SB-0856, As Passed Senate, May 3, 2018

 

 

 

 

 

 

 

 

 

SUBSTITUTE FOR

 

SENATE BILL NO. 856

 

 

 

 

 

 

 

 

 

 

 

A bill to make appropriations for the department of health and

 

human services for the fiscal year ending September 30, 2019; and

 

to provide for the expenditure of the appropriations.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

PART 1

 

LINE-ITEM APPROPRIATIONS

 

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

 

and human services for the fiscal year ending September 30, 2019,

 

from the following funds:

 

DEPARTMENT OF HEALTH AND HUMAN SERVICES

 

APPROPRIATION SUMMARY

 

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

 

Full-time equated classified positions....... 15,610.7

 

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

 

GROSS APPROPRIATION.................................... $ 25,117,902,400

 


Interdepartmental grant revenues:

 

Total interdepartmental grants and intradepartmental

 

transfers............................................ 13,813,700

 

ADJUSTED GROSS APPROPRIATION........................... $ 25,104,088,700

 

Federal revenues:

 

Social security act, temporary assistance for needy

 

families............................................. 556,403,800

 

Capped federal revenues................................ 593,625,400

 

Total other federal revenues........................... 16,704,209,500

 

Special revenue funds:

 

Total local revenues................................... 120,871,100

 

Total private revenues................................. 148,989,500

 

Michigan merit award trust fund........................ 52,268,700

 

Total other state restricted revenues.................. 2,409,629,800

 

State general fund/general purpose..................... $ 4,518,090,900

 

Sec. 102. DEPARTMENTAL ADMINISTRATION AND SUPPORT

 

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

 

Full-time equated classified positions.......... 797.6

 

Unclassified salaries--6.0 FTE positions............... $ 588,100

 

Unclassified salaries allocated pursuant to section

 

273.................................................. 588,000

 

Administrative hearings officers....................... 11,340,000

 

Demonstration projects--7.0 FTE positions.............. 7,358,400

 

Departmental administration and management--603.6

 

FTE positions........................................ 115,659,000

 

Developmental disabilities council and

 

projects--10.0 FTE positions......................... 3,090,000


Office of inspector general--177.0 FTE positions....... 22,204,500

 

Property management.................................... 65,966,100

 

Terminal leave payments................................ 7,250,000

 

Worker's compensation.................................. 7,523,100

 

GROSS APPROPRIATION.................................... $ 241,567,200

 

Appropriated from:

 

Interdepartmental grant revenues:

 

IDG from department of education....................... 1,943,300

 

Federal revenues:

 

Social security act, temporary assistance for needy

 

families............................................. 23,489,700

 

Capped federal revenues................................ 20,421,100

 

Total other federal revenues........................... 90,125,000

 

Special revenue funds:

 

Total local revenues................................... 86,000

 

Total private revenues................................. 3,843,200

 

Total other state restricted revenues.................. 851,400

 

State general fund/general purpose..................... $ 100,807,500

 

Sec. 103. CHILD SUPPORT ENFORCEMENT

 

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

 

Child support enforcement operations--179.7 FTE

 

positions............................................... $ 22,940,500

 

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

 

Legal support contracts................................ 113,607,100

 

State disbursement unit--6.0 FTE positions............. 8,127,500

 

GROSS APPROPRIATION.................................... $ 169,084,700

 

Appropriated from:


Federal revenues:

 

Capped federal revenues................................ 1,735,000

 

Total other federal revenues........................... 143,074,600

 

State general fund/general purpose..................... $ 24,275,100

 

Sec. 104. COMMUNITY SERVICES AND OUTREACH

 

Full-time equated classified positions........... 75.6

 

Bureau of community services and outreach--20.0 FTE

 

positions............................................... $ 2,571,400

 

Child advocacy centers--0.5 FTE position............... 1,407,000

 

Community services and outreach administration--11.0

 

FTE positions........................................ 1,492,000

 

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

 

Crime victim grants administration services--13.0

 

FTE positions........................................ 2,206,500

 

Crime victim justice assistance grants................. 59,279,300

 

Crime victim rights services grants.................... 16,870,000

 

Domestic violence prevention and treatment--15.6 FTE

 

positions............................................... 16,010,100

 

Homeless programs...................................... 33,673,800

 

Michigan community service commission--15.0 FTE

 

positions............................................... 11,650,300

 

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

 

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

 

Uniform statewide sexual assault evidence kit

 

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

 

Weatherization assistance.............................. 16,340,000

 

GROSS APPROPRIATION.................................... $ 193,762,700


Appropriated from:

 

Federal revenues:

 

Social security act, temporary assistance for needy

 

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

 

Capped federal revenues................................ 67,894,400

 

Total other federal revenues........................... 75,852,300

 

Special revenue funds:

 

Private - collections.................................. 44,100

 

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

 

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

 

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

 

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

 

Crime victim's rights fund............................. 15,356,600

 

State general fund/general purpose..................... $ 15,178,000

 

Sec. 105. CHILDREN'S SERVICES AGENCY - CHILD

 

WELFARE

 

Full-time equated classified positions........ 3,841.2

 

Adoption subsidies..................................... $ 204,711,800

 

Adoption support services--10.0 FTE positions.......... 29,417,000

 

Attorney general contract.............................. 4,455,800

 

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

 

1.0 FTE position..................................... 624,700

 

Child care fund........................................ 197,544,200

 

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

 

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

 

Child welfare field staff caseload compliance--

 

2,461.0 FTE positions................................ 234,317,000


Child welfare field staff noncaseload compliance--

 

330.0 FTE positions.................................. 35,199,800

 

Child welfare first line supervisors--578.0 FTE

 

positions............................................ 74,179,200

 

Child welfare institute--45.0 FTE positions............ 8,328,600

 

Child welfare licensing--59.0 FTE positions............ 7,025,400

 

Child welfare medical/psychiatric evaluations.......... 10,435,500

 

Children's services administration--169.2 FTE

 

positions............................................ 20,085,900

 

Children's trust fund--12.0 FTE positions.............. 4,145,200

 

Contractual services, supplies, and materials.......... 9,300,000

 

Education planners--15.0 FTE positions................. 1,558,600

 

Family preservation and prevention services

 

administration--9.0 FTE positions.................... 1,322,100

 

Family preservation programs--13.0 FTE positions....... 38,900,900

 

Family support subsidy................................. 16,253,700

 

Foster care payments................................... 218,069,100

 

Guardianship assistance program........................ 12,675,500

 

Peer coaches--45.5 FTE positions....................... 5,838,600

 

Performance based funding implementation--3.0 FTE

 

positions............................................ 1,450,200

 

Permanency resource managers--28.0 FTE positions....... 3,254,600

 

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

 

Second line supervisors and technical staff--54.0

 

FTE positions........................................ 9,078,000

 

Settlement monitor..................................... 1,885,800

 

Strong families/safe children.......................... 12,350,100


Title IV-E compliance and accountability office--4.0

 

FTE positions........................................ 432,200

 

Youth in transition--4.5 FTE positions................. 15,317,300

 

GROSS APPROPRIATION.................................... $ 1,183,211,600

 

Appropriated from:

 

Interdepartmental grant revenues:

 

IDG from department of education....................... 90,300

 

Federal revenues:

 

Social security act, temporary assistance for needy

 

families................................................ 352,178,500

 

Capped federal revenues................................ 109,970,500

 

Total other federal revenues........................... 251,095,400

 

Special revenue funds:

 

Private - collections.................................. 2,350,300

 

Local funds - county chargeback........................ 16,486,600

 

Children's trust fund.................................. 2,895,300

 

State general fund/general purpose..................... $ 448,144,700

 

Sec. 106. CHILDREN'S SERVICES AGENCY - JUVENILE

 

JUSTICE

 

Full-time equated classified positions.......... 123.5

 

Bay Pines Center--47.0 FTE positions................... $ 5,623,600

 

Committee on juvenile justice administration--2.5

 

FTE positions........................................ 354,500

 

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

 

Community support services--3.0 FTE positions.......... 2,122,700

 

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

 

Juvenile justice, administration and maintenance--


24.0 FTE positions................................... 4,314,500

 

Shawono Center--47.0 FTE positions..................... 5,651,700

 

W.J. Maxey Training School............................. 250,000

 

GROSS APPROPRIATION.................................... $ 25,221,300

 

Appropriated from:

 

Federal revenues:

 

Capped federal revenues................................ 8,422,700

 

Total other federal revenues........................... 25,800

 

Special revenue funds:

 

Local funds - state share education funds.............. 1,355,700

 

Local funds - county chargeback........................ 5,117,400

 

State general fund/general purpose..................... $ 10,299,700

 

Sec. 107. PUBLIC ASSISTANCE

 

Full-time equated classified positions............ 8.0

 

Emergency services local office allocations............ $ 9,357,500

 

Family independence program............................ 77,386,300

 

Food assistance program benefits....................... 1,931,717,000

 

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

 

Indigent burial........................................ 4,375,000

 

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

 

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

 

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

 

Refugee assistance program--7.0 FTE positions.......... 28,011,500

 

State disability assistance payments................... 8,739,900

 

State supplementation.................................. 60,353,200

 

State supplementation administration................... 1,681,100

 

GROSS APPROPRIATION.................................... $ 2,363,921,900


Appropriated from:

 

Federal revenues:

 

Social security act, temporary assistance for needy

 

families............................................. 68,562,200

 

Capped federal revenues................................ 203,147,600

 

Total other federal revenues........................... 1,927,517,000

 

Special revenue funds:

 

Child support collections.............................. 11,081,900

 

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

 

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

 

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

 

State general fund/general purpose..................... $ 94,470,500

 

Sec. 108. FIELD OPERATIONS AND SUPPORT SERVICES

 

Full-time equated classified positions........ 6,337.5

 

Administrative support workers--221.0 FTE positions.... $ 13,110,500

 

Adult services field staff--520.0 FTE positions........ 57,183,700

 

Contractual services, supplies, and materials.......... 16,521,400

 

Donated funds positions--238.0 FTE positions........... 27,273,300

 

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

 

Electronic benefit transfer (EBT)...................... 8,509,000

 

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

 

Field policy and administration--63.0 FTE positions.... 10,900,900

 

Field staff travel..................................... 8,103,900

 

Independent living..................................... 15,031,600

 

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

 

Michigan rehabilitation services--526.0 FTE positions.. 129,881,000

 

Nutrition education--2.0 FTE positions................. 33,047,400


Public assistance field staff--4,747.5 FTE positions... 491,734,700

 

SSI advocacy legal services grant...................... 500,000

 

Training and program support--20.0 FTE positions....... 2,472,200

 

Volunteer services and reimbursement................... 942,400

 

GROSS APPROPRIATION.................................... $ 821,201,200

 

Appropriated from:

 

Interdepartmental grant revenues:

 

IDG from department of corrections..................... 119,700

 

IDG from department of education....................... 7,851,700

 

IDG from department of licensing and regulatory

 

affairs.............................................. 38,300

 

Federal revenues:

 

Social security act, temporary assistance for needy

 

families............................................. 73,288,200

 

Capped federal revenues................................ 158,672,500

 

Federal supplemental security income................... 8,588,600

 

Total other federal revenues........................... 262,664,700

 

Special revenue funds:

 

Local funds - donated funds............................ 4,071,400

 

Local vocational rehabilitation match.................. 5,300,000

 

Private funds - donated funds.......................... 9,285,700

 

Private funds - gifts, bequests, and donations......... 531,500

 

Rehabilitation service fees............................ 150,000

 

State general fund/general purpose..................... $ 290,638,900

 

Sec. 109. DISABILITY DETERMINATION SERVICES

 

Full-time equated classified positions.......... 587.4

 

Disability determination operations--583.3 FTE


positions............................................ $ 113,054,600

 

Retirement disability determination--4.1 FTE positions. 616,500

 

GROSS APPROPRIATION.................................... $ 113,671,100

 

Appropriated from:

 

Interdepartmental grant revenues:

 

IDG from DTMB - office of retirement services.......... 793,600

 

Federal revenues:

 

Total other federal revenues........................... 108,563,700

 

State general fund/general purpose..................... $ 4,313,800

 

Sec. 110. BEHAVIORAL HEALTH PROGRAM ADMINISTRATION

 

AND SPECIAL PROJECTS

 

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

 

Behavioral health program administration--80.0 FTE

 

positions............................................ $ 49,533,300

 

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

 

Gambling addiction--1.0 FTE position................... 3,009,200

 

Office of recipient rights--21.0 FTE positions......... 2,763,000

 

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

 

Student outreach services grant program................ 10,000,000

 

GROSS APPROPRIATION.................................... $ 68,035,500

 

Appropriated from:

 

Federal revenues:

 

Total other federal revenues........................... 32,093,200

 

Special revenue funds:

 

Total private revenues................................. 1,004,700

 

Total other state restricted revenues.................. 3,009,200

 

State general fund/general purpose..................... $ 31,928,400


Sec. 111. BEHAVIORAL HEALTH SERVICES

 

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

 

Autism services........................................ $ 205,150,800

 

Children with serious emotional disturbance waiver..... 10,000,000

 

Children's waiver home care program.................... 20,241,100

 

Civil service charges.................................. 399,300

 

Community mental health non-Medicaid services.......... 120,050,400

 

Community substance use disorder prevention,

 

education, and treatment............................. 76,456,200

 

Federal mental health block grant--2.5 FTE positions... 17,465,400

 

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

 

Healthy Michigan plan - behavioral health.............. 292,962,900

 

Medicaid mental health services........................ 2,364,039,700

 

Medicaid substance use disorder services............... 68,441,000

 

Nursing home PAS/ARR-OBRA--7.0 FTE positions........... 12,282,200

 

State disability assistance program substance use

 

disorder services.................................... 2,018,800

 

GROSS APPROPRIATION.................................... $ 3,192,876,800

 

Appropriated from:

 

Federal revenues:

 

Total other federal revenues........................... 2,096,183,400

 

Special revenue funds:

 

Total local revenues................................... 25,475,800

 

Total other state restricted revenues.................. 24,212,100

 

State general fund/general purpose..................... $ 1,047,005,500

 

Sec. 112. STATE PSYCHIATRIC HOSPITALS AND FORENSIC

 

MENTAL HEALTH SERVICES


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

 

Full-time equated classified positions........ 2,290.6

 

Caro Regional Mental Health Center - psychiatric

 

hospital - adult--474.3 FTE positions................ $ 53,491,300

 

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

 

Center for forensic psychiatry--601.1 FTE positions.... 94,729,400

 

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

 

Gifts and bequests for patient living and treatment

 

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

 

Hawthorn Center - psychiatric hospital - children

 

and adolescents--276.0 FTE positions................. 32,179,800

 

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

 

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

 

Kalamazoo Psychiatric Hospital - adult--533.8 FTE

 

positions............................................ 69,457,400

 

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

 

Purchase of medical services for residents of

 

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

 

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

 

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

 

Walter P. Reuther Psychiatric Hospital - adult--405.4

 

FTE positions........................................ 57,673,400

 

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

 

GROSS APPROPRIATION.................................... $ 310,771,500

 

Appropriated from:

 

Federal revenues:

 

Total other federal revenues........................... 40,231,600


Special revenue funds:

 

Total local revenues................................... 23,029,900

 

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

 

Total other state restricted revenues.................. 14,937,000

 

State general fund/general purpose..................... $ 231,573,000

 

Sec. 113. HEALTH POLICY

 

Full-time equated classified positions........... 50.9

 

Bone marrow transplant registry........................ $ 250,000

 

Certificate of need program administration--11.8 FTE

 

positions............................................ 2,741,600

 

Health policy administration--33.9 FTE positions....... 14,391,500

 

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

 

Michigan essential health provider..................... 3,591,300

 

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

 

Nurse education and research program--3.0 FTE

 

positions............................................... 791,300

 

Primary care services--1.2 FTE positions............... 5,748,700

 

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

 

GROSS APPROPRIATION.................................... $ 29,882,600

 

Appropriated from:

 

Interdepartmental grant revenues:

 

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

 

IDG from the department of licensing and regulatory

 

affairs................................................. 791,300

 

IDG from the department of treasury, Michigan state

 

hospital finance authority........................... 117,700

 

Federal revenues:


Social security act, temporary assistance for needy

 

families................................................ 190,900

 

Capped federal revenues................................ 63,400

 

Total other federal revenues........................... 17,112,600

 

Special revenue funds:

 

Total private revenues................................. 865,000

 

Total other state restricted revenues.................. 2,737,500

 

State general fund/general purpose..................... $ 8,001,800

 

Sec. 114. LABORATORY SERVICES

 

Full-time equated classified positions.......... 100.0

 

Laboratory services--100.0 FTE positions............... $ 22,580,200

 

GROSS APPROPRIATION.................................... $ 22,580,200

 

Appropriated from:

 

Interdepartmental grant revenues:

 

IDG from the department of environmental quality....... 998,400

 

Federal revenues:

 

Total other federal revenues........................... 3,838,600

 

Special revenue funds:

 

Total other state restricted revenues.................. 10,799,700

 

State general fund/general purpose..................... $ 6,943,500

 

Sec. 115. DISEASE CONTROL, PREVENTION, AND

 

EPIDEMIOLOGY

 

Full-time equated classified positions.......... 137.9

 

Childhood lead program--4.5 FTE positions.............. $ 2,055,300

 

Epidemiology administration--75.1 FTE positions........ 21,179,800

 

Healthy homes program--12.0 FTE positions.............. 27,754,200

 

Immunization program--12.8 FTE positions............... 16,838,100


Newborn screening follow-up and treatment services--

 

10.5 FTE positions................................... 7,535,600

 

PFAS and environmental contamination response--23.0

 

FTE positions........................................ 8,025,300

 

GROSS APPROPRIATION.................................... $ 83,388,300

 

Appropriated from:

 

Federal revenues:

 

Total other federal revenues........................... 53,784,300

 

Special revenue funds:

 

Total private revenues................................. 342,700

 

Total other state restricted revenues.................. 9,721,500

 

State general fund/general purpose..................... $ 19,539,800

 

Sec. 116. LOCAL HEALTH AND ADMINISTRATIVE SERVICES

 

Full-time equated classified positions.......... 228.2

 

AIDS prevention, testing, and care programs--37.7

 

FTE positions........................................ $ 70,682,000

 

Cancer prevention and control program--15.0 FTE

 

positions............................................ 15,101,500

 

Chronic disease control and health promotion

 

administration--23.4 FTE positions................... 8,506,800

 

Dental programs--3.8 FTE positions..................... 3,759,100

 

Diabetes and kidney program--8.0 FTE positions......... 3,262,400

 

Essential local public health services................. 50,886,100

 

Health and wellness initiatives--11.7 FTE positions.... 8,047,700

 

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

 

Injury control intervention project.................... 1,000,000

 

Local health services--1.3 FTE positions............... 1,957,500


Medicaid outreach cost reimbursement to local health

 

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

 

Public health administration--9.0 FTE positions........ 1,968,800

 

Sexually transmitted disease control program--20.0

 

FTE positions........................................ 6,333,400

 

Smoking prevention program--12.0 FTE positions......... 2,168,600

 

Violence prevention--4.9 FTE positions................. 3,310,400

 

Vital records and health statistics--81.4 FTE

 

positions............................................ 10,167,700

 

GROSS APPROPRIATION.................................... $ 199,672,000

 

Appropriated from:

 

Federal revenues:

 

Capped federal revenues................................ 81,100

 

Total other federal revenues........................... 80,208,700

 

Special revenue funds:

 

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

 

Total private revenues................................. 39,282,400

 

Total other state restricted revenues.................. 18,478,000

 

State general fund/general purpose..................... $ 56,471,800

 

Sec. 117. FAMILY, MATERNAL, AND CHILD HEALTH

 

Full-time equated classified positions.......... 112.3

 

Family, maternal, and child health

 

administration--53.3 FTE positions................... $ 9,221,700

 

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

 

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

 

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

 

Prenatal care outreach and service delivery


support--14.0 FTE positions.......................... 20,647,000

 

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

 

Sudden and unexpected infant death and suffocation

 

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

 

Women, infants, and children program administration

 

and special projects--45.0 FTE positions............. 18,125,400

 

Women, infants, and children program local

 

agreements and food costs............................ 256,285,000

 

GROSS APPROPRIATION.................................... $ 326,820,400

 

Appropriated from:

 

Federal revenues:

 

Social security act, temporary assistance for needy

 

families................................................ 650,000

 

Total other federal revenues........................... 253,070,500

 

Special revenue funds:

 

Total local revenues................................... 75,000

 

Total private revenues................................. 61,702,400

 

State general fund/general purpose..................... $ 11,322,500

 

Sec. 118. EMERGENCY MEDICAL SERVICES, TRAUMA, AND

 

PREPAREDNESS

 

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

 

Bioterrorism preparedness--53.0 FTE positions.......... $ 30,491,300

 

Emergency medical services program--23.0 FTE positions. 6,609,500

 

GROSS APPROPRIATION.................................... $ 37,100,800

 

Appropriated from:

 

Federal revenues:

 

Total other federal revenues........................... 31,435,300


Special revenue funds:

 

Total other state restricted revenues.................. 4,055,200

 

State general fund/general purpose..................... $ 1,610,300

 

Sec. 119. CHILDREN'S SPECIAL HEALTH CARE SERVICES

 

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

 

Bequests for care and services--2.8 FTE positions...... $ 1,837,800

 

Children's special health care services

 

administration--44.0 FTE positions................... 6,101,400

 

Medical care and treatment............................. 220,640,800

 

Nonemergency medical transportation.................... 905,900

 

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

 

GROSS APPROPRIATION.................................... $ 234,995,900

 

Appropriated from:

 

Federal revenues:

 

Total other federal revenues........................... 126,143,700

 

Special revenue funds:

 

Total private revenues................................. 1,016,200

 

Total other state restricted revenues.................. 3,682,900

 

State general fund/general purpose..................... $ 104,153,100

 

Sec. 120. AGING AND ADULT SERVICES AGENCY

 

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

 

Aging and adult services administration--47.0 FTE

 

positions............................................... $ 8,828,300

 

Community services..................................... 47,117,300

 

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

 

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

 

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


Senior volunteer service programs...................... 4,465,300

 

GROSS APPROPRIATION.................................... $ 112,633,800

 

Appropriated from:

 

Federal revenues:

 

Capped federal revenues................................ 371,500

 

Total other federal revenues........................... 59,094,200

 

Special revenue funds:

 

Total private revenues................................. 520,000

 

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

 

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

 

State general fund/general purpose..................... $ 46,579,400

 

Sec. 121. MEDICAL SERVICES ADMINISTRATION

 

Full-time equated classified positions.......... 453.0

 

Electronic health record incentive program--23.0 FTE

 

positions............................................ $ 96,087,400

 

Healthy Michigan plan administration--30.0 FTE

 

positions............................................ 47,578,400

 

Medical services administration--357.0 FTE positions... 83,487,900

 

Technology supporting integrated service

 

delivery--43.0 FTE positions......................... 54,056,700

 

GROSS APPROPRIATION.................................... $ 281,210,400

 

Appropriated from:

 

Federal revenues:

 

Social security act, temporary assistance for needy

 

families............................................. 749,600

 

Capped federal revenues................................ 910,700

 

Total other federal revenues........................... 233,889,600


Special revenue funds:

 

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

 

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

 

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

 

State general fund/general purpose..................... $ 45,185,200

 

Sec. 122. MEDICAL SERVICES

 

Adult home help services............................... $ 329,924,000

 

Ambulance services..................................... 20,922,500

 

Auxiliary medical services............................. 6,139,600

 

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

 

Dental services........................................ 287,869,400

 

Federal Medicare pharmaceutical program................ 281,072,800

 

Health plan services................................... 5,005,748,700

 

Healthy Michigan plan - fee for service................ 753,435,000

 

Healthy Michigan plan - managed care................... 3,013,740,000

 

Home health services................................... 5,498,000

 

Hospice services....................................... 110,207,800

 

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

 

Hospital services and therapy.......................... 742,142,700

 

Integrated care organizations.......................... 201,080,800

 

Long-term care services................................ 1,834,842,900

 

Maternal and child health.............................. 26,279,500

 

Medicaid home- and community-based services waiver..... 350,062,600

 

Medicare premium payments.............................. 631,305,100

 

Personal care services................................. 9,678,800

 

Pharmaceutical services................................ 300,659,300

 

Physician services..................................... 272,246,200


Program of all-inclusive care for the elderly.......... 149,774,600

 

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

 

Special Medicaid reimbursement......................... 309,532,500

 

Transportation......................................... 19,683,700

 

GROSS APPROPRIATION.................................... $ 14,817,783,700

 

Appropriated from:

 

Federal revenues:

 

Total other federal revenues........................... 10,679,403,200

 

Special revenue funds:

 

Total local revenues................................... 34,685,600

 

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

 

Michigan merit award trust fund........................ 48,200,000

 

Total other state restricted revenues.................. 2,217,935,100

 

State general fund/general purpose..................... $ 1,835,459,800

 

Sec. 123. INFORMATION TECHNOLOGY

 

Child support automation............................... $ 44,425,600

 

Information technology services and projects........... 157,656,000

 

Michigan Medicaid information system................... 75,634,400

 

GROSS APPROPRIATION.................................... $ 277,716,000

 

Appropriated from:

 

Interdepartmental grant revenues:

 

IDG from department of education....................... 1,067,000

 

Federal revenues:

 

Social security act, temporary assistance for needy

 

families............................................. 24,104,900

 

Capped federal revenues................................ 21,934,900

 

Total other federal revenues........................... 130,213,500


Special revenue funds:

 

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

 

Total other state restricted revenues.................. 1,999,800

 

State general fund/general purpose..................... $ 73,395,900

 

Sec. 124. ONE-TIME APPROPRIATIONS

 

Autism navigator....................................... $ 565,000

 

Autism train the trainer grant......................... 100

 

Child lead poisoning elimination board................. 1,250,000

 

Cloud-based analytics platform......................... 100

 

Dental clinic program.................................. 100

 

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

 

Employment first....................................... 500,000

 

Infant mortality program grant......................... 100,000

 

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

 

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

 

Primary care hospital grant............................ 200,000

 

Refugee assistance grant............................... 175,000

 

Veterans' in-home services pilot....................... 200

 

Western Michigan University clinics.................... 2,000,000

 

GROSS APPROPRIATION.................................... $ 10,792,800

 

Appropriated from:

 

Special revenue funds:

 

Total other state restricted revenues.................. 100

 

State general fund/general purpose..................... $ 10,792,700

 

 

 

 

 

PART 2

 


PROVISIONS CONCERNING APPROPRIATIONS

 

FOR FISCAL YEAR 2018-2019

 

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 2018-2019 is $6,979,989,400.00 and state

 

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

 

for fiscal year 2018-2019 is $1,470,577,000.00. The itemized

 

statement below identifies appropriations from which spending to

 

local units of government will occur:

 

DEPARTMENT OF HEALTH AND HUMAN SERVICES

 

COMMUNITY SERVICES AND OUTREACH

 

Crime victim rights services grants.................... $ 7,474,800

 

Housing and support services........................... 550,700

 

CHILDREN'S SERVICES AGENCY - CHILD WELFARE

 

Child care fund........................................ $ 153,769,100

 

PUBLIC ASSISTANCE

 

Family independence program............................ $ 4,200

 

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

 

State disability assistance payments................... 621,300

 

BEHAVIORAL HEALTH PROGRAM ADMINISTRATION AND SPECIAL PROJECTS

 

Behavioral health program administration............... $ 2,388,700

 

BEHAVIORAL HEALTH SERVICES

 

Autism services........................................ $ 71,321,100

 

Children with serious emotional disturbance waiver..... 3,555,000

 

Children's waiver home care program.................... 7,195,700

 

Community mental health non-Medicaid services.......... 120,050,400


Community substance use disorder prevention,

 

education, and treatment............................ 16,208,500

 

Health homes........................................... 70,700

 

Healthy Michigan plan - behavioral health.............. 19,775,100

 

Medicaid mental health services........................ 803,544,400

 

Medicaid substance use disorder services............... 23,988,800

 

Nursing home PAS/ARR-OBRA.............................. 3,070,500

 

State disability assistance program substance use

 

disorder services................................... 2,018,400

 

STATE PSYCHIATRIC HOSPITALS AND FORENSIC MENTAL

 

HEALTH SERVICES

 

Caro Regional Mental Health Center - psychiatric

 

hospital - adult.................................... $ 1,200

 

Center for forensic psychiatry......................... 1,400

 

HEALTH POLICY

 

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

 

DISEASE CONTROL, PREVENTION, AND EPIDEMIOLOGY

 

Childhood lead program................................. $ 72,700

 

Epidemiology administration............................ 291,400

 

Healthy homes program.................................. 10,000

 

Immunization program................................... 1,138,900

 

LOCAL HEALTH AND ADMINISTRATIVE SERVICES

 

AIDS prevention, testing, and care programs............ $ 2,038,400

 

Cancer prevention and control program.................. 121,400

 

Essential local public health services................. 45,736,100

 

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

 

Public health administration........................... 19,800


Sexually transmitted disease control program........... 438,400

 

FAMILY, MATERNAL, AND CHILD HEALTH

 

Family planning local agreements....................... $ 225,400

 

Prenatal care outreach and service delivery support.... 3,941,500

 

EMERGENCY MEDICAL SERVICES, TRAUMA, AND PREPAREDNESS

 

Emergency medical services program..................... $ 71,000

 

CHILDREN'S SPECIAL HEALTH CARE SERVICES

 

Medical care and treatment............................. $ 797,200

 

Outreach and advocacy.................................. 2,598,100

 

AGING AND ADULT SERVICES AGENCY

 

Aging and adult services administration................ $ 594,100

 

Community services..................................... 22,226,700

 

Nutrition services..................................... 11,086,900

 

Respite care program................................... 5,224,500

 

Senior volunteer service programs...................... 946,300

 

MEDICAL SERVICES ADMINISTRATION

 

Medical services administration........................ $ 282,000

 

MEDICAL SERVICES

 

Adult home help services............................... $ 486,300

 

Ambulance services..................................... 475,900

 

Auxiliary medical services............................. 1,300

 

Dental services........................................ 1,265,400

 

Healthy Michigan plan-managed care..................... 4,353,000

 

Home health services................................... 8,200

 

Hospice services....................................... 38,100

 

Hospital services and therapy.......................... 1,313,400

 

Long-term care services................................ 104,351,600


Medicaid home- and community-based services waiver..... 10,995,100

 

Personal care services................................. 23,800

 

Pharmaceutical services................................ 20,300

 

Physician services..................................... 4,690,100

 

Special Medicaid reimbursement......................... 5,415,200

 

Transportation......................................... 23,200

 

TOTAL OF PAYMENTS TO LOCAL UNITS OF GOVERNMENT......... $ 1,470,577,000

 

Sec. 202. The appropriations authorized under this part and

 

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

 

MCL 18.1101 to 18.1594.

 

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

 

(a) "AIDS" means acquired immunodeficiency syndrome.

 

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

 

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

 

1974 PA 258, MCL 330.1100a.

 

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

 

Services.

 

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

 

September 30, 2019.

 

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

 

services.

 

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

 

(g) "DSH" means disproportionate share hospital.

 

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

 

treatment.

 

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

 

published annually in the Federal Register by the United States


Department of Health and Human Services under its authority to

 

revise the poverty line under 42 USC 9902.

 

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

 

(k) "GME" means graduate medical education.

 

(l) "Health plan" means, at a minimum, an organization that

 

meets the criteria for delivering the comprehensive package of

 

services under the department's comprehensive health plan.

 

(m) "HEDIS" means healthcare effectiveness data and

 

information set.

 

(n) "HMO" means health maintenance organization.

 

(o) "IDEA" means the individuals with disabilities education

 

act, 20 USC 1400 to 1482.

 

(p) "IDG" means interdepartmental grant.

 

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

 

(r) "Medicaid" means subchapter XIX of the social security

 

act, 42 USC 1396 to 1396w-5.

 

(s) "Medicare" means subchapter XVIII of the social security

 

act, 42 USC 1395 to 1395lll.

 

(t) "MiCAFE" means Michigan's coordinated access to food for

 

the elderly.

 

(u) "MIChild" means the program described in section 1670 of

 

this part.

 

(v) "MiSACWIS" means Michigan statewide automated child

 

welfare information system.

 

(w) "PAS/ARR-OBRA" means the preadmission screening and annual

 

resident review required under the omnibus budget reconciliation

 

act of 1987, section 1919(e)(7) of the social security act, 42 USC


1396r.

 

(x) "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.

 

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

 

September 30, 2018.

 

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

 

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

 

1, and July 1 of the current fiscal year, with the final report

 

submitted within 15 business days after the end of the current

 

fiscal year.

 

(aa) "Semiannual basis" means March 1 of the current fiscal

 

year and within 15 business days after the end of the current

 

fiscal year.

 

(bb) "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.

 

(cc) "SSI" means supplemental security income.

 

(dd) "Temporary assistance for needy families" or "TANF" or

 

"title IV-A" means part A of subchapter IV of the social security

 

act, 42 USC 601 to 619.

 

(ee) "Title IV-B" means part B of title IV of the social


security act, 42 USC 620 to 629m.

 

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

 

security act, 42 USC 651 to 669b.

 

(gg) "Title IV-E" means part E of title IV of the social

 

security act, 42 USC 670 to 679c.

 

(hh) "Title X" means subchapter VIII of the public health

 

service act, 42 USC 300 to 300a-8, which establishes grants to

 

states for family planning services.

 

Sec. 204. Unless otherwise specified, the departments and

 

agencies receiving appropriations in part 1 shall use the internet

 

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

 

requirement shall include transmission of reports via electronic

 

mail to the recipients identified for each reporting requirement,

 

and it shall include placement of reports on the internet.

 

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

 

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

 

competitively priced and of comparable quality American goods or

 

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

 

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

 

businesses if they are competitively priced and of comparable

 

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

 

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

 

businesses owned and operated by veterans if they are competitively

 

priced and of comparable quality.

 

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

 

ensure businesses in deprived and depressed communities compete for

 

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


Each director shall strongly encourage firms with which the

 

department contracts to subcontract with certified businesses in

 

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

 

Sec. 207. The departments and agencies receiving

 

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

 

travel expenses by January 1 of each year. The travel report shall

 

be a listing of all travel by classified and unclassified employees

 

outside this state in the immediately preceding fiscal year that

 

was funded in whole or in part with funds appropriated in the

 

department's budget. The report shall be submitted to the senate

 

and house appropriations committees, the house and senate fiscal

 

agencies, and the state budget director. The report shall include

 

the following information:

 

(a) The dates of each travel occurrence.

 

(b) The transportation and related costs of each travel

 

occurrence, including the proportion funded with state general

 

fund/general purpose revenues, the proportion funded with state

 

restricted revenues, the proportion funded with federal revenues,

 

and the proportion funded with other revenues.

 

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

 

principal executive department, state agency, or authority to hire

 

a person to provide legal services that are the responsibility of

 

the attorney general. This prohibition does not apply to legal

 

services for bonding activities and for those outside services that

 

the attorney general authorizes.

 

Sec. 209. By November 30, the state budget office shall

 

prepare and transmit a report that provides for estimates of the


total general fund/general purpose appropriation lapses at the

 

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

 

projected year-end general fund/general purpose appropriation

 

lapses by major departmental program or program areas. The report

 

shall be transmitted to the chairpersons of the senate and house

 

appropriations committees, and the senate and house fiscal

 

agencies.

 

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

 

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

 

federal contingency funds. These funds are not available for

 

expenditure until they have been transferred to another line item

 

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

 

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

 

to increase TANF authorization.

 

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

 

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

 

restricted contingency funds. These funds are not available for

 

expenditure until they have been transferred to another line item

 

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

 

1984 PA 431, MCL 18.1393.

 

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

 

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

 

contingency funds. These funds are not available for expenditure

 

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

 

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

 

MCL 18.1393.

 

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


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

 

contingency funds. These funds are not available for expenditure

 

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

 

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

 

MCL 18.1393.

 

Sec. 211. The department shall cooperate with the department

 

of technology, management, and budget to maintain a searchable

 

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

 

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

 

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

 

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

 

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

 

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

 

payment description.

 

(d) The number of active department employees by job

 

classification.

 

(e) Job specifications and wage rates.

 

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

 

budget recommendation, the department shall cooperate with the

 

state budget office to provide the senate and house appropriations

 

chairs, the senate and house appropriations subcommittees chairs on

 

the department budget, and the senate and house fiscal agencies

 

with an annual report on estimated state restricted fund balances,

 

state restricted fund projected revenues, and state restricted fund

 

expenditures for the previous fiscal year and the current fiscal

 

year.

 

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


accessible website, a department scorecard that identifies, tracks,

 

and regularly updates key metrics that are used to monitor and

 

improve the department's performance.

 

Sec. 214. Total authorized appropriations from all sources

 

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

 

estimated at $365,234,500.00. From this amount, total agency

 

appropriations for pension-related legacy costs are estimated at

 

$168,379,300.00. Total agency appropriations for retiree health

 

care legacy costs are estimated at $196,855,200.00.

 

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

 

days the department shall notify the state budget director, the

 

chairs of the house and senate appropriations subcommittees on the

 

department budget, and the house and senate fiscal agencies and

 

policy offices of that fact:

 

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

 

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

 

MCL 400.1 to 400.119b, cannot be implemented because implementation

 

would conflict with or violate federal regulations.

 

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

 

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

 

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

 

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

 

accounts receivable, deferrals, and for prior year obligations in

 

excess of applicable prior year appropriations, an amount equal to

 

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

 

amounts available in prior year revenues.

 

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


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

 

pertaining to services provided in the current fiscal year, but

 

shall also include reimbursements, refunds, adjustments, and

 

settlements from prior years.

 

Sec. 217. (1) By February 1 of the current fiscal year, the

 

department shall report to the house and senate appropriations

 

subcommittees on the department budget, the house and senate fiscal

 

agencies, and the state budget director on the detailed name and

 

amounts of estimated federal, restricted, private, and local

 

sources of revenue that support the appropriations in each of the

 

line items in part 1.

 

(2) Upon the release of the next fiscal year executive budget

 

recommendation, the department shall report to the same parties in

 

subsection (1) on the amounts and detailed sources of federal,

 

restricted, private, and local revenue proposed to support the

 

total funds appropriated in each of the line items in part 1 of the

 

next fiscal year executive budget proposal.

 

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

 

the following in its annual list of proposed basic health services

 

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

 

333.2301 to 333.2321:

 

(a) Immunizations.

 

(b) Communicable disease control.

 

(c) Sexually transmitted disease control.

 

(d) Tuberculosis control.

 

(e) Prevention of gonorrhea eye infection in newborns.

 

(f) Screening newborns for the conditions listed in section


5431 of the public health code, 1978 PA 368, MCL 333.5431, or

 

recommended by the newborn screening quality assurance advisory

 

committee created under section 5430 of the public health code,

 

1978 PA 368, MCL 333.5430.

 

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

 

management plan.

 

(h) Prenatal care.

 

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

 

Public Health Institute for the design and implementation of

 

projects and for other public health-related activities prescribed

 

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

 

333.2611. The department may develop a master agreement with the

 

Michigan Public Health Institute to carry out these purposes for up

 

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

 

senate appropriations subcommittees on the department budget, the

 

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

 

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

 

following:

 

(a) A detailed description of each funded project.

 

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

 

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

 

financing for each project.

 

(c) The expected project duration.

 

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

 

list of all subgrantees and the amount allocated to each

 

subgrantee.

 

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


department shall provide to the same parties listed in subsection

 

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

 

the Michigan Public Health Institute, its subcontractors, or the

 

department with the funds appropriated in the department's budget

 

in the previous fiscal year and allocated to the Michigan Public

 

Health Institute.

 

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

 

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

 

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

 

department shall not disqualify faith-based organizations solely on

 

the basis of the religious nature of their organization or their

 

guiding principles or statements of faith.

 

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

 

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

 

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

 

280, MCL 400.1 to 400.119b.

 

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

 

procedures manual available and accessible to the public via the

 

department website.

 

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

 

fiscal year on each specific policy change made to implement a

 

public act affecting the department that took effect during the

 

prior calendar year to the house and senate appropriations

 

subcommittees on the budget for the department, the joint committee

 

on administrative rules, the senate and house fiscal agencies, and

 

policy offices. The department shall attach each policy bulletin

 

issued during the prior calendar year to this report.


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

 

publications, videos and related materials, conferences, and

 

workshops. Collected fees are appropriated when received and shall

 

be used to offset expenditures to pay for printing and mailing

 

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

 

of the workshops and conferences. The department shall not collect

 

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

 

When collected fees are appropriated under this section in an

 

amount that exceeds the current fiscal year appropriation, within

 

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

 

senate appropriations subcommittees on the department budget, the

 

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

 

budget director of that fact.

 

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

 

of food assistance overissuance collections as an offset to general

 

fund/general purpose costs. Retained collections shall be applied

 

against federal funds deductions in all appropriation units where

 

department costs related to the investigation and recoupment of

 

food assistance overissuances are incurred. Retained collections in

 

excess of such costs shall be applied against the federal funds

 

deducted in the departmental administration and support

 

appropriation unit.

 

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

 

provisional license status, and other penalties shall not be more

 

stringent for private service providers than for public entities

 

performing equivalent or similar services.

 

(2) Neither the department nor private service providers or


licensees shall be granted preferential treatment or considered

 

automatically to be in compliance with administrative rules based

 

on whether they have collective bargaining agreements with direct

 

care workers. Private service providers or licensees without

 

collective bargaining agreements shall not be subjected to

 

additional requirements or conditions of licensure based on their

 

lack of collective bargaining agreements.

 

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

 

and collections exceeds the amount appropriated in part 1, the

 

revenue may be carried forward with the approval of the state

 

budget director into the subsequent fiscal year. The revenue

 

carried forward under this section shall be used as the first

 

source of funds in the subsequent fiscal year.

 

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

 

receiving tobacco tax funds and Healthy Michigan fund revenue from

 

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

 

senate and house appropriations committees, the senate and house

 

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

 

(a) Detailed spending plan by appropriation line item

 

including description of programs and a summary of organizations

 

receiving these funds.

 

(b) Description of allocations or bid processes including need

 

or demand indicators used to determine allocations.

 

(c) Eligibility criteria for program participation and maximum

 

benefit levels where applicable.

 

(d) Outcome measures used to evaluate programs, including

 

measures of the effectiveness of these programs in improving the


health of Michigan residents.

 

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

 

agreement with the Michigan talent investment agency for the

 

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

 

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

 

interagency agreement shall include specific outcome and

 

performance reporting requirements as described in this section.

 

TANF funding provided to the Michigan talent investment agency in

 

the current fiscal year is contingent on compliance with the data

 

and reporting requirements described in this section. The

 

interagency agreement must require the Michigan talent investment

 

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

 

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

 

house appropriations subcommittees on the department budget and the

 

state budget office:

 

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

 

of the following:

 

(i) Direct services to recipients.

 

(ii) Administrative expenditures.

 

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

 

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

 

(i) The number and percentage who obtained employment through

 

Michigan Works!

 

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

 

requirement through other job readiness programming.

 

(iii) Average TANF spending per recipient.

 

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


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

 

placement and the reasons why.

 

(2) By March 1 of the current fiscal year, the department

 

shall provide to the senate and house appropriations subcommittees

 

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

 

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

 

annual report on the following matters itemized by Michigan Works!

 

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

 

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

 

programs who became a participant in the Michigan Works! job

 

readiness programs, the number of participants who obtained

 

employment, and the cost per participant case.

 

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

 

department shall report to the senate and house appropriations

 

subcommittees on the department budget, the senate and house fiscal

 

agencies and policy offices, and the state budget office on the

 

status of the implementation of any noninflationary, noncaseload,

 

programmatic funding increases from the previous fiscal year. The

 

report shall confirm the implementation of already implemented

 

funding increases and provide explanations for any planned

 

implementation of funding increases that have not yet occurred. For

 

any planned implementation of funding increases that have not yet

 

occurred, the department shall provide an expected implementation

 

date and the reasons for delayed implementation.

 

Sec. 231. From the funds appropriated in part 1 for travel

 

reimbursements to employees, the department shall allocate up to

 

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


travel costs of the local county department board members and

 

county department directors to attend 1 meeting per year of the

 

Michigan County Social Services Association.

 

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

 

spending plan for each line item receiving an appropriation in the

 

current fiscal year to the senate and house appropriations

 

subcommittees on the department budget and the senate and house

 

fiscal agencies within 60 days of approval by the department but

 

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

 

plan shall include the following information regarding planned

 

expenditures for each category: allocation in the previous period,

 

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

 

shall include the following information regarding each revenue

 

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

 

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

 

federal. Figures included in the approved spending plan shall not

 

be assumed to constitute the actual final expenditures, as line

 

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

 

projected expenditures and projected revenue. The department shall

 

supplement the spending plan information by providing a list of all

 

active contract and grants in the department's contract systems.

 

(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


Senate Bill No. 856 as amended May 3, 2018

 

house policy offices.

 

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

 

plan - behavioral health, Healthy Michigan plan administration, and

 

Healthy Michigan plan are contingent on the provisions of the

 

social welfare act, 1939 PA 280, MCL 400.1 to 400.119b, that were

 

contained in 2013 PA 107 not being amended, repealed, or otherwise

 

altered to eliminate the Healthy Michigan plan. If that occurs,

 

then, upon the effective date of the amendatory act that amends,

 

repeals, or otherwise alters those provisions, the remaining funds

 

in the Healthy Michigan plan - behavioral health, Healthy Michigan

 

plan administration, and Healthy Michigan plan line items shall

 

only be used to pay previously incurred costs and any remaining

 

appropriations shall not be allotted to support those line items.

<<Sec. 256. The department shall, in consultation with the Michigan department of education, the Michigan domestic and sexual violence prevention and treatment board, and the Michigan coalition to end domestic and sexual violence, re-draft the curriculum for the "Growing Up & Staying Healthy" and "Healthy & Responsible Relationships" modules to include age-appropriate information about the importance of consent, setting and respecting personal boundaries, and the prevention of child sexual abuse as outlined in MCL 380.1505 and consistent with the recommendations and guidelines set by the task force on the prevention of sexual abuse of children created under section 12b of the child protection law, 1975 PA 238, MCL 722.632b, and the prevention of sexual assault and dating violence.>>

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

 

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

 

proposal to CMS or other federal agency, the department shall

 

provide written notification of the planned submission to the house

 

and senate appropriations subcommittees on the department budget,

 

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

 

state budget office. This subsection does not apply to the

 

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

that does not propose a material change or is outside of the

ordinary course of waiver, state plan amendment, or similar

proposed submissions.

(2) The department shall provide written reports on a

semiannual basis to the senate and house appropriations

subcommittees on the department budget, the senate and house fiscal


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

 

new or ongoing discussions with CMS or the United States Department

 

of Health and Human Services or other federal agency regarding

 

potential or future waiver applications as well as the status of

 

submitted waivers that have not yet received federal approval. If,

 

at the time a biannual report is due, there are no reportable

 

items, then no report is required to be provided.

 

Sec. 264. The department shall not take disciplinary action

 

against an employee for communicating with a member of the

 

legislature or his or her staff.

 

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

 

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

 

legal action in which expenses had been recovered pursuant to

 

section 106(4) of the social welfare act, 1939 PA 280, MCL 400.106,

 

or any other statute under which the department has the right to

 

recover expenses. On a semiannual basis, the department shall

 

submit a written report to the house and senate appropriations

 

subcommittees on the department budget, the house and senate fiscal

 

agencies, and the state budget office 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. 273. (1) Funding for salaries and wages for unclassified

 

employees shall only be provided from the unclassified salaries and

 

unclassified salaries allocated pursuant to section 273 line items.

 

(2) From the funds appropriated in part 1 for unclassified

 

salaries allocated pursuant to section 273, $294,000.00 shall be

 

released to reimburse salaries and wages for unclassified employees

 

upon the submission of waivers to the federal government to

 

implement sections 107a and 107b of the social welfare act, 1939 PA

 

280, MCL 400.107a and 400.107b, if those waivers are submitted by

 

October 1, 2018.

 

(3) From the funds appropriated in part 1 for unclassified

 

salaries allocated pursuant to section 273, $294,000.00 shall be

 

released to reimburse salaries and wages for unclassified employees

 

upon the approval of waivers by the federal government to implement

 

sections 107a and 107b of the social welfare act, 1939 PA 280, MCL

 

400.107a and 400.107b.

 

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

 

budget office, shall submit to the house and senate appropriations

 

subcommittees on the department budget, the house and senate fiscal

 

agencies, and the house and senate policy offices 1 week after the

 

day the governor submits to the legislature the budget for the

 

ensuing fiscal year a report on spending and revenue projections

 

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

 

contain actual spending and revenue in the previous fiscal year,

 

spending and revenue projections for the current fiscal year as

 

enacted, and spending and revenue projections within the executive

 

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


each individual line item for the department budget. The report

 

shall also include federal funds transferred to other departments.

 

The capped federal funds shall include, but not be limited to, all

 

of the following:

 

(a) TANF.

 

(b) Title XX social services block grant.

 

(c) Title IV-B part I child welfare services block grant.

 

(d) Title IV-B part II promoting safe and stable families

 

funds.

 

(e) Low-income home energy assistance program.

 

(2) It is the intent of the legislature that the department,

 

in collaboration with the state budget office, not utilize capped

 

federal funding for economics adjustments for FTEs or other

 

economics costs that are included as part of the budget submitted

 

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

 

unless there is a reasonable expectation for increased federal

 

funding to be available to the department from that capped revenue

 

source in the ensuing fiscal year.

 

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

 

shall prepare an annual report of its efforts to identify

 

additional TANF maintenance of effort sources and rationale for any

 

increases or decreases from all of the following, but not limited

 

to:

 

(a) Other departments.

 

(b) Local units of government.

 

(c) Private sources.

 

Sec. 275. (1) As part of the year-end closing process, 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) Not later than November 30, the department shall submit to

 

the house and senate appropriations subcommittees on the department

 

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

 

senate policy offices a report on the realignment of federal fund

 

sources that took place as part of the year-end closing process for

 

the previous fiscal year.

 

Sec. 276. (1) Funds appropriated in part 1 for Healthy

 

Michigan plan - behavioral health and Healthy Michigan plan shall

 

not be expended to provide Medicaid coverage or premium assistance

 

on the exchange to a qualified Medicaid recipient. The department

 

shall submit to CMS any necessary waivers or amendments to

 

implement this section.

 

(2) It is the intent of the legislature that the completion of

 

a healthy behavior by a qualified Medicaid recipient by June 1 of

 

the current fiscal year does not qualify the Medicaid recipient for

 

continued enrollment in the Healthy Michigan plan.

 

(3) As used in this section:

 

(a) "Healthy Michigan plan" means the medical assistance

 

program described in section 105d of the social welfare act.


(b) "Qualified Medicaid recipient" means a Medicaid recipient

 

who is enrolled in the Healthy Michigan Plan, has an income of at

 

least 100% of the federal poverty level, and has had medical

 

assistance coverage through the Healthy Michigan Plan for 48

 

cumulative months beginning on the date of the recipient's

 

enrollment in the Healthy Michigan Plan.

 

Sec. 279. (1) All master contracts relating to human services

 

as funded by the appropriations in sections 103, 104, 105, 106,

 

107, 108, and 109 of part 1 shall be performance-based contracts

 

that employ a client-centered results-oriented process that is

 

based on measurable performance indicators and desired outcomes and

 

includes the annual assessment of the quality of services provided.

 

(2) By February 1 of the current fiscal year, the department

 

shall provide the senate and house appropriations subcommittees on

 

the department budget, the senate and house fiscal agencies and

 

policy offices, and the state budget office a report detailing

 

measurable performance indicators, desired outcomes, and an

 

assessment of the quality of services provided by the department

 

during the previous fiscal year.

 

Sec. 280. On a semiannual basis, the department shall provide

 

a report to the house and senate appropriations committees, the

 

house and senate fiscal agencies, the house and senate policy

 

offices, and the state budget director that provides all of the

 

following for each line item in part 1 containing personnel-related

 

costs, including the specific individual amounts for salaries and

 

wages, payroll taxes, and fringe benefits:

 

(a) FTE authorization.


(b) Spending authorization for personnel-related costs, by

 

fund source, under the spending plan.

 

(c) Actual year-to-date expenditures for personnel-related

 

costs, by fund source, through the end of the prior month.

 

(d) The projected year-end balance or shortfall for personnel-

 

related costs, by fund source, based on actual monthly spending

 

levels through the end of the prior month.

 

(e) A specific plan for addressing any projected shortfall for

 

personnel-related costs at either the gross or fund source level.

 

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

 

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

 

state restricted funds or general fund/general purpose funds and

 

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

 

purpose of providing services to individuals shall be expended for

 

such services after the first year of the contract.

 

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

 

limitation on administrative and services costs if it can be

 

demonstrated that an exception should be made to the provision in

 

subsection (1).

 

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

 

shall report to the house and senate appropriations subcommittees

 

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

 

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

 

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

 

due to violations of subsection (1).

 

Sec. 289. By March 1 of the current fiscal year, the

 

department shall provide to the senate and house appropriations


subcommittees on the department budget, the senate and house fiscal

 

agencies, and the senate and house policy offices an annual report

 

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

 

subdivisions.

 

Sec. 290. Any public advertisement for public assistance shall

 

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

 

department.

 

Sec. 291. The department shall verify, using the e-verify

 

system, that all new department employees, and new hire employees

 

of contractors and subcontractors paid from funds appropriated in

 

part 1, are legally present in the United States. The department

 

may verify this information directly or may require contractors and

 

subcontractors to verify the information and submit a certification

 

to the department.

 

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

 

agencies providing physical and behavioral health services to

 

multicultural populations, the department shall award grants in

 

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

 

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

 

not be released until reporting requirements under section 295 of

 

article X of 2017 PA 107 are satisfied.

 

(2) The department shall require each contractor described in

 

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

 

grant funding to comply with performance-related metrics to

 

maintain their eligibility for funding. The organizational metrics

 

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

 

(a) Each contractor or subcontractor shall have accreditations


that attest to their competency and effectiveness as behavioral

 

health and social service agencies.

 

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

 

is consistent with the purpose of the multicultural agency.

 

(c) Each contractor shall validate that any subcontractors

 

utilized within these appropriations share the same mission as the

 

lead agency receiving funding.

 

(d) Each contractor or subcontractor shall demonstrate cost-

 

effectiveness.

 

(e) Each contractor or subcontractor shall ensure their

 

ability to leverage private dollars to strengthen and maximize

 

service provision.

 

(f) Each contractor or subcontractor shall provide timely and

 

accurate reports regarding the number of clients served, units of

 

service provision, and ability to meet their stated goals.

 

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

 

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

 

days following the end of the contract period, shall include

 

specific information on services and programs provided, the client

 

base to which the services and programs were provided, information

 

on any wraparound services provided, and the expenditures for those

 

services. The department shall provide the annual reports to the

 

senate and house appropriations subcommittees on health and human

 

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

 

budget office.

 

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

 

department is responsible for the necessary and reasonable attorney


fees and costs incurred by private and independent legal counsel

 

chosen by current and former classified and unclassified department

 

employees in the defense of the department employees in any state

 

or federal lawsuit or investigation related to the municipal water

 

system in a city in which a declaration of emergency has been

 

proclaimed because of drinking water contamination.

 

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

 

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

 

shall include a comparison by line item of the number of FTEs

 

authorized from funds appropriated in part 1 to the actual number

 

of FTEs employed by the department at the end of the reporting

 

period.

 

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

 

willing CMHSP in Kent County and all willing Medicaid health plans

 

in the county to pilot a full physical and behavioral health

 

integrated service demonstration model. The department shall ensure

 

that the demonstration model described in this subsection is

 

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

 

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

 

state plan to implement the pilot project described in this

 

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

 

project described in this subsection.

 

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

 

as identified in the final report of the workgroup established in

 

section 298 of article X of 2016 PA 268.

 

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

 

council, behavioral health advisory council, and developmental


disabilities council.

 

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

 

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

 

projects to achieve fully financially integrated Medicaid

 

behavioral health and physical health benefit and financial

 

integration demonstration models. These demonstration models shall

 

use single contracts between the state and each licensed Medicaid

 

health plan that is currently contracted to provide Medicaid

 

services in the geographic area of the pilot project. The

 

department shall ensure that the pilot projects described in this

 

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

 

the following:

 

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

 

project to be a provider of behavioral health supports and

 

services.

 

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

 

state plan to implement the pilot projects described in this

 

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

 

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

 

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

 

as identified in the final report of the workgroup described in

 

subsection (1).

 

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

 

council, behavioral health advisory council, and developmental

 

disabilities council.

 

(e) That selected Medicaid health plans be allowed to contract

 

directly with a service provider in an effort to achieve the


contract requirements with this state for managing the physical and

 

behavioral health of Medicaid eligible individuals within the pilot

 

region. The pilot described in this subsection shall not in any way

 

mandate an exclusive arrangement between contracted Medicaid health

 

plans and CMHSPs. Any NCQA function presently maintained by a

 

contracted Medicaid health plan shall remain the responsibility of

 

the health plan for the purposes of this pilot regardless of their

 

contractual arrangements with any CMHSP, and contracts between this

 

state and the PIHPs shall be amended to allow for relief of CMHSPs

 

from existing contractual requirements as necessary.

 

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

 

project and demonstration model shall be designed to last at least

 

3 years.

 

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

 

models, any and all realized benefits and cost savings of

 

integrating the physical health and behavioral health systems shall

 

be reinvested in services and supports for individuals having or at

 

risk of having a mental illness, an intellectual or developmental

 

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

 

benefits and cost savings shall be specifically reinvested in the

 

counties where the savings occurred.

 

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

 

purpose of the pilot projects and demonstration models is to test

 

how the state may better integrate behavioral and physical health

 

delivery systems in order to improve behavioral and physical health

 

outcomes, maximize efficiencies, minimize unnecessary costs, and

 

achieve material increases in behavioral health services without


increases in overall Medicaid spending.

 

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

 

state's research universities at least 6 months before the

 

completion of each pilot project or demonstration model authorized

 

under this section to evaluate the pilot project or demonstration

 

model. The evaluation must include all of the following:

 

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

 

model's success in meeting the performance metrics developed in

 

subsection (1) and information on whether the pilot project could

 

be replicated into other geographic areas with similar performance

 

metric outcomes.

 

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

 

following categories:

 

(i) Improvement of the coordination between behavioral health

 

and physical health.

 

(ii) Improvement of services available to individuals with

 

mental illness, intellectual or developmental disabilities, or

 

substance use disorders.

 

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

 

services and supports.

 

(iv) Customer health status.

 

(v) Customer satisfaction.

 

(vi) Provider network stability.

 

(vii) Treatment and service efficacies before and after the

 

pilot projects and demonstration models.

 

(viii) Use of best practices.

 

(ix) Financial efficiencies.


(x) Barriers to clinical data sharing with health plans.

 

(xi) Any other relevant categories.

 

(c) A requirement that the evaluation will be completed within

 

6 months after the end of the pilot project or demonstration model

 

and will be provided to the department, the house and senate

 

appropriations subcommittees on the department budget, the house

 

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

 

and the state budget office.

 

(7) By November 1 of the current fiscal year, the department

 

shall report to the house and senate appropriations subcommittees

 

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

 

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

 

progress toward implementation of the pilot projects and

 

demonstration models described in this section, and a summary of

 

all projects. The report shall also include information on policy

 

changes and any other efforts made to improve the coordination of

 

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

 

mental illness, an intellectual or developmental disability, a

 

substance use disorder, or a physical health need.

 

(8) Upon completion of any pilot projects or demonstration

 

models advanced under this section, the managing entity of the

 

pilot project or demonstration model shall submit a report to the

 

senate and house appropriations subcommittees on the department

 

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

 

policy offices, and the state budget office within 30 days of

 

completion of that pilot project or demonstration model detailing

 

their experience, lessons learned, efficiencies and savings


revealed, increases in investment on behavioral health services,

 

and recommendations for extending pilot projects to full

 

implementation or discontinuation.

 

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

 

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

 

$5,000,000.00, unless the department or agency has first considered

 

issuing a request for information (RFI) or a request for

 

qualification (RFQ) relative to that contract to better enable the

 

department or agency to learn more about the market for the

 

products or services that are the subject of the RFP. The

 

department or agency shall notify the department of technology,

 

management, and budget of the evaluation process used to determine

 

if an RFI or RFQ was not necessary prior to issuing the RFP.

 

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

 

during the current fiscal year where an existing service received

 

proposals by multiple vendors, the department shall notify all

 

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

 

vendors shall include details on the RFP process, including the

 

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

 

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

 

contract for an existing service offered by the department, the

 

notification shall issue an explanation for the reasons that the

 

highest scored RFP or lowest cost RFP did not receive the contract

 

and detail the incremental cost target amount or service level

 

required that was required to migrate the service to a new vendor.

 

Additionally, the department shall include in the notification

 

details as to why a cost or service difference is justifiable if


the highest scored or lowest cost vendor does not receive the

 

contract.

 

(3) The department shall submit to the senate and house

 

appropriations subcommittees on the department budget, the senate

 

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

 

the state budget office by September 30 of the current fiscal year

 

a report that summarizes all RFPs during the current fiscal year

 

where an existing service received proposals by multiple vendors.

 

The report shall list all finalized RFPs where there was a

 

divergence from awarding the contract to the lowest cost or highest

 

scoring vendor. The report shall also include the cost or service

 

threshold required by department policy that must be satisfied in

 

order for an existing contract to be received by a new vendor.

 

 

 

DEPARTMENTAL ADMINISTRATION AND SUPPORT

 

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

 

demonstration projects, $950,000.00 shall be distributed as

 

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

 

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

 

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

 

paid by local United Way organizations and other nonprofit

 

organizations and foundations.

 

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

 

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

 

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

 

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

 

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

 


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

 

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

 

January 2005.

 

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

 

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

 

public assistance.

 

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

 

the house and senate standing committees with primary jurisdiction

 

over matters relating to human services and telecommunications on

 

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

 

subcommittees on the department budget, and the senate and house

 

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

 

health and human service needs and unmet needs identified through

 

caller data and customer satisfaction metrics.

 

Sec. 310. It is the intent of the legislature that the

 

department shall work with youth-oriented nonprofit organizations

 

to provide mentoring programming for children of incarcerated

 

parents and other at-risk children.

 

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

 

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

 

annual gross appropriation unless it identifies and requests a

 

legislative transfer from another budgetary line item supporting

 

administrative costs, as provided by section 393(2) of the

 

management and budget act, 1984 PA 431, MCL 18.1393.

 

 

 

CHILD SUPPORT ENFORCEMENT

 

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

 


federal child support incentive payment of $26,500,000.00.

 

(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 at 45 CFR 304.50.

 

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

 

senate appropriations subcommittees on the department budget and

 

the house and senate fiscal agencies within 15 days of the

 

authorization adjustment in subsection (1).

 

 

 

COMMUNITY SERVICES AND OUTREACH

 

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

 

success partnership program, the department shall allocate

 

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

 

Northeast Michigan Community Service Agency programming, which will

 

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

 

The department shall require the following performance objectives

 

be measured and reported for the duration of the state funding for

 

the school success partnership program:

 


(a) Increasing school attendance and decreasing chronic

 

absenteeism.

 

(b) Increasing academic performance based on grades with

 

emphasis on math and reading.

 

(c) Identifying barriers to attendance and success and

 

connecting families with resources to reduce these barriers.

 

(d) Increasing parent involvement with the parent's child's

 

school and community.

 

(2) On a semiannual basis, the Northeast Michigan Community

 

Service Agency shall provide reports to the department on the

 

number of children and families served and the services that were

 

provided to families to meet the performance objectives identified

 

in this section. The department shall distribute the reports within

 

1 week after receipt to the senate and house appropriations

 

subcommittees on the department budget, the senate and house fiscal

 

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

 

office.

 

Sec. 452. From the funds appropriated in part 1 for crime

 

victim justice assistance grants, the department shall continue to

 

support forensic nurse examiner programs to facilitate training for

 

improved evidence collection for the prosecution of sexual assault.

 

The funds shall be used for program coordination and training.

 

Sec. 453. From the funds appropriated in part 1 for homeless

 

programs, the department shall allocate $100.00 to increase

 

emergency shelter program per diem rates to $20.00 per bed night to

 

support efforts of shelter providers to move homeless individuals

 

and households into permanent housing as quickly as possible. The


purpose of this enhancement is to increase the number of shelter

 

discharges to stable housing destinations, decrease recidivism

 

rates for shelter clients, and reduce the average length of stay in

 

emergency shelters.

 

Sec. 454. The department shall allocate the full amount of

 

funds appropriated in part 1 for homeless programs to provide

 

services for homeless individuals and families, including, but not

 

limited to, third-party contracts for emergency shelter services.

 

Sec. 455. As a condition of receipt of federal TANF funds,

 

homeless shelters and human services agencies shall collaborate

 

with the department to obtain necessary TANF eligibility

 

information on families as soon as possible after admitting a

 

family to the homeless shelter. From the funds appropriated in part

 

1 for homeless programs, the department is authorized to make

 

allocations of TANF funds only to the homeless shelters and human

 

services agencies that report necessary data to the department for

 

the purpose of meeting TANF eligibility reporting requirements.

 

Homeless shelters or human services agencies that do not report

 

necessary data to the department for the purpose of meeting TANF

 

eligibility reporting requirements will not receive reimbursements

 

that exceed the per diem amount they received in fiscal year 2000.

 

The use of TANF funds under this section is not an ongoing

 

commitment of funding.

 

Sec. 457. (1) From the funds appropriated in part 1 for the

 

uniform statewide sexual assault evidence kit tracking system, in

 

accordance with the final report of the Michigan sexual assault

 

evidence kit tracking and reporting commission, $800,000.00 is


allocated from the sexual assault evidence tracking fund to

 

contract for development and implementation of the uniform

 

statewide sexual assault evidence kit tracking system.

 

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

 

shall submit to the senate and house appropriations subcommittees

 

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

 

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

 

status report on implementation and operation of the uniform

 

statewide sexual assault evidence kit tracking system, including

 

operational status and any known issues regarding implementation.

 

(3) The sexual assault evidence tracking fund established in

 

section 1451 of 2017 PA 158 shall continue to be maintained in the

 

department of treasury. Money in the sexual assault evidence

 

tracking fund at the close of a fiscal year shall remain in the

 

sexual assault evidence tracking fund and shall not revert to the

 

general fund and shall be appropriated as provided by law for the

 

development and implementation of a uniform statewide sexual

 

assault evidence kit tracking system as described in subsection

 

(1).

 

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

 

shall submit to the senate and house appropriations subcommittees

 

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

 

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

 

report on the findings of the annual audit of the proper submission

 

of sexual assault evidence kits as required by the sexual assault

 

kit evidence submission act, 2014 PA 227, MCL 752.931 to 752.935.

 

The report must include, but is not limited to, a detailed county-


Senate Bill No. 856 as amended May 3, 2018

 

by-county compilation of the number of sexual assault evidence kits

 

that were properly submitted and the number that met or did not

 

meet deadlines established in the sexual assault kit evidence

 

submission act, 2014 PA 227, MCL 752.931 to 752.935, the number of

 

sexual assault evidence kits retrieved by law enforcement after

 

analysis, and the physical location of all released sexual assault

 

evidence kits collected by health care providers in that year, as

 

of the date of the annual draft report for each reporting agency.

 

(5) As used in this section, "sexual assault evidence tracking

 

fund" means the sexual assault evidence tracking fund established

 

in 2017 PA 158.

<<Sec. 460. By October 1 of the current fiscal year, the department shall submit to the Michigan department of education the final report containing task force recommendations for reducing child sexual abuse in this state as required by 2012 PA 593, MCL 722.632b.>>

 

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 will have been in foster care for 24 months or more.

 

(2) By March 1 of the current fiscal year, the department

 

shall provide to the senate and house appropriations subcommittees

 

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

 

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

 

report describing the steps that will be taken to achieve the

 

specific goal established in this section and on the percentage of

 

children who currently are in foster care and who have been in

 

foster care a total of 24 or more months.

 

Sec. 502. From the funds appropriated in part 1 for foster

 

care, the department shall provide 50% reimbursement to Indian

 

tribal governments for foster care expenditures for children who

 


are under the jurisdiction of Indian tribal courts and who are not

 

otherwise eligible for federal foster care cost sharing.

 

Sec. 503. (1) In accordance with the final report of the

 

Michigan child welfare performance-based funding task force issued

 

in response to section 503 of article X of 2013 PA 59, the

 

department shall continue to develop actuarially sound case rates

 

for necessary child welfare services that achieve permanency by the

 

department and private child placing agencies in a prospective

 

payment system under a performance-based funding model.

 

(2) From the funds appropriated in part 1 for adoption support

 

services by December 31 of the current fiscal year, the department

 

shall conduct an actuarial study on rates paid to private child

 

placing agencies for adoption incentive payments. The actuarial

 

study shall include a full cost prospective rate payment system and

 

shall identify and analyze contractual costs paid through the case

 

rate developed by an independent actuary.

 

(3) By March 1 of the current fiscal year, the department

 

shall provide to the senate and house appropriations committees on

 

the department budget, the senate and house fiscal agencies and

 

policy offices, and the state budget office a report on the full

 

cost analysis of the performance-based funding model. The report

 

shall include background information on the project and give

 

details about the contractual costs covered through the case rate.

 

(4) In accordance with the final report of the Michigan child

 

welfare performance-based funding task force issued in response to

 

section 503 of article X of 2013 PA 59, the department shall

 

continue an independent, third-party evaluation of the performance-


based funding model.

 

(5) The department shall only implement the performance-based

 

funding model into additional counties where the department,

 

private child welfare agencies, the county, and the court operating

 

within that county have signed a memorandum of understanding that

 

incorporates the intentions of the concerned parties in order to

 

implement the performance-based funding model.

 

(6) The department, in conjunction with members from both the

 

house of representatives and senate, private child placing

 

agencies, the courts, and counties shall continue to implement the

 

recommendations that are described in the workgroup report that was

 

provided in section 503 of article X of 2013 PA 59 to establish a

 

performance-based funding for public and private child welfare

 

services providers. The department shall provide quarterly reports

 

on the status of the performance-based contracting model to the

 

senate and house appropriations subcommittees on the department

 

budget, the senate and house standing committees on families and

 

human services, and the senate and house fiscal agencies and policy

 

offices.

 

(7) From the funds appropriated in part 1 for the performance-

 

based funding model pilot, the department shall continue to work

 

with the West Michigan Partnership for Children Consortium on the

 

implementation of the performance-based funding model pilot. The

 

consortium shall accept and comprehensively assess referred youth,

 

assign cases to members of its continuum or leverage services from

 

other entities, and make appropriate case management decisions

 

during the duration of a case. The consortium shall operate an


integrated continuum of care structure, with services provided by

 

both private and public agencies, based on individual case needs.

 

The consortium shall demonstrate significant organizational

 

capacity and competencies, including experience with managing risk-

 

based contracts, financial strength, experienced staff and

 

leadership, and appropriate governance structure.

 

Sec. 504. (1) The department may continue a master agreement

 

with the West Michigan Partnership for Children Consortium for a

 

performance-based child welfare contracting pilot program. The

 

consortium shall consist of a network of affiliated child welfare

 

service providers that will accept and comprehensively assess

 

referred youth, assign cases to members of its continuum or

 

leverage services from other entities, and make appropriate case

 

management decisions during the duration of a case.

 

(2) The consortium shall operate an integrated continuum of

 

care structure, with services provided by private or public

 

agencies, based on individual case needs.

 

(3) By March 1 of the current fiscal year, the consortium

 

shall provide to the department and the house and senate

 

appropriations subcommittees on the department budget a report on

 

the consortium, including, but not limited to, actual expenditures,

 

number of children placed by agencies in the consortium, fund

 

balance of the consortium, and the status of the consortium

 

evaluation.

 

Sec. 505. By March 1 of the current fiscal year, the

 

department shall provide to the senate and house appropriations

 

subcommittees on the department budget, the senate and house fiscal


agencies and policy offices, and the state budget office a report

 

for youth referred or committed to the department for care or

 

supervision in the previous fiscal year and in the first quarter of

 

the current fiscal year outlining the number of youth within the

 

juvenile justice system, the type of setting for each youth,

 

performance outcomes, and financial costs or savings.

 

Sec. 507. The department's ability to satisfy appropriation

 

deducts in part 1 for foster care private collections shall not be

 

limited to collections and accruals pertaining to services provided

 

only in the current fiscal year but may include revenues collected

 

during the current fiscal year for services provided in prior

 

fiscal years.

 

Sec. 508. (1) In addition to the amount appropriated in part 1

 

for children's trust fund grants, money granted or money received

 

as gifts or donations to the children's trust fund created by 1982

 

PA 249, MCL 21.171 to 21.172, is appropriated for expenditure.

 

(2) The department and the child abuse and neglect prevention

 

board shall collaborate to ensure that administrative delays are

 

avoided and the local grant recipients and direct service providers

 

receive money in an expeditious manner. The department and board

 

shall make available the children's trust fund contract funds to

 

grantees within 31 days of the start date of the funded project.

 

Sec. 511. The department shall provide semiannual reports 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.

 

Sec. 512. (1) As required by the settlement, by March 1 of the

 

current fiscal year, the department shall report to the senate and

 

house appropriations subcommittees on the department budget, the

 

senate and house fiscal agencies, the senate and house policy

 

offices, and the state budget office on the following information

 

for cases of child abuse or child neglect from the previous fiscal

 

year:

 

(a) The total number of relative care placements.

 

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

 

licensed.

 

(c) The number of waivers of foster care licensure granted to

 

relative care providers.

 

(d) The number of waivers of foster care denied to relative

 

care providers.

 

(e) A list of the reasons from a sample of cases the

 

department denied granting a waiver of foster care licensure for a

 

relative care provider.

 

(f) A list of the reasons from a sample of cases where

 

relatives were declined foster care licensure as documented by the

 

department.

 

(2) The caseworker shall request a waiver of foster care

 

licensure if both of the following apply:

 

(a) The caseworker has fully informed the relative of the

 

benefits of licensure and the option of a licensure waiver.

 

(b) The caseworker has assessed the relative and the


relative's home using the department's initial relative safety

 

screen and the department's relative home assessment and has

 

determined that the relative's home is safe and placement there is

 

in the child's best interest.

 

Sec. 513. (1) The department shall not expend funds

 

appropriated in part 1 to pay for the direct placement by the

 

department of a child in an out-of-state facility unless all of the

 

following conditions are met:

 

(a) There is no appropriate placement available in this state

 

as determined by the department interstate compact office.

 

(b) An out-of-state placement exists that is nearer to the

 

child's home than the closest appropriate in-state placement as

 

determined by the department interstate compact office.

 

(c) The out-of-state facility meets all of the licensing

 

standards of this state for a comparable facility.

 

(d) The out-of-state facility meets all of the applicable

 

licensing standards of the state in which it is located.

 

(e) The department has done an on-site visit to the out-of-

 

state facility, reviewed the facility records, reviewed licensing

 

records and reports on the facility, and believes that the facility

 

is an appropriate placement for the child.

 

(2) The department shall not expend money for a child placed

 

in an out-of-state facility without approval of the executive

 

director of the children's services agency.

 

(3) The department shall submit an annual report 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 at the time of the report, 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.

 

(4) It is the intent of the legislature that the department

 

shall work in conjunction with the courts and the state court

 

administrative office to identify data needed to calculate

 

statewide recidivism rates for adjudicated youth placed in either

 

residential secure or nonsecure facilities, defined at 6 months

 

after a youth is released from placement.

 

(5) By March 1 of the current fiscal year, the department

 

shall notify the legislature on the status of efforts to accomplish

 

the intent of subsection (4).

 

Sec. 514. The department shall make a comprehensive report

 

concerning children's protective services (CPS) to the legislature,

 

including the senate and house policy offices and the state budget

 

director, by March 1 of the current fiscal year, that shall include

 

all of the following:

 

(a) Statistical information including, but not limited to, all

 

of the following:

 

(i) The total number of reports of child abuse or child

 

neglect investigated under the child protection law, 1975 PA 238,

 

MCL 722.621 to 722.638, and the number of cases classified under

 

category I or category II and the number of cases classified under

 

category III, category IV, or category V.


(ii) Characteristics of perpetrators of child abuse or child

 

neglect and the child victims, such as age, relationship, race, and

 

ethnicity and whether the perpetrator exposed the child victim to

 

drug activity, including the manufacture of illicit drugs, that

 

exposed the child victim to substance abuse, a drug house, or

 

methamphetamine.

 

(iii) The mandatory reporter category in which the individual

 

who made the report fits, or other categorization if the individual

 

is not within a group required to report under the child protection

 

law, 1975 PA 238, MCL 722.621 to 722.638.

 

(iv) The number of cases that resulted in the separation of

 

the child from the parent or guardian and the period of time of

 

that separation, up to and including termination of parental

 

rights.

 

(v) For the reported complaints of child abuse or child

 

neglect by teachers, school administrators, and school counselors,

 

the number of cases classified under category I or category II and

 

the number of cases classified under category III, category IV, or

 

category V.

 

(vi) For the reported complaints of child abuse or child

 

neglect by teachers, school administrators, and school counselors,

 

the number of cases that resulted in separation of the child from

 

the parent or guardian and the period of time of that separation,

 

up to and including termination of parental rights.

 

(b) New policies related to children's protective services

 

including, but not limited to, major policy changes and court

 

decisions affecting the children's protective services system


during the immediately preceding 12-month period.

 

(c) Statistical information regarding families that were

 

classified in category III, including, but not limited to, all of

 

the following:

 

(i) The total number of cases classified in category III.

 

(ii) The number of cases in category III referred to voluntary

 

community services and closed with no additional monitoring.

 

(iii) The number of cases in category III referred to

 

voluntary community services and monitored for up to 90 days.

 

(iv) The number of cases in category III for which the

 

department entered more than 1 determination that there was

 

evidence of child abuse or child neglect.

 

(v) The number of cases in category III that the department

 

reclassified from category III to category II.

 

(vi) The number of cases in category III that the department

 

reclassified from category III to category I.

 

(vii) The number of cases in category III that the department

 

reclassified from category III to category I that resulted in a

 

removal.

 

(d) The department policy, or changes to the department

 

policy, regarding children who have been exposed to the production

 

or manufacture of methamphetamines.

 

Sec. 516. (1) From funds appropriated in part 1 for county

 

child care fund, the administrative or indirect cost payment equal

 

to 10% of a county's total monthly gross expenditures shall be

 

distributed to the county on a monthly basis and a county is not

 

required to submit documentation to the department for any of the


expenditures that are covered under the 10% payment as described in

 

section 117a(4)(b)(ii) and (iv) of the social welfare act, 1939 PA

 

280, MCL 400.117a.

 

(2) The department shall consider pest control, pest

 

management, or vermin annihilation expenditures made as a direct

 

condition related to the licensure of a juvenile detention facility

 

as a direct expenditure.

 

(3) The department shall not include any expenditures

 

described under subsection (2) in the determination of the 10%

 

administrative or indirect cost payment.

 

Sec. 517. The department shall retain the same title IV-E

 

appeals policy in place as of the fiscal year ending September 30,

 

2017.

 

Sec. 519. The department shall permit any private agency that

 

has an existing contract with this state to provide foster care

 

services to be also eligible to provide treatment foster care

 

services.

 

Sec. 520. To the extent that the data are available, the

 

department shall submit a report to the house and senate

 

appropriations subcommittees on the department budget, the house

 

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

 

and the state budget office by February 15 of the current fiscal

 

year on the number of days of care and expenditures by funding

 

source for the previous fiscal year for out-of-home placements by

 

specific placement programs for child abuse or child neglect and

 

juvenile justice, including, but not limited to, paid relative

 

placement, department direct family foster care, private agency


supervised foster care, private child caring institutions, county-

 

supervised facilities, court-supervised facilities, and independent

 

living. The report shall also identify days of care for department-

 

operated residential juvenile justice facilities by security

 

classification.

 

Sec. 522. (1) From the funds appropriated in part 1 for youth

 

in transition, the department shall allocate $750,000.00 for

 

college 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 located in this state. Of the funds

 

appropriated, 100% shall be used to fund scholarships for the

 

youths described in this section.

 

(2) By March 1 of the current fiscal year, the department

 

shall provide a report to the senate and house appropriations

 

subcommittees on the department budget, the senate and house fiscal

 

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

 

office that includes the number of youths who received scholarships

 

and the amount of each scholarship, and the total amount of funds

 

spent or encumbered in the current fiscal year.

 

Sec. 523. (1) By February 15 of the current fiscal year, the

 

department shall report on the families first, family

 

reunification, and families together building solutions family

 

preservation programs to the senate and house appropriations

 

subcommittees on the department budget, the senate and house fiscal

 

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

 

office. The report shall provide an estimate of total costs savings


as a result of avoiding placement of children in foster care for

 

families who received family preservation services and shall

 

include information for each program on any innovations that may

 

increase savings or reductions in administrative costs.

 

(2) From the funds appropriated in part 1 for family

 

preservation programs, $100.00 is appropriated to increase the

 

rates for programs with a family preservation delivery model.

 

(3) From the funds appropriated in part 1 for youth in

 

transition and domestic violence prevention and treatment, the

 

department is authorized to make allocations of TANF funds only to

 

agencies that report necessary data to the department for the

 

purpose of meeting TANF eligibility reporting requirements.

 

Sec. 524. As a condition of receiving funds appropriated in

 

part 1 for strong families/safe children, counties must submit the

 

service spending plan to the department by October 1 of the current

 

fiscal year for approval. The department shall approve the service

 

spending plan within 30 calendar days after receipt of a properly

 

completed service spending plan.

 

Sec. 525. The department shall implement the same on-site

 

evaluation processes for privately operated child welfare and

 

juvenile justice residential facilities as is used to evaluate

 

state-operated facilities. Penalties for noncompliance shall be the

 

same for privately operated child welfare and juvenile justice

 

residential facilities and state-operated facilities.

 

Sec. 527. For the purposes of calculating adoption worker

 

caseloads for private child placing agencies, the department shall

 

exclude the following case types:


(a) Cases in which there are multiple applicants as that term

 

is defined in section 22(e) of chapter X of the probate code of

 

1939, 1939 PA 288, MCL 710.22, also known as a competing party

 

case, in which the case has a consent motion pending from

 

Michigan's children's institute or the court for more than 30 days.

 

(b) Cases in which a birth parent has an order or motion for a

 

rehearing or an appeal as of right that has been pending for more

 

than 15 days.

 

Sec. 528. The department shall provide private child placing

 

agencies, the senate and house appropriations subcommittees on the

 

department budget, and the senate and house fiscal agencies and

 

policy offices the federal law, federal rule, or federal rationale

 

or interpretation that requires fingerprinting of an individual as

 

a requirement to become both a foster parent and an adoptive

 

parent.

 

Sec. 531. The department shall notify the house and senate

 

appropriations subcommittees on the department budget, the house

 

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

 

of any changes to a child welfare master contract template,

 

including the adoption master contract template, the independent

 

living plus master contract template, the child placing agency

 

foster care master contract template, and the residential foster

 

care juvenile justice master contract template, not less than 30

 

days before the change takes effect.

 

Sec. 532. The department, in collaboration with

 

representatives of private child and family agencies, shall revise

 

and improve the annual licensing review process and the annual


contract compliance review process for child placing agencies and

 

child caring institutions. The improvement goals shall be safety

 

and care for children. Improvements to the review process shall be

 

directed toward alleviating administrative burdens so that agency

 

resources may be focused on children. The revision shall include

 

identification of duplicative staff activities and information

 

sought from child placing agencies and child caring institutions in

 

the annual review process. The department shall report to the

 

senate and house appropriations subcommittees on the department

 

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

 

and the state budget director on or before January 15 of the

 

current fiscal year on the findings of the annual licensing review

 

and include summaries of actions undertaken to revise, improve, and

 

identify weaknesses in the current annual licensing process and

 

annual contract compliance.

 

Sec. 533. (1) The department shall make payments to child

 

placing facilities for in-home and out-of-home care services and

 

adoption services within 30 days of receiving all necessary

 

documentation from those agencies. It is the intent of the

 

legislature that the burden of ensuring that these payments are

 

made in a timely manner and no payments are in arrears is upon the

 

department.

 

(2) By March 1 of the current fiscal year, the department

 

shall submit a report to the senate and house appropriations

 

subcommittees on the department budget, the senate and house fiscal

 

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

 

office that details each private child placing agency and the


percentage of payments that were in excess of 30 days during the

 

entire prior fiscal year and the first quarter of the current

 

fiscal year.

 

Sec. 534. The department shall submit to the senate and house

 

appropriations subcommittees on the department budget, the senate

 

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

 

the state budget office by March 1 of the current fiscal year a

 

report on the adoption subsidies expenditures from the previous

 

fiscal year. The report shall include, but is not limited to, the

 

range of annual adoption support subsidy amounts, for both title

 

IV-E eligible cases and state-funded cases, paid to adoptive

 

families, the number of title IV-E and state-funded cases, the

 

number of cases in which the adoption support subsidy request of

 

adoptive parents for assistance was denied by the department, and

 

the number of adoptive parents who requested a redetermination of

 

adoption support subsidy.

 

Sec. 537. (1) The department, in collaboration with child

 

placing agencies, shall develop a strategy to implement section

 

115o of the social welfare act, 1939 PA 280, MCL 400.115o. The

 

strategy shall include a requirement that a department caseworker

 

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.

 

(2) By March 1 of the current fiscal year, the department

 

shall provide to the senate and house appropriations subcommittees

 

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


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

 

report on the strategy described in subsection (1).

 

Sec. 540. If a physician or psychiatrist who is providing

 

services to state or court wards placed in a residential facility

 

submits a formal request to the department to change the

 

psychotropic medication of a ward, the department shall, if the

 

ward is a state ward, make a determination on the proposed change

 

within 7 business days after the request or, if the ward is a

 

temporary court ward, seek parental consent within 7 business days

 

after the request. If parental consent is not provided within 7

 

business days, the department shall petition the court on the

 

eighth business day.

 

Sec. 546. (1) From the funds appropriated in part 1 for foster

 

care payments and from child care fund, the department shall pay

 

providers of general foster care, independent living, and trial

 

reunification services not less than a $37.00 administrative rate.

 

(2) From the funds appropriated in part 1, the department

 

shall pay providers of independent living plus services statewide

 

per diem rates for staff-supported housing and host-home housing

 

based on proposals submitted in response to a solicitation for

 

pricing. The independent living plus program provides staff-

 

supported housing and services for foster youth ages 16 through 19

 

who, because of their individual needs and assessments, are not

 

initially appropriate for general independent living foster care.

 

(3) From the funds appropriated in part 1, the department

 

shall pay providers of foster care services an additional $9.20

 

administrative rate, if section 117a of the social welfare act,


1939 PA 280, MCL 400.117a, is amended to eliminate the county match

 

rate for the additional administrative rate provided in this

 

subsection. Payments under this subsection shall be made, not less

 

than, on a monthly basis.

 

(4) 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.

 

(5) From the funds appropriated in part 1, the department

 

shall provide an increase to each private provider of residential

 

services, if section 117a of the social welfare act, 1939 PA 280,

 

MCL 400.117a, is amended to eliminate the county match rate for the

 

additional rate provided in this section.

 

Sec. 547. (1) From the funds appropriated in part 1 for the

 

guardianship assistance program, the department shall pay a minimum

 

rate that is not less than the approved age-appropriate payment

 

rates for youth placed in family foster care.

 

(2) The department shall report quarterly to the state budget

 

office, the senate and house appropriations subcommittees on the

 

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

 

senate and house policy offices on the number of children enrolled

 

in the guardianship assistance and foster care children with

 

serious emotional disturbance waiver programs.

 

Sec. 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) Subsequent to any original funding source determination

 

made by the department for the status of a youth, the department

 

shall not seek reimbursement from a county if the funding source

 

status of a youth has changed.

 

Sec. 551. The department shall respond to counties within 30

 

days regarding any request for a clarification requested through

 

the department's child care fund management unit electronic mail

 

address.

 

Sec. 552. Sixty days after a county's child care fund on-site

 

review is completed, the department shall provide the results of

 

the review to the county. The department shall not include a

 

performance evaluation of a county's child care fund programs in

 

the review. The department shall not release the results of the

 

review to a third-party without the permission of the county being

 

reviewed.

 

Sec. 558. (1) By January 1 of the current fiscal year, the

 

department shall provide to the senate and house appropriations

 

subcommittees on the department budget, the senate and house fiscal

 

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

 

office a report that identifies the policies, procedures, and other

 

relevant issues related to the modernization of the child welfare

 

training program.

 

(2) The department shall maintain the $6,000.00 payment, in


effect as of September 30, 2017, made to private child placing

 

agencies upon the completion of the child welfare caseworker

 

training.

 

Sec. 559. (1) From the funds appropriated in part 1 for

 

adoption support services, the department shall allocate

 

$250,000.00 to the Adoptive Family Support Network by December 1 of

 

the current fiscal year to operate and expand its adoptive parent

 

mentor program to provide a listening ear, knowledgeable guidance,

 

and community connections to adoptive parents and children who were

 

adopted in this state or another state.

 

(2) The Adoptive Family Support Network shall submit to the

 

senate and house appropriations subcommittees on the department

 

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

 

policy offices, and the state budget office by March 1 of the

 

current fiscal year a report on the program described in subsection

 

(1), including, but not limited to, the number of cases served and

 

the number of cases in which the program prevented an out-of-home

 

placement.

 

Sec. 562. The department shall provide time and travel

 

reimbursements for foster parents who transport a foster child to

 

parent-child visitations. As part of the foster care parent

 

contract, the department shall provide written confirmation to

 

foster parents that states that the foster parents have the right

 

to request these reimbursements for all parent-child visitations.

 

The department shall provide these reimbursements within 60 days of

 

receiving a request for eligible reimbursements from a foster

 

parent.


Sec. 564. (1) The department shall develop a clear policy for

 

parent-child visitations. The local county offices, caseworkers,

 

and supervisors shall meet an 85% success rate, after accounting

 

for factors outside of the caseworkers' control.

 

(2) Per the court-ordered number of required meetings between

 

caseworkers and a parent, the caseworkers shall achieve a success

 

rate of 85%, after accounting for factors outside of the

 

caseworkers' control.

 

(3) By March 1 of the current fiscal year, the department

 

shall provide to the senate and house appropriations subcommittees

 

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

 

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

 

report on the following:

 

(a) The percentage of success rate for parent-child

 

visitations and court-ordered required meetings between caseworkers

 

referenced in subsections (1) and (2) for the previous year.

 

(b) The barriers to achieve the success rates in subsections

 

(1) and (2) and how this information is tracked.

 

Sec. 567. The department shall submit to the senate and house

 

appropriations subcommittees on the department budget, the senate

 

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

 

the state budget office by March 1 of the current fiscal year a

 

report on transfer of medical passports for children in foster

 

care, including the following:

 

(a) The percentage of medical passports that were properly

 

filled out.

 

(b) From the total medical passports transferred, the


percentage that transferred within 2 weeks from the date of

 

placement or return to the home.

 

(c) From the total school records, the percentage that

 

transferred within 2 weeks from the date of placement or return to

 

the home.

 

(d) The implementation steps that have been taken to improve

 

the outcomes for the measures in subdivision (b).

 

Sec. 569. The department shall reimburse private child placing

 

agencies that complete adoptions at the rate according to the date

 

on which the petition for adoption and required support

 

documentation was accepted by the court and not according to the

 

date the court's order placing for adoption was entered.

 

Sec. 573. (1) The department may pay providers of foster care

 

services a per diem daily administrative rate for every case on a

 

caseworker's caseload for the duration of a case from referral

 

acceptance to the discharge of wardship.

 

(2) The department shall participate in a workgroup to

 

determine an equitable and fair method to compensate private child

 

placing agencies for case management and services provided to

 

children for which private child placing agencies are not paid an

 

administrative rate. The members of the workgroup shall include,

 

but not be limited to, the department, representatives from the

 

Michigan Federation for Children and Families, representatives from

 

the Association of Accredited Child and Family Agencies,

 

representatives from contracted private child placing agencies, and

 

members of the senate and the house of representatives. The

 

workgroup shall, at a minimum, address the following possibilities


and make recommendations to the department on the implementation of

 

any of the following items that the workgroup considers feasible:

 

(a) Whether the department and other stakeholders can obtain a

 

consensus agreement on the definition of an unpaid foster care

 

case.

 

(b) Whether the department's current compensation is suitable

 

for private child placing agencies for the case management of a

 

child who, as described by department policy as of September 30 of

 

the previous fiscal year, is not in foster care and for whom the

 

private child placing agency does not receive an administrative

 

rate, but, as of September 30 of the previous fiscal year, who was

 

factored into the calculation of caseloads for a foster care worker

 

as described by the settlement.

 

(c) Whether an indirect or administrative payment is feasible

 

to compensate private child placing agencies for the case

 

management of a child who, as described by department policy as of

 

September 30 of the previous fiscal year, is not in foster care and

 

does not receive an administrative rate, but, as of September 30 of

 

the previous fiscal year, who was factored into the calculation of

 

caseloads for a foster care worker as described by the settlement.

 

(3) As of October 1 of the current fiscal year and until the

 

recommendations of the workgroup described in subsection (2) are

 

implemented, it shall be the policy of the department that for

 

purposes of calculating the regular, ongoing caseloads for cases

 

assigned to private child placing agency foster care workers as

 

described in the settlement, the department shall exclude the

 

following case types:


(a) Cases in which there has been placement with the

 

respondent or adjudicated parent and siblings in foster care.

 

(b) Cases in which there has been placement with a

 

nonoffending parent and siblings in foster care with court

 

jurisdiction.

 

(c) Cases in which there has been placement in a residential

 

treatment facility or a child caring institution.

 

(d) Cases in which family responsibility has been assigned to

 

the contractor, but children in the home are not considered be a

 

foster care case per department policy as of September 30 of the

 

previous fiscal year.

 

(e) Cases in which a trial reunification period has been in

 

effect for more than 180 days.

 

Sec. 574. (1) From the funds appropriated in part 1 for foster

 

care payments, $3,500,000.00 is allocated to support performance-

 

based contracts with child placing agencies to facilitate the

 

licensure of relative caregivers as foster parents. Agencies shall

 

receive $4,500.00 for each facilitated licensure if completed

 

within 180 days after case acceptance, or, if a waiver was

 

previously approved, 180 days from the referral date. If the

 

facilitated licensure, or approved waiver, is completed after 180

 

days, the agency shall receive up to $3,500.00. The agency

 

facilitating the licensure would retain the placement and continue

 

to provide case management services for the newly licensed cases

 

for which the placement was appropriate to the agency.

 

(2) From the funds appropriated for foster care payments,

 

$375,000.00 is allocated to support family incentive grants to


private and community-based foster care service providers to assist

 

with home improvements or payment for physical exams for applicants

 

needed by foster families to accommodate foster children.

 

Sec. 583. By March 1 of the current fiscal year, the

 

department shall provide to the senate and house appropriations

 

subcommittees on the department budget, the senate and house

 

standing committees on families and human services, the senate and

 

house fiscal agencies and policy offices, and the state budget

 

office a report that includes:

 

(a) The number and percentage of foster parents that dropped

 

out of the program in the previous fiscal year and the reasons the

 

foster parents left the program and how those figures compare to

 

prior fiscal years.

 

(b) The number and percentage of foster parents successfully

 

retained in the previous fiscal year and how those figures compare

 

to prior fiscal years.

 

Sec. 585. The department shall make available at least 1 pre-

 

service training class each month in which new caseworkers for

 

private foster care and adoption agencies can enroll.

 

Sec. 588. Concurrently with public release, the department

 

shall transmit all reports from the court-appointed settlement

 

monitor, including, but not limited to, the needs assessment and

 

period outcome reporting, to the state budget office, the senate

 

and house appropriations subcommittees on the department budget,

 

and the senate and house fiscal agencies and policy offices,

 

without revision.

 

Sec. 589. (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 monthly basis, the department shall report on the

 

number of all foster care cases administered by the department and

 

all foster care cases administered by private providers.

 

Sec. 590. From funds appropriated in part 1 for youth in

 

transition, $280,000.00 shall be awarded to a charter high school

 

for students ages 16 to 22 who have previously dropped out or are

 

at risk of not graduating on time operating in a county with a

 

population of greater than 172,000 but less than 175,000 according

 

to the most recent federal decennial census. It is the intent of

 

the legislature that this is the second year out of 3 years that

 

funding is to be provided by the legislature for the charter high

 

school described in this section.

 

Sec. 593. The department may allow residential service

 

providers for child abuse and child neglect cases to implement a

 

staff ratio during working hours of 1 staff to 5 children.

 

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.

 

 

 

PUBLIC ASSISTANCE

 

Sec. 601. Whenever a client agrees to the release of his or

 

her name and address to the local housing authority, the department

 

shall request from the local housing authority information

 

regarding whether the housing unit for which vendoring has been

 

requested meets applicable local housing codes. Vendoring shall be

 

terminated for those units that the local authority indicates in

 

writing do not meet local housing codes until such time as the

 

local authority indicates in writing that local housing codes have

 

been met.

 

Sec. 602. The department shall conduct a full evaluation of an

 

individual's assistance needs if the individual has applied for

 

disability more than 1 time within a 1-year period.

 

Sec. 604. (1) The department shall operate a state disability

 

assistance program. Except as provided in subsection (3), persons

 

eligible for this program shall include needy citizens of the

 

United States or aliens exempted from the supplemental security

 

income citizenship requirement who are at least 18 years of age or

 

emancipated minors meeting 1 or more of the following requirements:

 

(a) A recipient of supplemental security income, social

 

security, or medical assistance due to disability or 65 years of

 

age or older.

 

(b) A person with a physical or mental impairment that meets

 

federal supplemental security income disability standards, except

 

that the minimum duration of the disability shall be 90 days.

 


Substance use disorder alone is not defined as a basis for

 

eligibility.

 

(c) A resident of an adult foster care facility, a home for

 

the aged, a county infirmary, or a substance use disorder treatment

 

center.

 

(d) A person receiving 30-day postresidential substance use

 

disorder treatment.

 

(e) A person diagnosed as having acquired immunodeficiency

 

syndrome.

 

(f) A person receiving special education services through the

 

local intermediate school district.

 

(g) A caretaker of a disabled person who meets the

 

requirements specified in subdivision (a), (b), (e), or (f).

 

(2) Applicants for and recipients of the state disability

 

assistance program shall be considered needy if they:

 

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

 

independence program.

 

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

 

payment standards.

 

(3) Except for a person described in subsection (1)(c) or (d),

 

a person is not disabled for purposes of this section if his or her

 

drug addiction or alcoholism is a contributing factor material to

 

the determination of disability. "Material to the determination of

 

disability" means that, if the person stopped using drugs or

 

alcohol, his or her remaining physical or mental limitations would

 

not be disabling. If his or her remaining physical or mental

 

limitations would be disabling, then the drug addiction or


alcoholism is not material to the determination of disability and

 

the person may receive state disability assistance. Such a person

 

must actively participate in a substance abuse treatment program,

 

and the assistance must be paid to a third party or through vendor

 

payments. For purposes of this section, substance abuse treatment

 

includes receipt of inpatient or outpatient services or

 

participation in alcoholics anonymous or a similar program.

 

Sec. 605. The level of reimbursement provided to state

 

disability assistance recipients in licensed adult foster care

 

facilities shall be the same as the prevailing supplemental

 

security income rate under the personal care category.

 

Sec. 606. County department offices shall require each

 

recipient of family independence program and state disability

 

assistance who has applied with the social security administration

 

for supplemental security income to sign a contract to repay any

 

assistance rendered through the family independence program or

 

state disability assistance program upon receipt of retroactive

 

supplemental security income benefits.

 

Sec. 607. (1) The department's ability to satisfy

 

appropriation deductions in part 1 for state disability

 

assistance/supplemental security income recoveries and public

 

assistance recoupment revenues shall not be limited to recoveries

 

and accruals pertaining to state disability assistance, or family

 

independence assistance grant payments provided only in the current

 

fiscal year, but may include revenues collected during the current

 

year that are prior year related and not a part of the department's

 

accrued entries.


(2) The department may use supplemental security income

 

recoveries to satisfy the deduct in any line in which the revenues

 

are appropriated, regardless of the source from which the revenue

 

is recovered.

 

Sec. 608. Adult foster care facilities providing domiciliary

 

care or personal care to residents receiving supplemental security

 

income or homes for the aged serving residents receiving

 

supplemental security income shall not require those residents to

 

reimburse the home or facility for care at rates in excess of those

 

legislatively authorized. To the extent permitted by federal law,

 

adult foster care facilities and homes for the aged serving

 

residents receiving supplemental security income shall not be

 

prohibited from accepting third-party payments in addition to

 

supplemental security income if the payments are not for food,

 

clothing, shelter, or result in a reduction in the recipient's

 

supplemental security income payment.

 

Sec. 609. The state supplementation level under the

 

supplemental security income program for the personal care/adult

 

foster care and home for the aged categories shall not be reduced

 

during the current fiscal year. The legislature shall be notified

 

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

 

supplementation level.

 

Sec. 610. (1) In developing good cause criteria for the state

 

emergency relief program, the department shall grant exemptions if

 

the emergency resulted from unexpected expenses related to

 

maintaining or securing employment.

 

(2) For purposes of determining housing affordability


eligibility for state emergency relief, a group is considered to

 

have sufficient income to meet ongoing housing expenses if their

 

total housing obligation does not exceed 75% of their total net

 

income.

 

(3) State emergency relief payments shall not be made to

 

individuals who have been found guilty of fraud in regard to

 

obtaining public assistance.

 

(4) State emergency relief payments shall not be made

 

available to persons who are out-of-state residents or illegal

 

immigrants.

 

(5) State emergency relief payments for rent assistance shall

 

be distributed directly to landlords and shall not be added to

 

Michigan bridge cards.

 

Sec. 611. The state supplementation level under the

 

supplemental security income program for the living independently

 

or living in the household of another categories shall not exceed

 

the minimum state supplementation level as required under federal

 

law or regulations.

 

Sec. 613. (1) The department shall provide reimbursements for

 

the final disposition of indigent persons. The reimbursements shall

 

include the following:

 

(a) The maximum allowable reimbursement for the final

 

disposition is $800.00.

 

(b) The adult burial with services allowance is $725.00.

 

(c) The adult burial without services allowance is $490.00.

 

(d) The infant burial allowance is $170.00.

 

(2) Reimbursement for a cremation permit fee of up to $75.00


and for mileage at the standard rate will be made available for an

 

eligible cremation. The reimbursements under this section shall

 

take into consideration religious preferences that prohibit

 

cremation.

 

Sec. 614. The department shall report to the senate and house

 

of representatives appropriations subcommittees on the department

 

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

 

house policy offices by January 15 of the current fiscal year on

 

the number and percentage of state disability assistance recipients

 

who were determined to be eligible for federal supplemental

 

security income benefits in the previous fiscal year.

 

Sec. 615. Except as required by federal law or regulations,

 

funds appropriated in part 1 shall not be used to provide public

 

assistance to a person who is an illegal alien. This section shall

 

not prohibit the department from entering into contracts with food

 

banks, emergency shelter providers, or other human services

 

agencies who may, as a normal part of doing business, provide food

 

or emergency shelter.

 

Sec. 616. The department shall require retailers that

 

participate in the electronic benefits transfer program to charge

 

no more than $2.50 in fees for cash back as a condition of

 

participation.

 

Sec. 618. By March 1 of the current fiscal year, the

 

department shall report to the senate and house appropriations

 

subcommittees on the department budget, the senate and house fiscal

 

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

 

office the quarterly number of supervised individuals who have


absconded from supervision and whom a law enforcement agency, the

 

department of corrections, or the department is actively seeking

 

according to section 84 of the corrections code of 1953, 1953 PA

 

232, MCL 791.284.

 

Sec. 619. (1) Subject to subsection (2), the department shall

 

not deny title IV-A assistance and food assistance benefits under

 

21 USC 862a to any individual who has been convicted of a single

 

felony that included the possession, use, or distribution of a

 

controlled substance, for which the act resulting in the conviction

 

occurred after August 22, 1996, if the individual is not in

 

violation of his or her probation or parole requirements. Benefits

 

shall be provided to such an individual, if the individual is the

 

grantee (head of household), as follows:

 

(a) Family independence program benefits must be paid in the

 

form of restricted payments if the grantee has been convicted, for

 

conduct occurring after August 22, 1996, of a felony for the use,

 

possession, or distribution of a controlled substance.

 

(b) An authorized representative shall be required for food

 

assistance receipt. If the individual with the conviction is not

 

the grantee, the food assistance shall be provided to the grantee.

 

(2) Subject to federal approval, an individual is not entitled

 

to the exemption in this section if the individual was convicted of

 

2 or more separate felony acts that included the possession, use,

 

or distribution of a controlled substance and both acts occurred

 

after August 22, 1996.

 

Sec. 620. (1) The department shall make a determination of

 

Medicaid eligibility not later than 90 days if disability is an


eligibility factor. For all other Medicaid applicants, including

 

patients of a nursing home, the department shall make a

 

determination of Medicaid eligibility within 45 days of

 

application.

 

(2) The department shall provide quarterly reports to the

 

senate and house appropriations subcommittees on the department

 

budget, the senate and house standing committees on families and

 

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

 

and house policy offices, and the state budget office on the

 

average Medicaid eligibility standard of promptness for each of the

 

required standards of promptness under subsection (1) and for

 

medical review team reviews achieved statewide and at each local

 

office.

 

Sec. 625. From the funds appropriated in part 1 for SSI

 

advocacy legal services grant, the department shall distribute

 

$250,000.00 on October 1 of the current fiscal year and $250,000.00

 

on April 1 of the current fiscal year as a grant to the Legal

 

Services Association of Michigan (LSAM). The purpose of the grant

 

is to assist current or potential recipients of state disability

 

assistance who have applied for or wish to apply for SSI or other

 

federal disability benefits. LSAM shall provide a list of new

 

recipients to the department to verify services provided to

 

department referrals. The department shall distribute informational

 

materials or literature provided by LSAM to clients who have been

 

referred to LSAM for assistance under this section. LSAM and the

 

department shall develop release forms to share information in

 

appropriate cases. LSAM shall provide quarterly reports indicating


cases opened, cases closed, level of services provided on closed

 

cases, and case outcomes on closed cases.

 

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. 650. An individual who is an able-bodied adult without

 

dependents is subject to the time-limited food assistance and work

 

requirement provisions of 7 CFR 273.24(a) to (d) regardless of the

 

individual's county of residence, redetermination date, or federal

 

waiver status effective October 1, 2018.

 

Sec. 653. From the funds appropriated in part 1 for food

 

assistance, an individual who is the victim of domestic violence

 

and does not qualify for any other exemption may be exempt from the

 

3-month in 36-month limit on receiving food assistance under 7 USC

 

2015. This exemption can be extended an additional 3 months upon

 

demonstration of continuing need.

 

Sec. 654. The department shall notify recipients of food

 

assistance program benefits that their benefits can be spent with

 

their bridge cards at many farmers' markets in the state. The

 

department shall also notify recipients about the Double Up Food

 

Bucks program that is administered by the Fair Food Network.

 

Recipients shall receive information about the Double Up Food Bucks

 

program, including information that when the recipient spends

 

$20.00 at participating farmers' markets through the program, the


recipient can receive an additional $20.00 to buy Michigan produce.

 

Sec. 655. Within 14 days after the spending plan for low-

 

income home energy assistance program is approved by the state

 

budget office, the department shall provide the spending plan,

 

including itemized projected expenditures, to the chairpersons of

 

the senate and house appropriations subcommittees on the department

 

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

 

policy offices, and the state budget office.

 

Sec. 660. From the funds appropriated in part 1 for Food Bank

 

Council of Michigan, the department is authorized to make

 

allocations of TANF funds only to the agencies that report

 

necessary data to the department for the purpose of meeting TANF

 

eligibility reporting requirements. The agencies that do not report

 

necessary data to the department for the purpose of meeting TANF

 

eligibility reporting requirements will not receive allocations in

 

excess of those received in fiscal year 2000. The use of TANF funds

 

under this section is not an ongoing commitment of funding.

 

Sec. 669. The department shall allocate $6,270,000.00 for the

 

annual clothing allowance. The allowance shall be granted to all

 

eligible children in a family independence program group.

 

Sec. 672. (1) The department's office of inspector general

 

shall report to the senate and house of representatives

 

appropriations subcommittees on the department budget, the senate

 

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

 

by February 15 of the current fiscal year on department efforts to

 

reduce inappropriate use of Michigan bridge cards. The department

 

shall provide information on the number of recipients of services


who used their electronic benefit transfer card inappropriately and

 

the current status of each case, the number of recipients whose

 

benefits were revoked, whether permanently or temporarily, as a

 

result of inappropriate use, and the number of retailers that were

 

fined or removed from the electronic benefit transfer program for

 

permitting inappropriate use of the cards. The report shall

 

distinguish between savings and cost avoidance. Savings include

 

receivables established from instances of fraud committed. Cost

 

avoidance includes expenditures avoided due to front-end

 

eligibility investigations and other preemptive actions undertaken

 

in the prevention of fraud.

 

(2) It shall be the policy of the department that the

 

department shall require an explanation from a recipient if a

 

bridge card is replaced more than 2 times over any 3-month period.

 

(3) As used in this section, "inappropriate use" means not

 

used to meet a family's ongoing basic needs, including food,

 

clothing, shelter, utilities, household goods, personal care items,

 

and general incidentals.

 

Sec. 677. (1) The department shall establish a state goal for

 

the percentage of family independence program cases involved in

 

employment activities. The percentage established shall not be less

 

than 50%. The goal for long-term employment shall be 15% of cases

 

for 6 months or more.

 

(2) The department shall provide quarterly reports to the

 

senate and house appropriations subcommittees on the department

 

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

 

and the state budget director on the number of cases referred to


Partnership. Accountability. Training. Hope. (PATH), the current

 

percentage of family independence program cases involved in PATH

 

employment activities, an estimate of the current percentage of

 

family independence program cases that meet federal work

 

participation requirements on the whole, and an estimate of the

 

current percentage of the family independence program cases that

 

meet federal work participation requirements for those cases

 

referred to PATH.

 

(3) The department shall submit to the senate and house

 

appropriations subcommittees on the department budget, the senate

 

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

 

the state budget office quarterly reports that include all of the

 

following:

 

(a) The number and percentage of nonexempt family independence

 

program recipients who are employed.

 

(b) The average and range of wages of employed family

 

independence program recipients.

 

(c) The number and percentage of employed family independence

 

program recipients who remain employed for 6 months or more.

 

Sec. 686. (1) The department shall ensure that program policy

 

requires caseworkers to confirm that individuals presenting

 

personal identification issued by another state seeking assistance

 

through the family independence program, food assistance program,

 

state disability assistance program, or medical assistance program

 

are not receiving benefits from any other state.

 

(2) The department shall require caseworkers to confirm the

 

address provided by any individual seeking family independence


program benefits or state disability assistance benefits.

 

(3) The department shall prohibit individuals with property

 

assets assessed at a value higher than $200,000.00 from accessing

 

assistance through department-administered programs, unless such a

 

prohibition would violate federal rules and guidelines.

 

(4) The department shall require caseworkers to obtain an up-

 

to-date telephone number during the eligibility determination or

 

redetermination process for individuals seeking medical assistance

 

benefits.

 

Sec. 687. (1) The department shall, in quarterly reports,

 

compile and make available on its website all of the following

 

information about the family independence program, state disability

 

assistance, the food assistance program, Medicaid, and state

 

emergency relief:

 

(a) The number of applications received.

 

(b) The number of applications approved.

 

(c) The number of applications denied.

 

(d) The number of applications pending and neither approved

 

nor denied.

 

(e) The number of cases opened.

 

(f) The number of cases closed.

 

(g) The number of cases at the beginning of the quarter and

 

the number of cases at the end of the quarter.

 

(2) The information provided under subsection (1) shall be

 

compiled and made available for the state as a whole and for each

 

county and reported separately for each program listed in

 

subsection (1).


(3) The department shall, in quarterly reports, compile and

 

make available on its website the family independence program

 

information listed as follows:

 

(a) The number of new applicants who successfully met the

 

requirements of the 21-day assessment period for PATH.

 

(b) The number of new applicants who did not meet the

 

requirements of the 21-day assessment period for PATH.

 

(c) The number of cases sanctioned because of the school

 

truancy policy.

 

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

 

month lifetime limits.

 

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

 

(f) The number of children ages 0-5 living in FIP-sanctioned

 

households.

 

Sec. 688. From the funds appropriated in part 1 for the low-

 

income home energy assistance program, an additional $20.01 payment

 

to food assistance program cases that are not currently eligible

 

for the standard utility allowance to enable these cases to receive

 

expanded food assistance benefits through the program commonly

 

known as the heat and eat program.

 

 

 

CHILDREN'S SERVICES AGENCY - JUVENILE JUSTICE

 

Sec. 701. Unless required from changes to federal or state law

 

or at the request of a provider, the department shall not alter the

 

terms of any signed contract with a private residential facility

 

serving children under state or court supervision without written

 

consent from a representative of the private residential facility.

 


Sec. 706. Counties shall be subject to 50% chargeback for the

 

use of alternative regional detention services, if those detention

 

services do not fall under the basic provision of section 117e of

 

the social welfare act, 1939 PA 280, MCL 400.117e, or if a county

 

operates those detention services programs primarily with

 

professional rather than volunteer staff.

 

Sec. 707. In order to be reimbursed for child care fund

 

expenditures, counties are required to submit department-developed

 

reports to enable the department to document potential federally

 

claimable expenditures. This requirement is in accordance with the

 

reporting requirements specified in section 117a(11) of the social

 

welfare act, 1939 PA 280, MCL 400.117a.

 

Sec. 708. (1) As a condition of receiving funds appropriated

 

in part 1 for the child care fund line item, by October 15 of the

 

current fiscal year, counties shall have an approved service

 

spending plan for the current fiscal year. Counties must submit the

 

service spending plan for the current fiscal year to the department

 

by August 15 of the previous fiscal year for approval. Upon

 

submission of the county service spending plan, the department

 

shall approve within 30 calendar days after receipt of a properly

 

completed service plan that complies with the requirements of the

 

social welfare act, 1939 PA 280, MCL 400.1 to 400.119b. The

 

department shall notify and submit county service spending plan

 

revisions to any county whose county service spending plan is not

 

accepted upon initial submission. The department shall not request

 

any additional revisions to a county service spending plan outside

 

of the requested revision notification submitted to the county by


the department. The department shall notify a county within 30 days

 

after approval that its service plan was approved.

 

(2) The department shall submit a report to the house and

 

senate appropriations subcommittees on the department budget, the

 

house and senate fiscal agencies, the house and senate policy

 

offices, and the state budget office by February 15 of the current

 

fiscal year on the number of counties that fail to submit a service

 

spending plan by August 15 of the previous fiscal year and the

 

number of service spending plans not approved by October 15. The

 

report shall include the number of county service spending plans

 

that were not approved as first submitted by the counties, as well

 

as the number of plans that were not approved by the department

 

after being resubmitted by the county with the first revisions that

 

were requested by the department.

 

Sec. 709. The department's master contract for juvenile

 

justice residential foster care services shall prohibit contractors

 

from denying a referral for placement of a youth, or terminating a

 

youth's placement, if the youth's assessed treatment needs are in

 

alignment with the facility's residential program type, as

 

identified by the court or the department. In addition, the master

 

contract shall require that youth placed in juvenile justice

 

residential foster care facilities must have regularly scheduled

 

treatment sessions with a licensed psychologist or psychiatrist, or

 

both, and access to the licensed psychologist or psychiatrist as

 

needed.

 

Sec. 721. If the demand for placements at state-operated

 

juvenile justice residential facilities exceeds capacity, the


department shall not increase the available occupancy or services

 

at the facilities, and shall post a request for proposals for a

 

contract with not less than 1 private provider of residential

 

services for juvenile justice youth to be a residential facility of

 

last resort.

 

 

 

FIELD OPERATIONS AND SUPPORT SERVICES

 

Sec. 801. (1) Funds appropriated in part 1 for independent

 

living shall be used to support the general operations of centers

 

for independent living in delivering mandated independent living

 

services in compliance with federal rules and regulations for the

 

centers, by existing centers for independent living to serve

 

underserved areas, and for projects to build the capacity of

 

centers for independent living to deliver independent living

 

services. Applications for the funds shall be reviewed in

 

accordance with criteria and procedures established by the

 

department. The funds appropriated in part 1 may be used to

 

leverage federal vocational rehabilitation innovation and expansion

 

funds consistent with 34 CFR 361.35 up to $5,543,000.00, if

 

available. If the possibility of matching federal funds exists, the

 

centers for independent living network will negotiate a mutually

 

beneficial contractual arrangement with Michigan rehabilitation

 

services. Funds shall be used in a manner consistent with the state

 

plan for independent living. Services provided should assist people

 

with disabilities to move toward self-sufficiency, including

 

support for accessing transportation and health care, obtaining

 

employment, community living, nursing home transition, information

 


and referral services, education, youth transition services,

 

veterans, and stigma reduction activities and community education.

 

This includes the independent living guide project that

 

specifically focuses on economic self-sufficiency.

 

(2) The Michigan centers for independent living shall provide

 

a report by March 1 of the current fiscal year to the house and

 

senate appropriations subcommittees on the department budget, the

 

house and senate fiscal agencies, the house and senate policy

 

offices, and the state budget office on direct customer and system

 

outcomes and performance measures.

 

Sec. 802. The Michigan rehabilitation services shall work

 

collaboratively with the bureau of services for blind persons,

 

service organizations, and government entities to identify

 

qualified match dollars to maximize use of available federal

 

vocational rehabilitation funds.

 

Sec. 803. The department shall provide an annual report by

 

February 1 to the house and senate appropriations subcommittees on

 

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

 

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

 

efforts taken to improve the Michigan rehabilitation services. The

 

report shall include all of the following items:

 

(a) Reductions and changes in administration costs and

 

staffing.

 

(b) Service delivery plans and implementation steps achieved.

 

(c) Reorganization plans and implementation steps achieved.

 

(d) Plans to integrate Michigan rehabilitative services

 

programs into other services provided by the department.


(e) Quarterly expenditures by major spending category.

 

(f) Employment and job retention rates from both Michigan

 

rehabilitation services and its nonprofit partners.

 

(g) Success rate of each district in achieving the program

 

goals.

 

Sec. 804. (1) From the funds appropriated in part 1 for

 

Michigan rehabilitation services, the department shall allocate

 

$50,000.00 along with available federal match to support the

 

provision of vocational rehabilitation services to eligible

 

agricultural workers with disabilities. Authorized services shall

 

assist agricultural workers with disabilities in acquiring or

 

maintaining quality employment and independence.

 

(2) By March 1 of the current fiscal year, the department

 

shall report to the senate and house appropriations subcommittees

 

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

 

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

 

total number of clients served and the total amount of federal

 

matching funds obtained throughout the duration of the program.

 

Sec. 805. It is the intent of the legislature that Michigan

 

rehabilitation services shall not implement an order of selection

 

for vocational and rehabilitative services. If the department is at

 

risk of entering into an order of selection for services, the

 

department shall notify the chairs of the senate and house

 

appropriations subcommittees on the department budget and the

 

senate and house fiscal agencies and policy offices within 2 weeks

 

of receiving notification.

 

Sec. 806. From the funds appropriated in part 1 for Michigan


rehabilitation services, the department shall allocate

 

$6,100,300.00, including federal matching funds, to service

 

authorizations with community-based rehabilitation organizations

 

for an array of needed services throughout the rehabilitation

 

process.

 

Sec. 807. From the funds appropriated in part 1 for Elder Law

 

of Michigan MiCAFE contract, the department shall allocate not less

 

than $350,000.00 to the Elder Law of Michigan MiCAFE to assist this

 

state's elderly population in participating in the food assistance

 

program. Of the $350,000.00 allocated under this section, the

 

department shall use $175,000.00, which are general fund/general

 

purpose funds, as state matching funds for not less than

 

$175,000.00 in United States Department of Agriculture funding to

 

provide outreach program activities, such as eligibility screening

 

and information services, as part of a statewide food assistance

 

hotline.

 

Sec. 808. By March 1 of the current fiscal year, the

 

department shall provide a report to the senate and house

 

appropriations subcommittees on the department budget, the senate

 

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

 

the state budget office on the nutrition education program. The

 

report shall include planned allocation and actual expenditures for

 

the supplemental nutrition assistance program education funding,

 

planned and actual grant amounts for the supplemental nutrition

 

assistance program education funding, the total amount of expected

 

carryforward balance at the end of the current fiscal year for the

 

supplemental nutrition assistance program education funding, a list


of all supplemental nutrition assistance program education funding

 

programs by implementing agency, and the stated purpose of each

 

program.

 

Sec. 809. (1) The purpose of the pathways to potential program

 

is to reduce chronic absenteeism by 20%, decrease the number of

 

students who repeat grades by 15%, decrease the rate of dropouts by

 

10%, and increase graduation by 20% for schools that are current

 

participants in the pathways to potential program and to reduce

 

chronic absenteeism by 25%, decrease the number of students who

 

repeat grades by 20%, decrease the rate of dropouts by 15%, and

 

increase graduation by 25% for schools that are new participants in

 

the pathways to potential program. The funding priority for the

 

pathways to potential program shall be based on schools achieving

 

successful outcomes on the above measurements.

 

(2) From the funds appropriated in part 1 for public

 

assistance field staff intended for the pathways to potential

 

program, the department shall allocate $75,000.00 by December 1 of

 

the current fiscal year to support the Northeast Michigan Community

 

Service Agency programming, which will take place in each county in

 

the governor's prosperity region 3.

 

(3) From the funds appropriated in part 1 for public

 

assistance field staff intended for the pathways to potential

 

program, the department shall allocate $60,000.00 to the Early

 

Neighborhood Learning Collaborative to improve the attendance and

 

retention of students enrolled in an early neighborhood learning

 

collaborative great start readiness program approved classroom. It

 

is the intent of the legislature that these funds shall be


allocated on a one-time basis only.

 

Sec. 825. From the funds appropriated in part 1, the

 

department shall provide individuals not more than $500.00 for

 

vehicle repairs, including any repairs done in the previous 12

 

months. However, the department may in its discretion pay for

 

repairs up to $900.00. Payments under this section shall include

 

the combined total of payments made by the department and work

 

participation program.

 

Sec. 850. (1) The department shall maintain out-stationed

 

eligibility specialists in community-based organizations, community

 

mental health agencies, nursing homes, adult placement and

 

independent living settings, federally qualified health centers,

 

and hospitals unless a community-based organization, community

 

mental health agency, nursing home, adult placement and independent

 

living setting, federally qualified health centers, or hospital

 

requests that the program be discontinued at its facility.

 

(2) From the funds appropriated in part 1 for donated funds

 

positions, the department shall enter into contracts with agencies

 

that are able and eligible under federal law to provide the

 

required matching funds for federal funding, as determined by

 

federal statute and regulations.

 

(3) A contract for an assistance payments donated funds

 

position must include, but not be limited to, the following

 

performance metrics:

 

(a) Meeting a standard of promptness for processing

 

applications for Medicaid and other public assistance programs

 

under state law.


(b) Meeting required standards for error rates in determining

 

programmatic eligibility as determined by the department.

 

(4) The department shall only fill additional donated funds

 

positions after a new contract has been signed. That position shall

 

also be abolished when the contract expires or is terminated.

 

(5) The department shall classify as limited-term FTEs any new

 

employees who are hired to fulfill the donated funds position

 

contracts or are hired to fill any vacancies from employees who

 

transferred to a donated funds position.

 

(6) By March 1 of the current fiscal year, the department

 

shall submit a report to the senate and house appropriations

 

subcommittees on the department budget, the senate and house fiscal

 

agencies and policy offices, and the state budget office detailing

 

information on the donated funds positions, including the total

 

number of occupied positions, the total private contribution of the

 

positions, and the total cost to the state for any nonsalary

 

expenditure for the donated funds position employees.

 

Sec. 851. From the funds appropriated in part 1 for adult

 

services field staff, the department shall improve staffing ratios

 

in adult protective services programs with the goal of reducing the

 

number of older adults who are victims of crime and fraud. The

 

purpose of the staffing enhancement is to increase the standard of

 

promptness in every county, as measured by commencing an

 

investigation within 24 hours, establishing face-to-face contact

 

with the client within 72 hours, and completing the investigation

 

within 30 days.

 

 

 


DISABILITY DETERMINATION SERVICES

 

Sec. 890. The department shall submit to the senate and house

 

appropriations subcommittees on the department budget, the senate

 

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

 

the state budget office by March 1 of the current fiscal year a

 

report on the rates paid to independent contractors who are

 

employed by the department to make disability determinations. The

 

report shall include, but is not limited to, the following:

 

(a) The rate history over 10 years for each of the following

 

provider types: physician, psychologist, and speech pathologist

 

services.

 

(b) The number of providers by regional location over a 10-

 

year history.

 

(c) The average length a case is open over a 5-year period.

 

(d) How provider rates paid to disability determination

 

independent contractors compare to Illinois, Indiana, Minnesota,

 

Ohio, and Wisconsin.

 

(e) The federal matching requirements for any prospective rate

 

increase.

 

 

 

BEHAVIORAL HEALTH SERVICES

 

Sec. 901. Except for the pilot projects and demonstration

 

models described in section 298 of this part, the funds

 

appropriated in part 1 are intended to support a system of

 

comprehensive community mental health services under the full

 

authority and responsibility of local CMHSPs or PIHPs in accordance

 

with the mental health code, 1974 PA 258, MCL 330.1001 to 330.2106,

 


the Medicaid provider manual, federal Medicaid waivers, and all

 

other applicable federal and state laws.

 

Sec. 902. (1) Except for the pilot projects and demonstration

 

models described in section 298 of this part, from the funds

 

appropriated in part 1, final authorizations to CMHSPs or PIHPs

 

shall be made upon the execution of contracts between the

 

department and CMHSPs or PIHPs. The contracts shall contain an

 

approved plan and budget as well as policies and procedures

 

governing the obligations and responsibilities of both parties to

 

the contracts. Each contract with a CMHSP or PIHP that the

 

department is authorized to enter into under this subsection shall

 

include a provision that the contract is not valid unless the total

 

dollar obligation for all of the contracts between the department

 

and the CMHSPs or PIHPs entered into under this subsection for the

 

current fiscal year does not exceed the amount of money

 

appropriated in part 1 for the contracts authorized under this

 

subsection.

 

(2) The department shall immediately report to the senate and

 

house appropriations subcommittees on the department budget, the

 

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

 

either of the following occurs:

 

(a) Any new contracts the department has entered into with

 

CMHSPs or PIHPs that would affect rates or expenditures.

 

(b) Any amendments to contracts the department has entered

 

into with CMHSPs or PIHPs that would affect rates or expenditures.

 

(3) The report required by subsection (2) shall include

 

information about the changes and their effects on rates and


expenditures.

 

Sec. 904. (1) By May 31 of the current fiscal year, the

 

department shall provide a report on the CMHSPs, PIHPs, regional

 

entities designated by the department as PIHPs, and managing

 

entities for substance use disorders to the members of the house

 

and senate appropriations subcommittees on the department budget,

 

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

 

that includes the information required by this section.

 

(2) The report shall contain information for each CMHSP, PIHP,

 

regional entity designated by the department as a PIHP, and

 

managing entity for substance use disorders and a statewide

 

summary, each of which shall include at least the following

 

information:

 

(a) A demographic description of service recipients that,

 

minimally, shall include reimbursement eligibility, client

 

population, age, ethnicity, housing arrangements, and diagnosis.

 

(b) Per capita expenditures in total and by client population

 

group and cultural and ethnic groups of the services area,

 

including the deaf and hard of hearing population.

 

(c) Financial information that, minimally, includes a

 

description of funding authorized; expenditures by diagnosis group,

 

service category, and reimbursement eligibility; and cost

 

information by Medicaid, Healthy Michigan plan, state appropriated

 

non-Medicaid mental health services, local funding, and other fund

 

sources, including administration and funds specified for all

 

outside contracts for services and products. Financial information

 

must include the amount of funding, from each fund source, used to


cover clinical services and supports. Service category includes all

 

department-approved services.

 

(d) Data describing service outcomes that include, but are not

 

limited to, an evaluation of consumer satisfaction, consumer

 

choice, and quality of life concerns including, but not limited to,

 

housing and employment.

 

(e) Information about access to CMHSPs that includes, but is

 

not limited to, the following:

 

(i) The number of people receiving requested services.

 

(ii) The number of people who requested services but did not

 

receive services.

 

(f) The number of second opinions requested under the mental

 

health code, 1974 PA 258, MCL 330.1001 to 330.2106, and the

 

determination of any appeals.

 

(g) Lapses and carryforwards during the immediately preceding

 

fiscal year for CMHSPs, PIHPs, regional entities designated by the

 

department as PIHPs, and managing entities for substance use

 

disorders.

 

(h) Performance indicator information required to be submitted

 

to the department in the contracts with CMHSPs, PIHPs, regional

 

entities designated by the department as PIHPs, and managing

 

entities for substance use disorders.

 

(i) Administrative expenditures of each CMHSP, PIHP, regional

 

entity designated by the department as a PIHP, and managing entity

 

for substance use disorders that includes a breakout of the salary,

 

benefits, and pension of each executive level staff and shall

 

include the director, chief executive, and chief operating officers


and other members identified as executive staff.

 

(3) The department shall include data reporting requirements

 

listed in subsection (2) in the annual contract with each

 

individual CMHSP, PIHP, regional entity designated by the

 

department as a PIHP, and managing entity for substance use

 

disorders.

 

(4) The department shall take all reasonable actions to ensure

 

that the data required are complete and consistent among all

 

CMHSPs, PIHPs, regional entities designated by the department as

 

PIHPs, and managing entities for substance use disorders.

 

Sec. 905. (1) From the funds appropriated in part 1 for

 

behavioral health program administration, the department shall

 

maintain a psychiatric transitional unit and children's behavioral

 

action team. These services will augment the continuum of

 

behavioral health services for high-need youth and provide

 

additional continuity of care and transition into supportive

 

community-based services.

 

(2) Outcomes and performance measures for this initiative

 

include, but are not limited to, the following:

 

(a) The rate of rehospitalization for youth served through the

 

program at 30 and 180 days.

 

(b) Measured change in the Child and Adolescent Functional

 

Assessment Scale for children served through the program.

 

Sec. 906. (1) The funds appropriated in part 1 for the state

 

disability assistance substance use disorder services program shall

 

be used to support per diem room and board payments in substance

 

use disorder residential facilities. Eligibility of clients for the


state disability assistance substance use disorder services program

 

shall include needy persons 18 years of age or older, or

 

emancipated minors, who reside in a substance use disorder

 

treatment center.

 

(2) The department shall reimburse all licensed substance use

 

disorder programs eligible to participate in the program at a rate

 

equivalent to that paid by the department to adult foster care

 

providers. Programs accredited by department-approved accrediting

 

organizations shall be reimbursed at the personal care rate, while

 

all other eligible programs shall be reimbursed at the domiciliary

 

care rate.

 

Sec. 907. (1) The amount appropriated in part 1 for community

 

substance use disorder prevention, education, and treatment shall

 

be expended to coordinate care and services provided to individuals

 

with severe and persistent mental illness and substance use

 

disorder diagnoses.

 

(2) The department shall approve managing entity fee schedules

 

for providing substance use disorder services and charge

 

participants in accordance with their ability to pay.

 

(3) The managing entity shall continue current efforts to

 

collaborate on the delivery of services to those clients with

 

mental illness and substance use disorder diagnoses with the goal

 

of providing services in an administratively efficient manner.

 

Sec. 908. (1) By April 1 of the current fiscal year, the

 

department shall report the following data from the prior fiscal

 

year on substance use disorder prevention, education, and treatment

 

programs to the senate and house appropriations subcommittees on


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

 

the state budget office:

 

(a) Expenditures stratified by department-designated community

 

mental health entity, by central diagnosis and referral agency, by

 

fund source, by subcontractor, by population served, and by service

 

type. Additionally, data on administrative expenditures by

 

department-designated community mental health entity shall be

 

reported.

 

(b) Expenditures per state client, with data on the

 

distribution of expenditures reported using a histogram approach.

 

(c) Number of services provided by central diagnosis and

 

referral agency, by subcontractor, and by service type.

 

Additionally, data on length of stay, referral source, and

 

participation in other state programs.

 

(d) Collections from other first- or third-party payers,

 

private donations, or other state or local programs, by department-

 

designated community mental health entity, by subcontractor, by

 

population served, and by service type.

 

(2) The department shall take all reasonable actions to ensure

 

that the required data reported are complete and consistent among

 

all department-designated community mental health entities.

 

Sec. 909. From the funds appropriated in part 1 for community

 

substance use disorder prevention, education, and treatment, the

 

department shall use available revenue from the marihuana

 

regulatory fund established in section 604 of the medical marihuana

 

facilities licensing act, 2016 PA 281, MCL 333.27604, to improve

 

physical health; expand access to substance use disorder prevention


and treatment services; and strengthen the existing prevention,

 

treatment, and recovery systems.

 

Sec. 910. The department shall ensure that substance use

 

disorder treatment is provided to applicants and recipients of

 

public assistance through the department who are required to obtain

 

substance use disorder treatment as a condition of eligibility for

 

public assistance.

 

Sec. 911. (1) The department shall ensure that each contract

 

with a CMHSP or PIHP requires the CMHSP or PIHP to implement

 

programs to encourage diversion of individuals with serious mental

 

illness, serious emotional disturbance, or developmental disability

 

from possible jail incarceration when appropriate.

 

(2) Each CMHSP or PIHP shall have jail diversion services and

 

shall work toward establishing working relationships with

 

representative staff of local law enforcement agencies, including

 

county prosecutors' offices, county sheriffs' offices, county

 

jails, municipal police agencies, municipal detention facilities,

 

and the courts. Written interagency agreements describing what

 

services each participating agency is prepared to commit to the

 

local jail diversion effort and the procedures to be used by local

 

law enforcement agencies to access mental health jail diversion

 

services are strongly encouraged.

 

Sec. 912. The department shall contract directly with the

 

Salvation Army Harbor Light program to provide non-Medicaid

 

substance use disorder services if the local coordinating agency or

 

the department confirms the Salvation Army Harbor Light program

 

meets the standard of care. The standard of care shall include, but


is not limited to, utilization of the medication assisted treatment

 

option.

 

Sec. 915. (1) From the funds appropriated in part 1 for

 

behavioral health program administration and intended to support

 

the mental health and wellness commission, the department shall

 

maintain the funding level for Special Olympics Michigan at the

 

level in effect during the fiscal year ending September 30, 2017.

 

(2) By March 1 of the current fiscal year, the department

 

shall report the following information on the mental health and

 

wellness commission to the house and senate appropriations

 

subcommittees on the department budget, the house and senate fiscal

 

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

 

office:

 

(a) Previous fiscal year expenditures by actionable

 

recommendation of the mental health and wellness commission.

 

(b) Programs utilized during the previous fiscal year to

 

address each actionable recommendation of the mental health and

 

wellness commission.

 

(c) Outcomes and performance measures achieved during the

 

previous fiscal year by actionable recommendation of the mental

 

health and wellness commission.

 

(d) Current fiscal year funding by actionable recommendation

 

of the mental health and wellness commission.

 

(e) Current fiscal year funding by program utilized to address

 

each actionable recommendation of the mental health and wellness

 

commission.

 

(3) The department shall report on funding within the


executive budget proposal for the fiscal year ending September 30,

 

2020, by actionable recommendation of the mental health and

 

wellness commission by April 1 of the current fiscal year to the

 

same report recipients listed in subsection (1).

 

Sec. 918. On or before the twenty-fifth of each month, the

 

department shall report to the senate and house appropriations

 

subcommittees on the department budget, the senate and house fiscal

 

agencies, and the state budget director on the amount of funding

 

paid to PIHPs to support the Medicaid managed mental health care

 

program in the preceding month. The information shall include the

 

total paid to each PIHP, per capita rate paid for each eligibility

 

group for each PIHP, and number of cases in each eligibility group

 

for each PIHP, and year-to-date summary of eligibles and

 

expenditures for the Medicaid managed mental health care program.

 

Sec. 920. (1) As part of the Medicaid rate-setting process for

 

behavioral health services, the department shall work with PIHP

 

network providers and actuaries to include any state and federal

 

wage and compensation increases that directly impact staff who

 

provide Medicaid-funded community living supports, personal care

 

services, respite services, skill-building services, and other

 

similar supports and services as part of the Medicaid rate.

 

(2) It is the intent of the legislature that any increased

 

Medicaid rate related to state minimum wage increases shall also be

 

distributed to direct care employees.

 

Sec. 928. (1) Each PIHP shall provide, from internal

 

resources, local funds to be used as a part of the state match

 

required under the Medicaid program in order to increase capitation


rates for PIHPs. These funds shall not include either state funds

 

received by a CMHSP for services provided to non-Medicaid

 

recipients or the state matching portion of the Medicaid capitation

 

payments made to a PIHP.

 

(2) It is the intent of the legislature that any funds that

 

lapse from the funds appropriated in part 1 for Medicaid mental

 

health services shall be redistributed to individual CMHSPs as a

 

reimbursement of local funds on a proportional basis to those

 

CMHSPs whose local funds were used as state Medicaid match. By

 

April 1 of the current fiscal year, the department shall report to

 

the senate and house appropriations subcommittees on the department

 

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

 

policy offices, and the state budget office on the lapse by PIHP

 

from the previous fiscal year and the projected lapse by PIHP in

 

the current fiscal year.

 

Sec. 935. A county required under the provisions of the mental

 

health code, 1974 PA 258, MCL 330.1001 to 330.2106, to provide

 

matching funds to a CMHSP for mental health services rendered to

 

residents in its jurisdiction shall pay the matching funds in equal

 

installments on not less than a quarterly basis throughout the

 

fiscal year, with the first payment being made by October 1 of the

 

current fiscal year.

 

Sec. 940. (1) According to section 236 of the mental health

 

code, 1974 PA 258, MCL 330.1236, the department shall do both of

 

the following:

 

(a) Review expenditures for each CMHSP to identify CMHSPs with

 

projected allocation surpluses and to identify CMHSPs with


projected allocation shortfalls. The department shall encourage the

 

board of a CMHSP with a projected allocation surplus to concur with

 

the department's recommendation to reallocate those funds to CMHSPs

 

with projected allocation shortfalls.

 

(b) Withdraw unspent funds that have been allocated to a CMHSP

 

if other reallocated funds were expended in a manner not provided

 

for in the approved contract, including expending funds on services

 

and programs provided to individuals residing outside of the

 

CMHSP's geographic region.

 

(2) A CMHSP that has its funding allocation transferred out or

 

withdrawn during the current fiscal year as described in subsection

 

(1) is not eligible for any additional funding reallocations during

 

the remainder of the current fiscal year, unless that CMHSP is

 

responding to a public health emergency as determined by the

 

department.

 

(3) CMHSPs shall report to the department on any proposed

 

reallocations described in this section at least 30 days before any

 

reallocations take effect.

 

(4) The department shall notify the chairs of the

 

appropriation subcommittees on the department budget when a request

 

is made and when the department grants approval for reallocation or

 

withdraw as described in subsection (1). By September 30 of the

 

current fiscal year, the department shall provide a report on the

 

amount of funding reallocated or withdrawn to the senate and house

 

appropriation subcommittees on the department budget, the senate

 

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

 

the state budget office.


Sec. 942. A CMHSP shall provide at least 30 days' notice

 

before reducing, terminating, or suspending services provided by a

 

CMHSP to CMHSP clients, with the exception of services authorized

 

by a physician that no longer meet established criteria for medical

 

necessity.

 

Sec. 950. The department, in collaboration with the Michigan

 

Association of Community Mental Health Boards, shall determine the

 

best payment method and financial cost of providing $95.00 per

 

month to court-appointed guardians and conservators that are

 

providing services to individuals receiving community mental health

 

services. By March 1 of the current fiscal year, the department

 

shall provide a report to the house and senate appropriations

 

subcommittees on the department budget, the house and senate fiscal

 

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

 

office on the proposed payment method and financial cost of

 

providing $95.00 per month to court-appointed guardians and

 

conservators that are providing services to individuals receiving

 

community mental health services.

 

Sec. 958. Medicaid services shall include treatment for autism

 

spectrum disorders as defined in the federally approved Medicaid

 

state plan. These services may be coordinated with the Medicaid

 

health plans and the Michigan Association of Health Plans.

 

Sec. 959. (1) From the funds appropriated in part 1 for autism

 

services, the department shall continue to cover all Medicaid

 

autism services to Medicaid enrollees eligible for the services

 

that were covered on January 1, 2018.

 

(2) To restrain cost increases in the autism services line


item, the department shall do all of the following:

 

(a) Require a second opinion confirming the diagnosis and

 

recommended treatment for a client if the initial treatment would

 

cost more than a monthly threshold amount to be specified by the

 

department. The second opinion must be provided by a physician or a

 

psychologist with a doctoral degree who has been trained to

 

diagnose the need for autism therapies. Services and reimbursement

 

for services based on the initial diagnosis begin upon the initial

 

diagnosis and continue until 30 days have expired without a second

 

opinion supporting the initial diagnosis being provided or until

 

the second opinion did not support the initial diagnosis.

 

(b) Require that a case in which the initial diagnosis and

 

treatment services are to be performed and provided by the same

 

provider is subject to the second opinion requirements described in

 

subdivision (a) regardless of whether the monthly cost meets the

 

threshold amount described in subdivision (a).

 

(c) Make recommendations to reduce administrative overhead

 

costs in the provision of autism services.

 

(3) By June 1 of the current fiscal year, the department shall

 

report to the senate and house subcommittees on the department

 

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

 

policy offices, and the state budget office all of the following

 

information:

 

(a) The number of cases meeting the second opinion

 

requirements described in subsection (2)(a) and (b) between October

 

1 and March 31 of the current fiscal year.

 

(b) The number of cases in subdivision (a) in which the second


opinion did not confirm the initial diagnosis.

 

Sec. 994. (1) By January 1 of the current fiscal year, the

 

department shall seek, if necessary, federal approval through

 

either a waiver request or state plan amendment to allow a CMHSP,

 

PIHP, or subcontracting provider agency that is reviewed and

 

accredited by a national accrediting entity for behavioral health

 

care services to be considered in compliance with state program

 

review and audit requirements that are addressed and reviewed by

 

that national accrediting entity.

 

(2) By April 1 of the current fiscal year, the department

 

shall report to the house and senate appropriations subcommittees

 

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

 

the state budget office all of the following:

 

(a) The status of the federal approval process required in

 

subsection (1).

 

(b) A list of each CMHSP, PIHP, and subcontracting provider

 

agency that is considered to be in compliance with state program

 

review and audit requirements under subsection (1).

 

(c) For each CMHSP, PIHP, or subcontracting provider agency

 

described in subdivision (b), both of the following:

 

(i) The state program review and audit requirements that the

 

CMHSP, PIHP, or subcontracting provider agency is considered to be

 

in compliance with.

 

(ii) The national accrediting entity that reviewed and

 

accredited the CMHSP, PIHP, or subcontracting provider agency.

 

(3) The department shall continue to comply with state and

 

federal law and shall not initiate an action that negatively


impacts beneficiary safety. Any cost savings attributed to this

 

action shall be reinvested back into services.

 

(4) As used in this section, "national accrediting entity"

 

means the Joint Commission, formerly known as the Joint Commission

 

on Accreditation of Healthcare Organizations, the Commission on

 

Accreditation of Rehabilitation Facilities, the Council on

 

Accreditation, the URAC, formerly known as the Utilization Review

 

Accreditation Commission, the National Committee for Quality

 

Assurance, or another appropriate entity, as approved by the

 

department.

 

Sec. 995. From the funds appropriated in part 1 for behavioral

 

health program administration, $4,350,000.00 is intended to address

 

the recommendations of the mental health diversion council.

 

Sec. 997. The population data used in determining the

 

distribution of substance use disorder block grant funds shall be

 

from the most recent federal census.

 

Sec. 998. For distribution of state general funds to CMHSPs,

 

if the department decides to use census data, the department shall

 

use the most recent federal census data available.

 

Sec. 999. By January 1 of the current fiscal year, the

 

department shall explore a standardized fee schedule for all

 

required Medicaid behavioral health services. The department shall

 

also develop and implement necessary adequacy standards for use in

 

all contracts with PIHPs.

 

Sec. 1000. By April 1 of the current fiscal year, the

 

department shall report to the senate and house appropriations

 

subcommittees on the department budget, the senate and house fiscal


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

 

office the administrative loss ratios of all contracted PIHPs and

 

CMHSPs from the previous fiscal year. As used in this section,

 

"administrative loss ratio" means that term as defined and

 

calculated in the Medicaid managed care rules.

 

Sec. 1001. By December 31 of the current fiscal year, each

 

CMHSP shall submit a report to the department that identifies

 

populations being served by the CMHSP broken down by program

 

eligibility category. The report shall also include the percentage

 

of the operational budget that is related to program eligibility

 

enrollment. By January 15 of the current fiscal year, the

 

department shall submit the report described in this section to the

 

senate and house appropriations subcommittees on the department

 

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

 

policy offices, and the state budget office.

 

Sec. 1003. The department shall notify the Community Mental

 

Health Association of Michigan when developing policies and

 

procedures that will impact PIHPs or CMHSPs.

 

Sec. 1004. The department shall provide the senate and house

 

appropriations subcommittee on the department budget, the senate

 

and house fiscal agencies, and the state budget office any rebased

 

formula changes to either Medicaid behavioral health services or

 

non-Medicaid mental health services 90 days before implementation.

 

The notification shall include a table showing the changes in

 

funding allocation by PIHP for Medicaid behavioral health services

 

or by CMHSP for non-Medicaid mental health services.

 

Sec. 1005. For the purposes of special projects involving


high-need children or adults, including the not guilty by reason of

 

insanity population, the department may contract directly with

 

providers of services to these identified populations.

 

Sec. 1008. The PIHP shall do all of the following:

 

(a) Work to reduce administration costs by ensuring that PIHP

 

responsible functions are efficient in allowing optimal transition

 

of dollars to those direct services considered most effective in

 

assisting individuals served. Any consolidation of administrative

 

functions must demonstrate, by independent analysis, a reduction in

 

dollars spent on administration resulting in greater dollars spent

 

on direct services. Savings resulting from increased efficiencies

 

shall not be applied to PIHP net assets, internal service fund

 

increases, building costs, increases in the number of PIHP

 

personnel, or other areas not directly related to the delivery of

 

improved services.

 

(b) Take an active role in managing mental health care by

 

ensuring consistent and high-quality service delivery throughout

 

its network and promote a conflict-free care management

 

environment.

 

(c) Ensure that direct service rate variances are related to

 

the level of need or other quantifiable measures to ensure that the

 

most money possible reaches direct services.

 

(d) Whenever possible, promote fair and adequate direct care

 

reimbursement, including fair wages for direct service workers.

 

Sec. 1009. (1) From the funds appropriated in part 1 for

 

Medicaid mental health services and Healthy Michigan plan -

 

behavioral health, the department shall maintain the $0.50 hourly


wage increase for direct care workers as specified under subsection

 

(1) of section 1009 of article X of 2017 PA 107. Funds provided in

 

this section must be utilized by a PIHP for increasing direct care

 

worker wages, for the employer's share of federal insurance

 

contributions act costs, purchasing worker's compensation

 

insurance, or the employer's share of unemployment costs.

 

(2) Each PIHP shall report to the department by February 1 of

 

the current fiscal year the range of wages paid to direct care

 

workers, including information on the number of workers at each

 

wage level.

 

(3) The department shall report the information required to be

 

reported according to subsection (2) to the senate and house

 

appropriations subcommittees on the department budget, the senate

 

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

 

the state budget office by March 1 of the current fiscal year.

 

Sec. 1010. From the funds appropriated in part 1 for

 

behavioral health program administration, up to $2,000,000.00 shall

 

be allocated to address the implementation of court-ordered

 

assisted outpatient treatment as provided under chapter 4 of the

 

mental health code, 1974 PA 258, MCL 330.1400 to 330.1490.

 

 

 

BEHAVIORAL HEALTH PROGRAM ADMINISTRATION AND SPECIAL PROJECTS

 

Sec. 1020. From the funds appropriated in part 1 for the

 

student outreach services grant program, $10,000,000.00 is

 

appropriated to support mental health awareness and intervention in

 

schools. The grant funding for the student outreach services grant

 

program shall be available to school districts or local entities

 


who have signed agreements, signed contracts, or signed memorandums

 

of understanding with the local school district. Other signatories

 

to the agreements may include a combination of the county, local

 

county department offices, and a mental health service provider for

 

the purposes of coordinating, improving, and providing responsive

 

and effective mental health services to students and families in

 

public schools.

 

 

 

STATE PSYCHIATRIC HOSPITALS AND FORENSIC MENTAL HEALTH SERVICES

 

Sec. 1051. The department shall continue a revenue recapture

 

project to generate additional revenues from third parties related

 

to cases that have been closed or are inactive. A portion of

 

revenues collected through project efforts may be used for

 

departmental costs and contractual fees associated with these

 

retroactive collections and to improve ongoing departmental

 

reimbursement management functions.

 

Sec. 1052. The purpose of gifts and bequests for patient

 

living and treatment environments is to use additional private

 

funds to provide specific enhancements for individuals residing at

 

state-operated facilities. Use of the gifts and bequests shall be

 

consistent with the stipulation of the donor. The expected

 

completion date for the use of gifts and bequests donations is

 

within 3 years unless otherwise stipulated by the donor.

 

Sec. 1055. (1) The department shall not implement any closures

 

or consolidations of state hospitals, centers, or agencies until

 

CMHSPs or PIHPs have programs and services in place for those

 

individuals currently in those facilities and a plan for service

 


provision for those individuals who would have been admitted to

 

those facilities.

 

(2) All closures or consolidations are dependent upon adequate

 

department-approved CMHSP and PIHP plans that include a discharge

 

and aftercare plan for each individual currently in the facility. A

 

discharge and aftercare plan shall address the individual's housing

 

needs. A homeless shelter or similar temporary shelter arrangements

 

are inadequate to meet the individual's housing needs.

 

(3) Four months after the certification of closure required in

 

section 19(6) of the state employees' retirement act, 1943 PA 240,

 

MCL 38.19, the department shall provide a closure plan to the house

 

and senate appropriations subcommittees on the department budget

 

and the state budget director.

 

(4) Upon the closure of state-run operations and after

 

transitional costs have been paid, the remaining balances of funds

 

appropriated for that operation shall be transferred to CMHSPs or

 

PIHPs responsible for providing services for individuals previously

 

served by the operations.

 

Sec. 1056. The department may collect revenue for patient

 

reimbursement from first- and third-party payers, including

 

Medicaid and local county CMHSP payers, to cover the cost of

 

placement in state hospitals and centers. The department is

 

authorized to adjust financing sources for patient reimbursement

 

based on actual revenues earned. If the revenue collected exceeds

 

current year expenditures, the revenue may be carried forward with

 

approval of the state budget director. The revenue carried forward

 

shall be used as a first source of funds in the subsequent year.


Sec. 1058. Effective October 1 of the current fiscal year, the

 

department, in consultation with the department of technology,

 

management, and budget, may maintain a bid process to identify 1 or

 

more private contractors to provide food service and custodial

 

services for the administrative areas at any state hospital

 

identified by the department as capable of generating savings

 

through the outsourcing of such services.

 

Sec. 1059. The department shall identify specific outcomes and

 

performance measures for the center for forensic psychiatry,

 

including, but not limited to, the following:

 

(a) The average wait time for persons determined incompetent

 

to stand trial before admission to the center for forensic

 

psychiatry.

 

(b) The average wait time for persons determined incompetent

 

to stand trial before admission to other state-operated psychiatric

 

facilities.

 

(c) The number of persons waiting to receive services at the

 

center for forensic psychiatry.

 

(d) The number of persons waiting to receive services at other

 

state-operated hospitals and centers.

 

Sec. 1060. (1) The department shall continue to work with a

 

workgroup that includes the chairs of the house and senate

 

appropriations subcommittees on the department budget or their

 

designees, labor union representation, civil service, and any other

 

appropriate parties to recommend solutions to address mandatory

 

overtime, staff turnover, and staff retention at the state

 

psychiatric hospitals and centers, including, but not limited to,


permitting retired workers to return and permitting hiring of part-

 

time workers.

 

(2) By March 1 of the current fiscal year, the department

 

shall provide a status update on the implementation of the

 

workgroup's recommendations to the senate and house appropriations

 

subcommittees on the department budget, the senate and house fiscal

 

agencies, and the state budget office.

 

Sec. 1061. The funds appropriated in part 1 for Caro Regional

 

Mental Health Center shall only be utilized to support a

 

psychiatric hospital located at its current location. It is the

 

intent of the legislature that the Caro Regional Mental Health

 

Center shall remain open and operational at its current location on

 

an ongoing basis, and that any capital outlay funding shall be

 

utilized for planning and construction at the current location

 

instead of at a new location.

 

 

 

HEALTH POLICY

 

Sec. 1140. From the funds appropriated in part 1 for primary

 

care services, $250,000.00 shall be allocated to free health

 

clinics operating in the state. The department shall distribute the

 

funds equally to each free health clinic. For the purpose of this

 

appropriation, "free health clinics" means nonprofit organizations

 

that use volunteer health professionals to provide care to

 

uninsured individuals.

 

Sec. 1142. The department shall continue to seek means to

 

increase retention of Michigan medical school students for

 

completion of their primary care residency requirements within this

 


state and ultimately, for some period of time, to remain in this

 

state and serve as primary care physicians. The department is

 

encouraged to work with Michigan institutions of higher education.

 

Sec. 1144. (1) From the funds appropriated in part 1 for

 

health policy administration, the department shall allocate the

 

federal state innovation model grant funding that supports

 

implementation of the health delivery system innovations detailed

 

in this state's "Reinventing Michigan's Health Care System:

 

Blueprint for Health Innovation" document. This initiative will

 

test new payment methodologies, support improved population health

 

outcomes, and support improved infrastructure for technology and

 

data sharing and reporting. The funds will be used to provide

 

financial support directly to regions participating in the model

 

test and to support statewide stakeholder guidance and technical

 

support.

 

(2) Outcomes and performance measures for the initiative under

 

subsection (1) include, but are not limited to, the following:

 

(a) Increasing the number of physician practices fulfilling

 

patient-centered medical home functions.

 

(b) Reducing inappropriate health utilization, specifically

 

reducing preventable emergency department visits, reducing the

 

proportion of hospitalizations for ambulatory sensitive conditions,

 

and reducing this state's 30-day hospital readmission rate.

 

(3) On a semiannual basis, the department shall submit a

 

written report to the house and senate appropriations subcommittees

 

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

 

the state budget office on the status of the program and progress


made since the prior report.

 

(4) From the funds appropriated in part 1 for health policy

 

administration, any data aggregator created as part of the

 

allocation of the federal state innovation model grant funds must

 

meet the following standards:

 

(a) The primary purpose of the data aggregator must be to

 

increase the quality of health care delivered in this state, while

 

reducing costs.

 

(b) The data aggregator must be governed by a nonprofit

 

entity.

 

(c) All decisions regarding the establishment, administration,

 

and modification of the database must be made by an advisory board.

 

The membership of the advisory board must include the director of

 

the department or a designee of the director and representatives of

 

health carriers, consumers, and purchasers.

 

(d) The Michigan Data Collaborative shall be the data

 

aggregator to receive health care claims information from, without

 

limitation, commercial health carriers, nonprofit health care

 

corporations, health maintenance organizations, and third party

 

administrators that process claims under a service contract.

 

(e) The data aggregator must use existing data sources and

 

technological infrastructure, to the extent possible.

 

Sec. 1145. The department will take steps necessary to work

 

with Indian Health Service, tribal health program facilities, or

 

Urban Indian Health Program facilities that provide services under

 

a contract with a Medicaid managed care entity to ensure that those

 

facilities receive the maximum amount allowable under federal law


for Medicaid services.

 

Sec. 1146. From the funds appropriated in part 1 for bone

 

marrow transplant registry, $250,000.00 shall be allocated to

 

Michigan Blood, the partner of the match registry of the national

 

marrow donor program. The funds shall be used to offset ongoing

 

tissue typing expenses associated with donor recruitment and

 

collection services and to expand those services to better serve

 

the citizens of this state.

 

Sec. 1150. The department shall coordinate with the department

 

of licensing and regulatory affairs, the department of the attorney

 

general, all appropriate law enforcement agencies, and the Medicaid

 

health plans to reduce fraud related to opioid prescribing within

 

Medicaid, and to address other appropriate recommendations of the

 

prescription drug and opioid abuse task force outlined in its

 

report of October 2015. By October 1 of the current fiscal year,

 

the department shall submit a report to the senate and house

 

appropriations subcommittees on the department budget, the senate

 

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

 

the state budget office on steps the department has taken to

 

coordinate with the entities listed in this section and other

 

stakeholders to reduce fraud related to opioid prescribing, and to

 

address other appropriate recommendations of the task force.

 

Sec. 1151. The department shall coordinate with the department

 

of licensing and regulatory affairs, the department of the attorney

 

general, all appropriate law enforcement agencies, and the Medicaid

 

health plans to work with local substance use disorder agencies and

 

addiction treatment providers to help inform Medicaid beneficiaries


of all medically appropriate treatment options for opioid addiction

 

when their treating physician stops prescribing prescription opioid

 

medication for pain, and to address other appropriate

 

recommendations of the prescription drug and opioid abuse task

 

force outlined in its report of October 2015. By October 1 of the

 

current fiscal year, the department shall submit a report to the

 

senate and house appropriations subcommittees on the department

 

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

 

policy offices, and the state budget office on how the department

 

is working with local substance use disorder agencies and addiction

 

treatment providers to ensure that Medicaid beneficiaries are

 

informed of all available and medically appropriate treatment

 

options for opioid addiction when their treating physician stops

 

prescribing prescription opioid medication for pain, and to address

 

other appropriate recommendations of the task force. The report

 

shall include any potential barriers to medication-assisted

 

treatment, as recommended by the Michigan medication-assisted

 

treatment guidelines, for Medicaid beneficiaries in both office-

 

based opioid treatment and opioid treatment program facility

 

settings.

 

 

 

DISEASE CONTROL, PREVENTION, AND EPIDEMIOLOGY

 

Sec. 1180. From the funds appropriated in part 1 for

 

epidemiology administration and for childhood lead program, the

 

department shall maintain a public health drinking water unit and

 

enhance current efforts to monitor child blood lead levels. The

 

public health drinking water unit shall ensure that appropriate

 


investigations of potential health hazards occur for all community

 

and noncommunity drinking water supplies where chemical exceedances

 

of action levels, health advisory levels, or maximum contaminant

 

limits are identified. The goals of the childhood lead program

 

shall include improving the identification of affected children,

 

the timeliness of case follow-up, and attainment of nurse care

 

management for children with lead exposure, and to achieve a long-

 

term reduction in the percentage of children in this state with

 

elevated blood lead levels.

 

Sec. 1181. From the funds appropriated in part 1 for

 

epidemiology administration, the department shall maintain a vapor

 

intrusion response unit. The vapor intrusion response unit shall

 

assess risks to public health at vapor intrusion sites and respond

 

to vapor intrusion risks where appropriate. The goals of the vapor

 

intrusion response unit shall include reducing the number of

 

residents of this state exposed to toxic substances through vapor

 

intrusion and improving health outcomes for individuals that are

 

identified as having been exposed to vapor intrusion.

 

Sec. 1182. (1) From the funds appropriated in part 1 for the

 

healthy homes program, no less than $1,750,000.00 of general

 

fund/general purpose funds and $23,480,000.00 of federal funds

 

shall be allocated for lead abatement of homes.

 

(2) By January 1 of the current fiscal year, the department

 

shall provide a report to the house and senate appropriations

 

subcommittees on the department budget, the house and senate fiscal

 

agencies, and the state budget office on the expenditures and

 

activities undertaken by the lead abatement program in the previous


fiscal year from the funds appropriated in part 1 for the healthy

 

homes program. The report shall include, but is not limited to, a

 

funding allocation schedule, expenditures by category of

 

expenditure and by subcontractor, revenues received, description of

 

program elements, and description of program accomplishments and

 

progress.

 

Sec. 1183. From the funds appropriated in part 1 for PFAS and

 

environmental contamination response, the department shall

 

appropriate $50,000.00 to a local health department located in a

 

county with a population between 6,600 and 6,700 according to the

 

most recent federal decennial census for the purpose of purchasing

 

water sampling laboratory equipment.

 

 

 

LOCAL HEALTH AND ADMINISTRATIVE SERVICES

 

Sec. 1220. The amount appropriated in part 1 for

 

implementation of the 1993 additions of or amendments to sections

 

9161, 16221, 16226, 17014, 17015, and 17515 of the public health

 

code, 1978 PA 368, MCL 333.9161, 333.16221, 333.16226, 333.17014,

 

333.17015, and 333.17515, shall be used to reimburse local health

 

departments for costs incurred related to implementation of section

 

17015(18) of the public health code, 1978 PA 368, MCL 333.17015.

 

Sec. 1221. If a county that has participated in a district

 

health department or an associated arrangement with other local

 

health departments takes action to cease to participate in such an

 

arrangement after October 1 of the current fiscal year, the

 

department shall have the authority to assess a penalty from the

 

local health department's operational accounts in an amount equal

 


to no more than 6.25% of the local health department's essential

 

local public health services funding. This penalty shall only be

 

assessed to the local county that requests the dissolution of the