CHILD WITH SPECIAL HEALTH CARE NEEDS                  H.B. 4203 (H-1), 4204, & 4205 (S-3):

                                                                                                    SUMMARY OF BILL

                                                                                      REPORTED FROM COMMITTEE

House Bill 4203 (Substitute H-1 as reported without amendment)

House Bill 4204 (as reported without amendment)

House Bill 4205 (Substitute S-3 as reported by the Committee of the Whole)

Sponsor:  Representative Mike Callton, D.C. (H.B. 4203)

               Representative Joseph Graves (H.B. 4204)

               Representative Andy Schor (H.B. 4205)

House Committee:  Health Policy

Senate Committee:  Families, Seniors and Human Services

CONTENT

House Bill 4203 (H-1) would amend Public Act 327 of 1931, which governs various types of corporations, to refer to a hospital for the care or relief of children and youth with special health care needs, rather than a hospital for crippled children. The bill would make this change in a provision that allows three or more trustees, when they are given land or other property worth $5,000 or more, to incorporate under the Act for the purpose of endowing or founding a type of hospital described in the Act.

House Bill 4204 would amend the Social Welfare Act to refer to a program of services for children and youth with special health care needs, rather than a program of services for crippled children, established under Part 58 of the Public Health Code. The bill would make this change in a provision that requires a county public welfare program to furnish the court, on request, with investigational services concerning the hospitalization of children under that program of services.

House Bill 4205 (S-3) would amend Part 58 (Crippled Children) of the Public Health Code to do the following:

-- Replace the term "crippled child" with "child or youth with special health care needs", and revise the definition to refer to a child's "specified medical condition" rather than a child's "deformity".

-- Revise some requirements for a program of services for children or youth with special health care needs.

-- Require the Department of Health and Human Services, in implementing the program of services, to develop systems of care that were community-based, comprehensive, culturally competent, coordinated, and family-centered.

-- Revise requirements for the promulgation of rules with regard to facilities, treatment centers, medical specialists, and other providers.

-- Revise requirements for the investigation of a child's eligibility for services under Part 58 and a financial assessment to determine cost-sharing responsibilities.

-- Delete a requirement that the Department of Treasury keep money received from the Federal government under Part 58 in the "Crippled Children's Fund".

-- Require charges for the medical care and treatment of a child or youth with special health care needs, paid by the child, parent, or spouse, to be deposited in the "Parent Participation Fund".

The bill also would repeal a section of the Code that created the Crippled Children's Advisory Committee, and would change the heading of Part 58 to "Children and Youth with Special Health Care Needs".

In addition, the bill would amend Part 177 (Pharmacy Practice and Drug Control) of the Code to require a person to be licensed or otherwise authorized by Article 15 (Occupations) of the Code in order to serve as a pharmacist technician after October 1, 2015. Currently, that requirement applies after June 30, 2015.

House Bills 4203 (H-1) and 4204 are tie-barred to House Bill 4205.

MCL 450.157 (H.B. 4203)                                          Legislative Analyst:  Patrick Affholter

       400.55 (H.B. 4204)

       333.5801 et al. (H.B. 4205)

FISCAL IMPACT

The bills would have no fiscal impact on State or local government.

Date Completed:  6-17-15                                                 Fiscal Analyst:  Steve Angelotti

This analysis was prepared by nonpartisan Senate staff for use by the Senate in its deliberations and does not constitute an official statement of legislative intent.