HB-4235, As Passed House, June 12, 2019

 

 

 

 

 

 

 

 

 

 

 

SUBSTITUTE FOR

 

HOUSE BILL NO. 4235

 

 

 

 

 

 

 

 

 

 

 

 

 

A bill to make appropriations for the department of health and

 

human services for the fiscal year ending September 30, 2020; and

 

to provide for the expenditure of the appropriations.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

PART 1

 

LINE-ITEM APPROPRIATIONS

 

Sec. 101. There is appropriated for the department of health

 

and human services for the fiscal year ending September 30, 2020,

 

from the following funds:

 

DEPARTMENT OF HEALTH AND HUMAN SERVICES

 

APPROPRIATION SUMMARY

 

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

 

Full-time equated classified positions....... 15,967.0

 

Average population.............................. 770.0


GROSS APPROPRIATION.................................... $ 25,882,022,400

 

Interdepartmental grant revenues:

 

Total interdepartmental grants and intradepartmental

 

transfers............................................ 13,424,900

 

ADJUSTED GROSS APPROPRIATION........................... $ 25,868,597,500

 

Federal revenues:

 

Social security act, temporary assistance for needy

 

families............................................. 549,714,800

 

Capped federal revenues................................ 565,574,800

 

Total other federal revenues........................... 16,914,529,900

 

Special revenue funds:

 

Total local revenues................................... 155,232,700

 

Total private revenues................................. 137,071,200

 

Michigan merit award trust fund........................ 49,768,700

 

Total other state restricted revenues.................. 2,824,884,300

 

State general fund/general purpose..................... $ 4,671,821,100

 

Sec. 102. DEPARTMENTAL ADMINISTRATION AND SUPPORT

 

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

 

Full-time equated classified positions.......... 809.6

 

Unclassified salaries--6.0 FTE positions............... $ 1,188,300

 

Administrative hearings officers....................... 11,157,000

 

Demonstration projects--7.0 FTE positions.............. 7,356,600

 

Departmental administration and management--601.6 FTE

 

positions............................................ 93,912,900

 

Michigan community service commission--14.0 FTE

 

positions............................................ 10,663,500

 

Office of inspector general--187.0 FTE positions....... 23,389,300


Property management.................................... 68,243,100

 

Terminal leave payments................................ 7,302,700

 

Worker's compensation.................................. 6,674,900

 

GROSS APPROPRIATION.................................... $ 229,888,300

 

Appropriated from:

 

Interdepartmental grant revenues:

 

IDG from department of education....................... 1,932,100

 

IDG from department of technology, management, and

 

budget - office of retirement services............... 600

 

Federal revenues:

 

Social security act, temporary assistance for needy

 

families............................................. 22,843,300

 

Capped federal revenues................................ 30,916,000

 

Total other federal revenues........................... 68,796,400

 

Special revenue funds:

 

Total local revenues................................... 85,200

 

Total private revenues................................. 3,886,400

 

Total other state restricted revenues.................. 1,261,500

 

State general fund/general purpose..................... $ 100,166,800

 

Sec. 103. CHILD SUPPORT ENFORCEMENT

 

Full-time equated classified positions.......... 185.7

 

Child support enforcement operations--179.7 FTE

 

positions............................................ $ 22,575,000

 

Child support incentive payments....................... 24,409,600

 

Legal support contracts................................ 113,027,100

 

State disbursement unit--6.0 FTE positions............. 8,135,600

 

GROSS APPROPRIATION.................................... $ 168,147,300


Appropriated from:

 

Federal revenues:

 

Total other federal revenues........................... 142,364,900

 

State general fund/general purpose..................... $ 25,782,400

 

Sec. 104. COMMUNITY SERVICES AND OUTREACH

 

Full-time equated classified positions........... 65.6

 

Bureau of community services and outreach--20.0 FTE

 

positions............................................ $ 3,403,200

 

Campus sexual assault prevention and education

 

initiative........................................... 500,000

 

Child advocacy centers--0.5 FTE position............... 1,907,000

 

Community services and outreach administration--12.0

 

FTE positions........................................ 1,648,300

 

Community services block grant......................... 25,840,000

 

Crime victim grants administration services--17.0 FTE

 

positions............................................ 2,210,600

 

Crime victim justice assistance grants................. 99,279,300

 

Crime victim rights services grants.................... 18,870,000

 

Domestic violence prevention and treatment--15.6 FTE

 

positions............................................ 17,871,700

 

Homeless programs...................................... 22,632,700

 

Housing and support services........................... 13,031,000

 

Rape prevention and services--0.5 FTE position......... 5,097,300

 

School success partnership program..................... 525,000

 

Uniform statewide sexual assault evidence kit tracking

 

system............................................... 800,000

 

Weatherization assistance.............................. 15,505,000


GROSS APPROPRIATION.................................... $ 229,121,100

 

Appropriated from:

 

Federal revenues:

 

Social security act, temporary assistance for needy

 

families............................................. 13,189,800

 

Capped federal revenues................................ 58,846,900

 

Total other federal revenues........................... 115,553,900

 

Special revenue funds:

 

Compulsive gambling prevention fund.................... 1,040,500

 

Sexual assault evidence tracking fund.................. 800,000

 

Sexual assault victims' prevention and treatment fund.. 3,000,000

 

Child advocacy centers fund............................ 1,407,000

 

Crime victim's rights fund............................. 17,672,700

 

State general fund/general purpose..................... $ 17,610,300

 

Sec. 105. CHILDREN'S SERVICES AGENCY - CHILD

 

WELFARE

 

Full-time equated classified positions........ 4,046.2

 

Adoption subsidies..................................... $ 198,618,200

 

Adoption support services--10.0 FTE positions.......... 33,318,000

 

Attorney general contract.............................. 5,001,100

 

Child abuse and neglect - children's justice act--1.0

 

FTE position......................................... 624,400

 

Child care fund........................................ 230,299,200

 

Child protection....................................... 800,300

 

Child welfare administration travel.................... 375,000

 

Child welfare field staff - caseload compliance--

 

2,461.0 FTE positions................................ 234,326,300


Child welfare field staff - noncaseload compliance--

 

353.0 FTE positions.................................. 38,793,400

 

Child welfare first line supervisors--578.0 FTE

 

positions............................................ 74,022,700

 

Child welfare institute--51.0 FTE positions............ 9,204,800

 

Child welfare licensing--59.0 FTE positions............ 7,021,800

 

Child welfare medical/psychiatric evaluations.......... 9,835,500

 

Children's protective services staffing enhancement--

 

175.0 FTE positions.................................. 18,618,000

 

Children's services administration--169.2 FTE

 

positions............................................ 19,473,400

 

Children's trust fund--12.0 FTE positions.............. 4,154,400

 

Contractual services, supplies, and materials.......... 10,155,600

 

Education planners--15.0 FTE positions................. 1,553,600

 

Family preservation and prevention services

 

administration--9.0 FTE positions.................... 1,320,300

 

Family preservation programs--14.0 FTE positions....... 44,813,000

 

Foster care payments................................... 258,590,700

 

Guardianship assistance program........................ 10,534,500

 

Interstate compact..................................... 179,600

 

Peer coaches--45.5 FTE positions....................... 5,835,000

 

Performance based funding implementation--3.0 FTE

 

positions............................................ 1,449,500

 

Permanency resource managers--28.0 FTE positions....... 3,265,300

 

Prosecuting attorney contracts......................... 3,879,500

 

Second line supervisors and technical staff--54.0 FTE

 

positions............................................ 9,028,300


Settlement monitor..................................... 2,034,100

 

Strong families/safe children.......................... 12,600,000

 

Title IV-E compliance and accountability office--4.0

 

FTE positions........................................ 428,600

 

Youth in transition--4.5 FTE positions................. 15,533,700

 

GROSS APPROPRIATION.................................... $ 1,265,687,800

 

Appropriated from:

 

Interdepartmental grant revenues:

 

IDG from department of education....................... 89,300

 

Federal revenues:

 

Social security act, temporary assistance for needy

 

families............................................. 342,952,200

 

Capped federal revenues................................ 112,229,200

 

Total other federal revenues........................... 255,362,300

 

Special revenue funds:

 

Private - collections.................................. 1,770,700

 

Local funds - county chargeback........................ 40,914,500

 

Children's trust fund.................................. 2,888,300

 

State general fund/general purpose..................... $ 509,481,300

 

Sec. 106. CHILDREN'S SERVICES AGENCY - JUVENILE

 

JUSTICE

 

Full-time equated classified positions.......... 120.5

 

Bay Pines Center--47.0 FTE positions................... $ 5,417,800

 

Committee on juvenile justice administration--2.5 FTE

 

positions............................................ 353,900

 

Committee on juvenile justice grants................... 3,000,000

 

Community support services--3.0 FTE positions.......... 2,124,200


County juvenile officers............................... 3,904,300

 

Juvenile justice, administration and maintenance--21.0

 

FTE positions........................................ 2,763,800

 

Shawono Center--47.0 FTE positions..................... 5,477,400

 

GROSS APPROPRIATION.................................... $ 23,041,400

 

Appropriated from:

 

Federal revenues:

 

Capped federal revenues................................ 8,541,700

 

Special revenue funds:

 

Local funds - state share education funds.............. 1,335,400

 

Local funds - county chargeback........................ 4,619,900

 

State general fund/general purpose..................... $ 8,544,400

 

Sec. 107. PUBLIC ASSISTANCE

 

Full-time equated classified positions............ 3.0

 

Emergency services local office allocations............ $ 9,007,500

 

Family independence program............................ 65,774,800

 

Food assistance program benefits....................... 1,760,805,700

 

Food Bank Council of Michigan.......................... 2,045,000

 

Indigent burial........................................ 3,875,000

 

Low-income home energy assistance program.............. 174,951,600

 

Michigan energy assistance program--1.0 FTE position... 50,000,000

 

Multicultural integration funding...................... 15,303,800

 

Refugee assistance program--2.0 FTE positions.......... 3,035,200

 

State disability assistance payments................... 6,567,500

 

State supplementation.................................. 58,903,400

 

State supplementation administration................... 1,806,100

 

GROSS APPROPRIATION.................................... $ 2,152,075,600


Appropriated from:

 

Federal revenues:

 

Social security act, temporary assistance for needy

 

families............................................. 64,425,800

 

Capped federal revenues................................ 178,171,300

 

Total other federal revenues........................... 1,756,605,700

 

Special revenue funds:

 

Child support collections.............................. 11,250,200

 

Supplemental security income recoveries................ 4,142,700

 

Public assistance recoupment revenue................... 5,000,000

 

Low-income energy assistance fund...................... 50,000,000

 

State general fund/general purpose..................... $ 82,479,900

 

Sec. 108. FIELD OPERATIONS AND SUPPORT SERVICES

 

Full-time equated classified positions........ 5,814.5

 

Administrative support workers--221.0 FTE positions.... $ 13,186,000

 

Adult services field staff--520.0 FTE positions........ 57,116,000

 

Contractual services, supplies, and materials.......... 16,927,600

 

Donated funds positions--238.0 FTE positions........... 27,093,700

 

Elder Law of Michigan MiCAFE contract.................. 350,000

 

Electronic benefit transfer (EBT)...................... 6,809,000

 

Employment and training support services............... 4,219,100

 

Field policy and administration--66.0 FTE positions.... 11,279,300

 

Field staff travel..................................... 8,111,400

 

Medical/psychiatric evaluations........................ 1,420,100

 

Nutrition education--2.0 FTE positions................. 33,048,300

 

Pathways to potential--231.0 FTE positions............. 24,019,300

 

Public assistance field staff--4,516.5 FTE positions... 467,716,000


Training and program support--20.0 FTE positions....... 2,492,000

 

GROSS APPROPRIATION.................................... $ 673,787,800

 

Appropriated from:

 

Interdepartmental grant revenues:

 

IDG from department of corrections..................... 119,500

 

IDG from department of education....................... 7,747,500

 

Federal revenues:

 

Social security act, temporary assistance for needy

 

families............................................. 72,365,100

 

Capped federal revenues................................ 54,625,600

 

Total other federal revenues........................... 261,050,200

 

Special revenue funds:

 

Local funds - donated funds............................ 4,032,700

 

Private funds - donated funds.......................... 9,237,500

 

State general fund/general purpose..................... $ 264,609,700

 

Sec. 109. DISABILITY DETERMINATION SERVICES

 

Full-time equated classified positions.......... 575.4

 

Disability determination operations--571.3 FTE

 

positions............................................ $ 111,864,300

 

Retirement disability determination--4.1 FTE positions. 615,800

 

GROSS APPROPRIATION.................................... $ 112,480,100

 

Appropriated from:

 

Interdepartmental grant revenues:

 

IDG from department of technology, management, and

 

budget - office of retirement services............... 790,900

 

Federal revenues:

 

Total other federal revenues........................... 107,413,000


State general fund/general purpose..................... $ 4,276,200

 

Sec. 110. BEHAVIORAL HEALTH PROGRAM ADMINISTRATION

 

AND SPECIAL PROJECTS

 

Full-time equated classified positions.......... 108.0

 

Behavioral health program administration--86.0 FTE

 

positions............................................ $ 49,702,000

 

Court-ordered assisted outpatient treatment............ 1,000,000

 

Family support subsidy................................. 14,137,300

 

Federal and other special projects..................... 2,535,600

 

Gambling addiction--1.0 FTE position................... 4,508,800

 

Mental health diversion council........................ 4,350,000

 

Office of recipient rights--21.0 FTE positions......... 2,559,700

 

Protection and advocacy services support............... 194,400

 

GROSS APPROPRIATION.................................... $ 78,987,800

 

Appropriated from:

 

Federal revenues:

 

Social security act, temporary assistance for needy

 

families............................................. 14,317,800

 

Total other federal revenues........................... 38,888,800

 

Special revenue funds:

 

Total private revenues................................. 1,001,000

 

Total other state restricted revenues.................. 4,508,800

 

State general fund/general purpose..................... $ 20,271,400

 

Sec. 111. BEHAVIORAL HEALTH SERVICES

 

Full-time equated classified positions........... 11.0

 

Autism services........................................ $ 221,718,600

 

Children with serious emotional disturbance waiver..... 8,600,000


Children's waiver home care program.................... 18,141,100

 

Civil service charges.................................. 249,300

 

Community mental health non-Medicaid services.......... 125,578,300

 

Community substance use disorder prevention,

 

education, and treatment............................. 108,254,700

 

Court-appointed guardian and conservator reimbursement. 2,700,000

 

Federal mental health block grant--4.0 FTE positions... 20,567,600

 

Health homes........................................... 3,369,000

 

Healthy Michigan plan - behavioral health.............. 346,548,100

 

Medicaid mental health services........................ 2,478,086,100

 

Medicaid substance use disorder services............... 66,200,100

 

Nursing home PAS/ARR-OBRA--7.0 FTE positions........... 12,281,400

 

GROSS APPROPRIATION.................................... $ 3,412,294,300

 

Appropriated from:

 

Federal revenues:

 

Total other federal revenues........................... 2,241,516,500

 

Special revenue funds:

 

Total local revenues................................... 25,475,600

 

Total other state restricted revenues.................. 34,018,100

 

State general fund/general purpose..................... $ 1,111,284,100

 

Sec. 112. STATE PSYCHIATRIC HOSPITALS AND FORENSIC

 

MENTAL HEALTH SERVICES

 

Total average population........................ 770.0

 

Full-time equated classified positions........ 2,375.6

 

Caro Regional Mental Health Center - psychiatric

 

hospital - adult - or regional mental health center

 

located within 6 miles of the county seat of a


county with a population between 55,000 and 57,000

 

in the 2010 decennial census--542.3 FTE positions.... $ 62,174,200

 

Average population.............................. 145.0

 

Center for forensic psychiatry--608.1 FTE positions.... 95,892,600

 

Average population.............................. 240.0

 

Developmental disabilities council and projects--10.0

 

FTE positions........................................ 3,094,000

 

Gifts and bequests for patient living and treatment

 

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

 

Hawthorn Center - psychiatric hospital - children and

 

adolescents--276.0 FTE positions..................... 32,174,300

 

Average population............................... 55.0

 

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

 

Kalamazoo Psychiatric Hospital - adult--533.8 FTE

 

positions............................................ 69,022,800

 

Average population.............................. 170.0

 

Purchase of medical services for residents of

 

hospitals and centers................................ 445,600

 

Revenue recapture...................................... 750,100

 

Special maintenance.................................... 924,600

 

Walter P. Reuther Psychiatric Hospital - adult--405.4

 

FTE positions........................................ 57,435,800

 

Average population.............................. 160.0

 

GROSS APPROPRIATION.................................... $ 323,034,000

 

Appropriated from:

 

Federal revenues:

 

Total other federal revenues........................... 42,843,800


Special revenue funds:

 

Total local revenues................................... 22,752,800

 

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

 

Total other state restricted revenues.................. 14,871,200

 

State general fund/general purpose..................... $ 241,566,200

 

Sec. 113. HEALTH AND HUMAN SERVICES POLICY AND

 

INITIATIVES

 

Full-time equated classified positions.......... 606.7

 

Certificate of need program administration--11.8 FTE

 

positions............................................ $ 2,747,400

 

Health policy administration--33.9 FTE positions....... 14,166,900

 

Human trafficking intervention services................ 200,000

 

Independent living..................................... 15,531,600

 

Michigan essential health provider..................... 3,384,200

 

Michigan rehabilitation services--555.0 FTE positions.. 130,177,000

 

Minority health grants and contracts................... 612,700

 

Nurse education and research program--3.0 FTE

 

positions............................................ 791,800

 

Primary care services--2.0 FTE positions............... 3,631,000

 

Rural health services--1.0 FTE position................ 1,555,500

 

GROSS APPROPRIATION.................................... $ 172,798,100

 

Appropriated from:

 

Interdepartmental grant revenues:

 

IDG from department of education....................... 2,400

 

IDG from department of licensing and regulatory

 

affairs.............................................. 829,800

 

IDG from department of treasury, Michigan state


hospital finance authority........................... 116,700

 

Federal revenues:

 

Social security act, temporary assistance for needy

 

families............................................. 330,400

 

Capped federal revenues................................ 103,482,500

 

Total other federal revenues........................... 24,654,500

 

Special revenue funds:

 

Total local revenues................................... 5,262,000

 

Total private revenues................................. 1,392,800

 

Total other state restricted revenues.................. 2,892,900

 

State general fund/general purpose..................... $ 33,834,100

 

Sec. 114. LABORATORY SERVICES

 

Full-time equated classified positions.......... 102.0

 

Laboratory services--102.0 FTE positions............... $ 23,434,000

 

GROSS APPROPRIATION.................................... $ 23,434,000

 

Appropriated from:

 

Interdepartmental grant revenues:

 

IDG from department of environmental quality........... 995,800

 

Federal revenues:

 

Total other federal revenues........................... 4,304,700

 

Special revenue funds:

 

Total other state restricted revenues.................. 12,051,900

 

State general fund/general purpose..................... $ 6,081,600

 

Sec. 115. EPIDEMIOLOGY AND POPULATION HEALTH

 

Full-time equated classified positions.......... 250.5

 

Childhood lead program--4.5 FTE positions.............. $ 2,054,900

 

Epidemiology administration--94.1 FTE positions........ 29,420,000


Healthy homes program--12.0 FTE positions.............. 27,756,100

 

Newborn screening follow-up and treatment services--

 

10.5 FTE positions................................... 7,801,700

 

PFAS and environmental contamination response--48.0

 

FTE positions........................................ 23,816,600

 

Vital records and health statistics--81.4 FTE

 

positions............................................ 10,332,700

 

GROSS APPROPRIATION.................................... $ 101,182,000

 

Appropriated from:

 

Federal revenues:

 

Capped federal revenues................................ 80,300

 

Total other federal revenues........................... 41,256,200

 

Special revenue funds:

 

Total private revenues................................. 344,900

 

Total other state restricted revenues.................. 14,445,200

 

State general fund/general purpose..................... $ 45,055,400

 

Sec. 116. LOCAL HEALTH AND ADMINISTRATIVE SERVICES

 

Full-time equated classified positions.......... 145.0

 

AIDS prevention, testing, and care programs--37.7 FTE

 

positions............................................ $ 63,697,800

 

Cancer prevention and control program--15.0 FTE

 

positions............................................ 15,098,400

 

Chronic disease control and health promotion

 

administration--23.4 FTE positions................... 8,514,600

 

Diabetes and kidney program--8.0 FTE positions......... 3,264,600

 

Essential local public health services................. 45,419,300

 

Health and wellness initiatives--11.7 FTE positions.... 8,039,700


Implementation of 1993 PA 133, MCL 333.17015........... 20,000

 

Local health services--3.3 FTE positions............... 7,205,800

 

Medicaid outreach cost reimbursement to local health

 

departments.......................................... 12,500,000

 

Public health administration--9.0 FTE positions........ 1,975,800

 

Sexually transmitted disease control program--20.0 FTE

 

positions............................................ 6,339,700

 

Smoking prevention program--12.0 FTE positions......... 2,168,800

 

Violence prevention--4.9 FTE positions................. 3,310,600

 

GROSS APPROPRIATION.................................... $ 177,555,100

 

Appropriated from:

 

Federal revenues:

 

Total other federal revenues........................... 72,910,200

 

Special revenue funds:

 

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

 

Total private revenues................................. 33,759,200

 

Total other state restricted revenues.................. 13,353,400

 

State general fund/general purpose..................... $ 52,382,300

 

Sec. 117. FAMILY HEALTH SERVICES

 

Full-time equated classified positions.......... 128.9

 

Dental programs--3.8 FTE positions..................... $ 3,923,900

 

Family, maternal, and child health administration--

 

53.3 FTE positions................................... 9,153,000

 

Family planning local agreements....................... 8,310,700

 

Immunization program--12.8 FTE positions............... 16,838,500

 

Local MCH services..................................... 7,018,100

 

Pregnancy prevention program........................... 602,100


Prenatal care outreach and service delivery support--

 

14.0 FTE positions................................... 21,010,400

 

Special projects....................................... 6,289,100

 

Sudden and unexpected infant death and suffocation

 

prevention program................................... 321,300

 

Women, infants, and children program administration

 

and special projects--45.0 FTE positions............. 18,115,100

 

Women, infants, and children program local agreements

 

and food costs....................................... 231,285,000

 

GROSS APPROPRIATION.................................... $ 322,867,200

 

Appropriated from:

 

Federal revenues:

 

Social security act, temporary assistance for needy

 

families............................................. 649,500

 

Total other federal revenues........................... 243,221,800

 

Special revenue funds:

 

Total local revenues................................... 74,000

 

Total private revenues................................. 62,192,400

 

Total other state restricted revenues.................. 801,300

 

State general fund/general purpose..................... $ 15,928,200

 

Sec. 118. EMERGENCY MEDICAL SERVICES, TRAUMA, AND

 

PREPAREDNESS

 

Full-time equated classified positions........... 76.0

 

Bioterrorism preparedness--53.0 FTE positions.......... $ 30,415,400

 

Emergency medical services program--23.0 FTE positions. 6,552,700

 

GROSS APPROPRIATION.................................... $ 36,968,100

 

Appropriated from:


Federal revenues:

 

Total other federal revenues........................... 31,418,400

 

Special revenue funds:

 

Total other state restricted revenues.................. 3,979,600

 

State general fund/general purpose..................... $ 1,570,100

 

Sec. 119. CHILDREN'S SPECIAL HEALTH CARE SERVICES

 

Full-time equated classified positions........... 46.8

 

Bequests for care and services--2.8 FTE positions...... $ 1,836,700

 

Children's special health care services

 

administration--44.0 FTE positions................... 6,079,100

 

Medical care and treatment............................. 228,477,000

 

Nonemergency medical transportation.................... 405,900

 

Outreach and advocacy.................................. 5,510,000

 

GROSS APPROPRIATION.................................... $ 242,308,700

 

Appropriated from:

 

Federal revenues:

 

Total other federal revenues........................... 130,266,400

 

Special revenue funds:

 

Total private revenues................................. 1,017,200

 

Total other state restricted revenues.................. 3,680,000

 

State general fund/general purpose..................... $ 107,345,100

 

Sec. 120. AGING AND ADULT SERVICES AGENCY

 

Full-time equated classified positions........... 47.0

 

Aging and adult services administration--47.0 FTE

 

positions............................................ $ 8,639,300

 

Community services..................................... 45,966,300

 

Employment assistance.................................. 3,500,000


Nutrition services..................................... 42,254,200

 

Respite care program................................... 6,468,700

 

Senior volunteer service programs...................... 4,765,300

 

GROSS APPROPRIATION.................................... $ 111,593,800

 

Appropriated from:

 

Federal revenues:

 

Capped federal revenues................................ 246,000

 

Total other federal revenues........................... 59,054,600

 

Special revenue funds:

 

Total private revenues................................. 517,800

 

Michigan merit award trust fund........................ 4,068,700

 

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

 

State general fund/general purpose..................... $ 45,706,700

 

Sec. 121. MEDICAL SERVICES ADMINISTRATION

 

Full-time equated classified positions.......... 406.0

 

Electronic health record incentive program............. $ 37,501,000

 

Healthy Michigan plan administration--36.0 FTE

 

positions............................................ 45,602,900

 

Medical services administration--370.0 FTE positions... 78,299,600

 

GROSS APPROPRIATION.................................... $ 161,403,500

 

Appropriated from:

 

Federal revenues:

 

Total other federal revenues........................... 118,441,200

 

Special revenue funds:

 

Total local revenues................................... 37,700

 

Total private revenues................................. 101,300

 

Total other state restricted revenues.................. 336,300


State general fund/general purpose..................... $ 42,487,000

 

Sec. 122. MEDICAL SERVICES

 

Adult home help services............................... $ 389,359,100

 

Ambulance services..................................... 10,220,000

 

Auxiliary medical services............................. 7,717,000

 

Dental clinic program.................................. 1,000,000

 

Dental services........................................ 330,631,700

 

Federal Medicare pharmaceutical program................ 293,038,500

 

Health plan services................................... 5,253,661,300

 

Healthy Michigan plan.................................. 3,756,473,300

 

Home health services................................... 6,427,000

 

Hospice services....................................... 164,561,000

 

Hospital disproportionate share payments............... 45,000,000

 

Hospital services and therapy.......................... 739,715,400

 

Integrated care organizations.......................... 250,392,300

 

Long-term care services................................ 1,969,054,800

 

Maternal and child health.............................. 32,279,600

 

Medicaid home- and community-based services waiver..... 384,148,500

 

Medicare premium payments.............................. 645,422,100

 

Personal care services................................. 8,437,000

 

Pharmaceutical services................................ 355,456,000

 

Physician services..................................... 212,479,300

 

Program of all-inclusive care for the elderly.......... 128,210,000

 

School-based services.................................. 109,937,200

 

Special Medicaid reimbursement......................... 309,957,300

 

Transportation......................................... 16,966,400

 

GROSS APPROPRIATION.................................... $ 15,420,544,800


Appropriated from:

 

Federal revenues:

 

Total other federal revenues........................... 10,889,585,500

 

Special revenue funds:

 

Total local revenues................................... 45,492,900

 

Total private revenues................................. 2,100,000

 

Michigan merit award trust fund........................ 45,700,000

 

Total other state restricted revenues.................. 2,617,282,900

 

State general fund/general purpose..................... $ 1,820,383,500

 

Sec. 123. INFORMATION TECHNOLOGY

 

Full-time equated classified positions........... 43.0

 

Bridges information system............................. $ 11,177,700

 

Child support automation............................... 33,319,100

 

Information technology services and projects........... 144,883,200

 

Michigan Medicaid information system................... 78,215,700

 

Michigan statewide automated child welfare information

 

system............................................... 21,274,400

 

Technology supporting integrated service delivery--

 

43.0 FTE positions................................... 55,081,900

 

GROSS APPROPRIATION.................................... $ 343,952,000

 

Appropriated from:

 

Interdepartmental grant revenues:

 

IDG from department of education....................... 800,300

 

Federal revenues:

 

Social security act, temporary assistance for needy

 

families............................................. 18,640,900

 

Capped federal revenues................................ 18,435,300


Total other federal revenues........................... 214,786,800

 

Special revenue funds:

 

Total private revenues................................. 18,750,000

 

Total other state restricted revenues.................. 1,499,800

 

State general fund/general purpose..................... $ 71,038,900

 

Sec. 124. ONE-TIME APPROPRIATIONS

 

Autism navigator....................................... $ 1,025,000

 

Child and adolescent health centers.................... 2,000,000

 

Co-responder crisis services pilot..................... 60,000

 

Critical access hospitals.............................. 41,736,000

 

Dental clinic program.................................. 1,000,000

 

Drinking water declaration of emergency................ 4,621,100

 

Greenlawn campus behavioral health pilot project....... 100

 

Healthy communities grant.............................. 300,000

 

Human trafficking survivors' assistance................ 700,000

 

Information technology services and projects........... 35,250,000

 

Juvenile justice property projects..................... 300,000

 

Kid's food basket...................................... 100

 

Lead exposure response and abatement................... 3,434,500

 

Medicaid recipient engagement for self-sufficiency..... 100

 

Multicultural integration funding...................... 1,381,100

 

Primary care and dental health services................ 100

 

Property management projects........................... 2,460,700

 

Runaway and homeless youth services program............ 1,500,000

 

Senior community services.............................. 100

 

Sexual assault comprehensive services grants........... 100

 

State innovation model continuation.................... 200


Statewide health information exchange projects......... 200

 

Substance abuse community and school outreach.......... 100,000

 

Unified clinics resiliency center for families and

 

children............................................. 3,000,000

 

Vision clinic grant.................................... 100

 

Water utility assistance............................... 100

 

GROSS APPROPRIATION.................................... $ 98,869,600

 

Appropriated from:

 

Federal revenues:

 

Total other federal revenues........................... 54,234,100

 

Special revenue funds:

 

Total other state restricted revenues.................. 700,000

 

State general fund/general purpose..................... $ 43,935,500

 

 

 

 

 

PART 2

 

PROVISIONS CONCERNING APPROPRIATIONS

 

FOR FISCAL YEAR 2019-2020

 

GENERAL SECTIONS

 

Sec. 201. Pursuant to section 30 of article IX of the state

 

constitution of 1963, total state spending from state sources under

 

part 1 for fiscal year 2019-2020 is $7,546,474,100.00 and state

 

spending from state sources to be paid to local units of government

 

for fiscal year 2019-2020 is $1,543,857,200.00. The itemized

 

statement below identifies appropriations from which spending to

 

local units of government will occur:

 

DEPARTMENT OF HEALTH AND HUMAN SERVICES

 


DEPARTMENTAL ADMINISTRATION AND SUPPORT

 

Departmental administration and management.............. $ 344,000

 

Michigan community service commission................... 2,300

 

CHILD SUPPORT ENFORCEMENT

 

Child support incentive payments........................ 9,465,000

 

Legal support contracts................................. 3,511,000

 

COMMUNITY SERVICES AND OUTREACH

 

Crime victim rights services grants..................... 7,796,300

 

Domestic violence prevention and treatment.............. 164,500

 

Housing and support services............................ 501,200

 

CHILDREN'S SERVICES AGENCY CHILD WELFARE

 

Child care fund......................................... 163,705,100

 

Child welfare licensing................................. 76,700

 

Child welfare medical/psychiatric evaluations........... 32,700

 

Children's trust fund................................... 150,200

 

Contractual services, supplies, and materials........... 5,600

 

Foster care payments.................................... 2,485,800

 

Youth in transition..................................... 2,700

 

CHILDREN'S SERVICES AGENCY JUVENILE JUSTICE

 

Bay Pines Center........................................ 26,900

 

Community support services.............................. 412,800

 

Juvenile justice, administration and maintenance........ 26,500

 

Shawono Center.......................................... 1,300

 

PUBLIC ASSISTANCE

 

Emergency services local office allocations............. 557,800

 

Family independence program............................. 1,300

 

Indigent burial......................................... 4,300


Multicultural integration funding....................... 1,193,300

 

State disability assistance payments.................... 243,400

 

FIELD OPERATIONS AND SUPPORT SERVICES

 

Contractual services, supplies, and materials........... 46,500

 

Employment and training support services................ 7,600

 

BEHAVIORAL HEALTH PROGRAM ADMINISTRATION AND

 

SPECIAL PROJECTS

 

Behavioral health program administration................ 4,252,000

 

BEHAVIORAL HEALTH SERVICES

 

Autism services......................................... 77,750,000

 

Children with serious emotional disturbance waiver...... 2,194,000

 

Children's waiver home care program..................... 5,174,700

 

Community mental health non-Medicaid services........... 125,578,300

 

Community substance use disorder prevention,

 

education, and treatment................................ 14,735,900

 

Health homes............................................ 50,800

 

Healthy Michigan plan - behavioral health............... 32,018,300

 

Medicaid mental health services......................... 852,130,400

 

Medicaid substance use disorder services................ 23,281,300

 

Nursing home PAS/ARR-OBRA............................... 2,485,800

 

STATE PSYCHIATRIC HOSPITALS AND FORENSIC MENTAL

 

HEALTH SERVICES

 

Caro Regional Mental Health Center - psychiatric

 

hospital adult or regional mental health center

 

located within 6 miles of the county seat of a county

 

with a population between 55,000 and 57,000 in the 2010

 

decennial census........................................ 182,900


Center for forensic psychiatry.......................... 643,600

 

Hawthorn Center - psychiatric hospital - children

 

and adolescents......................................... 93,600

 

Kalamazoo Psychiatric Hospital - adult.................. 33,300

 

Walter P. Reuther Psychiatric Hospital - adult.......... 48,000

 

HEALTH AND HUMAN SERVICES POLICY AND INITIATIVES

 

Michigan rehabilitation services........................ 262,600

 

Primary care services................................... 88,900

 

EPIDEMIOLOGY AND POPULATION HEALTH

 

Epidemiology administration............................. 233,200

 

Healthy homes program................................... 99,200

 

Vital records and health statistics..................... 5,100

 

LOCAL HEALTH AND ADMINISTRATIVE SERVICES

 

AIDS prevention, testing, and care programs............. 2,323,800

 

Cancer prevention and control program................... 463,000

 

Essential local public health services.................. 40,269,300

 

Health and wellness initiatives......................... 2,363,300

 

Local health services................................... 3,184,300

 

Sexually transmitted disease control program............ 442,700

 

FAMILY HEALTH SERVICES

 

Family planning local agreements........................ 187,700

 

Immunization program.................................... 1,247,900

 

Prenatal care outreach and service delivery support..... 4,134,100

 

EMERGENCY MEDICAL SERVICES, TRAUMA, AND PREPAREDNESS

 

Emergency medical services program...................... 8,200

 

CHILDREN'S SPECIAL HEALTH CARE SERVICES

 

Medical care and treatment.............................. 368,800


Outreach and advocacy................................... 2,617,900

 

AGING AND ADULT SERVICES AGENCY

 

Aging and adult services administration................. 716,400

 

Community services...................................... 21,589,100

 

Nutrition services...................................... 12,597,200

 

Respite care program.................................... 6,375,300

 

Senior volunteer service programs....................... 1,000,400

 

MEDICAL SERVICES

 

Adult home help services................................ 269,100

 

Ambulance services...................................... 441,400

 

Auxiliary medical services.............................. 1,100

 

Dental services......................................... 1,166,900

 

Health plan services.................................... 658,300

 

Healthy Michigan plan................................... 463,800

 

Home health services.................................... 15,500

 

Hospice services........................................ 51,900

 

Hospital disproportionate share payments................ 9,000

 

Hospital services and therapy........................... 2,032,000

 

Long-term care services................................. 90,155,600

 

Medicaid home- and community-based services waiver...... 11,666,900

 

Personal care services.................................. 28,900

 

Pharmaceutical services................................. 16,400

 

Physician services...................................... 3,320,300

 

Special Medicaid reimbursement.......................... 112,900

 

Transportation.......................................... 235,900

 

ONE-TIME APPROPRIATIONS

 

Drinking water declaration of emergency................. 700,000


Lead exposure response and abatement.................... 515,200

 

TOTAL OF PAYMENTS TO LOCAL UNITS OF GOVERNMENT........... $ 1,543,857,200

 

Sec. 202. The appropriations authorized under this part and

 

part 1 are subject to the management and budget act, 1984 PA 431,

 

MCL 18.1101 to 18.1594.

 

Sec. 203. As used in this part and part 1:

 

(a) "AIDS" means acquired immunodeficiency syndrome.

 

(b) "CMHSP" means a community mental health services program

 

as that term is defined in section 100a of the mental health code,

 

1974 PA 258, MCL 330.1100a.

 

(c) "CMS" means the Centers for Medicare and Medicaid

 

Services.

 

(d) "Current fiscal year" means the fiscal year ending

 

September 30, 2020.

 

(e) "Department" means the department of health and human

 

services.

 

(f) "Director" means the director of the department.

 

(g) "DSH" means disproportionate share hospital.

 

(h) "EPSDT" means early and periodic screening, diagnosis, and

 

treatment.

 

(i) "Federal poverty level" means the poverty guidelines

 

published annually in the Federal Register by the United States

 

Department of Health and Human Services under its authority to

 

revise the poverty line under 42 USC 9902.

 

(j) "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.

 

(q) "MCH" means maternal and child health.

 

(r) "Medicaid" means subchapter XIX of the social 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 as a

 

regional entity or a specialty prepaid inpatient health plan for


Medicaid mental health services, services to individuals with

 

developmental disabilities, and substance use disorder services.

 

Regional entities are described in section 204b of the mental

 

health code, 1974 PA 258, MCL 330.1204b. Specialty prepaid

 

inpatient health plans are described in section 232b of the mental

 

health code, 1974 PA 258, MCL 330.1232b.

 

(z) "Previous fiscal year" means the fiscal year ending

 

September 30, 2019.

 

(aa) "Quarterly reports" means 4 reports shall be submitted to

 

the required recipients by the following dates: February 1, April

 

1, July 1, and September 30 of the current fiscal year.

 

(bb) "Semiannual basis" means March 1 and September 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

 

security act, 42 USC 620 to 629m.

 

(ff) "Title IV-D" means part D of title IV of the social

 

security act, 42 USC 651 to 669b.

 

(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.

 

Sec. 204. Unless otherwise specified, the departments and

 

agencies receiving appropriations in part 1 shall use the internet

 

to fulfill the reporting requirements of this part and part 1. This

 

requirement shall include transmission of reports via electronic

 

mail to the recipients identified for each reporting requirement,

 

and it shall include placement of reports on the internet.

 

Sec. 205. Funds appropriated in part 1 shall not be used for

 

the purchase of foreign goods or services, or both, if

 

competitively priced and of comparable quality American goods or

 

services, or both, are available. Preference shall be given to

 

goods or services, or both, manufactured or provided by Michigan

 

businesses if they are competitively priced and of comparable

 

quality. In addition, preference shall be given to goods or

 

services, or both, that are manufactured or provided by Michigan

 

businesses owned and operated by veterans if they are competitively

 

priced and of comparable quality.

 

Sec. 206. The director shall take all reasonable steps to

 

ensure businesses in deprived and depressed communities compete for

 

and perform contracts to provide services or supplies, or both.

 

Each director shall strongly encourage firms with which the

 

department contracts to subcontract with certified businesses in

 

depressed and deprived communities for services, supplies, or both.

 

Sec. 207. The departments and agencies receiving

 

appropriations in part 1 shall prepare a report on out-of-state

 

travel expenses not later than January 1 of each year. The travel

 

report shall be a listing of all travel by classified and


unclassified employees outside this state in the immediately

 

preceding fiscal year that was funded in whole or in part with

 

funds appropriated in the department's budget. The report shall be

 

submitted to the senate and house appropriations committees, the

 

house and senate fiscal agencies, and the state budget director.

 

The report shall include the following information:

 

(a) The dates of each travel occurrence.

 

(b) The transportation and related costs of each travel

 

occurrence, including the proportion funded with state general

 

fund/general purpose revenues, the proportion funded with state

 

restricted revenues, the proportion funded with federal revenues,

 

and the proportion funded with other revenues.

 

Sec. 208. Funds appropriated in part 1 shall not be used by a

 

principal executive department, state agency, 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.

 

Sec. 209. Not later than November 30, the state budget office

 

shall prepare and transmit a report that provides for estimates of

 

the total general fund/general purpose appropriation lapses at the

 

close of the prior fiscal year. This report shall summarize the

 

projected year-end general fund/general purpose appropriation

 

lapses by major departmental program or program areas. The report

 

shall be transmitted to the chairpersons of the senate and house

 

appropriations committees, and the senate and house fiscal

 

agencies.


Sec. 210. (1) In addition to the funds appropriated in part 1,

 

there is appropriated an amount not to exceed $400,000,000.00 for

 

federal contingency funds. These funds are not available for

 

expenditure until they have been transferred to another line item

 

in part 1 under section 393(2) of the management and budget act,

 

1984 PA 431, MCL 18.1393. These funds shall not be made available

 

to increase TANF authorization.

 

(2) In addition to the funds appropriated in part 1, there is

 

appropriated an amount not to exceed $45,000,000.00 for state

 

restricted contingency funds. These funds are not available for

 

expenditure until they have been transferred to another line item

 

in part 1 under section 393(2) of the management and budget act,

 

1984 PA 431, MCL 18.1393.

 

(3) In addition to the funds appropriated in part 1, there is

 

appropriated an amount not to exceed $40,000,000.00 for local

 

contingency funds. These funds are not available for expenditure

 

until they have been transferred to another line item in part 1

 

under section 393(2) of the management and budget act, 1984 PA 431,

 

MCL 18.1393.

 

(4) In addition to the funds appropriated in part 1, there is

 

appropriated an amount not to exceed $60,000,000.00 for private

 

contingency funds. These funds are not available for expenditure

 

until they have been transferred to another line item in part 1

 

under section 393(2) of the management and budget act, 1984 PA 431,

 

MCL 18.1393.

 

Sec. 211. The department shall cooperate with the department

 

of technology, management, and budget to maintain a searchable


website accessible by the public at no cost that includes, but is

 

not limited to, all of the following for each department or agency:

 

(a) Fiscal year-to-date expenditures by category.

 

(b) Fiscal year-to-date expenditures by appropriation unit.

 

(c) Fiscal year-to-date payments to a selected vendor,

 

including the vendor name, payment date, payment amount, and

 

payment description.

 

(d) The number of active department employees by job

 

classification.

 

(e) Job specifications and wage rates.

 

Sec. 212. Within 14 days after the release of the executive

 

budget recommendation, the department shall cooperate with the

 

state budget office to provide the senate and house appropriations

 

chairs, the senate and house appropriations subcommittees chairs on

 

the department budget, and the senate and house fiscal agencies

 

with an annual report on estimated state restricted fund balances,

 

state restricted fund projected revenues, and state restricted fund

 

expenditures for the previous fiscal year and the current fiscal

 

year.

 

Sec. 213. The department shall maintain, on a publicly

 

accessible website, a department scorecard that identifies, tracks,

 

and regularly updates key metrics that are used to monitor and

 

improve the department's performance.

 

Sec. 214. Total authorized appropriations from all sources

 

under part 1 for legacy costs for the current fiscal year are

 

estimated at $350,330,100.00. From this amount, total agency

 

appropriations for pension-related legacy costs are estimated at


$170,303,500.00. Total agency appropriations for retiree health

 

care legacy costs are estimated at $180,026,600.00.

 

Sec. 215. If either of the following events occur, within 30

 

days the department shall notify the state budget director, the

 

chairs of the house and senate appropriations subcommittees on the

 

department budget, and the house and senate fiscal agencies and

 

policy offices of that fact:

 

(a) A legislative objective of this part or of a bill or

 

amendment to a bill to amend the social welfare act, 1939 PA 280,

 

MCL 400.1 to 400.119b, cannot be implemented because implementation

 

would conflict with or violate federal regulations.

 

(b) A federal grant, for which a notice of an award has been

 

received, cannot be used, or will not be used.

 

Sec. 216. (1) In addition to funds appropriated in part 1 for

 

all programs and services, there is appropriated for write-offs of

 

accounts receivable, deferrals, and for prior year obligations in

 

excess of applicable prior year appropriations, an amount equal to

 

total write-offs and prior year obligations, but not to exceed

 

amounts available in prior year revenues.

 

(2) The department's ability to satisfy appropriation fund

 

sources in part 1 shall not be limited to collections and accruals

 

pertaining to services provided in the current fiscal year, but

 

shall also include reimbursements, refunds, adjustments, and

 

settlements from prior years.

 

Sec. 217. (1) By February 1 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, 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 budget

 

recommendation, the department shall report to 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.

 

Sec. 218. The department shall include, but not be limited to,

 

the following in its annual list of proposed basic health services

 

as required in part 23 of the public health code, 1978 PA 368, MCL

 

333.2301 to 333.2321:

 

(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.


Sec. 219. (1) The department may contract with the Michigan

 

Public Health Institute for the design and implementation of

 

projects and for other public health-related activities prescribed

 

in section 2611 of the public health code, 1978 PA 368, MCL

 

333.2611. The department may develop a master agreement with the

 

Michigan Public Health Institute to carry out these purposes for up

 

to a 3-year period. The department shall report to the house and

 

senate appropriations subcommittees on the department budget, the

 

house and senate fiscal agencies, and the state budget director on

 

or before January 1 of the current fiscal year all of the

 

following:

 

(a) A detailed description of each funded project.

 

(b) The amount allocated for each project, the appropriation

 

line item from which the allocation is funded, and the source of

 

financing for each project.

 

(c) The expected project duration.

 

(d) A detailed spending plan for each project, including a

 

list of all subgrantees and the amount allocated to each

 

subgrantee.

 

(2) On or before December 30 of the current fiscal year, the

 

department shall provide to the same parties listed in subsection

 

(1) a copy of all reports, studies, and publications produced by

 

the Michigan Public Health Institute, its subcontractors, or the

 

department with the funds appropriated in the department's budget

 

in the previous fiscal year and allocated to the Michigan Public

 

Health Institute.

 

Sec. 220. The department shall ensure that faith-based


organizations are able to apply and compete for services, programs,

 

or contracts that they are qualified and suitable to fulfill. The

 

department shall not disqualify faith-based organizations solely on

 

the basis of the religious nature of their organization or their

 

guiding principles or statements of faith.

 

Sec. 221. According to section 1b of the social welfare act,

 

1939 PA 280, MCL 400.1b, the department shall treat part 1 and this

 

part as a time-limited addendum to the social welfare act, 1939 PA

 

280, MCL 400.1 to 400.119b.

 

Sec. 222. (1) The department shall make the entire policy and

 

procedures manual available and accessible to the public via the

 

department website.

 

(2) The department shall report by April 1 of the current

 

fiscal year on each specific policy change made to implement a

 

public act affecting the department that took effect during the

 

prior calendar year to the 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.

 

Sec. 223. The department may establish and collect fees for

 

publications, videos and related materials, conferences, and

 

workshops. Collected fees are appropriated when received and shall

 

be used to offset expenditures to pay for printing and mailing

 

costs of the publications, videos and related materials, and costs

 

of the workshops and conferences. The department shall not collect

 

fees under this section that exceed the cost of the expenditures.


When collected fees are appropriated under this section in an

 

amount that exceeds the current fiscal year appropriation, within

 

30 days the department shall notify the chairs of the house and

 

senate appropriations subcommittees on the department budget, the

 

house and senate fiscal agencies and policy offices, and the state

 

budget director of that fact.

 

Sec. 224. The department may retain all of the state's share

 

of food assistance overissuance collections as an offset to general

 

fund/general purpose costs. Retained collections shall be applied

 

against federal funds deductions in all appropriation units where

 

department costs related to the investigation and recoupment of

 

food assistance overissuances are incurred. Retained collections in

 

excess of such costs shall be applied against the federal funds

 

deducted in the departmental administration and support

 

appropriation unit.

 

Sec. 225. (1) Sanctions, suspensions, conditions for

 

provisional license status, and other penalties shall not be more

 

stringent for private service providers than for public entities

 

performing equivalent or similar services.

 

(2) Neither the department nor private service providers or

 

licensees shall be granted preferential treatment or considered

 

automatically to be in compliance with administrative rules based

 

on whether they have collective bargaining agreements with direct

 

care workers. Private service providers or licensees without

 

collective bargaining agreements shall not be subjected to

 

additional requirements or conditions of licensure based on their

 

lack of collective bargaining agreements.


Sec. 226. If the revenue collected by the department from fees

 

and collections exceeds the amount appropriated in part 1, the

 

revenue may be carried forward with the approval of the state

 

budget director into the subsequent fiscal year. The revenue

 

carried forward under this section shall be used as the first

 

source of funds in the subsequent fiscal year.

 

Sec. 227. The state departments, agencies, and commissions

 

receiving tobacco tax funds and Healthy Michigan fund revenue from

 

part 1 shall report by April 1 of the current fiscal year to the

 

senate and house appropriations committees, the senate and house

 

fiscal agencies, and the state budget director on the following:

 

(a) Detailed spending plan by appropriation line item

 

including description of programs and a summary of organizations

 

receiving these funds.

 

(b) Description of allocations or bid processes including need

 

or demand indicators used to determine allocations.

 

(c) Eligibility criteria for program participation and maximum

 

benefit levels where applicable.

 

(d) Outcome measures used to evaluate programs, including

 

measures of the effectiveness of these programs in improving the

 

health of Michigan residents.

 

Sec. 228. (1) If the department is authorized under state or

 

federal law to collect an overpayment owed to the department, the

 

department may assess a penalty of 1% per month beginning 60 days

 

after notification. If caused by department error, a penalty may

 

not be assessed until 6 months after the initial notification date

 

of the overpayment amount. The department shall not collect penalty


interest in an amount that exceeds the amount of the original

 

overpayment. The state share of any funds collected under this

 

section shall be deposited in the state general fund.

 

(2) By September 30 of the current fiscal year, the department

 

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 penalty amounts assessed and paid by

 

account during the current fiscal year, the reason for the penalty,

 

and the current status of the account.

 

Sec. 229. (1) The department shall extend the interagency

 

agreement with the Michigan talent investment agency for the

 

duration of the current fiscal year, which concerns TANF funding to

 

provide job readiness and welfare-to-work programming. The

 

interagency agreement shall include specific outcome and

 

performance reporting requirements as described in this section.

 

TANF funding provided to the Michigan talent investment agency in

 

the current fiscal year is contingent on compliance with the data

 

and reporting requirements described in this section. The

 

interagency agreement must require the Michigan talent investment

 

agency to provide all of the following items by January 1 of the

 

current fiscal year for the previous fiscal year to the senate and

 

house appropriations subcommittees on the department budget and the

 

state budget office:

 

(a) An itemized spending report on TANF funding, including all

 

of the following:

 

(i) Direct services to recipients.

 

(ii) Administrative expenditures.


(b) The number of family independence program (FIP) recipients

 

served through the TANF funding, including all of the following:

 

(i) The number and percentage who obtained employment through

 

Michigan Works!

 

(ii) The number and percentage who fulfilled their TANF work

 

requirement through other job readiness programming.

 

(iii) Average TANF spending per recipient.

 

(iv) The number and percentage of recipients who were referred

 

to Michigan Works! but did not receive a job or job readiness

 

placement and the reasons why.

 

(2) 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, the

 

senate and house policy offices, and the state budget office an

 

annual report on the following matters itemized by Michigan Works!

 

agency: the number of referrals to Michigan Works! job readiness

 

programs, the number of referrals to Michigan Works! job readiness

 

programs who became a participant in the Michigan Works! job

 

readiness programs, the number of participants who obtained

 

employment, and the cost per participant case.

 

Sec. 230. By December 31 of the current fiscal year, the

 

department shall report to the senate and house 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 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. From the funds appropriated in part 1 for travel

 

reimbursements to employees, the department shall allocate up to

 

$100,000.00 toward reimbursing counties for the out-of-pocket

 

travel costs of the local county department board members and

 

county department directors to attend 1 meeting per year of the

 

Michigan County Social Services Association.

 

Sec. 232. (1) The department shall provide the approved

 

spending plan for each line item receiving an appropriation in the

 

current fiscal year to the senate and house appropriations

 

subcommittees on the department budget and the senate and house

 

fiscal agencies within 60 days of approval by the department but

 

not later than January 15 of the current fiscal year. The spending

 

plan shall include the following information regarding planned

 

expenditures for each category: allocation in the previous period,

 

change in the allocation, and new allocation. The spending plan

 

shall include the following information regarding each revenue

 

source for the line item: category of the fund source indicated by

 

general fund/general purpose, state restricted, local, private or

 

federal. Figures included in the approved spending plan shall not

 

be assumed to constitute the actual final expenditures, as line

 

items may be updated on an as-needed basis to reflect changes in

 

projected expenditures and projected revenue. The department shall


supplement the spending plan information by providing a list of all

 

active contracts and grants in the department's contract system.

 

For amounts listed in the other contracts category of each spending

 

plan, the department shall provide a list of all contracts and

 

grants and amounts for the current fiscal year, and include the

 

name of the line item and the name of the fund source related to

 

each contract or grant and amount. For amounts listed in the all

 

other costs category of each spending plan, the department shall

 

provide a list detailing planned expenditures and amounts for the

 

current fiscal year, and include the name of the line item and the

 

name of the fund source related to each amount and expenditure.

 

(2) Notwithstanding any other appropriation authority granted

 

in part 1, the department shall not appropriate any additional

 

general fund/general purpose funds or any related federal and state

 

restricted funds without providing a written 30-day notice to the

 

senate and house appropriations subcommittees on the department

 

budget, the senate and house fiscal agencies, and the senate and

 

house policy offices.

 

Sec. 240. Appropriations in part 1 shall not be expended in

 

cases where existing work project authorization is available for

 

the same expenditures.

 

Sec. 251. On a monthly basis, the department shall report to

 

the senate and house appropriations 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 funds

 

appropriated for that line-item appropriation by 5% or more. The


department shall provide a detailed explanation for any relevant

 

line-item appropriation exceedance and shall identify the

 

corrective actions undertaken to mitigate line-item appropriation

 

expenditures from exceeding the funds appropriated for that line-

 

item appropriation by a greater amount. This section does not apply

 

for line-item appropriations that are part of the May revenue

 

estimating conference caseload and expenditure estimates.

 

Sec. 252. The appropriations in part 1 for Healthy Michigan

 

plan - behavioral health, Healthy Michigan 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.

 

Sec. 263. (1) Except as otherwise provided in this subsection,

 

before submission of a waiver, a state plan amendment, or a similar

 

proposal to CMS or other federal agency, the department shall

 

provide written notification of the planned submission to the house

 

and senate appropriations 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.

 

(2) The department shall provide written reports on a

 

semiannual basis to the senate and house appropriations

 

subcommittees on the department budget, the senate and house fiscal

 

agencies, and the state budget office summarizing the status of any

 

new or 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.

 

Sec. 264. The department shall not take disciplinary action

 

against an employee for communicating with a member of the

 

legislature or his or her staff.

 

Sec. 270. The department shall advise the legislature of the

 

receipt of a notification from the attorney general's office of a

 

legal action in which expenses had been recovered according to

 

section 106(6) of the social welfare act, 1939 PA 280, MCL 400.106.

 

By February 1 of the current fiscal year, the department shall

 

submit a written report to the 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.

 

Sec. 274. (1) The department, in collaboration with the state

 

budget office, 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 1 week after the

 

day the governor submits to the legislature the budget for the

 

ensuing fiscal year a report on spending and revenue projections

 

for each of the capped federal funds listed below. The report shall

 

contain actual spending and revenue in the previous fiscal year,

 

spending and revenue projections for the current fiscal year as

 

enacted, and spending and revenue projections within the executive

 

budget proposal for the fiscal year beginning October 1, 2019 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,


in collaboration with the state budget office, not utilize capped

 

federal funding for economics adjustments for FTEs or other

 

economics costs that are included as part of the budget submitted

 

to the legislature by the governor for the ensuing fiscal year,

 

unless there is a reasonable expectation for increased federal

 

funding to be available to the department from that capped revenue

 

source in the ensuing fiscal year.

 

(3) By February 15 of the current fiscal year, the department

 

shall prepare an annual report of its efforts to identify TANF

 

maintenance of effort sources and rationale for any increases or

 

decreases from all of the following, but not limited to:

 

(a) Other departments.

 

(b) Local units of government.

 

(c) Private sources.

 

Sec. 275. (1) On a quarterly basis, the department, with the

 

approval of the state budget director, is authorized to realign

 

sources between other federal, TANF, and capped federal financing

 

authorizations in order to maximize federal revenues. This

 

realignment of financing shall not produce a gross increase or

 

decrease in the department's total individual line item

 

authorizations, nor will it produce a net increase or decrease in

 

total federal revenues, or a net increase in TANF authorization.

 

(2) On a quarterly basis within 30 days after a realignment

 

being made but not later than February 1 for the first quarter, 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


realignment of federal fund sources that were made under subsection

 

(1) for the most recent quarter and for all previous quarters in

 

the current fiscal year.

 

Sec. 280. By March 1 of the current fiscal year, the

 

department shall provide 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 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.

 

Sec. 288. (1) Beginning October 1 of the current fiscal year,

 

no less than 90% of a new department contract supported solely from

 

state restricted funds or general fund/general purpose funds and

 

designated in this part or part 1 for a specific entity for the

 

purpose of providing services to individuals shall be expended for

 

such services after the first year of the contract.


(2) The department may allow a contract to exceed the

 

limitation on administrative and services costs if it can be

 

demonstrated that an exception should be made to the provision in

 

subsection (1).

 

(3) By September 30 of the current fiscal year, the department

 

shall report to the house and senate appropriations subcommittees

 

on the department budget, house and senate fiscal agencies, and

 

state budget office on the rationale for all exceptions made to the

 

provision in subsection (1) and the number of contracts terminated

 

due to violations of subsection (1).

 

Sec. 289. 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 an annual report

 

on the supervisor-to-staff ratio by department divisions and

 

subdivisions.

 

Sec. 290. Any public advertisement for public assistance shall

 

also inform the public of the welfare fraud hotline operated by the

 

department.

 

Sec. 295. (1) From the funds appropriated in part 1 to

 

agencies providing physical and behavioral health services to

 

multicultural populations, the department shall award grants in

 

accordance with the requirements of subsection (2). The state is

 

not liable for any spending above the contract amount. Funds shall

 

not be released until reporting requirements under section 295 of

 

article X of 2018 PA 207 are satisfied.

 

(2) The department shall require each contractor described in


subsection (1) that receives greater than $1,000,000.00 in state

 

grant funding to comply with performance-related metrics to

 

maintain their eligibility for funding. The organizational metrics

 

shall include, but not be limited to, all of the following:

 

(a) Each contractor or subcontractor shall have accreditations

 

that attest to their competency and effectiveness as behavioral

 

health and social service agencies.

 

(b) Each contractor or subcontractor shall have a mission that

 

is consistent with the purpose of the multicultural agency.

 

(c) Each contractor shall validate that any subcontractors

 

utilized within these appropriations share the same mission as the

 

lead agency receiving funding.

 

(d) Each contractor or subcontractor shall demonstrate cost-

 

effectiveness.

 

(e) Each contractor or subcontractor shall ensure their

 

ability to leverage private dollars to strengthen and maximize

 

service provision.

 

(f) Each contractor or subcontractor shall provide timely and

 

accurate reports regarding the number of clients served, units of

 

service provision, and ability to meet their stated goals.

 

(3) The department shall require an annual report from the

 

contractors described in subsection (2). The annual report, due 60

 

days following the end of the contract period, shall include

 

specific information on services and programs provided, the client

 

base to which the services and programs were provided, information

 

on any wraparound services provided, and the expenditures for those

 

services. The department shall provide the annual reports to the


senate and house appropriations subcommittees on health and human

 

services, the senate and house fiscal agencies, and the state

 

budget office.

 

Sec. 296. From the funds appropriated in part 1, the

 

department is responsible for the necessary and reasonable attorney

 

fees and costs incurred by private and independent legal counsel

 

chosen by current and former classified and unclassified department

 

employees in the defense of the employees in any state or federal

 

lawsuit or investigation related to the water system in a city or

 

community in which a declaration of emergency was issued because of

 

drinking water contamination.

 

Sec. 297. On a semiannual basis, the department shall report

 

on the number of FTEs in pay status by type of staff. The report

 

shall include 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.

 

Sec. 298. (1) The department shall continue to work with a

 

willing CMHSP in Kent County and all willing Medicaid health plans

 

in the county to pilot a full physical and behavioral health

 

integrated service demonstration model. The department shall ensure

 

that the demonstration model described in this subsection is

 

implemented in a manner that ensures at least all of the following:

 

(a) That any changes made to a Medicaid waiver or Medicaid

 

state plan to implement the demonstration model described in this

 

subsection must only be in effect for the duration of the

 

demonstration model described in this subsection.


(b) That the demonstration model described in this subsection

 

is consistent with the stated core values as identified in the

 

final report of the workgroup established in section 298 of article

 

X of 2016 PA 268.

 

(c) That updates are provided to the medical care advisory

 

council, behavioral health advisory council, and developmental

 

disabilities council.

 

(2) In addition to the pilot project described in subsection

 

(1), the department shall continue to implement up to 3 pilot

 

projects to achieve fully financially integrated Medicaid

 

behavioral health and physical health benefit and financial

 

integration demonstration models. These demonstration models shall

 

use single contracts between the state and each licensed Medicaid

 

health plan that is currently contracted to provide Medicaid

 

services in the geographic area of the pilot project. The

 

department shall ensure that the pilot projects described in this

 

subsection are implemented in a manner that ensures at least all of

 

the following:

 

(a) That allows the CMHSP in the geographic area of the pilot

 

project to be a provider of behavioral health supports and

 

services.

 

(b) That any changes made to a Medicaid waiver or Medicaid

 

state plan to implement the pilot projects described in this

 

subsection must only be in effect for the duration of the pilot

 

programs established under section 298 of article X of 2016 PA 268.

 

(c) That the project is consistent with the stated core values

 

as identified in the final report of the workgroup described in


subsection (1).

 

(d) That updates are provided to the medical care advisory

 

council, behavioral health advisory council, and developmental

 

disabilities council.

 

(3) It is the intent of the legislature that each pilot

 

project and demonstration model shall be designed to last at least

 

2 years.

 

(4) For the duration of any pilot projects and demonstration

 

model, the department shall require that contracts between CMHSPs

 

and the Medicaid health plans within their pilot region mandate

 

that any and all realized benefits and cost savings of integrating

 

the physical health and behavioral health systems shall be

 

reinvested in services and supports for individuals having or at

 

risk of having a mental illness, an intellectual or developmental

 

disability, or a substance use disorder. Any and all realized

 

benefits and cost savings shall be specifically reinvested in the

 

counties where the savings occurred in accordance with the Medicaid

 

state plan and any applicable Medicaid waiver.

 

(5) It is the intent of the legislature that the primary

 

purpose of the pilot projects and demonstration model is to test

 

how the state may better integrate behavioral and physical health

 

delivery systems in order to improve behavioral and physical health

 

outcomes, maximize efficiencies, minimize unnecessary costs, and

 

achieve material increases in behavioral health services without

 

increases in overall Medicaid spending.

 

(6) The department shall continue to partner with 1 of the

 

state's research universities at least 6 months before the


completion of each pilot project or demonstration model authorized

 

under this section to evaluate the pilot project or demonstration

 

model. The evaluation must include all of the following:

 

(a) Information on the pilot project's or demonstration

 

model's success in meeting the performance metrics developed in

 

this subsection and information on whether the pilot project could

 

be replicated into other geographic areas with similar performance

 

metric outcomes.

 

(b) Performance metrics, at a minimum, from each of the

 

following categories:

 

(i) Improvement of the coordination between behavioral health

 

and physical health.

 

(ii) Improvement of services available to individuals with

 

mental illness, intellectual or developmental disabilities, or

 

substance use disorders.

 

(iii) Benefits associated with full access to community-based

 

services and supports.

 

(iv) Customer health status.

 

(v) Customer satisfaction.

 

(vi) Provider network stability.

 

(vii) Treatment and service efficacies before and after the

 

pilot projects and demonstration model.

 

(viii) Use of best practices.

 

(ix) Financial efficiencies.

 

(x) Barriers to clinical data sharing with Medicaid health

 

plans.

 

(xi) Any other relevant categories.


(c) A requirement that the evaluation shall be completed

 

within 6 months after the end of each pilot project or

 

demonstration model and will be provided to the department, 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.

 

(7) By November 1 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 office on the

 

progress toward implementation of the pilot projects and

 

demonstration model described in this section, and a summary of all

 

projects. The report shall also include information on policy

 

changes and any other efforts made to improve the coordination of

 

supports and services for individuals having or at risk of having a

 

mental illness, an intellectual or developmental disability, a

 

substance use disorder, or a physical health need.

 

(8) Upon completion of any pilot project or demonstration

 

model advanced under this section, the managing entity of the pilot

 

project or demonstration model 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 within 30 days of completion

 

of that pilot project or demonstration model detailing their

 

experience, lessons learned, efficiencies and savings revealed,

 

increases in investment on behavioral health services, and

 

recommendations for extending pilot projects to full implementation


or discontinuation.

 

Sec. 299. (1) No state department or agency shall issue a

 

request for proposal (RFP) for a contract in excess of

 

$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.

 

(2) From funds appropriated in part 1, for all RFPs issued

 

during the current fiscal year where an existing service received

 

proposals by multiple vendors, the department shall notify all

 

vendors within 30 days of the RFP decision. The notification to

 

vendors shall include details on the RFP process, including the

 

respective RFP scores and the respective cost for each vendor. If

 

the highest scored RFP or lowest cost RFP does not receive the

 

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.


(3) The department shall submit 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 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.

 

 

 

DEPARTMENTAL ADMINISTRATION AND SUPPORT

 

Sec. 307. (1) From the funds appropriated in part 1 for

 

demonstration projects, $950,000.00 shall be distributed as

 

provided in subsection (2). The amount distributed under this

 

subsection shall not exceed 50% of the total operating expenses of

 

the program described in subsection (2), with the remaining 50%

 

paid by local United Way organizations and other nonprofit

 

organizations and foundations.

 


(2) Funds distributed under subsection (1) shall be

 

distributed to Michigan 2-1-1, a nonprofit corporation organized

 

under the laws of this state that is exempt from federal income tax

 

under section 501(c)(3) of the internal revenue code of 1986, 26

 

USC 501, and whose mission is to coordinate and support a statewide

 

2-1-1 system. Michigan 2-1-1 shall use the funds only to fulfill

 

the Michigan 2-1-1 business plan adopted by Michigan 2-1-1 in

 

January 2005.

 

(3) Michigan 2-1-1 shall refer to the department any calls

 

received reporting fraud, waste, or abuse of state-administered

 

public assistance.

 

(4) Michigan 2-1-1 shall report annually to the department and

 

the house and senate standing committees with primary jurisdiction

 

over matters relating to human services and telecommunications on

 

2-1-1 system performance, the senate and house appropriations

 

subcommittees on the department budget, and the senate and house

 

fiscal agencies, including, but not limited to, call volume by

 

health and human service needs and unmet needs identified through

 

caller data and customer satisfaction metrics.

 

Sec. 316. From the funds appropriated in part 1 for terminal

 

leave payments, the department shall not spend in excess of 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.

 

 

 

CHILD SUPPORT ENFORCEMENT

 


Sec. 401. (1) The appropriations in part 1 assume a total

 

federal child support incentive payment of $26,600,000.00.

 

(2) From the federal money received for child support

 

incentive payments, $12,000,000.00 shall be retained by the state

 

and expended for child support program expenses.

 

(3) From the federal money received for child support

 

incentive payments, $14,500,000.00 shall be paid to the counties

 

based on each county's performance level for each of the federal

 

performance measures as established in 45 CFR 305.2.

 

(4) If the child support incentive payment to the state from

 

the federal government is greater than $26,600,000.00, then 100% of

 

the excess shall be retained by the state and is appropriated until

 

the total retained by the state reaches $15,397,400.00.

 

(5) If the child support incentive payment to the state from

 

the federal government is greater than the amount needed to satisfy

 

the provisions identified in subsections (1), (2), (3), and (4),

 

the additional funds shall be subject to appropriation by the

 

legislature.

 

(6) If the child support incentive payment to the state from

 

the federal government is less than $26,600,000.00, then the state

 

and county share shall each be reduced by 50% of the shortfall.

 

Sec. 409. (1) If statewide retained child support collections

 

exceed $38,300,000.00, 75% of the amount in excess of

 

$38,300,000.00 is appropriated to legal support contracts. This

 

excess appropriation may be distributed to eligible counties to

 

supplement and not supplant county title IV-D funding.

 

(2) Each county whose retained child support collections in


the current fiscal year exceed its fiscal year 2004-2005 retained

 

child support collections, excluding tax offset and financial

 

institution data match collections in both the current fiscal year

 

and fiscal year 2004-2005, shall receive its proportional share of

 

the 75% excess.

 

Sec. 410. (1) If title IV-D-related child support collections

 

are escheated, the state budget director is authorized to adjust

 

the sources of financing for the funds appropriated in part 1 for

 

legal support contracts to reduce federal authorization by 66% of

 

the escheated amount and increase general fund/general purpose

 

authorization by the same amount. This budget adjustment is

 

required to offset the loss of federal revenue due to the escheated

 

amount being counted as title IV-D program income in accordance

 

with federal regulations at 45 CFR 304.50.

 

(2) The department shall notify the chairs of the house and

 

senate appropriations subcommittees on the department budget and

 

the house and senate fiscal agencies within 15 days of the

 

authorization adjustment in subsection (1).

 

 

 

COMMUNITY SERVICES AND OUTREACH

 

Sec. 450. (1) From the funds appropriated in part 1 for school

 

success partnership program, the department shall allocate

 

$525,000.00 by December 1 of the current fiscal year to support the

 

Northeast Michigan Community Service Agency programming, which will

 

take place in each county in the Governor's Prosperity Region 3.

 

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) On a semiannual basis, the Northeast Michigan Community

 

Service Agency shall provide reports to the department on the

 

number of children and families served and the services that were

 

provided to families to meet the performance objectives identified

 

in this section. The department shall distribute the reports within

 

1 week after receipt to the senate and house appropriations

 

subcommittees on the department budget, the senate and house fiscal

 

agencies, the senate and house policy offices, and the state budget

 

office.

 

Sec. 451. (1) Funding appropriated in part 1 for campus sexual

 

assault prevention and education initiative shall be used to

 

provide and administer grants to public or nonpublic community

 

colleges, colleges, universities, and high schools with a physical

 

presence in this state to address campus sexual assault issues in

 

order to improve the safety and security of students, faculty, and

 

staff in campus environments in this state.

 

(2) Grant funds awarded shall support sexual assault programs,

 

including education, awareness, prevention, reporting, bystander


intervention programs, peer advocacy groups, and student

 

organizations dedicated to campus sexual assault prevention and

 

other actions covered by title IX protections.

 

(3) The department shall issue awards no later than May 1,

 

2020, with a grant period of 1 year.

 

(4) The department shall report on grant activities to the

 

senate and house appropriations subcommittees on the department

 

budget, the senate and house appropriations subcommittees on higher

 

education, the senate and house fiscal agencies, and the state

 

budget office by February 28, 2020.

 

(5) The unexpended portion of funds appropriated in part 1 for

 

campus sexual assault prevention and education initiative 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 project is to provide grants for sexual

 

assault education, awareness, prevention, reporting, bystander

 

intervention programs, peer advocacy groups, and student

 

organizations dedicated to campus sexual assault prevention and

 

other actions covered by title IX protections. The student

 

organizations may be provided funds to support and develop advocacy

 

groups and act on issues related to prevention of sexual assault,

 

including, but not limited to, student outreach, supporting

 

survivors of sexual assault, and advocating for campus improvements


such as additional lighting.

 

(b) The project will be accomplished by grants to eligible

 

community colleges, colleges, universities, and high schools.

 

(c) The total estimated cost of the project is $500,000.00.

 

(d) The estimated completion date is September 30, 2024.

 

Sec. 452. From the funds appropriated in part 1 for crime

 

victim justice assistance grants, the 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.

 

Sec. 453. (1) From the funds appropriated in part 1 for

 

homeless programs, the department shall maintain emergency shelter

 

program per diem rates at $18.00 per bed night to support efforts

 

of shelter providers to move homeless individuals and households

 

into permanent housing as quickly as possible. Expected outcomes

 

are increased shelter discharges to stable housing destinations,

 

decreased recidivism rates for shelter clients, and a reduction in

 

the average length of stay in emergency shelters.

 

(2) By March 1 of the current fiscal year, the department

 

shall submit to the 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 a

 

report on 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.

 

Sec. 454. The department shall allocate the full amount of

 

funds appropriated in part 1 for homeless programs to provide


services for homeless individuals and families, including, but not

 

limited to, third-party contracts for emergency shelter services.

 

Sec. 455. As a condition of receipt of federal TANF funds,

 

homeless shelters and human services agencies shall collaborate

 

with the department to obtain necessary TANF eligibility

 

information on families as soon as possible after admitting a

 

family to the homeless shelter. From the funds appropriated in part

 

1 for homeless programs, the department is authorized to make

 

allocations of TANF funds 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 funds under this section is not an ongoing

 

commitment of funding.

 

Sec. 456. From the funds appropriated in part 1 for homeless

 

programs, the department shall allocate $90,000.00 to reimburse

 

public service agencies that provide documentation of paying birth

 

certificate fees on behalf of category 1 homeless clients at county

 

clerk's offices. Public service agencies shall be reimbursed for

 

the cost of the birth certificate fees quarterly until this

 

allocation is fully spent.

 

Sec. 457. (1) From the funds appropriated in part 1 for the

 

uniform statewide sexual assault evidence kit tracking system, in

 

accordance with the final report of the Michigan sexual assault


evidence kit tracking and reporting commission, $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 department

 

shall submit 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 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.

 

(3) The sexual assault evidence tracking fund established in

 

section 1451 of 2017 PA 158 shall continue to be maintained in the

 

department of treasury. Money in the sexual assault evidence

 

tracking fund at the close of a fiscal year shall remain in the

 

sexual assault evidence tracking fund and shall not revert to the

 

general fund and shall be appropriated as provided by law for the


development and implementation of a uniform statewide sexual

 

assault evidence kit tracking system as described in subsection

 

(1).

 

(4) By September 30 of the current fiscal year, the department

 

shall submit 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 a

 

report on the findings of the annual audit of the proper submission

 

of sexual assault evidence kits as required by the sexual assault

 

kit evidence submission act, 2014 PA 227, MCL 752.931 to 752.935.

 

The report must include, but is not limited to, a detailed county-

 

by-county compilation of the number of sexual assault evidence kits

 

that were properly submitted and the number that met or did not

 

meet deadlines established in the sexual assault kit evidence

 

submission act, 2014 PA 227, MCL 752.931 to 752.935, the number of

 

sexual assault evidence kits retrieved by law enforcement after

 

analysis, and the physical location of all released sexual assault

 

evidence kits collected by health care providers in that year, as

 

of the date of the annual draft report for each reporting agency.

 

Sec. 458. From the funds appropriated in part 1 for crime

 

victim rights services grants, the department shall allocate

 

$2,000,000.00 of crime victim's rights fund to maintain increased

 

grant funding to support the further use of crime victim advocates

 

in the criminal justice system. The purpose of the additional

 

funding is to increase available grant funding for crime victim

 

advocates to ensure that the advocates have the resources,

 

training, and funding needed to respond to the physical and


emotional needs of crime victims and to provide victims with the

 

necessary services, information, and assistance in order to help

 

them understand and participate in the criminal justice system and

 

experience a measure of safety and security throughout the legal

 

process.

 

 

 

CHILDREN'S SERVICES AGENCY - CHILD WELFARE

 

Sec. 501. (1) A goal is established that not more than 25% of

 

all children in foster care at any given time during the current

 

fiscal year, if in the best interest of the child, will have been

 

in foster care for 24 months or more.

 

(2) By March 1 of the current fiscal year, the department

 

shall provide to the 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

 

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.

 

Sec. 502. From the funds appropriated in part 1 for foster

 

care, the department shall provide 50% reimbursement to Indian

 

tribal governments for foster care expenditures for children who

 

are under the jurisdiction of Indian tribal courts and who are not

 

otherwise eligible for federal foster care cost sharing.

 

Sec. 503. (1) In accordance with the final report of the

 

Michigan child welfare performance-based funding task force issued

 

in response to section 503 of article X of 2013 PA 59, the

 


department shall continue to review, update, or develop actuarially

 

sound case rates for necessary child welfare foster care case

 

management services that achieve permanency by the department and

 

private child placing agencies in a prospective payment system

 

under a performance-based funding model.

 

(2) By March 1 of the current fiscal year, the department

 

shall 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 the full

 

cost analysis of the performance-based funding model. The report

 

shall include background information on the project and give

 

details about the contractual costs covered through the case rate.

 

(3) In accordance with the final report of the Michigan child

 

welfare performance-based funding task force issued in response to

 

section 503 of article X of 2013 PA 59, the department shall

 

continue an independent, third-party evaluation of the performance-

 

based funding model.

 

(4) The department shall only implement the performance-based

 

funding model into additional 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 from both the

 

house of representatives and senate, private child placing

 

agencies, the courts, and counties shall continue to implement the

 

recommendations that are described in the workgroup report that was


provided in section 503 of article X of 2013 PA 59 to establish a

 

performance-based funding for public and private 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.

 

(6) From the funds appropriated in part 1 for the performance-

 

based funding model pilot, the 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.

 

Sec. 504. (1) The department may continue a master agreement

 

with the West Michigan Partnership for Children Consortium for a

 

performance-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.

 

(2) The consortium shall operate an integrated continuum of

 

care structure, with services provided by private or public

 

agencies, based on individual case needs.

 

(3) By March 1 of the current fiscal year, the consortium

 

shall provide to the department and 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 status of the consortium

 

evaluation.

 

Sec. 505. 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 policy offices, and the state budget office a report

 

for youth referred or committed to the department for care or

 

supervision in the previous fiscal year and in the first quarter of

 

the current fiscal year outlining the number of youth served by the

 

department within the juvenile justice system, the type of setting

 

for each youth, performance outcomes, and financial costs or

 

savings.

 

Sec. 507. The department's ability to satisfy appropriation

 

deducts in part 1 for foster care private collections shall not be

 

limited to collections and accruals pertaining to services provided

 

only in the current fiscal year but may include revenues collected


during the current fiscal year for services provided in prior

 

fiscal years.

 

Sec. 508. (1) In addition to the amount appropriated in part 1

 

for children's trust fund grants, money granted or money received

 

as gifts or donations to the children's trust fund created by 1982

 

PA 249, MCL 21.171 to 21.172, is appropriated for expenditure.

 

(2) The department and the child abuse and neglect prevention

 

board shall collaborate to ensure that administrative delays are

 

avoided and the local grant recipients and direct service providers

 

receive money in an expeditious manner. The department and board

 

shall make available the children's trust fund contract funds to

 

grantees within 31 days of the start date of the funded project.

 

Sec. 511. The department shall provide reports on a semiannual

 

basis to the senate and house appropriations subcommittees on the

 

department budget, the senate and house standing committees on

 

families and human services, and the senate and house fiscal

 

agencies and policy offices on the number and percentage of

 

children who received timely physical and mental health

 

examinations after entry into foster care. The goal of the program

 

is that at least 85% of children shall have an initial medical and

 

mental health examination within 30 days after entry into foster

 

care.

 

Sec. 512. (1) As required by the settlement, 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, the senate and house policy

 

offices, and the state budget office on the following information


for cases of child abuse or child neglect from the previous fiscal

 

year:

 

(a) The total number of relative care placements.

 

(b) The total number of relatives with a placement who became

 

licensed.

 

(c) The number of waivers of foster care licensure granted to

 

relative care providers.

 

(d) The number of waivers of foster care denied to relative

 

care providers.

 

(e) A list of the reasons from a sample of cases the

 

department denied granting a waiver of foster care licensure for a

 

relative care provider.

 

(f) A list of the reasons from a sample of cases where

 

relatives were declined foster care licensure as documented by the

 

department.

 

(2) The caseworker shall request a waiver of foster care

 

licensure if both of the following apply:

 

(a) The caseworker has fully informed the relative of the

 

benefits of licensure and the option of a licensure waiver.

 

(b) The caseworker has assessed the relative and the

 

relative's home using the department's initial relative safety

 

screen and the department's relative home assessment and has

 

determined that the relative's home is safe and placement there is

 

in the child's best interest.

 

Sec. 513. (1) The department shall not expend funds

 

appropriated in part 1 to pay for the direct placement by the

 

department of a child in an out-of-state facility unless all of the


following conditions are met:

 

(a) There is no appropriate placement available in this state

 

as determined by the department interstate compact office.

 

(b) An out-of-state placement exists that is nearer to the

 

child's home than the closest appropriate in-state placement as

 

determined by the department interstate compact office.

 

(c) The out-of-state facility meets all of the licensing

 

standards of this state for a comparable facility.

 

(d) The out-of-state facility meets all of the applicable

 

licensing standards of the state in which it is located.

 

(e) The department has done an on-site visit to the out-of-

 

state facility, reviewed the facility records, reviewed licensing

 

records and reports on the facility, and believes that the facility

 

is an appropriate placement for the child.

 

(2) The department shall not expend money for a child placed

 

in an out-of-state facility without approval of the executive

 

director of the children's services agency.

 

(3) The department shall submit an annual report by March 1 of

 

the current fiscal year to the state court administrative office,

 

the house and senate appropriations subcommittees on the department

 

budget, the house and senate fiscal agencies, the house and senate

 

policy offices, and the state budget office on the number of

 

Michigan children residing in out-of-state facilities in the

 

previous fiscal year and shall include the total cost and average

 

per diem cost of these out-of-state placements to this state, and a

 

list of each such placement arranged by the Michigan county of

 

residence for each child.


Sec. 514. The department shall make a comprehensive report

 

concerning children's protective services (CPS) to the legislature,

 

including the senate and house policy offices and the state budget

 

director, by March 1 of the current fiscal year, that shall include

 

all of the following:

 

(a) Statistical information including, but not limited to, all

 

of the following:

 

(i) The total number of reports of child abuse or child

 

neglect investigated under the child protection law, 1975 PA 238,

 

MCL 722.621 to 722.638, and the number of cases classified under

 

category I or category II and the number of cases classified under

 

category III, category IV, or category V.

 

(ii) Characteristics of perpetrators of child abuse or child

 

neglect and the 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 individual

 

who made the report fits, or other categorization if the individual

 

is not within a group required to report under the child protection

 

law, 1975 PA 238, MCL 722.621 to 722.638.

 

(iv) The number of cases that resulted in the separation of

 

the child from the parent or guardian and the period of time of

 

that separation, up to and including termination of parental

 

rights.

 

(v) For the reported complaints of child abuse or child


neglect by teachers, school administrators, and school counselors,

 

the number of cases classified under category I or category II and

 

the number of cases classified under category III, category IV, or

 

category V.

 

(vi) For the reported complaints of child abuse or child

 

neglect by teachers, school administrators, and school counselors,

 

the number of cases that resulted in separation of the child from

 

the parent or guardian and the period of time of that separation,

 

up to and including termination of parental rights.

 

(b) New policies related to children's protective services

 

including, but not limited to, major policy changes and court

 

decisions affecting the children's protective services system

 

during the immediately preceding 12-month period.

 

(c) Statistical information regarding families that were

 

classified in category III, including, but not limited to, all of

 

the following:

 

(i) The total number of cases classified in category III.

 

(ii) The number of cases in category III referred to voluntary

 

community services and closed with no additional monitoring.

 

(iii) The number of cases in category III referred to

 

voluntary community services and monitored for up to 90 days.

 

(iv) The number of cases in category III for which the

 

department entered more than 1 determination that there was

 

evidence of child abuse or child neglect.

 

(v) The number of cases in category III that the department

 

reclassified from category III to category II.

 

(vi) The number of cases in category III 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) The department policy, or changes to the department

 

policy, regarding children who have been exposed to the production

 

or manufacture of methamphetamines.

 

Sec. 515. If a child protection services caseworker requests

 

approval for another child protection services caseworker or other

 

department employee to accompany them on a home visit because the

 

caseworker believes it would be unsafe to conduct the home visit

 

alone, the department shall not deny the request.

 

Sec. 516. From funds appropriated in part 1 for county child

 

care fund, the administrative or indirect cost payment equal to 10%

 

of a county's total monthly gross expenditures shall be distributed

 

to the county on a monthly basis and a county is not required to

 

submit documentation to the department for any of the expenditures

 

that are covered under the 10% payment as described in section

 

117a(4)(b)(ii) and (iv) of the social welfare act, 1939 PA 280, MCL

 

400.117a.

 

Sec. 517. The department shall retain the same title IV-E

 

appeals policy in place as of the fiscal year ending September 30,

 

2017.

 

Sec. 518. Supervisors must make an initial read of a

 

caseworker's report on a child abuse or child neglect investigation

 

and note any corrections required, or approve the report, within 5

 

business days. The caseworker must resubmit a report that needs


corrections within 3 business days.

 

Sec. 519. The department shall permit any private agency that

 

has an existing contract with this state to provide foster care

 

services to be also eligible to provide treatment foster care

 

services.

 

Sec. 520. To the extent that the data are available, 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 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 identify days of care for department-

 

operated residential juvenile justice facilities by security

 

classification.

 

Sec. 522. (1) From the funds appropriated in part 1 for youth

 

in transition, the department shall allocate $750,000.00 for

 

scholarships through the fostering futures scholarship program in

 

the Michigan education trust to youths who were in foster care

 

because of child abuse or child neglect and are attending a college

 

or a career technical educational institution located in this

 

state. Of the funds appropriated, 100% shall be used to fund


scholarships for the youths described in this section.

 

(2) On a semiannual basis, the department shall provide 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 that includes

 

the number of youths who received scholarships and the amount of

 

each scholarship, and the total amount of funds spent or encumbered

 

in the current fiscal year.

 

Sec. 523. (1) By February 15 of the current fiscal year, the

 

department shall submit to the 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 report on the families first, family reunification, and

 

families together building solutions family preservation programs.

 

The report shall provide population and outcome data based on

 

contractually required follow-up evaluations for families who

 

received family preservation services and shall include information

 

for each program on any innovations that may increase child safety

 

and risk reduction.

 

(2) From the funds appropriated in part 1 for youth in

 

transition and domestic violence prevention and treatment, the

 

department is authorized to make allocations of TANF funds only to

 

agencies that report necessary data to the department for the

 

purpose of meeting TANF eligibility reporting requirements.

 

Sec. 524. As a condition of receiving funds appropriated in

 

part 1 for strong families/safe children, counties must submit the

 

service spending plan to the department by October 1 of the current


fiscal year for approval. The department shall approve the service

 

spending plan within 30 calendar days after receipt of a properly

 

completed service spending plan.

 

Sec. 525. The department shall implement the same on-site

 

evaluation processes for privately operated child welfare and

 

juvenile justice residential facilities as is used to evaluate

 

state-operated facilities. Penalties for noncompliance shall be the

 

same for privately operated child welfare and juvenile justice

 

residential facilities and state-operated facilities.

 

Sec. 527. With the approval of the settlement monitor, for the

 

purposes of calculating adoption worker caseloads for private child

 

placing agencies, the department shall exclude the following case

 

types:

 

(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.

 

Sec. 530. (1) All master contracts relating to foster care and

 

adoption services as funded by the appropriations in section 105 of

 

part 1 shall be performance-based contracts that employ a client-

 

centered results-oriented process that is based on measurable

 

performance indicators and desired outcomes and includes the annual

 

assessment of the quality of services provided.


(2) By February 1 of the current fiscal year, the department

 

shall provide the senate and house 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.

 

Sec. 531. The department shall notify the house and senate

 

appropriations subcommittees on the department budget, the house

 

and senate fiscal agencies, and the house and senate policy offices

 

of any changes to a child welfare master contract template,

 

including the adoption master contract template, the independent

 

living plus master contract template, the child placing agency

 

foster care master contract template, and the residential foster

 

care juvenile justice master contract template, not less than 30

 

days before the change takes effect.

 

Sec. 532. The department, in collaboration with

 

representatives of private child and family agencies, shall revise

 

and improve the annual licensing review process and the annual

 

contract compliance review process for child placing agencies and

 

child caring institutions. The improvement goals shall be safety

 

and care for children. Improvements to the review process shall be

 

directed toward alleviating administrative burdens so that agency

 

resources may be focused on children. The revision shall include

 

identification of duplicative staff activities and information

 

sought from child placing agencies and child caring institutions in

 

the annual review process. The department shall report to the


senate and house appropriations subcommittees on the department

 

budget, the senate and house fiscal agencies and policy offices,

 

and the state budget director on or before January 15 of the

 

current fiscal year on the findings of the annual licensing review

 

and include summaries of actions undertaken to revise, improve, and

 

identify weaknesses in the current annual licensing process and

 

annual contract compliance.

 

Sec. 533. The department shall make payments to child placing

 

facilities for in-home and out-of-home care services and adoption

 

services within 30 days of receiving all necessary documentation

 

from those agencies. It is the intent of the legislature that the

 

burden of ensuring that these payments are made in a timely manner

 

and no payments are in arrears is upon the department.

 

Sec. 534. The department shall submit 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 a

 

report on the adoption subsidies expenditures from the previous

 

fiscal year. The report shall include, but is not limited to, the

 

range of annual adoption support subsidy amounts, for both title

 

IV-E eligible cases and state-funded cases, paid to adoptive

 

families, the number of title IV-E and state-funded cases, the

 

number of cases in which the adoption support subsidy request of

 

adoptive parents for assistance was denied by the department, and

 

the number of adoptive parents who requested a redetermination of

 

adoption support subsidy.

 

Sec. 540. If a physician or psychiatrist who is providing


services to state or court wards placed in a residential facility

 

submits a formal request to the department to change the

 

psychotropic medication of a ward, the department shall, if the

 

ward is a state ward, make a determination on the proposed change

 

within 7 business days after the request or, if the ward is a

 

temporary court ward, seek parental consent within 7 business days

 

after the request. If parental consent is not provided within 7

 

business days, the department shall petition the court on the

 

eighth business day.

 

Sec. 546. (1) From the funds appropriated in part 1 for foster

 

care payments and from child care fund, the department shall pay

 

providers of general foster care, independent living, and trial

 

reunification services not less than a $46.20 administrative rate.

 

(2) From the funds appropriated in part 1, the department

 

shall pay providers of independent living plus services statewide

 

per diem rates for staff-supported housing and host-home housing

 

based on proposals submitted in response to a solicitation for

 

pricing. The independent living plus program provides staff-

 

supported housing and services for foster youth ages 16 through 19

 

who, because of their individual needs and assessments, are not

 

initially appropriate for general independent living foster care.

 

(3) If required by the federal government to meet title IV-E

 

requirements, providers of foster care services shall submit

 

quarterly reports on expenditures to the department to identify

 

actual costs of providing foster care services.

 

(4) From the funds appropriated in part 1, the department

 

shall maintain the rates in place on March 20, 2019 provided to


each private provider of residential services.

 

Sec. 547. (1) From the funds appropriated in part 1 for the

 

guardianship assistance program, the department shall pay a minimum

 

rate that is not less than the approved age-appropriate payment

 

rates for youth placed in family foster care.

 

(2) The department shall report quarterly to the state budget

 

office, 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 number of children enrolled

 

in the guardianship assistance and foster care children with

 

serious emotional disturbance waiver programs.

 

Sec. 551. The department shall respond to counties within 30

 

days regarding any request for a clarification requested through

 

the department's child care fund management unit electronic mail

 

address.

 

Sec. 552. Sixty days after a county's child care fund on-site

 

review is completed, the department shall provide the results of

 

the review to the county. The department shall not evaluate the

 

relevancy, quality, effectiveness, efficiency, or impact of the

 

services provided to youth of the county's child care fund programs

 

in the review. Pursuant to state law, the department shall not

 

release the results of the review to a third-party without the

 

permission of the county being reviewed.

 

Sec. 558. Based on the results of the study of issues related

 

to the modernization of the child welfare training program

 

undertaken in the previous fiscal year, the department shall make a

 

payment to private child placing agencies upon the completion of


the child welfare caseworker training.

 

Sec. 562. The department shall provide time and travel

 

reimbursements for foster parents who transport a foster child to

 

parent-child visitations. As part of the foster care parent

 

contract, the department shall provide written confirmation to

 

foster parents that states that the foster parents have the right

 

to request these reimbursements for all parent-child visitations.

 

The department shall provide these reimbursements within 60 days of

 

receiving a request for eligible reimbursements from a foster

 

parent.

 

Sec. 564. (1) The department shall develop a clear policy for

 

parent-child visitations. The local county offices, caseworkers,

 

and supervisors shall meet an 85% success rate, after accounting

 

for factors outside of the caseworkers' control.

 

(2) Per the court-ordered number of required meetings between

 

caseworkers and a parent, the caseworkers shall achieve a success

 

rate of 85%, after accounting for factors outside of the

 

caseworkers' control.

 

(3) By March 1 of the current fiscal year, the department

 

shall provide to the 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

 

report on the following:

 

(a) The percentage of success rate for parent-child

 

visitations and court-ordered required meetings between caseworkers

 

referenced in subsections (1) and (2) for the previous year.

 

(b) The barriers to achieve the success rates in subsections


(1) and (2) and how this information is tracked.

 

Sec. 567. The department shall submit to the 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 a

 

report on transfer of medical passports for children in foster

 

care, including the following:

 

(a) From the total medical passports transferred, the

 

percentage that transferred within 2 weeks from the date of

 

placement or return to the home.

 

(b) From the total school records, the percentage that

 

transferred within 2 weeks from the date of placement or return to

 

the home.

 

(c) The implementation steps that have been taken to improve

 

the outcomes for the measures in subdivision (a).

 

Sec. 569. The department shall reimburse private child placing

 

agencies that complete adoptions at the rate according to the date

 

on which the petition for adoption and required support

 

documentation was accepted by the court and not according to the

 

date the court's order placing for adoption was entered.

 

Sec. 573. The department may 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.

 

Sec. 574. (1) From the funds appropriated in part 1 for foster

 

care payments, $2,000,000.00 is allocated to support performance-

 

based contracts with child placing agencies to facilitate the


licensure of relative caregivers as foster parents. Agencies shall

 

receive $4,500.00 for each facilitated licensure if completed

 

within 180 days after case acceptance, or, if a waiver was

 

previously approved, 180 days from the referral date. If the

 

facilitated licensure, or approved waiver, is completed after 180

 

days, the agency shall receive up to $3,500.00. The agency

 

facilitating the licensure would retain the placement and continue

 

to provide case management services for the newly licensed cases

 

for which the placement was appropriate to the agency.

 

(2) By March 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, the

 

house and senate policy offices, and the state budget office a

 

report on the total amount expended in the previous year for

 

payments to child placing agencies for completed licensures of

 

relative caregivers as foster parents as referenced in subsection

 

(1) and the number of newly licensed caregivers for which the child

 

placing agencies received these payments.

 

(3) From the funds appropriated for foster care payments,

 

$375,000.00 is allocated to support family incentive grants to

 

private and community-based foster care service providers to assist

 

with home improvements or payment for physical exams for applicants

 

needed by foster families to accommodate foster children.

 

(4) By March 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, 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 (3)

 

and the number of grants issued.

 

Sec. 583. 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

 

standing committees on families and human services, the senate and

 

house fiscal agencies and policy offices, and the state budget

 

office a report that includes:

 

(a) The number and percentage of foster parents 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.

 

Sec. 585. The department shall make available at least 1 pre-

 

service training class each month in which new caseworkers for

 

private foster care and adoption agencies can enroll.

 

Sec. 588. Concurrently with public release, the department

 

shall transmit all reports from the court-appointed settlement

 

monitor, including, but not limited to, the needs assessment and

 

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.


Sec. 589. On a quarterly basis, the department shall report on

 

the number of all foster care cases administered by the department

 

and all foster care cases administered by private providers.

 

Sec. 594. From the funds appropriated in part 1 for foster

 

care payments, the department shall support regional resource teams

 

to provide for the recruitment, retention, and training of foster

 

and adoptive parents and shall expand the Michigan youth

 

opportunities initiative to all Michigan counties. The purpose of

 

this funding is to increase the number of annual inquiries from

 

prospective foster parents, increase the number of nonrelative

 

foster homes that achieve licensure each year, increase the annual

 

retention rate of nonrelative foster homes, reduce the number of

 

older foster youth placed outside of family settings, and provide

 

older youth with enhanced support in transitioning to adulthood.

 

Sec. 596. (1) From the funds appropriated in part 1 for youth

 

in transition, 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 runaway and

 

homeless youth services program, the department shall allocate

 

$1,500,000.00 state general fund/general purpose revenue to

 

increase funding 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 department

 

shall submit 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 a

 

report on the total amount expended for runaway and homeless youth

 

services programs in the previous year, as well as the total number

 

of shelter nights for youth provided.

 

Sec. 598. Partial child care fund reimbursements to counties

 

for undisputed charges shall be made within 45 business days after

 

the receipt of the required forms and documentation. 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.

 

 

 

PUBLIC ASSISTANCE

 

Sec. 601. Whenever a client agrees to the release of his or

 

her name and address to the local housing authority, the department

 

shall request from the local housing authority information

 

regarding whether the housing unit for which vendoring has been

 

requested meets applicable local housing codes. Vendoring shall be

 

terminated for those units that the local authority indicates in

 

writing do not meet local housing codes until such time as the

 

local authority indicates in writing that local housing codes have

 

been met.

 

Sec. 602. The department shall conduct a full evaluation of an

 


individual's assistance needs if the individual has applied for

 

disability more than 1 time within a 1-year period.

 

Sec. 603. For any change in the income of a recipient of the

 

food assistance program, the family independence program, or state

 

disability assistance that results in a benefit decrease, the

 

department must notify the affected recipient of the decrease in

 

benefits amount no later than 15 work days for the food assistance

 

program, the family independence program, and state disability

 

assistance before the first day of the month in which the change

 

takes effect.

 

Sec. 604. (1) The department shall operate a state disability

 

assistance program. Except as provided in subsection (3), persons

 

eligible for this program shall include needy citizens of the

 

United States or aliens exempted from the supplemental security

 

income citizenship requirement who are at least 18 years of age or

 

emancipated minors meeting 1 or more of the following requirements:

 

(a) A recipient of supplemental security income, social

 

security, or medical assistance due to disability or 65 years of

 

age or older.

 

(b) A person with a physical or mental impairment that meets

 

federal supplemental security income disability standards, except

 

that the minimum duration of the disability shall be 90 days.

 

Substance use disorder alone is not defined as a basis for

 

eligibility.

 

(c) A resident of an adult foster care facility, a home for

 

the aged, a county infirmary, or a substance use disorder treatment

 

center.


(d) A person receiving 30-day postresidential substance use

 

disorder treatment.

 

(e) A person diagnosed as having acquired immunodeficiency

 

syndrome.

 

(f) A person receiving special education services through the

 

local intermediate school district.

 

(g) A caretaker of a disabled person who meets the

 

requirements specified in subdivision (a), (b), (e), or (f).

 

(2) Applicants for and recipients of the state disability

 

assistance program shall be considered needy if they:

 

(a) Meet the same asset test as is applied for the family

 

independence program.

 

(b) Have a monthly budgetable income that is less than the

 

payment standards.

 

(3) Except for a person described in subsection (1)(c) or (d),

 

a person is not disabled for purposes of this section if his or her

 

drug addiction or alcoholism is a contributing factor material to

 

the determination of disability. "Material to the determination of

 

disability" means that, if the person stopped using drugs or

 

alcohol, his or her remaining physical or mental limitations would

 

not be disabling. If his or her remaining physical or mental

 

limitations would be disabling, then the drug addiction or

 

alcoholism is not material to the determination 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.

 

Sec. 605. The level of reimbursement provided to state

 

disability assistance recipients in licensed adult foster care

 

facilities shall be the same as the prevailing supplemental

 

security income rate under the personal care category.

 

Sec. 606. County department offices shall require each

 

recipient of family independence program and state disability

 

assistance who has applied with the social security administration

 

for supplemental security income to sign a contract to repay any

 

assistance rendered through the family independence program or

 

state disability assistance program upon receipt of retroactive

 

supplemental security income benefits.

 

Sec. 607. (1) The department's ability to satisfy

 

appropriation deductions in part 1 for state disability

 

assistance/supplemental security income recoveries and public

 

assistance recoupment revenues shall not be limited to recoveries

 

and accruals pertaining to state disability assistance, or family

 

independence assistance grant payments provided only in the current

 

fiscal year, but may include revenues collected during the current

 

year that are prior year related and not a part of the department's

 

accrued entries.

 

(2) The department may use supplemental security income

 

recoveries to satisfy the deduct in any line in which the revenues

 

are appropriated, regardless of the source from which the revenue

 

is recovered.

 

Sec. 608. Adult foster care facilities providing domiciliary


care or personal care to residents receiving supplemental security

 

income or homes for the aged serving residents receiving

 

supplemental security income shall not require those residents to

 

reimburse the home or facility for care at rates in excess of those

 

legislatively authorized. To the extent permitted by federal law,

 

adult foster care facilities and homes for the aged serving

 

residents receiving supplemental security income 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.

 

Sec. 609. The state supplementation level under the

 

supplemental security income program for the personal care/adult

 

foster care and home for the aged categories shall not be reduced

 

during the current fiscal year. The legislature shall be notified

 

not less than 30 days before any proposed reduction in the state

 

supplementation level.

 

Sec. 610. (1) In developing good cause criteria for the state

 

emergency relief program, the department shall grant exemptions if

 

the emergency resulted from unexpected expenses related to

 

maintaining or securing employment.

 

(2) For purposes of determining housing affordability

 

eligibility for state emergency relief, a group is considered to

 

have sufficient income to meet ongoing housing expenses if their

 

total housing obligation does not exceed 75% of their total net

 

income.

 

(3) State emergency relief payments shall not be made to


individuals who have been found guilty of fraud in regard to

 

obtaining public assistance.

 

(4) State emergency relief payments shall not be made

 

available to persons who are out-of-state residents or illegal

 

immigrants.

 

(5) State emergency relief payments for rent assistance shall

 

be distributed directly to landlords and shall not be added to

 

Michigan bridge cards.

 

(6) When determining asset limits for a state emergency relief

 

group, the group must use countable cash assets to assist in

 

resolving the emergency. The protected cash asset limit for energy-

 

related emergencies is $200.00, and therefore the first $200.00 of

 

a state emergency relief group must be excluded in cash asset

 

determination. Cash assets in excess of the cash asset limit

 

described in this subsection shall be deducted from the cost of

 

resolving the emergency and shall be utilized as a co-payment, as

 

described in department emergency relief policy.

 

Sec. 611. The state supplementation level under the

 

supplemental security income program for the living independently

 

or living in the household of another categories shall not exceed

 

the minimum state supplementation level as required under federal

 

law or regulations.

 

Sec. 613. (1) The department shall provide reimbursements for

 

the final disposition of indigent persons. The reimbursements shall

 

include the following:

 

(a) The maximum allowable reimbursement for the final

 

disposition is $800.00.


(b) The adult burial with services allowance is $725.00.

 

(c) The adult burial without services allowance is $490.00.

 

(d) The infant burial allowance is $170.00.

 

(2) Reimbursement for a cremation permit fee of up to $75.00

 

and for mileage at the standard rate will be made available for an

 

eligible cremation. The reimbursements under this section shall

 

take into consideration religious preferences that prohibit

 

cremation.

 

Sec. 614. The department shall report to the senate and house

 

of representatives 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.

 

Sec. 615. Except as required by federal law or regulations,

 

funds appropriated in part 1 shall not be used to provide public

 

assistance to a person who is an illegal alien. This section shall

 

not prohibit the department from entering into contracts with food

 

banks, emergency shelter providers, or other human services

 

agencies who may, as a normal part of doing business, provide food

 

or emergency shelter.

 

Sec. 616. The department shall require retailers that

 

participate in the electronic benefits transfer program to charge

 

no more than $2.50 in fees for cash back as a condition of

 

participation.

 

Sec. 618. 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, 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.

 

Sec. 619. (1) Subject to subsection (2), the department shall

 

not deny title IV-A assistance and food assistance benefits under

 

21 USC 862a to any individual who has been convicted of a single

 

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.

 

Benefits shall be provided to an individual, if the individual is

 

the grantee (head of household), as follows:

 

(a) Family independence program benefits must be paid in the

 

form of restricted payments when the grantee has been convicted,

 

for conduct occurring after August 22, 1996, of a felony for the

 

use, possession, or distribution of a controlled substance.

 

(b) An authorized representative shall be required for food

 

assistance receipt. If the individual with the conviction is not

 

the grantee, the food assistance shall be provided to the grantee.

 

(2) Subject to federal approval, an individual is not entitled

 

to the exemption in this section if the individual was convicted of

 

2 or more separate felony acts that included the possession, use,


or distribution of a controlled substance and both acts occurred

 

after August 22, 1996.

 

Sec. 620. (1) The department shall make a determination of

 

Medicaid eligibility not later than 90 days if disability is an

 

eligibility factor. For all other Medicaid applicants, including

 

patients of a nursing home, the department shall make a

 

determination of Medicaid eligibility within 45 days of

 

application.

 

(2) The department shall provide quarterly reports to the

 

senate and house appropriations subcommittees on the department

 

budget, the senate and house standing committees on 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.

 

Sec. 645. An individual or family is considered homeless, for

 

purposes of eligibility for state emergency relief, if living

 

temporarily with others in order to escape domestic violence. For

 

purposes of this section, domestic violence is defined and verified

 

in the same manner as in the department's policies on good cause

 

for not cooperating with child support and paternity requirements.

 

Sec. 653. From the funds appropriated in part 1 for food

 

assistance, an individual who is the victim of domestic violence

 

and does not qualify for any other exemption may be exempt from the

 

3-month in 36-month limit on receiving food assistance under 7 USC


2015. This exemption can be extended an additional 3 months upon

 

demonstration of continuing need.

 

Sec. 654. The department shall notify recipients of food

 

assistance program benefits that their benefits can be spent with

 

their bridge cards at many farmers' markets in the state. The

 

department shall also notify recipients about the Double Up Food

 

Bucks program that is administered by the Fair Food Network.

 

Recipients shall receive information about the Double Up Food Bucks

 

program, including information that when the recipient spends

 

$20.00 at participating farmers' markets through the program, the

 

recipient can receive an additional $20.00 to buy Michigan produce.

 

Sec. 655. Within 14 days after the spending plan for low-

 

income home energy assistance program is approved by the state

 

budget office, the department shall provide the spending plan,

 

including itemized projected expenditures, to the chairpersons of

 

the senate and house appropriations subcommittees on the department

 

budget, the senate and house fiscal agencies, the senate and house

 

policy offices, and the state budget office.

 

Sec. 660. From the funds appropriated in part 1 for Food Bank

 

Council of Michigan, the department is authorized to make

 

allocations of TANF funds 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 funds

 

under this section is not an ongoing commitment of funding.


Sec. 669. From the funds appropriated in part 1 for family

 

independence program, the 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.

 

Sec. 672. (1) The department's office of inspector general

 

shall report to the senate and house of representatives

 

appropriations subcommittees on the department budget, the senate

 

and house fiscal agencies, and the senate and house policy offices

 

by February 15 of the current fiscal year on department efforts to

 

reduce inappropriate use of Michigan bridge cards. 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

 

distinguish between savings and cost avoidance. Savings include

 

receivables established from instances of fraud committed. Cost

 

avoidance includes expenditures avoided due to front-end

 

eligibility investigations and other preemptive actions undertaken

 

in the prevention of fraud.

 

(2) It shall be the policy of the department that the

 

department shall require an explanation from a recipient if a

 

bridge card is replaced more than 2 times over any 3-month period.

 

(3) As used in this section, "inappropriate use" means not

 

used to meet a family's ongoing basic needs, including food,


clothing, shelter, utilities, household goods, personal care items,

 

and general incidentals.

 

Sec. 677. (1) The department shall establish a state goal for

 

the percentage of family independence program cases involved in

 

employment activities. The percentage established shall not be less

 

than 50%. The goal for long-term employment shall be 15% of cases

 

for 6 months or more.

 

(2) The department shall provide quarterly reports to the

 

senate and house appropriations subcommittees on the department

 

budget, the senate and house fiscal agencies and policy 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 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 that include all of the

 

following:

 

(a) The number and percentage of nonexempt 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.

 

Sec. 686. (1) The department shall ensure that program policy

 

requires caseworkers to confirm that individuals presenting

 

personal identification issued by another state seeking assistance

 

through the family independence program, food assistance program,

 

state disability assistance program, or medical assistance program

 

are not receiving benefits from any other state.

 

(2) The department shall require caseworkers to confirm the

 

address provided by any individual seeking family independence

 

program benefits or state disability assistance benefits.

 

(3) The department shall prohibit individuals with property

 

assets assessed at a value higher than $200,000.00 from accessing

 

assistance through department-administered programs, unless such a

 

prohibition would violate federal rules and guidelines.

 

(4) The department shall require caseworkers to obtain an up-

 

to-date telephone number during the eligibility determination or

 

redetermination process for individuals seeking medical assistance

 

benefits.

 

Sec. 687. (1) The department shall, in quarterly reports,

 

compile and make available on its website all of the following

 

information about the family independence program, state disability

 

assistance, the food assistance program, Medicaid, and state

 

emergency relief:

 

(a) The number of applications received.

 

(b) The number of applications approved.


(c) The number of applications denied.

 

(d) The number of applications pending and neither approved

 

nor denied.

 

(e) The number of cases opened.

 

(f) The number of cases closed.

 

(g) The number of cases at the beginning of the quarter and

 

the number of cases at the end of the quarter.

 

(2) The information provided under subsection (1) shall be

 

compiled and made available for the state as a whole and for each

 

county and reported separately for each program listed in

 

subsection (1).

 

(3) The department shall, in quarterly reports, compile and

 

make available on its website the family independence program

 

information listed as follows:

 

(a) The number of new applicants who successfully met the

 

requirements of the 21-day assessment period for PATH.

 

(b) The number of new applicants who did not meet the

 

requirements of the 21-day assessment period for PATH.

 

(c) The number of cases sanctioned because of the school

 

truancy policy.

 

(d) The number of cases closed because of the 48-month and 60-

 

month lifetime limits.

 

(e) The number of first-, second-, and third-time sanctions.

 

(f) The number of children ages 0-5 living in FIP-sanctioned

 

households.

 

Sec. 688. From the funds appropriated in part 1 for the low-

 

income home energy assistance program, the department shall make an


additional $20.01 payment to each food assistance program case that

 

is not currently eligible for the standard utility allowance to

 

enable each case to receive expanded food assistance benefits

 

through the program commonly known as the heat and eat program.

 

 

 

CHILDREN'S SERVICES AGENCY - JUVENILE JUSTICE

 

Sec. 701. Unless required from changes to federal or state law

 

or at the request of a provider, the department shall not alter the

 

terms of any signed contract with a private residential facility

 

serving children under state or court supervision without written

 

consent from a representative of the private residential facility.

 

Sec. 706. Counties shall be subject to 50% chargeback for the

 

use of alternative regional detention services, if those detention

 

services do not fall under the basic provision of section 117e of

 

the social welfare act, 1939 PA 280, MCL 400.117e, or if a county

 

operates those detention services programs primarily with

 

professional rather than volunteer staff.

 

Sec. 707. In order to be reimbursed for child care fund

 

expenditures, counties are required to submit department-developed

 

reports to enable the department to document potential federally

 

claimable expenditures. This requirement is in accordance with the

 

reporting requirements specified in section 117a(11) of the social

 

welfare act, 1939 PA 280, MCL 400.117a.

 

Sec. 708. (1) As a condition of receiving funds appropriated

 

in part 1 for the child care fund line item, by October 15 of the

 

current fiscal year, counties shall have an approved service

 

spending plan for the current fiscal year. Counties must submit the

 


service spending plan for the following fiscal year to the

 

department by August 15 of the current fiscal year for approval.

 

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 fiscal year

 

county service plans no later than August 30. Counties must submit

 

current fiscal year payable estimates to the department no later

 

than September 15.

 

(3) 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 by February 15 of the current

 

fiscal year on the number of counties that fail to submit a service

 

spending plan by August 15 of the previous fiscal year and the

 

number of service spending plans not approved by October 15. The

 

report shall include the number of county service spending plans

 

that were not approved as first submitted by the counties, as well

 

as the number of plans that were not approved by the department


after being resubmitted by the county with the first revisions that

 

were requested by the department.

 

Sec. 709. The department's master contract for juvenile

 

justice residential foster care services shall prohibit contractors

 

from denying a referral for placement of a youth, or terminating a

 

youth's placement, if the youth's assessed treatment needs are in

 

alignment with the facility's residential program type, as

 

identified by the court or the department. In addition, the master

 

contract shall require that youth placed in juvenile justice

 

residential foster care facilities must have regularly scheduled

 

treatment sessions with a licensed psychologist or psychiatrist, or

 

both, and access to the licensed psychologist or psychiatrist as

 

needed.

 

Sec. 721. If the demand for placements at state-operated

 

juvenile justice residential facilities exceeds capacity, the

 

department shall not increase the available occupancy or services

 

at the facilities, and shall post a request for proposals for a

 

contract with not less than 1 private provider of residential

 

services for juvenile justice youth to be a residential facility of

 

last resort.

 

 

 

FIELD OPERATIONS AND SUPPORT SERVICES

 

Sec. 807. From the funds appropriated in part 1 for Elder Law

 

of Michigan MiCAFE contract, the department shall allocate not less

 

than $350,000.00 to the Elder Law of Michigan MiCAFE to assist this

 

state's elderly population in participating in the food assistance

 

program. Of the $350,000.00 allocated under this section, the

 


department shall use $175,000.00, which are general fund/general

 

purpose funds, as state matching funds for not less than

 

$175,000.00 in United States Department of Agriculture funding to

 

provide outreach program activities, such as eligibility screening

 

and information services, as part of a statewide food assistance

 

hotline.

 

Sec. 808. By March 1 of the current fiscal year, the

 

department shall provide a report to the 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 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, a list

 

of all supplemental nutrition assistance program education funding

 

programs by implementing agency, and the stated purpose of each

 

program.

 

Sec. 809. (1) The purpose of the pathways to potential program

 

is to reduce chronic absenteeism and decrease the number of

 

students who repeat grades for schools that are current or future

 

participants in the pathways to potential program. Before any

 

deployment of 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 achieved improved performance in each of the 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 listed outcomes from the 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.

 

(2) As used in this section, "baseline" means the initial set

 

of data from the center for educational performance and information

 

in the department of technology, management, and budget of the 2

 

measured outcomes as described in subsection (1).

 

Sec. 825. From the funds appropriated in part 1, the

 

department shall provide individuals 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.

 

Sec. 850. (1) The department shall maintain out-stationed

 

eligibility specialists in community-based organizations, community

 

mental health agencies, nursing homes, adult placement and

 

independent living settings, federally qualified health centers,

 

and hospitals unless a community-based organization, community

 

mental health agency, nursing home, adult placement and independent

 

living setting, federally qualified health centers, or hospital

 

requests that the program be discontinued at its facility.

 

(2) From the funds appropriated in part 1 for donated funds

 

positions, the department shall enter into contracts with agencies

 

that are able and eligible under federal law to provide the

 

required matching funds for federal funding, as determined by

 

federal statute and regulations.

 

(3) A contract for an assistance payments donated funds

 

position must include, but not be limited to, the following

 

performance metrics:

 

(a) Meeting a standard of promptness for processing

 

applications for Medicaid and other public assistance programs

 

under state law.

 

(b) Meeting required standards for error rates in determining

 

programmatic eligibility as determined by the department.

 

(4) The department shall only fill additional donated funds

 

positions after a new contract has been signed. That position shall

 

also be abolished when the contract expires or is terminated.


(5) The department shall classify as limited-term FTEs any new

 

employees who are hired to fulfill the donated funds position

 

contracts or are hired to fill any vacancies from employees who

 

transferred to a donated funds position.

 

(6) By March 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 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.

 

Sec. 851. (1) The department shall maintain the improved

 

services provided by the staffing enhancement included in 2017 PA

 

107 that had the goal of reducing 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, establishing face-to-face contact

 

with the client within 72 hours, and completing the investigation

 

within 30 days.

 

(2) The department shall report by March 1 of the current

 

fiscal year 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 the services provided to

 

older adults who were victims of crime or fraud. This report shall

 

include, but is not limited to, the following:

 

(a) The number of older adults who were victims of crime in


the previous fiscal year and were provided services by the

 

department as a result of being victims of crime, by county.

 

(b) The number of older adults who were victims of fraud in

 

the previous fiscal year and were provided services by the

 

department as a result of being victims of fraud, by county.

 

(c) The percentage of cases that the department provided

 

services to, resulting from older adults who were victims of crime

 

or fraud, that achieved the standard of promptness, as described in

 

subsection (1), by county in the previous fiscal year.

 

 

 

DISABILITY DETERMINATION SERVICES

 

Sec. 890. From the funds appropriated in part 1 for disability

 

determination services, the department shall maintain the unit

 

rates in effect on September 30, 2019 for medical consultants

 

performing disability determination services, including physicians,

 

psychologists, and speech-language pathologists.

 

 

 

BEHAVIORAL HEALTH SERVICES

 

Sec. 901. Except for the pilot projects and demonstration

 

models described in section 298 of this part, the funds

 

appropriated in part 1 are intended to support a system of

 

comprehensive community mental health services under the full

 

authority and responsibility of local CMHSPs or PIHPs in accordance

 

with the mental health code, 1974 PA 258, MCL 330.1001 to 330.2106,

 

the Medicaid provider manual, federal Medicaid waivers, and all

 

other applicable federal and state laws.

 

Sec. 902. (1) Except for the pilot projects and demonstration

 


models described in section 298 of this part, from the funds

 

appropriated 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.

 

(2) The department shall immediately report to the senate and

 

house 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) shall include

 

information about the changes and their effects on rates and

 

expenditures.

 

Sec. 904. (1) By May 31 of the current fiscal year, the

 

department shall provide a report on the CMHSPs, PIHPs, and


designated regional entities for substance use disorder prevention

 

and treatment to the 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.

 

(2) The report shall contain information for each CMHSP, PIHP,

 

and designated regional entity for substance use disorder

 

prevention and treatment, and a statewide summary, each of which

 

shall include at least the following information:

 

(a) A 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.

 

(d) Data describing service outcomes that include, but are not

 

limited to, an evaluation of consumer satisfaction, consumer


choice, and quality of life concerns including, but not limited to,

 

housing and employment.

 

(e) Information about access to CMHSPs and designated regional

 

entities for substance use disorder prevention and treatment that

 

includes, but is not limited to, the following:

 

(i) The number of people receiving 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.

 

(3) The report shall contain the following information from

 

the previous fiscal year 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 reporting requirements

 

listed in subsections (2) and (3) in the annual contract with each

 

individual CMHSP, PIHP, and designated regional entity for

 

substance use disorder treatment and prevention.

 

(5) The department shall take all reasonable actions to ensure

 

that the data required are complete and consistent among all

 

CMHSPs, PIHPs, and designated regional entities for substance use

 

disorder prevention and treatment.

 

Sec. 905. (1) From the funds appropriated in part 1 for

 

behavioral health program administration, the department shall

 

maintain a psychiatric transitional unit and children's transition

 

support team. These services will augment the continuum of

 

behavioral health services for high-need youth and provide


additional continuity of care and transition into supportive

 

community-based services.

 

(2) Outcomes and performance measures for this initiative

 

include, but are not limited to, the following:

 

(a) The rate of rehospitalization for youth served through the

 

program at 30 and 180 days.

 

(b) Measured change in the Child and Adolescent Functional

 

Assessment Scale for children served through the program.

 

Sec. 907. (1) The amount appropriated in part 1 for community

 

substance use disorder prevention, education, and treatment shall

 

be expended to coordinate care and services provided to individuals

 

with severe and persistent mental illness and substance use

 

disorder diagnoses.

 

(2) The department shall approve managing entity fee schedules

 

for providing substance use disorder services and charge

 

participants in accordance with their ability to pay.

 

(3) The managing entity shall continue current efforts to

 

collaborate on the delivery of services to those clients with

 

mental illness and substance use disorder diagnoses with the goal

 

of providing services in an administratively efficient manner.

 

Sec. 909. From the funds appropriated in part 1 for community

 

substance use disorder prevention, education, and treatment, the

 

department shall use available revenue from the marihuana

 

regulatory fund established in section 604 of the medical marihuana

 

facilities licensing act, 2016 PA 281, MCL 333.27604, to improve

 

physical health; expand access to substance use disorder prevention

 

and treatment services; and strengthen the existing prevention,


treatment, and recovery systems.

 

Sec. 910. The department shall ensure that substance use

 

disorder treatment is provided to applicants and recipients of

 

public assistance through the department who are required to obtain

 

substance use disorder treatment as a condition of eligibility for

 

public assistance.

 

Sec. 911. (1) The department shall ensure that each contract

 

with a CMHSP or PIHP requires the CMHSP or PIHP to implement

 

programs to encourage diversion of individuals with serious mental

 

illness, serious emotional disturbance, or developmental disability

 

from possible jail incarceration when appropriate.

 

(2) Each CMHSP or PIHP shall have jail diversion services and

 

shall work toward establishing working relationships with

 

representative staff of local law enforcement agencies, including

 

county prosecutors' offices, county sheriffs' offices, county

 

jails, municipal police agencies, municipal detention facilities,

 

and the courts. Written interagency agreements describing what

 

services each participating agency is prepared to commit to the

 

local jail diversion effort and the procedures to be used by local

 

law enforcement agencies to access mental health jail diversion

 

services are strongly encouraged.

 

Sec. 912. The department shall contract directly with the

 

Salvation Army Harbor 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. 915. (1) By March 1 of the current fiscal year, the

 

department shall report the following information on the mental

 

health and wellness commission 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:

 

(a) Previous fiscal year expenditures by actionable

 

recommendation of the mental health and wellness commission.

 

(b) Programs utilized during the previous fiscal year to

 

address each actionable recommendation of the mental health and

 

wellness commission.

 

(c) Outcomes and performance measures achieved during the

 

previous fiscal year by actionable recommendation of the mental

 

health and wellness commission.

 

(d) Current fiscal year funding by actionable recommendation

 

of the mental health and wellness commission.

 

(e) Current fiscal year funding by program utilized to address

 

each actionable recommendation of the mental health and wellness

 

commission.

 

(2) By April 1 of the current fiscal year, the department

 

shall report on funding within the executive budget proposal for

 

the fiscal year ending September 30, 2021, by actionable

 

recommendation of the mental health and wellness commission to the

 

same report recipients listed in subsection (1).

 

Sec. 918. On or before the twenty-fifth of each month, the

 

department shall report 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.

 

Sec. 920. (1) As part of the Medicaid rate-setting process for

 

behavioral health services, the department shall work with PIHP

 

network providers and actuaries to include any state and federal

 

wage and compensation increases that directly impact staff who

 

provide Medicaid-funded community living supports, personal care

 

services, respite services, skill-building services, and other

 

similar supports and services as part of the Medicaid rate.

 

(2) It is the intent of the legislature that any increased

 

Medicaid rate related to state minimum wage increases shall also be

 

distributed to direct care employees.

 

Sec. 924. From the funds appropriated in part 1 for autism

 

services, for the purposes of actuarially sound rate certification

 

and approval for Medicaid behavioral health managed care programs,

 

the department shall maintain a fee schedule for autism services

 

reimbursement rates for direct services. Expenditures used for rate

 

setting shall not exceed those identified in the fee schedule. The

 

rates for behavioral technicians shall be maintained at the hourly

 

rate in place in the previous fiscal year, but shall not be less

 

than $50.00 per hour.


Sec. 925. From the funds appropriated in part 1 for community

 

mental health non-Medicaid services, each CMHSP is allocated not

 

less than the amount allocated to that CMHSP during the previous

 

fiscal year.

 

Sec. 926. From the funds appropriated in part 1 for community

 

substance use disorder prevention, education, and treatment,

 

$500,000.00 is allocated for a specialized substance use disorder

 

detoxification pilot project administered by a 9-1-1 service

 

district in conjunction with a substance use and case management

 

provider and at a hospital in a city with a population between

 

95,000 and 97,000 within a county with a population of at least

 

1,500,000. 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. The substance

 

use and case management provider shall collect and submit to the

 

department data on the outcomes of the pilot project throughout the

 

duration of the pilot project and shall provide a report on the

 

pilot project's outcomes to the house and senate appropriations

 

subcommittees on the department budget, the house and senate fiscal

 

agencies, and the state budget office.

 

Sec. 928. (1) Each PIHP shall provide, from internal

 

resources, local funds to be used as a part of the state match

 

required under the Medicaid program in order to increase capitation

 

rates for PIHPs. These funds 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 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.

 

(3) It is the intent of the legislature that the 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 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 during the fiscal year ending September 30, 2018 for

 

this purpose.

 

Sec. 935. A county required under the provisions of the mental

 

health code, 1974 PA 258, MCL 330.1001 to 330.2106, to provide

 

matching funds to a CMHSP for mental health services rendered to

 

residents in its jurisdiction shall pay the matching funds in equal


installments on not less than a quarterly basis throughout the

 

fiscal year, with the first payment being made by October 1 of the

 

current fiscal year.

 

Sec. 940. (1) According to section 236 of the mental health

 

code, 1974 PA 258, MCL 330.1236, the department shall do both of

 

the following:

 

(a) Review expenditures for each CMHSP to identify CMHSPs with

 

projected allocation surpluses and to identify CMHSPs with

 

projected allocation shortfalls. The department shall encourage the

 

board of a CMHSP with a projected allocation surplus to concur with

 

the department's recommendation to reallocate those funds to CMHSPs

 

with projected allocation shortfalls.

 

(b) Withdraw unspent funds that have been allocated to a CMHSP

 

if other reallocated 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.

 

(2) A CMHSP that has its funding allocation transferred out or

 

withdrawn during the current fiscal year as described in subsection

 

(1) is not eligible for any additional funding reallocations during

 

the remainder of the current fiscal year, unless that CMHSP is

 

responding to a public health emergency as determined by the

 

department.

 

(3) CMHSPs shall report to the department on any proposed

 

reallocations described in this section at least 30 days before any

 

reallocations take effect.

 

(4) The department shall notify the chairs of the


appropriation subcommittees on the department budget when a request

 

is made and when the department grants approval for reallocation or

 

withdraw as described in subsection (1). By September 30 of the

 

current fiscal year, the department shall provide a report on the

 

amount of funding reallocated or withdrawn to the senate and house

 

appropriations subcommittees on the department budget, the senate

 

and house fiscal agencies, the senate and house policy offices, and

 

the state budget office.

 

Sec. 942. A CMHSP shall provide at least 30 days' notice

 

before reducing, terminating, or suspending services provided by a

 

CMHSP to CMHSP clients, with the exception of services authorized

 

by a physician that no longer meet established criteria for medical

 

necessity.

 

Sec. 950. From the funds appropriated in part 1 for court-

 

appointed guardian and conservator reimbursements, the department

 

shall allocate not more than $2,700,000.00 to reimburse court-

 

appointed public guardians and conservators for recipients who also

 

receive CMHSP services at a reimbursement of $50.00 per month. It

 

is the intent of the legislature that these funds be used in

 

addition to any other funds currently paid to court-appointed

 

public guardians and conservators, but a court-appointed public

 

guardian or conservator shall not be compensated more than $83.00

 

per month for any CMHSP eligible recipients regardless of funding

 

source. 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 court-appointed public guardians and

 

conservators who received these funds, the number of court-

 

appointed public guardians and conservators who were also

 

reimbursed by the counties, and the per-month reimbursement rates

 

provided by the counties.

 

Sec. 959. (1) The department shall continue to convene a

 

workgroup in 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) Ways to prevent fraud and overdiagnosis.

 

(b) Comparison of Medicaid rates for autism services to

 

commercial insurance rates.

 

(c) Comparison of diagnosis process between Medicaid, Tricare,

 

and commercial insurance.

 

(2) By March 1 of the current fiscal year, the department

 

shall provide an update on the 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.

 

Sec. 961. From the funds appropriated in part 1 for behavioral

 

health program administration, the department shall allocate

 

$150,000.00 to administer an electronic inpatient psychiatric bed

 

registry consistent with the requirements in section 151 of the


mental health code, 1974 PA 258, MCL 330.1151.

 

Sec. 972. From the funds appropriated in part 1 for behavioral

 

health program administration, the department shall allocate

 

$2,000,000.00 general fund/general purpose revenue and any

 

associated federal revenue to contract for the development,

 

operation, and maintenance of a Michigan community, access,

 

resources, education, and safety (CARES) hotline consistent with

 

the requirements in section 165 of the mental health code, 1974 PA

 

258, MCL 330.1165. It is the intent of the legislature that this

 

hotline would be available to all residents of this state,

 

including those residing in rural communities.

 

Sec. 973. By May 1 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 best practices of administering a monthly extended-

 

release injectable medication assisted treatment for substance use

 

disorder. The report shall include, but is not limited to, the

 

following:

 

(a) Outcomes of different types of comprehensive management

 

programs utilized with a monthly extended-release injectable

 

medication-assisted treatment.

 

(b) Outcomes of different types of step down protocols for a

 

monthly extended-release injectable medication-assisted treatment,

 

including instances of patient deaths from overdose that occur

 

within 1 year after the completion of a step down program.

 

(c) Whether the department recommends changes in how the


department administers, whether directly or through the PIHPs,

 

monthly extended-release injectable medication-assisted treatment

 

protocols.

 

Sec. 974. The department and PIHPs shall allow an individual

 

with an intellectual or developmental disability who receives

 

supports and services from a CMHSP to instead receive supports and

 

services from another provider if the individual shows that 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).

 

Sec. 976. (1) The department shall work with a single county

 

PIHP and CMHSP that is currently not participating in any other

 

pilot project to pilot a physical and behavioral health integrated

 

service demonstration model without public funds being transferred

 

to Medicaid health plans. This pilot project is not contingent on

 

approval of a Section 1115 waiver from CMS.

 

(2) The pilot project, to achieve integrated practices in the

 

state, shall demonstrate a successful expansion of existing local

 

and statewide integrated efforts as currently mandated by the

 

department, and shall continue to include care coordination, risk

 

stratification, data sharing, and health care technology. This

 

contractual mandate by the department shall include shared care

 

coordination between the PIHP and Medicaid health plans for

 

individuals they serve jointly. Care coordination shall be made

 

possible through health-related information maintained through the

 

department's CareConnect 360 platform and health information


exchanges. The PIHP and Medicaid health plans shall meet monthly,

 

as required by the department, to review health information of all

 

jointly served individuals. From this group, those individuals with

 

the greatest level of need shall be identified to receive joint

 

care coordination. The PIHP and Medicaid health plans shall

 

collaborate to develop a shared care plan for each of these

 

individuals with the greatest level of need.

 

(3) It is the intent of the legislature that the pilot project

 

shall be designed to last at least 2 years.

 

(4) The pilot project shall increase the number of individuals

 

who meet criteria for expanded care coordination for all

 

individuals on the stratification list provided by the department

 

via the CareConnect 360 platform. Additionally, the pilot project

 

shall expand the focus of care coordination to include anyone who

 

is identified as not receiving the health care services as

 

identified by the HEDIS measures. Specifically, the follow-up after

 

hospitalization, plan all cause readmission, and diabetes screening

 

for people with schizophrenia or bipolar disorder who are using

 

antipsychotic medications.

 

(5) It is the intent of the legislature that the primary

 

purpose of the pilot project is to test how the state may better

 

integrate behavioral and physical health delivery systems in order

 

to improve behavioral and physical health outcomes, maximize

 

efficiencies, minimize unnecessary costs, and achieve material

 

increases in behavioral health services without increases in

 

overall Medicaid spending. Specific outcome measurements of the

 

pilot project shall include decreased emergency room visits,


decreased hospitalizations, increased primary care and preventative

 

services, increased stable housing, increased competitive

 

employment, and improved HEDIS scores for the outcome measurements

 

described in this section.

 

(6) Within 90 days after completion of the pilot project under

 

this section, the PIHP and Medicaid health plans shall submit a

 

joint 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

 

detailing their experiences, lessons learned, the outcome

 

measurements described in subsection (5), any efficiencies and

 

savings revealed for the PIHP and the Medicaid health plans, and

 

any increases in investment on behavioral health services from the

 

PIHP and the Medicaid health plans.

 

Sec. 977. From the funds appropriated in part 1 for community

 

substance use disorder prevention, education, and treatment,

 

$450,000.00 of federal state response to the opioid crisis grant

 

revenue is allocated to a high school specifically designated for

 

students recovering from a substance use disorder to support the

 

costs of counselors, with a priority placed on the cost of

 

substance use disorder counselors.

 

Sec. 978. From the funds appropriated in part 1 for community

 

substance use disorder prevention, education, and treatment, the

 

department shall allocate $600,000.00 of federal state response to

 

the opioid crisis grant revenue to create a competitive grant for

 

recovery community organizations to offer or expand recovery

 

support center services or recovery community center services to


individuals seeking long-term recovery from substance use

 

disorders. An organization may not receive a grant in excess of

 

$150,000.00. In awarding grants, priority shall be placed on

 

recovery community organizations that do the following:

 

(a) Provide recovery support navigation that includes the

 

following:

 

(i) Multiple recovery pathways.

 

(ii) Assisting individuals navigate recovery resources such as

 

detoxification, treatment, recovery housing, support groups, peer

 

support, and family support.

 

(iii) The promotion of community wellness and 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.

 

(c) Provide recovery activities and events 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.

 

Sec. 994. (1) By January 1 of the current fiscal year, the

 

department shall seek, if necessary, federal approval through

 

either a waiver request or state plan amendment to allow a CMHSP,

 

PIHP, or subcontracting provider agency that is reviewed and

 

accredited by a national accrediting entity for behavioral health

 

care services to be considered in compliance with state program

 

review and audit requirements that are addressed and reviewed by

 

that national accrediting entity.

 

(2) By April 1 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, and

 

the state budget office all of the following:

 

(a) The status of the federal approval process required in

 

subsection (1).

 

(b) A list of each CMHSP, PIHP, and subcontracting provider

 

agency that is considered to be in compliance with state program

 

review and audit requirements under subsection (1).

 

(c) For each CMHSP, PIHP, or subcontracting provider agency

 

described in subdivision (b), both of the following:


(i) The state program review and audit requirements that the

 

CMHSP, PIHP, or subcontracting provider agency is considered to be

 

in compliance with.

 

(ii) The national accrediting entity that reviewed and

 

accredited the CMHSP, PIHP, or subcontracting provider agency.

 

(3) The department shall continue to comply with state and

 

federal law and shall not initiate an action that negatively

 

impacts beneficiary safety. Any cost savings attributed to this

 

action shall be reinvested back into services.

 

(4) As used in this section, "national accrediting entity"

 

means the Joint Commission, formerly known as the Joint Commission

 

on Accreditation of Healthcare Organizations, the Commission on

 

Accreditation of Rehabilitation Facilities, the Council on

 

Accreditation, the URAC, formerly known as the Utilization Review

 

Accreditation Commission, the National Committee for Quality

 

Assurance, or another appropriate entity, as approved by the

 

department.

 

Sec. 995. From the funds appropriated in part 1 for mental

 

health diversion council, $4,350,000.00 is intended to address the

 

recommendations of the mental health diversion council.

 

Sec. 996. From the funds appropriated in part 1 for family

 

support subsidy, the 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.

 

Sec. 997. The population data used in determining the

 

distribution of substance use disorder block grant funds shall be

 

from the most recent federal census.


Sec. 998. For distribution of state general funds to CMHSPs,

 

if the department decides to use census data, the department shall

 

use the most recent federal census data available.

 

Sec. 999. Within 30 days after the completion of a statewide

 

PIHP 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.

 

Sec. 1001. By December 31 of the current fiscal year, each

 

CMHSP shall submit a report to the department that identifies

 

populations being served by the CMHSP broken down by program

 

eligibility category. The report shall also include the percentage

 

of the operational budget that is related to program eligibility

 

enrollment. By February 15 of the current fiscal year, the

 

department shall submit the report described in this section to the

 

senate and house appropriations subcommittees on the department

 

budget, the senate and house fiscal agencies, the senate and house

 

policy offices, and the state budget office.

 

Sec. 1003. The department shall notify the Community Mental

 

Health Association of Michigan when developing policies and

 

procedures that will impact PIHPs or CMHSPs.

 

Sec. 1004. The department shall provide 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 Medicaid behavioral health services or

 

non-Medicaid mental health services 90 days before implementation.

 

The notification shall include a table showing the changes in


funding allocation by PIHP for Medicaid behavioral health services

 

or by CMHSP for non-Medicaid mental health services.

 

Sec. 1005. For the purposes of special projects involving

 

high-need children or adults, including the not guilty by reason of

 

insanity population, the department may contract directly with

 

providers of services to these identified populations.

 

Sec. 1008. PIHPs and CMHSPs shall do all of the following:

 

(a) Work to reduce administration costs by ensuring that PIHP

 

and CMHSP responsible functions are efficient in allowing optimal

 

transition of dollars to those direct services considered most

 

effective in assisting individuals served. Any consolidation of

 

administrative functions must demonstrate, by independent analysis,

 

a reduction in dollars spent on administration resulting in greater

 

dollars spent on direct services. Savings resulting from increased

 

efficiencies shall not be applied to PIHP and CMHSP net assets,

 

internal service fund increases, building costs, increases in the

 

number of PIHP and CMHSP personnel, or other areas not directly

 

related to the delivery of improved services.

 

(b) Take an active role in managing mental health care by

 

ensuring consistent and high-quality service delivery throughout

 

its network and promote a conflict-free care management

 

environment.

 

(c) Ensure that direct service rate variances are related to

 

the level of need or other quantifiable measures to ensure that the

 

most money possible reaches direct services.

 

(d) Whenever possible, promote fair and adequate direct care

 

reimbursement, including fair wages for direct service workers.


Sec. 1009. (1) From the funds appropriated in part 1 for

 

Medicaid mental health services and Healthy Michigan plan -

 

behavioral health, the department shall maintain the hourly wage

 

for direct care workers from the previous fiscal year.

 

(2) Each PIHP shall report to the department by February 1 of

 

the current fiscal year the range of wages paid to direct care

 

workers, including information on the number of direct care workers

 

at each wage level.

 

(3) The department shall report the 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.

 

Sec. 1010. From the funds appropriated in part 1 for court-

 

ordered assisted outpatient treatment, up to $1,000,000.00 shall be

 

allocated to address the implementation of court-ordered assisted

 

outpatient treatment as provided under chapter 4 of the mental

 

health code, 1974 PA 258, MCL 330.1400 to 330.1490.

 

 

 

STATE PSYCHIATRIC HOSPITALS AND FORENSIC MENTAL HEALTH SERVICES

 

Sec. 1051. The department shall continue a revenue recapture

 

project to generate additional revenues from third parties related

 

to cases that have been closed or are inactive. A portion of

 

revenues collected through project efforts may be used for

 

departmental costs and contractual fees associated with these

 

retroactive collections and to improve ongoing departmental

 

reimbursement management functions.

 


Sec. 1052. The purpose of gifts and bequests for patient

 

living and treatment environments is to use additional private

 

funds to provide specific enhancements for individuals residing at

 

state-operated facilities. Use of the gifts and bequests shall be

 

consistent with the stipulation of the donor. The expected

 

completion date for the use of gifts and bequests donations is

 

within 3 years unless otherwise stipulated by the donor.

 

Sec. 1055. (1) The department shall not implement any closures

 

or consolidations of state hospitals, centers, or agencies until

 

CMHSPs or PIHPs have programs and services in place for those

 

individuals currently in those facilities and a plan for service

 

provision for those individuals who would have been admitted to

 

those facilities.

 

(2) All closures or consolidations are dependent 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 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 operations and after

 

transitional costs have been paid, the remaining balances of funds

 

appropriated for that operation shall be transferred to CMHSPs or


PIHPs responsible for providing services for individuals previously

 

served by the operations.

 

Sec. 1056. The department may collect revenue for patient

 

reimbursement from first- and third-party payers, including

 

Medicaid and local county CMHSP payers, to cover the cost of

 

placement in state hospitals and centers. The department is

 

authorized to adjust financing sources for patient reimbursement

 

based on actual revenues earned. If the revenue collected exceeds

 

current year expenditures, the revenue may be carried forward with

 

approval of the state budget director. The revenue carried forward

 

shall be used as a first source of funds in the subsequent year.

 

Sec. 1058. Effective October 1 of the current fiscal year, the

 

department, in consultation with the department of technology,

 

management, and budget, may maintain a bid process to identify 1 or

 

more private contractors to provide food service and custodial

 

services for the administrative areas at any state hospital

 

identified by the department as capable of generating savings

 

through the outsourcing of such services.

 

Sec. 1059. (1) The department shall identify specific outcomes

 

and performance measures for state-operated hospitals and centers,

 

including, but not limited to, the following:

 

(a) The average wait time for persons determined incompetent

 

to stand trial before admission to the center for forensic

 

psychiatry.

 

(b) The average wait time for persons determined incompetent

 

to stand trial before admission to other state-operated psychiatric

 

facilities.


(c) The number of persons waiting to receive services at the

 

center for forensic psychiatry.

 

(d) The number of persons waiting to receive services at other

 

state-operated hospitals and centers.

 

(e) The number of persons determined not guilty by reason of

 

insanity or incompetent to stand trial through a probate order that

 

have been determined ready for discharge to the community, and the

 

average wait time between being determined ready for discharge to

 

the community and actual community placement.

 

(2) By March 1 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 office on the

 

outcomes and performance measures in subsection (1).

 

Sec. 1060. (1) The department shall continue to convene a

 

workgroup that meets at least quarterly in collaboration with the

 

chairs of the house and senate appropriations subcommittees on the

 

department budget or their designees, labor union representation,

 

civil service, and any other appropriate parties to recommend

 

solutions to address mandatory overtime, staff turnover, and staff

 

retention at the state psychiatric hospitals and centers,

 

including, but not limited to, permitting retired workers to

 

return, permitting 12-hour shifts, and permitting hiring of part-

 

time workers.

 

(2) By March 1 of the current fiscal year, the department

 

shall provide a status update on the department's implementation of

 

the 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. The report

 

shall include descriptions of the measures being implemented,

 

descriptions of the measures not being implemented and barriers

 

preventing implementation, the number of direct care and clinical

 

staff positions that are currently vacant by hospital, and a

 

breakdown of voluntary and mandatory overtime hours worked by

 

position and by hospital.

 

Sec. 1061. The funds appropriated in part 1 for Caro Regional

 

Mental Health Center shall only be utilized to support a

 

psychiatric hospital located at its current location. It is the

 

intent of the legislature that the Caro Regional Mental Health

 

Center shall remain open and operational at its current location on

 

an ongoing basis. Capital outlay funding shall be utilized for

 

planning and construction of a new or updated facility at the

 

current location instead of at a new location.

 

 

 

HEALTH AND HUMAN SERVICES POLICY AND INITIATIVES

 

Sec. 1140. From the funds appropriated in part 1 for primary

 

care services, $400,000.00 shall be allocated to free health

 

clinics operating in the state. The department shall distribute the

 

funds equally to each free health clinic. For the purpose of this

 

appropriation, "free health clinics" means nonprofit organizations

 

that use volunteer health professionals to provide care to

 

uninsured individuals.

 

Sec. 1142. The department shall continue to seek means to

 

increase retention of Michigan medical school students for

 


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.

 

Sec. 1144. (1) From the funds appropriated in part 1 for

 

health policy administration, the department shall allocate the

 

federal state innovation model grant funding that supports

 

implementation of the health delivery system innovations detailed

 

in this state's "Reinventing Michigan's Health Care System:

 

Blueprint for Health Innovation" document. This initiative will

 

test new payment methodologies, support improved population health

 

outcomes, and support improved infrastructure for technology and

 

data sharing and reporting. The funds will be used to provide

 

financial support directly to regions participating in the model

 

test and to support statewide stakeholder guidance and technical

 

support.

 

(2) Outcomes and performance measures for the initiative under

 

subsection (1) include, but are not limited to, the following:

 

(a) Increasing the number of physician practices fulfilling

 

patient-centered medical home functions.

 

(b) Reducing inappropriate health utilization, specifically

 

reducing preventable emergency department visits, reducing the

 

proportion of hospitalizations for ambulatory sensitive conditions,

 

and reducing this state's 30-day hospital readmission rate.

 

(3) On a semiannual basis, 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 on the status of the program and progress

 

made since the prior report.

 

(4) From the funds appropriated in part 1 for health policy

 

administration, any data aggregator created as part of the

 

allocation of the federal state innovation model grant funds must

 

meet the following standards:

 

(a) The primary purpose of the data aggregator must be to

 

increase the quality of health care delivered in this state, while

 

reducing costs.

 

(b) The data aggregator must be governed by a nonprofit

 

entity.

 

(c) All decisions regarding the establishment, administration,

 

and modification of the database must be made by an advisory board.

 

The membership of the advisory board must include the director of

 

the department or a designee of the director and representatives of

 

health carriers, consumers, and purchasers.

 

(d) The Michigan Data Collaborative shall be the data

 

aggregator to receive health care claims information from, without

 

limitation, commercial health carriers, nonprofit health care

 

corporations, health maintenance organizations, and third party

 

administrators that process claims under a service contract.

 

(e) The data aggregator must use existing data sources and

 

technological infrastructure, to the extent possible.

 

Sec. 1145. The department will take steps necessary to work

 

with </