part 1

line-item appropriations

Sec. 101. There is appropriated for the department of health and human services for the fiscal year ending September 30, 2024, from the following funds:

DEPARTMENT OF HEALTH AND HUMAN SERVICES
APPROPRIATION SUMMARY
Full-time equated unclassified positions	6.0
Full-time equated classified positions	15,728.0

Average population	798.0
GROSS APPROPRIATION		$	35,499,363,300
Interdepartmental grant revenues:
Total interdepartmental grants and intradepartmental transfers			14,676,900
ADJUSTED GROSS APPROPRIATION		$	35,484,686,400
Federal revenues:
Capped federal revenues			505,666,800
Social security act, temporary assistance for needy families			550,622,300
Total other federal revenues			24,684,928,200
Special revenue funds:
Total local revenues			154,718,100
Total private revenues			185,660,700
Michigan merit award trust fund			61,268,700
Total other state restricted revenues			2,989,057,700
State general fund/general purpose		$	6,352,763,900
Sec. 102. DEPARTMENTAL ADMINISTRATION AND SUPPORT
Full-time equated unclassified positions	6.0
Full-time equated classified positions	930.4
Unclassified salaries--FTEs	6.0	$	1,363,300
Administrative hearings officers			9,995,400
Child welfare institute--FTEs	55.0		9,313,800
Demonstration projects--FTEs	7.0		7,070,800
Departmental administration and management--FTEs	653.4		106,960,800
Legal services			12,300,000

Office of inspector general--FTEs	197.0		25,869,800
Property management			61,762,900
Terminal leave payments			7,091,300
Training and program support--FTEs	18.0		2,610,500
Warehouse operations			1,400,000
Worker's compensation			8,515,500
GROSS APPROPRIATION		$	254,254,100
Appropriated from:
Interdepartmental grant revenues:
IDG from department of education			1,939,800
IDG from department of technology, management, and budget - office of retirement services			600
Federal revenues:
Social security act, temporary assistance for needy families			27,448,800
Capped federal revenues			19,629,300
Total other federal revenues			73,135,400
Special revenue funds:
Total local revenues			86,000
Total private revenues			3,846,900
Total other state restricted revenues			1,337,300
State general fund/general purpose		$	126,830,000
Sec. 103. CHILD SUPPORT ENFORCEMENT
Full-time equated classified positions	193.7
Child support enforcement operations--FTEs	187.7	$	25,679,000
Child support incentive payments			24,409,600
Legal support contracts			113,600,300
State disbursement unit--FTEs	6.0		7,362,800

GROSS APPROPRIATION		$	171,051,700
Appropriated from:
Federal revenues:
Capped federal revenues			14,839,600
Total other federal revenues			130,956,600
State general fund/general purpose		$	25,255,500
Sec. 104. COMMUNITY SERVICES AND OUTREACH
Full-time equated classified positions	56.0
Bureau of community services and outreach--FTEs	24.0	$	4,268,700
Community services and outreach administration--FTEs	20.0		7,292,300
Community services block grant			25,840,000
Homeless programs--FTE	1.0		24,082,500
Housing and support services			13,031,000
Kids' food basket			525,000
Runaway and homeless youth grants			17,784,000
School success partnership program			525,000
Weatherization assistance			15,505,000
Weatherization assistance IIJA--FTEs	11.0		40,000,000
GROSS APPROPRIATION		$	148,853,500
Appropriated from:
Federal revenues:
Social security act, temporary assistance for needy families			18,121,500
Capped federal revenues			91,690,800
Total other federal revenues			14,329,000
State general fund/general purpose		$	24,712,200

Sec. 105. CHILDREN'S SERVICES AGENCY - CHILD WELFARE
Full-time equated classified positions	4,111.2
Adoption subsidies		$	222,199,700
Adoption support services--FTEs	10.0		41,347,900
Attorney general contract			5,191,100
Child abuse and neglect - children's justice act--FTE	1.0		627,000
Child care fund			284,951,100
Child care fund - indirect cost allotment			3,500,000
Child protection			2,050,300
Child welfare administration travel			390,000
Child welfare field staff - noncaseload compliance--FTEs	353.0		41,180,100
Child welfare licensing--FTEs	59.0		7,352,900
Child welfare medical/psychiatric evaluations			10,428,500
Children's protective services - caseload staff--FTEs	1,615.0		170,526,200
Children's protective services supervisors--FTEs	387.0		47,824,000
Children's services administration--FTEs	212.2		26,881,900
Children's trust fund--FTEs	12.0		4,735,100
Contractual services, supplies, and materials			9,567,600
Court-appointed special advocates			1,000,000
Education planners--FTEs	15.0		1,990,000
Family preservation and prevention services administration--FTEs	9.0		1,405,200
Family preservation programs--FTEs	34.0		57,837,700

Foster care payments			295,901,300
Foster care services - caseload staff--FTEs	966.0		97,749,000
Foster care services supervisors--FTEs	227.0		30,931,300
Guardianship assistance program			12,739,000
Interstate compact			179,600
Peer coaches--FTEs	45.5		6,267,000
Performance-based funding implementation--FTEs	3.0		1,353,800
Permanency resource managers--FTEs	28.0		3,482,400
Prosecuting attorney contracts			8,142,800
Raise the age fund			13,150,000
Second line supervisors and technical staff--FTEs	126.0		19,799,100
Settlement monitor			2,709,800
Strong families/safe children			12,600,000
Title IV-E compliance and accountability office--FTEs	4.0		457,000
Youth in transition--FTEs	4.5		9,178,500
GROSS APPROPRIATION		$	1,455,626,900
Appropriated from:
Interdepartmental grant revenues:
IDG from department of education			244,400
Federal revenues:
Social security act, temporary assistance for needy families			322,421,600
Capped federal revenues			105,283,700
Total other federal revenues			270,282,500
Special revenue funds:
Local funds - county chargeback			36,896,600

Private - collections			1,500,000
Children's trust fund			2,895,300
Total other state restricted revenues			2,000,000
State general fund/general purpose		$	714,102,800
Sec. 106. CHILDREN'S SERVICES AGENCY - JUVENILE JUSTICE
Full-time equated classified positions	132.5
Bay Pines Center--FTEs	53.0	$	6,485,300
Committee on juvenile justice administration--FTEs	2.5		362,600
Committee on juvenile justice grants			3,000,000
Community support services--FTEs	3.0		1,507,600
County juvenile officers			3,977,600
Juvenile justice, administration and maintenance--FTEs	21.0		3,801,200
Shawono Center--FTEs	53.0		6,523,700
GROSS APPROPRIATION		$	25,658,000
Appropriated from:
Federal revenues:
Capped federal revenues			7,929,400
Total other federal revenues			643,600
Special revenue funds:
Local funds - state share education funds			1,362,600
Local funds - county chargeback			4,515,300
State general fund/general purpose		$	11,207,100
Sec. 107. PUBLIC ASSISTANCE
Full-time equated classified positions	1.0
Emergency services local office allocations		$	8,813,500

Family independence program			61,547,000
Family independence program - clothing allowance			10,000,000
Family independence program - small child supplemental payment			4,154,400
Food assistance program benefits			5,273,474,400
Food assistance program benefits - state supplementation			5,000,000
Food Bank Council of Michigan			12,045,000
Indigent burial			4,369,100
Low-income home energy assistance program			174,951,600
Michigan energy assistance program--FTE	1.0		50,000,000
Refugee assistance program			3,054,200
State disability assistance payments			3,960,000
State supplementation			61,913,400
State supplementation administration			1,806,100
GROSS APPROPRIATION		$	5,675,088,700
Appropriated from:
Federal revenues:
Social security act, temporary assistance for needy families			65,110,900
Capped federal revenues			178,005,800
Total other federal revenues			5,268,764,400
Special revenue funds:
Child support collections			8,798,900
Low-income energy assistance fund			50,000,000
Public assistance recoupment revenue			4,741,800
Supplemental security income recoveries			992,400

State general fund/general purpose		$	98,674,500
Sec. 108. LOCAL OFFICE OPERATIONS AND SUPPORT SERVICES
Full-time equated classified positions	5,738.5
Administrative support workers--FTEs	167.0	$	14,515,000
Adult services local office staff--FTEs	530.0		63,609,600
Contractual services, supplies, and materials			25,033,700
Critical health and wellness center operations			100
Donated funds positions--FTEs	237.0		28,462,200
Elder Law of Michigan MiCAFE contract			350,000
Electronic benefit transfer (EBT)			8,499,000
Employment and training support services			4,219,100
Equity and minority health			1,000,200
Food assistance reinvestment--FTEs	16.0		7,438,300
Local office policy and administration--FTEs	125.0		20,409,300
Local office staff travel			8,252,400
Medical/psychiatric evaluations			1,120,100
Nutrition education--FTEs	2.0		33,037,700
Pathways to potential--FTEs	231.0		25,390,700
Public assistance local office staff--FTEs	4,430.5		485,454,100
Social determinants of health hub			500,000
SSI advocacy legal services grant			375,000
GROSS APPROPRIATION		$	727,666,500
Appropriated from:
Interdepartmental grant revenues:
IDG from department of corrections			120,200
IDG from department of education			7,766,600
Federal revenues:

Social security act, temporary assistance for needy families			73,233,900
Capped federal revenues			55,328,300
Total other federal revenues			274,623,200
Special revenue funds:
Local funds - donated funds			4,253,600
Private funds - donated funds			9,759,300
Private revenues			250,000
State general fund/general purpose		$	302,331,400
Sec. 109. DISABILITY DETERMINATION SERVICES
Full-time equated classified positions	585.4
Disability determination operations--FTEs	581.3	$	115,537,200
Retirement disability determination--FTEs	4.1		636,200
GROSS APPROPRIATION		$	116,173,400
Appropriated from:
Interdepartmental grant revenues:
IDG from department of technology, management, and budget - office of retirement services			812,800
Federal revenues:
Total other federal revenues			111,563,800
State general fund/general purpose		$	3,796,800
Sec. 110. BEHAVIORAL HEALTH PROGRAM ADMINISTRATION AND SPECIAL PROJECTS
Full-time equated classified positions	83.0
Behavioral health program administration--FTEs	45.0	$	53,959,900
Community substance use disorder prevention, education, and treatment--FTEs	9.0		80,199,700
Family support subsidy			12,654,900

Federal and other special projects			2,535,600
Gambling addiction--FTE	1.0		5,517,400
Mental health diversion council			3,850,000
Office of recipient rights--FTEs	26.0		3,563,800
Opioid response activities--FTEs	2.0		90,354,600
Protection and advocacy services support			194,400
GROSS APPROPRIATION		$	252,830,300
Appropriated from:
Federal revenues:
Social security act, temporary assistance for needy families			12,654,900
Total other federal revenues			170,105,100
Special revenue funds:
Total private revenues			2,904,700
Total other state restricted revenues			31,000,600
State general fund/general purpose		$	36,165,000
Sec. 111. BEHAVIORAL HEALTH SERVICES
Full-time equated classified positions	18.0
Autism services		$	283,133,200
Behavioral health community supports and services--FTEs	7.0		43,945,200
Certified community behavioral health clinic demonstration			106,654,900
Civil service charges			297,500
Community mental health non-Medicaid services			125,578,200
Court-appointed guardian reimbursements			5,000,000
Federal mental health block grant--FTEs	4.0		24,461,100
Health homes			53,400,100

Healthy Michigan plan - behavioral health			590,959,600
Medicaid mental health services			3,088,701,000
Medicaid substance use disorder services			93,445,100
Multicultural integration funding			17,284,900
Nursing home PAS/ARR-OBRA--FTEs	7.0		13,959,300
State disability assistance program substance use disorder services			2,018,800
GROSS APPROPRIATION		$	4,448,838,900
Appropriated from:
Federal revenues:
Social security act, temporary assistance for needy families			421,000
Capped federal revenues			184,500
Total other federal revenues			2,971,387,600
Special revenue funds:
Total local revenues			10,190,500
Total other state restricted revenues			46,666,700
State general fund/general purpose		$	1,419,988,600
Sec. 112. STATE PSYCHIATRIC HOSPITALS AND FORENSIC MENTAL HEALTH SERVICES
Full-time equated classified positions	2,536.6
Average population	798.0
Caro Regional Mental Health Center - psychiatric hospital - adult--FTEs	528.7	$	59,040,300
Average population	145.0
Center for forensic psychiatry--FTEs	622.5		98,168,600
Average population	240.0

Developmental disabilities council and projects--FTEs	10.0		3,165,200
Gifts and bequests for patient living and treatment environment			1,000,000
Hawthorn Center - psychiatric hospital - children and adolescents--FTEs	369.4		51,363,600
Average population	83.0
IDEA, federal special education			120,000
Kalamazoo Psychiatric Hospital - adult--FTEs	559.2		70,143,200
Average population	170.0
Purchase of medical services for residents of hospitals and centers			445,600
Revenue recapture			750,100
Special maintenance			924,600
State hospital administration--FTEs	34.0		5,576,300
Walter P. Reuther Psychiatric Hospital - adult--FTEs	412.8		67,577,800
Average population	160.0
GROSS APPROPRIATION		$	358,275,300
Appropriated from:
Federal revenues:
Total other federal revenues			45,756,100
Special revenue funds:
Total local revenues			23,283,200
Total private revenues			1,000,000
Total other state restricted revenues			15,189,200
State general fund/general purpose		$	273,046,800

Sec. 113. HEALTH AND HUMAN SERVICES POLICY AND INITIATIVES
Full-time equated classified positions	74.3
Cellular therapy program		$	750,000
Certificate of need program administration--FTEs	11.3		2,713,000
Child advocacy centers			1,407,000
Child advocacy centers - supplemental grants			2,000,000
Community health programs			5,000,000
Crime victim grants administration services--FTEs	17.0		3,038,200
Crime victim justice assistance grants			98,579,300
Crime victim rights services grants			24,269,900
Domestic violence prevention and treatment--FTEs	15.6		18,340,200
Healthy and resilient communities			5,000,000
High social vulnerability index community			4,000,000
Human trafficking intervention services--FTE	1.0		200,000
Michigan essential health provider			3,519,600
Minority health grants and contracts--FTEs	3.0		1,145,200
Nurse education and research program--FTEs	3.0		814,900
Policy and planning administration--FTEs	19.9		2,662,300
Primary care services--FTEs	3.0		3,803,900
Rape prevention and services--FTEs	0.5		5,097,300
Rural health services			175,000
Uniform statewide sexual assault evidence kit tracking system			369,500
GROSS APPROPRIATION		$	182,885,300

Appropriated from:
Interdepartmental grant revenues:
IDG from department of education			2,400
IDG from department of licensing and regulatory affairs			814,900
IDG from department of treasury, Michigan finance authority			117,700
Federal revenues:
Social security act, temporary assistance for needy families			6,736,000
Capped federal revenues			10,704,100
Total other federal revenues			99,704,200
Special revenue funds:
Total private revenues			865,000
Total other state restricted revenues			27,473,000
State general fund/general purpose		$	36,468,000
Sec. 114. EPIDEMIOLOGY, EMERGENCY MEDICAL SERVICES, AND LABORATORY
Full-time equated classified positions	409.4
Bioterrorism preparedness--FTEs	53.0	$	30,807,300
Childhood lead program--FTEs	4.5		2,330,900
Emergency medical services program--FTEs	27.0		8,974,200
Epidemiology administration--FTEs	73.5		26,094,400
Healthy homes program--FTEs	25.5		56,287,900
Laboratory services--FTEs	102.0		30,243,600
Newborn screening follow-up and treatment services--FTEs	10.5		9,237,300

PFAS and environmental contamination response--FTEs	43.0		20,346,400
Vital records and health statistics--FTEs	70.4		11,393,500
GROSS APPROPRIATION		$	195,715,500
Appropriated from:
Interdepartmental grant revenues:
IDG from department of environment, Great Lakes, and energy			1,797,800
Federal revenues:
Capped federal revenues			81,100
Total other federal revenues			77,138,300
Special revenue funds:
Total private revenues			1,342,600
Total other state restricted revenues			31,345,600
State general fund/general purpose		$	84,010,100
Sec. 115. LOCAL HEALTH AND ADMINISTRATIVE SERVICES
Full-time equated classified positions	189.1
AIDS prevention, testing, and care programs--FTEs	79.5	$	110,575,400
Cancer prevention and control program--FTEs	18.0		15,858,500
Chronic disease control and health promotion administration--FTEs	28.4		10,247,400
Diabetes and kidney program--FTEs	8.0		4,172,000
Essential local public health services			81,419,300
Implementation of 1993 PA 133, MCL 333.17015			20,000
Local health services--FTEs	3.3		8,704,800

Medicaid outreach cost reimbursement to local health departments			12,500,000
Public health administration--FTEs	8.0		2,104,200
Sexually transmitted disease control program--FTEs	20.0		8,483,300
Smoking prevention program--FTEs	15.0		4,621,900
Violence prevention--FTEs	8.9		13,518,800
GROSS APPROPRIATION		$	272,225,600
Appropriated from:
Federal revenues:
Social security act, temporary assistance for needy families			2,300
Total other federal revenues			90,246,900
Special revenue funds:
Total local revenues			5,150,000
Total private revenues			74,437,700
Total other state restricted revenues			11,790,800
State general fund/general purpose		$	90,597,900
Sec. 116. HEALTHY MOMS, HEALTHY BABIES
Full-time equated classified positions	2.0
Healthy moms, healthy babies - CenteringPregnancy			5,000,000
Healthy moms, healthy babies - child welfare home visiting programs			1,700,000
Healthy moms, healthy babies - diaper assistance program			4,404,400
Healthy moms, healthy babies - enhance family health			125,000

Healthy moms, healthy babies - evidence-based home visiting services			1,431,000
Healthy moms, healthy babies - maternal infant health program			1,400,000
Healthy moms, healthy babies - Medicaid postpartum coverage			20,680,100
Healthy moms, healthy babies - MI-AIM bundles			10,000,000
Healthy moms, healthy babies - Michigan childhood collaborative care program			4,609,100
Healthy moms, healthy babies - perinatal quality initiatives--FTEs	2.0		5,000,000
Healthy moms, healthy babies - plan first			6,200,000
Healthy moms, healthy babies - strong beginnings			1,000,000
Healthy moms, healthy babies - substance use disorder services			530,000
Healthy moms, healthy babies - waiting period elimination			26,359,200
GROSS APPROPRIATION		$	88,438,800
Appropriated from:
Federal revenues:
Total other federal revenues			43,896,000
State general fund/general purpose		$	44,542,800
Sec. 117. FAMILY HEALTH SERVICES
Full-time equated classified positions	137.1
Child and adolescent health care and centers		$	41,242,700
Dental programs--FTEs	5.3		7,734,200
Drinking water declaration of emergency			4,271,000

Family, maternal, and child health administration--FTEs	49.0		10,660,300
Family planning local agreements			8,810,700
Immunization program--FTEs	20.8		20,652,900
Local MCH services			7,018,100
Pregnancy prevention program			1,297,900
Prenatal care outreach and service delivery support--FTEs	17.0		33,424,800
Special projects			6,289,100
Sudden and unexpected infant death and suffocation prevention program			321,300
Women, infants, and children program administration and special projects--FTEs	45.0		19,520,800
Women, infants, and children program local agreements and food costs			231,285,000
GROSS APPROPRIATION		$	392,528,800
Appropriated from:
Federal revenues:
Total other federal revenues			248,524,400
Special revenue funds:
Total local revenues			42,817,700
Total private revenues			64,785,700
Total other state restricted revenues			4,049,500
State general fund/general purpose		$	32,351,500
Sec. 118. CHILDREN'S SPECIAL HEALTH CARE SERVICES
Full-time equated classified positions	48.8
Bequests for care and services--FTEs	2.8	$	2,087,100

Children's special health care services administration--FTEs	46.0		8,117,200
Medical care and treatment			288,637,600
Outreach and advocacy			6,722,200
GROSS APPROPRIATION		$	305,564,100
Appropriated from:
Federal revenues:
Total other federal revenues			173,802,000
Special revenue funds:
Total private revenues			1,115,500
Total other state restricted revenues			4,933,300
State general fund/general purpose		$	125,713,300
Sec. 119. AGING SERVICES
Community services		$	56,474,400
Employment assistance			3,500,000
Nutrition services			48,054,200
Respite care program			6,468,700
Senior volunteer service programs			4,765,300
GROSS APPROPRIATION		$	119,262,600
Appropriated from:
Federal revenues:
Total other federal revenues			63,637,400
Special revenue funds:
Total private revenues			300,000
Michigan merit award trust fund			4,068,700
Total other state restricted revenues			2,000,000
State general fund/general purpose		$	49,256,500

Sec. 120. HEALTH AND AGING SERVICES ADMINISTRATION
Full-time equated classified positions	464.0
Aging services administration--FTEs	43.0	$	9,515,300
Health services administration--FTEs	421.0		118,254,100
GROSS APPROPRIATION		$	127,769,400
Appropriated from:
Federal revenues:
Total other federal revenues			84,077,100
Special revenue funds:
Total local revenues			37,700
Total private revenues			1,721,300
Total other state restricted revenues			336,300
State general fund/general purpose		$	41,597,000
Sec. 121. HEALTH SERVICES
Adult home help services		$	515,269,000
Ambulance services			21,317,200
Auxiliary medical services			6,982,100
Dental clinic program			1,000,000
Dental redesign			110,000,000
Dental services			319,588,900
Federal Medicare pharmaceutical program			331,617,600
Health plan services			6,065,327,300
Healthy Michigan plan			5,784,701,500
Home health services			4,880,300
Hospice services			141,959,400
Hospital disproportionate share payments			45,000,000
Hospital services and therapy			803,147,200

Integrated care organizations			409,635,100
Long-term care services			2,188,866,200
Maternal and child health			18,671,500
Medicaid home- and community-based services waiver			467,331,700
Medicare premium payments			863,889,500
Personal care services			6,397,200
Pharmaceutical services			372,138,300
Physician services			258,125,300
Program of all-inclusive care for the elderly			259,018,100
Recuperative care			297,600
School-based services			171,401,200
Special Medicaid reimbursement			297,652,600
Transportation			18,764,900
GROSS APPROPRIATION		$	19,482,979,700
Appropriated from:
Federal revenues:
Total other federal revenues			14,135,119,000
Special revenue funds:
Total local revenues			26,124,900
Total private revenues			16,582,000
Michigan merit award trust fund			57,200,000
Total other state restricted revenues			2,741,496,600
State general fund/general purpose		$	2,506,457,200
Sec. 122. INFORMATION TECHNOLOGY
Full-time equated classified positions	11.0
Bridges information system--FTE	10.0	$	114,571,700
Child support automation			45,567,200

Comprehensive child welfare information system			8,259,800
Information technology services and projects			240,591,300
Michigan Medicaid information system--FTE	1.0		105,285,100
Michigan statewide automated child welfare information system			21,539,800
GROSS APPROPRIATION		$	535,814,900
Appropriated from:
Interdepartmental grant revenues:
IDG from department of education			1,059,700
Federal revenues:
Social security act, temporary assistance for needy families			24,471,400
Capped federal revenues			21,990,200
Total other federal revenues			337,235,600
Special revenue funds:
Total private revenues			5,250,000
Total other state restricted revenues			2,010,400
State general fund/general purpose		$	143,797,600
Sec. 123. ONE-TIME APPROPRIATIONS
Full-time equated classified positions	6.0
Adult day center		$	1,000,000
Affordable housing project			2,000,000
Alternative payment model transition			15,000,000
Behavioral health care services and facilities			3,000,000
Biomarker testing			7,000,000
Caregiver resource center			9,400,000
Child and family campus project			6,000,000
Children's health care			5,000,000

Children's health care access program		500,000
Community health programs		10,000,000
Community health residency program		100
Community house capital grant		1,000,000
Community opportunity hub		1,000,000
Comprehensive child welfare information system--FTEs	6.0	100
Critical access hospital renovation		100
Developmental milestones toolkit		1,000,000
Disability and independent living program		150,000
Domestic and sexual violence prevention and treatment		3,610,300
Emergency homeless shelter repair and services grant		1,000,000
Environmental public health program		1,000,000
Farm day program		150,000
Federally qualified health center		1,500,000
First responder and public safety staff mental health		5,000,000
Food market expansion		1,400,000
Genemarkers		100
Health care facility expansion		1,500,000
Health care worker housing initiative		100
Healthy communities grant		1,500,000
Homeless shelter operations		1,000,000
Homelessness prevention pilot program		2,000,000
Hospital equipment modernization		2,000,000
Jail diversion fund		5,000,000

Lifesharing community center		2,000,000
Medical debt relief pilot program		10,000,000
Michigan medicine survival flight program		100
Mobile health units		3,500,000
Multicultural integration funding		8,600,000
Nursing facility rate transition support		100
Nursing staff supports		100
Permanent supportive housing		13,000,000
Prenatal and infant cash allowance pilot program		100
Psychiatric outpatient clinic		8,000,000
Public health authority operations		5,000,000
Rides to wellness		250,000
Senior center administration		1,000,000
Senior citizen home renovation		3,000,000
Sexual assault nurse examiner program		100
Sickle cell center		2,500,000
Social determinants of health hub – one-time		1,000,000
Substance use disorder center capital costs		1,500,000
Substance use treatment center		10,000,000
Warming center services		800,000
Water quality projects		1,000,000
Women's health grant backfill		2,000,000
GROSS APPROPRIATION	$	161,861,300
Appropriated from:
State general fund/general purpose	$	161,861,300

part 2

provisions concerning appropriations

for fiscal year 2023-2024

general sections

Sec. 201. Pursuant to section 30 of article IX of the state constitution of 1963, total state spending from state sources under part 1 for fiscal year 2023-2024 is $9,403,090,300.00 and state spending from state sources to be paid to local units of government for fiscal year 2023-2024 is $1,824,131,800. The itemized statement below identifies appropriations from which spending to local units of government will occur:

DEPARTMENT OF HEALTH AND HUMAN SERVICES
CHILD SUPPORT ENFORCEMENT
Child support incentive payments	$	10,000,000
Legal support contracts		3,000
COMMUNITY SERVICES AND OUTREACH
Crime victim rights services grants		11,000,000
Domestic violence prevention and treatment		100,000
Homeless programs		20,000
Housing and support services		117,000
CHILDREN'S SERVICES AGENCY – CHILD WELFARE
Child care fund		160,000,000
Child care fund - indirect cost allotment		3,500,000
Child welfare licensing		110,000
Child welfare medical/psychiatric evaluations		20,000
Children's trust fund		65,000
Contractual services, supplies, and materials		120,000
Family preservation programs		10,000
Foster care payments		3,000,000
Prosecuting attorney contracts		1,400,000

Raise the age fund			3,000,000
Strong families/safe children			73,000
Youth in transition			200
CHILDREN'S SERVICES AGENCY – JUVENILE JUSTICE
Bay Pines Center			42,000
Community support services			700,000
Shawono Center			5,000
PUBLIC ASSISTANCE
Emergency services local office allocations			2,200,000
Family independence program			1,000
Indigent burial			6,000
Michigan energy assistance program			200,000
State disability assistance payments			150,000
FIELD OPERATIONS AND SUPPORT SERVICES
Contractual services, supplies, and materials			5,000
Employment and training support services			5,000
DISABILITY DETERMINATION SERVICES
Disability determination operations			2,000
Retirement disability determination			100
BEHAVIORAL HEALTH PROGRAM ADMINISTRATION AND SPECIAL PROJECTS
Behavioral health program administration			400,000
Community substance use disorder prevention, education, and treatment			10,000,000
Gambling addiction			1,500,000
Mental health diversion council			400,000
BEHAVIORAL HEALTH SERVICES
Autism services			80,000,000

Behavioral health community supports and services			6,000
Certified community behavioral health clinic demonstration			23,200,000
Community mental health non-Medicaid services			125,000,000
Health homes			2,000,000
Healthy Michigan plan - behavioral health			63,000,000
Medicaid mental health services			1,000,000,000
Medicaid substance use disorder services			29,000,000
Multicultural integration funding			1,400,000
Nursing home PAS/ARR-OBRA			3,000,000
State disability assistance program substance use disorder services			2,018,800
STATE PSYCHIATRIC HOSPITALS AND FORENSIC MENTAL HEALTH SERVICES
Caro Regional Mental Health Center - psychiatric hospital – adult			215,000
Center for forensic psychiatry			600,000
Hawthorn Center - psychiatric hospital - children and adolescents			68,000
Kalamazoo Psychiatric Hospital - adult			85,000
Walter P. Reuther Psychiatric Hospital - adult			55,000
HEALTH AND HUMAN SERVICES POLICY AND INITIATIVES
Primary care services			100,000
EPIDEMIOLOGY, EMERGENCY MEDICAL SERVICES, AND LABORATORY
Childhood lead program			30,000

Epidemiology administration			315,000
Healthy homes program			21,325,000
LOCAL HEALTH AND ADMINISTRATIVE SERVICES
AIDS prevention, testing, and care programs			2,900,000
Cancer prevention and control program			50,000
Essential local public health services			75,000,000
Implementation of 1993 PA 133, MCL 333.17015			400
Local health services			1,140,000
Public health administration			200
Sexually transmitted disease control program			650,000
Smoking prevention program			750,000
FAMILY HEALTH SERVICES
Drinking water declaration of emergency			221,000
Family planning local agreements			207,000
Immunization program			2,330,000
Pregnancy prevention program			100,000
Prenatal care outreach and service delivery support			8,800,000
CHILDREN'S SPECIAL HEALTH CARE SERVICES
Medical care and treatment			700,000
Outreach and advocacy			2,700,000
HEALTH AND AGING SERVICES ADMINISTRATION
Aging services administration			400,000
Community services			29,958,000
Nutrition services			12,597,200
Respite care program			5,700,000
Senior volunteer service programs			900,000
HEALTH SERVICES

Adult home help services		130,000
Ambulance services		755,000
Dental services		1,700,000
Healthy Michigan plan		1,000,000
Home health services		1,800
Hospital services and therapy		3,300,000
Long-term care services		85,000,000
Medicaid home- and community-based services waiver		15,200,000
Personal care services		23,000
Pharmaceutical services		1,000
Physician services		2,800,000
Special Medicaid reimbursement		20,000
Transportation		225,000
ONE-TIME APPROPRIATIONS
Prenatal and infant cash allowance pilot program		100
Public health authority operations		5,000,000
Senior center administration		500,000
Senior citizen renovation		3,000,000
Warming center services		800,000
TOTAL OF PAYMENTS TO LOCAL UNITS OF GOVERNMENT	$	1,824,131,800

Sec. 202. The appropriations authorized under this part and part 1 are subject to the management and budget act, 1984 PA 431, MCL 18.1101 to 18.1594.

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

(a) "AIDS" means acquired immunodeficiency syndrome.

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

as that term is defined in section 100a of the mental health code, 1974 PA 258, MCL 330.1100a.

(d) "Current fiscal year" means the fiscal year ending September 30, 2024.

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

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

(g) "DSH" means disproportionate share hospital.

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

(i) "Federal poverty level" means the poverty guidelines published annually in the Federal Register by the United States Department of Health and Human Services under its authority to revise the poverty line under 42 USC 9902.

(j) "FQHC" means federally qualified health center.

(k) "FTE" means full-time equated.

(l) "GME" means graduate medical education.

(m) "Health plan" means, at a minimum, an organization that meets the criteria for delivering the comprehensive package of services under the department's comprehensive health plan.

(n) "HEDIS" means healthcare effectiveness data and information set.

(o) "HMO" means health maintenance organization.

(p) "IDEA" means the individuals with disabilities education act, 20 USC 1400 to 1482.

(q) "IDG" means interdepartmental grant.

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

(s) "Medicaid" means subchapter XIX of the social security act, 42 USC 1396 to 1396w-6.

(t) "Medicare" means subchapter XVIII of the social security act, 42 USC 1395 to 1395lll.

(u) "MiCAFE" means Michigan's coordinated access to food for the elderly.

(v) "MIChild" means the program described in section 1670 of this part.

(w) "MiSACWIS" means Michigan statewide automated child welfare information system.

(x) "PAS/ARR-OBRA" means the preadmission screening and annual resident review required under the omnibus budget reconciliation act of 1987, section 1919(e)(7) of the social security act, 42 USC 1396r.

(y) "PFAS" means perfluoroalkyl and polyfluoroalkyl substances.

(z) "PIHP" means an entity designated by the department as a regional entity or a specialty prepaid inpatient health plan for Medicaid mental health services, services to individuals with developmental disabilities, and substance use disorder services. Regional entities are described in section 204b of the mental health code, 1974 PA 258, MCL 330.1204b. Specialty prepaid inpatient health plans are described in section 232b of the mental health code, 1974 PA 258, MCL 330.1232b.

(aa) "Previous fiscal year" means the fiscal year ending September 30, 2023.

(bb) "Quarterly reports" means 4 reports shall be submitted to the required recipients by the following dates: February 1, April 1, July 1, and September 30 of the current fiscal year.

(cc) "Semiannual basis" means March 1 and September 30 of the current fiscal year.

(dd) "Settlement" means the settlement agreement entered in the case of Dwayne B. v Snyder, docket no. 2:06-cv-13548 in the United States District Court for the Eastern District of Michigan.

(ee) "SSI" means supplemental security income.

(ff) "Temporary assistance for needy families" or "TANF" or "title IV-A" means part A of subchapter IV of the social security act, 42 USC 601 to 619.

(gg) "Title IV-B" means part B of title IV of the social security act, 42 USC 621 to 629m.

(hh) "Title IV-D" means part D of title IV of the social security act, 42 USC 651 to 669b.

(ii) "Title IV-E" means part E of title IV of the social security act, 42 USC 670 to 679c.

(jj) "Title X" means subchapter VIII of the public health service act, 42 USC 300 to 300a-8, which establishes grants to states for family planning services.

Sec. 204. The departments and agencies receiving appropriations in part 1 shall use the internet to fulfill the reporting requirements of this part. This requirement shall include transmission of reports via email to the recipients identified for each reporting requirement and it shall include placement of reports on an internet site.

Sec. 205. To the extent permissible under section 261 of the management and budget act, 1984 PA 431, MCL 18.1261, all of the following apply:

(a) Funds appropriated in part 1 must not be used for the purchase of foreign goods or services, or both, if competitively

priced and of comparable quality American goods or services, or both, are available.

(b) Preference must be given to goods or services, or both, manufactured or provided by Michigan businesses, if they are competitively priced and of comparable quality.

(c) Preference must be given to goods or services, or both, that are manufactured or provided by Michigan businesses owned and operated by veterans, if they are competitively priced and of comparable quality.

Sec. 206. To the extent permissible under the management and budget act, 1984 PA 431, MCL 18.1101 to 18.1594, the director shall take all reasonable steps to ensure geographically disadvantaged business enterprises compete for and perform contracts to provide services or supplies, or both. The director shall strongly encourage firms with which the department contracts to subcontract with certified businesses in depressed and deprived communities for services, supplies, or both.

Sec. 207. Consistent with section 217 of the management and budget act, 1984 PA 431, MCL. 18.1217, the departments and agencies receiving appropriations in part 1 shall prepare a report on out-of-state travel expenses not later than January 1 of each year. The travel report shall be a listing of all travel by classified and unclassified employees outside this state in the previous fiscal year that was funded in whole or in part with funds appropriated in the department's budget. The report must be submitted to the report recipients required in section 246 of this part. The report must include the following information:

(a) The dates of each travel occurrence.

(b) The total transportation and related costs of each travel

occurrence, including the proportion funded with state general fund/general purpose revenues, the proportion funded with state restricted revenues, the proportion funded with federal revenues, and the proportion funded with other revenues.

Sec. 208. Funds appropriated in part 1 shall not be used by the department to hire a person to provide legal services that are the responsibility of the attorney general. This prohibition does not apply to legal services for bonding activities and for those outside services that the attorney general authorizes.

Sec. 209. Not later than November 30, the state budget office shall prepare and transmit a report that provides for estimates of the total general fund/general purpose appropriation lapses at the close of the previous fiscal year. This report shall summarize the projected year-end general fund/general purpose appropriation lapses by major departmental program or program areas. The report shall be transmitted to the chairpersons of the senate and house appropriations committees, and the senate and house fiscal agencies.

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

(2) In addition to the funds appropriated in part 1, there is appropriated an amount not to exceed $20,000,000.00 for state restricted contingency authorization. These funds are not available for expenditure until they have been transferred to another line

item in part 1 under section 393(2) of the management and budget act, 1984 PA 431, MCL 18.1393.

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

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

Sec. 211. The department shall cooperate with the department of technology, management, and budget to maintain a searchable website accessible by the public at no cost that includes, but is not limited to, all of the following for the department:

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

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

(c) Fiscal year-to-date payments to a selected vendor, including the vendor name, payment date, payment amount, and payment description.

(d) The number of active department employees by job classification.

(e) Job specifications and wage rates.

Sec. 212. Within 14 days after the release of the executive budget recommendation, the department shall cooperate with the state budget office to provide the chairpersons of the senate and

house appropriations committees, the chairpersons of the senate and house appropriations subcommittees on the department budget, and the senate and house fiscal agencies with an annual report on estimated state restricted fund balances, state restricted fund projected revenues, and state restricted fund expenditures for the previous fiscal year and the current fiscal year.

Sec. 213. The department shall maintain, on a publicly accessible website, a department scorecard that identifies, tracks, and regularly updates key metrics that are used to monitor and improve the department's performance.

Sec. 214. By October 1 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part that must include the estimated total authorized appropriations from all sources under part 1 for legacy costs for the current fiscal year, the estimated total department appropriations for pension-related legacy costs, and the estimated total department appropriations for retiree health care legacy costs.

Sec. 215. If either of the following events occurs, within 30 days after that event the department shall notify the state budget director, the chairs of the house and senate appropriations subcommittees on the department budget, and the house and senate fiscal agencies and policy offices of that fact:

(a) A legislative objective of this part or of a bill or amendment to a bill to amend the social welfare act, 1939 PA 280, MCL 400.1 to 400.119b, cannot be implemented because implementation would conflict with or violate federal regulations.

(b) A federal grant, for which a notice of an award has been received, cannot be used, or will not be used.

Sec. 216. (1) In addition to funds appropriated in part 1 for all programs and services, there is appropriated for write-offs of accounts receivable, deferrals, and for prior year obligations in excess of applicable prior year appropriations, an amount equal to total write-offs and prior year obligations, but not to exceed amounts available in prior year revenues.

(2) The department's ability to satisfy appropriation fund sources in part 1 is not limited to collections and accruals pertaining to services provided in the current fiscal year, but also includes reimbursements, refunds, adjustments, and settlements from prior years.

Sec. 217. (1) By February 1 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part on the detailed name and amounts of estimated federal, restricted, private, and local sources of revenue that support the appropriations in each of the line items in part 1.

(2) On the release of the next fiscal year executive budget recommendation, the department shall submit a report to the report recipients required in section 246 of this part on the amounts and detailed sources of federal, restricted, private, and local revenue proposed to support the total funds appropriated in each of the line items in part 1 of the next fiscal year executive budget proposal.

Sec. 218. As required under part 23 of the public health code, 1978 PA 368, MCL 333.2301 to 333.2321, the appropriations in part 1 include the following:

(a) Immunizations.

(b) Communicable disease control.

(d) Tuberculosis control.

(e) Prevention of gonorrhea eye infection in newborns.

(f) Screening newborns for the conditions listed in section 5431 of the public health code, 1978 PA 368, MCL 333.5431, or recommended by the newborn screening quality assurance advisory committee created under section 5430 of the public health code, 1978 PA 368, MCL 333.5430.

(g) Health and human services annex of the Michigan emergency management plan.

(h) Prenatal care.

Sec. 219. (1) The department may contract with the Michigan Public Health Institute for the design and implementation of projects and for other public health-related activities prescribed in section 2611 of the public health code, 1978 PA 368, MCL 333.2611. The department may develop a master agreement with the Michigan Public Health Institute to carry out these purposes for up to a 1-year period.

(2) The department shall submit a report to the report recipients required in section 246 of this part, on a semiannual basis, on all of the following:

(a) A detailed description of each funded project.

(b) The amount allocated for each project, the appropriation line item from which the allocation is funded, and the source of financing for each project.

(d) A detailed spending plan for each project, including a list of all subgrantees and the amount allocated to each subgrantee.

(3) On a semiannual basis, the department shall provide to the report recipients required in section 246 of this part a copy of all reports, studies, and publications produced by the Michigan Public Health Institute, its subcontractors, or the department with the funds appropriated in the department's budget in the previous fiscal year and allocated to the Michigan Public Health Institute.

Sec. 220. The department shall ensure that faith-based organizations are able to apply and compete for services, programs, or contracts that they are qualified and suitable to fulfill. The department shall not disqualify faith-based organizations solely on the basis of the religious nature of their organization or their guiding principles or statements of faith.

Sec. 221. According to section 1b of the social welfare act, 1939 PA 280, MCL 400.1b, the department shall treat part 1 and this part as a time-limited addendum to the social welfare act, 1939 PA 280, MCL 400.1 to 400.119b.

Sec. 222. (1) The department shall provide written notification to the report recipients required in section 246 of this part of any major policy changes at least 30 days before the implementation date of those policy changes.

(2) The department shall make the entire policy and procedures manual available and accessible to the public via the department website.

(3) The department shall report by April 1 of the current fiscal year on each specific policy change made to implement a public act affecting the department that took effect during the prior calendar year to the senate and house appropriations committees, the senate and house appropriations subcommittees on the department budget, the joint committee on administrative rules,

and the senate and house fiscal agencies.

(4) The department shall attach each policy bulletin issued during the prior calendar year to the report issued in subsection (3).

Sec. 223. The department may establish and collect fees for publications, videos and related materials, conferences, and workshops. Collected fees are appropriated when received and shall be used to offset expenditures to pay for printing and mailing costs of the publications, videos and related materials, and costs of the workshops and conferences. The department shall not collect fees under this section that exceed the cost of the expenditures. When collected fees are appropriated under this section in an amount that exceeds the current fiscal year appropriation, within 30 days the department shall notify the chairs of the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies and policy offices, and the state budget director of that fact.

Sec. 224. The department may retain all of the state's share of food assistance overissuance collections as an offset to general fund/general purpose costs. Retained collections shall be applied against federal funds deductions in all appropriation units where department costs related to the investigation and recoupment of food assistance overissuances are incurred. Retained collections in excess of those costs shall be applied against the federal funds deducted in the departmental administration and support appropriation unit.

Sec. 226. If the revenue collected by the department from fees and collections exceeds the amount appropriated in part 1, the revenue may be carried forward with the approval of the state

budget director into the subsequent fiscal year. The revenue carried forward under this section shall be used as the first source of funds in the subsequent fiscal year.

Sec. 227. The state departments, agencies, and commissions receiving tobacco tax funds and Healthy Michigan fund revenue from part 1 shall report by April 1 of the current fiscal year to the senate and house appropriations committees, the senate and house fiscal agencies, and the state budget director on the following:

(a) A detailed spending plan by appropriation line item, including a description of programs and a summary of organizations receiving these funds.

(b) A description of allocations or bid processes, including any need or demand indicator used to determine allocations.

(d) Outcome measures used to evaluate programs, including the measures of the effectiveness of these programs in improving the health of residents of this state.

Sec. 228. (1) If the department is authorized under state or federal law to collect an overpayment owed to the department, the department may assess a penalty of 1% per month beginning 60 days after notification. If an overpayment is caused by department error, a penalty may not be assessed until 6 months after the initial notification date of the overpayment amount. The department shall not collect penalty interest in an amount that exceeds the amount of the original overpayment. The state share of any funds collected under this section shall be deposited in the state general fund.

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

shall submit a report to the report recipients required in section 246 of this part on penalty amounts assessed and paid by account during the current fiscal year, the reason for the penalty, and the current status of the account.

Sec. 229. From the $370,000.00 of TANF revenue appropriated in part 1 for training and program support, the department shall extend the interagency agreement with the office of employment and training within the department of labor and economic opportunity for the duration of the current fiscal year, which concerns TANF funding to provide job readiness and welfare-to-work programming. $10,000.00 of TANF revenue is appropriated in part 1 for the department to submit a report on the following specific outcome and performance measures to the senate and house appropriations subcommittees on general government and the report recipients required in section 246 of this part by January 1 of the current fiscal year for the previous fiscal year:

(a) An itemized spending report on TANF funding, including all of the following:

(i) Direct services to recipients.

(ii) Administrative expenditures.

(b) The number of family independence program (FIP) recipients served through the TANF funding, including all of the following:

(i) The number and percentage who obtained employment through Michigan Works!

(ii) The number and percentage who fulfilled their TANF work requirement through other job readiness programming.

(iii) Average TANF spending per recipient.

(iv) The number and percentage of recipients who were referred to Michigan Works! but did not receive a job or job readiness

placement and the reasons why.

(i) The number of referrals to Michigan Works! job readiness programs.

(ii) The number of referrals to Michigan Works! job readiness programs who became a participant in the Michigan Works! job readiness programs.

(iii) The number of participants who obtained employment, and the cost per participant case.

Sec. 230. By December 31 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part on the status of the implementation of any noninflationary, noncaseload, programmatic funding increases in the current fiscal year from the previous fiscal year. The report shall confirm the implementation of already implemented funding increases and provide explanations for any planned implementation of funding increases that have not yet occurred. For any planned implementation of funding increases that have not yet occurred, the department shall provide an expected implementation date and the reasons for delayed implementation.

Sec. 231. (1) The department shall not expend the funds appropriated in part 1 to enter into any contract with a Medicaid managed care organization of MI Choice Waiver, MI Health Link, or behavioral health unless the Medicaid managed care organization agrees to do all of the following:

(a) Continue the direct care wage increase funded at $2.35 per hour and provide sufficient funding to increase the wages paid to direct care workers by the equivalent of $0.65 per hour more than the previous fiscal year for the services noted in DHHS Medicaid

provider letter L 21-76 under the Medicaid managed care organization's relevant program.

(b) Ensure to the greatest extent possible that the full amount for funds appropriated for a direct care worker wage increase, except for costs incurred by the employer, including payroll taxes, resulting from the increase to direct care worker wages under this section, is provided to direct care workers through maintained increased wages.

(c) Permit a direct care worker to elect, in writing or electronically, to not receive the wage increase provided in this section.

(d) Require direct care worker agencies that the Medicaid managed care organization subcontracts with to track and report annually the total amount and percentage of Medicaid reimbursements paid to that direct care worker agency that are used to pay direct care worker wages.

(e) Require direct care worker agencies that the Medicaid managed care provider subcontracts with to track and report annually the hourly wages paid for each direct care worker hired by the direct care worker agency.

(f) Track annually the hourly wages paid to each direct care worker hired directly by the Medicaid managed care organization or CMHSP.

(g) Report annually to the department the information required in subdivisions (d), (e), and (f).

(2) On request, the department shall provide to the legislature the report required in subsection (1)(g).

Sec. 232. (1) The department shall provide the approved spending plan for each line item receiving an appropriation in the

current fiscal year to the senate and house appropriations subcommittees on the department budget and the senate and house fiscal agencies within 60 days after approval by the department but not later than January 15 of the current fiscal year. Compliance with this section is not met unless a line-item appropriation name is included in all places that a line-item appropriation number is listed. The spending plan shall include the following information regarding planned expenditures for each category: allocation in the previous period, change in the allocation, and new allocation. The spending plan shall include the following information regarding each revenue source for the line item: category of the fund source indicated by general fund/general purpose, state restricted, local, private, or federal. Figures included in the approved spending plan shall not be assumed to constitute the actual final expenditures, as line items may be updated on an as-needed basis to reflect changes in projected expenditures and projected revenue. The department shall supplement the spending plan information by providing a list of all active contracts and grants in the department's contract system. For amounts listed in the other contracts category of each spending plan, the department shall provide a list of all contracts and grants and amounts for the current fiscal year, and include the name of the line item and the name of the fund source related to each contract or grant and amount. For amounts listed in the all other costs category of each spending plan, the department shall provide a list detailing planned expenditures and amounts for the current fiscal year, and include the name of the line item and the name of the fund source related to each amount and expenditure.

(2) Notwithstanding any other appropriation authority granted

in part 1, the department shall not appropriate any additional general fund/general purpose funds or any related federal and state restricted funds without providing a written 30-day notice to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the senate and house policy offices.

Sec. 234. The departments and agencies receiving appropriations in part 1 shall receive and retain copies of all reports funded from appropriations in part 1. Federal and state guidelines for the short-term and long-term retention of records must be followed. The department may electronically retain copies of reports unless otherwise required by federal and state guidelines.

Sec. 236. (1) From the funds appropriated in part 1, the department shall do all of the following:

(a) Submit a report to the report recipients required in section 246 of this part on any amount of severance pay for a department director, deputy director, or other high-ranking department official not later than 14 days after a severance agreement with the director or official is signed. The name of the director or official and the amount of severance pay must be included in the report required by this subdivision.

(b) Maintain an internet website that posts any severance pay in excess of 6 weeks of wages, regardless of the position held by the former department employee receiving severance pay.

(c) By February 1, submit a report to the report recipients required in section 246 of this part on the total amount of severance pay remitted to former department employees during the previous fiscal year and the total number of former department

employees that were remitted severance pay during the previous fiscal year.

(2) As used in this section, "severance pay" means compensation that is both payable or paid on the termination of employment and in addition to either wages or benefits earned during the course of employment or generally applicable retirement benefits.

Sec. 238. It is the intent of the legislature that departments maximize the efficiency of the state workforce and, where possible, prioritize in-person work. Each executive branch department, agency, board, or commission that receives funding under part 1 must post its in-person, remote, or hybrid work policy on its website.

Sec. 239. For behavioral and physical health services provided through managed care or the fee-for-service program, the department shall require, for the nonfacility component of the reimbursement rate, at least the same reimbursement for that service, if that service is provided through telemedicine, as if the service involved face-to-face contact between the health care professional and the patient.

Sec. 240. Appropriations in part 1 shall, to the extent possible by the department, not be expended until all existing work project authorization available for the same purposes is exhausted.

Sec. 241. By March 1 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part on total actual expenditures in the previous fiscal year for advertising and media outreach, including the purpose, amount, and fund source by program or appropriation line item.

Sec. 242. From the funds appropriated in part 1 for departmental administration and management, $100,000.00 is allocated to produce a description of programs report for the current fiscal year by March 1 of the current fiscal year. The report shall be submitted to the senate and house appropriations committees, the senate and house fiscal agencies, and the senate and house policy offices. The report shall include the appropriation unit, the line-item name and number, the appropriation history, the program name, the program overview, the financing detail, and where applicable, the legal basis for the program and program effectiveness and outcomes.

Sec. 244. On a monthly basis, the department shall submit a report to the report recipients required in section 246 of this part on any line-item appropriation for which the department estimates total annual expenditures would exceed the funds appropriated for that line-item appropriation by 5% or more. The department shall provide a detailed explanation for any relevant line-item appropriation exceedance and shall identify the corrective actions undertaken to mitigate line-item appropriation expenditures from exceeding the funds appropriated for that line-item appropriation by a greater amount. This section does not apply for line-item appropriations that are part of the May revenue estimating conference caseload and expenditure estimates.

Sec. 246. Except as otherwise provided in this part, all reports required under this part shall be submitted to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office.

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

plan - behavioral health and Healthy Michigan plan are contingent on the provisions of the social welfare act, 1939 PA 280, MCL 400.1 to 400.119b, that were contained in 2013 PA 107 not being amended, repealed, or otherwise altered to eliminate the Healthy Michigan plan. If that occurs, then, on the effective date of the amendatory act that amends, repeals, or otherwise alters those provisions, the remaining funds in the Healthy Michigan plan - behavioral health and Healthy Michigan plan line items must be used only to pay previously incurred costs and any remaining appropriations shall not be allotted to support those line items.

Sec. 253. (1) The department shall ensure that federally recognized tribes are able to apply and compete for services, programs, grants, or contracts.

(2) For competitive grant programs described in this part, federally recognized tribes are eligible to apply for grant funds made available to organizations exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and to local units of government.

Sec. 258. (1) In collaboration with the department of education and the department of state police, the department shall promote and support initiatives in schools and other educational organizations that include, but are not limited to, training for educators, teachers, and other personnel in school settings for all of the following:

(a) The utilization of trauma-informed practices.

(b) Age-appropriate education and information on human trafficking.

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

(3) The department shall submit a report by March 1 of the current fiscal year on the activities and status of implementation of the requirements described in subsections (1) and (2) to the report recipients required in section 246 of this part.

Sec. 263. (1) Except as otherwise provided in this subsection, before submission of a waiver, a state plan amendment, or a similar proposal to CMS or other federal agency, the department shall provide written notification of the planned submission to the report recipients required in section 246 of this part. This subsection does not apply to the submission of a waiver, a state plan amendment, or similar proposal that does not propose a material change or is outside of the ordinary course of waiver, state plan amendment, or similar proposed submissions.

(2) The department shall provide written reports on a semiannual basis to the report recipients required in section 246 of this part summarizing the status of any new or ongoing discussions with CMS, the United States Department of Health and Human Services, or other federal agency regarding potential or future waiver applications as well as the status of submitted waivers that have not yet received federal approval. If, at the time a semiannual report is due, there are no reportable items, then no report is required to be provided.

Sec. 264. The department shall not take disciplinary action against an employee of the department in the state classified civil

service for communicating with a member of the legislature or the member's staff, unless the communication is prohibited by law and the department is exercising its authority as provided by law.

Sec. 270. The department shall advise the legislature of the receipt of a notification from the attorney general's office of a legal action in which expenses had been recovered according to section 106(6) of the social welfare act, 1939 PA 280, MCL 400.106. By February 1 of the current fiscal year, the department shall submit a written report to the report recipients required in section 246 of this part that includes, at a minimum, all of the following:

(a) The total amount recovered from the legal action.

(b) The program or service for which the money was originally expended.

(c) Details on the disposition of the funds recovered, such as the appropriation or revenue account in which the money was deposited.

(d) A description of the facts involved in the legal action.

Sec. 274. (1) The department, in collaboration with the state budget office, shall submit to the report recipients required in section 246 of this part, 1 week after the day the governor submits to the legislature the budget for the ensuing fiscal year, a report on spending and revenue projections for each of the capped federal funds listed below. The report shall contain actual spending and revenue in the previous fiscal year, spending and revenue projections for the current fiscal year as enacted, and spending and revenue projections within the executive budget proposal for the fiscal year beginning October 1, 2024 for each individual line item for the department budget. The report shall also include

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.

(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.

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, the department shall submit a report to the report recipients required in section 246 of this part on the realignment of federal fund sources transacted to date in the current fiscal year under the authority of subsection (1), including the dates, line items, and amounts of the transactions. If, at the time a quarterly report is due, no transactions were made under subsection (1), then no report is required to be provided.

(3) Within 30 days after the date on which year-end book closing is completed, the department shall submit to the report recipients required in section 246 of this part a report on the realignment of federal fund sources that took place as part of the year-end closing process for the previous fiscal year.

Sec. 280. By March 1 of the current fiscal year, the department shall submit a report to the report recipients required in section 246 of this part that provides all of the following for each line item in part 1 containing personnel-related costs, including the specific individual amounts for salaries and wages, payroll taxes, and fringe benefits:

(a) FTE authorization.

(b) Spending authorization for personnel-related costs, by fund source, under the spending plan.

(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. 289. By March 1 of the current fiscal year, the department shall submit to the report recipients required in section 246 of this part an annual report on the supervisor-to-staff ratio by department divisions and subdivisions.

Sec. 290. Any public advertisement for public assistance shall also inform the public of the welfare fraud hotline operated by the department.

Sec. 296. From the funds appropriated in part 1, the department to the extent permissible under section 8 of 1964 PA 170, MCL 691.1408, is responsible for the necessary and reasonable attorney fees and costs incurred by private and independent legal counsel chosen by current and former classified and unclassified department employees in the defense of the employees in any state or federal lawsuit or investigation related to the water system in a city or community in which a declaration of emergency was issued because of drinking water contamination.

Sec. 297. (1) On a quarterly basis, the department shall submit a report to the report recipients required in section 246 of this part with the following information:

(a) The number of FTE positions in pay status by civil service classification.

(b) A comparison by line item of the number of FTE positions authorized from funds appropriated in part 1 to the actual number of FTE positions employed by the department at the end of the reporting period.

(2) By March 1 of the current fiscal year, the department shall report to the senate and house appropriations committees, the

senate and house appropriations subcommittees on the department budget, and the senate and house fiscal agencies the following information:

(a) The number of employees that were engaged in remote work in 2023.

(b) The number of employees of the department authorized to work remotely and the actual number of those working remotely in the current reporting period.

(d) The reduced use of office space associated with remote work.

CHILD SUPPORT ENFORCEMENT

Sec. 401. (1) The appropriations in part 1 assume a total federal child support incentive payment of $26,500,000.00.

(2) From the federal money received for child support incentive payments, $12,000,000.00 shall be retained by the state and expended for child support program expenses.

(3) From the federal money received for child support incentive payments, $14,500,000.00 shall be paid to the counties based on each county's performance level for each of the federal performance measures as established in 45 CFR 305.2.

(4) If the child support incentive payment to the state from the federal government is greater than $26,500,000.00, then 100% of the excess shall be retained by the state and is appropriated until the total retained by the state reaches $15,397,400.00.

(5) If the child support incentive payment to the state from the federal government is greater than the amount needed to satisfy

the provisions identified in subsections (1), (2), (3), and (4), the additional funds shall be subject to appropriation by the legislature.

(6) If the child support incentive payment to the state from the federal government is less than $26,500,000.00, then the state and county share shall each be reduced by 50% of the shortfall.

Sec. 409. (1) If statewide retained child support collections exceed $38,300,000.00, 75% of the amount in excess of $38,300,000.00 is appropriated to legal support contracts. This excess appropriation may be distributed to eligible counties to supplement and not supplant county title IV-D funding.

(2) Each county whose retained child support collections in the current fiscal year exceed its fiscal year 2004-2005 retained child support collections, excluding tax offset and financial institution data match collections in both the current fiscal year and fiscal year 2004-2005, shall receive its proportional share of the 75% excess.

Sec. 410. (1) If title IV-D-related child support collections are escheated, the state budget director is authorized to adjust the sources of financing for the funds appropriated in part 1 for legal support contracts to reduce federal authorization by 66% of the escheated amount and increase general fund/general purpose authorization by the same amount. This budget adjustment is required to offset the loss of federal revenue due to the escheated amount being counted as title IV-D program income in accordance with federal regulations under 45 CFR 304.50.

(2) The department shall submit a report on any authorization adjustments made as permitted under subsection (1) to the report recipients required in section 246 of this part.

COMMUNITY SERVICES AND OUTREACH

Sec. 450. (1) From the funds appropriated in part 1 for school success partnership program, the department shall allocate $525,000.00 of TANF revenue by December 1 of the current fiscal year to support the Northeast Michigan Community Service Agency programming. The department shall require the following performance objectives be measured and reported for the duration of the state funding for the school success partnership program:

(a) Increasing school attendance and decreasing chronic absenteeism.

(b) Increasing academic performance based on grades with emphasis on math and reading.

(d) Increasing parent involvement.

(2) By July 15 of the current fiscal year, the Northeast Michigan Community Service Agency shall provide reports to the department on the number of children and families served and the services that were provided to families to meet the performance objectives identified in this section. The department shall distribute the reports within 1 week after receipt to the report recipients required in section 246 of this part.

Sec. 453. (1) From the funds appropriated in part 1 for homeless programs, the department shall allocate funds to the emergency shelter program to support efforts of shelter providers to move homeless individuals and households into permanent housing as quickly as possible. Funding provided shall be equal to or exceed the amount a provider would receive if paid a $19.00 per

diem rate per bed night. Expected outcomes are increased shelter discharges to stable housing destinations, decreased recidivism rates for shelter clients, and a reduction in the average length of stay in emergency shelters.

(2) By March 1 of the current fiscal year, the department shall submit to the report recipients required in section 246 of this part a report on the total amount expended for the program in the prior 2 fiscal years, the total number of shelter nights provided, and the average length of stay in an emergency shelter.

Sec. 454. The department shall allocate the full amount of funds appropriated in part 1 for homeless programs to provide services for homeless individuals and families, including, but not limited to, third-party contracts for emergency shelter services.

Sec. 455. As a condition of receipt of federal TANF revenue, homeless shelters and human services agencies shall collaborate with the department to obtain necessary TANF eligibility information on families as soon as possible after admitting a family to the homeless shelter. From the funds appropriated in part 1 for homeless programs, the department is authorized to make allocations of TANF revenue only to the homeless shelters and human services agencies that report necessary data to the department for the purpose of meeting TANF eligibility reporting requirements. Homeless shelters or human services agencies that do not report necessary data to the department for the purpose of meeting TANF eligibility reporting requirements will not receive reimbursements that exceed the per diem amount they received in fiscal year 2000. The use of TANF revenue under this section is not an ongoing commitment of funding.

Sec. 456. From the funds appropriated in part 1 for homeless

programs, the department shall allocate $90,000.00 to reimburse public service agencies that provide documentation of paying birth certificate fees on behalf of category 1 homeless clients at county clerk's offices. Public service agencies shall be reimbursed for the cost of the birth certificate fees quarterly until this allocation is fully spent.

Sec. 460. From the funds appropriated in part 1 for kids' food basket, the department shall allocate $525,000.00 to fund a project with a nonprofit, community-based organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and is located in a city with a population between 185,000 and 200,000 according to the most recent federal decennial census and in a county with a population between 600,000 and 700,000 according to the most recent federal decennial census. The nonprofit organization recipient shall have an existing network of food delivery to low-income children to at least 3 counties in this state. The nonprofit organization shall use the funds for increased operational costs due to the coronavirus pandemic and for expansion of services to additional schools and communities. The funding may be used to cover employee costs, food and supplies, equipment, and other operational costs identified by the organization to support their mission and goals.

Sec. 463. From the funds appropriated in part 1 for runaway and homeless youth grants and domestic violence prevention and treatment, the department is authorized to make allocations of TANF revenue only to agencies that report necessary data to the department to meet TANF eligibility reporting requirements.

Sec. 465. (1) From the funds appropriated in part 1 for

community services and outreach administration, $2,950,000.00 must be distributed as provided in subsection (2). The amount distributed under this subsection must not exceed 50% of the total operating expenses of the program described in subsection (2), with the remaining 50% paid by local United Way organizations and other nonprofit organizations and foundations.

(2) Funds distributed under subsection (1) shall be distributed to Michigan 2-1-1, a nonprofit corporation organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and whose mission is to coordinate and support a statewide 2-1-1 system. Michigan 2-1-1 shall use the funds only to fulfill the Michigan 2-1-1 business plan adopted by Michigan 2-1-1 in January 2005.

(3) Michigan 2-1-1 shall refer to the department any calls received reporting fraud, waste, or abuse of state-administered public assistance.

(4) Michigan 2-1-1 shall report annually to the department, the house and senate standing committees with primary jurisdiction over matters relating to human services and telecommunications on 2-1-1 system performance, the senate and house appropriations subcommittees on the department budget, and the senate and house fiscal agencies, including, but not limited to, call volume by health and human service needs and unmet needs identified through caller data and number and percentage of callers referred to public or private provider types.

Sec. 466. From the funds appropriated in part 1 for runaway and homeless youth grants, the department shall allocate $10,000,000.00 to support the expansion of runaway and homeless

youth capacity. The funding must be comprised of $2,146,900.00 in GF/GP revenue and $7,853,100.00 of TANF revenue. The funding must be allocated as follows:

(a) $6,000,000.00 to cover the 18 counties that are presently unserved by any runaway and homeless youth program and to expand the capacity for counties that are underserved.

(b) $2,000,000.00 across 19 providers statewide to provide infrastructure support for expanded staff, supervision, and training to continue to meet the complex mental health needs of the population being served.

(c) $2,000,000.00 across 19 providers statewide to support upgrading technology and facilities to maintain safety in environments where youth are sheltered.

CHILDREN'S SERVICES AGENCY - CHILD WELFARE

Sec. 501. (1) A goal is established that not more than 25% of all children in foster care at any given time during the current fiscal year, if in the best interest of the child, will have been in foster care for 24 months or more.

(2) By March 1 of the current fiscal year, the department shall provide to the report recipients required in section 246 of this part a report describing the steps that will be taken to achieve the goal established under subsection (1). The report must also include an explanation of the most significant barriers that prevent long-term foster children from permanent placements.

Sec. 502. From the funds appropriated in part 1 for foster care, the department shall provide 50% reimbursement to Indian tribal governments for foster care expenditures for children who are under the jurisdiction of Indian tribal courts and who are not

otherwise eligible for federal foster care cost sharing. The department may provide up to 100% reimbursement to Indian tribal governments that enter into a state-tribal title IV-E agreement allowed under this state's title IV-E state plan.

Sec. 503. (1) In accordance with the final report of the Michigan child welfare performance-based funding task force issued in response to section 503 of article X of 2013 PA 59, the department shall continue to review, update, or develop actuarially sound case rates for necessary child welfare foster care case management services that achieve permanency by the department and private child placing agencies in a prospective payment system under a performance-based funding model.

(2) The department, in conjunction with members from both the house of representatives and senate, private child placing agencies, the courts, and counties shall continue to implement the recommendations that are described in the workgroup report that was provided in section 503 of article X of 2013 PA 59 to establish a performance-based funding model pilot program for public and private child welfare services providers. By July 1 of the current fiscal year, the department shall provide a report on the status of the performance-based contracting model to the report recipients required in section 246 of this part.

Sec. 504. (1) From the funds appropriated in part 1, the department shall implement a 3-year master agreement with an option for 2 additional years with the West Michigan Partnership for Children Consortium to maintain the performance-based child welfare contracting program. The consortium shall consist of a network of affiliated child welfare service providers that will accept and comprehensively assess referred youth, assign cases to members of

its continuum or leverage services from other entities, and make appropriate case management decisions during the duration of a case.

(2) As a condition for receiving the funding in part 1, the West Michigan Partnership of Children Consortium shall maintain a contract agreement with the department that supports a global capitated payment model. The capitated payment amount shall be based on historical averages of the number of children served in Kent County and for the costs per foster care case. The West Michigan Partnership for Children Consortium is required to manage the cost of the child population it serves. The administrative portion of the contracted agreement must reflect the cumulative annual percentage change in the Detroit Consumer Price Index from the previous year. The capitated payment amount shall be reviewed and adjusted no less than twice during the current fiscal year or due to any policy changes implemented by the department that result in a volume of placements that differ in a statistically significant manner from the amount allocated in the annual contract between the department and the West Michigan Partnership for Children Consortium as determined by an independent actuary as well as to account for changes in case volumes and any statewide rate increases that are implemented. The contract agreement requires that the West Michigan Partnership for Children Consortium shall maintain the following stipulations and conditions:

(a) That the service component of the capitated payment will be calculated assuming rates paid to providers under the program are generally consistent with the department's payment policies for providers throughout the rest of this state.

(b) To maintain a risk reserve of at least $1,500,000.00 to

ensure it can meet unanticipated expenses within a given fiscal year.

(3) By March 1 of the current fiscal year, the consortium shall provide to the department and the report recipients required in section 246 of this part a report on the consortium, including, but not limited to, actual expenditures, number of children placed by agencies in the consortium, fund balance of the consortium, and the outcomes measured.

Sec. 505. By March 1 of the current fiscal year, the department shall provide a report to the report recipients required in section 246 of this part on youth referred or committed to the department for care or supervision in the previous fiscal year and in the first quarter of the current fiscal year outlining the number of youth served by the department within the juvenile justice system, the type of setting for each youth, performance outcomes, and financial costs or savings.

Sec. 506. From the funds appropriated in part 1 for attorney general contract, by March 1 of the current fiscal year, the department shall submit to the report recipients required in section 246 of this part a report on the juvenile justice system in any county in which funds appropriated in part 1 are expended. The report shall include, but not be limited to, the following:

(a) The number of youth referred or committed to the department for care or supervision in the previous fiscal year and in the first quarter of the current fiscal year.

(b) The number of youth referred or committed to the care or supervision of the county in which funds appropriated in part 1

were expended for the previous fiscal year and the first quarter of the current fiscal year.

(c) The type of setting for each youth referred or committed for care or supervision, any applicable performance outcomes, and identified financial costs or savings.

Sec. 507. The department's ability to satisfy appropriation deducts in part 1 for foster care private collections is not limited to collections and accruals pertaining to services provided only in the current fiscal year but may include revenues collected during the current fiscal year for services provided in prior fiscal years.

Sec. 508. (1) In addition to the amount appropriated in part 1 for children's trust fund grants, money granted or money received as gifts or donations to the children's trust fund created by 1982 PA 249, MCL 21.171 to 21.172, is appropriated for expenditure.

(2) For the funds described in subsection (1), the department shall ensure that administrative delays are avoided and the local grant recipients and direct service providers receive money in an expeditious manner. The department and board shall make available the children's trust fund contract funds to grantees within 31 days of the start date of the funded project.

Sec. 510. (1) From the funds appropriated in part 1 for child care fund and foster care payments, the department shall allocate funds to cover a capacity model for a specified number of beds based on projected needs for privately operated child welfare and juvenile justice residential facilities. A contract entered into under this subsection must provide guaranteed payment for anticipated utilization, with the condition that providers shall accept youth up to the contracted capacity who are determined

through independent assessment as meeting the program entrance criteria. The contract rate must allow for full staffing and the ability to accommodate the highest acuity cases. By March 1 of the current fiscal year, the department shall submit to the report recipients required in section 246 of this part a report on the status of the program that includes the participating facilities under the program, the number of children placed, and the program types of the children placed.

(2) The department shall provide reports on a monthly basis to the report recipients required in section 246 of this part on the number of children awaiting placement in a child caring institution in this state. The report must include the number of children awaiting placement by child caring institution and must state the reason for the delay in placement, including, but not limited to, facility bed shortages, placement process delays, or other reasons.

Sec. 511. The department shall provide reports on a semiannual basis to the senate and house appropriations subcommittees on the department budget, the senate and house standing committees on families and human services, and the senate and house fiscal agencies and policy offices on the number and percentage of children who received timely physical and mental health examinations after entry into foster care. The reports shall also include the new methods the department is using since June 14, 2022, to achieve the stated goal of the program as described in this section. The goal of the program is that at least 85% of children shall have an initial medical and mental health examination within 30 days after entry into foster care.

Sec. 512. By March 1 of the current fiscal year, the department shall submit a report to the report recipients required

in section 246 of this part on the following information for cases of child abuse or child neglect from the previous fiscal year:

(a) The total number of relative care placements.

(b) The total number of relatives with a placement who became licensed.

(c) A list of the reasons from a sample of cases where relatives were denied foster home licensure as documented by the department.

Sec. 513. (1) The department shall not expend funds appropriated in part 1 to pay for the direct placement by the department of a child in an out-of-state facility unless all of the following conditions are met:

(a) There is no appropriate placement available in this state as determined by the department's interstate compact office.

(b) An out-of-state placement exists that is nearer to the child's home than the closest appropriate in-state placement as determined by the department's interstate compact office.

(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. From the funds appropriated in part 1 for foster care payments, the department shall allocate $100.00 to establish a statewide respite care services network available to licensed foster parents and unlicensed relative caregivers caring for children in foster care.

Sec. 515. If a child protective services caseworker requests approval for another child protective services caseworker or other department employee to accompany them on a home visit because the caseworker believes it would be unsafe to conduct the home visit alone, the department shall not deny the request.

Sec. 516. From funds appropriated in part 1 for child care fund, the administrative or indirect cost payment equal to 10% of a county's total monthly gross expenditures shall be distributed to the county on a monthly basis and a county is not required to submit documentation to the department for any of the expenditures that are covered under the 10% payment as described in section 117a(4)(b)(ii) and (iv) of the social welfare act, 1939 PA 280, MCL 400.117a.

Sec. 517. The department may ask a state or private child placing agency contracted by the receiving state to carry out

required visits and any additional visits that the department finds necessary for a child placed in a family foster care home out of state.

Sec. 518. The department shall submit a report to the report recipients required in section 246 of this part by February 1 of the current fiscal year on the annual child care fund expenditures of in-home juvenile justice care that are eligible for the 75% state and 25% local split. Eligible in-home expenses include community-based juvenile supervision, services and related practices, and per diem rates for the use of respite and shelter for less than 30 days. The report must include the expenditures by county, type of service provided, number of youth receiving care, and number of days of care.

Sec. 519. The department shall permit any private agency that has an existing contract with this state to provide foster care services to be also eligible to provide treatment foster care services.

Sec. 520. (1) The department shall submit a report to the report recipients required in section 246 of this part by February 15 of the current fiscal year on the number of days of care and expenditures by funding source for the previous fiscal year for out-of-home placements by specific placement programs for child abuse or child neglect and juvenile justice, including, but not limited to, paid relative placement, department direct family foster care, private agency supervised foster care, private child caring institutions, county-supervised facilities, court-supervised facilities, and independent living. The report shall also include the number of days of care for department-operated residential juvenile justice facilities by security classification.

(2) For the purposes of the report in subsection (1), living arrangements include, but are not limited to, paid relative placement, department direct family foster care, private agency supervised foster care, private child caring institutions, county-supervised facilities, court-supervised facilities, and independent living.

Sec. 521. (1) From the funds appropriated in part 1 for child care fund – indirect cost allotment, the department shall allocate $3,500,000.00 to counties and tribal governments that receive reimbursements in part 1 from child care fund.

(2) The amount described in subsection (1) shall be distributed to each county or tribal government in the same proportion as indirect cost allotments are provided to counties in the manner described in section 117a of the social welfare act, 1939 PA 280, MCL 400.117a.

Sec. 522. (1) From the funds appropriated in part 1 for youth in transition, the department shall allocate $750,000.00 for scholarships through the fostering futures scholarship program in the Michigan education trust to youths who were in foster care because of child abuse or child neglect and are attending a college or a career technical educational institution located in this state. Of the funds appropriated, 100% shall be used to fund scholarships for the youths described in this section.

(2) By June 1 of the current fiscal year, the department shall provide a report to the report recipients required in section 246 of this part that includes the number of youths who applied for scholarships under this section, the number of youths who received scholarships under this section, the regions the recipients are from by zip code, and the amount of each scholarship, and the total

amount of funds spent or encumbered in the current fiscal year.

Sec. 523. (1) By February 15 of the current fiscal year, the department shall submit to the report recipients required in section 246 of this part a report on the families first, family reunification, and families together building solutions family preservation programs. The report shall provide population and outcome data based on contractually required follow-up evaluations for families who received family preservation services and shall include information for each program on any innovations that may increase child safety and risk reduction.

(2) By October 1 of the current fiscal year, from the funds appropriated in part 1 for family preservation services, the department shall retain the rates established by the increase provided in section 523(3) of article 6 of 2020 PA 166.

Sec. 524. As a condition of receiving funds appropriated in part 1 for strong families/safe children, counties must submit the service spending plan to the department by October 1 of the current fiscal year for approval. The department shall approve the service spending plan within 30 calendar days after receipt of a properly completed service spending plan.

Sec. 525. The department shall implement the same on-site evaluation processes for privately operated child welfare and juvenile justice residential facilities as is used to evaluate state-operated facilities. Penalties for noncompliance shall be the same for privately operated child welfare and juvenile justice residential facilities and state-operated facilities.

Sec. 526. From the funds appropriated in part 1 for court-appointed special advocates, the department shall allocate $1,000,000.00 to fund a project with a nonprofit, community-based

organization organized under the laws of this state that are exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, located in a charter township with a population of between 18,000 and 19,000 according to the most recent federal decennial census that is located in a county with a population of between 600,000 and 700,000 according to the most recent federal decennial census. The nonprofit organization recipient shall have an existing network of affiliate programs operating in at least 25 counties in this state. The nonprofit organization shall use the funds to recruit, screen, train, and supervise volunteers who provide advocacy services on behalf of abused and neglected children.

Sec. 527. From the funds appropriated in part 1 for youth in transition, the department shall allocate $1,000,000.00 to support transitional and housing costs for youth aging out of foster care or the juvenile justice system.

Sec. 528. From the funds appropriated in part 1 for child care fund, the department shall allocate $2,366,700.00 to increase the annual basic grant to counties with a population of less than 75,000 according to the most recent federal decennial census as described in section 117e of the social welfare act, 1939 PA 280, MCL 400.117e, and to eligible tribal entities. The basic grant shall be increased from $15,000.00 per year by equally distributing the $2,366,700.00 appropriated in part 1 to eligible counties and tribal entities.

Sec. 529. From the funds appropriated in part 1 for family preservation programs, the department shall maintain the total combined funding levels of the families first, family reunification, and families together building solutions family

preservation programs at an amount not less than the amount provided as of September 30, 2021. For the current fiscal year as the department moves towards implementation of the federal family first prevention services act, Public Law 115-123, the funding available to serve families through the existing family preservation programs shall not be reduced.

Sec. 530. (1) All master contracts relating to foster care and adoption services as funded by the appropriations in section 105 of part 1 shall be performance-based contracts that employ a client-centered results-oriented process that is based on measurable performance indicators and desired outcomes and includes the annual assessment of the quality of services provided.

(2) By February 1 of the current fiscal year, the department shall provide the report recipients required in section 246 of this part a report detailing measurable performance indicators, desired outcomes, and an assessment of the quality of services provided by the department during the previous fiscal year.

Sec. 531. The department shall notify the house and senate appropriations subcommittees on the department budget, the house and senate fiscal agencies, and the house and senate policy offices of any changes to a child welfare master contract template, including the adoption master contract template, the independent living plus master contract template, the child placing agency foster care master contract template, and the residential foster care juvenile justice master contract template, not less than 30 days before the change takes effect.

Sec. 533. The department shall make payments to child placing facilities for in-home and out-of-home care services and adoption services within 30 days after receiving all necessary documentation

from those agencies. It is the intent of the legislature that the burden of ensuring that these payments are made in a timely manner and no payments are in arrears is on the department.

Sec. 534. The department shall submit to the report recipients required in section 246 of this part, by March 1 of the current fiscal year, a report on the adoption subsidies expenditures from the previous fiscal year. The report shall include, but is not limited to, the range of non-$0.00 annual adoption support subsidy amounts, for both title IV-E eligible cases and state-funded cases, paid to adoptive families, the number of title IV-E and state-funded cases, the number of cases in which the adoption support subsidy request of adoptive parents for assistance was denied by the department, and the number of adoptive parents who requested a redetermination of adoption support subsidy.

Sec. 535. (1) From the funds appropriated in part 1 for foster care payments, the department shall allocate up to $1,500,000.00 of private revenues from The New Foster Care Inc. to fund a 3-year culturally competent kinship placement, support, and licensing services pilot program in a county with a population between 1,200,000 and 1,300,000 according to the most recent federal decennial census and a county with a population over 1,500,000 according to the most recent federal decennial census based on the work conducted by A Second Chance Inc. The goal of the pilot program is to increase the kinship licensure rate and reduce the average length of stay for children in foster care with the intent to expand the program statewide, contingent on legislative appropriations. Efforts to reach this goal shall include the following:

(a) Locate appropriate kinship family for out-of-home

placement of children.

(b) Provide support to kinship care providers and facilitate connections to programs and services to assist them in meeting the needs of children.

(d) Support parents to expedite permanency planning.

(2) Subject to part 1 appropriations and pursuant to an annual evaluation, the department through legislative appropriations shall reallocate any savings and revenue stemming from program services that result in a reduction in the length of stay in foster care for the children served by the program compared to the average and maximize federal funds associated with this pilot program.

(3) The agency selected to administer the pilot program will be selected with input from The New Foster Care, Inc. and approved by the executive director of the children's services agency.

Sec. 536. By March 1 of the current fiscal year, the department shall submit to the report recipients required in section 246 of this part a report on the status of the department's planned and achieved implementation of the federal family first prevention services act, Public Law 115-123. The report shall include, but not be limited to, an estimate of the 5-year spending plan for administrative and compliance costs, a summary of all historical expenditures made to date for implementation by line-item appropriation and program type, information regarding compliance with title IV-E prevention requirements, the status of statewide compliance with the qualified residential treatment program requirements, a summary of provider concerns with respect to requirements under the qualified residential treatment program

as that term is defined in section 1 of 1973 PA 116, MCL 722.111, a detailed methodology in determining any savings realized or estimated from a reduction in congregate care or residential placements, the department's conformity with federal model licensing standards, the department's plan for tracking and preventing child maltreatment deaths, and the department's plan for extending John H. Chafee foster care independence programs up to age 23.

Sec. 537. By March 1 of the current fiscal year, the department shall submit to the report recipients required in section 246 of this part a report on the number of unlicensed relative providers with a relative placement denied a foster home license for not meeting the standards established for state licensing for foster care. The report shall also include the status of title IV-E claims for foster care maintenance payments and foster care administrative payments for licensed relative caregivers with placements.

Sec. 538. By October 1 of the current fiscal year, the department shall submit to the report recipients required in section 246 of this part a report on the status of the department's program improvement plan associated with round 3 of the child and family services review (CFSR). The report shall also include, but not be limited to, a specific and detailed plan to provide an update on areas of substantial nonconformity identified in the CFSR such as the inadequacy of caseworker training provided by the department, the estimated costs necessary to reduce travel time for service delivery to rural areas, plans to improve caseworker engagement to reduce maltreatment in care, and steps undertaken by the department to emphasize permanency in case planning.

Additionally, the department shall include the status for items currently being implemented and the description and cost estimate for the implementation for items that will be implemented in the current fiscal year.

Sec. 539. The department, in collaboration with child placing agencies, shall continue to comply with section 115o of the social welfare act, 1939 PA 280, MCL 400.115o. Department caseworkers responsible for preparing a recommendation to a court concerning a juvenile placement shall provide, as part of the recommendation, information regarding the requirements of section 115o of the social welfare act, 1939 PA 280, MCL 400.115o.

Sec. 540. If a physician or psychiatrist who is providing services to state or court wards placed in a residential facility submits a formal request to the department to change the psychotropic medication of a ward, the department shall, if the ward is a state ward, make a determination on the proposed change within 7 business days after the request or, if the ward is a temporary court ward, seek parental consent within 7 business days after the request. If parental consent is not provided within 7 business days, the department shall petition the court on the eighth business day.

Sec. 541. The department shall explore the implementation of a program to help foster care caseworkers achieve forgiveness for their student loan debt. By July 1 of the current fiscal year, the department shall submit to the report recipients required in section 246 of this part a report on the department's findings.

Sec. 542. (1) The department shall develop strategies to use the input from court-appointed special advocates and foster care parents throughout case management and any legal proceedings for

abused and neglected children in foster care.

(2) By September 30 of the current fiscal year, the department shall submit to the report recipients required in section 246 of this part a report on the strategies developed by the department.

Sec. 543. The department shall develop a clear policy that caseworkers ensure that children who are victims of child abuse or child neglect have the ability either in the courtroom or in the judge's chambers to speak directly to, or be interviewed by, the judge or magistrate who is overseeing their case, in order to give children the opportunity to provide input into the legal proceedings.

Sec. 544. The department may require all foster care parents, caseworkers, and guardians ad litem to receive trauma-informed training that includes a human trafficking awareness component.

Sec. 546. (1) From the funds appropriated in part 1 for foster care payments and from child care fund, the department shall pay providers of general foster care, independent living, and trial reunification services not less than a $55.20 administrative rate.

(2) From the funds appropriated in part 1, the department shall pay providers of independent living plus services statewide per diem rates for staff-supported housing and host-home housing based on proposals submitted in response to a solicitation for pricing. The independent living plus program provides staff-supported housing and services for foster youth 16 years of age through 19 years of age who, because of their individual needs and assessments, are not initially appropriate for general independent living foster care.

(3) If required by the federal government to meet title IV-E requirements, providers of foster care services shall submit

quarterly reports on expenditures to the department to identify actual costs of providing foster care services.

(4) From the funds appropriated in part 1, the department shall maintain rates that are no less than the rates in place on October 1, 2022 provided to each private provider of residential services.

Sec. 547. (1) From the funds appropriated in part 1 for the guardianship assistance program, the department shall pay a minimum rate that is not less than the approved age-appropriate payment rates for youth placed in family foster care.

(2) The department shall submit a report on an annual basis to the report recipients required in section 246 of this part with quarterly data on the number of children enrolled in the guardianship assistance and foster care – children with serious emotional disturbance waiver programs.

Sec. 550. (1) The department shall not offset against reimbursement payments to counties or seek reimbursement from counties for charges that were received by the department more than 12 months before the department seeks to offset against reimbursement. A county shall not request reimbursement for and reimbursement payments shall not be paid for a charge that is more than 12 months after the date of service or original status determination when initially submitted by the county.

(2) All service providers shall submit a request for payment within 12 months after the date of service. Any request for payment submitted 12 months or more after the date of service requires the provider to submit an exception request to the county or the department for approval or denial.

(3) The county is not subject to any offset, chargeback, or

reimbursement liability for prior expenditures resulting from an error in foster care fund source determinations.

Sec. 551. The department shall respond to counties within 30 days regarding any request for a clarification requested through the department's child care fund management unit email address.

Sec. 552. Sixty days after a county's child care fund on-site review is completed, including the receipt of all requested documentation from the county, the department shall provide the results of the review to the county. The department shall not evaluate the relevancy, quality, effectiveness, efficiency, or impact of the services provided to youth of the county's child care fund programs in the review. Pursuant to state law, the department shall not release the results of the review to a third-party without the permission of the county being reviewed.

Sec. 554. From the funds appropriated in part 1 for foster care payments, the department shall allocate $50,000.00 to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, that currently has locations in 3 cities and operates on a 100% volunteer basis with a board of directors consisting of up to 15 members, and are a dedicated community of individuals that give their time, talent, and resources to provide the best quality shopping environment they can to local children in need and provide clothing, shoes, toys, linens, nursery furniture, strollers, car seats, school supplies, hygiene products, and safety equipment to local foster children and their families free of charge.

Sec. 556. From the funds appropriated in part 1 for child welfare licensing, the department shall work to develop and

implement a simpler and more streamlined process for the annual renewal of the license for family foster care homes, and shall explore the development of a simpler and more efficient version of the application form for renewal of the license for family foster care homes.

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

Sec. 560. From funds appropriated in part 1 for foster care payments, the department shall allocate $100,000.00 to reimburse children in foster care for the costs of extracurricular activities, including, but not limited to, athletics, music, band, drama, and other enrichment activities.

Sec. 562. The department shall provide time and travel reimbursements for foster parents who transport a foster child to parent-child visitations. As part of the foster care parent contract, the department shall provide written confirmation to foster parents that states that the foster parents have the right to request these reimbursements for all parent-child visitations. The department shall provide these reimbursements within 60 days after receiving a request for eligible reimbursements from a foster parent.

Sec. 564. (1) The department shall maintain a clear policy for parent-child visitations. The local county offices, caseworkers, and supervisors shall meet an 85% success rate, after accounting for factors outside of the caseworkers' control.

(2) Per the court-ordered number of required meetings between caseworkers and a parent, the caseworkers shall achieve a success rate of 85%, after accounting for factors outside of the caseworkers' control.

(3) By March 1 of the current fiscal year, the department shall provide to the report recipients required in section 246 of this part a report on the following:

(a) The percentage of success rate for parent-child visitations and court-ordered required meetings between caseworkers referenced in subsections (1) and (2) for the previous year.

(b) The barriers to achieve the success rates in subsections (1) and (2) and how this information is tracked.

Sec. 567. The department shall submit to the report recipients required in section 246 of this part, by March 1 of the current fiscal year, a report on the transfer of medical passports for children in foster care, including the following:

(a) From the total medical passports transferred, the percentage that transferred within 2 weeks after the date of placement or return to the home.

(b) From the total school records, the percentage that transferred within 2 weeks after the date of placement or return to the home.

Sec. 568. (1) The department shall ensure youths transitioning out of foster care are given assistance with obtaining a driver license or state identification card and are issued a copy of their Social Security number as required by department policy. Assistance must be provided to youths who are eligible to obtain a driver

license or state identification card and a Social Security card based on the youth's citizenship and legal residency status.

(2) The department shall provide a report by April 1 of the current fiscal year to the report recipients required in section 246 of this part on the number of youths who received assistance obtaining a driver license or state identification card, the number of youths who received assistance obtaining a Social Security card, the number of youths eligible for assistance who did not receive it, and an explanation as to why those youths did not receive assistance in obtaining the documents.

Sec. 569. The department shall reimburse private child placing agencies that complete adoptions at the rate according to the date on which the petition for adoption and required support documentation was accepted by the court and not according to the date the court's order placing for adoption was entered.

Sec. 574. (1) From the funds appropriated in part 1 for foster care payments, $1,375,000.00 is allocated to support family incentive grants to private and community-based foster care service providers to assist with home improvement items needed to ensure compliance with licensing rule requirements, including, but not limited to, payment for physical exams needed by foster families and to alleviate potential safety concerns for unlicensed relatives caring for a family member through the child welfare system to accommodate children in foster care.

(2) By March 1 of the current fiscal year, the department shall submit to the report recipients required in section 246 of this part a report on the total amount expended in the previous fiscal year for grants to private and community-based foster care service providers for home improvements or physical exams as

referenced in subsection (1) and the number of grants issued.

Sec. 575. From the funds appropriated in part 1 for children's services administration, the department shall allocate $200,000.00 to provide support and coordinated services to the kinship caregiver advisory council. The responsibilities of the council may include all of the following:

(a) Establish a public awareness campaign to educate the public about kinship caregivers and the state's efforts to better serve kinship caregivers.

(b) Consult and coordinate with the kinship caregiver navigator program to collect aggregate data on individuals being served by the kinship caregiver navigator program, including information on what services these individuals need.

(c) Consult and collaborate with the provider of the kinship caregiver navigator program on the design and administration of that program.

(d) Establish, maintain, and update a list of local support groups and programs that provide services to kinship families, and devise a plan of action for engaging with the groups and programs on the list in order to obtain a better understanding of the issues facing kinship families.

(e) Develop methods to promote and improve collaboration between state, county, and local governments and agencies and private stakeholders to obtain a broad understanding of the characteristics and prevalence of kinship caregiving, to improve service delivery, and to include these in the council's recommendations.

Sec. 579. The department shall require caseworkers ensure a motion is filed with the court to request that children who are

victims of child abuse or child neglect have court redetermination hearings more frequently than every 90 days when in the best interest of the child. The intent of this language is to decrease the time it will take for permanency to be finalized for the child.

Sec. 581. From the funds appropriated in part 1 for foster care payments, the department shall allocate $50,000.00 for caseworkers to provide immediate assistance with urgent needs, including, but not limited to, food and clothing, for children on removal from their home or other dangerous environment, including children who are victims of human trafficking. The department shall adhere to the relevant policies for the use and access to these funds.

Sec. 583. By March 1 of the current fiscal year, the department shall provide to the report recipients required in section 246 of this part a report that includes all of the following:

(a) The number and percentage of foster parents that dropped out of the program in the previous fiscal year, the reasons the foster parents left the program, and how those figures compare to prior fiscal years.

(b) The number and percentage of foster parents successfully retained in the previous fiscal year and how those figures compare to prior fiscal years.

Sec. 585. The department shall make available at least 1 pre-service training class each month in which new caseworkers for private foster care and adoption agencies can enroll.

Sec. 588. (1) Concurrently with public release, the department shall transmit all reports from the court-appointed settlement monitor, including, but not limited to, the needs assessment and

period outcome reporting, to the state budget office, the senate and house appropriations subcommittees on the department budget, and the senate and house fiscal agencies and policy offices, without revision.

(2) By October 1 of the current fiscal year, the department shall submit to the report recipients required in section 246 of this part a detailed plan that will terminate and dismiss with prejudice the settlement by September 30 of the current fiscal year.

Sec. 589. (1) From the funds appropriated in part 1 for child care fund, the department shall pay 100% of the administrative rate for all new cases referred to providers of foster care services.

(2) On a quarterly basis, the department shall submit a report on the monthly number of all foster care cases administered by the department and all foster care cases administered by private providers to the report recipients required in section 246 of this part.

Sec. 592. The department shall submit quarterly reports to the report recipients required in section 246 of this part that include data from children's protective services staff for each of the following for the most recent 30-day period before the report is submitted:

(a) The percent of investigations commenced within 24 hours after receiving a report.

(b) The percent of central registry reviews performed for required individuals.

(d) In appropriate cases, the percent of sibling placement

evaluations completed when 1 or more children remain in the home after a child has been removed.

(e) The percent of supervisory reviews performed in a timely manner.

(f) The results of a department survey of child protective services investigators on the number of investigators who are concerned for their own personal safety.

(g) The percent of investigators using the mobile application or other tool to document compliance.

Sec. 593. The department shall conduct an annual review in each county to determine if the county has adopted and implemented standard child abuse and child neglect investigation and interview protocols as required in section 8(6) of the child protection law, 1975 PA 238, MCL 722.628.

Sec. 594. From the funds appropriated in part 1 for foster care payments, the department shall support regional resource teams to provide for the recruitment, retention, and training of foster and adoptive parents and shall expand the Michigan youth opportunities initiative to all Michigan counties. The purpose of this funding is to increase the number of annual inquiries from prospective foster parents, increase the number of nonrelative foster homes that achieve licensure each year, increase the annual retention rate of nonrelative foster homes, reduce the number of older foster youth placed outside of family settings, and provide older youth with enhanced support in transitioning to adulthood.

Sec. 598. Partial child care fund reimbursements to counties for undisputed charges must be made within 45 business days after the receipt of the required forms and documentation. The department shall commence activity to investigate and resolve a disputed

reimbursement charge from a county within 15 business days after receiving the request for reimbursement. The activity to investigate and resolve a disputed reimbursement request may include, but is not limited to, the use of a formal appeals process, pursuant to statute and department chargeback policy. The department shall reimburse for corrected charges within 45 business days after a properly corrected submission by the county.

PUBLIC ASSISTANCE

Sec. 601. Whenever a client agrees to the release of the client's name and address to the local housing authority, the department shall request from the local housing authority information regarding whether the housing unit for which vendoring has been requested meets applicable local housing codes. Vendoring shall be terminated for those units that the local authority indicates in writing do not meet local housing codes until the local authority indicates in writing that local housing codes have been met.

Sec. 602. The department shall conduct a full evaluation of an individual's assistance needs if the individual has applied for disability more than 1 time within a 1-year period.

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

Sec. 604. (1) From the funds appropriated in part 1 for state disability assistance payments, the department shall operate a

state disability assistance program. Except as provided in subsection (3), persons eligible for this program shall include needy citizens of the United States or aliens exempted from the supplemental security income citizenship requirement who are at least 18 years of age or emancipated minors who meet 1 or more of the following requirements:

(a) Is a recipient of supplemental security income, social security, or medical assistance due to disability or 65 years of age or older.

(b) Is an individual with a physical or mental impairment that meets federal supplemental security income disability standards, except that the minimum duration of the disability shall be 90 days. Substance use disorder alone is not defined as a basis for eligibility.

(c) Is a resident of an adult foster care facility, a home for the aged, a county infirmary, or a substance use disorder treatment center.

(d) Is an individual receiving 30-day post-residential substance use disorder treatment.

(e) Is an individual diagnosed as having AIDS.

(f) Is an individual receiving special education services through a local intermediate school district.

(g) Is a caretaker of a disabled individual who meets the requirements specified in subdivision (a), (b), (e), or (f).

(2) Applicants for and recipients of the state disability assistance program shall be considered needy if they do both of the following:

(a) Meet the same asset test as is applied for the family independence program.

(b) Have a monthly budgetable income that is less than the payment standards.

(3) Except for an individual described in subsection (1)(c) or (d), an individual is not disabled for purposes of this section if the individual's drug addiction or alcoholism is a contributing factor material to the determination of disability. "Material to the determination of disability" means that, if the individual stopped using drugs or alcohol, the individual's remaining physical or mental limitations would not be disabling. If the individual's remaining physical or mental limitations would be disabling, then the drug addiction or alcoholism is not material to the determination of disability and the individual may receive state disability assistance. Such an individual must actively participate in a substance abuse treatment program, and the assistance must be paid to a third party or through vendor payments. For purposes of this section, substance abuse treatment includes receipt of inpatient or outpatient services or participation in alcoholics anonymous or a similar program.

Sec. 605. The level of reimbursement provided to state disability assistance recipients in licensed adult foster care facilities shall be the same as the prevailing supplemental security income rate under the personal care category.

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

Sec. 607. (1) The department's ability to satisfy appropriation deductions in part 1 for state disability assistance/supplemental security income recoveries and public assistance recoupment revenues shall not be limited to recoveries and accruals pertaining to state disability assistance, or family independence assistance grant payments provided only in the current fiscal year, but may include revenues collected during the current year that are prior year related and not a part of the department's accrued entries.

(2) The department may use supplemental security income recoveries to satisfy the deduct in any line in which the revenues are appropriated, regardless of the source from which the revenue is recovered.

Sec. 608. Adult foster care facilities providing domiciliary care or personal care to residents receiving supplemental security income or homes for the aged serving residents receiving supplemental security income shall not require those residents to reimburse the home or facility for care at rates in excess of those legislatively authorized. To the extent permitted by federal law, adult foster care facilities and homes for the aged serving residents receiving supplemental security income are not prohibited from accepting third-party payments in addition to supplemental security income if the payments are not for food, clothing, shelter, or result in a reduction in the recipient's supplemental security income payment.

Sec. 609. The state supplementation level under the supplemental security income program for the personal care/adult foster care and home for the aged categories shall not be reduced during the current fiscal year. The legislature shall be notified

not less than 30 days before any proposed reduction in the state supplementation level.

Sec. 610. (1) In developing good cause criteria for the state emergency relief program, the department shall grant exemptions if the emergency resulted from unexpected expenses related to maintaining or securing employment.

(2) For purposes of determining housing affordability eligibility for state emergency relief, a group is considered to have sufficient income to meet ongoing housing expenses if their total housing obligation does not exceed 75% of their total net income.

(3) State emergency relief payments shall not be made to individuals who have been found guilty of fraud in regard to obtaining public assistance.

(4) State emergency relief payments shall not be made available to persons who are out-of-state residents or illegal immigrants.

(5) State emergency relief payments for rent assistance shall be distributed directly to landlords and shall not be added to Michigan bridge cards.

Sec. 611. The state supplementation level under the supplemental security income program for the living independently or living in the household of another categories shall not exceed the minimum state supplementation level as required under federal law or regulations.

Sec. 613. (1) The department shall provide reimbursements for the final disposition of indigent persons. The reimbursements shall include all of the following:

(a) The maximum allowable reimbursement for the final

disposition is $840.00.

(b) The adult burial with services allowance is $765.00.

(d) The infant burial allowance is $210.00.

(2) Reimbursement for a cremation permit fee of up to $75.00 and for mileage at the standard rate will be made available for an eligible cremation. The reimbursements under this section shall take into consideration religious preferences that prohibit cremation.

(3) The department shall submit a report to the report recipients required in section 246 of this part by January 31 of the current fiscal year on burial services payments issued from the state emergency relief program during the previous fiscal year. The report shall include the number of payments by burial services category for the following:

(a) Fetus or infant under age 1 month.

(b) Burial with memorial service.

(d) Cremation with memorial service.

(e) Cremation without memorial service.

(f) Transportation of a donated or unclaimed body being cremated.

(g) Cremation permit fee for an unclaimed body.

(h) Disposition of an unclaimed body.

(i) Payment where an irrevocable funeral agreement exists.

(j) An unclaimed body received by a university.

Sec. 614. The department shall submit a report to the report recipients required in section 246 of this part by January 15 of the current fiscal year on the number and percentage of state

disability assistance recipients who were determined to be eligible for federal supplemental security income benefits in the previous fiscal year.

Sec. 615. Except as required by federal law or regulations, funds appropriated in part 1 shall not be used to provide public assistance to an individual who is not a United States citizen, permanent resident alien, or refugee. This section does not prohibit the department from entering into contracts with food banks, emergency shelter providers, or other human services agencies who may, as a normal part of doing business, provide food or emergency shelter.

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

Sec. 619. The department shall not deny title IV-A assistance and food assistance benefits under 21 USC 862a to any individual who has been convicted of a felony that included the possession, use, or distribution of a controlled substance, for which the act that resulted in the conviction occurred after August 22, 1996, if the individual is not in violation of the individual's probation or parole requirements.

Sec. 620. (1) The department shall make a determination of Medicaid eligibility not later than 90 days after completion of a Medicaid application if disability is an eligibility factor. For all other Medicaid applicants, including patients of a nursing home, the department shall make a determination of Medicaid eligibility within 45 days after application.

(2) The department shall provide a semiannual report to the

report recipients required in section 246 of this part on the number of recipients who were ineligible for Medicaid after Medicaid eligibility redeterminations resumed after federal continuous enrollment requirements. The report must include, in a monthly data format, the number of recipients who had their eligibility examined directly, through an ex parte eligibility process, or through passive eligibility process. The report must also include all baseline and monthly reports provided to CMS for unwinding data reporting and the number of recipients who did not respond to department contact through eligibility outreach or data requests.

Sec. 645. An individual or family is considered homeless, for purposes of eligibility for state emergency relief, if living temporarily with others in order to escape domestic violence. For purposes of this section, domestic violence is defined and verified in the same manner as in the department's policies on good cause for not cooperating with child support and paternity requirements.

Sec. 653. From the funds appropriated in part 1 for food assistance program benefits, an individual who is the victim of domestic violence or human trafficking and does not qualify for any other exemption may be exempt from the 3-month in 36-month limit on receiving food assistance under 7 USC 2015. This exemption can be extended an additional 3 months on demonstration of continuing need.

Sec. 654. The department shall notify recipients of food assistance program benefits that their benefits can be spent with their bridge cards at many farmers' markets in the state. The department shall also notify recipients about the Double Up Food Bucks program that is administered by the Fair Food Network.

Recipients shall receive information about the Double Up Food Bucks program, including information that when the recipient spends $20.00 at participating farmers' markets through the program, the recipient can receive an additional $20.00 to buy Michigan produce.

Sec. 655. Within 14 days after the spending plan for low-income home energy assistance program is approved by the state budget office, the department shall provide the spending plan, including itemized projected expenditures and itemized expenditures for the previous fiscal year, to the chairpersons of the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, the senate and house policy offices, and the state budget office.

Sec. 660. From the funds appropriated in part 1 for Food Bank Council of Michigan, the department shall allocate $12,045,000.00 for the procurement and distribution of the Michigan agricultural surplus system to distribute surplus produce to low-income residents of this state.

Sec. 669. From the funds appropriated in part 1 for family independence program – clothing allowance, the department shall allocate $10,000,000.00 for the annual clothing allowance. The allowance shall be granted to all eligible children in a family independence program group.

Sec. 670. From the funds appropriated in part 1 for food assistance benefits – state supplementation, the department shall allocate $5,000,000.00 to food assistance program groups that experienced a reduction in federal food assistance benefits due to the cessation of pandemic-related increases. This supplementation benefit is available only to food assistance program benefit groups with an income that is at or below 50% of the federal poverty level

or a food assistance program benefit group with an individual at or above 65 years of age with an income at or below 100% of the federal poverty level.

Sec. 672. (1) The department's office of inspector general shall submit a report to the report recipients required in section 246 of this part by February 15 of the current fiscal year on department efforts to reduce inappropriate use of Michigan bridge cards and food assistance program trafficking. The department shall provide information on the number of recipients of services who used their Michigan bridge card inappropriately and the current status of each case, the number of recipients whose benefits were revoked, whether permanently or temporarily, as a result of inappropriate use, and the number of retailers that were fined or removed from the electronic benefit transfer program for permitting inappropriate use of the cards. The report shall also include the number of Michigan bridge card trafficking instances and overall welfare fraud referrals that includes such information as the number of investigations completed, fraud and intentional program violation dollar amounts identified, the number of referrals to prosecutors, the number of administrative hearing referrals and waivers, and the number of program disqualifications imposed. The report shall distinguish between savings and cost avoidance. Savings include receivables established from instances of fraud committed. Cost avoidance includes expenditures avoided due to front-end eligibility investigations and other preemptive actions undertaken in the prevention of fraud.

(2) If a fourth Michigan bridge card has been issued in a 12-month period, the department shall notify the household that they have reached the number of issued cards threshold. At their fifth

and each subsequent card replacement request, a card will not be issued until the recipient has spoken directly to the local office district manager or county director. The district manager or county director may issue a new Michigan bridge card under their authority based on their assessment of the recipient's situation and explanation.

(3) As used in this section:

(a) "Food assistance trafficking" means the buying and selling of food assistance benefits for cash or items not authorized under 7 USC 2036b.

(b) "Inappropriate use" means not used to meet a family's ongoing basic needs, including food, clothing, shelter, utilities, household goods, personal care items, and general incidentals.

Sec. 677. The department shall establish a state goal for the percentage of family independence program cases involved in employment activities. The percentage established shall not be less than 50%. The goal for long-term employment shall be 15% of cases for 6 months or more.

Sec. 678. From the funds appropriated in part 1 for family independence program - small child supplemental payment, the department shall provide a $300.00 supplement semiannually for every child under 6 years of age to families receiving cash assistance for the current fiscal year.

Sec. 686. (1) The department shall confirm that individuals presenting personal identification issued by another state seeking assistance through the family independence program, food assistance program, state disability assistance program, or medical assistance program are not receiving benefits from any other state.

(2) The department shall confirm the address provided by any

individual seeking family independence program benefits or state disability assistance benefits.

(3) The department shall prohibit individuals with property assets assessed at a value higher than $200,000.00 from accessing assistance through department-administered programs, unless such a prohibition would violate federal rules and guidelines.

(4) The department shall make a reasonable attempt to obtain an up-to-date telephone number during the eligibility determination or redetermination process for individuals seeking medical assistance benefits.

Sec. 687. (1) The department shall, in quarterly reports, compile and make available on its website all of the following information about the family independence program, state disability assistance, the food assistance program, Medicaid, and state emergency relief:

(a) The number of applications received.

(b) The number of applications approved.

(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 following family independence program information:

(a) The number of new applicants who successfully met the requirements of the 10-day assessment period for PATH.

(b) The number of new applicants who did not meet the requirements of the 10-day assessment period for PATH.

(d) The number of cases closed because of the 48-month and 60-month lifetime limits.

(e) The number of first-, second-, and third-time sanctions.

(f) The number of children 0-5 years of age living in family independence program-sanctioned households.

Sec. 688. From the funds appropriated in part 1 for the low-income home energy assistance program, the department shall make an additional $20.01 payment to each food assistance program case that is not currently eligible for the standard utility allowance to enable each case to receive expanded food assistance benefits through the program commonly known as the heat and eat program.

CHILDREN'S SERVICES AGENCY - JUVENILE JUSTICE

Sec. 701. Unless required from changes to federal or state law or at the request of a provider, the department shall not alter the terms of any signed contract with a private residential facility serving children under state or court supervision without written consent from a representative of the private residential facility.

Sec. 706. Counties shall be subject to 50% chargeback for the use of alternative regional detention services, if those detention services do not fall under the basic provision of section 117e of

the social welfare act, 1939 PA 280, MCL 400.117e, or if a county operates those detention services programs primarily with professional rather than volunteer staff.

Sec. 707. In order to be reimbursed for child care fund expenditures, counties are required to submit department-developed reports to enable the department to document potential federally claimable expenditures. This requirement is in accordance with the reporting requirements specified in section 117a(12) of the social welfare act, 1939 PA 280, MCL 400.117a.

Sec. 708. (1) As a condition of receiving funds appropriated in part 1 for the child care fund line item, by October 15 of the current fiscal year, counties shall have an approved service spending plan for the current fiscal year. Counties must submit the service spending plan for the following fiscal year to the department by August 15 of the current fiscal year for approval. On submission of the county service spending plan, the department shall approve within 30 calendar days after receipt of a properly completed service plan that complies with the requirements of the social welfare act, 1939 PA 280, MCL 400.1 to 400.119b. The department shall notify and submit county service spending plan revisions to any county whose county service spending plan is not accepted on initial submission. The department shall not request any additional revisions to a county service spending plan outside of the requested revision notification submitted to the county by the department. The department shall notify a county within 30 days after approval that its service plan was approved.

(2) Counties must submit amendments to current fiscal year county service plans to the department no later than August 30. Counties must submit current fiscal year payable estimates to the

department no later than September 15.

(3) The department shall submit a report to the report recipients required in section 246 of this part by February 15 of the current fiscal year on the number of counties that fail to submit a service spending plan by August 15 of the previous fiscal year and the number of service spending plans not approved by October 15. The report shall include the number of county service spending plans that were not approved as first submitted by the counties, as well as the number of plans that were not approved by the department after being resubmitted by the county with the first revisions that were requested by the department.

Sec. 709. The department's master contract for juvenile justice residential foster care services shall prohibit contractors from denying a referral for placement of a youth, or terminating a youth's placement, if the youth's assessed treatment needs are in alignment with the facility's residential program type, as identified by the court or the department. In addition, the master contract shall require that youth placed in juvenile justice residential foster care facilities must have regularly scheduled treatment sessions with a licensed psychologist or a psychiatrist, or both, and access to the licensed psychologist or a psychiatrist as needed.

Sec. 715. (1) As a condition of receiving funds appropriated in part 1 for raise the age fund, by deadlines established and advised by the department, counties or tribal entities shall have an approved raise the age fund budget plan for the following fiscal year. Counties must submit the raise the age fund budget plan for the current fiscal year to the department by February 1 of the current fiscal year. The raise the age fund budget plan shall

specifically identify the types of costs to be reimbursed, estimated costs for each item, and the total estimated cost to be reimbursed. The types of costs to be reimbursed must comply with the requirements of section 117i of the social welfare act, 1939 PA 280, MCL 400.117i. $500,000.00 of the raise the age fund shall be reserved for tribal entities. If total raise the age fund requests from tribal entities are less than $500,000.00, the funding may be allocated to meet requests from counties. From the funds appropriated in part 1 for raise the age fund, each county and tribal entity eligible for reimbursement shall receive a minimum $10,000.00 allocation from the raise the age fund.

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

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

(4) As used in this section, "eligible youth" includes both of the following:

(a) Pre-adjudication eligible youth: A youth for whom a petition has been filed alleging the commission of a status or criminal offense on or after reaching 17 years of age, but before reaching 18 years of age.

(b) Post-adjudication eligible youth: A youth who has been adjudicated for a status or criminal offense for which a petition

was filed alleging the commission of a status or criminal offense on or after reaching 17 years of age, but before reaching 18 years of age.

Local OFFICE OPERATIONS AND SUPPORT SERVICES

Sec. 801. (1) The department shall submit a monthly report to the report recipients required in section 246 of this part on the most recent food assistance program error rate derived from the active cases, reported to the United States Department of Agriculture – Food and Nutrition Services for the supplemental nutrition assistance program.

(2) The department shall submit a report by April 1 to the report recipients required in section 246 of this part on the corrective action plan undertaken to lower food assistance program error rates. The report must include the 10 local offices in the prior fiscal year with the highest error rates and list the specific actions and remedies undertaken in those offices. The report must include the error rate by each local office, by month, prior to an intervention, and then the monthly error rate for each month after any intervention. The report must also include the status of each local office that received a 4-month precertification case read intervention completed by central office staff in the prior fiscal year. The status update must include a list of each local office that received the 4-month precertification case reads and the measurements undertaken by the department to ensure that the corrective action plans were implemented and led to food assistance error rate decreases.

Sec. 802. From the funds appropriated in part 1 for local office staff travel, the department shall allocate up to

$100,000.00 annually toward reimbursing the out-of-pocket costs of county board members and county department directors to attend statewide meetings of the Michigan County Social Services Association.

Sec. 805. (1) From the funds appropriated in part 1 for critical health and wellness center operations, the department shall allocate $100.00 to operate a health and wellness hub located in a county with a population between 66,600 and 66,700 according to the most recent federal decennial census that includes an FQHC located on-site. The health and wellness hub shall provide health services and child care services in a manner that increases access to affordable services.

(2) With the funding described in this section, $50.00 shall be allocated to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, located in a county with a population between 600,000 and 700,000 according to the most recent federal decennial census.

(3) With the funding described in this section, $50.00 shall be allocated to an FQHC that operates in 6 counties in this state and with the main office located in a county with a population between 600,000 and 700,000 according to the most recent federal decennial census.

Sec. 806. (1) From the funds appropriated in part 1 for equity and minority health, the department shall allocate $1,000,200.00 to the office of equity and minority health within the department to inform and disseminate the report required under section 2227 of the public health code, 1978 PA 368, MCL 333.2227, to health care providers, local health departments, nonprofit groups, and other

entities with an interest in equity and minority health.

(2) From the funds appropriated in part 1 for social determinants of health hub, the department shall allocate $500,000.00 to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, located in a city with a population between 80,000 and 82,000 according to the most recent federal decennial census, that runs health equity programs. The funding must be used to create a social determinants of health hub, offer technical assistance to other communities across the state, and provide multisector coordination necessary to become a social determinants of health hub.

Sec. 807. From the funds appropriated in part 1 for Elder Law of Michigan MiCAFE contract, the department shall allocate not less than $350,000.00 to the Elder Law of Michigan MiCAFE to assist this state's elderly population in participating in the food assistance program. Of the $350,000.00 allocated under this section, the department shall use $175,000.00, which are general fund/general purpose funds, as state matching funds for not less than $175,000.00 in United States Department of Agriculture funding to provide outreach program activities, such as eligibility screening and information services, as part of a statewide food assistance hotline.

Sec. 808. By March 1 of the current fiscal year, the department shall provide a report to the report recipients required in section 246 of this part on the nutrition education program. The report must include planned allocation and actual expenditures for the supplemental nutrition assistance program education funding by location of programs, planned and actual grant amounts for the

supplemental nutrition assistance program education funding by location of programs, the total amount of expected carryforward balance at the end of the current fiscal year for the supplemental nutrition assistance program education funding, and for each subgrantee program, a list of all supplemental nutrition assistance program education funding programs by implementing agency with the amount of funding allocated.

Sec. 825. From the funds appropriated in part 1, the department shall provide individuals not more than $2,000.00 for vehicle repairs, including any repairs done in the previous 12 months. Payments under this section shall include the combined total of payments made by the department and work participation program.

Sec. 826. (1) From the funds appropriated in part 1 for local office policy and administration, not less than $300,000.00 shall be allocated for the department to contract with the Prosecuting Attorneys Association of Michigan to provide the support and services necessary to increase the capability of the state's prosecutors, adult protective service system, and criminal justice system to effectively identify, investigate, and prosecute elder abuse and financial exploitation.

(2) By March 1 of the current fiscal year, the Prosecuting Attorneys Association of Michigan shall provide a report to the department on the efficacy of the contract. The department shall submit the report to the report recipients required in section 246 of this part within 30 days after receiving the report from the Prosecuting Attorneys Association of Michigan.

Sec. 827. (1) From the funds appropriated in part 1 for local office policy and administration, the department shall allocate

$812,000.00 to implement a pilot program with the goals of creating a statewide peer-led reentry program, e