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, 2025, from the following funds:

DEPARTMENT OF HEALTH AND HUMAN SERVICES
APPROPRIATION SUMMARY
Full-time equated unclassified positions	6.0
Full-time equated classified positions	15,891.5

Average population	798.0
GROSS APPROPRIATION		$	37,769,528,400
Interdepartmental grant revenues:
Total interdepartmental grants and intradepartmental transfers			14,707,900
ADJUSTED GROSS APPROPRIATION		$	37,754,820,500
Federal revenues:
Social security act, temporary assistance for needy families			597,514,000
Capped federal revenues			516,972,500
Total other federal revenues			25,588,661,400
Special revenue funds:
Total local revenues			160,445,300
Total private revenues			179,764,200
Michigan merit award trust fund			92,268,700
Total other state restricted revenues			3,844,995,800
State general fund/general purpose		$	6,774,198,600
Sec. 102. DEPARTMENTAL ADMINISTRATION AND SUPPORT
Full-time equated unclassified positions	6.0
Full-time equated classified positions	959.4
Unclassified salaries--FTEs	6.0	$	1,431,500
Administrative hearings officers			9,995,400
Child welfare institute--FTEs	55.0		9,552,100
Demonstration projects--FTEs	7.0		7,070,800
Departmental administration and management--FTEs	660.4		110,361,300
Legal services			100,000

Office of inspector general--FTEs	211.0		29,165,400
Property management			62,608,700
Terminal leave payments			7,091,300
Training and program support--FTEs	26.0		3,751,700
Warehouse operations			1,400,000
Worker's compensation			7,662,000
GROSS APPROPRIATION		$	250,190,200
Appropriated from:
Interdepartmental grant revenues:
IDG from department of lifelong education, advancement, and potential			1,839,800
IDG from department of technology, management, and budget - office of retirement services			600
Federal revenues:
Social security act, temporary assistance for needy families			27,456,600
Capped federal revenues			19,632,800
Total other federal revenues			76,353,900
Special revenue funds:
Total local revenues			86,000
Total private revenues			3,846,900
Total other state restricted revenues			1,330,300
State general fund/general purpose		$	119,643,300
Sec. 103. CHILD SUPPORT ENFORCEMENT
Full-time equated classified positions	193.7
Child support enforcement operations--FTEs	187.7	$	26,773,600
Child support incentive payments			24,409,600
Legal support contracts			132,600,300

State disbursement unit--FTEs	6.0		7,381,400
GROSS APPROPRIATION		$	191,164,900
Appropriated from:
Federal revenues:
Capped federal revenues			16,273,100
Total other federal revenues			149,397,500
State general fund/general purpose		$	25,494,300
Sec. 104. COMMUNITY SERVICES AND OUTREACH
Full-time equated classified positions	56.0
Bureau of community services and outreach--FTEs	24.0	$	3,569,800
Community services and outreach administration--FTEs	20.0		8,682,000
Community services block grant			25,840,000
Diaper assistance grant			4,404,400
Homeless programs--FTE	1.0		27,504,100
Housing and support services			13,031,000
Kids' food basket			1,025,000
Runaway and homeless youth grants			13,126,100
School success partnership program			1,525,000
Weatherization assistance			21,860,300
Weatherization assistance - IIJA--FTEs	11.0		40,013,000
GROSS APPROPRIATION		$	160,580,700
Appropriated from:
Federal revenues:
Social security act, temporary assistance for needy families			22,165,800
Capped federal revenues			98,063,300
Total other federal revenues			14,661,200

State general fund/general purpose		$	25,690,400
Sec. 105. CHILDREN'S SERVICES AGENCY - CHILD WELFARE
Full-time equated classified positions	4,117.2
Adoption subsidies		$	212,000,000
Adoption support services--FTEs	10.0		42,131,400
Attorney general contract			5,191,100
Child abuse and neglect - children's justice act--FTE	1.0		628,900
Child care fund			273,181,650
Child care fund - indirect cost allotment			3,500,000
Child protection			2,050,300
Child welfare administration travel			390,000
Child welfare field staff - noncaseload compliance--FTEs	353.0		42,404,300
Child welfare licensing--FTEs	59.0		7,570,100
Child welfare medical/psychiatric evaluations			9,428,500
Children's protective services - caseload staff--FTEs	1,615.0		176,060,700
Children's protective services supervisors--FTEs	387.0		49,359,000
Children's services administration--FTEs	218.2		28,681,400
Children's trust fund--FTEs	12.0		5,059,800
Contractual services, supplies, and materials			9,567,600
Court-appointed special advocates			2,500,000
Education planners--FTEs	15.0		1,990,000
Family preservation and prevention services administration--FTEs	9.0		1,422,400

Family preservation programs--FTEs	34.0		69,223,700
Foster care payments			323,318,050
Foster care services - caseload staff--FTEs	966.0		100,870,900
Foster care services supervisors--FTEs	227.0		31,894,700
Guardianship assistance program			11,360,600
Interstate compact			179,600
Peer coaches--FTEs	45.5		6,476,300
Performance-based funding implementation--FTEs	3.0		560,400
Permanency resource managers--FTEs	28.0		3,599,400
Prosecuting attorney contracts			8,142,800
Second line supervisors and technical staff--FTEs	126.0		20,335,200
Settlement monitor			2,709,800
Strong families/safe children			11,600,000
Title IV-E compliance and accountability office--FTEs	4.0		471,900
Youth in transition--FTEs	4.5		8,194,200
GROSS APPROPRIATION		$	1,472,054,700
Appropriated from:
Interdepartmental grant revenues:
IDG from department of lifelong education, advancement, and potential			244,400
Federal revenues:
Social security act, temporary assistance for needy families			294,818,000
Capped federal revenues			105,533,500
Total other federal revenues			271,418,700
Special revenue funds:

Local funds - county chargeback			33,264,600
Private - collections			1,503,300
Children's trust fund			2,895,300
Total other state restricted revenues			3,615,800
State general fund/general purpose		$	758,761,100
Sec. 106. CHILDREN'S SERVICES AGENCY - JUVENILE JUSTICE
Full-time equated classified positions	147.5
Bay Pines Center--FTEs	60.0	$	7,826,700
Committee on juvenile justice administration--FTEs	2.5		368,200
Committee on juvenile justice grants			3,000,000
Community support services--FTEs	3.0		2,513,200
County juvenile officers			3,977,600
Juvenile justice, administration and maintenance--FTEs	21.0		6,383,600
Shawono Center--FTEs	61.0		7,968,800
GROSS APPROPRIATION		$	32,038,100
Appropriated from:
Federal revenues:
Capped federal revenues			7,709,300
Total other federal revenues			223,200
Special revenue funds:
Local funds - state share education funds			1,374,400
Local funds - county chargeback			6,523,800
State general fund/general purpose		$	16,207,400
Sec. 107. PUBLIC ASSISTANCE
Full-time equated classified positions	1.0

Emergency services local office allocations		$	38,813,500
Fair food network - double up food bucks			3,000,000
Family independence program			80,877,500
Family independence program - clothing allowance			10,000,000
Family independence program - small child supplemental payment			16,240,100
Food assistance program benefits			4,018,370,000
Food Bank Council of Michigan			12,045,000
Indigent burial			4,333,400
Low-income home energy assistance program			174,951,600
Michigan energy assistance program--FTE	1.0		57,500,000
Prenatal and infant support program			9,621,700
Refugee assistance program			7,954,200
State disability assistance payments			7,057,200
State supplementation			54,770,700
State supplementation administration			1,806,100
GROSS APPROPRIATION		$	4,497,341,000
Appropriated from:
Federal revenues:
Social security act, temporary assistance for needy families			132,538,100
Capped federal revenues			182,905,800
Total other federal revenues			4,013,660,000
Special revenue funds:
Child support collections			8,751,200
Low-income energy assistance fund			50,000,000
Public assistance recoupment revenue			4,868,300

Supplemental security income recoveries			1,569,000
State general fund/general purpose		$	103,048,600
Sec. 108. LOCAL OFFICE OPERATIONS AND SUPPORT SERVICES
Full-time equated classified positions	5,758.5
Administrative support workers--FTEs	167.0	$	14,934,500
Adult services local office staff--FTEs	550.0		68,661,300
Contractual services, supplies, and materials			31,051,000
Donated funds positions--FTEs	237.0		29,274,400
Elder Law of Michigan MiCAFE contract			350,000
Electronic benefit transfer (EBT)			9,714,000
Employment and training support services			4,219,100
Food assistance reinvestment--FTEs	16.0		7,494,300
Local office policy and administration--FTEs	125.0		20,565,600
Local office staff travel			8,252,400
Medical/psychiatric evaluations			1,120,100
Nutrition education--FTEs	2.0		33,040,900
Pathways to potential--FTEs	231.0		26,143,300
Public assistance local office staff--FTEs	4,430.5		501,434,500
SSI advocacy legal services grant			375,000
GROSS APPROPRIATION		$	756,630,400
Appropriated from:
Interdepartmental grant revenues:
IDG from department of corrections			120,200
IDG from department of lifelong education, advancement, and potential			8,315,800
Federal revenues:

Social security act, temporary assistance for needy families			73,233,900
Capped federal revenues			55,328,300
Total other federal revenues			286,502,800
Special revenue funds:
Local funds - donated funds			4,378,900
Private funds - donated funds			9,969,200
Private revenues			250,000
State general fund/general purpose		$	318,531,300
Sec. 109. DISABILITY DETERMINATION SERVICES
Full-time equated classified positions	628.4
Disability determination operations--FTEs	624.3	$	125,947,100
Retirement disability determination--FTEs	4.1		643,300
GROSS APPROPRIATION		$	126,590,400
Appropriated from:
Interdepartmental grant revenues:
IDG from department of lifelong education, advancement, and potential			16,000
IDG from department of technology, management, and budget - office of retirement services			819,900
Federal revenues:
Total other federal revenues			121,909,300
State general fund/general purpose		$	3,839,000
Sec. 110. BEHAVIORAL HEALTH PROGRAM ADMINISTRATION AND SPECIAL PROJECTS
Full-time equated classified positions	86.0
Behavioral health program administration--FTEs	46.0	$	63,656,100

Community substance use disorder prevention, education, and treatment--FTEs	9.0		81,626,200
Family support subsidy			15,670,900
Federal and other special projects			2,535,600
Gambling addiction--FTE	4.0		9,521,300
Mental health diversion council			3,850,000
Michigan Clinical Consultation and Care			5,289,000
Office of recipient rights--FTEs	25.0		3,502,800
Opioid response activities--FTEs	2.0		133,943,000
Protection and advocacy services support			194,400
GROSS APPROPRIATION		$	319,789,300
Appropriated from:
Federal revenues:
Social security act, temporary assistance for needy families			15,670,900
Total other federal revenues			170,863,100
Special revenue funds:
Total private revenues			2,904,700
Total other state restricted revenues			78,591,100
State general fund/general purpose		$	51,759,500
Sec. 111. BEHAVIORAL HEALTH SERVICES
Full-time equated classified positions	11.0
Autism services		$	342,723,900
Behavioral health community supports and services--FTEs	7.0		43,969,700
Certified community behavioral health clinic demonstration			519,414,300
Civil service charges			297,500

Community mental health non-Medicaid services			125,578,200
Federal mental health block grant--FTEs	4.0		24,471,700
Health homes			53,418,500
Healthy Michigan plan - behavioral health			535,228,600
Medicaid mental health services			3,304,837,600
Medicaid substance use disorder services			97,941,400
Multicultural integration funding			17,284,900
Nursing home PAS/ARR-OBRA			15,213,600
State disability assistance program substance use disorder services			2,018,800
GROSS APPROPRIATION		$	5,082,398,700
Appropriated from:
Federal revenues:
Social security act, temporary assistance for needy families			421,000
Capped federal revenues			184,500
Total other federal revenues			3,449,212,000
Special revenue funds:
Total local revenues			10,190,500
Total other state restricted revenues			68,561,400
State general fund/general purpose		$	1,553,829,300
Sec. 112. STATE PSYCHIATRIC HOSPITALS AND FORENSIC MENTAL HEALTH SERVICES
Full-time equated classified positions	2,546.6
Average population	798.0
Caro Regional Mental Health Center - psychiatric hospital - adult--FTEs	530.7	$	61,299,100
Average population	145.0

Center for forensic psychiatry--FTEs	624.5		102,649,400
Average population	240.0
Developmental disabilities council and projects--FTEs	10.0		3,196,800
Gifts and bequests for patient living and treatment environment			1,000,000
IDEA, federal special education			120,000
Kalamazoo Psychiatric Hospital - adult--FTEs	561.2		72,573,300
Average population	170.0
Purchase of medical services for residents of hospitals and centers			445,600
Revenue recapture			750,100
Special maintenance			924,600
State hospital administration--FTEs	34.0		5,735,000
Walter P. Reuther Psychiatric Hospital - adult, children, and adolescents--FTEs	786.2		123,069,900
Average population	243.0
GROSS APPROPRIATION		$	371,763,800
Appropriated from:
Federal revenues:
Total other federal revenues			46,642,000
Special revenue funds:
Total local revenues			23,283,200
Total private revenues			1,000,000
Total other state restricted revenues			15,189,200
State general fund/general purpose		$	285,649,400
Sec. 113. HEALTH AND HUMAN SERVICES POLICY AND INITIATIVES

Full-time equated classified positions	74.3
Cellular therapy for Versiti Michigan		$	750,000
Certificate of need program administration--FTEs	11.3		2,744,600
Child advocacy centers			1,407,000
Child advocacy centers - supplemental grants			2,000,000
Community health programs			12,500,000
Crime victim grants administration services--FTEs	17.0		3,092,300
Crime victim justice assistance grants			78,579,300
Crime victim rights services grants			19,869,900
Crime victim rights sustaining grants			30,000,000
Critical health and wellness center operations			1,500,000
Domestic violence prevention and treatment--FTEs	15.6		18,383,500
Human trafficking intervention services--FTE	1.0		200,000
Michigan essential health provider			3,519,600
Minority health grants and contracts--FTEs	3.0		1,159,700
Nurse education and research program--FTEs	3.0		823,600
Policy and planning administration--FTEs	19.9		2,768,500
Primary care services--FTEs	3.0		3,809,200
Rape prevention and services--FTEs	0.5		7,097,300
Rural health services			175,000
Uniform statewide sexual assault evidence kit tracking system			369,500
GROSS APPROPRIATION		$	190,749,000
Appropriated from:
Interdepartmental grant revenues:

IDG from department of licensing and regulatory affairs			823,600
IDG from department of lifelong education, advancement, and potential			2,400
IDG from department of treasury, Michigan finance authority			117,700
Federal revenues:
Social security act, temporary assistance for needy families			6,736,000
Capped federal revenues			10,704,100
Total other federal revenues			86,260,100
Special revenue funds:
Total private revenues			865,000
Child advocacy centers fund			1,407,000
Compulsive gaming prevention fund			1,040,500
Crime victim's rights fund			18,784,900
Sexual assault victims' prevention and treatment fund			3,000,000
Total other state restricted revenues			3,309,500
State general fund/general purpose		$	57,698,200
Sec. 114. EPIDEMIOLOGY, EMERGENCY MEDICAL SERVICES, AND LABORATORY
Full-time equated classified positions	449.9
Bioterrorism preparedness--FTEs	53.0	$	31,009,800
Childhood lead program--FTEs	4.5		2,342,900
Emergency medical services program--FTEs	27.0		10,530,000
Epidemiology administration--FTEs	73.5		26,350,100
Healthy homes program--FTEs	66.0		56,569,600

Laboratory services--FTEs	102.0		31,002,000
Newborn screening follow-up and treatment services--FTEs	10.5		9,837,500
PFAS and environmental contamination response--FTEs	43.0		20,530,400
Vital records and health statistics--FTEs	70.4		11,573,100
GROSS APPROPRIATION		$	199,745,400
Appropriated from:
Interdepartmental grant revenues:
IDG from department of environment, Great Lakes, and energy			1,797,800
Federal revenues:
Capped federal revenues			81,100
Total other federal revenues			77,506,000
Special revenue funds:
Total private revenues			1,342,600
Total other state restricted revenues			32,478,400
State general fund/general purpose		$	86,539,500
Sec. 115. LOCAL HEALTH AND ADMINISTRATIVE SERVICES
Full-time equated classified positions	190.1
AIDS prevention, testing, and care programs--FTEs	79.5	$	110,825,500
Cancer prevention and control program--FTEs	18.0		15,911,400
Chronic disease control and health promotion administration--FTEs	28.4		10,429,400
Diabetes and kidney program--FTEs	8.0		4,198,800
Essential local public health services			76,419,300

Implementation of 1993 PA 133, MCL 333.17015			20,000
Local health services--FTEs	3.3		8,724,200
Medicaid outreach cost reimbursement to local health departments			12,500,000
Public health administration--FTEs	9.0		2,289,200
Sexually transmitted disease control program--FTEs	20.0		8,555,700
Smoking prevention program--FTEs	15.0		7,164,700
Violence prevention--FTEs	8.9		19,062,100
GROSS APPROPRIATION		$	276,100,300
Appropriated from:
Federal revenues:
Social security act, temporary assistance for needy families			2,300
Total other federal revenues			90,556,700
Special revenue funds:
Total local revenues			5,150,000
Total private revenues			74,556,600
Total other state restricted revenues			14,425,200
State general fund/general purpose		$	91,409,500
Sec. 116. FAMILY HEALTH SERVICES
Full-time equated classified positions	136.1
Child and adolescent health care and centers		$	41,242,700
Dental programs--FTEs	5.3		7,546,800
Drinking water declaration of emergency			4,271,000
Family, maternal, and child health administration--FTEs	49.0		10,837,300
Family planning local agreements			15,810,700

Immunization program--FTEs	20.8		20,696,600
Local MCH services			7,018,100
Pregnancy prevention program			1,297,900
Prenatal care and premature birth avoidance grant			1,000,000
Prenatal care outreach and service delivery support--FTEs	19.0		48,400,800
Special projects			6,289,100
Sudden and unexpected infant death and suffocation prevention program			321,300
Women, infants, and children program administration and special projects--FTEs	42.0		19,673,900
Women, infants, and children program local agreements and food costs			251,285,000
GROSS APPROPRIATION		$	435,691,200
Appropriated from:
Federal revenues:
Total other federal revenues			268,760,500
Special revenue funds:
Total local revenues			42,817,700
Total private revenues			64,785,700
Total other state restricted revenues			4,049,500
State general fund/general purpose		$	55,277,800
Sec. 117. CHILDREN'S SPECIAL HEALTH CARE SERVICES
Full-time equated classified positions	51.8
Bequests for care and services--FTEs	9.8	$	2,087,100

Children's special health care services administration--FTEs	42.0		8,743,800
Medical care and treatment			288,818,200
Outreach and advocacy			6,722,200
GROSS APPROPRIATION		$	306,371,300
Appropriated from:
Federal revenues:
Total other federal revenues			160,028,800
Special revenue funds:
Total private revenues			1,044,100
Total other state restricted revenues			4,433,300
State general fund/general purpose		$	140,865,100
Sec. 118. AGING SERVICES
Community services		$	60,706,900
Employment assistance			3,500,000
Nutrition services			50,004,200
Respite care program			7,268,700
Senior volunteer service programs			4,765,300
GROSS APPROPRIATION		$	126,245,100
Appropriated from:
Federal revenues:
Total other federal revenues			67,787,400
Special revenue funds:
Total private revenues			300,000
Michigan merit award trust fund			4,068,700
Total other state restricted revenues			2,800,000
State general fund/general purpose		$	51,289,000

Sec. 119. HEALTH AND AGING SERVICES ADMINISTRATION
Full-time equated classified positions	473.0
Aging services administration--FTEs	43.0	$	9,629,400
Health services administration--FTEs	430.0		125,861,500
GROSS APPROPRIATION		$	135,490,900
Appropriated from:
Federal revenues:
Total other federal revenues			88,149,300
Special revenue funds:
Total local revenues			37,700
Total private revenues			1,721,300
Total other state restricted revenues			336,300
State general fund/general purpose		$	45,246,300
Sec. 120. HEALTH SERVICES
Adult home help services		$	540,996,100
Ambulance services			23,768,100
Auxiliary medical services			6,723,400
Dental clinic program			1,000,000
Dental services			314,199,000
Federal Medicare pharmaceutical program			426,126,000
Health plan services			8,048,064,900
Healthy Michigan plan			6,362,405,100
Home health services			3,748,400
Hospice services			167,506,900
Hospital services and therapy			616,810,800
Integrated care organizations			370,574,900
Long-term care services			2,406,027,000

Maternal and child health			26,340,400
Medicaid home- and community-based services waiver			516,444,000
Medicare premium payments			926,166,300
Personal care services			6,196,100
Pharmaceutical services			300,638,800
Physician services			290,325,600
Plan first			6,567,500
Program of all-inclusive care for the elderly			299,357,000
Recuperative care			297,600
School-based services			172,147,500
Special Medicaid reimbursement			310,113,900
Transportation			21,476,400
GROSS APPROPRIATION		$	22,164,021,700
Appropriated from:
Federal revenues:
Total other federal revenues			15,811,314,700
Special revenue funds:
Total local revenues			33,331,800
Total private revenues			10,423,900
Michigan merit award trust fund			88,200,000
Total other state restricted revenues			3,511,723,900
State general fund/general purpose		$	2,709,027,400
Sec. 121. INFORMATION TECHNOLOGY
Full-time equated classified positions	11.0
Bridges information system--FTEs	10.0	$	114,678,900
Child support automation			44,243,200
Comprehensive child welfare information system			8,274,700

Information technology services and projects			244,807,200
Michigan Medicaid information system--FTE	1.0		102,482,000
Michigan statewide automated child welfare information system			21,555,400
GROSS APPROPRIATION		$	536,041,400
Appropriated from:
Interdepartmental grant revenues:
IDG from department of lifelong education, advancement, and potential			609,700
Federal revenues:
Social security act, temporary assistance for needy families			24,471,400
Capped federal revenues			20,556,700
Total other federal revenues			335,999,300
Special revenue funds:
Total private revenues			5,250,000
Total other state restricted revenues			2,010,400
State general fund/general purpose		$	147,137,200
Sec. 122. ONE-TIME APPROPRIATIONS
ALS services		$	829,900
Behavioral health services			3,500,000
Behavioral health urgent care			1,700,000
Child advocacy centers			3,500,000
Children's behavioral health service expansion			2,000,000
Children's services administration training			2,000,000
CMHSP crisis services			2,000,000
Community substance use disorder, education, and treatment			1,800,000

Complex medical condition center			500,000
Cranial hair prothesis			250,000
Critical access hospital facility and equipment			2,000,000
Deferred maintenance			1,000,000
Dental clinic			2,900,000
Dental programs			2,500,000
Domestic violence shelter operations			300,000
Doula training and continuing education			2,909,800
Emergency medical services program			500,000
Employment and training support services			2,500,000
Firearm injury and violence prevention			7,500,000
Firearm safety and violence prevention			1,800,000
Firefighter health care			3,500,000
First responder and public safety staff mental health			5,000,000
Health equity statewide curriculum			500,000
Home health care authority			1,000,000
Homeless programs			2,750,000
Hospice caregiver support center			1,000,000
Inpatient behavioral health facility			5,000,000
Maternal health services			420,000
Medical center robotic surgery			2,000,000
Medical debt relief pilot program			100
Mental health educational interventions			1,000,000
Multicultural integration funding			8,600,000
Narcotics awareness program			5,000,000
Native American health services			1,000,000
Nurse incentive program			2,500,000

Nurse workforce development		10,000,000
Opioid response activities		9,820,000
Patient-centered medical home		1,000,000
Pediatric lead testing pilot		1,000,000
Pediatric psychiatric urgent care center		5,000,000
Permanent supportive housing		100
Preweatherization services		10,000,000
Sexual assault and domestic violence prevention services		3,500,000
Sickle cell center		2,500,000
Suicide loss survivor program		250,000
State employees' retirement system implementation costs		700,000
Supportive home visitation		1,000,000
Transitional housing		1,750,000
Tribal homeless shelter operations		750,000
Water affordability		10,000,000
GROSS APPROPRIATION	$	138,529,900
Appropriated from:
Federal revenues:
Total other federal revenues		1,454,900
Special revenue funds:
Total other state restricted revenues		9,820,000
State general fund/general purpose	$	127,255,000

part 2

provisions concerning appropriations

for fiscal year 2024-2025

general sections

Sec. 201. In accordance with section 30 of article IX of the state constitution of 1963, for the current fiscal year, total state spending under part 1 from state sources is $10,711,463,100.00 and state spending under part 1 from state sources to be paid to local units of government is $2,087,194,300.00. The following itemized statement identifies appropriations from which spending to local units of government will occur:

DEPARTMENT OF HEALTH AND HUMAN SERVICES
CHILD SUPPORT ENFORCEMENT
Child support incentive payments	$	9,570,000
Legal support contracts		1,300
COMMUNITY SERVICES AND OUTREACH
Homeless programs		9,900
Housing and support services		124,700
CHILDREN'S SERVICES AGENCY � CHILD WELFARE
Child care fund		181,742,300
Child care fund - indirect cost allotment		3,500,000
Child welfare licensing		68,300
Children's trust fund		60,800
Contractual services, supplies, and materials		10,500
Family preservation programs		2,000
Foster care payments		3,344,200
Prosecuting attorney contracts		1,269,100
Strong families/safe children		65,400
Youth in transition		300
CHILDREN'S SERVICES AGENCY � JUVENILE JUSTICE
Bay Pines Center		49,700

Community support services			333,500
County juvenile officers			73,300
Shawono Center			2,000
PUBLIC ASSISTANCE
Emergency services local office allocations			10,996,900
Indigent burial			6,000
Michigan energy assistance program			356,100
State disability assistance payments			174,200
LOCAL OFFICE OPERATIONS AND SUPPORT SERVICES
Contractual services, supplies, and materials			91,700
Employment and training support services			6,200
DISABILITY DETERMINATION SERVICES
Disability determination operations			2,000
BEHAVIORAL HEALTH PROGRAM ADMINISTRATION AND SPECIAL PROJECTS
Behavioral health program administration			121,700
Community substance use disorder prevention, education, and treatment			8,783,500
Gambling addiction			1,333,700
Mental health diversion council			255,100
Opioid response activities			31,770,500
BEHAVIORAL HEALTH SERVICES
Autism services			118,168,600
Behavioral health community supports and services			171,800
Certified community behavioral health clinic demonstration			122,766,700
Community mental health non-Medicaid services			125,578,200

Health homes			4,725,900
Healthy Michigan plan - behavioral health			53,653,100
Medicaid mental health services			1,096,529,500
Medicaid substance use disorder services			34,166,300
Multicultural integration funding			1,064,400
Nursing home PAS/ARR-OBRA			3,789,400
State disability assistance program substance use disorder services			2,018,000
STATE PSYCHIATRIC HOSPITALS AND FORENSIC MENTAL HEALTH SERVICES
Caro Regional Mental Health Center - psychiatric hospital � adult			183,600
Center for forensic psychiatry			674,000
Kalamazoo Psychiatric Hospital - adult			66,200
Walter P. Reuther Psychiatric Hospital � adult, children, and adolescents			109,900
HEALTH AND HUMAN SERVICES POLICY AND INITIATIVES
Crime victim rights services grants			11,593,000
Domestic violence prevention and treatment			163,000
Primary care services			79,800
EPIDEMIOLOGY, EMERGENCY MEDICAL SERVICES, AND LABORATORY
Emergency medical services program			4,800
Epidemiology administration			448,700
Healthy homes program			1,301,700
PFAS and environmental contamination response			200
LOCAL HEALTH AND ADMINISTRATIVE SERVICES

AIDS prevention, testing, and care programs			2,705,800
Cancer prevention and control program			43,600
Essential local public health services			71,269,300
Local health services			1,928,900
Public health administration			200
Sexually transmitted disease control program			775,400
Smoking prevention program			242,100
FAMILY HEALTH SERVICES
Dental programs			25,000
Drinking water declaration of emergency			136,500
Family planning local agreements			224,000
Immunization program			2,155,600
Pregnancy prevention program			65,000
Prenatal care outreach and service delivery support			8,806,900
CHILDREN'S SPECIAL HEALTH CARE SERVICES
Medical care and treatment			796,700
Outreach and advocacy			2,708,200
AGING SERVICES
Community services			33,526,500
Nutrition services			12,597,200
Respite care program			5,800,000
Senior volunteer service programs			954,100
HEALTH AND AGING SERVICES ADMINISTRATION
Aging services administration			200,200
HEALTH SERVICES
Adult home help services			81,900
Ambulance services			840,600

Dental services		787,000
Healthy Michigan plan		896,700
Hospital services and therapy		400,000
Long-term care services		88,061,900
Medicaid home- and community-based services waiver		14,314,200
Personal care services		17,600
Physician services		2,854,200
Transportation		597,300
ONE-TIME APPROPRIATIONS
CMHSP crisis services		2,000,000
TOTAL OF PAYMENTS TO LOCAL UNITS OF GOVERNMENT	$	2,087,194,300

Sec. 202. The appropriations 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) "CCBHC" means certified community behavioral health clinic.

(c) "CMHSP" means a community mental health services program as that term is defined in section 100a of the mental health code, 1974 PA 258, MCL 330.1100a.

(d) "CMS" means the Centers for Medicare and Medicaid Services.

(e) "CPT" means current procedural terminology.

(f) "Current fiscal year" means the fiscal year ending September 30, 2025.

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

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

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

(j) "Federal poverty level" means the poverty guidelines revised periodically and published in the Federal Register by the Secretary of the United States Department of Health and Human Services under the Secretary's authority to revise the poverty line under 42 USC 9902.

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

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

(m) "GME" means graduate medical education.

(n) "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.

(o) "HEDIS" means health care effectiveness data and information set.

(p) "HMO" means health maintenance organization.

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

(r) "IDG" means interdepartmental grant.

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

(t) "Medicaid" means subchapter XIX of the social security act, 42 USC 1396 to 1396w-8.

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

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

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

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

(y) "PACE" means program of all-inclusive care for the elderly.

(z) "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.

(aa) "PATH" means Partnership. Accountability. Training. Hope.

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

(cc) "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.

(dd) "Previous fiscal year" means the fiscal year ending September 30, 2024.

(ee) "Quarterly basis" means February 1, April 1, July 1, and September 30 of the current fiscal year.

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

(gg) "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.

(hh) "SSI" means supplemental security income.

(ii) "Standard report recipients" means the senate and house of representatives appropriations subcommittees on the department budget, the senate and house fiscal agencies, the senate and house of representatives policy offices, and the state budget office.

(jj) "STEMI" means an ST-elevation myocardial infarction.

(kk) "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.

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

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

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

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

Sec. 204. The department shall use the internet to fulfill the reporting requirements of this part. This requirement includes transmitting reports to the standard report recipients and any other required recipients by email and posting the reports on an internet site.

Sec. 205. To the extent permissible under section 261 of the management and budget act, 1984 PA 431, MCL 18.1261, all of the following apply to the expenditure of funds appropriated in part 1:

(a) The funds must not be used for the purchase of foreign goods or services, or both, if competitively priced and of comparable quality American goods or services, or both, are available.

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

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

Sec. 206. To the extent permissible under the management and budget act, 1984 PA 431, MCL 18.1101 to 18.1594, the director shall take all reasonable steps to ensure geographically-disadvantaged business enterprises compete for and perform contracts to provide services or supplies, or both. The director shall strongly encourage firms with which the department contracts to subcontract with certified geographically-disadvantaged business enterprises for services, supplies, or both. As used in this section, "geographically-disadvantaged business enterprises" means that term as defined in Executive Directive No. 2019-08.

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

(a) The dates of each travel occurrence.

(b) The total transportation and related expenses of each

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

Sec. 208. The department shall not use funds appropriated in part 1 to hire a person to provide legal services that are the responsibility of the attorney general. This section does not apply to legal services for bonding activities or to outside services that the attorney general authorizes.

Sec. 209. Not later than December 15, the state budget office shall prepare and submit a report that provides estimates of the total general fund/general purpose appropriation lapses at the close of the previous fiscal year. The report must summarize the projected year-end general fund/general purpose appropriation lapses by major departmental program or program areas. The state budget office shall submit the report to the standard report recipients and to the chairpersons of the senate and house of representatives appropriations committees.

Sec. 210. (1) In addition to the funds appropriated in part 1, there is appropriated an amount not to exceed $20,000,000.00 for federal contingency authorization. Amounts appropriated under this subsection 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. Federal contingency authorization must not be made available to increase TANF authorization.

(2) In addition to the funds appropriated in part 1, there is appropriated an amount not to exceed $20,000,000.00 for state restricted contingency authorization. Amounts appropriated under this subsection are not available for expenditure until they have

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

(3) In addition to the funds appropriated in part 1, there is appropriated an amount not to exceed $5,000,000.00 for local contingency authorization. Amounts appropriated under this subsection 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 $12,000,000.00 for private contingency authorization. Amounts appropriated under this subsection are not available for expenditure until they have been transferred to another line item in part 1 under section 393(2) of the management and budget act, 1984 PA 431, MCL 18.1393.

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

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

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

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

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

(e) Job specifications and wage rates.

Sec. 212. Not later than 14 days after the release of the executive budget recommendation, the department shall cooperate with the state budget office to provide an annual report on

estimated state restricted fund balances, state restricted fund projected revenues, and state restricted fund expenditures for the previous 2 fiscal years. The report must be submitted to the standard report recipients and to the chairpersons of the senate and house of representatives appropriations committees.

Sec. 215. If either of the following events occurs, not later than 30 days after the event occurs, the department shall notify the standard report recipients 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 law.

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

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

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

Sec. 217. Not later than February 1 of the current fiscal year, the department shall submit, to the standard report recipients, a report on the detailed names 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 for the previous fiscal year. The report must itemize, rather than aggregate, specific revenue sources deposited into the generic statewide integrated governmental management application (SIGMA) fund numbers 1200, 1274, 4000, and 5000.

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

(a) Immunizations.

(b) Communicable disease control.

(d) Tuberculosis control.

(e) Prevention of gonorrhea eye infection in newborns.

(f) Screening newborn infants 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.

(i) Mental health.

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 the activities described in this subsection for up to a 1-year period.

(2) On a semiannual basis, the department shall submit, to the standard report recipients, a report that includes all of the following:

(a) A detailed description of each funded project.

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

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

(3) On a semiannual basis, the department shall provide, to the standard report recipients, 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 the organizations are qualified and suitable to fulfill. The department shall not disqualify faith-based organizations solely on the basis of the religious nature of the organizations or the guiding principles or statements of faith for the organizations.

Sec. 221. In accordance with 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 submit a report to the

standard report recipients of a major policy change at least 30 days before the implementation date of the policy change.

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

(3) Not later than April 1, the department shall report on each specific policy change made to implement a public act affecting the department that took effect during the previous calendar year. The department shall submit the report to the standard report recipients, the senate and house of representatives appropriations committees, and to the joint committee on administrative rules.

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

Sec. 223. The department may establish and collect fees for publications, videos and related materials, conferences, and workshops. Collected fees are appropriated when received and must be used to offset expenditures for publication printing and mailing, costs of the publications, videos and related materials, conferences, and workshops. The department shall not collect fees under this section that exceed the cost of the expenditures. If collected fees are appropriated under this section in an amount that exceeds the current fiscal year appropriation, not later than 30 days after the collected fee appropriation, the department shall notify the standard report recipients of that fact.

Sec. 224. The department may retain all of this state's share of food assistance overissuance collections as an offset to general fund/general purpose costs. Retained collections must 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 the investigation and recoupment costs must be applied against the federal funds deducted in the departmental administration and support appropriation unit.

Sec. 226. If the revenue collected by the department from fees and collections exceeds the amount appropriated in part 1, the revenue may be carried forward with the approval of the state budget director into the subsequent fiscal year. The revenue carried forward under this section must be used as the first source of funds in the subsequent fiscal year.

Sec. 227. If the department receives tobacco tax funds and Healthy Michigan fund revenue from part 1, not later than April 1 of the current fiscal year, the department shall submit, to the standard report recipients, a report on both of the following activities during the previous fiscal year:

(a) Tobacco tax revenue appropriations in the Medicaid program.

(b) Information for each project implemented with revenue under this section, including all of the following:

(i) The project's name.

(ii) The appropriation line item and amount.

(iii) The project's target population.

(iv) A description of the project.

(v) The outcomes or accomplishments of the project.

Sec. 228. If the department is authorized under federal law or the law of this state to collect an overpayment owed to the department, beginning 60 days after the initial notification date

of the overpayment amount, the department may assess a penalty of 1% per month. If an overpayment is caused by department error, a penalty may be assessed 6 months after the initial notification date of the overpayment amount. The department shall not collect penalty interest in an amount that exceeds the amount of the original overpayment. This state's share of any funds collected under this section must be deposited in the general fund of this state.

Sec. 230. Not later than December 31 of the current fiscal year, the department shall submit, to the standard report recipients, a report on the status of the implementation of any noninflationary, noncaseload, programmatic funding increases in the current fiscal year from the previous fiscal year. The report must confirm the implementation of already-implemented funding increases and provide an explanation 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 report must include an expected implementation date and the reason for delayed implementation.

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

(a) Continue the direct care wage increase funded at the same level as the previous fiscal year for the services noted in the department's Medicaid provider letter L 21-76 under the Medicaid managed care organization's relevant program.

(b) Ensure, to the greatest extent possible, that the full

amount of funds appropriated for a direct care worker wage, except for costs incurred by the employer, including payroll taxes, is provided to direct care workers through maintained increased wages.

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

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

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

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

(g) Submit, to the department, a report that includes the information tracked or reported under subdivisions (d), (e), and (f).

(2) Not later than March 1 of the current fiscal year, the department shall provide the report required under subsection (1)(g) to the standard report recipients.

Sec. 232. 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 of representatives appropriations subcommittees on the department budget and the senate and house fiscal agencies not later than 60 days after

approval by the department or not later than January 15 of the current fiscal year, whichever is earlier. In all places that a line-item appropriation number is listed, a line-item appropriation name must be included. The spending plan must 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 must 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 must not be assumed to constitute the actual final expenditures, as line items may be updated on an as-needed basis to reflect changes in projected expenditures and projected revenue. The department shall supplement the spending plan information by providing a list of all active contracts and grants in the department's contract system. For amounts listed in the other contracts category of each spending plan, the department shall include the name of the line item and the name of the fund source for each contract, grant, and amount for the current fiscal year. For amounts listed in the all other costs category of each spending plan, the department shall provide a list detailing planned expenditures and amounts for the current fiscal year and include the name of the line item and the name of the fund source related to each expenditure and amount.

Sec. 234. The department shall receive and retain copies of all reports funded from appropriations in part 1. The department shall follow federal and state guidelines for short-term and long-term retention of records. The department may electronically retain copies of reports unless otherwise required by federal and state

guidelines.

Sec. 235. (1) Funds appropriated in part 1 must not be used to restrict or impede a marginalized community's access to government resources, programs, or facilities.

(2) From the funds appropriated in part 1, local governments shall report any action or policy that attempts to restrict or interfere with the duties of the local health officer.

Sec. 238. It is the intent of the legislature that the department maximize the efficiency of the state workforce and, if possible, prioritize in-person work, and post its in-person, remote, or hybrid work policy on its website.

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

Sec. 240. To the extent possible, the department shall not expend appropriations under part 1 until all existing authorized work project funds available for the same purposes are exhausted.

Sec. 241. Not later than March 1 of the current fiscal year, the department shall submit, to the standard report recipients, a report on total actual expenditures in the previous fiscal year for advertising and media outreach, including the purpose, amount, and fund source by program or appropriation line item.

Sec. 242. Not later than March 1 of the current fiscal year, the department shall submit a description of programs report to the standard report recipients. For each program, the report must

include the appropriation unit; the line item name and number; the appropriation history; the program name; the program overview; a financing summary; and, where applicable, the program's legal basis, effectiveness, and outcomes.

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

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

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

Sec. 263. (1) Except as provided in this subsection, before submission of a waiver, state plan amendment, or similar proposal to CMS or another federal agency, the department shall notify the standard report recipients of the planned submission. This subsection does not apply to the submission of a waiver, state plan

amendment, or similar proposal that does not propose a material change or is outside of the ordinary course of a waiver, state plan amendment, or similar proposal.

(2) On a semiannual basis, the department shall submit, to the standard report recipients, a report that summarizes the status of any new or ongoing discussions with CMS, the United States Department of Health and Human Services, or another federal agency regarding any potential or future waiver applications and the status of any submitted waivers that have not yet received federal approval. If there is not a reportable item at the time that a semiannual report is due, a report is not required.

Sec. 264. The department shall not take disciplinary action against an employee of the department for communicating with a member of the senate or house of representatives or a member's staff, unless the communication is prohibited by law and the department is exercising its authority as provided by law.

Sec. 270. The department shall advise the legislature of the receipt of a notification from the attorney general's office of a legal action in which expenses had been recovered under section 106(6) of the social welfare act, 1939 PA 280, MCL 400.106. If applicable, not later than February 1 of the current fiscal year, the department shall submit, to the standard report recipients, a report that includes, but is not limited to, all of the following:

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

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

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

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

Sec. 274. On the day that is 1 week after the day that the governor submits the executive budget proposal for the ensuing fiscal year to the legislature, the department, in collaboration with the state budget office, shall submit, to the standard report recipients, a report on spending and revenue projections for each of the capped federal funds listed in this subsection. The report must 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 in the executive budget proposal for the immediately ensuing fiscal year for each individual line item for the department budget. The report must also include federal funds transferred to other departments. The capped federal funds include, but are not limited to, all of the following:

(a) TANF.

(b) Title XX social services block grant.

(d) Title IV-B subpart II promoting safe and stable families funds.

(e) Low-income home energy assistance program.

Sec. 275. (1) On a quarterly basis, the department, with the approval of the state budget director, is authorized to realign sources between other federal, TANF, and capped federal financing authorizations to maximize federal revenues. The realignment of financing must not produce any of the following:

(a) A gross increase or decrease in the department's total individual line item authorizations.

(b) A net increase or decrease in total federal revenues.

(2) On a quarterly basis, the department shall submit, to the standard report recipients, a report on the realignment of federal fund sources transacted to date in the current fiscal year under subsection (1), including the dates, line items, and amounts of the transactions. If, at the time a quarterly report is due, a transaction was not made under subsection (1), a report is not required.

(3) Not later than 30 days after the date on which year-end book closing is completed, the department shall submit, to the standard report recipients, 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. 290. Any public advertisement for public assistance must inform the public of the welfare fraud hotline operated by the department.

Sec. 295. Not later than April 1 of the current fiscal year, the department shall submit, to the standard report recipients, a report on funds appropriated for the healthy moms, healthy babies initiative. The report must include the budgeted amount, year-to-date expenditures, remaining balance of appropriations, and the percent of budget spent for each appropriation related to the initiative. The report must also include information on how the funds have assisted with meeting the goals and outcomes of the initiative.

Sec. 296. From the funds appropriated in part 1, the department, to the extent permissible under section 8 of 1964 PA 170, MCL 691.1408, is responsible for the necessary and reasonable attorney fees and costs incurred by private and independent legal

counsel chosen by current and former classified and unclassified department employees in the defense of the employees in any state or federal lawsuit or investigation related to the water system in a city or community in which a declaration of emergency was issued because of drinking water contamination.

Sec. 297. On a quarterly basis, the department shall report on the number of full-time equated positions in pay status by civil service classification, including a comparison by line item of the number of full-time equated positions authorized from funds appropriated in part 1 to the actual number of full-time equated positions employed by the department at the end of the reporting period. The report must be submitted to the senate and house of representatives appropriations committees and to the standard report recipients.

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 must be retained by this state and expended for child support program expenses.

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

(4) If the child support incentive payment to this state from the federal government is greater than $26,500,000.00, then 100% of the amount in excess must be retained by this state and is appropriated until the total retained by this state reaches

$15,397,400.00.

(5) If the child support incentive payment to this state from the federal government is greater than the amount needed to satisfy subsections (1), (2), (3), and (4), the additional funds are subject to appropriation by the legislature.

(6) If the child support incentive payment to this state from the federal government is less than $26,500,000.00, then the state share and the county share must 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. The excess appropriation may be distributed to eligible counties to supplement, but 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 appropriation.

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. The 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 45 CFR 304.50.

(2) Not later than 30 days after an adjustment under subsection (1), the department shall notify the standard report recipients of the adjustment.

COMMUNITY SERVICES AND OUTREACH

Sec. 450. (1) From the funds appropriated in part 1 for school success partnership program, not later than December 1 of the current fiscal year, the department shall allocate $1,525,000.00 of TANF revenue to support Northeast Michigan Community Service Agency programming. The department shall require the Northeast Michigan Community Service Agency to measure and report the following performance objectives for the duration of the state funding for the school success partnership program:

(a) Increasing school attendance and decreasing chronic absenteeism.

(b) Increasing grade-based academic performance, with emphasis on math and reading.

(d) Increasing parent involvement.

(2) Not later than July 15 of the current fiscal year, the Northeast Michigan Community Service Agency shall submit a report 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. Not later than 1 week after the department receives the report, the department shall distribute the report to the standard report recipients.

Sec. 453. (1) From the funds appropriated in part 1 for homeless programs, the department shall allocate funds to the

emergency shelter program to support efforts of shelter providers to move homeless individuals and households into permanent housing as quickly as possible. The funds must be equal to or exceed the amount that a provider would receive if the provider is paid a $19.00 per diem rate. Expected outcomes are increased shelter discharges to stable housing destinations, decreased recidivism rates for shelter clients, and a reduction in the average length of stay in emergency shelters.

(2) Not later than March 1 of the current fiscal year, the department shall submit, to the standard report recipients, a report on the total amount expended for the emergency shelter program in the prior 2 fiscal years, the total number of shelter nights provided, and the average length of stay in an emergency shelter.

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

Sec. 455. As a condition of receipt of federal TANF revenue, after admitting a family to a homeless shelter, the homeless shelter and human services agencies shall collaborate with the department to obtain necessary TANF eligibility information on the family as soon as possible. From the funds appropriated in part 1 for homeless programs, the department is authorized to make allocations of TANF revenue only to the homeless shelters and human services agencies that report necessary data to the department to meet TANF eligibility reporting requirements. Homeless shelters or human services agencies that do not report necessary data to the department to meet TANF eligibility reporting requirements shall

not receive reimbursements that exceed the per diem amount the homeless shelters or human service agencies received in fiscal year 2000. The use of TANF revenue under this section is not an ongoing commitment of funding.

Sec. 456. From the funds appropriated in part 1 for homeless programs, the department shall allocate $10,000.00 to reimburse public service agencies that provide documentation of paying birth certificate fees on behalf of category 1 homeless clients at county clerk's offices. Each public service agency must be reimbursed for the cost of the birth certificate fees quarterly until the allocation is fully spent.

Sec. 457. From the funds appropriated in part 1 for homeless programs, the department shall allocate $3,500,000.00 to provide housing supports for families involved with child welfare.

Sec. 460. From the funds appropriated in part 1 for kids' food basket, the department shall allocate $1,025,000.00 to fund a project with a nonprofit, community-based organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and is located in a city with a population between 185,000 and 200,000 and in a county with a population between 600,000 and 700,000, according to the most recent federal decennial census. The nonprofit organization recipient must have an existing network of food delivery to low-income children in not less than 3 counties in this state. The nonprofit organization shall use the funds to expand its services to additional schools and communities. The funding may be used to cover employee costs, food and supplies, equipment, and other operational costs identified by the organization to support its mission and goals.

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

Sec. 464. (1) From the funds appropriated in part 1 for diaper assistance grant, $4,404,400.00 must be allocated as grants to diaper assistance programs, maternity homes, and other nonprofit agencies that distribute diapers free of charge and were established as of January 1, 2020. The funds must be used only to purchase diapering supplies and to cover related administrative costs. Not more than 15% of the funds appropriated in part 1 are expendable for administrative purposes.

(2) Not later than March 1 of the current fiscal year, the department shall submit, to the standard report recipients, a report on the distribution of diaper assistance grant funds that includes, but is not limited to, the names and locations of grant recipients and the total amount of grant funding distributed to each recipient.

Sec. 465. (1) From the funds appropriated in part 1 for community services and outreach administration, $3,950,000.00 must be distributed as provided in subsection (2). The amount distributed as provided in subsection (2) must not exceed 50% of the total operating expenses of Michigan 2-1-1, which is 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) must 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 any received calls that report fraud, waste, or abuse of state-administered public assistance to the department.

(4) Michigan 2-1-1 shall submit, to the department, the senate and house of representatives standing committees with primary jurisdiction over matters relating to human services and telecommunications on 2-1-1 system performance, and the standard report recipients, a report that includes, but is not limited to, call volume by health and human service needs and unmet needs identified through caller data and number and the percentage of callers referred to public or private provider types.

Sec. 466. (1) From the funds appropriated in part 1 for runaway and homeless youth grants, the department shall allocate $5,342,100.00 that consists of $1,146,900.00 in general fund/general purpose revenue and $4,195,200.00 of TANF revenue to support the expansion of runaway and homeless youth capacity. The funding must be allocated as follows:

(a) $3,205,300.00 to cover the 18 counties that are presently unserved by any runaway and homeless youth program and to expand the capacity for counties that are underserved.

(b) $1,068,400.00 across 19 providers statewide to provide infrastructure support for expanded staff, supervision, and training to continue to meet the complex mental health needs of the population served.

(c) $1,068,400.00 across 19 providers statewide to support upgrading technology and facilities to maintain safety in environments where youth are sheltered.

(2) Not later than March 1 of the current fiscal year, the department shall submit to the standard report recipients a report on the runaway homeless youth program, including, but not limited to, all of the following:

(a) A list of counties served and the amount of funding allocated to each county.

(b) The amount of funding being allocated to previously underserved communities and how capacity has been expanded or is planned to be expanded in those communities.

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, unless contrary to the best interest of the child, will have been in foster care for 24 months or more.

(2) Not later than March 1 of the current fiscal year, the department shall submit, to the standard report recipients, a report describing the steps that will be taken to achieve the goal under subsection (1). The report must also include the following:

(a) An explanation of the most significant barriers that prevent long-term foster children from permanent placements.

(b) The number of children currently in foster care that qualify for specialty behavioral health supports and services through the CMHSPs and the percentage of those children that remain

in foster care for longer than 24 months.

Sec. 502. From the funds appropriated in part 1 for foster care, the department shall reimburse Indian tribal governments for 50% of the foster care expenditures for children who are under the jurisdiction of Indian tribal courts and are not otherwise eligible for federal foster care cost sharing. However, the department may reimburse up to 100% of the foster care expenditures for an Indian tribal government that enters into a state-tribal title IV-E agreement allowed under this state's title IV-E state plan.

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

(2) The department, in conjunction with members from both the senate and house of representatives, private child placing agencies, the courts, and counties, shall continue to implement the recommendations that are described in the workgroup report that was provided in section 503 of article X of 2013 PA 59 to establish a performance-based funding model pilot program for public and private child welfare service providers. Not later than July 1 of the current fiscal year, the department shall submit a report on the status of the performance-based funding model to the standard report recipients and the senate and house of representatives standing committees that cover subject matters dealing with families and human services.

Sec. 504. (1) From the funds appropriated in part 1, the department shall implement a 3-year master agreement, with an option for 2 additional years, with the West Michigan Partnership for Children Consortium to maintain a performance-based child welfare contracting program. The Consortium must consist of a network of affiliated child welfare service providers that will accept and comprehensively assess referred youth, assign cases to its members or leverage services from other entities, and make appropriate case management decisions during the duration of a case.

(2) As a condition for receiving the funding in part 1, the West Michigan Partnership of Children Consortium shall maintain a contract agreement with the department that supports a global capitated payment model. The capitated payment amount must be based on historical averages of both the number of children served in Kent County and the costs per foster care case. The West Michigan Partnership for Children Consortium shall manage the cost of the child population it serves. The administrative portion of the contracted agreement must reflect the cumulative annual percentage change in the Detroit Consumer Price Index from the previous year. The capitated payment amount must be reviewed and adjusted not less than 2 times during the current fiscal year or for 1 or more of the following:

(a) Changes implemented by the department that result in a volume of placements that differ in a statistically significant manner from the amount allocated in the annual contract between the department and the West Michigan Partnership for Children Consortium, as determined by an independent actuary.

(b) Changes in case volumes and any statewide rate increases

that are implemented.

(3) The contract agreement under this section must require the following stipulations and conditions:

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

(b) That the West Michigan Partnership for Children Consortium maintain a risk reserve of not less than $1,500,000.00 to ensure it can meet unanticipated expenses within a given fiscal year.

(c) That the West Michigan Partnership for Children Consortium cooperate with the department on an independent fiscal analysis of costs incurred and revenues received.

(4) Not later than March 1 of the current fiscal year, the Consortium shall submit, to the standard report recipients, a report on the Consortium, including, but not limited to, its actual expenditures, the number of children placed by agencies in the Consortium, the fund balance of the Consortium, and the outcomes measured.

Sec. 505. Not later than March 1 of the current fiscal year, the department shall submit, to the standard report recipients, a report on youth referred or committed to the department for care or supervision in the previous fiscal year that outlines the number of youth served by the department in the juvenile justice system by the type of setting for each youth.

Sec. 506. From the funds appropriated in part 1 for attorney general contract, not later than March 1 of the current fiscal year, the department shall submit, to the standard report recipients, a report on the juvenile justice system in any county

in which funds appropriated in part 1 are expended. The report must include, but not be limited to, all of the following:

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

(b) The number of youth referred or committed to the care or supervision of the county in which funds appropriated in part 1 were expended for the previous fiscal year and the first quarter of the current fiscal year.

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

(d) The required and actual staff-to-youth ratios.

Sec. 507. The department's ability to satisfy appropriation deductions in part 1 for foster care private collections is not limited to collections and accruals pertaining to services provided only in the current fiscal year and 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 in 1982 PA 249, MCL 21.171 to 21.172, is appropriated for expenditure.

(2) For the funds described in subsection (1), the department shall ensure that administrative delays are avoided and local grant recipients and direct service providers receive money in an expeditious manner. The department and the state board as that term is defined in section 2 of the child abuse and neglect prevention act, 1982 PA 250, MCL 722.601, shall make the children's trust fund

contract funds available to grantees not later than 31 days after the start date of the funded project.

Sec. 509. From the funds appropriated in part 1 for adoption support services, the department shall maintain the increase of contracted rates paid to private child placing agencies, including the $23.00 per diem for all foster youth from the date of the case acceptance to the date of adoption petition acceptance or 150 days, whichever occurs sooner, for licensed child placing agencies contracted with the department to provide adoption services for foster youth. The per diem rate must be separate from the outcome-based reimbursement system and must not be deducted from the total reimbursement an agency receives for the applicable placement or finalization rate of an adoption.

Sec. 510. (1) From the funds appropriated in part 1 for child care fund and foster care payments, the department shall contract with licensed private foster care residential facilities to provide 600 residential beds for foster youth, a 9% increase to the current rates provided to each provider of residential services for occupied beds, and an unoccupied bed rate that is not less than 90% of the licensed private foster care residential facility's occupied rate.

(2) The funds appropriated in this section must be used by a licensed private foster care residential facility to retain and recruit staff and to provide the appropriate levels of services to the foster youth.

(3) The funds appropriated in this section must not be used by the department to require, either through policy or contract, a licensed private foster care residential facility to comply with any of the following:

(a) Agree to rates that are less than the rates established under this section for each service type.

(b) Agree to create or comply with a pay schedule for hourly worker salaries.

(c) Agree to not deny services or remove a youth from the facility regardless of a residential facility's ability to properly care for the youth.

(d) Agree to penalties resulting in a residential facility having less than 100% filled capacity for any reason.

(e) Agree that a residential facility cover the cost of more than 6 months of aftercare for youth who have been discharged from its care.

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

Sec. 511. The department shall submit, to the standard report recipients and the senate and house of representatives standing committees that cover subject matters dealing with families and human services, reports on a semiannual basis that include the number and percentage of children who received timely physical and mental health examinations after entry into foster care. The goal of the program is for not less than 85% of children to have an initial medical and mental health examination that is not later than 30 days after entry into foster care.

Sec. 512. (1) The department shall complete an examination of

the effectiveness of the performance-based contracting model detailed in section 504(1) of article 6 of 2023 PA 119 to determine whether the contract should be continued.

(2) The review detailed in subsection (1) may include contractor performance in meeting contract performance measures related to child permanency, safety, and well-being as well as the cost effectiveness and efficiency of the program.

(3) The department shall submit to the standard report recipients a report on the findings of the review detailed in subsection (1) not later than 30 days after the review has been completed.

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

(a) An appropriate placement is not available in this state, as determined by the department's interstate compact office.

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

(d) The out-of-state facility meets all of the applicable licensing standards of the state in which it is located.

(e) The department has visited the site of the out-of-state facility; has reviewed the facility records, licensing records, and reports; 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) Not later than March 1 of the current fiscal year, the department shall submit, to the state court administrative office and the standard report recipients, a report on the number of Michigan children residing in out-of-state facilities in the previous fiscal year, the total cost and average per diem cost of the out-of-state placements to this state, and a list of each out-of-state placement arranged by the Michigan county of residence for each child.

Sec. 514. (1) From the funds appropriated in part 1 for foster care payments, the department shall maintain a statewide respite care services network available to licensed foster parents and unlicensed relative caregivers that care for children in foster care.

(2) Not later than March 1 of the current fiscal year, the department shall submit, to the standard report recipients, a report on the total number of licensed foster parents and unlicensed relative caregivers that were provided respite services, the average amount of respite time per month, and the total amount of funding spent on respite services during the first 6 months of the current fiscal year.

Sec. 516. (1) From funds appropriated in part 1 for child care fund, the administrative or indirect cost payment equal to 10% of a county's total monthly gross expenditures must 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) From the funds appropriated in part 1 for child care fund � indirect cost allotment, the department shall allocate $3,500,000.00 to counties and tribal governments that receive reimbursements in part 1 from child care fund.

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

Sec. 517. For a child placed in a family foster care home located out of this state, the department may ask a state or private child placing agency contracted by the receiving state to carry out required visits and any additional visits that the department finds necessary.

Sec. 518. Not later than March 1 of the current fiscal year, the department shall submit, to the standard report recipients, a report on the cumulative child care fund expenditures of in-home juvenile justice care that are eligible for the 75% state and 25% local split required under section 117a(4)(i) of the social welfare act, 1939 PA 280, MCL 400.117a. Eligible expenditures include community-based juvenile supervision, services, and related practices, and per diem rates for the use of respite and shelter for less than 30 days. The report must also include the expenditures by county and type of service provided, the number of youth receiving care, and the number of days of care.

Sec. 520. Not later than February 15 of the current fiscal year, the department shall submit, to the standard report recipients, a report 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, and independent living. The report must also include the number of days of care for department-operated residential juvenile justice facilities by security classification.

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

(2) Not later than June 1 of the current fiscal year, the department shall submit, to the standard report recipients, a report that includes the number of youth who applied for scholarships under this section, the number of youth who received scholarships under this section and the amount of each scholarship, and the total amount of funds spent or encumbered in the current fiscal year.

Sec. 523. (1) Not later than February 15 of the current fiscal year, the department shall submit, to the standard report recipients, a report on the families first, family reunification, and families together building solutions family preservation programs. The report must include both of the following:

(a) Population and outcome data based on families served.

(b) For each program, information on any innovations that may increase child safety and reduce risk.

(2) Not later than October 1 of the current fiscal year, from the funds appropriated in part 1 for family preservation services, the department shall increase the rates established by the increase under section 523(3) of article 6 of 2020 PA 166.

Sec. 524. As a condition of receiving funds appropriated in part 1 for strong families/safe children, not later than October 1 of the current fiscal year, counties shall submit the service spending plan to the department for approval. Not later than 30 calendar days after receipt of a properly completed service spending plan, the department shall approve the 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 must be the same for privately operated child welfare and juvenile justice residential facilities and state-operated facilities.

Sec. 526. From the funds appropriated in part 1 for court-appointed special advocates, the department shall allocate $2,500,000.00 to fund a project with a nonprofit, community-based organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, located in a charter township with a population between 18,000 and 19,000 that is located in a county with a population between 600,000 and 700,000, according to the most recent federal decennial census. The nonprofit

organization recipient must have an existing network of affiliate programs operating in not less than 25 counties in this state. The recipient nonprofit organization shall use the funds to recruit, screen, train, and supervise volunteers who provide advocacy services on behalf of abused and neglected children.

Sec. 528. From the funds appropriated in part 1 for child care fund, the department shall allocate $3,730,300.00 to support the annual basic grant to counties with a population of less than 75,000, according to the most recent federal decennial census, and as described in section 117e of the social welfare act, 1939 PA 280, MCL 400.117e, and to eligible tribal entities. The basic grant must be $56,520.00 to eligible counties and tribal entities.

Sec. 529. From the funds appropriated in part 1 for family preservation programs, the department shall increase the total combined funding levels of the families first, family reunification, and families together building solutions family preservation programs at an amount not less than the amount provided as of September 30, 2021.

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

(2) Not later than February 1 of the current fiscal year, the department shall submit, to the standard report recipients, 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. 533. Not later than 30 days after receiving all necessary documentation from a child placing facility, the department shall make payments to the child placing facility for in-home and out-of-home care services and adoption services. It is the intent of the legislature that the department has the burden of ensuring that the payments are made in a timely manner and are not in arrears.

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

Sec. 537. Not later than March 1 of the current fiscal year, the department shall submit, to the standard report recipients, a report 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 relative care placements into unlicensed relative homes.

(d) The total number of unlicensed relative providers with a relative placement that were denied a foster home license due to not meeting the standards established for foster care licensing in

this state.

(e) From a sample of cases, a list of the reasons documented by the department for denial of relative foster home licensure.

(f) For licensed relative caregivers without placements, the status of title IV-E claims for foster care maintenance payments and foster care administrative payments.

Sec. 540. If a physician or psychiatrist who is providing services to a state or court ward placed in a residential facility submits a formal request to the department to change the psychotropic medication for a ward, the department shall, if the ward is a state ward, make a determination on the proposed change not later than 7 business days after the request or, if the ward is a temporary court ward, seek parental consent not later than 7 business days after the request. If the determination or parental consent is not provided by the seventh business day, the department shall petition the court for the determination or consent 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 an administrative rate of not less than $60.20 to providers of general foster care, independent living, and trial reunification services.

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

living foster care.

(3) If required by the federal government to meet title IV-E requirements, on a quarterly basis, providers of foster care services shall submit a report on expenditures to the department to identify actual costs of providing foster care services.

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

(2) The department shall submit, to the standard report recipients, a report that includes quarterly data on the number of children enrolled in the guardianship assistance and foster care � children with serious emotional disturbance waiver programs.

Sec. 550. (1) The department shall not offset against reimbursements 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, and reimbursements must 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) Not later than 12 months after a date of service, a service provider shall submit a request for payment. A request for payment submitted later than 12 months after the date of service requires the provider to submit an exception request to the county or the department for approval or denial.

(3) A county is not subject to any offset, chargeback, or reimbursement liability for a prior expenditure resulting from an error in a foster care fund source determination.

Sec. 551. Not later than 30 days after a county requests a clarification through the department's child care fund management unit email address, the department shall respond to the request.

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

Sec. 554. From the funds appropriated in part 1 for foster care payments, the department shall allocate $50,000.00 to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501; currently has locations in 3 cities; operates on a 100% volunteer basis with a board of directors consisting of not more than 15 members; is a dedicated community of individuals that give their time, talent, and resources to provide the best quality shopping environment that they can to local children in need; and provides clothing, shoes, toys, linens, nursery furniture, strollers, car seats, school supplies, hygiene products, and safety equipment to local foster children and their families free of charge.

Sec. 557. If a vehicle that is owned by the state is available and not scheduled for use by other state workers, the department may consider a children's protective services caseworker or a foster care caseworker driving the vehicle to a foster home visit

or driving the vehicle to the caseworker's own home as an allowable use of the vehicle if the driving would be helpful to the caseworker in conducting the caseworker's work.

Sec. 559. (1) From the funds appropriated in part 1 for adoption support services, not later than December 1 of the current fiscal year, the department shall allocate $750,000.00 to the Adoptive Family Support Network 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) Not later than March 1 of the current fiscal year, the Adoptive Family Support Network shall submit, to the standard report recipients, 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. 560. From funds appropriated in part 1 for foster care payments, the department shall allocate $100,000.00 to reimburse children in foster care for the costs of extracurricular activities, which include, but are not limited to, athletics, music, band, drama, and other enrichment activities.

Sec. 561. From the funds appropriated in part 1 for foster care payments, the department shall allocate $1,000,000.00 to a nonprofit, community-based organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, with the mission to ensure that individuals with developmental disabilities are valued so they and their families can fully participate in and contribute to their community, to provide

support for special education system navigation, and to improve educational outcomes for the following youth who have a diagnosed disability or suspected disability:

(a) Youth in foster care.

(b) Youth pursuing young adult voluntary foster care.

(d) Youth who are part of a children's protective services' case of abuse and neglect.

(e) Youth in kinship care.

Sec. 562. If a foster parent transports a foster child to parent-child visitation, the department shall reimburse the foster parent for the foster parent's time and travel. 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 reimbursement for all parent-child visitations. Not later than 60 days after receiving a request from a foster parent for eligible reimbursement, the department shall provide the reimbursement.

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

(2) In accordance with 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 caseworker control.

(3) Not later than March 1 of the current fiscal year, the department shall submit, to the standard report recipients, a report on the following:

(a) The success rates for parent-child visitations and court-ordered required meetings under subsections (1) and (2) for the previous fiscal year.

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

Sec. 568. (1) The department shall ensure each youth transitioning out of foster care is given assistance with obtaining a driver license or state identification card and is issued a copy of the youth's Social Security number, as required by department policy. Assistance must be provided to each youth who is eligible to obtain a driver license or state identification card and, based on the youth's citizenship and legal residency status, a Social Security card.

(2) Not later than April 1 of the current fiscal year, the department shall submit, to the standard report recipients, a report on the number of youth who received assistance with obtaining a driver license or state identification card, the number of youth who received assistance with obtaining a Social Security card, and the number of youth who were eligible for assistance but did not receive the assistance and an explanation as to why the youth did not receive the assistance.

Sec. 569. The department shall reimburse each private child placing agency that completes an adoption at the rate on the date when the petition for adoption and the required support documentation were accepted by the court and not the rate on the date when the court's order placing for adoption was entered.

Sec. 574. (1) From the funds appropriated in part 1 for foster care payments, $1,375,000.00 is allocated to support family incentive grants to private and community-based foster care service

providers for assistance with home improvements and items needed to ensure compliance with licensing rule requirements, including payment for physical exams needed by foster families, and, to accommodate children in foster care, alleviating potential safety concerns for unlicensed relatives caring for a family member through the child welfare system.

(2) Not later than March 1 of the current fiscal year, the department shall submit, to the standard report recipients, a report on the total amount expended in the previous year for grants to private and community-based foster care service providers for home improvements or physical exams described in subsection (1) and the number of grants issued.

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

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

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

(c) Consulting and collaborating with the provider of the kinship caregiver navigator program on the design and administration of the program.

(d) Establishing, maintaining, and updating a list of local support groups and programs that provide services to kinship

families and, in order to obtain a better understanding of the issues facing kinship families, devising a plan of action for engaging with the groups and programs on the list.

(e) Developing methods to promote and improve collaboration between state, county, and local governments and agencies and private stakeholders for all of the following reasons:

(i) To obtain a broad understanding of the characteristics and prevalence of kinship caregiving.

(ii) To improve service delivery.

(iii) To include the methods in the council's recommendations.

Sec. 578. (1) From the funds appropriated in part 1 for foster care payments, the department shall allocate up to $1,744,100.00 in Title IV-E passthrough funds for educational pilot programs to strengthen this state's child welfare workforce. The department shall enter into contractual arrangements with state universities to provide bachelor of social work and master of social work educational training, including field placements and stipends for tuition and educational expenses. In exchange, students completing eligible educational programs are contractually obligated to work for Michigan child welfare agencies for a minimum of 1 year. The matching funds for the Title IV-E funds must be provided by the participating state universities from the expenses incurred for training child welfare students who participate in the program.

(2) Not later than March 1 of the current fiscal year, the department shall submit, to the standard report recipients, a report on the status of pilot programs under subsection (1) that includes, but is not limited to, the total number of applicants, the total number of program participants, a list of state universities that participated in the pilot programs, and the total

amount of matching funds that each state university contributed to the programs.

Sec. 581. From the funds appropriated in part 1 for foster care payments, the department shall allocate $50,000.00 for caseworkers to provide immediate assistance with urgent needs, including, but not limited to, food, clothing, and other basic necessities, for children, including children who are victims of human trafficking, on the children's removal from the children's homes or other dangerous environments. The department shall track the distribution of the funds and, not later than June 1 of the current fiscal year, submit, to the standard report recipients, a report on the amount of funds distributed and the number of children impacted.

Sec. 583. Not later than March 1 of the current fiscal year, the department shall submit, to the standard report recipients and the senate and house of representatives standing committees that cover subject matters dealing with families and human services, a report that includes both of the following:

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

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

(c) The number and percentage of licensed foster homes that terminated or did not renew their license because they adopted their foster child.

Sec. 585. Each month, the department shall make available at

least 1 pre-service training class in which new caseworkers for private foster care and adoption agencies can enroll.

Sec. 588. (1) Concurrently with public release, the department shall transmit, without revision, all reports from the court-appointed settlement monitor, including, but not limited to, the needs assessment and period outcome reporting, to the standard report recipients.

(2) Not later than October 1 of the current fiscal year, the department shall submit, to the standard report recipients, a detailed plan that addresses the status and progress toward exiting the settlement by September 30 of the current fiscal year. The report must include an update on the department's child welfare initiative.

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

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

Sec. 592. On a quarterly basis, the department shall submit, to the chairs of the senate and house of representatives standing oversight committees and the standard report recipients, a report that includes data from children's protective services staff for each of the following for the most recent quarter before the applicable report is submitted:

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

(b) The percent of central registry reviews performed for

required individuals.

(d) In appropriate cases, the percent of sibling placement evaluations completed when 1 or more children remain in the home after a child has been removed.

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

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

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

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

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

Sec. 598. Partial child care fund reimbursements to counties for undisputed charges must not be made later than 45 business days after receipt of the required forms and documentation. Not later than 15 business days after receiving a request from a county for reimbursement of a disputed charge, the department shall commence activity to investigate and resolve the disputed reimbursement charge. The activity to investigate and resolve a disputed reimbursement charge may include, but is not limited to, the use of a formal appeals process under applicable law and the department chargeback policy. Not later than 45 business days after a properly corrected submission by the county, the department shall reimburse the county for the corrected charge or charges.

PUBLIC ASSISTANCE

Sec. 601. After a client agrees to the release of the client's name and address to the local housing authority, the department shall request from the local housing authority information regarding whether the housing unit for which vendoring has been requested meets applicable local housing codes. Vendoring must be terminated if the local housing authority indicates in writing that the unit does not meet local housing codes and until the local housing authority indicates in writing that the 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 in a 1-year period.

Sec. 603. For any change in the income of a recipient of the food assistance program, the family independence program, or state disability assistance that results in a benefit decrease, the

department shall notify the recipient of the amount of the decrease not later than 15 work days before the first day of the month in which the decrease takes effect.

Sec. 604. (1) From the funds appropriated in part 1 for state disability assistance payments, the department shall operate a state disability assistance program. Except as provided in subsection (3), to be eligible for the program, an individual must be a needy citizen of the United States or alien exempted from the SSI citizenship requirement who is not less than 18 years of age, or an emancipated minor, and meets 1 or more of the following requirements:

(a) Is a recipient of SSI, Social Security, or medical assistance due to disability or being 65 years of age or older.

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

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

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

(e) Is an individual diagnosed as having AIDS.

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

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

(2) An applicant for or recipient of state disability assistance is considered needy if the applicant or recipient does

both of the following:

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

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

(3) Except for an individual described in subsection (1)(c) or (d), an individual is not disabled under this section if the individual's drug addiction or alcoholism is a contributing factor material to the determination of disability.

(4) As used in this section:

(a) "Material to the determination of disability" means that, if the individual stopped using drugs or alcohol, the individual's remaining physical or mental limitations would not be disabling. If the individual's remaining physical or mental limitations would be disabling, then the drug addiction or alcoholism is not material to the determination of disability and the individual may receive state disability assistance, but the individual must actively participate in a substance abuse treatment program, and the assistance must be paid to a third party or through vendor payments.

(b) "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 must be the same as the prevailing SSI 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 SSI to sign a contract to repay any assistance rendered through the family independence program or state disability assistance program on receipt of retroactive SSI 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 is not limited to recoveries and accruals pertaining to state disability assistance, or family independence assistance program provided only in the current fiscal year and 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 SSI 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. An adult foster care facility that provides domiciliary care or personal care to a resident receiving SSI or a home for the aged serving a resident receiving SSI shall not require a resident described in this section to reimburse the home for the aged or adult foster care facility for care at a rate in excess of a rate that is authorized by the legislature. To the extent permitted by federal law, an adult foster care facility and home for the aged that serves a resident receiving SSI is not prohibited from accepting a third-party payment in addition to SSI if the payment is not for food, clothing, or shelter, or would result in a reduction in the resident's SSI payment.

Sec. 609. The department shall not reduce the state supplementation level under the SSI program for the personal

care/adult foster care and home for the aged categories during the current fiscal year. Not later than 30 days before a proposed reduction in the state supplementation level, the department shall notify the legislature of the proposed reduction.

Sec. 610. (1) In developing good-cause criteria for the state emergency relief program, the department shall grant an exemption from the good-cause criteria if an emergency results from an unexpected expense related to maintaining or securing employment.

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

(3) The department shall not make a state emergency relief payment to an individual who has been found guilty of fraud in obtaining public assistance.

(4) The department shall not make a state emergency relief payment to an individual who is an out-of-state or nonlegal resident.

(5) The department shall distribute a state emergency relief payment for rent assistance directly to a landlord and shall not add the payment to a Michigan bridge card.

Sec. 611. The state supplementation level under the SSI program for the living independently category or living in the household of another category must not exceed the minimum state supplementation level as required under federal law.

Sec. 613. (1) The department shall provide a reimbursement for the final disposition of an indigent individual. A reimbursement under this section must comply with all of the following:

(a) The maximum allowable reimbursement for the final

disposition is $941.00.

(b) The adult burial with services allowance is $857.00.

(d) The infant burial allowance is $235.00.

(2) The department shall reimburse up to $84.00 for a cremation permit fee and for mileage at the standard rate for an eligible cremation. A reimbursement under this subsection must take into consideration whether an indigent individual's religious preference prohibits cremation.

(3) By January 31 of the current fiscal year, the department shall submit a report to the standard report recipients on burial service payments issued from the state emergency relief program during the previous fiscal year. The report must include the number of applicants denied and the number of payments by the following burial service categories:

(a) Fetus or infant less than 1 month of age.

(b) Burial with memorial service.

(d) Cremation with memorial service.

(e) Cremation without memorial service.

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

(g) Cremation permit fee for an unclaimed body.

(h) Disposition of an unclaimed body.

(i) Payment if an irrevocable funeral agreement exists.

(j) An unclaimed body received by a university.

Sec. 614. By January 15 of the current fiscal year, the department shall submit a report to the standard report recipients on the number and percentage of state disability assistance

recipients who were determined to be eligible for federal SSI benefits in the previous fiscal year.

Sec. 615. Except as required by federal law, the department shall not use funds appropriated in part 1 to provide public assistance to an individual who is not a United States citizen, permanent resident alien, or refugee. This section does not prohibit the department from entering into a contract with a food bank, emergency shelter provider, or another human service agency that may, as a normal part of doing business, provide food or emergency shelter.

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

Sec. 619. The department shall not deny a title IV-A assistance and food assistance benefit under 21 USC 862a to an individual who has been convicted of a felony for the possession, use, or distribution of a controlled substance, if both of the following are met:

(a) The act that resulted in the conviction occurred after August 22, 1996.

(b) The individual is not in violation of the individual's probation or parole requirements.

Sec. 620. (1) The department shall determine a Medicaid applicant's Medicaid eligibility not later than 90 days after the Medicaid applicant completes a Medicaid application if the Medicaid applicant's disability is an eligibility factor. For other Medicaid applicants, including an applicant who is a patient of a nursing home, the department shall determine the applicant's Medicaid

eligibility within 45 days after receiving the Medicaid applicant's application.

(2) On a quarterly basis, the department shall submit a report to the standard report recipients on the number of recipients who were ineligible for Medicaid after Medicaid eligibility redeterminations resumed after federal continuous enrollment requirements ended. The report must include, in a monthly data format, the number of recipients who had their eligibility examined directly, through an ex parte eligibility process or through a passive eligibility process. The report must also include a copy of each baseline and monthly report that the department provides to CMS for unwinding data reporting and the number of recipients who did not respond to the department through eligibility outreach or data requests.

Sec. 645. The department shall consider an individual or family to be homeless for purposes of eligibility for state emergency relief, if the individual or family is living temporarily with another in order to escape domestic violence. The department shall define and verify domestic violence in the same manner as the department defines and verifies that term in the department's policies on good cause for not cooperating with child support and paternity requirements.

Sec. 653. From the funds appropriated in part 1 for food assistance program benefits, an individual who is the victim of domestic violence or human trafficking and who 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. The department may extend the exemption for an additional 3 months if an individual described in this section demonstrates to the department

a continuing need.

Sec. 654. The department shall notify a recipient of food assistance program benefits that the recipient's benefits can be spent with the recipient's Michigan bridge card at many farmers markets in this state. The department shall also provide a recipient with information about the double up food bucks program that is administered by the Fair Food Network. The information about the double up food bucks program must include, but is not limited to, information that if the recipient spends $20.00 at a participating farmers market through the program, the recipient may receive an additional $20.00 to buy Michigan produce.

Sec. 655. Not later than 14 days after the spending plan for low-income home energy assistance program is approved by the state budget office, the department shall provide the spending plan, including itemized projected expenditures and itemized expenditures for the previous fiscal year, to the standard report recipients.

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

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

Sec. 672. (1) By February 15 of the current fiscal year, the department's office of inspector general shall submit a report to the standard report recipients on the department's efforts to

reduce the inappropriate use of Michigan bridge cards and food assistance program trafficking. The department shall provide information on the number of recipients of services who used their Michigan bridge card inappropriately and the current status of each case, the number of recipients whose benefits were permanently and temporarily revoked as a result of inappropriately using their Michigan bridge cards, and the number of retailers that were fined or removed from the electronic benefit transfer program for permitting the inappropriate use of Michigan bridge cards. The report must also include the number of Michigan bridge card trafficking instances and overall welfare fraud referrals, that includes, but is not limited to, information on the number of investigations completed, fraud and intentional program violation dollar amounts identified, the number of referrals to prosecutors, the number of administrative hearing referrals and waivers, and the number of program disqualifications imposed. The report must distinguish between savings and cost avoidance. As used in this subsection:

(a) "Savings" includes receivables established from instances of fraud committed.

(b) "Cost avoidance" includes expenditures avoided due to front-end eligibility investigations and other preemptive actions undertaken in the prevention of fraud.

(2) If a fourth Michigan bridge card has been issued to a household in a 12-month period, the department shall notify the household that the household has reached the number of issued cards threshold. At a household's fifth and each subsequent card replacement request, a card will not be issued until a recipient from the household has spoken directly to the local office district

manager or county director. The district manager or county director may issue a new Michigan bridge card based on the district manager's or county director's assessment of the recipient's situation and the recipient's explanation.

(3) As used in this section:

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

(b) "Inappropriate use" means not used to meet a family's ongoing basic needs, including, but not limited to, 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 must not be less than 50%. The goal for long-term employment must be 15% of cases for 6 months or more.

(2) The department shall submit an annual report, providing quarterly data, to the standard report recipients on the number of cases referred to 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 a report to the standard report recipients. The report must include quarterly data on 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. 678. From the funds appropriated in part 1 for family independence program � small child supplement payment, the department shall establish a supplement payment for households with small children. The small child supplement payment program will increase monthly family independence program payments by $150.00 for each child under the age of 6 in an enrolled household.

Sec. 686. (1) The department shall confirm that an individual who presents a personal identification issued by another state and is seeking assistance through the family independence program, food assistance program, state disability assistance program or medical assistance program is not receiving benefits from another state.

(2) The department shall confirm the address provided by an individual who is seeking family independence program benefits or state disability assistance benefits.

(3) The department shall prohibit an individual who has property assets assessed at a value higher than $200,000.00 from receiving assistance through a department-administered program, unless prohibiting assistance would violate a federal law or guideline.

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

Sec. 687. (1) On a quarterly basis, the department shall compile and make available a report on its website that contains all of the following information about the family independence program, state disability assistance, the food assistance program, indigent burial, Medicaid, and state emergency relief:

(a) The number of applications received.

(b) The number of applications approved.

(d) The number of applications pending and neither approved nor denied.

(e) The number of cases opened.

(f) The number of cases closed.

(g) The number of cases at the beginning of the quarter and the number of cases at the end of the quarter.

(2) The department shall compile and make the information provided under subsection (1) available for this state as a whole and for each county and shall report the information separately for each program listed in subsection (1).

(3) On a quarterly basis, the department shall compile and make available a report on its website of the following family independence program information:

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

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

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

(e) The number of children 0 to 5 years of age who are living in a family independence program-sanctioned household.

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

Sec. 689. (1) From the funds appropriated in part 1 for prenatal and infant support program, the department shall allocate $9,621,700.00 for programs that are intended to improve the economic stability of households with very young children.

(2) In allocating the funds referenced in subsection (1), the department shall give preference to programs that demonstrate the following:

(a) Effectiveness in improving the economic stability of households with pregnant women at a minimum of 20 weeks gestation, and with young children.

(b) Partnerships with local health care providers and nonprofit human service agencies that provide for improved maternal and infant health outcomes.

(c) Compliance with TANF requirements established by the Administration for Children and Families within the United States Department of Health and Human Services.

Sec. 699. (1) From the funds appropriated in part 1 for fair food network � double up food bucks, the department shall work with the fair food network and the department of agriculture and rural development to ensure that the funds allocated to the double up food bucks program are directly used to increase the number of participating vendors.

(2) The department shall work with the department of

agriculture and rural development to do all of the following:

(a) Notify recipients of food assistance program benefits that food assistance program benefits can be accessed with Michigan bridge cards at many farmers markets in this state.

(b) Notify recipients of food assistance program benefits about the double up food bucks program that is administered by the fair food network. Food assistance program recipients shall receive information about the double up food bucks program.

(3) The department shall work with the fair food network and the department of agriculture and rural development to expand access to the double up food bucks program in each of the state's counties with grocery stores or farmers markets that meet the program's eligibility requirements.

(4) Not later than September 30 of the current fiscal year, the department shall submit a report on activities and outcomes of the double up food bucks program to the standard report recipients. The report must contain all of the following:

(a) Counties in this state with participating double up food bucks vendors, the number of vendors by county, and the name and location of vendors, as of October 1 of the previous fiscal year.

(b) Counties in this state with new participating double up food bucks vendors, the number of new vendors by county, and the name and location of the new vendors. As used in this subdivision, "new vendors" means vendors that started participating in the program since October 1 of the current fiscal year.

CHILDREN'S SERVICES AGENCY - JUVENILE JUSTICE

Sec. 701. Unless required by a change to federal law or the law of this state or at the request of a provider, the department shall not alter the terms of a signed contract with a private residential facility that serves children who are under state or court supervision without receiving written consent from a representative of the private residential facility.

Sec. 706. A county is subject to a 50% chargeback for the use of an alternative regional detention service, if the detention service does not fall under the basic grant provision of section 117e of the social welfare act, 1939 PA 280, MCL 400.117e, or if a county operates the detention service program primarily with professional rather than volunteer staff.

Sec. 707. To be reimbursed for child care fund expenditures, a county shall submit to the department the report required under section 117a(11) of the social welfare act, 1939 PA 280, MCL 400.117a, to enable the department to document a potential federally claimable expenditure.

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, a county shall have an approved service spending plan for the current fiscal year. Not later than August 15 of the current fiscal year, a county shall submit the county's service spending plan for the following fiscal year to the department for approval. The department shall approve a county's service spending plan not later than 30 calendar days after the department receives a properly completed service spending plan from the county 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 revisions to a service spending plan to a

county whose service spending plan is not approved after initial submission. The department shall not request any additional revisions to a county's service spending plan outside of the requested revision notification submitted to the county by the department. The department shall notify a county that its service spending plan is approved not later than 30 days after the department considers the county's revisions to the county's service spending plan.

(2) A county shall submit an amendment to its county service spending plan for the current fiscal year to the department not later than August 30 of the current fiscal year. A county shall submit payable estimates for the current fiscal year to the department not later than September 15 of the current fiscal year.

(3) Not later than February 15 of the current fiscal year, the department shall submit a report to the standard report recipients 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 must include the number of county service spending plans that were not initially approved by the department and the number of service spending plans that were not approved by the department after being resubmitted by the county after revisions were requested by the department under subsection (1).

Sec. 709. The department's master contract for juvenile justice residential foster care services must prohibit a contractor from denying a referral for placing 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 a court or the department. The master contract must

also require that a youth placed in a juvenile justice residential foster care facility has regularly scheduled treatment sessions with a licensed psychologist or a psychiatrist, or both, and access to the licensed psychologist or a psychiatrist as needed.

LOCAL OFFICE OPERATIONS AND SUPPORT SERVICES

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

(2) Not later than April 1 of the current fiscal year, the department shall submit a report to the standard report recipients on the corrective action plan undertaken to lower food assistance program error rates. The report must include the error rates for each local office, by month, in the previous fiscal year, information on the percentage of errors attributable to the department and applicants, a narrative description of each type of error occurring for the department and applicants, and a complete description of how error rates have decreased from the 8 actions described in the April 1, 2023 report provided under section 801(2) of article 6 of 2022 PA 166.

Sec. 802. From the funds appropriated in part 1 for local office staff travel, the department shall allocate up to $100,000.00 annually toward reimbursing the out-of-pocket costs of county board members and county department directors to attend statewide meetings of the Michigan County Social Services Association.

Sec. 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 of general fund/general purpose revenue as state matching funds to receive not less than $175,000.00 in funding from the United States Department of Agriculture to provide outreach program activities as part of a statewide food assistance hotline. The outreach program activities may include eligibility screening and information services.

Sec. 808. Not later than March 1 of the current fiscal year, the department shall submit a report to the standard report recipients on the nutrition education program. The report must include all of the following information:

(a) All of the following for the supplemental nutrition assistance program education funding:

(i) The planned allocation and actual expenditures, by location of programs.

(ii) Planned and actual grant amounts, by location of programs.

(iii) The total amount of expected carryforward balance at the end of the current fiscal year.

(b) For each subgrantee program, a list of all supplemental nutrition assistance program education funding programs by implementing agency with the amount of funding allocated.

Sec. 809. From the funds appropriated in part 1 for pathways to potential program, the department shall submit a report by June 1 of the current fiscal year to the standard report recipients that lists each school that participates in the pathways to potential program, the number of program staff assigned to each school by

participant school, and the number of students that interacted with pathways to potential staff.

Sec. 825. From the funds appropriated in part 1, the department shall provide an individual with not more than $2,000.00 for vehicle repairs, including a repair done in the previous 12 months. The $2,000.00 limit described in this section includes the combined total of payments made by the department and the work participation program.

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

(2) Not later than March 1 of the current fiscal year, the Prosecuting Attorneys Association of Michigan shall submit a report to the department on the efficacy of the contract. The department shall submit the report to the standard report recipients not later than 30 days after the department receives the report from the Prosecuting Attorneys Association of Michigan.

Sec. 850. (1) The department shall maintain each out-stationed eligibility specialist in a community-based organization, community mental health agency, nursing home, adult placement and independent living setting, FQHC, and hospital, unless the community-based organization, community mental health agency, nursing home, adult placement and independent living setting, FQHC, or hospital requests to discontinue the positions at its facility.

(2) From the funds appropriated in part 1 for donated funds positions, the department shall enter into a contract with any agency that is able and eligible under federal law to provide the required matching funds for federal funding, as determined by federal law.

(3) A contract for a donated funds position for assistance payments must include, but not be limited to, performance metrics on both of the following topics:

(a) Meeting a standard of promptness for processing an application for Medicaid and other public assistance programs under the law of this state.

(b) Meeting required standards for error rates in determining programmatic eligibility, as determined by the department.

(4) The department shall fill an additional donated funds position only after a new contract has been signed with an agency. The position must be abolished when the contract expires or is terminated.

(5) The department shall classify as a limited-term FTE position a new employee who is hired to fill a donated funds position contract or is hired to fill a vacancy from an employee who transferred to a donated funds position.

(6) By March 1 of the current fiscal year, the department shall submit a report to the standard report recipients detailing information on the donated funds positions. The report must include, but is not limited to, the total number of occupied positions, the total private contribution of the positions, and the total cost to this state for a nonsalary expenditure for the donated funds position employees.

Sec. 851. (1) From the funds appropriated in part 1 for adult

services local office staff, the department shall seek to reduce the number of older adults who are victims of crime and fraud by increasing the standard of promptness in every county, as measured by commencing an investigation not later than 24 hours after a report is made to the department, establishing face-to-face contact with the client not later than 72 hours after a report is made to the department, and completing the investigation not later than 30 days after a report is made to the department.

(2) Not later than March 1 of the current fiscal year, the department shall submit a report to the standard report recipients on the services provided to older adults who were victims of crime or fraud in the previous fiscal year. The report must include, but is not limited to, all of the following information by county:

(a) The number of cases referred to law enforcement.

(b) The percentage of investigations commenced not later than 24 hours after a report is made to the department.

(c) The number of face-to-face contacts established with the older adults described in this section not later than 72 hours after a report is made to the department.

(d) The number of investigations completed not later than 30 days after a report is made to the department.

(e) The total number of older adults who were victims of crime or fraud in the previous fiscal year and were provided services by the department as a result of being victims of crime or fraud.

(f) The final disposition of older adults provided services for being a victim of crime or fraud.

DISABILITY DETERMINATION SERVICES

Sec. 890. From the funds appropriated in part 1 for disability

determination services, the department shall maintain the unit rates in effect on September 30, 2019 for medical consultants performing disability determination services, including physicians, psychologists, and speech-language pathologists.

BEHAVIORAL HEALTH SERVICES ADMINISTRATION AND SPECIAL PROJECTS

Sec. 901. The department shall use the funds appropriated in part 1 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 law and the law of this state.

Sec. 902. (1) From the funds appropriated in part 1, the department shall make a final authorization to a CMHSP or PIHP on the execution of a contract between the department and the CMHSP or PIHP. The contract must contain an approved plan and budget and any policy and procedure governing the obligations and responsibilities of each party to the contract. Each contract with a CMHSP or PIHP that the department is authorized to enter into under this subsection must 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 submit a report to the standard report recipients if either of the following occurs:

(a) The department enters into a new contract with a CMHSP or

PIHP that would affect a rate or expenditure.

(b) The department amends a contract that the department has entered into with a CMHSP or PIHP that would affect a rate or expenditure.

(3) The report required by subsection (2) must include information about any changes to the contract and the change's effects on rates and expenditures.

Sec. 904. (1) Not later than May 31 of the current fiscal year, the department shall provide a report on the CMHSPs, PIHPs, and designated regional entities for substance use disorder prevention and treatment to the standard report recipients that includes the information required by this section.

(2) The report required under subsection (1) must contain, unless otherwise noted, information for each CMHSP, PIHP, and designated regional entity for substance use disorder prevention and treatment, and a statewide summary, as follows:

(a) A statewide summary of the demographic description of service recipients that, minimally, includes reimbursement eligibility, client population, age, ethnicity, housing arrangements, and diagnosis.

(b) Per capita expenditures in total and by client population group.

(c) A statewide summary of Medicaid-funded cost information for the 3 diagnosis groups of adults with a mental illness, children with a serious emotional disturbance, and individuals with an intellectual or developmental disability. The statewide summary must, minimally, include expenditures by service category for each of the 3 diagnosis groups described in this subdivision and cases, units, and cost of each specific service code index or health care

common procedure coding system code for each of the 3 diagnosis groups.

(d) Financial information on non-Medicaid mental health services by general fund cost reporting category.

(e) Information about access to each CMHSP, PIHP, and designated regional entity for substance use disorder prevention and treatment, that includes, but is not limited to, all of the following:

(i) The number of individuals receiving requested services.

(ii) The number of individuals who requested services but did not receive services.

(f) The number of second opinions requested under the mental health code, 1974 PA 258, MCL 330.1001 to 330.2106, and the determination of any appeals.

(g) Lapses and carryforwards during the previous fiscal year for each CMHSP, PIHP, and designated regional entity for substance use disorder prevention and treatment.

(h) Performance indicator information required to be submitted to the department in the contracts with each CMHSP, PIHP, and designated regional entity for substance use disorder prevention and treatment.

(i) Administrative expenditures of each CMHSP, PIHP, and designated regional entity for substance use disorder prevention and treatment that include a breakout of the salary, benefits, and pension of each executive-level staff, which includes, but is not limited to, the director, chief executive, and chief operating officer.

(3) The report required under subsection (1) must contain the following information from the previous fiscal year on substance

use disorder prevention, education, and treatment programs:

(a) The expenditures stratified by department-designated community mental health entity, by fund source, by subcontractor, by population served, and by service type.

(b) The expenditures per state client, with data on the distribution of expenditures reported using a histogram approach.

(c) The number of services provided by subcontractor and by service type. Additionally, data on length of stay, referral source, and participation in other state programs.

(d) The collections from other first- or third-party payers, private donations, or other state or local programs, by department-designated community mental health entity, by subcontractor, by population served, and by service type.

(4) The department shall include the data reporting requirements described in subsections (2) and (3) in the department's annual contract with each CMHSP, PIHP, and designated regional entity for substance use disorder prevention and treatment.

(5) The department shall take all reasonable actions to ensure that the data required are complete and consistent among all CMHSPs, PIHPs, and designated regional entities for substance use disorder prevention and treatment.

Sec. 907. (1) The department shall expend the amount appropriated in part 1 for community substance use disorder prevention, education, and treatment to coordinate care and services provided to individuals with severe and persistent mental illness and substance use disorder diagnoses.

(2) Each managing entity shall continue current efforts to collaborate on the delivery of services to clients with mental

illness and substance use disorder diagnoses, with the goal of providing services in an administratively efficient manner.

Sec. 909. From the funds appropriated in part 1 for health homes, 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 a contract with a CMHSP or PIHP requires the CMHSP or PIHP to implement programs to encourage the diversion of individuals with a 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, at an amount not less than the amount provided during the fiscal year ending September 30, 2020, 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 established by the department. The standard of care must include, but is not limited to, using a medication assisted treatment option.

Sec. 913. (1) From the funds appropriated in part 1 for behavioral health program administration, the department shall allocate $2,025,000.00 for the autism navigator program. The department shall require a contractor receiving funds under this section to comply with performance-related metrics established by the department to maintain eligibility for funding. The performance-related metrics must include, but not be limited to, all of the following:

(a) Each contractor shall have an accreditation that attests to the contractor's competency and effectiveness in providing services.

(b) Each contractor shall demonstrate cost-effectiveness.

(c) Each contractor shall ensure the contractor's ability to leverage private dollars to strengthen and maximize service provision.

(d) Each contractor shall provide quarterly reports to the department on the number of clients served by PIHP region, units of service provision by PIHP region, and ability to meet their stated goals.

(2) The department shall require a report from a contractor receiving funds under this section. A contractor shall submit the

report to the department not later than 60 days after the end of the contract period. The report must include specific information on services and programs provided by the contractor, the client base to which the services and programs were provided by the contractor, and the contractor's expenditures for the services. The department shall submit the reports to the standard report recipients.

Sec. 914. Not later than June 1 of the current fiscal year, the department shall submit a report to the standard report recipients on outcomes of the funds provided in part 1 to the Michigan Clinical Consultation and Care program (MC3). The outcomes reported must include, but are not limited to, the number of same-day telephone consultations with primary care providers and the number of local resource recommendations made to primary care providers who are providing medical care to patients who need behavioral health services.

Sec. 915. From the funds appropriated in part 1 for community substance use disorder prevention, education, and treatment and opioid response activities, the department shall, to the extent possible, provide grants, pursuant to federal law, to local public entities that provide substance use disorder services and to 1 private entity that has a statewide contract to provide community-based substance use disorder services.

Sec. 916. From the funds appropriated in part 1 for behavioral health program administration, the department shall allocate $100,000.00 as a grant to a nonprofit mental health clinic located in a county with a population between 290,000 and 300,000 according to the most recent federal decennial census that provides counseling services, accepts clients regardless of their ability to

pay for services through sliding scale copayments and volunteer services, and uses fundraising to support their clinic.

Sec. 917. (1) From the funds appropriated in part 1 for opioid response activities, the department shall allocate $76,605,600.00 from the Michigan opioid healing and recovery fund created under section 3 of the Michigan trust fund act, 2000 PA 489, MCL 12.253, to create or supplement opioid-related programs and services in a manner consistent with the opioid judgment, settlement, or compromise of claims pertaining to violations, or alleged violations, of law related to the manufacture, marketing, distribution, dispensing, or sale of opioids.

(2) From the funds appropriated in this section, the department shall allocate as grants from the Michigan opioid healing and recovery fund all of the following:

(a) $30,000,000.00 to department-designated community mental health entities for regional specific programming and supports with a goal to also collaborate with municipal opioid settlement funds.

(b) $8,333,300.00 for non-Medicaid hospital peer recovery coach services.

(c) $5,000,000.00 for tribal communities, with the distribution method and types of uses of these funds determined in collaboration with the United Tribes of Michigan and each individual sovereign nation.

(d) $250,000.00 to an association of recovery community organizations for peer recovery coach training.

(e) $3,620,000.00, allocated on a 1-time basis, to a nonprofit organization that is organized under the laws of this state, that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and is located in a city

with a population greater than 10,000 that is located in a county with a population between 36,500 and 36,850, according to the most recent federal decennial census, to expand a women's recovery center that provides residential substance use disorder services, behavioral and physical health care, social services, and housing assistance.

(f) $3,200,000.00, allocated on a 1-time basis, to supplement grants to recovery community organizations under section 978.

(g) $3,000,000.00, allocated on a 1-time basis, to a nonprofit organization that is 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 that currently has 50 permanent supportive recovery apartments located in a city with a population between 31,000 and 32,000, according to the most recent federal decennial census, to expand long-term housing for recovering patients and their families into additional communities.

(3) On a semiannual basis, the department shall submit to the standard report recipients a report on all of the following:

(a) Total revenues deposited into and expenditures and encumbrances from the Michigan opioid healing and recovery fund since the creation of the fund.

(b) Revenues deposited into and expenditures and encumbrances from the Michigan opioid healing and recovery fund during the previous 6 months.

(c) Estimated revenues to be deposited into and the spending plan for the Michigan opioid healing and recovery fund for the next 12 months.

Sec. 918. On a quarterly basis, providing monthly data, the department shall submit a report to the standard report recipients

on the amount of funding paid to PIHPs to support the Medicaid managed mental health care program. The report must include information on the total paid to each PIHP, per capita rate paid for each eligibility group for each PIHP, the number of cases in each eligibility group for each PIHP, and a year-to-date summary of eligibles and expenditures for the Medicaid managed mental health care program.

Sec. 920. As part of the Medicaid rate-setting process for behavioral health services, the department shall work with PIHP network providers and actuaries to include, as part of the Medicaid rate, 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 supports and services that the department determines are similar.

Sec. 922. From the funds appropriated in part 1 for behavioral health program administration, the department shall allocate $1,600,000.00 to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and is located in a city with a population between 66,000 and 67,000 according to the most recent federal decennial census as follows:

(a) $1,000,000.00 for an initiative focused on training and educating primary care physicians to screen and treat mild to moderate behavioral health issues, increasing use of telehealth, supporting the use of health information exchange for closed-loop referrals to connect primary care physicians to licensed behavioral health providers, and peer recovery support services.

(b) $600,000.00 to administer an online and interactive

version of the protected health information consent tool and make any revisions to the tool to reflect any recent legislative changes. The contracting entity that receives funds appropriated in this section shall also develop accompanying trainings and resources for users. Additionally, the contracting entity that receives funds appropriated in this section shall work closely with the Michigan health information network and the department to develop the technical specifications for integrating the protected health information consent tool with other relevant systems and applications, including, but not limited to, CareConnect 360.

Sec. 924. From the funds appropriated in part 1, for the purposes of actuarially sound rate certification and approval for Medicaid behavioral health managed care programs, the department shall maintain a fee schedule for autism services reimbursement rates for direct services. Expenditures used for rate setting shall not exceed the rates identified in the fee schedule. The fee schedule must include a rate for behavioral technicians that is not less than $62.00 per hour.

Sec. 926. (1) From the funds appropriated in part 1 for community substance use disorder prevention, education, and treatment, $1,500,000.00 is allocated for a specialized substance use disorder detoxification project administered by a 9-1-1 service district in conjunction with a substance use and case management provider. The project must be located at a hospital within a 9-1-1 service district with at least 600,000 residents and 15 member communities and that is located within a county with a population of at least 1,500,000 according to the most recent federal decennial census.

(2) The substance use and case management provider receiving

funds under this section shall collect and submit to the department data on the outcomes of the project throughout the duration of the project and the department shall submit a report on the project's outcomes to the standard report recipients.

Sec. 928. (1) Each PIHP shall provide, from the PIHP's 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. The local funds must not include either of the following:

(a) State funds received by a CMHSP for services provided to non-Medicaid recipients.

(b) The state matching portion of the Medicaid capitation payments made to a PIHP.

(2) Not later than April 1 of the current fiscal year, the department shall report to the standard report recipients on the lapse by PIHP from the previous fiscal year and the projected lapse by PIHP in the current fiscal year.

Sec. 929. From the funds appropriated in part 1 for Michigan Clinical Consultation and Care, the department shall allocate at least $350,000.00 to address needs in a city in which a declaration of emergency was issued because of drinking water contamination.

Sec. 930. From the funds appropriated in part 1 for community substance use disorder prevention, education, and treatment, the department shall allocate $1,500,000.00 for comprehensive addiction medicine training programming, including anti-stigma education, fellowship graduate medical education positions, and addiction specialist physicians.

Sec. 935. A county required under 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 the county's 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) In accordance with section 236 of the mental health code, 1974 PA 258, MCL 330.1236, the department shall review expenditures for each CMHSP to identify any CMHSP with a projected allocation surplus and to identify any CMHSP with a projected allocation shortfall. The department shall encourage the board of a CMHSP with a projected allocation surplus to concur with the department's recommendation to reallocate the projected surplus to a CMHSP with a projected allocation shortfall.

(2) A CMHSP that has its projected surplus reallocated during the current fiscal year as described in subsection (1) is not eligible for an additional funding reallocation during the remainder of the current fiscal year, unless the CMHSP is responding to a public health emergency as determined by the department.

(3) A CMHSP shall report to the department on a proposed reallocation described in this section at least 30 days before the reallocation takes 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 a reallocation described in subsection (1). Not later than September 30 of the current fiscal year, the department shall submit a report on the amount of funding reallocated to the standard report recipients.

Sec. 942. A CMHSP shall provide at least 30 days' notice

before reducing, terminating, or suspending a service provided by the CMHSP to a CMHSP client, unless the service is authorized by a physician and the service no longer meets established criteria for medical necessity.

Sec. 960. (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, 2019.

(2) To restrain cost increases in the autism services line item, the department shall do all of the following:

(a) Not later than March 1 of the current fiscal year, develop and implement specific written guidance for standardization of Medicaid PIHPs and CMHSPs autism spectrum disorder administrative services, including, but not limited to, reporting requirements, coding, and reciprocity of credentialing and training between PIHPs and CMHSPs to reduce administrative duplication at the PIHP, CMHSP, and service provider levels.

(b) Require consultation with the client's evaluation diagnostician and PIHP to approve the client's ongoing therapy for 3 years, unless the client's evaluation diagnostician recommended an evaluation before the 3 years or if a clinician on the treatment team recommended an evaluation for the client before the third year.

(c) Limit the authority to perform a diagnostic evaluation for Medicaid autism services to qualified licensed practitioners as determined by the department and CMHSP.

(d) Allow and expand the utilization of telemedicine and telepsychiatry to increase access to diagnostic evaluation services.

(e) Coordinate with the department of insurance and financial services on oversight for compliance with the Paul Wellstone and Pete Domenici mental health parity and addiction equity act of 2008, Public Law 110-343, as it relates to autism spectrum disorder services, to ensure appropriate cost sharing between public and private payers.

(f) Require that Medicaid eligibility be confirmed through prior evaluations conducted by physicians, psychiatric nurse practitioners, physician's assistant with training, experience, or expertise in autism spectrum disorders or behavioral health, or fully credentialed psychologists to the extent possible.

(g) Maintain regular statewide provider trainings on autism spectrum disorder standard clinical best practice guidelines for treatment and diagnostic services.

(3) Not later than March 1 of the current fiscal year, the department shall submit a report to the standard report recipients on total autism services spending broken down by PIHP and CMHSP for the previous fiscal year and current fiscal year and total administrative costs broken down by PIHP, CMHSP, and the type of administrative cost for the previous fiscal year and current fiscal year.

Sec. 962. For 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 the children and adults described in this section.

Sec. 972. From the funds appropriated in part 1 for behavioral health program administration, the department shall allocate not less than $11,286,400.00 of general fund/general purpose revenue and any associated federal match or federal grant funding,

including, but not limited to, associated federal 988 grant funding for the mental health telephone access line known as the Michigan crisis and access line (MiCAL), to provide for both of the following in accordance with section 165 of the mental health code, 1974 PA 258, MCL 330.1165:

(a) Primary coverage in a region where a regional national suicide prevention lifeline center does not provide coverage.

(b) Statewide secondary coverage.

Sec. 974. The department and a PIHP shall allow an individual with an intellectual or developmental disability who receives supports and services from a CMHSP to instead receive supports and services from another provider if the individual is eligible and qualified to receive supports and services from another provider. Other providers may include, but are not limited to, MIChoice and PACE.

Sec. 978. From the funds appropriated in part 1 for community substance use disorder prevention, education, and treatment and recovery community organizations, the department shall allocate $3,000,000.00, with $1,800,000.00 allocated on a 1-time basis, as grants for recovery community organizations in accordance with section 273b of the mental health code, 1974 PA 258, MCL 330.1273b. A grant must be used to offer or expand recovery support center services or recovery community center services to individuals seeking long-term recovery from substance use disorders.

Sec. 995. (1) From the funds appropriated in part 1 for mental health diversion council, the department shall allocate $3,850,000.00 to continue to implement the jail diversion pilot programs that are intended to address the recommendations of the mental health diversion council.

(2) Not later than March 1 of the current fiscal year, the department shall submit a report to the standard report recipients on the planned allocation of the funds appropriated for the mental health diversion council.

(3) As used in this section, "mental health diversion council" means the council as that term is defined in section 207e of the mental health code, 1974 PA 258, MCL 330.1207e.

Sec. 996. From the funds appropriated in part 1 for family support subsidy, the department shall make monthly payments of $300.36 to a parent or legal guardian of a child approved for the family support subsidy by a CMHSP.

Sec. 997. The department shall use population data from the most recent federal data from the United States Census Bureau in determining the distribution of substance use disorder block grant funds.

Sec. 998. If the department decides to use census data to distribute state general funds to CMHSPs, the department shall use the most recent federal data from the United States Census Bureau.

BEHAVIORAL HEALTH SERVICES

Sec. 1001. Not later than 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 must also include the percentage of the operational budget that is related to program eligibility enrollment. Not later than February 15 of the current fiscal year, the department shall submit the reports described in this section to the standard report recipients.

Sec. 1002. (1) The department shall expand the certified

community behavioral health clinic demonstration to include organizations that meet both of the following criteria:

(a) Be either a current CMHSP or an eligible organization as defined in section 223(a)(2)(F) of the protecting access to Medicare act of 2014, Public Law 113-93, with a CCBHC grant from the federal substance abuse and mental health services administration for at least 1 year.

(b) Achieve CCBHC certification by meeting all state and federal requirements by September 1, 2024, unless otherwise specified in the CCBHC Demonstration Handbook.

(2) The funds appropriated in part 1 for the expansion of CCBHC must prioritize funding for organizations that would provide CCBHC services in a county that does not already have a CCBHC located in the county.

(3) Not later than March 1 of the current fiscal year, the department shall submit to the standard report recipients an outcomes report for CCBHCs during the previous fiscal year that includes both statewide and CCBHC site-specific information on all of the following:

(a) Total number of distinct individuals served by the CCBHCs.

(b) The percentage of individuals served by the CCBHCs that were Medicaid recipients.

(d) Total number of CCBHC daily visits.

(e) Total number of CCBHC services provided broken down by the 9 core CCBHC services.

(f) Total expenditures from base and supplemental payments.

(g) Staffing and vacancy levels of the CCBHCs.

Sec. 1003. The department shall notify the Community Mental Health Association of Michigan when developing a policy or procedure that will impact a PIHP or CMHSP.

Sec. 1004. The department shall submit a report to the standard report recipients on any rebased formula changes to either Medicaid behavioral health services or non-Medicaid mental health services 90 days before the department implements the formula change. The notification must 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. (1) From the funds appropriated in part 1 for health homes, the department shall maintain the number of behavioral health homes and maintain the number of substance use disorder health homes, in place by PIHP region as of September 30 of the previous fiscal year. The department may expand the number of behavioral health homes and the number of substance use disorder health homes in a PIHP region added after October 1 of the current fiscal year.

(2) On a semiannual basis, the department shall submit a report to the standard report recipients on the number of individuals being served and expenditures incurred by each PIHP region by site.

Sec. 1008. A PIHP and CMHSP shall do all of the following:

(a) Work to reduce administration costs by ensuring that PIHP and CMHSP responsible functions are efficient in allowing optimal transition of dollars to the 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 must not be applied to PIHP and CMHSP net assets, internal service fund increases, building costs, increases in the number of PIHP and CMHSP personnel, or other areas not directly related to the delivery of improved services.

(b) Take an active role in managing mental health care by ensuring consistent and high-quality service delivery throughout its network and promote a conflict-free care management environment.

(c) Ensure that direct service rate variances are related to the level of need or other quantifiable measures to ensure that the most money possible reaches direct services.

(d) Whenever possible, promote fair and adequate direct care reimbursement, including, but not limited to, fair wages for direct service workers.

Sec. 1010. (1) The department shall use the funds appropriated in part 1 for behavioral health community supports and services to reduce waiting lists at state-operated hospitals and centers through cost-effective community-based and residential services, including, but not limited to, assertive community treatment, forensic assertive community treatment, crisis stabilization units in accordance with chapter 9A of the mental health code, 1974 PA 258, MCL 330.1971 to 330.1979, and psychiatric residential treatment facilities in accordance with section 137a of the mental health code, 1974 PA 258, MCL 330.1137a.

(2) From the funds appropriated in part 1 for behavioral health community supports and services, the department shall allocate $30,450,000.00 to reimburse private providers for intensive psychiatric treatments and services that are provided

outside of state-operated hospitals and centers and for support efforts related to overseeing community-based programs placement.

(3) If a private provider has an existing wait list for intensive psychiatric treatments and services, a reimbursement to the private provider under this section must not be conditioned on the private provider giving wait-list priority to individuals placed with funds appropriated in this section.

(4) Not later than March 1 of the current fiscal year, the department shall submit a report to the standard report recipients on all of the following:

(a) The types of community supports and services purchased.

(b) The quantity, measured by days or other relevant unit of service, of each community support and service purchased.

(c) The quantifiable impact the purchase of community supports and services had on the state-operated hospital and center waiting lists during the previous fiscal year.

Sec. 1014. (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). This state is not liable for any spending above the contract amount. The department shall not release funds until reporting requirements under section 1014 of article 6 of 2023 PA 119 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 performance-related 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, must 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. Not later than February 1 of the current fiscal year, the department must submit the annual reports to the standard report recipients.

Sec. 1015. From the funds appropriated in part 1 for federal mental health block grant, the department shall, to the extent possible, provide grants pursuant to federal law to local public entities that provide mental health services and to 1 private entity that has a statewide contract to provide community-based

mental health services.

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 the project's efforts may be used for departmental costs and contractual fees associated with retroactive collections under the project and to improve ongoing departmental reimbursement management functions.

Sec. 1052. The department shall use gifts and bequests received for patient living and treatment environments for additional private funds to provide specific enhancements for individuals residing at state-operated facilities. The department shall use the gifts and bequests consistent with the stipulation of the donor. The department shall use gift and bequest donations within 3 years unless otherwise stipulated by the donor.

Sec. 1055. (1) The department shall not implement a closure or consolidation of a state hospital, center, or agency, until each CMHSP or PIHP affected by the closure or consolidation has programs and services in place for the individuals currently in the hospital, center, or agency that is to be closed or consolidated, and has a plan for providing services to the individuals who would have been admitted to the hospital, center, or agency.

(2) A closure or consolidation is dependent on adequate department-approved CMHSP and PIHP plans that include a discharge and aftercare plan for each individual currently in a facility described in subsection (1). A discharge and aftercare plan must address an individual's housing needs. A homeless shelter or

similar temporary shelter arrangement is inadequate to meet an individual's housing needs.

(3) Four months after a closure is certified under section 19(6) of the state employees' retirement act, 1943 PA 240, MCL 38.19, the department shall provide a closure plan to the standard report recipients.

(4) On the closure of a hospital, center, or agency and after transitional costs have been paid, the remaining balances of funds appropriated for the hospital, center, or agency must be transferred to CMHSPs or PIHPs responsible for providing services for individuals previously served by the hospital, center, or agency.

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 patient placement in state hospitals and centers. The department may 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 department shall use the revenue carried forward 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 and custodial services for the administrative areas at a state hospital identified by the department as capable of generating savings through the outsourcing of food and custodial services.

Sec. 1059. (1) The department shall identify specific outcomes

and performance measures for state-operated hospitals and centers, including, but not limited to, the following:

(a) The average wait time from the time of the receipt of a court order for the treatment of an individual who is determined incompetent to stand trial until the individual's admission to the center for forensic psychiatry or other state-operated psychiatric facility.

(b) The average number of individuals determined not guilty by reason of insanity by an order of the probate court who, on the first day of each month, are waiting to receive admission into the center for forensic psychiatry or other state-operated psychiatric facility. The average described in this subdivision must be calculated based on the most recent 12 months.

(c) The average number of adults who, on the first day of each month, are waiting to receive admission into another state-operated hospital or center through the civil admissions process. The average described in this subdivision must be calculated based on the most recent 12 months.

(d) The average number of children who, on the first day of each month, are waiting to receive admission into another state-operated hospital or center through the civil admissions process. The average described in this subdivision must be calculated based on the most recent 12 months.

(e) The average wait time for an adult who is awaiting admission into another state-operated hospital or center through the civil admissions process. The average described in this subdivision must be calculated based on the most recent 12 months.

(f) The average wait time for a child who is awaiting admission into another state-operated hospital or center through

the civil admissions process. The average described in this subdivision must be calculated based on the most recent 12 months.

(g) The number of individuals determined not guilty by reason of insanity or incompetent to stand trial by an order of a probate court that have been determined to be ready for discharge to the community, and the average wait time between being determined to be ready for discharge to the community and actual community placement.

(h) The number of adults admitted through the civil admission process that have been determined to be ready for discharge to the community, and the average wait time between being determined to be ready for discharge to the community and actual community placement.

(i) The number of children admitted through the civil admission process that have been determined to be ready for discharge to the community, and the average wait time between being determined to be ready for discharge to the community and actual community placement.

(j) The most recent 12-month total number of individuals determined not guilty by reason of insanity by an order of the probate court ordering the individual to be admitted into the center for forensic psychiatry or other state-operated psychiatric facility.

(k) The most recent 12-month total number of adults requested to be admitted to a state-operated hospital or center through the civil admissions process.

(l) The most recent 12-month total number of children requested to be admitted to a state-operated hospital or center through the civil admissions process.

(m) The number of individuals determined not guilty by reason of insanity by an order of the probate court that were removed from the admissions waiting list and the reason for the removal from the admissions waiting list.

(n) The number of adults awaiting admission through the civil admission process removed from the admission waiting list and the reason for the removal from the admission waiting list.

(o) The number of children awaiting admission through the civil admission process removed from the admission waiting list and the reason for the removal from the admission waiting list.

(p) The number of individuals determined not guilty by reason of insanity by an order of the probate court and not admitted into the center for forensic psychiatry or other state-operated hospital or center, and the rationale for the individual not being admitted.

(q) The number of adults not admitted into the other state-operated hospitals or centers through the civil admissions process and the rationale for the individual not being admitted.

(r) The number of children not admitted into a state-operated hospital or center through the civil admission process and the rationale for the individual not being admitted.

(2) Not later than April 1 of the current fiscal year, the department shall submit a report to the standard report recipients of this part on the outcomes and performance measures required under subsection (1).

Sec. 1060. Not later than March 1 of the current fiscal year, the department shall submit a report on mandatory overtime, staff turnover, and staff retention at the state psychiatric hospitals and centers to the standard report recipients. The report must include, but is not limited to, the following:

(a) The number of direct care and clinical staff positions that are currently vacant by hospital, and how that number compares to the number of vacancies during the previous fiscal year.

(b) A breakdown of voluntary and mandatory overtime hours worked by position and by hospital, and how that breakdown compares to the breakdown of voluntary and mandatory overtime hours during the previous fiscal year.

(c) The ranges of wages paid by position and by hospital, and how the ranges of wages paid compare to wages paid during the previous fiscal year.

Sec. 1062. Not later than March 1 of the current fiscal year, the department shall provide an update on their 5-year plan from the fiscal year ending September 30, 2022 to address the need for adult and children's inpatient psychiatric beds to the standard report recipients. The report must include updated recommendations for utilizing both public and private partnership beds, including the following information:

(a) The recommended number of public adult beds for individuals determined not guilty by reason of insanity or incompetent to stand trial by an order of the probate court versus the current number of available beds for this purpose.

(b) The recommended number of public civil admission adult beds versus the current number of available beds for this purpose.

(c) The recommended number of public civil admission children beds versus the current number of available beds for this purpose.

(d) The recommended number of public-private partnership adult beds for individuals determined not guilty by reason of insanity or incompetent to stand trial by an order of the probate court versus the current number of available beds for this purpose.

(e) The recommended number of public-private partnership civil admission adult beds versus the current number of available beds for this purpose.

(f) The recommended number of public-private partnership civil admission children beds versus the current number of available beds for this purpose.

Sec. 1063. (1) From the funds appropriated in part 1 for Walter P. Reuther psychiatric hospital � adult, children, and adolescents, the department shall maintain a psychiatric transitional unit and children's transition support team. The unit and support team described in this subsection shall 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) The outcome and performance measures for the unit and support team described in subsection (1) include, but are not limited to, the following:

(a) The rate of rehospitalization for youth served through the unit or support team at 30 and 180 days.

(b) The measured change in the Child and Adolescent Functional Assessment Scale for children served through the unit or support team.

HEALTH AND HUMAN SERVICES POLICY AND INITIATIVES

Sec. 1140. From the funds appropriated in part 1 for primary care services, $400,000.00 is allocated to free health clinics operating in this state. The department shall distribute the funds equally to each free health clinic. As used in this section, "free health clinic" means a nonprofit organization that uses a volunteer

health professional to provide care to an uninsured individual.

Sec. 1141. (1) From the funds appropriated in part 1 for critical health and wellness center operations, the department shall allocate $1,500,000.00 to operate a health and wellness hub that is located in a county with a population between 66,600 and 66,700 according to the most recent federal decennial census and that includes an FQHC located on-site. The health and wellness hub shall provide health services and child care services in a manner that increases access to affordable services.

(2) The department shall allocate $750,000.00 of the funding described in this section to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and that is located in a county with a population between 600,000 and 700,000 according to the most recent federal decennial census.

(3) The department shall allocate $750,000.00 of the funding described in this section to an FQHC that operates in 6 counties of this state and that has its main office located in a county with a population between 600,000 and 700,000 according to the most recent federal decennial census.

Sec. 1143. From the funds appropriated in part 1 for primary care services, the department shall allocate no less than $675,000.00 for island primary health care access and services including island clinics, in the following amounts:

(a) Beaver Island, $250,000.00.

(b) Mackinac Island, $250,000.00.

(d) Bois Blanc Island, $25,000.00.

Sec. 1145. The department shall take steps necessary to work with the 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 the facilities described in this section receive the maximum amount allowable under federal law for Medicaid services.

Sec. 1147. From the funds appropriated in part 1 for cellular therapy for Versiti Michigan, $750,000.00 is allocated to Versiti Michigan. The funds must be used to enhance the collection of fetal umbilical cord blood and stem cells for transplant, expand cord blood laboratory capabilities, expand the diversity of collections, and build information technology infrastructure.

Sec. 1153. From the funds appropriated in part 1 for crime victim rights sustaining grants, the department shall allocate $102,600.00 of state general fund/general purpose revenue for a sexual assault nurse examiners program at a hospital that is located in a city with a population between 21,600 and 21,700 in a county with a population between 64,300 and 64,400, according to the most recent federal decennial census. The funds allocated under this section must be used to support staff compensation and training, victim needs, and community awareness, education, and prevention programs.

Sec. 1155. (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, the department shall allocate $369,500.00 for administering a uniform statewide sexual assault evidence kit tracking system. The system must include all of the following:

(a) A uniform statewide system to track the submission and status of sexual assault evidence kits.

(b) A uniform statewide system to audit untested kits that were collected on or before March 1, 2015 and were released by victims to law enforcement.

(d) The ability to accommodate concurrent data entry with kit collection through mechanisms that include, but are not limited to, web entry through computers or smartphones, and through scanning devices.

(2) 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 remains in the sexual assault evidence tracking fund, does not revert to the general fund, and is 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).

Sec. 1157. From the funds appropriated in part 1 for child advocacy centers - supplemental grants, the department shall allocate $2,000,000.00 to provide additional funding to child advocacy centers to support the general operations of child advocacy centers. The department shall allocate the additional funding to each center consistent with the regular allocation formula for the child advocacy centers. The purpose of the additional funding is to increase the amount of services provided to children and their families who are victims of abuse over the amount provided in the previous fiscal year.

Sec. 1158. From the funds appropriated in part 1 for crime

victim rights sustaining grants, the department shall allocate $29,897,400.00 to supplement the loss of federal victims of crime act and state crime victim rights funding. The department must distribute the funds consistent with the regular allocation formula for crime victim justice grants and crime victim rights services grants.

Sec. 1159. (1) From the funds appropriated in part 1 for community health programs, the department shall support preventative health supports and services in regions with high health care access and outcome disparities. The department shall use the funds appropriated pursuant to this section to provide for all of the following:

(a) Financial support for the creation and operation of community-based health clinics. A community-based health clinic shall provide preventative health supports and services, be established in communities with high social vulnerability and health disparities, and be operated in cooperation with trusted community partners with demonstrated experience in serving as an access point for preventative health supports and services.

(b) Financial support for the operation of healthy community zones. The zones must utilize long-term strategies to address access to healthy food, affordable housing, and safety networks.

(c) Financial support for the operation of mobile health units to provide preventative health services for individuals residing in areas with high disparities in health care outcome and access.

(2) Not later than March 1 of the current fiscal year, the department shall submit to the standard report recipients a report on the outcome of the community health programs described in subsection (1). The report must include, but is not limited to, all

of the following:

(a) The list of communities served.

(b) The types of health services offered by grant recipients.

EPIDEMIOLOGY, EMERGENCY MEDICAL SERVICES, AND LABORATORY

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 maintain enhanced 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 must include improving the identification of children affected by lead exposure, improving the timeliness of case follow-up, and attaining 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 if appropriate. The goals of the vapor intrusion response unit must include reducing the number of individuals who are exposed to toxic substances through vapor intrusion and improving health outcomes for individuals who are identified as having been exposed to vapor intrusion.

Sec. 1182. Not later than April 1 of the current fiscal year, the department shall submit a report to the standard report recipients on the expenditures and activities undertaken by the lead abatement program during the previous fiscal year using the funds previously appropriated for the healthy homes program. The report must include, but is not limited to, a funding allocation schedule, the expenditures by category of expenditure and by subcontractor, the revenues received, a description of program elements, the number of housing units abated of lead-based paint hazards, and a description of program accomplishments and progress.

Sec. 1186. (1) From the funds appropriated in part 1 for emergency medical services program, the department shall allocate $2,000,000.00 for a stroke and STEMI system. The department shall integrate the stroke and STEMI system into the statewide trauma care system within the emergency medical services system and shall ensure that the stroke and STEMI system complies with at least all of the following requirements:

(a) A requirement that a facility is designated as a stroke and STEMI facility if the department verifies that national certification or accreditation standards for the facility have been met.

(b) A requirement that a hospital is not required to be designated as providing certain levels of care for stroke or STEMI.

(c) A requirement to develop and use stroke and STEMI registries that utilize nationally recognized data platforms with confidentiality standards.

(2) Not later than March 1 of the current fiscal year, the department shall submit a report to the standard report recipients on the expenditures and activities undertaken by the stroke and

STEMI system in the previous fiscal year from the funds appropriated under section 1186(1) of article 6 of 2021 PA 87. The report must include, but is not limited to, a funding allocation schedule, expenditures by category of expenditure and by vendor or grantee, and a description of program accomplishments and progress.

Sec. 1187. From the funds appropriated in part 1 for emergency medical services program, the department shall allocate $2,000,000.00, of which $500,000.00 is allocated on a 1-time basis, to develop and implement a system to support ground emergency medical transport. Funding must be used to develop a system for obtaining and recording federal Medicaid funding for the program. The department may apply for federal funds to support the program.

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, must be used to reimburse local health departments for costs incurred to implement section 17015(18) of the public health code, 1978 PA 368, MCL 333.17015.

Sec. 1221. If a county that participates in a district health department or has an associated arrangement with another local health department takes action to stop participating in that arrangement after October 1 of the current fiscal year, the department may 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. The department shall assess a penalty only if a

county requests the dissolution of the county's local health department.

Sec. 1222. (1) The department shall prospectively allocate funds appropriated in part 1 for essential local public health services to local health departments to support immunizations, infectious disease control, sexually transmitted disease control and prevention, hearing screening, vision services, food protection, public water supply, private groundwater supply, and on-site sewage management. The department shall consult with the department of agriculture and rural development before allocating funds for food protection under this section. The department shall consult with the department of environment, Great Lakes, and energy before allocating funds for public water supply, private groundwater supply, and on-site sewage management under this section.

(2) The department shall not distribute funds under subsection (1) to a county unless the county maintains local spending in the current fiscal year in an amount that is equal to or exceeds the amount the county expended in fiscal year 1992-1993 for the services described in subsection (1).

(3) Not later than February 1 of the current fiscal year, the department shall submit a report to the standard report recipients on the planned allocation of the funds appropriated for essential local public health services.

(4) The department shall continue to implement the distribution formula for allocating essential local public health services funding to local health departments as specified in section 1234 of article X of 2018 PA 207.

(5) From the funds appropriated in part 1 for essential local

public health services, each local public health department is allocated not less than the amount allocated to that local public health department during the previous fiscal year.

Sec. 1227. The department shall establish criteria for all funds allocated for health and wellness initiatives. The criteria must include a requirement that a program receiving funding is evidence-based and supported by research, includes interventions that have been shown to demonstrate outcomes that lower cost and improve quality, and is designed for statewide impact. The department shall give preference to a program that uses the funding as match for additional resources, including, but not limited to, federal sources.

Sec. 1231. (1) From the funds appropriated for local health services, up to $4,750,000.00 is allocated for grants to local health departments to support PFAS response and emerging public health threat activities. The department shall allocate a portion of the funding in a collaborative fashion with local health departments in jurisdictions experiencing PFAS contamination. The department shall allocate the remainder of the funding to address infectious and vector-borne disease threats, and other environmental contamination issues, including, but not limited to, vapor intrusion, drinking water contamination, and lead exposure. The department shall allocate the funding to address issues including, but not limited to, staffing, planning and response, and creating and disseminating materials related to PFAS contamination issues and other emerging public health issues and threats.

(2) Not later than March 1 of the current fiscal year, the department shall submit a report to the standard report recipients on actual expenditures in the previous fiscal year and planned

spending in the current fiscal year of the funds described in subsection (1). The report must include recipient entities, the amount of allocation, the general category of allocation, and detailed uses.

Sec. 1232. The department may work to ensure that the United States Department of Defense reimburses the state for costs associated with PFAS and environmental contamination response at military training sites and support facilities.

Sec. 1233. The department shall not expend general fund and state restricted fund appropriations in part 1 for PFAS and environmental contamination response if federal funding or private grant funding is available for the same expenditures.

Sec. 1239. The department shall participate in and give necessary assistance to the Michigan PFAS action response team (MPART) pursuant to Executive Order No. 2019-03. The department shall collaborate with MPART and other departments to carry out appropriate activities, actions, and recommendations as coordinated by MPART. Efforts must be continuous to ensure that the department's activities are not duplicative with activities of another department or agency.

Sec. 1240. From the funds appropriated in part 1 for chronic disease control and health promotion administration, $70,000.00 is allocated to support a rare disease advisory council and the responsibilities of the rare disease advisory council, which may include all of the following:

(a) Developing a list of rare diseases.

(b) Posting the list of rare diseases on the department's website.

(d) Investigating and reporting to the legislature on 1 rare disease on the list, and including legislative recommendations in the report to the legislature.

FAMILY HEALTH SERVICES

Sec. 1301. (1) Not later than April 1 of the current fiscal year, the department shall submit to the standard report recipients a report on planned allocations from the amounts appropriated in part 1 for local MCH services, prenatal care outreach and service delivery support, family planning local agreements, and pregnancy prevention programs. Using applicable federal definitions, the report must include information on all of the following:

(a) The funding allocations.

(b) The actual number of women, children, and adolescents served and the amounts expended for each group for the previous fiscal year.

(2) The department shall ensure that the distribution of funds through the programs described in subsection (1) takes into account the needs of rural communities.

(3) As used in this section, "rural community" means any of the following:

(a) A county, city, village, or township with a population of 30,000 or less.

(b) A county, city, village, or township described in subdivision (a), if it is located within a metropolitan statistical area.

Sec. 1306. (1) From the funds appropriated in part 1 for the

drinking water declaration of emergency, the department shall allocate funds to address needs in a city in which a declaration of emergency was issued because of drinking water contamination. The funds allocated under this section may be used to support any of the following activities:

(a) Nutrition assistance, nutritional and community education, food bank resources, and food inspections.

(b) Epidemiological analysis and case management of individuals at risk of elevated blood lead levels.

(c) Support for child and adolescent health centers, children's health care access program, and pathways to potential programming.

(d) Nursing services, breastfeeding education, evidence-based home visiting programs, intensive services, and outreach for children exposed to lead coordinated through local community mental health organizations.

(e) Department local office operations costs.

(f) Lead poisoning surveillance, investigations, treatment, and abatement.

(g) Nutritional incentives provided to local residents through the double up food bucks expansion program.

(h) Genesee County health department food inspectors to perform water testing at local food service establishments.

(i) Transportation related to health care delivery.

(j) Senior initiatives.

(k) Lead abatement contractor workforce development.

(l) Any other activity that the department considers appropriate.

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

water declaration of emergency, the department shall allocate $300,000.00 for Revive Community Health Center for health support services as the center pursues certification as a federally qualified health center.

(3) From the funds appropriated in part 1 for the drinking water declaration of emergency, the department shall allocate $500,000.00 for rides to wellness through the Flint mass transportation authority.

Sec. 1308. From the funds appropriated in part 1 for prenatal care outreach and service delivery support, the department shall allocate not less than $500,000.00 for evidence-based programs to reduce infant mortality. The funds must be used for enhanced support and education to nursing teams or other teams of health professionals that the department considers qualified, client recruitment in areas designated as underserved for obstetrical and gynecological services and in other high-need communities, strategic planning to expand and sustain programs, and marketing and communications of programs to raise awareness, engage stakeholders, and recruit nurses.

Sec. 1311. From the funds appropriated in part 1 for prenatal care outreach and service delivery support, the department shall allocate not less than $2,750,000.00 of state general fund/general purpose revenue for a rural home visit program. The department shall give equal consideration to all eligible evidence-based providers in all regions in contracting for rural home visitation services.

Sec. 1312. (1) From the funds appropriated in part 1 for prenatal care and premature birth avoidance grant, the department shall allocate $1,000,000.00 through a competitive grant process

after fulfilling contract obligations between the department and a federal Healthy Start Program located in a county with a population between 600,000 and 700,000 according to the most recent federal decennial census. The grant described in this subsection must be used to improve health outcomes before, during, and after pregnancy and to reduce racial and ethnic differences in infant death rates and negative maternal outcomes. To be eligible to receive a grant under this subsection, an organization must partner with health agencies, and provide support to underserved populations for women's health, prenatal care, and premature birth avoidance.

(2) Not later than March 1 of the current fiscal year, the department shall submit to the legislature a spending report from the recipient of a grant under subsection (1).

Sec. 1313. (1) From the funds appropriated in part 1, the department shall continue developing an outreach program on fetal alcohol syndrome services, targeting health promotion, prevention, and intervention.

(2) The department shall explore federal grant funding to address prevention services for fetal alcohol syndrome and to reduce alcohol consumption among pregnant women.

(3) Not later than February 1 of the current fiscal year, the department shall submit a report to the standard report recipients on planned spending of funds appropriated within the department budget for fetal alcohol syndrome projects and services. The report must include, but not be limited to, all of the following information:

(a) The appropriation line item.

(b) The agency or recipient entity of the funds.

(d) Detailed uses of the funds.

(e) A summary of the outcomes accomplished by the funding investments and the metrics used to determine the outcomes, if available.

Sec. 1314. From the funds appropriated in part 1, the department shall enhance the department's education and outreach efforts that encourage women of childbearing age to seek the confirmation of a pregnancy at the earliest indication of a possible pregnancy and to initiate continuous and routine prenatal care on the confirmation of a pregnancy. The department shall ensure that the department's programs, policies, and practices promote prenatal and obstetrical care by doing all of the following:

(a) Supporting access to care.

(b) Reducing and eliminating barriers to care.

(d) Encouraging optimal prenatal habits, including, but not limited to, prenatal medical visits, use of prenatal vitamins, and the cessation of tobacco use, alcohol use, or drug use.

(e) Tracking birth outcomes to study improvements in prevalence of neonatal substance exposure, fetal alcohol syndrome, and other preventable neonatal disease.

(f) Tracking maternal increase in healthy behaviors following childbirth.

Sec. 1315. From the funds appropriated in part 1 for dental programs, $200,000.00 is allocated to the Michigan Dental Association for the administration of a volunteer dental program that provides dental services to the uninsured.

Sec. 1316. The department shall use revenue from permit fees

for mobile dental facilities that the department receives under section 21605 of the public health code, 1978 PA 368, MCL 333.21605, to offset the costs of processing and issuing permits for mobile dental facilities.

Sec. 1325. From the funds appropriated in part 1 for prenatal care outreach and service delivery support, the department shall allocate $10,000,000.00 to support grants to local collaboratives to enhance the ability of local collaboratives to coordinate and improve maternal and infant health outcomes. To receive a grant under this section, a local collaborative must be a part of a perinatal quality collaborative that provides screening and treatment for perinatal substance use disorder.

Sec. 1341. The department shall use income eligibility and verification guidelines established by the Food and Nutrition Service agency of the United States Department of Agriculture to determine eligibility of individuals for the special supplemental nutrition program for women, infants, and children (WIC) as stated in current WIC policy.

Sec. 1342. From the funds appropriated in part 1 for family, maternal, and child health administration, the department shall allocate $500,000.00 for a school children's healthy exercise program to promote and advance physical health for school children in kindergarten through grade 8. The department shall recommend model programs that incorporate evidence-based best practices for program sites to implement. The department shall grant the funds appropriated in part 1 for before- and after-school programs. The department shall establish guidelines for program sites. The program format must encourage local determination of program site activities and encourage including local youth in deciding program

site activities. Program goals must include children experiencing improved physical health and access to physical activity opportunities, the reduction of obesity, providing a safe place to play and exercise, and nutrition education. To be eligible to participate, a program site shall provide a 20% match to the state funding, which may be provided in full, or in part, by a corporation, foundation, or private partner. As used in this section, "program sites" means a school, community-based organization, private facility, recreation center, or similar site.

Sec. 1343. (1) From the funds appropriated in part 1 for dental programs, the department shall allocate $4,260,000.00 of state and local funds, plus any private contributions received to support the program, to establish and maintain the dental oral assessment program described in section 9316 of the public health code, 1978 PA 368, MCL 333.9316.

(2) Not later than December 31 of the current fiscal year, the department shall submit a report to the standard report recipients that provides a summary of the dental reports the department receives from principals and administrators under section 9316 of the public health code, 1978 PA 368, MCL 333.9316.

Sec. 1349. Subject to federal approval, from the funds appropriated in part 1 for immunization program, the department shall allocate all of the following funds to support a statewide media campaign for improving this state's immunization rates:

(a) $740,000.00 of general fund/general purpose revenue.

(b) Any available work project funds.

(c) Any available federal match through a contract administered by the department with oversight from the behavioral and physical health and aging services administration and the

public health administration.

CHILDREN'S SPECIAL HEALTH care SERVICES

Sec. 1360. From the funds appropriated in part 1, the department may do 1 or more of the following:

(a) Provide special formulas for eligible individuals with specified metabolic and allergic disorders.

(b) Provide medical care and treatment to eligible individuals with cystic fibrosis who are 26 years of age or older.

(c) Provide medical care and treatment to eligible individuals with hereditary coagulation defects, commonly known as hemophilia, who are 26 years of age or older.

(d) Provide human growth hormone to eligible individuals.

(e) Provide mental health care to eligible individuals for mental health needs that result from, or are a symptom of, the individual's qualifying medical condition.

(f) Provide medical care and treatment to eligible individuals with sickle cell disease who are 26 years of age or older.

Sec. 1361. From the funds appropriated in part 1 for medical care and treatment, the department may spend the funds to continue developing and expanding telemedicine capacity to allow families with children in the children's special health care services program to access specialty providers more readily and in a more timely manner. The department may spend funds to support chronic complex care management of children enrolled in the children's special health care services program to minimize hospitalizations and reduce costs to the program while improving outcomes and quality of life. As used in this section, "children's special health care services program" or "program" means the program

established under section 5815 of the public health code, 1978 PA 368, MCL 333.5815.

Aging services

Sec. 1402. The department may encourage the Food Bank Council of Michigan to collaborate directly with each area agency on aging and any other organization that provides senior nutrition services to secure the food access of older adults.

Sec. 1404. From the funds appropriated in part 1 for community services, the department shall allocate $658,000.00 to area agencies on aging for home and community-based services.

Sec. 1417. Not later than March 31 of the current fiscal year, the department shall submit to the standard report recipients a report that contains all of the following information:

(a) The total allocation of state resources made to each area agency on aging by individual program and administration.

(b) Detailed expenditures by each area agency on aging by individual program and administration, including both state-funded resources and locally funded resources.

Sec. 1421. From the funds appropriated in part 1 for community services, $1,100,000.00 is allocated for locally determined needs that are provided by area agencies on aging.

HEALTH AND AGING SERVICES ADMINISTRATION

Sec. 1505. Not later than March 1 of the current fiscal year, the department shall submit a report to the standard report recipients on the actual reimbursement savings and cost offsets that have resulted from the funds appropriated in part 1 for the office of inspector general and third-party liability efforts in

the previous fiscal year.

Sec. 1507. From the funds appropriated in part 1 for office of inspector general, the inspector general shall audit and recoup inappropriate or fraudulent payments from Medicaid managed care organizations to health care providers. Unless authorized by federal law or a law of this state, the department shall not fine, temporarily halt operations of, disenroll as a Medicaid provider, or terminate a managed care organization or health care provider from providing services due to the discovery of an inappropriate payment found during the course of an audit.

Sec. 1510. (1) From the funds appropriated in part 1 for health services administration, the department shall allocate $1,650,000.00 to partner with a health centers careers training program to provide additional recruitment and training opportunities for individuals employed in FQHCs operating in this state.

(2) The partnering health centers careers training program must do all of the following:

(a) Provide recruiting and training opportunities for professions including, but not limited to, medical and dental assistants, community health workers, doulas, medical billing and coding professionals, pharmacy technicians, and opticians.

(b) Provide paid clinical or internship experience opportunities for behavioral health students.

(d) Support opportunities to grow workforce and career opportunities for low-income and underserved communities.

Sec. 1518. The department shall coordinate with the department

of licensing and regulatory affairs to ensure that, on the issuance of an order suspending the license of an adult foster care facility, home for the aged, or nursing home, the department of licensing and regulatory affairs provides a notice to the department, to the house and senate appropriations subcommittees on the department budget, and to the members of the house of representatives and senate that represent the legislative districts of the county in which the adult foster care facility, home for the aged, or nursing home is located.

health SERVICES

Sec. 1601. The department shall use the cost of remedial services incurred by residents of licensed adult foster care facilities and licensed homes for the aged to determine financial eligibility for the medically needy. As used in this section, "remedial services" includes, but is not limited to, basic self-care and rehabilitation training for a resident.

Sec. 1602. (1) From the funds appropriated in part 1, the department shall seek federal authority to implement a transitional Medicaid benefit for incarcerated individuals to provide for not more than 90 days of health care before release.

(2) On a semiannual basis, the department shall report to the standard report recipients all of the following information:

(a) The status of receiving federal authority to implement this section and estimated start date.

(b) The number of incarcerated individuals receiving transitional Medicaid services in the current fiscal year, by facility.

Sec. 1605. The protected income level for Medicaid coverage determined under section 106(1)(b)(iii) of the social welfare act, 1939 PA 280, MCL 400.106, is 100% of the related public assistance standard.

Sec. 1606. For the purpose of guardian and conservator charges, the department may deduct up to $83.00 per month as an allowable expense against a recipient's income when determining Medicaid eligibility and patient pay amounts.

Sec. 1607. (1) The department shall immediately presume that an applicant for Medicaid whose qualifying condition is pregnancy is eligible for Medicaid coverage, unless the preponderance of evidence in the applicant's application indicates otherwise. The applicant who is qualified as described in this subsection is allowed to select or remain with the Medicaid participating obstetrician of the applicant's choice.

(2) Each qualifying applicant is entitled to receive all medically necessary obstetrical and prenatal care without preauthorization from a health plan. All claims submitted for payment for obstetrical and prenatal care must be paid at the Medicaid fee-for-service rate if a contract does not exist between the Medicaid participating obstetrical or prenatal care provider and the managed care plan. The applicant must receive a listing of Medicaid physicians and managed care plans in the immediate vicinity of the applicant's residence.

(3) If an applicant, presumed to be eligible for Medicaid under subsection (1), is subsequently found to be ineligible, a Medicaid physician or managed care plan that has been providing pregnancy services to the applicant is entitled to reimbursement for the services until the Medicaid physician or managed care plan

is notified by the department that the applicant was found to be ineligible for Medicaid.

(4) If the preponderance of evidence in an application under subsection (1) indicates that the applicant is not eligible for Medicaid, the department shall refer the applicant to the nearest public health clinic or similar entity as a potential source for receiving pregnancy-related services.

(5) The department shall develop an enrollment process for applicants covered under this section that facilitates the selection of a managed care plan at the time of application.

(6) The department shall require that Medicaid managed care plans enroll women whose qualifying condition for Medicaid is pregnancy.

(7) The department shall encourage physicians to provide an applicant whose qualifying condition for Medicaid is pregnancy with a referral to a Medicaid participating dentist at the applicant's first pregnancy-related appointment.

Sec. 1611. (1) For care provided to Medicaid recipients with other third-party sources of payment, Medicaid reimbursement shall not exceed, in combination with such other resources, including Medicare, those amounts established for Medicaid-only patients. The Medicaid payment rate shall be accepted as payment in full. Other than an approved Medicaid copayment, no portion of a provider's charge shall be billed to the recipient or any person acting on behalf of the recipient. This section does not affect the level of payment from a third-party source other than the Medicaid program. The department shall require a nonenrolled provider to accept Medicaid payments as payment in full.

(2) Notwithstanding subsection (1), if a hospital service is

provided to a dual Medicare/Medicaid recipient with only Medicare part B coverage, the Medicaid reimbursement must equal, when combined with a payment for Medicare or other third-party source of payment, the amount established for a Medicaid-only patient, including a capital payment.

Sec. 1620. (1) If a Medicaid claim is a fee-for-service Medicaid claim, the professional dispensing fee for a drug that is listed as a medication on the Michigan pharmaceutical products list is $20.02 or the pharmacy's submitted dispensing fee, whichever is less.

(2) If a Medicaid claim is a fee-for-service Medicaid claim, a drug that is not listed as a specialty medication on the Michigan pharmaceutical products list is as follows:

(a) If the drug is indicated as preferred on the department's preferred drug list, $10.80 or the pharmacy's submitted dispensing fee, whichever is less.

(b) If the drug is not on the department's preferred drug list, $10.64 or the pharmacy's submitted dispensing fee, whichever is less.

(c) If the drug is indicated as nonpreferred on the department's preferred drug list, $9.00 or the pharmacy's submitted dispensing fee, whichever is less.

Sec. 1626. (1) Not later than January 15 of the current fiscal year, each pharmacy benefit manager that receives reimbursements, either directly or through a Medicaid health plan, from the funds appropriated in part 1 for medical services must submit all of the following information to the department for the previous fiscal year:

(a) The total number of prescriptions that were dispensed.

(b) The aggregate fiscal year paid pharmacy claims repriced using the wholesale acquisition cost for each drug on its formulary.

(c) The aggregate amount of rebates, discounts, and price concessions that the pharmacy benefit manager received for each drug on its formulary. The aggregate amount of rebates must include any utilization discounts the pharmacy benefit manager received from a manufacturer.

(d) The aggregate amount of administrative fees that the pharmacy benefit manager received from all pharmaceutical manufacturers.

(e) The aggregate amount identified in subdivisions (b) and (c) that were retained by the pharmacy benefit manager and did not pass through to the department or to the Medicaid health plan.

(f) The aggregate amount of reimbursements the pharmacy benefit manager paid to contracting pharmacies.

(g) Any other information considered necessary by the department.

(2) Not later than March 1 of the current fiscal year, the department shall submit a report including the information provided under subsection (1) to the standard report recipients.

(3) Any nonaggregated information submitted under this section is confidential and must not be disclosed to any person by the department. The information described in this subsection is not a public record of the department.

Sec. 1628. From the funds appropriated in part 1 for hospital services and therapy and Healthy Michigan plan, the department shall continue to allocate $3,000,000.00 in general fund/general purpose revenue and any associated federal match to maintain the

Medicaid reimbursement rate for dental services provided at ambulatory surgical centers and outpatient hospitals. The funding provided in this section must be used to maintain the minimum rate of reimbursement for dental services provided in ambulatory surgical centers at $1,495.00 and maintain the minimum rate of reimbursement for dental services provided in outpatient hospitals at $2,300.00.

Sec. 1629. The department shall utilize maximum allowable cost pricing for generic drugs that is based on wholesaler pricing to providers. The wholesaler pricing must be based on the price available from at least 2 wholesalers who deliver drugs in this state.

Sec. 1630. Not later than April 1 of the current fiscal year, from the funds appropriated in part 1 for dental services, the department shall submit a report to the standard report recipients on the dental service benefit. The report must cover all of the following areas:

(a) Information on the implementation of the Adult Medicaid dental benefit redesign including all of the following information:

(i) The number of dental providers, by Medicaid health plan in this state, who provided 1 or more Medicaid dental services in the fiscal year ending September 30, 2022, and the number of additional providers who were added in the previous fiscal year, with a delineation in the reported numbers based on the average payment per visit and before and after the implementation of the Adult Medicaid dental benefit redesign.

(ii) The status of enhanced care coordination.

(iii) The array of covered dental benefits and services before the Adult Medicaid dental benefit redesign and how the available

benefits and services changed or expanded after the Adult Medicaid dental benefit redesign.

(b) Information on the Healthy Kids Dental program including all of the following information:

(i) The number of children enrolled in the Healthy Kids Dental program who visited the dentist in the previous fiscal year broken down by dental benefit manager.

(ii) The number of dentists who accept payment from the Healthy Kids Dental program broken down by dental benefit manager.

(iii) The annual change in dental utilization of children enrolled in the Healthy Kids Dental program broken down by dental benefit manager.

(iv) Service expenditures for the Healthy Kids Dental program broken down by dental benefit manager.

(v) Administrative expenditures for the Healthy Kids Dental program broken down by dental benefit manager.

Sec. 1631. (1) The department shall require copayments on dental, podiatric, and vision services provided to Medicaid recipients, except as prohibited by federal law or a law of this state.

(2) Except as otherwise prohibited by federal law or a law of this state, the department shall require Medicaid recipients to pay the following copayments:

(a) Two dollars for a physician office visit.

(b) Three dollars for a hospital emergency room visit.

(d) Two dollars for an outpatient hospital visit.

(e) One dollar for a generic drug or any drug indicated as

preferred on the department's preferred drug list and $3.00 for a brand-name drug not indicated as preferred on the department's preferred drug list.

Sec. 1641. An institutional provider that is required to submit a cost report under the Medicaid program shall submit cost reports completed in full not more than 5 months after the end of the institutional provider's fiscal year.

Sec. 1644. (1) From the funds appropriated in part 1, the department shall maintain wage subsidy payments to direct care workers and eligible non-clinical staff employed by skilled nursing facilities at the amount in effect on October 1, 2023. This funding must include all costs incurred by the employer, including, but not limited to, payroll taxes, due to the wage increase. As used in this subsection, "direct care workers" means a registered professional nurse, licensed practical nurse, competency-evaluated nursing assistant, and respiratory therapist.

(2) From the funds appropriated in part 1, the department shall maintain wage subsidy payments at the amount in effect on October 1, 2023 to direct care workers who are employed by licensed adult foster care facilities and licensed homes for the aged and who provide Medicaid-funded fee-for-service personal care services that were not eligible for any direct care worker pay adjustment under Medicaid-funded managed care. This funding must include all costs incurred by the employer, including, but not limited to, payroll taxes, due to the wage increase.

Sec. 1645. (1) From the funds appropriated in part 1, the department shall increase wages by $0.85 per hour to eligible non-clinical staff employed by skilled nursing facilities from the previous fiscal year. This funding must include all costs incurred

by the employer, including payroll taxes, due to the wage increase.

(2) The non-clinical staff eligible for the wage increase under subsection (1) are individuals whose costs are reported in the following job classifications in nursing facility institutional cost reports shared with the department:

(a) Other housekeeping.

(b) Other maintenance worker.

(d) Other laundry.

(e) Dining room assistants.

(f) Other dietary workers.

(g) Other medical records.

(h) Other social services.

(i) Other diversion therapy.

(j) Beauty and barber.

(k) Gift, flower, coffee, and canteen worker.

Sec. 1646. From the funds appropriated in part 1, the department shall increase Medicaid reimbursement rates for orthopedic providers to not less than 74% of Medicare reimbursement rates for similar equipment and services.

Sec. 1657. (1) The department shall not make reimbursement for Medicaid to screen and stabilize a Medicaid recipient, including stabilization of a psychiatric crisis, in a hospital emergency room, contingent on obtaining prior authorization from the recipient's HMO. If the recipient is discharged from the emergency room, the hospital shall notify the recipient's HMO within 24 hours of the diagnosis and treatment received.

(2) If the treating hospital determines that the recipient will require further medical service or hospitalization beyond the

point of stabilization, that hospital shall receive authorization from the recipient's HMO prior to admitting the recipient.

(3) Subsections (1) and (2) do not require an alteration to an existing agreement between an HMO and its contracting hospitals and do not require an HMO to reimburse for services that are not considered to be medically necessary.

Sec. 1662. (1) From the funds appropriated in part 1, the department shall require an annual external quality review of each contracting HMO. The external quality review must analyze and evaluate aggregated information on quality, timeliness, and access to health care services that the HMO or its contractors furnish to Medicaid beneficiaries. The department shall create a report containing each quality review required under this subsection.

(2) The department shall require Medicaid HMOs to provide EPSDT utilization data through the encounter data system, and HEDIS well child health measures in accordance with the National Committee for Quality Assurance prescribed methodology.

(3) The department shall submit a copy of the analysis of the Medicaid HMO annual audited reports on HEDIS and the report under subsection (1) to the standard report recipients within 30 days after the department's receipt of the final information required from the contractors.

Sec. 1670. (1) The appropriation in part 1 for the MIChild program is to be used to provide comprehensive health care to all children under age 19 who reside in families with an income at or below 212% of the federal poverty level, who are uninsured and have not had coverage by other comprehensive health insurance within 6 months of applying for MIChild benefits, and who are residents of this state. The department shall develop detailed eligibility

criteria through the behavioral and physical health and aging services administration public concurrence process. The eligibility criteria must be consistent with the provisions of this part and part 1.

(2) The department shall provide up to 1 year of continuous eligibility to children eligible for the MIChild program.

Sec. 1677. From the funds appropriated in part 1 for the MIChild program, the department shall provide, at a minimum, all benefits available under the Michigan benchmark plan that are delivered through contracted providers and consistent with federal law, including, but not limited to, the following medically necessary services:

(a) Inpatient mental health services, other than substance use disorder treatment services, including services furnished in a state-operated mental hospital and residential or other 24-hour therapeutically planned structured services.

(b) Outpatient mental health services, other than substance use disorder services, including services furnished in a mental hospital operated by this state and community-based services.

(d) Dental services as outlined in the approved MIChild state plan.

(e) Substance use disorder treatment services that may include inpatient, outpatient, and residential substance use disorder treatment services.

(f) Care management services for mental health diagnoses.

(g) Physical therapy, occupational therapy, and services for individuals with speech, hearing, and language disorders.

(h) Emergency ambulance services.

Sec. 1682. (1) In addition to the appropriations in part 1, the department is authorized to receive and spend penalty money received as the result of noncompliance with Medicaid certification regulations. Penalty money, characterized as private funds, received by the department shall increase authorizations and allotments in the long-term care accounts.

(2) Any unexpended penalty money, at the end of the year, must carry forward to the following year.

(3) Not later than March 1 of the current fiscal year, the department shall report to the standard report recipients on penalty money received by the department as described in subsection (1). The report must include, but is not limited to, the following information:

(a) The amount of penalty monies received by the department in the previous fiscal year listed by the assessed entity.

(b) A list of the entities that were assessed penalties in the previous fiscal year with the rationale for each penalty.

Sec. 1692. (1) The department is authorized to pursue reimbursement for eligible services provided in Michigan schools from the federal Medicaid program. The department and the state budget director are authorized to negotiate and enter into agreements, together with the department of education, with local and intermediate school districts regarding the sharing of federal Medicaid services funds received for these services. The department is authorized to receive and disburse funds to participating school districts pursuant to agreements described in this subsection and pursuant to federal law and a law of this state.

(2) From the funds appropriated in part 1 for health services

school-based services payments, the department is authorized to do all of the following:

(a) Finance activities within the behavioral and physical health and aging services administration related to eligible services.

(b) Reimburse participating school districts pursuant to the fund-sharing ratios negotiated in the state-local agreements authorized in subsection (1).

Sec. 1693. The special Medicaid reimbursement appropriation in part 1 may be increased if the department submits a Medicaid state plan amendment pertaining to this line item at a level higher than the appropriation. The department is authorized to appropriately adjust financing sources in accordance with the increased appropriation.

Sec. 1694. From the funds appropriated in part 1 for special Medicaid reimbursement, $2,629,900.00 of general fund/general purpose revenue and any associated federal match must be distributed for poison control services to an academic health care system that has a high volume of providing care to indigent individuals.

Sec. 1697. The department shall require that Medicaid health plans administering Healthy Michigan plan benefits maintain a network of dental providers in sufficient numbers, mix, and geographic locations throughout their respective service areas in order to provide adequate dental care for Healthy Michigan plan enrollees.

Sec. 1700. Not later than December 1 of the current fiscal

year, the department shall report to the standard report recipients on the distribution of funding provided, and the net benefit if the special hospital payment is not financed with general fund/general purpose revenue, to each eligible hospital during the previous fiscal year from the following special hospital payments:

(a) GME.

(b) Special rural hospital payments provided under section 1802(2) of this part.

Sec. 1702. From the funds appropriated in part 1, the department shall increase the rates in place as of September 30, 2023 by 25% for private duty nursing services for Medicaid beneficiaries under the age of 21. These additional funds must be used to attract and retain highly qualified registered nurses and licensed practical nurses to provide private duty nursing services so that medically fragile individuals can be cared for in the most homelike setting possible.

Sec. 1757. The department shall obtain proof from all Medicaid recipients that they are United States citizens or otherwise legally residing in this country and that they are residents of this state before approving Medicaid eligibility.

Sec. 1764. The department shall annually certify whether rates paid to Medicaid health plans and specialty PIHPs are actuarially sound in accordance with federal requirements. The department shall provide to the standard report recipients a copy of the rate certification required under this section and the approval of rates paid to Medicaid health plans and specialty PIHPs for any fiscal year not later than October 1 for Medicaid capitation rate

certifications and not later than February 15, May 15, and August 15 for any Medicaid capitation rate amendments. Following the rate certification, the department shall ensure that no new or revised state Medicaid policy bulletin that is promulgated materially impacts the capitation rates that have been certified.

Sec. 1786. From the funds appropriated in part 1, the department shall maintain Medicaid reimbursement for the administration of injectable and oral vaccines at $23.03.

Sec. 1788. From the funds appropriated in part 1, the department shall provide Medicaid reimbursement rates, including Medicaid reimbursements from the ambulance provider quality assurance assessment, for ground ambulance services at not less than 100% of the Medicare base rates for Locality 01 for ground ambulance services in effect on January 1, 2023.

Sec. 1790. The department shall maintain the current practitioner rates paid for CPT codes 90791 through 90899 for psychiatric procedures through Medicaid fee-for-service and through the comprehensive Medicaid health plans for psychiatric procedures provided for Medicaid recipients under the age of 21.

Sec. 1791. From the funds appropriated in part 1 for health plan services and physician services, the department shall provide Medicaid reimbursement rates for neonatal services at 100% of the Medicare rate received for those services in effect on the date the services are provided to eligible Medicaid recipients. The neonatal services and physician services eligible for reimbursement rates under this section are described as CPT codes 99468, 99469, 99471, 99472, 99475, 99476, 99477, 99478, 99479, and 99480.

Sec. 1792. Not later than April 30 of the current fiscal year, the department shall evaluate pharmacy encounter data through the

first 2 quarters of the fiscal year to determine, in consultation with the Medicaid health plans, if rates must be recertified. Not later than May 30 of the current fiscal year, the department shall report the evaluation results to the standard report recipients and the Medicaid health plans.

Sec. 1794. (1) From the funds appropriated in part 1, the department shall provide Medicaid reimbursements for hospital-based substance use disorder peer-supports.

(2) Not later than March 1 of the current fiscal year, the department shall report to the standard report recipients on the statewide amounts and each hospital amount for hospital-based substance use disorder peer-supports during the first quarter of the current fiscal year, including for all of the following:

(a) The number of individuals served.

(b) The Medicaid reimbursement utilization.

Sec. 1801. From the funds appropriated in part 1 for physician services and health plan services, the department shall continue the increase to Medicaid rates for primary care services provided only by primary care providers. The department shall not provide the increase to Medicaid rates under this section to primary care providers whose primary practice is as a non-primary-care subspecialty. The department shall establish policies that most effectively limit the increase to primary care providers for primary care services only. As used in this section, "primary care provider" means a physician, or a practitioner working in collaboration with a physician, who is either licensed under part 170 or part 175 of the public health code, 1978 PA 368, MCL 333.17001 to 333.17097 and 333.17501 to 333.17556, and who works as

a primary care provider in general practice or is board-eligible or certified with a specialty designation of family medicine, general internal medicine, or pediatric medicine, or is a provider who provides the department with documentation of equivalency.

Sec. 1802. (1) From the funds appropriated in part 1 for hospital services and therapy:

(a) $8,470,200.00 in general fund/general purpose revenue must be provided as lump-sum payments to noncritical access hospitals that qualified for rural hospital access payments in fiscal year 2013-2014 and that provide obstetrical care this fiscal year. Payment amounts must be based on the volume of obstetrical care cases and newborn care cases for all such cases billed by each qualified hospital in the most recent year for which data is available. For the current fiscal year, a hospital that met established occupied bed criteria based on Medicaid cost reports as of the fiscal year ending September 30, 2011, and that is located within a county with a population of not more than 165,000 and in a city, village, or township with a population of not more than 16,000, according to the 2000 federal decennial census, is eligible.

(b) $15,204,800.00 in general fund/general purpose revenue and any associated federal match must be awarded as rural access payments to noncritical access hospitals that meet criteria established by the department for services to low-income rural residents. One of the reimbursement components of the distribution formula must be assistance with labor and delivery services. For the current fiscal year, a hospital that met established occupied bed criteria based on Medicaid cost reports as of the fiscal year ending September 30, 2011, and that is located within a county with

a population of not more than 165,000 and in a city, village, or township with a population of not more than 16,000, according to the 2000 federal decennial census, is eligible solely for the rural access pool general fund/general purpose revenue portion.

(2) The department shall make payments not later than January 1 of the current fiscal year.

(3) The department shall publish the distribution of payments for the current fiscal year and the previous fiscal year.

Sec. 1804. The department may utilize the federal public assistance reporting information system to continue to work to identify Medicaid recipients who are veterans and who may be eligible for federal veterans' health care benefits or other benefits and shall continue to refer veterans to the department of military and veterans affairs for assistance in securing additional benefits.

Sec. 1805. The department shall modify Medicaid policy in the Medicaid Manual, Nursing Facility Chapter, Certification, Survey and Enforcement Appendix, Section 2.3 and submit a Medicaid state plan amendment to CMS to seek approval to allow the department to approve or deny any application seeking Medicaid bed certification and provider enrollment for dual certification of Medicare-only beds. The modified Medicaid policy must replace the current certification criteria. The modified Medicaid policy must provide that the department grant Medicaid bed certification if the application meets all of the following:

(a) A verification from the state survey agency that the beds listed in the applications are Medicare-certified.

(b) The state survey agency finds that the facility named in the application is in substantial compliance with federal

regulations at the time of application.

(c) If there is an accepted submitted plan of correction for any survey activity occurring following the date of the application submission, the facility named in the application will be deemed to have satisfactory survey performance.

Sec. 1810. In advance of the annual rate setting development, Medicaid health plans must be given at least 60 days to dispute and correct any discarded encounter data before rates are certified. The department shall notify each contracting Medicaid health plan of any encounter data that have not been accepted for the purposes of rate setting.

Sec. 1812. Not later than June 1 of the current fiscal year, and using the most recent available cost reports, the department shall complete a report of all direct and indirect costs associated with residency training programs for each hospital that receives funds appropriated in part 1 for graduate medical education or through the MiDocs consortium. The report shall be submitted to the standard report recipients.

Sec. 1820. (1) In order to avoid duplication of efforts, if a Medicaid health plan has been reviewed and accredited by a national accrediting entity for health care services, the department shall use applicable national accreditation review criteria to determine compliance with corresponding requirements in this state.

(2) The department shall continue to comply with federal law and laws of this state and shall not initiate an action that negatively impacts beneficiary safety.

(3) As used in this section, "national accrediting entity" means the National Committee for Quality Assurance, the URAC, formerly known as the Utilization Review Accreditation Commission,

or another appropriate entity, as approved by the department.

Sec. 1830. From the funds appropriated in part 1 for hospital services and therapy, the department shall allocate $7,500,000.00 to support prenatal health care providers operating in this state to provide services for existing group-based prenatal care programs that include 1 or more health care professionals leading small groups of expectant mothers � in the same phase of pregnancy � in discussions and other health services that promote the well-being and health of mothers and babies.

Sec. 1831. From the funds appropriated in part 1 for hospital services and therapy, the department shall allocate $10,000,000.00 to continue to support hospitals in this state to improve maternal safety and outcomes by administering and expanding a data-driven maternal safety and quality improvement initiative that is based on interdisciplinary and consensus-based practices. The initiative expansion must focus on mitigating pregnancy-associated injury and death, work to improve outcomes for underserved groups, and address problems related to substance use disorders.

Sec. 1837. The department shall continue, and expand where appropriate, utilization of telemedicine and telepsychiatry as strategies to increase access to services for Medicaid recipients.

Sec. 1846. From the funds appropriated in part 1 for graduate medical education, the department shall distribute the funds with an emphasis on the following health care workforce goals:

(a) The encouragement of the training of physicians in specialties, including primary care, that are necessary to meet the future needs of residents of this state.

(b) The training of physicians in settings that include ambulatory sites and rural locations.

Sec. 1850. The department may allow Medicaid health plans to assist with maintaining eligibility through outreach activities to ensure continuation of Medicaid eligibility and enrollment in managed care. The assistance may include mailings, telephone contact, or face-to-face contact with beneficiaries enrolled in the individual Medicaid health plan. Medicaid health plans may offer assistance in completing paperwork for beneficiaries enrolled in the Medicaid health plan. In partnership with the National Kidney Foundation of Michigan, the department shall allocate $950,000.00 in general fund/general purpose revenue and any associated federal match from the Healthy Michigan plan to enhance Medicaid health plan outreach to improve access and utilization of Medicaid covered services. These funds must also support outreach efforts by the Morris Hood III Chronic Kidney Disease and COVID-19 Complications Prevention Initiative to identify, educate, and prevent chronic kidney disease in high-risk populations and regions.

Sec. 1854. The funds appropriated in part 1 for PACE must support a current fiscal year enrollment cap that is not less than 8,543.

Sec. 1855. From the funds appropriated in part 1 for PACE, to the extent that funding is available in the PACE line item and unused program slots are available, the department may do the following:

(a) Increase the number of slots for a local and already-established PACE if the local PACE has provided appropriate documentation to the department indicating its ability to expand capacity to provide services to additional PACE clients.

(b) Suspend the 10 member per month individual PACE enrollment increase cap in order to allow unused and unobligated slots to be allocated to address unmet demand for PACE services.

Sec. 1856. (1) From the funds appropriated in part 1 for hospice services, $5,000,000.00 shall be expended to provide room and board for Medicaid recipients who meet hospice eligibility requirements and receive services at Medicaid enrolled hospice residences in this state. The department shall distribute funds through grants based on the total beds located in all eligible residences that have been providing these services as of October 1, 2017. An eligible grant applicant may inform the department of the applicant's request to reduce the grant amount allocated for the applicant's residence and the funds must be distributed proportionally to increase the total grant amount of the remaining grant-eligible residences. Grant amounts shall be paid out monthly with 1/12 of the total grant amount distributed each month to the grantees.

(2) Not later than September 15 of the current fiscal year, each Medicaid-enrolled hospice with a residence that receives funds under this section shall provide a report to the department on the utilization of the grant funding provided in subsection (1). The report must be provided in a format prescribed by the department and must include the following information:

(a) The number of patients served.

(b) The number of days served.

(d) If there is not sufficient funding to cover the total room and board need, the number of patients who did not receive care due to insufficient grant funding.

(3) If funds awarded under this section remain unused at the end of the current fiscal year, the Medicaid-enrolled hospice with a residence shall return those unused funds to this state.

Sec. 1858. Not later than April 1 of the current fiscal year, from the funds appropriated in part 1, the department shall submit a report to the standard report recipients that contains all of the following elements related to the current Medicaid pharmacy carve-out of pharmaceutical products as provided for in section 109h of the social welfare act, 1939 PA 280, MCL 400.109h:

(a) The number of prescriptions paid by the department during the previous fiscal year.

(b) The total amount of expenditures for prescriptions paid by the department during the previous fiscal year.

(c) The number of and total expenditures for prescriptions paid for by the department for generic equivalents during the previous fiscal year.

Sec. 1859. The department shall partner with the Michigan Association of Health Plans and Medicaid health plans to develop and implement strategies for the use of information technology services for Medicaid research activities. The department shall make available state medical assistance program data, including Medicaid behavioral data, to the Michigan Association of Health Plans and Medicaid health plans or any vendor considered qualified by the department to perform research activities consistent with this state's goals of improving health; increasing the quality, reliability, availability, and continuity of care; and reducing the cost of care for the eligible population of Medicaid recipients.

Sec. 1862. From the funds appropriated in part 1, the department shall maintain payment rates for Medicaid obstetrical

services at 95% of Medicare levels effective October 1, 2014.

Sec. 1870. (1) From the funds appropriated in part 1 for hospital services and therapy, the department shall allocate $11,000,000.00 in general fund/general purpose revenue plus any contributions from public entities, up to $5,000,000.00, and any associated federal match to the MiDocs consortium to create new primary care residency slots in underserved communities. The new primary care residency slots must be in 1 of the following specialties: family medicine, general internal medicine, general pediatrics, general OB-GYN, psychiatry, or general surgery.

(2) The department shall seek any necessary approvals from CMS to allow the department to implement the program described in this section.

(3) Assistance with repayment of medical education loans, loan interest payments, or scholarships provided by the MiDocs consortium shall be contingent upon a minimum 2-year commitment to practice in an underserved community in this state post-residency and an agreement to forego any sub-specialty training for at least 2 years post-residency with the exception of a child and adolescent psychiatry followship that must be integrated with a psychiatry residency training program in a MiDocs consortium affiliated institution.

(4) The MiDocs consortium shall work with the department to integrate the Michigan inpatient psychiatric admissions discussion (MIPAD) recommendations and, when possible, prioritize training opportunities in state psychiatric hospitals and community mental health organizations.

(5) The department shall maintain the MiDocs consortium initiative advisory council to help support implementation of the

program described in this section, and to provide oversight. The advisory council must be composed of the MiDocs consortium, the Michigan Area Health Education Centers, the Michigan Primary Care Association, the Michigan Center for Rural Health, the Michigan Academy of Family Physicians, and any other appointees designated by the department.

(6) Not later than September 1 of the current fiscal year, the MiDocs consortium shall submit a report to the standard report recipients that includes all of the following information:

(a) Audited financial statement of per-resident costs.

(b) Education and clinical quality data.

(d) Medicaid revenue by training site.

(7) The department shall monitor outcome and performance measures for this program, including, but not limited to, the following:

(a) Increasing this state's ability to recruit, train, and retain primary care physicians and other select specialty physicians in underserved communities.

(b) Maximizing training opportunities with community health centers, rural critical access hospitals, solo or group private practice physician practices, schools, and other community-based clinics, in addition to the required training through rotations at inpatient hospitals.

(c) Increasing the number of residency slots for family medicine, general internal medicine, general pediatrics, general OB-GYN, psychiatry, and general surgery.

(8) Unexpended and unencumbered funds up to a maximum

$11,000,000.00 in general fund/general purpose revenue plus any contributions from public entities, up to $5,000,000.00, and any associated federal match remaining in accounts appropriated in part 1 for hospital services and therapy are designated as work project appropriations, and any unencumbered or unallotted funds must not lapse at the end of the fiscal year and must be available for expenditures for the MiDocs consortium to create new primary care residency slots in underserved communities under this section until the work project has been completed. All of the following are in compliance with section 451a(1) of the management and budget act, 1984 PA 431, MCL 18.1451a:

(a) The purpose of the work project is to fund the cost of the MiDocs consortium to create new primary care residency slots in underserved communities.

(b) The work project will be accomplished by contracting with the MiDocs consortium to oversee the creation of new primary care residency slots.

(d) The tentative completion date for the work project is September 30, 2029.

Sec. 1872. From the funds appropriated in part 1 for personal care services, the department shall maintain the monthly Medicaid personal care supplement paid to adult foster care facilities and homes for the aged that provide personal care services to Medicaid recipients in place during the previous fiscal year.

Sec. 1874. The department shall ensure, in counties where PACE services are available, that PACE is included as an option in all options counseling and enrollment brokering for aging services and

managed care programs, including, but not limited to, Area Agencies on Aging, centers for independent living, and the MiChoice home and community-based waiver. The department must include approved marketing and discussion materials for options counseling.

Sec. 1879. (1) The department shall maintain a single, standard preferred drug list to be used by all contracted Medicaid managed health care programs. If the department makes changes to the preferred drug list, the department shall consult with all contracted managed health care programs and the Michigan pharmacy and therapeutics committee to ensure sufficient access to medically necessary drugs for each disease state. The department has final authority over the list and shall design the list to ensure access to clinically effective and appropriate drug therapies and to maximize federal rebates and supplemental rebates.

(2) Not later than July 15 of the current fiscal year, the department shall submit a report to the standard report recipients that compares the managed care pharmacy expenditures, utilization, and rebates before implementing a single, standard preferred drug list to managed care pharmacy expenditures, utilization, and rebates after implementing a single, standard preferred drug list. The report must include quarterly data on collected rebates, pharmacy utilization, and expenditures by quarter for at least 8 quarters before implementing a single, standard preferred drug list, and the experienced rebates, pharmacy utilization, and expenditures for at least 18 quarters, and the projected rebates, pharmacy utilization, and expenditures for quarters 19 through 24 after implementing a single, standard preferred drug list. The data must be aggregated by the department so as not to disclose the proprietary or confidential drug-specific information, or the

proprietary or confidential information that directly or indirectly identifies financial information linked to a single manufacturer.

Sec. 1888. The department shall establish contract performance standards associated with the capitation withhold provisions for Medicaid health plans at least 3 months before the implementation of those standards. The determination of whether performance standards have been met must be based primarily on recognized concepts such as 1-year continuous enrollment and the health care effectiveness data and information set, HEDIS, audited data.

Sec. 1896. From the funds appropriated in part 1, the department shall maintain a Medicaid recuperative care and transitional services benefit for beneficiaries experiencing homelessness. These services, which include medical and care coordination support, must be provided to eligible beneficiaries as part of a hospital discharge process.

INFORMATION TECHNOLOGY

Sec. 1901. (1) The department shall submit a report on a semiannual basis to the standard report recipients that lists the projects approved in the previous 6 months and provides the purpose for approving each project including any federal, state, court, or legislative requirement for each project.

(2) Once an award for an expansion of information technology is made, the department shall submit a report to the standard report recipients that provides the projected cost of the expansion broken down by use and type of expense.

Sec. 1906. From the funds appropriated in part 1 for information technology services and projects, the department shall allocate $4,950,000.00 general fund/general purpose revenue, and

all associated federal matching revenue, to a public and private nonprofit collaboration that is designated as this state's statewide health information exchange by cooperative agreement, to implement health information technology strategies for health information exchange development, data management, and population health at a statewide level.

Sec. 1907. Not later than March 1 of the current fiscal year, the department shall submit a report to the standard report recipients on all current, contracted information technology-related projects. The report must include, by project, the total contractual costs, spending in previous fiscal years, planned spending for the current fiscal year, and fiscal year-to-date spending.

Sec. 1909. (1) From the funds appropriated in part 1 for child support automation, the department shall only encumber or expend funds for the operation, maintenance, and improvements of the Michigan child support enforcement system.

(2) From the funds appropriated in part 1 for bridges information system, the department shall only encumber or expend funds for the operation, maintenance, and improvements of Bridges and MIBridges.

(3) From the funds appropriated in part 1 for Michigan Medicaid information system, the department shall only encumber or expend funds for the operation, maintenance, and improvements of the community health automated Medicaid processing system.

(4) From the funds appropriated in part 1 for Michigan statewide automated child welfare information system, the department shall only encumber or expend funds for the operation, maintenance, and improvements of MiSACWIS.

(5) From the funds appropriated in part 1 for comprehensive child welfare information system, the department shall only encumber or expend funds for the operation, maintenance, and improvements to the comprehensive child welfare information system.

(6) From the funds appropriated in part 1 for comprehensive child welfare information system, the department shall continue to develop a new information system to replace MiSACWIS consistent with the plan provided by the department to the United States District Court for Eastern District of Michigan as a part of the settlement. The development of the comprehensive child welfare information system must adhere to department of technology, management, and budget and information technology investment fund (ITIF) policies and practices, including use of the state unified information technology environment methodology and agile development. The project team shall also participate in and comply with the enterprise portfolio management office process and product quality assurance. To ensure full transparency, the project must be included in the ITIF portfolio for executive, legislative, and external reporting purposes. As a component of the ITIF portfolio, the project is subject to governance and oversight by the information technology investment management board.

Sec. 1910. From the funds appropriated in part 1, $536,041,400.00 is appropriated for information technology services and projects including:

(a) $114,678,900.00 for bridges information system.

(b) $21,555,400.00 for Michigan statewide automated child welfare information system.

(d) $44,243,200.00 for child support automation.

(e) $8,274,700.00 for comprehensive child welfare information system.

ONE-TIME APPROPRIATIONS

Sec. 1920. From the funds appropriated in part 1 for ALS services, the department shall allocate $829,900.00 to the ALS Association to provide free ALS care services including, but not limited to, in home visits, caregiver training, support groups, durable medical equipment, and respite care. As used in this section, "ALS" means amyotrophic lateral sclerosis.

Sec. 1922. From the funds appropriated in part 1 for behavioral health services, the department shall allocate $3,500,000.00 to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and is located in a city with a population between 138,000 and 140,000 that is located in a county with a population between 881,000 and 882,000, according to the most recent federal decennial census. To be eligible for funds under this section, an organization must have current experience providing support services to immigrant children and families from Afghanistan, Iraq, Syria, Yemen, and other Middle Eastern countries, and Ukraine.

Sec. 1924. (1) From the funds appropriated in part 1 for behavioral health urgent care, the department shall allocate $1,700,00.00 as a grant to a nonprofit organization that is organized under the laws of this state, is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, is located in a city with a combined population greater than 100,000 that is located in a county with a population

between 280,000 and 290,000, according to the most recent federal decennial census, and that has a mission to help people in crisis by offering home, healing, and recovery. The grant must be used to support the establishment of a behavioral health urgent care program.

(2) The unexpended funds appropriated in part 1 for behavioral health urgent care are designated as a work project appropriation. Unencumbered or unallotted funds shall not lapse at the end of the fiscal year and shall be available for expenditures under this section until the project has been completed. The following are in compliance with section 451a of the management and budget act, 1984 PA 431, MCL 18.1451a:

(a) The purpose of the project is to provide funds for behavioral health urgent care services, including mental health assessments, psychiatric evaluations, short term prescriptions, intervention and therapy, and care coordination with ongoing health providers.

(b) The project will be accomplished by a nonprofit organization exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501.

(d) The tentative completion date is September 30, 2029.

Sec. 1926. From the funds appropriated on part 1 for child advocacy centers, the department shall allocate $3,500,000.00 to support the expansion of services provided by child advocacy centers. The department must distribute the funds consistent with the regular allocation formula for child advocacy centers.

Sec. 1928. From the funds appropriated in part 1 for children's behavioral health service expansion, the department

shall allocate $2,000,000.00 to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, founded in 1929, and located in a city with a population greater than 600,000, according to the most recent federal decennial census, to support increased operational capacity in order to provide clinical mental health treatment for children and families, primary care coordination, and provider recruitment, retention, and training.

Sec. 1930. (1) From the funds appropriated in part 1 for children's services administration training, the department shall provide grant funding to support improvements in the current training program for children's services administration staff that will include experiential child safety training.

(2) The unexpended funds appropriated in part 1 for children's services administration training are designated as a work project appropriation, and any unencumbered or unallotted funds shall not lapse at the end of the fiscal year and shall be available for expenditures under this section until the work project has been completed. The following are in compliance with section 451a of the management and budget act, 1984 PA 431, MCL 18.1451a:

(a) The purpose of the work project is to fund experiential child safety training to be provided to children's services administration staff.

(b) The work project will be accomplished by utilizing state employees or contracts with service providers.

(d) The tentative completion date is September 30, 2029.

Sec. 1932. From the funds appropriated in part 1 for CMHSP crisis services, the department shall allocate $2,000,000.00 to a CMHSP located in a county with a population between 1,200,000 and 1,300,000 according to the most recent federal decennial census to renovate a crisis hub, to improve crisis service coordination for youth and family care, for assessment center renovations, for peer respite services, and for an urgent care clinic.

Sec. 1934. (1) From the funds appropriated in part 1 for complex medical condition center, the department shall allocate $500,000.00 as a grant to a nonprofit organization that operates a facility in a county with a population between 600,000 and 700,000 according to the most recent federal decennial census and that provides children up to age 26 with weak immune systems with an ability to fulfill their social, emotional, and physical needs. The facility must provide a safe and infection-controlled environment consisting of MERV 14 air filtration, building pressurization, antimicrobial surfaces, and other hospital-grade features. Programming must be specifically designed for children with complex medical conditions and their immediate family to interact socially and to feel a sense of belonging through the use of therapeutic, evidence-based, and organizational-led activities targeted to address both behavioral and physical health outcomes.

(2) The nonprofit organization identified under subsection (1) shall partner with the largest provider-owned nonprofit Medicaid health maintenance organization headquartered in the same county for which the nonprofit organization is providing services to identify and enroll 100 qualifying children up to age 26 for programmatic services. The provider-owned nonprofit Medicaid health maintenance organization shall be responsible for the collection of

data and metric identification for each of the 100 enrollees, including, but not limited to, utilization trends and health outcomes associated with isolation and loneliness, mental health concerns, emergency department visits, and hospitalizations.

(3) The provider-owned nonprofit Medicaid health maintenance organization shall create and utilize a new pilot program code to track the metrics identified in subsection (2). This pilot program code must encompass a group of services provided by the nonprofit organization. The services provided and that are reflected in the pilot program code must include services that align with existing reimbursable service codes such as care management and group therapy and select other services without a code or without Medicaid program reimbursement, including, but not limited to, play therapy, parent support services, and transportation services. The following existing codes shall be included in the new pilot program code, group therapy: 90853, and care management: 99487, 99495, 99496, 98968, 98962, 99484, G9001, G9002, and G9007. The following services without existing codes must also be included in the pilot program:

(a) Social support or social support programming.

(b) Play therapy or recreation therapy.

(d) Parent or caregiver respite or support.

(4) Not later than September 30 of the current fiscal year, the grant recipient under this section shall submit a report to the department that demonstrates the effectiveness of the program in fulfilling the social, emotional, and physical needs of the patients served by the grant recipient. This report must include the data and metrics identified in subsection (2).

(5) The department shall explore Medicaid waiver options available from the Centers for Medicare and Medicaid, which, upon approval, would authorize the department to expend Medicaid funds on similar supports and services as those offered under this program and pilot program code for Medicaid recipients.

Sec. 1936. From the funds in part 1 for cranial hair prothesis, the department shall allocate $250,000.00 to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and is located in a city with a population between 58,800 and 59,000 that is located in a county with a population between 881,000 and 882,000, according to the most recent federal decennial census. To be eligible for funds under this section, an organization must have current experience providing wigs and support services to children and young adults experiencing hair loss as a result of an illness.

Sec. 1938. From the funds appropriated in part 1 for critical access hospital facility and equipment, the department shall allocate $2,000,000.00 to a critical access hospital located in a city with a population between 1,900 and 2,100 in a county with a population between 8,500 and 9,000, according to the most recent federal decennial census, for hospital equipment repairs and replacements and for facility repairs.

Sec. 1940. From the funds appropriated on part 1 for deferred maintenance, the department shall allocate $1,000,000.00 to a privately owned and operated secure residential juvenile justice facility located in a city with a population between 8,960 and 9,000 that is located in a county with a population between 1,700,000 and 1,800,000, according to the most recent federal

decennial census. The funds must be used to support capital improvements and security upgrades needed to reopen the facility.

Sec. 1942. From the funds appropriated in part 1 for dental clinic, the department shall allocate $2,900,000.00 to United Way of Northwest Michigan for the cost of purchasing, rather than leasing, a building that houses both a dental clinic and the United Way of Northwest Michigan.

Sec. 1944. (1) From the funds appropriated in part 1 for dental programs, $2,500,000.00 of general fund/general purpose revenue and any associated federal match must be distributed to a qualified nonprofit provider of dental services that partners with local health departments for the purpose of expanding capacity and ensuring operational efficiencies that may include equipment and technology upgrades.

(2) In order to be considered a qualified nonprofit provider of dental services, the provider must demonstrate all of the following:

(a) The provider has an effective health insurance enrollment process for uninsured patients.

(b) The provider has an effective process of charging patients on a sliding scale based on the patient's ability to pay.

Sec. 1946. From the funds in part 1 for domestic violence shelter operations, the department shall allocate $300,000.00 to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and is located in a city with a population between 9,100 and 9,200 that is located in a

county with a population between 154,000 and 155,000, according to the most recent federal decennial census. Funds must be used to support domestic violence shelter operations and building renovations.

Sec. 1948. (1) From the funds appropriated in part 1 for doula training and continuing education, the department shall support professional development for doulas participating in the department's doula registry.

(2) The unexpended funds appropriated in part 1 for doula training and continuing education are designated as a work project appropriation. Unencumbered or unallotted funds shall not lapse at the end of the fiscal year and shall be available for expenditures under this section until the project has been completed. The following are in compliance with section 451a of the management and budget act, 1984 PA 431, MCL 18.1451a:

(a) The purpose of the work project is to provide training and continuing education for new and established doulas that serve the residents of this state.

(b) The work project will be accomplished by utilizing state employees or contracts.

(d) The tentative completion date is September 30, 2029.

Sec. 1950. (1) From the funds appropriated in part 1 for employment and training support services, the department shall allocate $2,500,000.00 to support individuals and families to remain employed and become self-sufficient.

(2) The unexpended funds appropriated in part 1 for employment and training support services are designated as a work project

appropriation. Unencumbered or unallotted funds shall not lapse at the end of the fiscal year and shall be available for expenditures under this section until the project has been completed. The following are in compliance with section 451a(1) of the management and budget act, 1984 PA 431, MCL 18.1451a:

(a) The purpose of the work project is to provide funds for vehicle repairs, purchases, and other services to assist individuals in accessing and retaining employment.

(b) The work project will be accomplished by utilizing state employees or contracts.

(d) The tentative completion date is September 30, 2029.

Sec. 1952. (1) From the funds appropriated in part 1 for firearm injury and violence prevention, the department shall allocate $7,500,000.00 to contract with a public university located in a city with a population between 100,000 and 130,000 in a county with a population between 370,000 and 380,000, according to the most recent federal decennial census, to provide training, technical assistance, evaluations, and infrastructure to support all of the following:

(a) The implementation of local prevention strategies intended to reduce school violence. Prevention strategies may include, but are not limited to, any of the following:

(i) School climate improvement.

(ii) Student care and threat assessment teams.

(iii) Anonymous reporting systems.

(iv) Restorative justice practices.

(v) Evidence-based student leadership development.

(b) The implementation of the extreme risk protective order act, 2023 PA 38, MCL 691.1801 to 691.1821.

(2) The unexpended funds appropriated in part 1 for firearm injury and violence prevention are designated as a work project appropriation, and any unencumbered or unallotted funds shall not lapse at the end of the fiscal year and shall be available for expenditures for projects under this section until the projects have been completed. The following are in compliance with section 451a of the management and budget act, 1984 PA 431, MCL 18.1451a:

(a) The purpose of the work project is to provide training, technical support, and program evaluations to reduce firearm injuries in this state and to establish new infrastructure for data collection on injuries in this state.

(b) The work project will be accomplished by utilizing state employees or contracts.

(d) The tentative completion date is September 30, 2029.

Sec. 1954. From the funds appropriated in part 1 for firearm safety and violence prevention, the department shall allocate $1,800,000.00 to support community-based firearm safety and prevention efforts. Funds must be allocated to community-based organizations that provide training and programming on extreme risk protective orders issued under the extreme risk protection order act, 2023 PA 38, MCL 691.1801 to 691.1821, and the safe storage law described in section 9 of 1927 PA 372, MCL 28.429.

Sec. 1955. From the funds appropriated in part 1 for

firefighter health care, the department shall allocate $3,500,000.00 for health screenings for firefighters. To be eligible for funding under this section, the entity must only request funding for a health screening of a firefighter that is employed and compensated on a full-time basis and the entity is 1 the following:

(a) A fire department of an airport operated by a county, public airport authority, or state university or college.

(b) A fire department of a city, township, or village.

Sec. 1956. (1) From the funds appropriated in part 1 for first responder and public safety staff mental health, the department shall allocate $5,000,000.00 for a grant program to support firefighters, police officers, emergency medical services personnel, public safety tele-communicators, local correctional officers, juvenile detention employees, prosecutors, and individuals working on special teams to address crimes such as internet sex crimes, sexual crimes against children, or traffic fatalities suffering from post-traumatic stress syndrome and other mental health conditions. The grant program must primarily provide grants to behavioral health providers and may also include funding to the Michigan crisis and action line established under section 165 of the mental health code, 1974 PA 258, MCL 330.1165, to improve information and referrals for these services. The department shall coordinate and integrate the grant program with the Michigan crisis and access line established under section 165 of the mental health code, 1974 PA 258, MCL 330.1165.

(2) The unexpended funds appropriated in part 1 for first responder and public safety staff mental health are designated as a

work project appropriation. Unencumbered or unallotted funds shall not lapse at the end of the fiscal year and shall be available for expenditures under this section until the project has been completed. All of the following are in compliance with section 451a of the management and budget act, 1984 PA 431, MCL 18.1451a:

(a) The purpose of the work project is to ensure that first responder and public safety staff who are dealing with post-traumatic stress syndrome and other mental health conditions have access to enhanced mental health services.

(b) The work project will be accomplished by utilizing state employees, contracting with vendors, or working with local partners.

(d) The tentative completion date is September 30, 2029.

Sec. 1958. From the funds appropriated in part 1 for health equity statewide curriculum, the department shall allocate $500,000.00 to partner with a state medical professional society located in a city with a population between 47,000 and 48,000 in a county with a population between 284,000 and 285,000, according to the most recent federal decennial census, to develop a statewide health equity curriculum for implementation in medical schools and continuing medical education in this state.

Sec. 1960. From the funds appropriated in part 1 for home health care authority, the department shall allocate $1,000,000.00 to support the creation of a home health care public authority. Once established, the home health care public authority must provide supportive services to Medicaid recipients by accessing eligible community-based supports, their families, and those who serve them. Supportive services may include program orientation,

training, and patient matching services to home health care workers.

Sec. 1962. (1) From the funds appropriated in part 1 for homeless programs, the department shall allocate $2,750,000.00 to support family shelters, individuals, or families who are homeless and at risk of being homeless. Eligible expenditures from this line must include the following:

(a) Emergency hotels for families experiencing homelessness.

(b) Creating additional spaces at family homeless shelters.

(2) The unexpended funds appropriated in part 1 for homeless programs are designated as a work project appropriation. Unencumbered or unallotted funds shall not lapse at the end of the fiscal year and shall be available for expenditures under this section until the project has been completed. The following are in compliance with section 451a(1) of the management and budget act, 1984 PA 431, MCL 18.1451a:

(a) The purpose of the work project is to provide emergency hotels for families in need and build up family shelter capacity.

(b) The work project will be accomplished by utilizing state employees or contracts.

(d) The tentative completion date is September 30, 2029.

Sec. 1964. From the funds appropriated in part 1 for hospice caregiver support center, the department shall allocate $1,000,000.00 to a nonprofit hospice organization that is organized under the laws of this state, is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and provides hospice services in 50 counties, to develop

and operate a caregiver support center to expand the center's capacity to support and guide hospice patients and family caregivers that are receiving care through nonprofit hospice organizations.

Sec. 1966. From the funds appropriated in part 1 for inpatient behavioral health facility, the department shall allocate $5,000,000.00 to a nonprofit organization that is organized under the laws of this state, is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and is located in a city with a population greater than 10,000 that is located in a county with a population between 36,500 and 36,850, according to the most recent federal decennial census, for construction costs of an inpatient behavioral health and skilled nursing facility.

Sec. 1968. From the funds appropriated in part 1 for maternal health services, the department shall allocate $420,000.00 in general fund/general purpose revenue to maintain sustainability at existing nurse family partnership sites in a county with a population between 250,000 and 270,000 according to the most recent federal decennial census and to include an additional outreach worker position.

Sec. 1970. From the funds appropriated in part 1 for medical center robotic surgery, the department shall allocate $2,000.000.00 to a medical center that was founded in 1908 and is located in a city with a population between 80,000 and 82,000 according to the most recent federal decennial census, to expand the utilization of robotic surgery for the purposes of improving patient outcomes and reducing recovery times.

Sec. 1972. (1) From the funds appropriated in part 1 for

medical debt relief pilot program, the department shall allocate $100.00 to a national nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and established in 2014 for the purpose of purchasing bundles of medical debt on secondary markets or directly from providers to abolish the medical debt for a group or groups of patients. The department shall ensure the following conditions and criteria are met before awarding a grant under this section:

(a) The grant recipient will use an award under this section only to eliminate medical debt to patients with an income below the federal poverty level with a financial need or who face insolvency.

(b) The grant recipient will ensure that a patient described under subdivision (a) will not have adverse tax or income implications due to the elimination of the medical debt.

(c) The grant recipient provides evidence to the department that the grant recipient has a track record of performing the work described in this section.

(d) The grant recipient will work with local units of government to eliminate medical debt for residents of those local units of government. A local unit of government that provides a dollar of matching funds for every dollar appropriated under this section must be given preference.

(2) Not later than March 1 of the current fiscal year, the department shall provide a report, to the standard reporting recipients, that details the status on any spending on purchasing medical debt bundles and the total medical debt purchased.

(3) The unexpended funds appropriated in part 1 for medical debt relief pilot program are designated as a work project

appropriation. Unencumbered or unallotted funds must not lapse at the end of the fiscal year and must be available for expenditures under this section until the project has been completed. All of the following are in compliance with section 451a of the management and budget act, 1984 PA 431, MCL 18.1451a:

(a) The purpose of the work project is to purchase bundles of medical debt on secondary markets or directly from providers to abolish the medical debt for a group or groups of patients.

(b) The work project will be accomplished by a national nonprofit organization that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501.

(d) The tentative completion date is September 30, 2029.

Sec. 1974. From the funds appropriated in part 1 for mental health educational interventions, the department shall allocate $1,000,000.00 to a public benefit corporation that is located in a city with a population between 19,000 and 20,000 in a county with a population between 1,200,000 and 1,300,000, according to the most recent federal decennial census, and that provides modern mental health education by purchasing user licenses for a program that provides preventative evidence-based mental health educational interventions for adolescents and their families.

Sec. 1976. (1) From the funds appropriated in part 1 for narcotics awareness program, the department shall allocate $5,000,000.00 to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and with a headquarters in a charter township with a population between 100,000 and 105,000 in a county with a population between 700,000 and 1,000,000, according to the most recent

federal decennial census. To be eligible to receive funding, the nonprofit organization must have a stated mission to offer community-based, compassionate, best-practice/evidence-based services to those suffering from addiction, as well as to their loved ones, and to erase the stigma of addiction and instill compassion and hope.

(2) The unexpended funds appropriated in part 1 for narcotics awareness program are designated as a work project appropriation. Unencumbered or unallotted funds shall not lapse at the end of the fiscal year and shall be available for expenditures under this section until the project has been completed. The following are in compliance with section 451a of the management and budget act, 1984 PA 431, MCL 18.1451a:

(a) The purpose of the work project is to offer community-based, compassionate, best-practice/evidence-based services to those suffering from addiction, as well as to their loved ones, and to erase the stigma of addiction and instill compassion and hope.

(b) The work project will be accomplished by a nonprofit organization that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501.

(d) The tentative completion date is September 30, 2029.

Sec. 1978. (1) From the funds appropriated in part 1 for Native American health services, the department shall allocate $1,000,000.00 for a grant to an organization that specializes in American Indian health services and that has a clientele that is comprised of a majority of Medicaid recipients to build a medical, behavioral health, and community wellness center located in a city with a population greater than 600,000 and located in a county with a population greater than 1,500,000 according to the most recent federal decennial census.

(2) Before receiving the grant described in subsection (1), the department shall require the grantee to provide periodic updates on the construction of the facility until it is open and operational.

(3) Not later than September 30 of the current fiscal year, the department shall report on the updates described in subsection (2) to the standard report recipients.

Sec. 1980. (1) From the funds appropriated in part 1 for nurse incentive program, the department shall allocate $2,500,000.00 to provide loan repayment assistance to eligible nurses who work in state operated and nonstate operated facilities. The department shall provide loan repayment assistance under this section only to a nurse who agrees in writing to repay the loan repayment assistance the nurse receives if the nurse does not maintain employment in a state operated or nonstate operated facility for not less than 4 years.

(2) The unexpended funds appropriated in part 1 for nurse incentive program are designated as a work project appropriation, and any unencumbered or unallotted funds shall not lapse at the end of the fiscal year and shall be available for expenditures for projects under this section until the projects have been completed. The following are in compliance with section 451a of the management and budget act, 1984 PA 431, MCL 18.1451a:

(a) The purpose of the work project is to expand financial support provided through loan repayment assistance to eligible nurses.

(b) The work project will be accomplished by utilizing state employees or contracts.

$2,500,000.00.

(d) The tentative completion date is September 30, 2029.

Sec. 1982. From the funds appropriated in part 1 for nurse workforce development, the department shall allocate $10,000,000.00 to a 4-year state university located in a county with a population greater than 1,500,000 according to the most recent federal decennial census. Funding must be used to support efforts to increase retention and reduce nurse faculty turnover. Eligible uses for funds under this section include, but are not limited to, the following:

(a) Providing salary increases for qualified clinicians serving as clinical educators.

(b) Providing tuition support for nurses wishing to pursue a graduate certificate in nursing education.

(d) Supporting nurse residency programming.

(e) Supporting research designed to develop effective methods to reduce staff turnover.

Sec. 1984. From the funds appropriated in part 1 for patient-centered medical home, the department shall allocate $1,000,000.00 to a nonprofit organization that is organized under the laws of this state, is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, is located in a city with a population between 9,500 and 10,500 in a county with a population between 170,000 and 180,000, according to the most recent federal decennial census, and that provides medical, pharmaceutical, dental, obstetrical, and mental health services to economically disadvantaged individuals to build a

comprehensive health clinic.

Sec. 1986. From the funds appropriated on part 1 for pediatric lead testing pilot, the department shall allocate $1,000,000.00 to a toxicology laboratory located in a county with a population between 260,000 and 262,000. Funds must be used to establish a pediatric oral fluid lead testing pilot.

Sec. 1988. From the funds appropriated in part 1 for pediatric psychiatric urgent care center, the department shall allocate $5,000,000.00 to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, that was founded in 1910, and that offers a full continuum of behavioral health services, including psychiatric urgent care; inpatient and partial hospitalization; residential, outpatient, and teletherapy services; addiction treatment and recovery; extensive child and adolescent programs; senior care services; and specialized assessment and treatment clinics. The funds allocated under this section must be used to open a pediatric psychiatric urgent care center to provide all of the following:

(a) Psychiatric assessments.

(b) Referrals into inpatient and other services.

(d) Aftercare planning, workforce development, and telehealth technology improvements.

Sec. 1990. (1) From the funds appropriated in part 1 for permanent supportive housing, the department shall allocate $100.00 to expand supportive housing services. Organizations that received funding under section 1983 of article 6 of 2023 PA 166 shall be eligible to apply for and receive funding under this section. The

funds must prioritize people living in supportive housing who need additional services to maintain stability and currently homeless individuals moving into supportive housing.

(2) From the funds appropriated in this section, 9% must be allocated as grants to organizations providing permanent supportive housing for capacity building necessary to develop and sustain high quality service delivery, and to build administrative capacity to seek Medicaid reimbursement for eligible services.

(3) The unexpended funds appropriated in part 1 for permanent supportive housing are designated as a work project appropriation. Unencumbered or unallotted funds shall not lapse at the end of the fiscal year and shall be available for expenditures under this section until the project is completed. The following are in compliance with section 451a of the management and budget act, 1984 PA 431, MCL 18.1451a:

(a) The purpose of the work project is to provide funding for grants for eligible entities to provide permanent supportive housing services for eligible households.

(b) The work project will be accomplished through partnerships with community-based agencies that provide supportive housing services, the Michigan State Housing Development Authority, and local governments.

(d) The tentative completion date for the work project is September 30, 2029.

Sec. 1992. (1) From the funds appropriated in part 1 for preweatherization services, the department shall allocate $10,000,000.00 to support preweatherization efforts to reduce energy costs for low-income families.

(2) The unexpended funds appropriated in part 1 for preweatherization services are designated as a work project appropriation. Unencumbered or unallotted funds shall not lapse at the end of the fiscal year and shall be available for expenditures under this section until the project has been completed. The following are in compliance with section 451a(1) of the management and budget act, 1984 PA 431, MCL 18.1451a:

(a) The purpose of the work project is to reduce energy costs for low-income families, particularly for the elderly, people with disabilities, and children, while ensuring their health and safety.

(b) The work project will be accomplished by utilizing state employees or contracts.

(d) The tentative completion date is September 30, 2029.

Sec. 1994. From the funds appropriated on part 1 for sexual assault and domestic violence prevention services, the department shall allocate $3,500,000.00 to supplement the loss of federal victims of crime act and state crime victim rights funding. The department must distribute these the funds consistent with the regular allocation formula for crime victim justice grants and crime victim rights services grants.

Sec. 1996. From the funds appropriated in part 1 for sickle cell center, the department shall allocate $2,500,000.00 to the Sickle Cell Disease Association of America for the Sickle Cell Center of Excellence.

Sec. 1998. From the funds appropriated in part 1 for suicide loss survivor program, the department shall allocate $250,000.00 to a nonprofit organization organized under the laws of this state

that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC, and is located in a city with a population that is greater than 600,000 that is located in a county with a population greater than 1,700,000, according to the most recent federal decennial census. Funds shall be used to support the suicide loss survivor program.

Sec. 2000. The funds appropriated in part 1 for state employees' retirement system implementation costs must be expended by the department to cover additional pension-related costs if the following bills of the 102nd Legislature are enacted into law:

(a) House Bill No. 4665.

(b) House Bill No. 4666.

Sec. 2002. From the funds appropriated in part 1 for supportive home visitation, the department shall allocate $1,000,000.00 to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and that is located in a county with a population between 260,000 and 262,000, according to the most recent federal decennial census. Funds under this section must be used to support women and infants through a home visitation program designed to improve parenting skills.

Sec. 2004. From the funds appropriated in part 1 for transitional housing, the department shall allocate $1,750,000.00 to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and that is located in a city with a population between 109,000 and 110,000 in a county

with a population between 1,700,000 and 1,800,000, according to the most recent federal decennial census. Funds under this section must be used to renovate and establish transitional housing for domestic abuse survivors and their families. To be eligible for funds under this section, an organization must have current experience providing support to vulnerable and underserved communities through a teaching community model.

Sec. 2006. From the funds appropriated in part 1 for tribal homeless shelter operations, the department shall allocate $750,000.00 to support a tribal homeless shelter in a county with a population between 36,500 and 36,800 according to the most recent federal decennial census. Funds under this section must be used to support shelter services provided to tribal members.

Sec. 2008. From the funds appropriated in part 1 for water affordability, the department shall allocate $10,000,000.00 to support water affordability efforts. Eligible uses for funds include, but are not limited to, erasing water arrearages for eligible residents at risk of having their water shut off and subsidizing water affordability programs.