 FTE positions................. $        500,000

 

Laboratory services--120.0 FTE positions...............        15,543,700

 

GROSS APPROPRIATION.................................... $     16,043,700

 

    Appropriated from:

 

   Interdepartmental grant revenues:

 

Interdepartmental grant from environmental quality.....           430,400

 

   Federal revenues:

 

Total federal revenues.................................         3,093,200

 

   Special revenue funds:

 

Total other state restricted revenues..................         5,420,200

 

State general fund/general purpose..................... $      7,099,900

 

   Sec. 110. EPIDEMIOLOGY

 

   Full-time equated classified positions.......... 134.5

 

AIDS surveillance and prevention program............... $      2,513,200

 

Asthma prevention and control--2.3 FTE positions.......         1,055,300

 

Bioterrorism preparedness--76.1 FTE positions..........        50,605,200

 


Epidemiology administration--41.1 FTE positions........         6,546,800

 

Lead abatement program--7.0 FTE positions..............         2,143,400

 

Newborn screening follow-up and treatment services--

 

   8.0 FTE positions....................................         3,862,300

 

Tuberculosis control and recalcitrant AIDS program.....           867,000

 

GROSS APPROPRIATION.................................... $     67,593,200

 

    Appropriated from:

 

   Federal revenues:

 

Total federal revenues.................................        61,099,500

 

   Special revenue funds:

 

Total private revenues.................................            25,000

 

Total other state restricted revenues..................         4,307,600

 

State general fund/general purpose..................... $      2,161,100

 

   Sec. 111. LOCAL HEALTH ADMINISTRATION AND GRANTS

 

Implementation of 1993 PA 133, MCL 333.17015........... $        100,000

 

Local health services..................................           220,000

 

Local public health operations.........................        40,618,400

 

Medical services cost reimbursement to local health

 

   departments..........................................         3,110,000

 

GROSS APPROPRIATION.................................... $     44,048,400

 

    Appropriated from:

 

   Federal revenues:

 

Total federal revenues.................................         3,110,000

 

   Special revenue funds:

 

Total local revenues...................................         5,150,000

 

Total other state restricted revenues..................           243,500

 

State general fund/general purpose..................... $     35,544,900

 


   Sec. 112. CHRONIC DISEASE AND INJURY PREVENTION AND

 

HEALTH PROMOTION

 

   Full-time equated classified positions........... 65.5

 

African-American male health initiative................ $        106,700

 

AIDS and risk reduction clearinghouse and media

 

   campaign.............................................         1,576,000

 

Alzheimer's information network........................           412,900

 

Cancer prevention and control program--15.3 FTE

 

   positions............................................        15,145,400

 

Chronic disease prevention--19.3 FTE position..........         5,086,900

 

Diabetes and kidney program--11.1 FTE positions........         3,701,400

 

Injury control intervention project--1.0 FTE position..           100,900

 

Morris Hood Wayne State University diabetes outreach...           400,000

 

Physical fitness, nutrition, and health................           700,000

 

Public health traffic safety coordination--1.7 FTE

 

   positions............................................           584,900

 

Smoking prevention program--15.1 FTE positions.........         5,632,400

 

Tobacco tax collection and enforcement.................           610,000

 

Violence prevention--2.0 FTE positions.................       1,896,900

 

GROSS APPROPRIATION.................................... $     35,954,400

 

    Appropriated from:

 

   Federal revenues:

 

Total federal revenues.................................        19,987,500

 

   Special revenue funds:

 

Total private revenues.................................            85,000

 

Total other state restricted revenues..................        14,751,700

 

State general fund/general purpose..................... $      1,130,200

 


   Sec. 113. FAMILY, MATERNAL, AND CHILDREN'S HEALTH SERVICES

 

   Full-time equated classified positions........... 48.4

 

Childhood lead program--6.8 FTE positions.............. $      2,536,100

 

Dental programs........................................           485,400

 

Dental program for persons with developmental

 

   disabilities.........................................           151,000

 

Early childhood collaborative secondary prevention.....           524,000

 

Family, maternal, and children's health services

 

   administration--39.6 FTE positions...................         4,590,600

 

Family planning local agreements.......................        12,270,300

 

Local MCH services.....................................         7,264,200

 

Migrant health care....................................           272,200

 

Pregnancy prevention program...........................         5,733,400

 

Prenatal care outreach and service delivery support....         3,049,300

 

School health and education programs...................           500,000

 

Special projects--2.0 FTE positions....................         5,784,900

 

Sudden infant death syndrome program...................           321,300

 

GROSS APPROPRIATION.................................... $     43,482,700

 

    Appropriated from:

 

   Federal revenues:

 

Total federal revenues.................................        30,116,300

 

   Special revenue funds:

 

Total other state restricted revenues..................         8,464,000

 

State general fund/general purpose..................... $      4,902,400

 

   Sec. 114. WOMEN, INFANTS, AND CHILDREN FOOD AND

 

NUTRITION PROGRAM

 

   Full-time equated classified positions........... 41.0

 


Women, infants, and children program administration

 

   and special projects--41.0 FTE positions............. $      6,681,000

 

Women, infants, and children program local agreements

 

   and food costs.......................................       179,272,000

 

GROSS APPROPRIATION.................................... $    185,953,000

 

    Appropriated from:

 

   Federal revenues:

 

Total federal revenues.................................       132,714,900

 

   Special revenue funds:

 

Total private revenues.................................        53,238,100

 

State general fund/general purpose..................... $              0

 

   Sec. 115. CHILDREN'S SPECIAL HEALTH CARE SERVICES

 

   Full-time equated classified positions........... 44.0

 

Children's special health care services

 

   administration--44.0 FTE positions................... $      4,296,900

 

Amputee program........................................           184,600

 

Bequests for care and services.........................         1,889,100

 

Outreach and advocacy..................................         3,773,500

 

Non-emergency medical transportation...................         1,289,100

 

Medical care and treatment.............................       185,426,400

 

GROSS APPROPRIATION.................................... $    196,859,600

 

    Appropriated from:

 

   Federal revenues:

 

Total federal revenues.................................        95,909,800

 

   Special revenue funds:

 

Total private revenues.................................         1,000,000

 

Total other state restricted revenues..................         2,584,500

 


State general fund/general purpose..................... $     97,365,300

 

   Sec. 116. OFFICE OF DRUG CONTROL POLICY

 

   Full-time equated classified positions........... 16.0

 

Drug control policy--16.0 FTE positions................ $      2,104,600

 

Anti-drug abuse grants.................................        14,870,300

 

Interdepartmental grant to judiciary for drug

 

   treatment courts.....................................         1,800,000

 

GROSS APPROPRIATION.................................... $     18,774,900

 

    Appropriated from:

 

   Federal revenues:

 

Total federal revenues.................................        18,399,500

 

   Special revenue funds:

 

State general fund/general purpose..................... $        375,400

 

   Sec. 117. CRIME VICTIM SERVICES COMMISSION

 

   Full-time equated classified positions........... 10.0

 

Grants administration services--10.0 FTE positions..... $      1,087,500

 

Justice assistance grants..............................        13,000,000

 

Crime victim rights services grants....................       10,800,000

 

GROSS APPROPRIATION.................................... $     24,887,500

 

    Appropriated from:

 

   Federal revenues:

 

Total federal revenues.................................        14,770,300

 

   Special revenue funds:

 

Total other state restricted revenues..................        10,117,200

 

State general fund/general purpose..................... $              0

 

   Sec. 118. OFFICE OF SERVICES TO THE AGING

 

   Full-time equated classified positions........... 36.5

 


Commission (per diem $50.00)........................... $         10,500

 

Office of services to aging administration--36.5 FTE

 

   positions............................................         5,324,100

 

Community services.....................................        35,204,200

 

Nutrition services.....................................        37,290,500

 

Senior volunteer services..............................         5,624,900

 

Employment assistance..................................         2,818,300

 

Respite care program...................................         7,600,000

 

GROSS APPROPRIATION.................................... $     93,872,500

 

    Appropriated from:

 

   Federal revenues:

 

Total federal revenues.................................        52,251,400

 

   Special revenue funds:

 

Total private revenues.................................           105,000

 

Merit award trust fund.................................         5,000,000

 

Total other state restricted revenues..................         2,767,000

 

State general fund/general purpose..................... $     33,749,100

 

   Sec. 119. MICHIGAN FIRST HEALTHCARE PLAN

 

Michigan First Healthcare Plan......................... $     200,000,000

 

GROSS APPROPRIATION.................................... $    200,000,000

 

    Appropriated from:

 

   Federal revenues:

 

Total federal revenues.................................       200,000,000

 

   Special revenue funds:

 

State general fund/general purpose..................... $              0

 

   Sec. 120. MEDICAL SERVICES ADMINISTRATION

 

   Full-time equated classified positions.......... 341.4

 


Medical services administration--341.4 FTE positions... $     65,290,600

 

Facility inspection contract - state police............           132,800

 

MIChild administration.................................         4,327,800

 

GROSS APPROPRIATION.................................... $     69,751,200

 

    Appropriated from:

 

   Federal revenues:

 

Total federal revenues.................................        51,840,900

 

   Special revenue funds:

 

State general fund/general purpose..................... $     17,910,300

 

   Sec. 121. MEDICAL SERVICES

 

Hospital services and therapy.......................... $  1,128,391,400

 

Hospital disproportionate share payments...............        50,000,000

 

Physician services.....................................       279,406,100

 

Medicare premium payments..............................       308,097,700

 

Pharmaceutical services................................        72,869,800

 

Home health services...................................        67,241,000

 

Transportation.........................................         9,026,500

 

Auxiliary medical services.............................       110,621,300

 

Ambulance services.....................................        13,541,500

 

Long-term care services................................     1,989,051,000

 

Health plan services...................................     2,421,668,900

 

MIChild program........................................        47,875,600

 

Medicaid adult benefits waiver.........................       106,608,600

 

Maternal and child health..............................        20,279,500

 

Social services to the physically disabled.............         1,344,900

 

Federal Medicare pharmaceutical program................       200,973,100

 

County indigent care and third share plans.............        88,518,500

 


Subtotal basic medical services program................     6,915,515,400

 

School-based services..................................        76,235,400

 

Special Medicaid reimbursement.........................       290,892,100

 

Subtotal special medical services payments.............       367,127,500

 

GROSS APPROPRIATION.................................... $  7,282,642,900

 

    Appropriated from:

 

   Federal revenues:

 

Total federal revenues.................................     4,096,294,900

 

   Special revenue funds:

 

Total local revenues...................................        65,497,700

 

Merit award trust fund.................................       136,200,000

 

Total other state restricted revenues..................     1,456,274,200

 

State general fund/general purpose..................... $  1,528,376,100

 

   Sec. 122. INFORMATION TECHNOLOGY

 

Information technology services and projects........... $     31,427,000

 

Michigan Medicaid information system...................               100

 

GROSS APPROPRIATION.................................... $     31,427,100

 

    Appropriated from:

 

   Federal revenues:

 

Total federal revenues.................................        19,296,500

 

   Special revenue funds: