Substitute For

HOUSE BILL NO. 4310

A bill to make appropriations for the department of health and human services for the fiscal year ending September 30, 2024; and to provide for the expenditure of the appropriations.

the people of the state of michigan enact:


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part 1

line-item appropriations

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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

 

 

 

APPROPRIATION SUMMARY

 

 

 

Full-time equated unclassified positions

6.0

 

 

Full-time equated classified positions

15,772.5

 

 


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28

 

Average population

798.0

 

 

GROSS APPROPRIATION

 

$

35,954,451,100

Interdepartmental grant revenues:

 

 

 

Total interdepartmental grants and intradepartmental transfers

 

 

14,676,900

ADJUSTED GROSS APPROPRIATION

 

$

35,939,774,200

Federal revenues:

 

 

 

Social security act, temporary assistance for needy families

 

 

544,356,900

Capped federal revenues

 

 

505,666,800

Coronavirus state fiscal recovery fund

 

 

200,000,000

Total other federal revenues

 

 

24,683,843,900

Special revenue funds:

 

 

 

Total local revenues

 

 

149,465,200

Total private revenues

 

 

190,660,700

Michigan merit award trust fund

 

 

61,268,700

Total other state restricted revenues

 

 

3,009,057,700

State general fund/general purpose

 

$

6,595,454,300

Sec. 102. DEPARTMENTAL ADMINISTRATION AND SUPPORT

 

 

 

Full-time equated unclassified positions

6.0

 

 

Full-time equated classified positions

945.4

 

 

Unclassified salaries--FTEs

6.0

$

1,363,300

Administrative hearings officers

 

 

9,995,400

Child welfare institute--FTEs

55.0

 

9,313,800

Demonstration projects--FTEs

7.0

 

7,070,800

Departmental administration and management--FTEs

653.4

 

106,860,800


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26

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28

Office of inspector general--FTEs

197.0

 

25,619,800

Property management

 

 

60,762,900

Terminal leave payments

 

 

7,091,300

Training and program support--FTEs

33.0

 

4,637,700

Warehouse operations

 

 

1,400,000

Worker's compensation

 

 

8,265,500

GROSS APPROPRIATION

 

$

242,381,300

Appropriated from:

 

 

 

Interdepartmental grant revenues:

 

 

 

IDG from department of education

 

 

1,939,800

IDG from department of technology, management, and budget - office of retirement services

 

 

600

Federal revenues:

 

 

 

Social security act, temporary assistance for needy families

 

 

27,448,800

Capped federal revenues

 

 

19,629,300

Total other federal revenues

 

 

73,662,400

Special revenue funds:

 

 

 

Total local revenues

 

 

86,000

Total private revenues

 

 

3,846,900

Total other state restricted revenues

 

 

1,337,300

State general fund/general purpose

 

$

114,430,200

Sec. 103. CHILD SUPPORT ENFORCEMENT

 

 

 

Full-time equated classified positions

193.7

 

 

Child support enforcement operations--FTEs

187.7

$

25,679,000

Child support incentive payments

 

 

24,409,600

Legal support contracts

 

 

113,600,300

State disbursement unit--FTEs

6.0

 

7,362,800


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GROSS APPROPRIATION

 

$

171,051,700

Appropriated from:

 

 

 

Federal revenues:

 

 

 

Capped federal revenues

 

 

14,839,600

Total other federal revenues

 

 

130,956,600

State general fund/general purpose

 

$

25,255,500

Sec. 104. COMMUNITY SERVICES AND OUTREACH

 

 

 

Full-time equated classified positions

56.0

 

 

Bureau of community services and outreach--FTEs

24.0

$

3,468,700

Community services and outreach administration--FTEs

20.0

 

7,292,300

Community services block grant

 

 

25,840,000

Homeless programs--FTE

1.0

 

23,994,500

Housing and support services

 

 

13,031,000

Kids' food basket

 

 

525,000

Runaway and homeless youth grants

 

 

7,784,000

School success partnership program

 

 

1,525,000

Weatherization assistance

 

 

15,505,000

Weatherization assistance - IIJA--FTEs

11.0

 

40,000,000

GROSS APPROPRIATION

 

$

138,965,500

Appropriated from:

 

 

 

Federal revenues:

 

 

 

Social security act, temporary assistance for needy families

 

 

11,268,400

Capped federal revenues

 

 

91,690,800

Total other federal revenues

 

 

14,329,000

Special revenue funds:

 

 

 

State general fund/general purpose

 

$

21,677,300


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Sec. 105. CHILDREN'S SERVICES AGENCY - CHILD WELFARE

 

 

 

Full-time equated classified positions

4,111.2

 

 

Adoption subsidies

 

$

216,917,700

Adoption support services--FTEs

10.0

 

41,597,900

Attorney general contract

 

 

5,191,100

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

1.0

 

627,000

Child care fund

 

 

284,702,500

Child care fund - indirect cost allotment

 

 

3,500,000

Child protection

 

 

2,050,300

Child welfare administration travel

 

 

390,000

Child welfare local office staff - noncaseload compliance--FTEs

353.0

 

41,180,100

Child welfare licensing--FTEs

59.0

 

7,352,900

Child welfare medical/psychiatric evaluations

 

 

10,428,500

Children's protective services - caseload staff--FTEs

1,615.0

 

170,526,200

Children's protective services supervisors--FTEs

387.0

 

47,824,000

Children's services administration--FTEs

212.2

 

26,881,900

Children's trust fund--FTEs

12.0

 

4,735,100

Contractual services, supplies, and materials

 

 

9,567,600

Court-appointed special advocates

 

 

1,000,000

Education planners--FTEs

15.0

 

1,990,000

Family preservation and prevention services administration--FTEs

9.0

 

1,405,200

Family preservation programs--FTEs

34.0

 

57,987,700


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Foster care payments

 

 

294,495,900

Foster care services - caseload staff--FTEs

966.0

 

97,749,000

Foster care services supervisors--FTEs

227.0

 

30,931,300

Guardianship assistance program

 

 

12,445,500

Interstate compact

 

 

179,600

Peer coaches--FTEs

45.5

 

6,267,000

Performance-based funding implementation--FTEs

3.0

 

1,353,800

Permanency resource managers--FTEs

28.0

 

3,482,400

Prosecuting attorney contracts

 

 

8,142,800

Raise the age fund

 

 

13,150,000

Second line supervisors and technical staff--FTEs

126.0

 

19,799,100

Settlement monitor

 

 

2,709,800

Strong families/safe children

 

 

12,600,000

Title IV-E compliance and accountability office--FTEs

4.0

 

457,000

Youth in transition--FTEs

4.5

 

8,178,500

GROSS APPROPRIATION

 

$

1,447,797,400

Appropriated from:

 

 

 

Interdepartmental grant revenues:

 

 

 

IDG from department of education

 

 

244,400

Federal revenues:

 

 

 

Social security act, temporary assistance for needy families

 

 

321,358,600

Capped federal revenues

 

 

105,283,700

Total other federal revenues

 

 

267,404,400

Special revenue funds:

 

 

 

Local funds - county chargeback

 

 

36,615,500


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Private - collections

 

 

1,500,000

Children's trust fund

 

 

2,895,300

Total other state restricted revenues

 

 

2,000,000

State general fund/general purpose

 

$

710,495,500

Sec. 106. CHILDREN'S SERVICES AGENCY - JUVENILE JUSTICE

 

 

 

Full-time equated classified positions

132.5

 

 

Bay Pines Center--FTEs

53.0

$

6,485,300

Committee on juvenile justice administration--FTEs

2.5

 

362,600

Committee on juvenile justice grants

 

 

3,000,000

Community support services--FTEs

3.0

 

1,507,600

County juvenile officers

 

 

3,977,600

Juvenile justice, administration and maintenance--FTEs

21.0

 

3,801,200

Shawono Center--FTEs

53.0

 

6,523,700

GROSS APPROPRIATION

 

$

25,658,000

Appropriated from:

 

 

 

Federal revenues:

 

 

 

Capped federal revenues

 

 

7,929,400

Total other federal revenues

 

 

643,600

Special revenue funds:

 

 

 

Local funds - state share education funds

 

 

1,362,600

Local funds - county chargeback

 

 

4,515,300

State general fund/general purpose

 

$

11,207,100

Sec. 107. PUBLIC ASSISTANCE

 

 

 

Full-time equated classified positions

1.0

 

 

Emergency services local office allocations

 

$

8,813,500


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Family independence program

 

 

72,931,400

Food assistance program benefits

 

 

5,273,474,400

Food Bank Council of Michigan

 

 

2,045,000

Indigent burial

 

 

4,369,100

Low-income home energy assistance program

 

 

174,951,600

Michigan energy assistance program--FTE

1.0

 

50,000,000

Refugee assistance program

 

 

3,054,200

State disability assistance payments

 

 

3,960,000

State supplementation

 

 

61,913,400

State supplementation administration

 

 

1,806,100

GROSS APPROPRIATION

 

$

5,657,318,700

Appropriated from:

 

 

 

Federal revenues:

 

 

 

Social security act, temporary assistance for needy families

 

 

65,261,600

Capped federal revenues

 

 

178,005,800

Total other federal revenues

 

 

5,268,764,400

Special revenue funds:

 

 

 

Child support collections

 

 

8,798,900

Low-income energy assistance fund

 

 

50,000,000

Public assistance recoupment revenue

 

 

4,741,800

Supplemental security income recoveries

 

 

992,400

State general fund/general purpose

 

$

80,753,800

Sec. 108. LOCAL OFFICE OPERATIONS AND SUPPORT SERVICES

 

 

 

Full-time equated classified positions

5,750.5

 

 

Administrative support workers--FTEs

167.0

$

14,564,000

Adult services local office staff--FTEs

542.0

 

65,409,200


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Contractual services, supplies, and materials

 

 

24,033,700

Donated funds positions--FTEs

237.0

 

28,530,400

Elder Law of Michigan MiCAFE contract

 

 

350,000

Electronic benefit transfer (EBT)

 

 

6,999,000

Employment and training support services

 

 

4,219,100

Food assistance reinvestment--FTEs

16.0

 

7,438,300

Local office policy and administration--FTEs

125.0

 

19,597,300

Local office staff travel

 

 

8,252,400

Medical/psychiatric evaluations

 

 

1,120,100

Nutrition education--FTEs

2.0

 

33,037,700

Pathways to potential--FTEs

231.0

 

25,140,700

Public assistance local office staff--FTEs

4,430.5

 

485,158,000

SSI advocacy legal services grant

 

 

325,000

GROSS APPROPRIATION

 

$

724,174,900

Appropriated from:

 

 

 

Interdepartmental grant revenues:

 

 

 

IDG from department of corrections

 

 

120,200

IDG from department of education

 

 

7,766,600

Federal revenues:

 

 

 

Social security act, temporary assistance for needy families

 

 

73,233,900

Capped federal revenues

 

 

55,328,300

Total other federal revenues

 

 

275,065,300

Special revenue funds:

 

 

 

Local funds - donated funds

 

 

4,253,600

Private funds - donated funds

 

 

9,795,000

Private revenues

 

 

214,300

State general fund/general purpose

 

$

298,397,700


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28

 

Sec. 109. DISABILITY DETERMINATION SERVICES

 

 

 

Full-time equated classified positions

585.4

 

 

Disability determination operations--FTEs

581.3

$

115,537,200

Retirement disability determination--FTEs

4.1

 

636,200

GROSS APPROPRIATION

 

$

116,173,400

Appropriated from:

 

 

 

Interdepartmental grant revenues:

 

 

 

IDG from department of technology, management, and budget - office of retirement services

 

 

812,800

Federal revenues:

 

 

 

Total other federal revenues

 

 

111,563,800

State general fund/general purpose

 

$

3,796,800

Sec. 110. BEHAVIORAL HEALTH PROGRAM ADMINISTRATION AND SPECIAL PROJECTS

 

 

 

Full-time equated classified positions

81.0

 

 

Behavioral health program administration--FTEs

45.0

$

55,184,900

Community substance use disorder prevention, education, and treatment--FTEs

9.0

 

80,399,700

Family support subsidy

 

 

12,654,900

Federal and other special projects

 

 

2,535,600

Gambling addiction--FTE

1.0

 

5,517,400

Mental health diversion council

 

 

3,850,000

Michigan child care collaborative

 

 

4,609,100

Office of recipient rights--FTEs

24.0

 

3,236,500

Opioid response activities--FTEs

2.0

 

90,354,600

Protection and advocacy services support

 

 

194,400

GROSS APPROPRIATION

 

$

258,537,100

Appropriated from:

 

 

 


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Federal revenues:

 

 

 

Social security act, temporary assistance for needy families

 

 

12,654,900

Total other federal revenues

 

 

171,714,200

Special revenue funds:

 

 

 

Total private revenues

 

 

2,904,700

Total other state restricted revenues

 

 

31,000,600

State general fund/general purpose

 

$

40,262,700

Sec. 111. BEHAVIORAL HEALTH SERVICES

 

 

 

Full-time equated classified positions

18.0

 

 

Autism services

 

$

283,133,200

Behavioral health community supports and services--FTEs

7.0

 

43,945,200

Certified community behavioral health clinic demonstration

 

 

106,654,900

Civil service charges

 

 

297,500

Community mental health non-Medicaid services

 

 

125,578,200

Court-appointed guardian reimbursements

 

 

5,000,000

Federal mental health block grant--FTEs

4.0

 

24,461,100

Health homes

 

 

53,400,100

Healthy Michigan plan - behavioral health

 

 

590,959,600

Medicaid mental health services

 

 

3,145,163,500

Medicaid substance use disorder services

 

 

93,445,100

Multicultural integration funding

 

 

17,284,900

Nursing home PAS/ARR-OBRA--FTEs

7.0

 

13,959,300

State disability assistance program substance use disorder services

 

 

2,018,800

GROSS APPROPRIATION

 

$

4,505,301,400


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Appropriated from:

 

 

 

Federal revenues:

 

 

 

Social security act, temporary assistance for needy families

 

 

421,000

Capped federal revenues

 

 

184,500

Total other federal revenues

 

 

3,008,268,900

Special revenue funds:

 

 

 

Total local revenues

 

 

5,218,700

Total other state restricted revenues

 

 

46,666,700

State general fund/general purpose

 

$

1,444,541,600

Sec. 112. STATE PSYCHIATRIC HOSPITALS AND FORENSIC MENTAL HEALTH SERVICES

 

 

 

Full-time equated classified positions

2,541.6

 

 

Average population

798.0

 

 

Caro Regional Mental Health Center - psychiatric hospital - adult--FTEs

529.7

$

59,187,400

Average population

145.0

 

 

Center for forensic psychiatry--FTEs

623.5

 

98,315,800

Average population

240.0

 

 

Developmental disabilities council and projects--FTEs

10.0

 

3,165,200

Gifts and bequests for patient living and treatment environment

 

 

1,000,000

Hawthorn Center - psychiatric hospital - children and adolescents--FTEs

370.4

 

51,510,700

Average population

83.0

 

 

IDEA, federal special education

 

 

120,000

Kalamazoo Psychiatric Hospital - adult--FTEs

560.2

 

70,290,300


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23

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26

27

 

 

Average population

170.0

 

 

Purchase of medical services for residents of hospitals and centers

 

 

445,600

Revenue recapture

 

 

750,100

Special maintenance

 

 

924,600

State hospital administration--FTEs

34.0

 

5,576,300

Walter P. Reuther Psychiatric Hospital - adult--FTEs

413.8

 

67,724,900

Average population

160.0

 

 

GROSS APPROPRIATION

 

$

359,010,900

Appropriated from:

 

 

 

Federal revenues:

 

 

 

Total other federal revenues

 

 

45,756,100

Special revenue funds:

 

 

 

Total local revenues

 

 

23,283,200

Total private revenues

 

 

1,000,000

Total other state restricted revenues

 

 

15,189,200

State general fund/general purpose

 

$

273,782,400

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

 

2,713,000

Child advocacy centers

 

 

1,407,000

Child advocacy centers - supplemental grants

 

 

2,000,000

Community health programs

 

 

21,900,000


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14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

Crime victim grants administration services--FTEs

17.0

 

3,038,200

Crime victim justice assistance grants

 

 

95,181,900

Crime victim rights services grants

 

 

19,869,900

Crime victim rights sustaining grants

 

 

20,000,000

Domestic violence prevention and treatment--FTEs

15.6

 

18,340,200

Human trafficking intervention services--FTE

1.0

 

200,000

Michigan essential health provider

 

 

3,519,600

Minority health grants and contracts--FTEs

3.0

 

1,145,200

Nurse education and research program--FTEs

3.0

 

814,900

Policy and planning administration--FTEs

19.9

 

2,662,300

Primary care services--FTEs

3.0

 

3,803,900

Rape prevention and services--FTEs

0.5

 

5,097,300

Rural health services

 

 

175,000

Uniform statewide sexual assault evidence kit tracking system

 

 

369,500

GROSS APPROPRIATION

 

$

202,987,900

Appropriated from:

 

 

 

Interdepartmental grant revenues:

 

 

 

IDG from department of education

 

 

2,400

IDG from department of licensing and regulatory affairs

 

 

814,900

IDG from department of treasury, Michigan finance authority

 

 

117,700

Federal revenues:

 

 

 

Social security act, temporary assistance for needy families

 

 

6,736,000


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10

11

12

13

14

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16

17

18

19

20

21

22

23

24

25

26

27

28

 

Capped federal revenues

 

 

10,704,100

Total other federal revenues

 

 

102,704,200

Special revenue funds:

 

 

 

Total private revenues

 

 

865,000

Child advocacy centers fund

 

 

1,407,000

Compulsive gambling prevention fund

 

 

1,040,500

Crime victim's rights fund

 

 

18,764,100

Crime victim's rights sustaining fund

 

 

20,000,000

Sexual assault victims' prevention and treatment fund

 

 

3,000,000

Total other state restricted revenues

 

 

3,261,400

State general fund/general purpose

 

$

33,570,600

Sec. 114. EPIDEMIOLOGY, EMERGENCY MEDICAL SERVICES, AND LABORATORY

 

 

 

Full-time equated classified positions

425.9

 

 

Bioterrorism preparedness--FTEs

53.0

$

30,807,300

Childhood lead program--FTEs

4.5

 

2,330,900

Emergency medical services program--FTEs

27.0

 

8,974,200

Epidemiology administration--FTEs

73.5

 

26,094,400

Healthy homes program--FTEs

42.0

 

40,054,600

Laboratory services--FTEs

102.0

 

30,243,600

Newborn screening follow-up and treatment services--FTEs

10.5

 

9,237,300

PFAS and environmental contamination response--FTEs

43.0

 

20,346,400

Vital records and health statistics--FTEs

70.4

 

11,393,500

GROSS APPROPRIATION

 

$

179,482,200

Appropriated from:

 

 

 


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12

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23

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25

26

27

28

 

Interdepartmental grant revenues:

 

 

 

IDG from department of environment, Great Lakes, and energy

 

 

1,797,800

Federal revenues:

 

 

 

Capped federal revenues

 

 

81,100

Total other federal revenues

 

 

77,138,300

Special revenue funds:

 

 

 

Total private revenues

 

 

1,342,600

Total other state restricted revenues

 

 

31,345,600

State general fund/general purpose

 

$

67,776,800

Sec. 115. LOCAL HEALTH AND ADMINISTRATIVE SERVICES

 

 

 

Full-time equated classified positions

189.1

 

 

AIDS prevention, testing, and care programs--FTEs

79.5

$

110,575,400

Cancer prevention and control program--FTEs

18.0

 

15,858,500

Chronic disease control and health promotion administration--FTEs

28.4

 

10,567,400

Diabetes and kidney program--FTEs

8.0

 

4,172,000

Essential local public health services

 

 

65,419,300

Implementation of 1993 PA 133, MCL 333.17015

 

 

20,000

Local health services--FTEs

3.3

 

6,398,200

Medicaid outreach cost reimbursement to local health departments

 

 

12,500,000

Public health administration--FTEs

8.0

 

2,104,200

Sexually transmitted disease control program--FTEs

20.0

 

8,483,300

Smoking prevention program--FTEs

15.0

 

4,371,900


1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

 

Violence prevention--FTEs

8.9

 

13,518,800

GROSS APPROPRIATION

 

$

253,989,000

Appropriated from:

 

 

 

Federal revenues:

 

 

 

Social security act, temporary assistance for needy families

 

 

2,300

Total other federal revenues

 

 

90,246,900

Special revenue funds:

 

 

 

Total local revenues

 

 

5,150,000

Total private revenues

 

 

74,437,700

Total other state restricted revenues

 

 

11,790,800

State general fund/general purpose

 

$

72,361,300

Sec. 116. FAMILY HEALTH SERVICES

 

 

 

Full-time equated classified positions

137.1

 

 

Child and adolescent health care and centers

 

$

41,242,700

Dental programs--FTEs

5.3

 

7,734,300

Drinking water declaration of emergency

 

 

4,271,000

Family, maternal, and child health administration--FTEs

49.0

 

10,660,300

Family planning local agreements

 

 

8,810,700

Immunization program--FTEs

20.8

 

20,652,900

Local MCH services

 

 

7,018,100

Pregnancy prevention program

 

 

1,297,900

Prenatal care and premature birth avoidance grant

 

 

1,000,000

Prenatal care outreach and service delivery support--FTEs

17.0

 

38,335,800

Special projects

 

 

6,289,100


1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

Sudden and unexpected infant death and suffocation prevention program

 

 

321,300

Women, infants, and children program administration and special projects--FTEs

45.0

 

19,520,800

Women, infants, and children program local agreements and food costs

 

 

231,285,000

GROSS APPROPRIATION

 

$

398,439,900

Appropriated from:

 

 

 

Federal revenues:

 

 

 

Total other federal revenues

 

 

248,524,400

Special revenue funds:

 

 

 

Total local revenues

 

 

42,817,700

Total private revenues

 

 

64,785,700

Total other state restricted revenues

 

 

4,049,500

State general fund/general purpose

 

$

38,262,600

Sec. 117. CHILDREN'S SPECIAL HEALTH CARE SERVICES

 

 

 

Full-time equated classified positions

48.8

 

 

Bequests for care and services--FTEs

2.8

$

2,087,100

Children's special health care services administration--FTEs

46.0

 

8,117,100

Medical care and treatment

 

 

287,716,400

Nonemergency medical transportation

 

 

921,200

Outreach and advocacy

 

 

6,722,200

GROSS APPROPRIATION

 

$

305,564,000

Appropriated from:

 

 

 

Federal revenues:

 

 

 

Total other federal revenues

 

 

173,802,000


1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

Special revenue funds:

 

 

 

Total private revenues

 

 

1,115,500

Total other state restricted revenues

 

 

4,933,300

State general fund/general purpose

 

$

125,713,200

Sec. 118. AGING SERVICES

 

 

 

Community services

 

$

60,929,300

Employment assistance

 

 

3,500,000

Nutrition services

 

 

48,054,200

Respite care program

 

 

6,468,700

Senior volunteer service programs

 

 

4,765,300

GROSS APPROPRIATION

 

$

123,717,500

Appropriated from:

 

 

 

Federal revenues:

 

 

 

Total other federal revenues

 

 

63,637,400

Special revenue funds:

 

 

 

Total private revenues

 

 

300,000

Michigan merit award trust fund

 

 

4,068,700

Total other state restricted revenues

 

 

2,000,000

State general fund/general purpose

 

$

53,711,400

Sec. 119. HEALTH AND AGING SERVICES ADMINISTRATION

 

 

 

Full-time equated classified positions

464.0

 

 

Aging services administration--FTEs

43.0

$

9,515,300

Health services administration--FTEs

388.0

 

86,755,300

Healthy Michigan plan administration--FTEs

33.0

 

31,573,800

GROSS APPROPRIATION

 

$

127,844,400

Appropriated from:

 

 

 

Federal revenues:

 

 

 


1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

Total other federal revenues

 

 

84,239,600

Special revenue funds:

 

 

 

Total local revenues

 

 

37,700

Total private revenues

 

 

1,721,300

Total other state restricted revenues

 

 

336,300

State general fund/general purpose

 

$

41,509,500

Sec. 120. HEALTH SERVICES

 

 

 

Adult home help services

 

$

538,587,600

Ambulance services

 

 

21,317,200

Auxiliary medical services

 

 

6,832,100

Dental clinic program

 

 

1,000,000

Dental redesign

 

 

110,000,000

Dental services

 

 

319,588,900

Federal Medicare pharmaceutical program

 

 

331,617,600

Health plan services

 

 

6,052,043,500

Healthy Michigan plan

 

 

5,731,542,200

Home health services

 

 

4,880,300

Hospice services

 

 

141,959,400

Hospital disproportionate share payments

 

 

45,000,000

Hospital services and therapy

 

 

788,221,800

Integrated care organizations

 

 

417,918,500

Long-term care services

 

 

2,138,075,000

Maternal and child health

 

 

18,671,500

Medicaid home- and community-based services waiver

 

 

477,429,200

Medicare premium payments

 

 

863,889,500

Personal care services

 

 

6,397,200

Pharmaceutical services

 

 

373,804,600


1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

Physician services

 

 

255,498,400

Plan first

 

 

6,000,000

Program of all-inclusive care for the elderly

 

 

259,018,100

Recuperative care

 

 

297,600

School-based services

 

 

171,401,200

Special Medicaid reimbursement

 

 

298,774,000

Transportation

 

 

18,764,900

GROSS APPROPRIATION

 

$

19,398,530,300

Appropriated from:

 

 

 

Federal revenues:

 

 

 

Total other federal revenues

 

 

14,071,555,300

Special revenue funds:

 

 

 

Total local revenues

 

 

26,124,900

Total private revenues

 

 

16,582,000

Michigan merit award trust fund

 

 

57,200,000

Total other state restricted revenues

 

 

2,741,496,600

State general fund/general purpose

 

$

2,485,571,500

Sec. 121. INFORMATION TECHNOLOGY

 

 

 

Full-time equated classified positions

11.0

 

 

Bridges information system

 

$

98,518,600

Child support automation

 

 

45,567,200

Comprehensive child welfare information system

 

 

8,259,800

Information technology services and projects

 

 

240,591,300

Michigan Medicaid information system--FTE

1.0

 

105,285,100

Michigan statewide automated child welfare information system

 

 

21,539,800

Technology supporting integrated service delivery--FTEs

10.0

 

16,053,100


1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

 

GROSS APPROPRIATION

 

$

535,814,900

Appropriated from:

 

 

 

Interdepartmental grant revenues:

 

 

 

IDG from department of education

 

 

1,059,700

Federal revenues:

 

 

 

Social security act, temporary assistance for needy families

 

 

24,471,400

Capped federal revenues

 

 

21,990,200

Total other federal revenues

 

 

337,235,600

Special revenue funds:

 

 

 

Total private revenues

 

 

5,250,000

Total other state restricted revenues

 

 

2,010,400

State general fund/general purpose

 

$

143,797,600

Sec. 122. ONE-TIME APPROPRIATIONS

 

 

 

Full-time equated classified positions

6.0

 

 

Adolescent hair loss reimbursement fund

 

$

1,000,000

Alternative payment study

 

 

100,000

ARP - behavioral health professional recruitment and retention

 

 

5,000,000

ARP - behavioral health workforce expansion - accelerated degree program

 

 

10,000,000

ARP - direct care wage supplement

 

 

70,000,000

ARP - home energy

 

 

50,000,000

ARP - local water utility affordability

 

 

40,000,000

ARP - pre-weatherization

 

 

25,000,000

Behavioral health patient health information tool

 

 

3,000,000

Behavioral health services

 

 

2,000,000


1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

 

Biomedical research and science education

 

 

1,000,000

Certified community behavioral health clinic expansion

 

 

9,000,000

Children's rehabilitation hospital

 

 

10,000,000

Complex medical condition center

 

 

350,000

Community-based coverage entity

 

 

1,200,000

Community health programs

 

 

20,750,000

Community health residency program

 

 

2,000,000

Community information exchange

 

 

2,000,000

Community violence prevention - community grant program

 

 

18,000,000

Community violence prevention - firearm safety

 

 

2,000,000

Comprehensive child welfare information system--FTEs

6.0

 

6,924,000

Court-appointed special advocates

 

 

1,500,000

Court-operated facility construction

 

 

25,000,000

Crime victim's rights sustaining fund

 

 

60,000,000

Crisis residential unit

 

 

500,000

Crisis stabilization capacity

 

 

4,000,000

Critical access hospital renovation

 

 

12,000,000

Diaper assistance payments

 

 

1,500,000

Direct care worker supervisory training

 

 

2,500,000

Direct care wage supplement

 

 

70,000,000

Early detection and education of teenage heart ailments

 

 

75,000

First responder and public safety staff mental health

 

 

5,000,000

Food Bank Council of Michigan

 

 

20,850,000


1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

Food deserts

 

 

10,000,000

Foster care respite services

 

 

13,895,500

Genemarkers

 

 

1,600,000

Health centers careers training program

 

 

6,000,000

Healthy communities grant

 

 

3,000,000

Healthy homes program

 

 

12,500,000

Inclusive health care

 

 

15,000,000

Inpatient psychiatric reimbursement supplement

 

 

8,000,000

Kids' food basket

 

 

1,000,000

Level 1 and level 2 trauma centers

 

 

12,000,000

Maternal health services

 

 

20,920,000

Medicaid outreach

 

 

450,000

Michigan Child Care Collaborative program

 

 

4,696,100

Michigan medical survival flight program

 

 

100

Michigan relief plan

 

 

3,500,000

Mobile mammography

 

 

1,000,000

Multicultural integration funding

 

 

8,600,000

Narcotics awareness program

 

 

5,000,000

Native American health services

 

 

7,000,000

Nursing facility rate transition support

 

 

110,000,000

Psychiatric GME

 

 

8,000,000

Recovery community organizations

 

 

1,800,000

Rural obstetric services

 

 

1,500,000

Safe opioid use task force

 

 

500,000

Senior nutrition services

 

 

1,000,000

Sickle cell center

 

 

2,500,000

Skilled lactation care

 

 

5,500,000

Substance use rehabilitation services

 

 

3,500,000


1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

 

Tobacco prevention and cessation programs

 

 

2,500,000

University autism center

 

 

4,000,000

University dental clinic

 

 

2,000,000

Water quality projects

 

 

20,000,000

Youth mental health center

 

 

2,500,000

GROSS APPROPRIATION

 

$

781,710,700

Appropriated from:

 

 

 

Federal revenues:

 

 

 

Coronavirus state fiscal recovery fund

 

 

200,000,000

Social security act, temporary assistance for needy families

 

 

1,500,000

Total other federal revenues

 

 

66,631,500

Special revenue funds:

 

 

 

Total private revenues

 

 

5,000,000

State general fund/general purpose

 

$

508,579,200

 

part 2

provisions concerning appropriations

for fiscal year 2023-2024

general sections

Sec. 201. Pursuant to section 30 of article IX of the state constitution of 1963, total state spending from state sources under part 1 for fiscal year 2023-2024 is $9,665,780,700.00 and state spending from state sources to be paid to local units of government for fiscal year 2023-2024 is $1,834,475,200.00. The itemized statement below identifies appropriations from which spending to local units of government will occur:

DEPARTMENT OF HEALTH AND HUMAN SERVICES

 

 

 


1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

CHILD SUPPORT ENFORCEMENT

 

 

 

Child support incentive payments

 

$

10,000,000

Legal support contracts

 

 

3,000

COMMUNITY SERVICES AND OUTREACH

 

 

 

Homeless programs

 

 

20,000

Housing and support services

 

 

117,000

CHILDREN'S SERVICES AGENCY CHILD WELFARE

 

 

 

Child care fund

 

 

160,000,000

Child care fund - indirect cost allotment

 

 

3,500,000

Child welfare licensing

 

 

110,000

Child welfare medical/psychiatric evaluations

 

 

20,000

Children's trust fund

 

 

65,000

Contractual services, supplies, and materials

 

 

5,000

Family preservation programs

 

 

10,000

Foster care payments

 

 

3,000,000

Strong families/safe children

 

 

73,000

Youth in transition

 

 

200

CHILDREN'S SERVICES AGENCY JUVENILE JUSTICE

 

 

 

Bay Pines Center

 

 

42,000

Community support services

 

 

700,000

Shawono Center

 

 

5,000

PUBLIC ASSISTANCE

 

 

 

Emergency services local office allocations

 

 

2,200,000

Family independence program

 

 

1,000

Indigent burial

 

 

6,000

Michigan energy assistance program

 

 

200,000

State disability assistance payments

 

 

150,000

LOCAL OFFICE OPERATIONS AND SUPPORT SERVICES

 

 

 


1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

 

 

Contractual services, supplies, and materials

 

 

120,000

Employment and training support services

 

 

5,000

DISABILITY DETERMINATION SERVICES

 

 

 

Disability determination operations

 

 

2,100

BEHAVIORAL HEALTH PROGRAM ADMINISTRATION AND

SPECIAL PROJECTS

 

 

 

Behavioral health program administration

 

 

400,000

Community substance use disorder prevention, education, and treatment

 

 

10,000,000

Gambling addiction

 

 

1,500,000

Mental health diversion council

 

 

400,000

BEHAVIORAL HEALTH SERVICES

 

 

 

Autism services

 

 

80,000,000

Behavioral health community supports and services

 

 

6,000

Certified community behavioral health clinic demonstration

 

 

23,200,000

Community mental health non-Medicaid services

 

 

125,578,200

Health homes

 

 

2,000,000

Healthy Michigan plan - behavioral health

 

 

63,000,000

Medicaid mental health services

 

 

1,000,000,000

Medicaid substance use disorder services

 

 

29,000,000

Nursing home PAS/ARR-OBRA

 

 

3,000,000

State disability assistance program substance use disorder services

 

 

2,018,000

STATE PSYCHIATRIC HOSPITALS AND FORENSIC MENTAL HEALTH SERVICES

 

 

 


1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

Caro Regional Mental Health Center - psychiatric hospital adult

 

 

215,000

Center for forensic psychiatry

 

 

600,000

Hawthorn Center - psychiatric hospital - children and adolescents

 

 

68,000

Kalamazoo Psychiatric Hospital - adult

 

 

85,000

Walter P. Reuther Psychiatric Hospital - adult

 

 

55,000

HEALTH AND HUMAN SERVICES POLICY AND INITIATIVES

 

 

 

Crime victim rights services grants

 

 

11,000,000

Domestic violence prevention and treatment

 

 

100,000

Primary care services

 

 

100,000

EPIDEMIOLOGY, EMERGENCY MEDICAL SERVICES, AND LABORATORY

 

 

 

Epidemiology administration

 

 

315,000

Healthy homes program

 

 

1,300,000

LOCAL HEALTH AND ADMINISTRATIVE SERVICES

 

 

 

AIDS prevention, testing, and care programs

 

 

2,900,000

Cancer prevention and control program

 

 

50,000

Essential local public health services

 

 

60,269,300

Implementation of 1993 PA 133, MCL 333.17015

 

 

400

Local health services

 

 

1,140,000

Public health administration

 

 

200

Sexually transmitted disease control program

 

 

650,000

Smoking prevention program

 

 

500,000

FAMILY HEALTH SERVICES

 

 

 

Family planning local agreements

 

 

207,000

Immunization program

 

 

2,330,000


1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

Pregnancy prevention program

 

 

100,000

Prenatal care outreach and service delivery support

 

 

8,800,000

CHILDREN'S SPECIAL HEALTH CARE SERVICES

 

 

 

Medical care and treatment

 

 

700,000

Outreach and advocacy

 

 

2,700,000

AGING SERVICES

 

 

 

Community services

 

 

33,000,000

Nutrition services

 

 

12,597,200

Respite care program

 

 

5,700,000

Senior volunteer service programs

 

 

900,000

HEALTH AND AGING SERVICES ADMINISTRATION

 

 

 

Aging services administration

 

 

400,000

HEALTH SERVICES

 

 

 

Adult home help services

 

 

130,000

Ambulance services

 

 

755,000

Dental services

 

 

1,700,000

Healthy Michigan plan

 

 

1,000,000

Home health services

 

 

1,800

Hospital services and therapy

 

 

3,300,000

Long-term care services

 

 

85,000,000

Medicaid home- and community-based services waiver

 

 

15,200,000

Personal care services

 

 

23,000

Pharmaceutical services

 

 

1,000

Physician services

 

 

2,800,000

Special Medicaid reimbursement

 

 

20,000

Transportation

 

 

225,000


1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

ONE-TIME APPROPRIATIONS

 

 

 

Court-operated facility construction

 

 

25,000,000

Crisis stabilization capacity

 

 

4,000,000

Direct care wage supplement

 

 

10,000,000

Senior nutrition services

 

 

1,000,000

Youth mental health center

 

 

2,500,000

TOTAL OF PAYMENTS TO LOCAL UNITS OF GOVERNMENT

 

$

1,834,475,200

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

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

(a) "AIDS" means acquired immunodeficiency syndrome.

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

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

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

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

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

(g) "DSH" means disproportionate share hospital.

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

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


1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29


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

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

(l) "GME" means graduate medical education.

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

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

(o) "HMO" means health maintenance organization.

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

(q) "IDG" means interdepartmental grant.

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

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

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

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

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

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

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

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


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

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

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

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

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

(ee) "SSI" means supplemental security income.

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

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

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

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

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


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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 shall include transmission of reports via email to the recipients identified for each reporting requirement and it shall include placement of reports on an internet site.

Sec. 205. To the extent permissible under section 261 of the management and budget act, 1984 PA 431, MCL 18.1261, all of the following apply to 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 as defined in Executive Directive No. 2019-08 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 geographically-disadvantaged business enterprises as defined in Executive


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Directive No. 2019-08 for services, supplies, or both.

Sec. 207. The department shall prepare a report on out-of-state travel expenses not later than January 1 of each year. The travel report shall be a listing of all travel by classified and unclassified employees outside this state in the previous fiscal year that was funded in whole or in part with funds appropriated in the department's budget. The report shall be submitted to the report recipients required in section 246 of this part. The report shall include the following information:

(a) The dates of each travel occurrence.

(b) The total transportation and related costs of each travel occurrence, including the proportion funded with state general fund/general purpose revenues, the proportion funded with state restricted revenues, the proportion funded with federal revenues, and the proportion funded with other revenues.

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

Sec. 209. Not later than December 15, the state budget office shall prepare and transmit a report that provides for estimates of the total general fund/general purpose appropriation lapses at the close of the previous fiscal year. This report shall summarize the projected year-end general fund/general purpose appropriation lapses by major departmental program or program areas. The report shall be transmitted to the chairpersons of the senate and house appropriations committees, and to the report recipients required in section 246 of this part.


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Sec. 210. (1) In addition to the funds appropriated in part 1, there is appropriated an amount not to exceed $200,000,000.00 for federal contingency authorization. Authorized funds are not available for expenditure until they have been transferred to another line item in part 1 under section 393(2) of the management and budget act, 1984 PA 431, MCL 18.1393. 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 $40,000,000.00 for state restricted contingency authorization. Authorized funds are not available for expenditure until they have been transferred to another line item in part 1 under section 393(2) of the management and budget act, 1984 PA 431, MCL 18.1393.

(3) In addition to the funds appropriated in part 1, there is appropriated an amount not to exceed $15,000,000.00 for local contingency authorization. Authorized funds are not available for expenditure until they have been transferred to another line item in part 1 under section 393(2) of the management and budget act, 1984 PA 431, MCL 18.1393.

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

Sec. 211. The department shall cooperate with the department of technology, management, and budget to maintain a searchable website accessible by the public at no cost that includes, but is


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not limited to, all of the following for the department:

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

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

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

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

(e) Job specifications and wage rates.

Sec. 212. Within 14 days after the release of the executive budget recommendation, the department shall cooperate with the state budget office to provide the chairpersons of the senate and house appropriations committees and to the report recipients required in section 246 of this part with an annual report on estimated state restricted fund balances, state restricted fund projected revenues, and state restricted fund expenditures for the previous fiscal year and the current fiscal year.

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

Sec. 215. If either of the following events occurs, within 30 days after that event the department shall notify the report recipients required in section 246 of this part of that fact:

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

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


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

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

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

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

(2) Upon the release of the next fiscal year executive budget recommendation, the department shall report to the same parties in subsection (1) on the amounts and detailed sources of federal, restricted, private, and local revenue proposed to support the total funds appropriated in each of the line items in part 1 of the next fiscal year executive budget proposal.

Sec. 218. 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.


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(c) Sexually transmitted infection control.

(d) Tuberculosis control.

(e) Prevention of gonorrhea eye infection in newborns.

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

(g) Health and human services annex of the Michigan Emergency Management Plan.

(h) Prenatal care.

(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 these purposes for up to a 1-year period.

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

(a) A detailed description of each funded project.

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

(c) The expected project duration.

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


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subgrantee.

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

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

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

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

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

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


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report recipients required in section 246 of this part.

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

Sec. 223. The department may establish and collect fees for publications, videos and related materials, conferences, and workshops. Collected fees are appropriated when received and shall be used to offset expenditures to pay for printing and mailing costs of the publications, videos and related materials, and costs of the workshops and conferences. The department shall not collect fees under this section that exceed the cost of the expenditures. When collected fees are appropriated under this section in an amount that exceeds the current fiscal year appropriation, within 30 days the department shall notify the report recipients required in section 246 of this part of that fact.

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

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


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source of funds in the subsequent fiscal year.

Sec. 227. The state departments, agencies, and commissions receiving tobacco tax funds and Healthy Michigan fund revenue from part 1 shall report by April 1 of the current fiscal year to the report recipients required in section 246 of this part on the following activities during the previous fiscal year:

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

(b) Project information for each project, including all of the following:

(i) Project name.

(ii) Appropriation line item and amount.

(iii) Target population.

(iv) Project description.

(v) Project outcomes or accomplishments.

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

Sec. 230. By December 31 of the current fiscal year, the department shall report to the report recipients required in section 246 of this part on the status of the implementation of any noninflationary, noncaseload, programmatic funding increases in the


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current fiscal year from the previous fiscal year. The report shall confirm the implementation of already implemented funding increases and provide explanations for any planned implementation of funding increases that have not yet occurred. For any planned implementation of funding increases that have not yet occurred, the department shall provide an expected implementation date and the reasons for delayed implementation.

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

(a) Increase the direct care wage by $2.50 per hour, of which $1.00 per hour is on a 1-time basis, for the services noted in DHHS Medicaid provider letter L 21-76 under the Medicaid managed care organization's relevant program.

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

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

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


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care worker wages.

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

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

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

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

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


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projected expenditures and projected revenue. The department shall supplement the spending plan information by providing a list of all active contracts and grants in the department's contract system. For amounts listed in the other contracts category of each spending plan, the department shall provide a list of all contracts and grants and amounts for the current fiscal year, and include the name of the line item and the name of the fund source related to each contract or grant and amount. For amounts listed in the all other costs category of each spending plan, the department shall provide a list detailing planned expenditures and amounts for the current fiscal year, and include the name of the line item and the name of the fund source related to each amount and expenditure.

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

Sec. 235. (1) Money appropriated in part 1 must not be used to restrict or interfere with actions related to diversity, equity, and inclusion (DEI); to restrict or impede a marginalized community's access to government resources, programs, or facilities; or to diminish, interfere with, or restrict an individual's ability to exercise the right to reproductive freedom.

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

(a) Report to the house and senate appropriations committees


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

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

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

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

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


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and the patient.

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

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

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

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

Sec. 252. The appropriations in part 1 for Healthy Michigan plan - behavioral health, Healthy Michigan plan administration, and


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

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

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

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

(2) The department shall provide reports on a semiannual basis to the report recipients required in section 246 of this part


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summarizing the status of any new or ongoing discussions with CMS, the United States Department of Health and Human Services, or other federal agency regarding potential or future waiver applications as well as the status of submitted waivers that have not yet received federal approval. If, at the time a semiannual report is due, there are no reportable items, then no report is required to be provided.

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

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

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

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

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

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

Sec. 274. The department, in collaboration with the state budget office, shall submit to the report recipients required in section 246 of this part 1 week after the day the governor submits to the legislature the budget for the ensuing fiscal year a report


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on spending and revenue projections for each of the capped federal funds listed below. The report shall contain actual spending and revenue in the previous fiscal year, spending and revenue projections for the current fiscal year as enacted, and spending and revenue projections within the executive budget proposal for the fiscal year beginning October 1, 2024 for each individual line item for the department budget. The report shall also include federal funds transferred to other departments. The capped federal funds shall include, but not be limited to, all of the following:

(a) TANF.

(b) Title XX social services block grant.

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

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

(e) Low-income home energy assistance program.

Sec. 275. (1) On a quarterly basis, the department, with the approval of the state budget director, is authorized to realign sources between other federal, TANF, and capped federal financing authorizations in order to maximize federal revenues. This realignment of financing shall not produce a gross increase or decrease in the department's total individual line item authorizations, nor will it produce a net increase or decrease in total federal revenues, or a net increase in TANF authorization.

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


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made under subsection (1), then no report is required to be provided.

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

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

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

Sec. 297. On a quarterly basis, the department shall report to the senate and house appropriations committees and to the report recipients required in section 246 of this part a comparison by line item of the number of FTE positions authorized from funds appropriated in part 1 to the actual number of FTE positions employed by the department at the end of the reporting period.

 

DEPARTMENTAL ADMINISTRATION AND SUPPORT

Sec. 301. From the funds appropriated in part 1 for child welfare institute, the department shall train private child placing


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agency staff in the pre-service training requirements for child welfare caseworkers and supervisors. All private child placing agency staff must be provided an opportunity to complete training at their private child placing agency facilities in a virtual format. A hybrid format that includes virtual and in-person instruction must also be available to all private child placing agency staff according to the preference of a given private child placing agency.

 

CHILD SUPPORT ENFORCEMENT

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

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

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

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

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

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


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the federal government is less than $26,500,000.00, then the state and county share shall each be reduced by 50% of the shortfall.

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

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

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

(2) The department shall notify the report recipients required in section 246 of this part not later than 30 days after the authorization adjustment under subsection (1).

 

COMMUNITY SERVICES AND OUTREACH

Sec. 450. (1) From the funds appropriated in part 1 for school success partnership program, the department shall allocate


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

(a) Increasing school attendance and decreasing chronic absenteeism.

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

(c) Identifying barriers to attendance and success and connecting families with resources to reduce these barriers.

(d) Increasing parent involvement with the parent's child's school and community.

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

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


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shelters.

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

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

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

Sec. 456. From the funds appropriated in part 1 for homeless programs, the department shall allocate $2,000.00 to reimburse public service agencies that provide documentation of paying birth certificate fees on behalf of category 1 homeless clients at county


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clerk's offices. Public service agencies shall be reimbursed for the cost of the birth certificate fees quarterly until this allocation is fully spent.

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

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

Sec. 465. (1) From the funds appropriated in part 1 for community services and outreach administration, $2,950,000.00 must be distributed as provided in subsection (2). The amount distributed under this subsection must not exceed 50% of the total


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operating expenses of the program described in subsection (2), with the remaining 50% paid by local United Way organizations and other nonprofit organizations and foundations.

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

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

(4) Michigan 2-1-1 shall report annually to the department, the house and senate standing committees with primary jurisdiction over matters relating to human services and telecommunications on 2-1-1 system performance and the report recipients required in section 246 of this part, including, but not limited to, on call volume by health and human service needs and unmet needs identified through caller data and number and percentage of callers referred to public or private provider types.

 

CHILDREN'S SERVICES AGENCY - CHILD WELFARE

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

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


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shall provide to the report recipients required in section 246 of this part a report describing the steps that will be taken to achieve the specific goal established under subsection (1) and on the percentage of children who currently have been in foster care a total of 24 or more months.

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

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

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


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the performance-based contracting model to the report recipients required in section 246 of this part as well as the senate and house standing committees on 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 the performance-based child welfare contracting program. The consortium shall consist of a network of affiliated child welfare service providers that will accept and comprehensively assess referred youth, assign cases to members of its continuum or leverage services from other entities, and make appropriate case management decisions during the duration of a case.

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


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Children Consortium as determined by an independent actuary as well as to account for changes in case volumes and any statewide rate increases that are implemented. The contract agreement requires that the West Michigan Partnership for Children Consortium shall maintain the following stipulations and conditions:

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

(b) To maintain a risk reserve of at least $1,500,000.00 to ensure it can meet unanticipated expenses within a given fiscal year.

(c) To cooperate with the department on an independent fiscal analysis of costs incurred and revenues received.

(3) By March 1 of the current fiscal year, the consortium shall provide to the department and the house and senate appropriations subcommittees on the department budget a report on the consortium, including, but not limited to, actual expenditures, number of children placed by agencies in the consortium, fund balance of the consortium, and the outcomes measured.

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


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

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

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

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

Sec. 507. The department's ability to satisfy appropriation 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 but may include revenues collected during the current fiscal year for services provided in prior fiscal years.

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

(2) For the funds described in subsection (1), the department shall ensure that administrative delays are avoided and the local grant recipients and direct service providers receive money in an


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expeditious manner. The department and board shall make available the children's trust fund contract funds to grantees within 31 days of the start date of the funded project.

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

Sec. 511. The department shall provide reports on a semiannual basis to the report recipients required in section 246 of this part as well as the senate and house standing committees on families and human services on the number and percentage of children who received timely physical and mental health examinations after entry into foster care. The reports shall also include the new methods the department is using since June 14, 2022, to achieve the stated


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goal of the program as described in this section. The goal of the program is that at least 85% of children shall have an initial medical and mental health examination within 30 days after entry into foster care.

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

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

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

(c) The out-of-state facility meets all of the licensing standards of this state for a comparable facility.

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

(e) The department has done an on-site visit to the out-of-state facility, reviewed the facility records, reviewed licensing records and reports on the facility, and believes that the facility is an appropriate placement for the child.

(2) The department shall not expend money for a child placed in an out-of-state facility without approval of the executive director of the children's services agency.

(3) The department shall submit an annual report by March 1 of the current fiscal year to the state court administrative office and the report recipients required in section 246 of this part on the number of Michigan children residing in out-of-state facilities in the previous fiscal year and shall include the total cost and


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average per diem cost of these out-of-state placements to this state, and a list of each such placement arranged by the Michigan county of residence for each child.

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

Sec. 516. (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 shall be distributed to the county on a monthly basis and a county is not required to submit documentation to the department for any of the expenditures that are covered under the 10% payment as described in section 117a(4)(b)(ii) and (iv) of the social welfare act, 1939 PA 280, MCL 400.117a.

(2) 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 manner described in section 117a of the social welfare act, 1939 PA 280, MCL 400.117a.

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


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state.

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

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

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

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


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scholarships for the youths described in this section.

(2) By June 1 of the current fiscal year, the department shall provide a report to the report recipients required in section 246 of this part that includes the number of youths who applied for scholarships under this section, the number of youths who received scholarships under this section and the amount of each scholarship, and the total amount of funds spent or encumbered in the current fiscal year.

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

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

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

Sec. 525. The department shall implement the same on-site evaluation processes for privately operated child welfare and


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juvenile justice residential facilities as is used to evaluate state-operated facilities. Penalties for noncompliance shall be the same for privately operated child welfare and juvenile justice residential facilities and state-operated facilities.

Sec. 526. From the funds appropriated in part 1 for court-appointed special advocates, the department shall allocate $2,500,000.00, of which $1,500,000.00 is allocated on a 1-time basis, to fund a project with a nonprofit, community-based organization organized under the laws of this state that are exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, located in a charter township with a population of between 18,000 and 19,000 according to the most recent federal decennial census that is located in a county with a population of between 600,000 and 700,000 according to the most recent federal decennial census. The nonprofit organization recipient shall have an existing network of affiliate programs operating in at least 25 counties in this state. The nonprofit organization shall use the funds to recruit, screen, train, and supervise volunteers who provide advocacy services on behalf of abused and neglected children.

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


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Sec. 529. From the funds appropriated in part 1 for family preservation programs, the department shall maintain the total combined funding levels of the families first, family reunification, and families together building solutions family preservation programs at an amount not less than the amount provided as of September 30, 2021. For the current fiscal year as the department moves toward implementation of the federal family first prevention services act, Public Law 115-123, the funding available to serve families through the existing family preservation programs shall not be reduced.

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

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

Sec. 531. The department shall notify the report recipients required in section 246 of this part of any changes to a child welfare master contract template, including the adoption master contract template, the independent living plus master contract template, the child placing agency foster care master contract template, and the residential foster care juvenile justice master contract template, not less than 30 days before the change takes effect.


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Sec. 533. The department shall make payments to child placing facilities for in-home and out-of-home care services and adoption services within 30 days after receiving all necessary documentation from those agencies. It is the intent of the legislature that the burden of ensuring that these payments are made in a timely manner and no payments are in arrears is upon the department.

Sec. 534. The department shall submit to the report recipients required in section 246 of this part, by March 1 of the current fiscal year, a report on the adoption subsidies expenditures from the previous fiscal year. The report 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 the adoption support subsidy request of adoptive parents for assistance was denied by the department, and the number of adoptive parents who requested a redetermination of adoption support subsidy.

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


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appropriations. Efforts to reach this goal shall include the following:

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

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

(c) Assist kinship care providers in meeting state foster parent licensing requirements.

(d) Support parents to expedite permanency planning.

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

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

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


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

Sec. 537. By March 1 of the current fiscal year, the department shall provide a report to the report recipients required in section 246 of this part on the following information for cases of child abuse or child neglect from the previous fiscal year:

(a) The total number of relative care placements.

(b) The total number of relative care placements into unlicensed relative homes.

(c) The total number of relative care placements into licensed relative homes.

(d) The total number of unlicensed relative placements that required and passed safety assessments or safety planning before placement.

(e) The total number of unlicensed relative providers with a relative placement that were denied a foster home license for not meeting the standards established for state licensing for foster care.

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


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department.

(g) The status of title IV-E claims for foster care maintenance payments and foster care administrative payments for licensed relative caregivers with placements.

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

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

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

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

Sec. 546. (1) From the funds appropriated in part 1 for foster


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care payments and from child care fund, the department shall pay providers of general foster care, independent living, and trial reunification services not less than a $55.20 administrative rate.

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

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

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

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

(2) The department shall report on an annual basis to the report recipients required in section 246 of this part 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


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

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

(3) The county is not subject to any offset, chargeback, or reimbursement liability for prior expenditures resulting from an error in foster care fund source determinations.

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

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

Sec. 554. From the funds appropriated in part 1 for foster care payments, the department shall allocate $50,000.00 to a


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

Sec. 555. The department shall require that foster care parents caring for a foster child for whom a petition of adoption has been filed with the court continue to receive the regularly scheduled maintenance payments until the order placing child (OPC) is signed by the court. The department may allow adoption agencies to pause maintenance payments to foster families during this time so long as the foster families are appropriately reimbursed. By June 1 of the current fiscal year, the department shall report quarterly to the report recipients required in section 246 on the continuation of maintenance payments. If, at the time a report is due, there are no reportable items, then no report is required to be provided.

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


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Sec. 559. (1) From the funds appropriated in part 1 for adoption support services, the department shall allocate $250,000.00 to the Adoptive Family Support Network by December 1 of the current fiscal year to operate and expand its adoptive parent mentor program to provide a listening ear, knowledgeable guidance, and community connections to adoptive parents and children who were adopted in this state or another state.

(2) The Adoptive Family Support Network shall submit to the report recipients required in section 246 of this part by March 1 of the current fiscal year a report on the program described in subsection (1), including, but not limited to, the number of cases served and the number of cases in which the program prevented an out-of-home placement.

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

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

Sec. 564. (1) The department shall maintain a clear policy for parent-child visitations. The local county offices, caseworkers,


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and supervisors shall meet an 85% success rate, after accounting for factors outside of the caseworkers' control.

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

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

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

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

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

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

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

(c) The implementation steps that have been taken to improve the outcomes for the measures in subdivision (a).

Sec. 568. (1) The department shall ensure youths transitioning out of foster care are given assistance with obtaining a driver license or state identification card and are issued a copy of their


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Social Security number as required by department policy. Assistance must be provided to youths who are eligible to obtain a driver license or state identification card and a Social Security card based on the youth's citizenship and legal residency status.

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

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

Sec. 574. (1) From the funds appropriated for foster care payments, $1,375,000.00 is allocated to support family incentive grants to private and community-based foster care service providers to assist with home improvements and items needed to ensure compliance with licensing rule requirements, including payment for physical exams needed by foster families, and to alleviate potential safety concerns for unlicensed relatives caring for a family member through the child welfare system to accommodate children in foster care.

(2) By March 1 of the current fiscal year, the department shall submit to the report recipients required in section 246 of this part a report on the total amount expended in the previous


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year for grants to private and community-based foster care service providers for home improvements or physical exams as referenced in subsection (1) and the number of grants issued.

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

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

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

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

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

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


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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 shall be contractually obligated to work for Michigan child welfare agencies for a minimum of 1 year. The matching funds for the Title IV-E funds shall be provided by the participating state universities from the expenses incurred for training child welfare students who participate in the program.

(2) By March 1 of the current fiscal year, the department shall submit to the report recipients required in section 246 of this part a report on the status of the pilot program 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 program, and the total amount of matching funds that each state university contributed to the program.

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 such as food, clothing, and other basic necessities, for children upon removal from their home or other dangerous environment, including children who are victims of human trafficking. The department shall track the distribution of the funds and by June 1 of the current fiscal year shall submit to the report recipients required in


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section 246 of this part a report on the number of funds distributed and the number of children impacted.

Sec. 583. By March 1 of the current fiscal year, the department shall provide to the report recipients required in section 246 of this part as well as the senate and house standing committees on families and human services a report that includes all of the following:

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

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

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

Sec. 588. (1) Concurrently with public release, the department shall transmit all reports from the court-appointed settlement monitor, including, but not limited to, the needs assessment and period outcome reporting, to the report recipients required in section 246 of this part, without revision.

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

Sec. 589. (1) From the funds appropriated in part 1 for child care fund, the department shall pay 100% of the administrative rate


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for all new cases referred to providers of foster care services.

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

Sec. 592. The department shall submit quarterly reports to the chairs of the house and senate standing oversight committees as well as the report recipients required in section 246 of this part that include data from children's protective services staff for each of the following for the most recent quarter before the report is submitted:

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

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

(c) The percent of face-to-face contacts made within the established timeframe required by the department.

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

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

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

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

Sec. 593. (1) The department shall conduct an annual review in each county to determine if the county has adopted and implemented


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standard child abuse and child neglect investigation and interview protocols as required in section 8(6) of the child protection law, 1975 PA 238, MCL 722.628.

(2) By March 1 of the current fiscal year, the department shall submit an annual report to the chairs of the house and senate standing oversight committees, the governor's task force on child abuse and neglect, and the report recipients required in section 246 of this part on the findings of each county's review described in subsection (1).

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

Sec. 598. Partial child care fund reimbursements to counties for undisputed charges must be made within 45 business days after the receipt of the required forms and documentation. The department shall commence activity to investigate and resolve a disputed reimbursement charge from a county within 15 business days after receiving the request for reimbursement. The activity to investigate and resolve a disputed reimbursement request may include, but is not limited to, the use of a formal appeals process, pursuant to statute and department chargeback policy. The


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department shall reimburse for corrected charges within 45 business days after a properly corrected submission by the county.

 

PUBLIC ASSISTANCE

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

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

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

Sec. 604. (1) From the funds appropriated in part 1 for state disability assistance payments, the department shall operate a state disability assistance program. Except as provided in subsection (3), persons eligible for this program shall include needy citizens of the United States or aliens exempted from the supplemental security income citizenship requirement who are at least 18 years of age or emancipated minors who meet 1 or more of


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the following requirements:

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

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

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

(d) Is an individual receiving 30-day 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) Applicants for and recipients of the state disability assistance program shall be considered needy if they do both of the following:

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

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

(3) Except for an individual described in subsection (1)(c) or (d), an individual is not disabled for purposes of this section if the individual's drug addiction or alcoholism is a contributing


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

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

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

Sec. 607. (1) The department's ability to satisfy appropriation deductions in part 1 for state disability assistance/supplemental security income recoveries and public assistance recoupment revenues shall not be limited to recoveries and accruals pertaining to state disability assistance, or family


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independence assistance grant payments provided only in the current fiscal year, but may include revenues collected during the current year that are prior year related and not a part of the department's accrued entries.

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

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

Sec. 609. The state supplementation level under the supplemental security income program for the personal care/adult foster care and home for the aged categories shall not be reduced during the current fiscal year. The legislature shall be notified not less than 30 days before any proposed reduction in the state supplementation level.

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


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maintaining or securing employment.

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

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

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

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

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

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

(a) The maximum allowable reimbursement for the final disposition is $840.00.

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

(c) The adult burial without services allowance is $530.00.

(d) The infant burial allowance is $210.00.

(2) Reimbursement for a cremation permit fee of up to $75.00 and for mileage at the standard rate will be made available for an


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eligible cremation. The reimbursements under this section shall take into consideration religious preferences that prohibit cremation.

(3) The department shall submit a report to the report recipients required in section 246 of this part by January 31 of the current fiscal year on burial services payments issued from the state emergency relief program during the previous fiscal year. The report must include the number of payments by reimbursement categories detailed in subsections (1) and (2).

Sec. 614. The department shall report to the report recipients required in section 246 of this part by January 15 of the current fiscal year on the number and percentage of state disability assistance recipients who were determined to be eligible for federal supplemental security income benefits in the previous fiscal year.

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

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

Sec. 619. The department shall not deny title IV-A assistance and food assistance benefits under 21 USC 862a to any individual


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who has been convicted of a felony that included the possession, use, or distribution of a controlled substance, for which the act that resulted in the conviction occurred after August 22, 1996, if the individual is not in violation of his or her probation or parole requirements.

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

(2) The department shall provide quarterly reports to the report recipients required in section 246 of this part and the senate and house standing committees on families and human services on the percentage of determinations of Medicaid eligibility that were completed within the required time frame for both applications that include disability as a determination factor and applications that do not include disability as a determination factor, as described under subsection (1), and for medical review team reviews achieved statewide and at each local office by each of the 4 preceding quarters.

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

Sec. 653. From the funds appropriated in part 1 for food assistance program benefits, an individual who is the victim of


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domestic violence or human trafficking and does not qualify for any other exemption may be exempt from the 3-month in 36-month limit on receiving food assistance under 7 USC 2015. This exemption can be extended an additional 3 months upon demonstration of continuing need.

Sec. 654. The department shall notify recipients of food assistance program benefits that their benefits can be spent with their bridge cards at many farmers' markets in the state. The department shall also notify recipients about the Double Up Food Bucks program that is administered by the Fair Food Network. Recipients shall receive information about the Double Up Food Bucks program, including information that when the recipient spends $20.00 at participating farmers' markets through the program, the recipient can receive an additional $20.00 to buy Michigan produce.

Sec. 655. Within 14 days after the spending plan for low-income home energy assistance program is approved by the state budget office, the department shall provide the spending plan, including itemized projected expenditures and itemized expenditures for the previous fiscal year, to the report recipients required in section 246 of this part.

Sec. 669. From the funds appropriated in part 1 for family independence program, the department shall allocate $7,230,000.00 for the annual clothing allowance. The allowance shall be granted to all eligible children in a family independence program group.

Sec. 672. (1) The department's office of inspector general shall submit a report to the report recipients required in section 246 of this part by February 15 of the current fiscal year on department efforts to reduce inappropriate use of Michigan bridge cards and food assistance program trafficking. The department shall


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provide information on the number of recipients of services who used their Michigan bridge card inappropriately and the current status of each case, the number of recipients whose benefits were revoked, whether permanently or temporarily, as a result of inappropriate use, and the number of retailers that were fined or removed from the electronic benefit transfer program for permitting inappropriate use of the cards. The report shall also include the number of Michigan bridge card trafficking instances and overall welfare fraud referrals that includes such information as the number of investigations completed, fraud and intentional program violation dollar amounts identified, the number of referrals to prosecutors, the number of administrative hearing referrals and waivers, and the number of program disqualifications imposed. The report shall distinguish between savings and cost avoidance. Savings include receivables established from instances of fraud committed. Cost avoidance includes expenditures avoided due to front-end eligibility investigations and other preemptive actions undertaken in the prevention of fraud.

(2) If a fourth Michigan bridge card has been issued in a 12-month period, the department shall notify the household that they have reached the number of issued cards threshold. At their fifth and each subsequent card replacement request, a card will not be issued until the recipient has spoken directly to the local office district manager or county director. The district manager or county director may issue a new Michigan bridge card under their authority based on their assessment of the recipient's situation and explanation.

(3) As used in this section:

(a) "Food assistance trafficking" means the buying and selling


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