Substitute For

HOUSE BILL NO. 5556

A bill to make appropriations for the department of health and human services for the fiscal year ending September 30, 2025; 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, 2025, from the following funds:

DEPARTMENT OF HEALTH AND HUMAN SERVICES

 

 

 

APPROPRIATION SUMMARY

 

 

 

Full-time equated unclassified positions

6.0

 

 

Full-time equated classified positions

15,891.5

 

 


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26

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28

 

Average population

798.0

 

 

GROSS APPROPRIATION

 

$

37,769,528,400

Interdepartmental grant revenues:

 

 

 

Total interdepartmental grants and intradepartmental transfers

 

 

14,707,900

ADJUSTED GROSS APPROPRIATION

 

$

37,754,820,500

Federal revenues:

 

 

 

Social security act, temporary assistance for needy families

 

 

597,514,000

Capped federal revenues

 

 

516,972,500

Total other federal revenues

 

 

25,588,661,400

Special revenue funds:

 

 

 

Total local revenues

 

 

160,445,300

Total private revenues

 

 

179,764,200

Michigan merit award trust fund

 

 

92,268,700

Total other state restricted revenues

 

 

3,844,995,800

State general fund/general purpose

 

$

6,774,198,600

Sec. 102. DEPARTMENTAL ADMINISTRATION AND SUPPORT

 

 

 

Full-time equated unclassified positions

6.0

 

 

Full-time equated classified positions

959.4

 

 

Unclassified salaries--FTEs

6.0

$

1,431,500

Administrative hearings officers

 

 

9,995,400

Child welfare institute--FTEs

55.0

 

9,552,100

Demonstration projects--FTEs

7.0

 

7,070,800

Departmental administration and management--FTEs

660.4

 

110,361,300

Legal services

 

 

100,000


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26

27

28

 

Office of inspector general--FTEs

211.0

 

29,165,400

Property management

 

 

62,608,700

Terminal leave payments

 

 

7,091,300

Training and program support--FTEs

26.0

 

3,751,700

Warehouse operations

 

 

1,400,000

Worker's compensation

 

 

7,662,000

GROSS APPROPRIATION

 

$

250,190,200

Appropriated from:

 

 

 

Interdepartmental grant revenues:

 

 

 

IDG from department of lifelong education, advancement, and potential

 

 

1,839,800

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

 

 

600

Federal revenues:

 

 

 

Social security act, temporary assistance for needy families

 

 

27,456,600

Capped federal revenues

 

 

19,632,800

Total other federal revenues

 

 

76,353,900

Special revenue funds:

 

 

 

Total local revenues

 

 

86,000

Total private revenues

 

 

3,846,900

Total other state restricted revenues

 

 

1,330,300

State general fund/general purpose

 

$

119,643,300

Sec. 103. CHILD SUPPORT ENFORCEMENT

 

 

 

Full-time equated classified positions

193.7

 

 

Child support enforcement operations--FTEs

187.7

$

26,773,600

Child support incentive payments

 

 

24,409,600

Legal support contracts

 

 

132,600,300


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26

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28

State disbursement unit--FTEs

6.0

 

7,381,400

GROSS APPROPRIATION

 

$

191,164,900

Appropriated from:

 

 

 

Federal revenues:

 

 

 

Capped federal revenues

 

 

16,273,100

Total other federal revenues

 

 

149,397,500

State general fund/general purpose

 

$

25,494,300

Sec. 104. COMMUNITY SERVICES AND OUTREACH

 

 

 

Full-time equated classified positions

56.0

 

 

Bureau of community services and outreach--FTEs

24.0

$

3,569,800

Community services and outreach administration--FTEs

20.0

 

8,682,000

Community services block grant

 

 

25,840,000

Diaper assistance grant

 

 

4,404,400

Homeless programs--FTE

1.0

 

27,504,100

Housing and support services

 

 

13,031,000

Kids' food basket

 

 

1,025,000

Runaway and homeless youth grants

 

 

13,126,100

School success partnership program

 

 

1,525,000

Weatherization assistance

 

 

21,860,300

Weatherization assistance - IIJA--FTEs

11.0

 

40,013,000

GROSS APPROPRIATION

 

$

160,580,700

Appropriated from:

 

 

 

Federal revenues:

 

 

 

Social security act, temporary assistance for needy families

 

 

22,165,800

Capped federal revenues

 

 

98,063,300

Total other federal revenues

 

 

14,661,200


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State general fund/general purpose

 

$

25,690,400

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

 

 

 

Full-time equated classified positions

4,117.2

 

 

Adoption subsidies

 

$

212,000,000

Adoption support services--FTEs

10.0

 

42,131,400

Attorney general contract

 

 

5,191,100

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

1.0

 

628,900

Child care fund

 

 

273,181,650

Child care fund - indirect cost allotment

 

 

3,500,000

Child protection

 

 

2,050,300

Child welfare administration travel

 

 

390,000

Child welfare field staff - noncaseload compliance--FTEs

353.0

 

42,404,300

Child welfare licensing--FTEs

59.0

 

7,570,100

Child welfare medical/psychiatric evaluations

 

 

9,428,500

Children's protective services - caseload staff--FTEs

1,615.0

 

176,060,700

Children's protective services supervisors--FTEs

387.0

 

49,359,000

Children's services administration--FTEs

218.2

 

28,681,400

Children's trust fund--FTEs

12.0

 

5,059,800

Contractual services, supplies, and materials

 

 

9,567,600

Court-appointed special advocates

 

 

2,500,000

Education planners--FTEs

15.0

 

1,990,000

Family preservation and prevention services administration--FTEs

9.0

 

1,422,400


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26

27

28

 

Family preservation programs--FTEs

34.0

 

69,223,700

Foster care payments

 

 

323,318,050

Foster care services - caseload staff--FTEs

966.0

 

100,870,900

Foster care services supervisors--FTEs

227.0

 

31,894,700

Guardianship assistance program

 

 

11,360,600

Interstate compact

 

 

179,600

Peer coaches--FTEs

45.5

 

6,476,300

Performance-based funding implementation--FTEs

3.0

 

560,400

Permanency resource managers--FTEs

28.0

 

3,599,400

Prosecuting attorney contracts

 

 

8,142,800

Second line supervisors and technical staff--FTEs

126.0

 

20,335,200

Settlement monitor

 

 

2,709,800

Strong families/safe children

 

 

11,600,000

Title IV-E compliance and accountability office--FTEs

4.0

 

471,900

Youth in transition--FTEs

4.5

 

8,194,200

GROSS APPROPRIATION

 

$

1,472,054,700

Appropriated from:

 

 

 

Interdepartmental grant revenues:

 

 

 

IDG from department of lifelong education, advancement, and potential

 

 

244,400

Federal revenues:

 

 

 

Social security act, temporary assistance for needy families

 

 

294,818,000

Capped federal revenues

 

 

105,533,500

Total other federal revenues

 

 

271,418,700

Special revenue funds:

 

 

 


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Local funds - county chargeback

 

 

33,264,600

Private - collections

 

 

1,503,300

Children's trust fund

 

 

2,895,300

Total other state restricted revenues

 

 

3,615,800

State general fund/general purpose

 

$

758,761,100

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

 

 

 

Full-time equated classified positions

147.5

 

 

Bay Pines Center--FTEs

60.0

$

7,826,700

Committee on juvenile justice administration--FTEs

2.5

 

368,200

Committee on juvenile justice grants

 

 

3,000,000

Community support services--FTEs

3.0

 

2,513,200

County juvenile officers

 

 

3,977,600

Juvenile justice, administration and maintenance--FTEs

21.0

 

6,383,600

Shawono Center--FTEs

61.0

 

7,968,800

GROSS APPROPRIATION

 

$

32,038,100

Appropriated from:

 

 

 

Federal revenues:

 

 

 

Capped federal revenues

 

 

7,709,300

Total other federal revenues

 

 

223,200

Special revenue funds:

 

 

 

Local funds - state share education funds

 

 

1,374,400

Local funds - county chargeback

 

 

6,523,800

State general fund/general purpose

 

$

16,207,400

Sec. 107. PUBLIC ASSISTANCE

 

 

 

Full-time equated classified positions

1.0

 

 


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Emergency services local office allocations

 

$

38,813,500

Fair food network - double up food bucks

 

 

3,000,000

Family independence program

 

 

80,877,500

Family independence program - clothing allowance

 

 

10,000,000

Family independence program - small child supplemental payment

 

 

16,240,100

Food assistance program benefits

 

 

4,018,370,000

Food Bank Council of Michigan

 

 

12,045,000

Indigent burial

 

 

4,333,400

Low-income home energy assistance program

 

 

174,951,600

Michigan energy assistance program--FTE

1.0

 

57,500,000

Prenatal and infant support program

 

 

9,621,700

Refugee assistance program

 

 

7,954,200

State disability assistance payments

 

 

7,057,200

State supplementation

 

 

54,770,700

State supplementation administration

 

 

1,806,100

GROSS APPROPRIATION

 

$

4,497,341,000

Appropriated from:

 

 

 

Federal revenues:

 

 

 

Social security act, temporary assistance for needy families

 

 

132,538,100

Capped federal revenues

 

 

182,905,800

Total other federal revenues

 

 

4,013,660,000

Special revenue funds:

 

 

 

Child support collections

 

 

8,751,200

Low-income energy assistance fund

 

 

50,000,000

Public assistance recoupment revenue

 

 

4,868,300


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27

 

 

Supplemental security income recoveries

 

 

1,569,000

State general fund/general purpose

 

$

103,048,600

Sec. 108. LOCAL OFFICE OPERATIONS AND SUPPORT SERVICES

 

 

 

Full-time equated classified positions

5,758.5

 

 

Administrative support workers--FTEs

167.0

$

14,934,500

Adult services local office staff--FTEs

550.0

 

68,661,300

Contractual services, supplies, and materials

 

 

31,051,000

Donated funds positions--FTEs

237.0

 

29,274,400

Elder Law of Michigan MiCAFE contract

 

 

350,000

Electronic benefit transfer (EBT)

 

 

9,714,000

Employment and training support services

 

 

4,219,100

Food assistance reinvestment--FTEs

16.0

 

7,494,300

Local office policy and administration--FTEs

125.0

 

20,565,600

Local office staff travel

 

 

8,252,400

Medical/psychiatric evaluations

 

 

1,120,100

Nutrition education--FTEs

2.0

 

33,040,900

Pathways to potential--FTEs

231.0

 

26,143,300

Public assistance local office staff--FTEs

4,430.5

 

501,434,500

SSI advocacy legal services grant

 

 

375,000

GROSS APPROPRIATION

 

$

756,630,400

Appropriated from:

 

 

 

Interdepartmental grant revenues:

 

 

 

IDG from department of corrections

 

 

120,200

IDG from department of lifelong education, advancement, and potential

 

 

8,315,800

Federal revenues:

 

 

 


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22

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25

26

27

 

 

Social security act, temporary assistance for needy families

 

 

73,233,900

Capped federal revenues

 

 

55,328,300

Total other federal revenues

 

 

286,502,800

Special revenue funds:

 

 

 

Local funds - donated funds

 

 

4,378,900

Private funds - donated funds

 

 

9,969,200

Private revenues

 

 

250,000

State general fund/general purpose

 

$

318,531,300

Sec. 109. DISABILITY DETERMINATION SERVICES

 

 

 

Full-time equated classified positions

628.4

 

 

Disability determination operations--FTEs

624.3

$

125,947,100

Retirement disability determination--FTEs

4.1

 

643,300

GROSS APPROPRIATION

 

$

126,590,400

Appropriated from:

 

 

 

Interdepartmental grant revenues:

 

 

 

IDG from department of lifelong education, advancement, and potential

 

 

16,000

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

 

 

819,900

Federal revenues:

 

 

 

Total other federal revenues

 

 

121,909,300

State general fund/general purpose

 

$

3,839,000

Sec. 110. BEHAVIORAL HEALTH PROGRAM ADMINISTRATION AND SPECIAL PROJECTS

 

 

 

Full-time equated classified positions

86.0

 

 

Behavioral health program administration--FTEs

46.0

$

63,656,100


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12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

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

9.0

 

81,626,200

Family support subsidy

 

 

15,670,900

Federal and other special projects

 

 

2,535,600

Gambling addiction--FTE

4.0

 

9,521,300

Mental health diversion council

 

 

3,850,000

Michigan Clinical Consultation and Care

 

 

5,289,000

Office of recipient rights--FTEs

25.0

 

3,502,800

Opioid response activities--FTEs

2.0

 

133,943,000

Protection and advocacy services support

 

 

194,400

GROSS APPROPRIATION

 

$

319,789,300

Appropriated from:

 

 

 

Federal revenues:

 

 

 

Social security act, temporary assistance for needy families

 

 

15,670,900

Total other federal revenues

 

 

170,863,100

Special revenue funds:

 

 

 

Total private revenues

 

 

2,904,700

Total other state restricted revenues

 

 

78,591,100

State general fund/general purpose

 

$

51,759,500

Sec. 111. BEHAVIORAL HEALTH SERVICES

 

 

 

Full-time equated classified positions

11.0

 

 

Autism services

 

$

342,723,900

Behavioral health community supports and services--FTEs

7.0

 

43,969,700

Certified community behavioral health clinic demonstration

 

 

519,414,300

Civil service charges

 

 

297,500


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25

26

27

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Community mental health non-Medicaid services

 

 

125,578,200

Federal mental health block grant--FTEs

4.0

 

24,471,700

Health homes

 

 

53,418,500

Healthy Michigan plan - behavioral health

 

 

535,228,600

Medicaid mental health services

 

 

3,304,837,600

Medicaid substance use disorder services

 

 

97,941,400

Multicultural integration funding

 

 

17,284,900

Nursing home PAS/ARR-OBRA

 

 

15,213,600

State disability assistance program substance use disorder services

 

 

2,018,800

GROSS APPROPRIATION

 

$

5,082,398,700

Appropriated from:

 

 

 

Federal revenues:

 

 

 

Social security act, temporary assistance for needy families

 

 

421,000

Capped federal revenues

 

 

184,500

Total other federal revenues

 

 

3,449,212,000

Special revenue funds:

 

 

 

Total local revenues

 

 

10,190,500

Total other state restricted revenues

 

 

68,561,400

State general fund/general purpose

 

$

1,553,829,300

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

 

 

 

Full-time equated classified positions

2,546.6

 

 

Average population

798.0

 

 

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

530.7

$

61,299,100

Average population

145.0

 

 


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25

26

27

28

 

Center for forensic psychiatry--FTEs

624.5

 

102,649,400

Average population

240.0

 

 

Developmental disabilities council and projects--FTEs

10.0

 

3,196,800

Gifts and bequests for patient living and treatment environment

 

 

1,000,000

IDEA, federal special education

 

 

120,000

Kalamazoo Psychiatric Hospital - adult--FTEs

561.2

 

72,573,300

Average population

170.0

 

 

Purchase of medical services for residents of hospitals and centers

 

 

445,600

Revenue recapture

 

 

750,100

Special maintenance

 

 

924,600

State hospital administration--FTEs

34.0

 

5,735,000

Walter P. Reuther Psychiatric Hospital - adult, children, and adolescents--FTEs

786.2

 

123,069,900

Average population

243.0

 

 

GROSS APPROPRIATION

 

$

371,763,800

Appropriated from:

 

 

 

Federal revenues:

 

 

 

Total other federal revenues

 

 

46,642,000

Special revenue funds:

 

 

 

Total local revenues

 

 

23,283,200

Total private revenues

 

 

1,000,000

Total other state restricted revenues

 

 

15,189,200

State general fund/general purpose

 

$

285,649,400

Sec. 113. HEALTH AND HUMAN SERVICES POLICY AND INITIATIVES

 

 

 


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28

 

Full-time equated classified positions

74.3

 

 

Cellular therapy for Versiti Michigan

 

$

750,000

Certificate of need program administration--FTEs

11.3

 

2,744,600

Child advocacy centers

 

 

1,407,000

Child advocacy centers - supplemental grants

 

 

2,000,000

Community health programs

 

 

12,500,000

Crime victim grants administration services--FTEs

17.0

 

3,092,300

Crime victim justice assistance grants

 

 

78,579,300

Crime victim rights services grants

 

 

19,869,900

Crime victim rights sustaining grants

 

 

30,000,000

Critical health and wellness center operations

 

 

1,500,000

Domestic violence prevention and treatment--FTEs

15.6

 

18,383,500

Human trafficking intervention services--FTE

1.0

 

200,000

Michigan essential health provider

 

 

3,519,600

Minority health grants and contracts--FTEs

3.0

 

1,159,700

Nurse education and research program--FTEs

3.0

 

823,600

Policy and planning administration--FTEs

19.9

 

2,768,500

Primary care services--FTEs

3.0

 

3,809,200

Rape prevention and services--FTEs

0.5

 

7,097,300

Rural health services

 

 

175,000

Uniform statewide sexual assault evidence kit tracking system

 

 

369,500

GROSS APPROPRIATION

 

$

190,749,000

Appropriated from:

 

 

 

Interdepartmental grant revenues:

 

 

 


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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

IDG from department of licensing and regulatory affairs

 

 

823,600

IDG from department of lifelong education, advancement, and potential

 

 

2,400

IDG from department of treasury, Michigan finance authority

 

 

117,700

Federal revenues:

 

 

 

Social security act, temporary assistance for needy families

 

 

6,736,000

Capped federal revenues

 

 

10,704,100

Total other federal revenues

 

 

86,260,100

Special revenue funds:

 

 

 

Total private revenues

 

 

865,000

Child advocacy centers fund

 

 

1,407,000

Compulsive gaming prevention fund

 

 

1,040,500

Crime victim's rights fund

 

 

18,784,900

Sexual assault victims' prevention and treatment fund

 

 

3,000,000

Total other state restricted revenues

 

 

3,309,500

State general fund/general purpose

 

$

57,698,200

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

 

 

 

Full-time equated classified positions

449.9

 

 

Bioterrorism preparedness--FTEs

53.0

$

31,009,800

Childhood lead program--FTEs

4.5

 

2,342,900

Emergency medical services program--FTEs

27.0

 

10,530,000

Epidemiology administration--FTEs

73.5

 

26,350,100

Healthy homes program--FTEs

66.0

 

56,569,600


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5

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12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

 

Laboratory services--FTEs

102.0

 

31,002,000

Newborn screening follow-up and treatment services--FTEs

10.5

 

9,837,500

PFAS and environmental contamination response--FTEs

43.0

 

20,530,400

Vital records and health statistics--FTEs

70.4

 

11,573,100

GROSS APPROPRIATION

 

$

199,745,400

Appropriated from:

 

 

 

Interdepartmental grant revenues:

 

 

 

IDG from department of environment, Great Lakes, and energy

 

 

1,797,800

Federal revenues:

 

 

 

Capped federal revenues

 

 

81,100

Total other federal revenues

 

 

77,506,000

Special revenue funds:

 

 

 

Total private revenues

 

 

1,342,600

Total other state restricted revenues

 

 

32,478,400

State general fund/general purpose

 

$

86,539,500

Sec. 115. LOCAL HEALTH AND ADMINISTRATIVE SERVICES

 

 

 

Full-time equated classified positions

190.1

 

 

AIDS prevention, testing, and care programs--FTEs

79.5

$

110,825,500

Cancer prevention and control program--FTEs

18.0

 

15,911,400

Chronic disease control and health promotion administration--FTEs

28.4

 

10,429,400

Diabetes and kidney program--FTEs

8.0

 

4,198,800

Essential local public health services

 

 

76,419,300


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3

4

5

6

7

8

9

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14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

 

Implementation of 1993 PA 133, MCL 333.17015

 

 

20,000

Local health services--FTEs

3.3

 

8,724,200

Medicaid outreach cost reimbursement to local health departments

 

 

12,500,000

Public health administration--FTEs

9.0

 

2,289,200

Sexually transmitted disease control program--FTEs

20.0

 

8,555,700

Smoking prevention program--FTEs

15.0

 

7,164,700

Violence prevention--FTEs

8.9

 

19,062,100

GROSS APPROPRIATION

 

$

276,100,300

Appropriated from:

 

 

 

Federal revenues:

 

 

 

Social security act, temporary assistance for needy families

 

 

2,300

Total other federal revenues

 

 

90,556,700

Special revenue funds:

 

 

 

Total local revenues

 

 

5,150,000

Total private revenues

 

 

74,556,600

Total other state restricted revenues

 

 

14,425,200

State general fund/general purpose

 

$

91,409,500

Sec. 116. FAMILY HEALTH SERVICES

 

 

 

Full-time equated classified positions

136.1

 

 

Child and adolescent health care and centers

 

$

41,242,700

Dental programs--FTEs

5.3

 

7,546,800

Drinking water declaration of emergency

 

 

4,271,000

Family, maternal, and child health administration--FTEs

49.0

 

10,837,300

Family planning local agreements

 

 

15,810,700


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2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

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25

26

27

 

 

Immunization program--FTEs

20.8

 

20,696,600

Local MCH services

 

 

7,018,100

Pregnancy prevention program

 

 

1,297,900

Prenatal care and premature birth avoidance grant

 

 

1,000,000

Prenatal care outreach and service delivery support--FTEs

19.0

 

48,400,800

Special projects

 

 

6,289,100

Sudden and unexpected infant death and suffocation prevention program

 

 

321,300

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

42.0

 

19,673,900

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

 

 

251,285,000

GROSS APPROPRIATION

 

$

435,691,200

Appropriated from:

 

 

 

Federal revenues:

 

 

 

Total other federal revenues

 

 

268,760,500

Special revenue funds:

 

 

 

Total local revenues

 

 

42,817,700

Total private revenues

 

 

64,785,700

Total other state restricted revenues

 

 

4,049,500

State general fund/general purpose

 

$

55,277,800

Sec. 117. CHILDREN'S SPECIAL HEALTH CARE SERVICES

 

 

 

Full-time equated classified positions

51.8

 

 

Bequests for care and services--FTEs

9.8

$

2,087,100


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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

 

Children's special health care services administration--FTEs

42.0

 

8,743,800

Medical care and treatment

 

 

288,818,200

Outreach and advocacy

 

 

6,722,200

GROSS APPROPRIATION

 

$

306,371,300

Appropriated from:

 

 

 

Federal revenues:

 

 

 

Total other federal revenues

 

 

160,028,800

Special revenue funds:

 

 

 

Total private revenues

 

 

1,044,100

Total other state restricted revenues

 

 

4,433,300

State general fund/general purpose

 

$

140,865,100

Sec. 118. AGING SERVICES

 

 

 

Community services

 

$

60,706,900

Employment assistance

 

 

3,500,000

Nutrition services

 

 

50,004,200

Respite care program

 

 

7,268,700

Senior volunteer service programs

 

 

4,765,300

GROSS APPROPRIATION

 

$

126,245,100

Appropriated from:

 

 

 

Federal revenues:

 

 

 

Total other federal revenues

 

 

67,787,400

Special revenue funds:

 

 

 

Total private revenues

 

 

300,000

Michigan merit award trust fund

 

 

4,068,700

Total other state restricted revenues

 

 

2,800,000

State general fund/general purpose

 

$

51,289,000


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5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

Sec. 119. HEALTH AND AGING SERVICES ADMINISTRATION

 

 

 

Full-time equated classified positions

473.0

 

 

Aging services administration--FTEs

43.0

$

9,629,400

Health services administration--FTEs

430.0

 

125,861,500

GROSS APPROPRIATION

 

$

135,490,900

Appropriated from:

 

 

 

Federal revenues:

 

 

 

Total other federal revenues

 

 

88,149,300

Special revenue funds:

 

 

 

Total local revenues

 

 

37,700

Total private revenues

 

 

1,721,300

Total other state restricted revenues

 

 

336,300

State general fund/general purpose

 

$

45,246,300

Sec. 120. HEALTH SERVICES

 

 

 

Adult home help services

 

$

540,996,100

Ambulance services

 

 

23,768,100

Auxiliary medical services

 

 

6,723,400

Dental clinic program

 

 

1,000,000

Dental services

 

 

314,199,000

Federal Medicare pharmaceutical program

 

 

426,126,000

Health plan services

 

 

8,048,064,900

Healthy Michigan plan

 

 

6,362,405,100

Home health services

 

 

3,748,400

Hospice services

 

 

167,506,900

Hospital services and therapy

 

 

616,810,800

Integrated care organizations

 

 

370,574,900

Long-term care services

 

 

2,406,027,000


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

Maternal and child health

 

 

26,340,400

Medicaid home- and community-based services waiver

 

 

516,444,000

Medicare premium payments

 

 

926,166,300

Personal care services

 

 

6,196,100

Pharmaceutical services

 

 

300,638,800

Physician services

 

 

290,325,600

Plan first

 

 

6,567,500

Program of all-inclusive care for the elderly

 

 

299,357,000

Recuperative care

 

 

297,600

School-based services

 

 

172,147,500

Special Medicaid reimbursement

 

 

310,113,900

Transportation

 

 

21,476,400

GROSS APPROPRIATION

 

$

22,164,021,700

Appropriated from:

 

 

 

Federal revenues:

 

 

 

Total other federal revenues

 

 

15,811,314,700

Special revenue funds:

 

 

 

Total local revenues

 

 

33,331,800

Total private revenues

 

 

10,423,900

Michigan merit award trust fund

 

 

88,200,000

Total other state restricted revenues

 

 

3,511,723,900

State general fund/general purpose

 

$

2,709,027,400

Sec. 121. INFORMATION TECHNOLOGY

 

 

 

Full-time equated classified positions

11.0

 

 

Bridges information system--FTEs

10.0

$

114,678,900

Child support automation

 

 

44,243,200

Comprehensive child welfare information system

 

 

8,274,700


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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

 

Information technology services and projects

 

 

244,807,200

Michigan Medicaid information system--FTE

1.0

 

102,482,000

Michigan statewide automated child welfare information system

 

 

21,555,400

GROSS APPROPRIATION

 

$

536,041,400

Appropriated from:

 

 

 

Interdepartmental grant revenues:

 

 

 

IDG from department of lifelong education, advancement, and potential

 

 

609,700

Federal revenues:

 

 

 

Social security act, temporary assistance for needy families

 

 

24,471,400

Capped federal revenues

 

 

20,556,700

Total other federal revenues

 

 

335,999,300

Special revenue funds:

 

 

 

Total private revenues

 

 

5,250,000

Total other state restricted revenues

 

 

2,010,400

State general fund/general purpose

 

$

147,137,200

Sec. 122. ONE-TIME APPROPRIATIONS

 

 

 

ALS services

 

$

829,900

Behavioral health services

 

 

3,500,000

Behavioral health urgent care

 

 

1,700,000

Child advocacy centers

 

 

3,500,000

Children's behavioral health service expansion

 

 

2,000,000

Children's services administration training

 

 

2,000,000

CMHSP crisis services

 

 

2,000,000

Community substance use disorder, education, and treatment

 

 

1,800,000


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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

Complex medical condition center

 

 

500,000

Cranial hair prothesis

 

 

250,000

Critical access hospital facility and equipment

 

 

2,000,000

Deferred maintenance

 

 

1,000,000

Dental clinic

 

 

2,900,000

Dental programs

 

 

2,500,000

Domestic violence shelter operations

 

 

300,000

Doula training and continuing education

 

 

2,909,800

Emergency medical services program

 

 

500,000

Employment and training support services

 

 

2,500,000

Firearm injury and violence prevention

 

 

7,500,000

Firearm safety and violence prevention

 

 

1,800,000

Firefighter health care

 

 

3,500,000

First responder and public safety staff mental health

 

 

5,000,000

Health equity statewide curriculum

 

 

500,000

Home health care authority

 

 

1,000,000

Homeless programs

 

 

2,750,000

Hospice caregiver support center

 

 

1,000,000

Inpatient behavioral health facility

 

 

5,000,000

Maternal health services

 

 

420,000

Medical center robotic surgery

 

 

2,000,000

Medical debt relief pilot program

 

 

100

Mental health educational interventions

 

 

1,000,000

Multicultural integration funding

 

 

8,600,000

Narcotics awareness program

 

 

5,000,000

Native American health services

 

 

1,000,000

Nurse incentive program

 

 

2,500,000


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2

3

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5

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7

8

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12

13

14

15

16

17

18

19

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21

22

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25

26

27

28

29

Nurse workforce development

 

 

10,000,000

Opioid response activities

 

 

9,820,000

Patient-centered medical home

 

 

1,000,000

Pediatric lead testing pilot

 

 

1,000,000

Pediatric psychiatric urgent care center

 

 

5,000,000

Permanent supportive housing

 

 

100

Preweatherization services

 

 

10,000,000

Sexual assault and domestic violence prevention services

 

 

3,500,000

Sickle cell center

 

 

2,500,000

Suicide loss survivor program

 

 

250,000

State employees' retirement system implementation costs

 

 

700,000

Supportive home visitation

 

 

1,000,000

Transitional housing

 

 

1,750,000

Tribal homeless shelter operations

 

 

750,000

Water affordability

 

 

10,000,000

GROSS APPROPRIATION

 

$

138,529,900

Appropriated from:

 

 

 

Federal revenues:

 

 

 

Total other federal revenues

 

 

1,454,900

Special revenue funds:

 

 

 

Total other state restricted revenues

 

 

9,820,000

State general fund/general purpose

 

$

127,255,000

 

part 2

provisions concerning appropriations

for fiscal year 2024-2025

general sections


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

 

 

 

CHILD SUPPORT ENFORCEMENT

 

 

 

Child support incentive payments

 

$

9,570,000

Legal support contracts

 

 

1,300

COMMUNITY SERVICES AND OUTREACH

 

 

 

Homeless programs

 

 

9,900

Housing and support services

 

 

124,700

CHILDREN'S SERVICES AGENCY CHILD WELFARE

 

 

 

Child care fund

 

 

181,742,300

Child care fund - indirect cost allotment

 

 

3,500,000

Child welfare licensing

 

 

68,300

Children's trust fund

 

 

60,800

Contractual services, supplies, and materials

 

 

10,500

Family preservation programs

 

 

2,000

Foster care payments

 

 

3,344,200

Prosecuting attorney contracts

 

 

1,269,100

Strong families/safe children

 

 

65,400

Youth in transition

 

 

300

CHILDREN'S SERVICES AGENCY JUVENILE JUSTICE

 

 

 

Bay Pines Center

 

 

49,700


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4

5

6

7

8

9

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12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

 

Community support services

 

 

333,500

County juvenile officers

 

 

73,300

Shawono Center

 

 

2,000

PUBLIC ASSISTANCE

 

 

 

Emergency services local office allocations

 

 

10,996,900

Indigent burial

 

 

6,000

Michigan energy assistance program

 

 

356,100

State disability assistance payments

 

 

174,200

LOCAL OFFICE OPERATIONS AND SUPPORT SERVICES

 

 

 

Contractual services, supplies, and materials

 

 

91,700

Employment and training support services

 

 

6,200

DISABILITY DETERMINATION SERVICES

 

 

 

Disability determination operations

 

 

2,000

BEHAVIORAL HEALTH PROGRAM ADMINISTRATION AND

SPECIAL PROJECTS

 

 

 

Behavioral health program administration

 

 

121,700

Community substance use disorder prevention, education, and treatment

 

 

8,783,500

Gambling addiction

 

 

1,333,700

Mental health diversion council

 

 

255,100

Opioid response activities

 

 

31,770,500

BEHAVIORAL HEALTH SERVICES

 

 

 

Autism services

 

 

118,168,600

Behavioral health community supports and services

 

 

171,800

Certified community behavioral health clinic demonstration

 

 

122,766,700

Community mental health non-Medicaid services

 

 

125,578,200


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3

4

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6

7

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9

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12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

 

Health homes

 

 

4,725,900

Healthy Michigan plan - behavioral health

 

 

53,653,100

Medicaid mental health services

 

 

1,096,529,500

Medicaid substance use disorder services

 

 

34,166,300

Multicultural integration funding

 

 

1,064,400

Nursing home PAS/ARR-OBRA

 

 

3,789,400

State disability assistance program substance use disorder services

 

 

2,018,000

STATE PSYCHIATRIC HOSPITALS AND FORENSIC MENTAL HEALTH SERVICES

 

 

 

Caro Regional Mental Health Center - psychiatric hospital adult

 

 

183,600

Center for forensic psychiatry

 

 

674,000

Kalamazoo Psychiatric Hospital - adult

 

 

66,200

Walter P. Reuther Psychiatric Hospital adult, children, and adolescents

 

 

109,900

HEALTH AND HUMAN SERVICES POLICY AND INITIATIVES

 

 

 

Crime victim rights services grants

 

 

11,593,000

Domestic violence prevention and treatment

 

 

163,000

Primary care services

 

 

79,800

EPIDEMIOLOGY, EMERGENCY MEDICAL SERVICES, AND LABORATORY

 

 

 

Emergency medical services program

 

 

4,800

Epidemiology administration

 

 

448,700

Healthy homes program

 

 

1,301,700

PFAS and environmental contamination response

 

 

200

LOCAL HEALTH AND ADMINISTRATIVE SERVICES

 

 

 


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18

19

20

21

22

23

24

25

26

27

28

AIDS prevention, testing, and care programs

 

 

2,705,800

Cancer prevention and control program

 

 

43,600

Essential local public health services

 

 

71,269,300

Local health services

 

 

1,928,900

Public health administration

 

 

200

Sexually transmitted disease control program

 

 

775,400

Smoking prevention program

 

 

242,100

FAMILY HEALTH SERVICES

 

 

 

Dental programs

 

 

25,000

Drinking water declaration of emergency

 

 

136,500

Family planning local agreements

 

 

224,000

Immunization program

 

 

2,155,600

Pregnancy prevention program

 

 

65,000

Prenatal care outreach and service delivery support

 

 

8,806,900

CHILDREN'S SPECIAL HEALTH CARE SERVICES

 

 

 

Medical care and treatment

 

 

796,700

Outreach and advocacy

 

 

2,708,200

AGING SERVICES

 

 

 

Community services

 

 

33,526,500

Nutrition services

 

 

12,597,200

Respite care program

 

 

5,800,000

Senior volunteer service programs

 

 

954,100

HEALTH AND AGING SERVICES ADMINISTRATION

 

 

 

Aging services administration

 

 

200,200

HEALTH SERVICES

 

 

 

Adult home help services

 

 

81,900

Ambulance services

 

 

840,600


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Dental services

 

 

787,000

Healthy Michigan plan

 

 

896,700

Hospital services and therapy

 

 

400,000

Long-term care services

 

 

88,061,900

Medicaid home- and community-based services waiver

 

 

14,314,200

Personal care services

 

 

17,600

Physician services

 

 

2,854,200

Transportation

 

 

597,300

ONE-TIME APPROPRIATIONS

 

 

 

CMHSP crisis services

 

 

2,000,000

TOTAL OF PAYMENTS TO LOCAL UNITS OF GOVERNMENT

 

$

2,087,194,300

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

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

(a) "AIDS" means acquired immunodeficiency syndrome.

(b) "CCBHC" means certified community behavioral health clinic.

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

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

(e) "CPT" means current procedural terminology.

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

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


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

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

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

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

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

(m) "GME" means graduate medical education.

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

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

(p) "HMO" means health maintenance organization.

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

(r) "IDG" means interdepartmental grant.

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

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

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

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

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


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

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

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

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

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

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

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

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

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

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

(hh) "SSI" means supplemental security income.


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

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

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

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

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

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

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

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

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

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


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

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

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

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

(a) The dates of each travel occurrence.

(b) The total transportation and related expenses of each


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

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

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

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

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


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

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

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

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

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

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

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

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

(e) Job specifications and wage rates.

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


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

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

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

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

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

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

Sec. 217. Not later than February 1 of the current fiscal year, the department shall submit, to the standard report recipients, a report on the detailed names and amounts of estimated federal, restricted, private, and local sources of revenue that


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support the appropriations in each of the line items in part 1 for the previous fiscal year. The report must itemize, rather than aggregate, specific revenue sources deposited into the generic statewide integrated governmental management application (SIGMA) fund numbers 1200, 1274, 4000, and 5000.

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

(a) Immunizations.

(b) Communicable disease control.

(c) Sexually transmitted infection control.

(d) Tuberculosis control.

(e) Prevention of gonorrhea eye infection in newborns.

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

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

(h) Prenatal care.

(i) Mental health.

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


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

(a) A detailed description of each funded project.

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

(c) The expected project duration.

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

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

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

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

Sec. 222. (1) The department shall submit a report to the


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

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

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

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

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

Sec. 224. The department may retain all of this state's share of food assistance overissuance collections as an offset to general fund/general purpose costs. Retained collections must be applied


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against federal funds deductions in all appropriation units where department costs related to the investigation and recoupment of food assistance overissuances are incurred. Retained collections in excess of the investigation and recoupment costs must be applied against the federal funds deducted in the departmental administration and support appropriation unit.

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

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

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

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

(i) The project's name.

(ii) The appropriation line item and amount.

(iii) The project's target population.

(iv) A description of the project.

(v) The outcomes or accomplishments of the project.

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


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

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

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

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

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


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

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

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

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

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

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

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

Sec. 232. The department shall provide the approved spending plan for each line item receiving an appropriation in the current fiscal year to the senate and house of representatives appropriations subcommittees on the department budget and the senate and house fiscal agencies not later than 60 days after


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

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


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guidelines.

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

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

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

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

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

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

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


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

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

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

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

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


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

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

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

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

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

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

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


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

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

(a) TANF.

(b) Title XX social services block grant.

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

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

(e) Low-income home energy assistance program.

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

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

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


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(c) A net increase in TANF authorization.

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

(3) Not later than 30 days after the date on which year-end book closing is completed, the department shall submit, to the standard report recipients, a report on the realignment of federal fund sources that took place as part of the year-end closing process for the previous fiscal year.

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

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

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


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

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

 

CHILD SUPPORT ENFORCEMENT

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

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

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

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


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$15,397,400.00.

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

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

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

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

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


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

 

COMMUNITY SERVICES AND OUTREACH

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

(a) Increasing school attendance and decreasing chronic absenteeism.

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

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

(d) Increasing parent involvement.

(2) Not later than July 15 of the current fiscal year, the Northeast Michigan Community Service Agency shall submit a report to the department on the number of children and families served and the services that were provided to families to meet the performance objectives identified in this section. Not later than 1 week after the department receives the report, the department shall distribute the report to the standard report recipients.

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


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

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

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

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


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

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

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

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


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

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

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

Sec. 465. (1) From the funds appropriated in part 1 for community services and outreach administration, $3,950,000.00 must be distributed as provided in subsection (2). The amount distributed as provided in subsection (2) must not exceed 50% of the total operating expenses of Michigan 2-1-1, which is described in subsection (2), with the remaining 50% paid by local United Way organizations and other nonprofit organizations and foundations.

(2) Funds distributed under subsection (1) must be distributed to Michigan 2-1-1, a nonprofit corporation organized under the laws of this state that is exempt from federal income tax under section


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501(c)(3) of the internal revenue code of 1986, 26 USC 501, and whose mission is to coordinate and support a statewide 2-1-1 system. Michigan 2-1-1 shall use the funds only to fulfill the Michigan 2-1-1 business plan adopted by Michigan 2-1-1 in January 2005.

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

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

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

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

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


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

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

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

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

(c) Identified barriers that have hindered providers from expanding capacity.

 

CHILDREN'S SERVICES AGENCY - CHILD WELFARE

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

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

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

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


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in foster care for longer than 24 months.

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

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

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


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

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

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

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


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that are implemented.

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

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

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

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

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

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

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


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

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

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

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

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

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

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

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


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

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

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

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

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


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

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

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

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

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

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

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

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


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

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

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

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

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

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

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

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

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

(2) The department shall not expend money for a child placed


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in an out-of-state facility without approval of the executive director of the children's services agency.

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

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

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

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


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400.117a.

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

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

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

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

Sec. 520. Not later than February 15 of the current fiscal year, the department shall submit, to the standard report recipients, a report on the number of days of care and expenditures


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by funding source for the previous fiscal year for out-of-home placements by specific placement programs for child abuse or child neglect and juvenile justice, including, but not limited to, paid relative placement, department direct family foster care, private-agency-supervised foster care, private child caring institutions, county-supervised facilities, and independent living. The report must also include the number of days of care for department-operated residential juvenile justice facilities by security classification.

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

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

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


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

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

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

Sec. 524. As a condition of receiving funds appropriated in part 1 for strong families/safe children, not later than October 1 of the current fiscal year, counties shall submit the service spending plan to the department for approval. Not later than 30 calendar days after receipt of a properly completed service spending plan, the department shall approve the service spending plan.

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

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


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

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

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

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

(2) Not later than February 1 of the current fiscal year, the department shall submit, to the standard report recipients, a report detailing measurable performance indicators, desired outcomes, and an assessment of the quality of services provided by the department during the previous fiscal year.


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Sec. 533. Not later than 30 days after receiving all necessary documentation from a child placing facility, the department shall make payments to the child placing facility for in-home and out-of-home care services and adoption services. It is the intent of the legislature that the department has the burden of ensuring that the payments are made in a timely manner and are not in arrears.

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

Sec. 537. Not later than March 1 of the current fiscal year, the department shall submit, to the standard report recipients, a report on the following information for cases of child abuse or child neglect from the previous fiscal year:

(a) The total number of relative care placements.

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

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

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


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this state.

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

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

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

Sec. 546. (1) From the funds appropriated in part 1 for foster care payments and from child care fund, the department shall pay an administrative rate of not less than $60.20 to providers of general foster care, independent living, and trial reunification services.

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


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living foster care.

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

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

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

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

(2) Not later than 12 months after a date of service, a service provider shall submit a request for payment. A request for payment submitted later than 12 months after the date of service requires the provider to submit an exception request to the county or the department for approval or denial.

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


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

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

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

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


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

Sec. 559. (1) From the funds appropriated in part 1 for adoption support services, not later than December 1 of the current fiscal year, the department shall allocate $750,000.00 to the Adoptive Family Support Network to operate and expand its adoptive parent mentor program to provide a listening ear, knowledgeable guidance, and community connections to adoptive parents and children who were adopted in this state or another state.

(2) Not later than March 1 of the current fiscal year, the Adoptive Family Support Network shall submit, to the standard report recipients, a report on the program described in subsection (1), including, but not limited to, the number of cases served and the number of cases in which the program prevented an out-of-home placement.

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

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


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

(a) Youth in foster care.

(b) Youth pursuing young adult voluntary foster care.

(c) Youth who were adopted within the past year.

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

(e) Youth in kinship care.

Sec. 562. If a foster parent transports a foster child to parent-child visitation, the department shall reimburse the foster parent for the foster parent's time and travel. As part of the foster care parent contract, the department shall provide written confirmation to foster parents that states that the foster parents have the right to request reimbursement for all parent-child visitations. Not later than 60 days after receiving a request from a foster parent for eligible reimbursement, the department shall provide the reimbursement.

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

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

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


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

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

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

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

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

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


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

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

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

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

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

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

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


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

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

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

(ii) To improve service delivery.

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

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

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


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

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

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

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

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

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

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


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

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

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

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

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

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

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

(b) The percent of central registry reviews performed for


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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 children's protective services investigators on the number of investigators who are concerned for their own personal safety.

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

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

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


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

 

PUBLIC ASSISTANCE

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

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

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


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

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

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

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

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

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

(e) Is an individual diagnosed as having AIDS.

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

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

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


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both of the following:

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

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

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

(4) As used in this section:

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

(b) "Substance abuse treatment" includes receipt of inpatient or outpatient services or participation in Alcoholics Anonymous or a similar program.

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

Sec. 606. County department offices shall require each recipient of family independence program and state disability


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assistance who has applied with the Social Security Administration for SSI to sign a contract to repay any assistance rendered through the family independence program or state disability assistance program on receipt of retroactive SSI benefits.

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

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

Sec. 608. An adult foster care facility that provides domiciliary care or personal care to a resident receiving SSI or a home for the aged serving a resident receiving SSI shall not require a resident described in this section to reimburse the home for the aged or adult foster care facility for care at a rate in excess of a rate that is authorized by the legislature. To the extent permitted by federal law, an adult foster care facility and home for the aged that serves a resident receiving SSI is not prohibited from accepting a third-party payment in addition to SSI if the payment is not for food, clothing, or shelter, or would result in a reduction in the resident's SSI payment.

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


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

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

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

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

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

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

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

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

(a) The maximum allowable reimbursement for the final


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disposition is $941.00.

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

(c) The adult burial without services allowance is $594.00.

(d) The infant burial allowance is $235.00.

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

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

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

(b) Burial with memorial service.

(c) Burial without memorial service.

(d) Cremation with memorial service.

(e) Cremation without memorial service.

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

(g) Cremation permit fee for an unclaimed body.

(h) Disposition of an unclaimed body.

(i) Payment if an irrevocable funeral agreement exists.

(j) An unclaimed body received by a university.

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


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

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

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

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

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

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

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


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

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

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

Sec. 653. From the funds appropriated in part 1 for food assistance program benefits, an individual who is the victim of domestic violence or human trafficking and who does not qualify for any other exemption may be exempt from the 3-month in 36-month limit on receiving food assistance under 7 USC 2015. The department may extend the exemption for an additional 3 months if an individual described in this section demonstrates to the department


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a continuing need.

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

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

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

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

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


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

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

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

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


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

(3) As used in this section:

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

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

Sec. 677. (1) The department shall establish a state goal for the percentage of family independence program cases involved in employment activities. The percentage established must not be less than 50%. The goal for long-term employment must be 15% of cases for 6 months or more.

(2) The department shall submit an annual report, providing quarterly data, to the standard report recipients on the number of cases referred to PATH, the current percentage of family independence program cases involved in PATH employment activities, an estimate of the current percentage of family independence program cases that meet federal work participation requirements on the whole, and an estimate of the current percentage of the family independence program cases that meet federal work participation requirements for those cases referred to PATH.

(3) The department shall submit a report to the standard report recipients. The report must include quarterly data on all of the following:


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(a) The number and percentage of nonexempt family independence program recipients who are employed.

(b) The average and range of wages of employed family independence program recipients.

(c) The number and percentage of employed family independence program recipients who remain employed for 6 months or more.

Sec. 678. From the funds appropriated in part 1 for family independence program small child supplement payment, the department shall establish a supplement payment for households with small children. The small child supplement payment program will increase monthly family independence program payments by $150.00 for each child under the age of 6 in an enrolled household.

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

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

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

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


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

(a) The number of applications received.

(b) The number of applications approved.

(c) The number of applications denied.

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

(e) The number of cases opened.

(f) The number of cases closed.

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

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

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

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

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

(c) The number of cases closed because of lifetime limits.

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

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


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

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

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

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

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

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

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

(2) The department shall work with the department of


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agriculture and rural development to do all of the following:

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

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

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

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

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

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

(c) The number of individuals participating in the program, by county.

 

CHILDREN'S SERVICES AGENCY - JUVENILE JUSTICE


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

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

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

Sec. 708. (1) As a condition of receiving funds appropriated in part 1 for the child care fund line item, by October 15 of the current fiscal year, a county shall have an approved service spending plan for the current fiscal year. Not later than August 15 of the current fiscal year, a county shall submit the county's service spending plan for the following fiscal year to the department for approval. The department shall approve a county's service spending plan not later than 30 calendar days after the department receives a properly completed service spending plan from the county that complies with the requirements of the social welfare act, 1939 PA 280, MCL 400.1 to 400.119b. The department shall notify and submit revisions to a service spending plan to a


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

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

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

Sec. 709. The department's master contract for juvenile justice residential foster care services must prohibit a contractor from denying a referral for placing a youth, or terminating a youth's placement, if the youth's assessed treatment needs are in alignment with the facility's residential program type, as identified by a court or the department. The master contract must


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

 

LOCAL OFFICE OPERATIONS AND SUPPORT SERVICES

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

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

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

Sec. 807. From the funds appropriated in part 1 for Elder Law


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

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

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

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

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

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

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

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


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

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

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

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

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


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

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

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

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

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

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

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

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


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

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

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

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

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

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

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

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

 

DISABILITY DETERMINATION SERVICES

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


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

 

BEHAVIORAL HEALTH SERVICES ADMINISTRATION AND SPECIAL PROJECTS

Sec. 901. The department shall use the funds appropriated in part 1 to support a system of comprehensive community mental health services under the full authority and responsibility of local CMHSPs or PIHPs in accordance with the mental health code, 1974 PA 258, MCL 330.1001 to 330.2106, the Medicaid provider manual, federal Medicaid waivers, and all other applicable federal law and the law of this state.

Sec. 902. (1) From the funds appropriated in part 1, the department shall make a final authorization to a CMHSP or PIHP on the execution of a contract between the department and the CMHSP or PIHP. The contract must contain an approved plan and budget and any policy and procedure governing the obligations and responsibilities of each party to the contract. Each contract with a CMHSP or PIHP that the department is authorized to enter into under this subsection must include a provision that the contract is not valid unless the total dollar obligation for all of the contracts between the department and the CMHSPs or PIHPs entered into under this subsection for the current fiscal year does not exceed the amount of money appropriated in part 1 for the contracts authorized under this subsection.

(2) The department shall immediately submit a report to the standard report recipients if either of the following occurs:

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


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PIHP that would affect a rate or expenditure.

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

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

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

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

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

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

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


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

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

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

(i) The number of individuals receiving requested services.

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

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

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

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

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

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


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