2009 House Bill 4436 / Public Act 131

Appropriations: 2009-2010 Department of Community Health budget

Introduced in the House

Feb. 24, 2009

Introduced by Rep. Gary McDowell (D-107)

The executive recommendation for the Fiscal Year 2009-2010 Department of Community Health budget. This would appropriate $12.966 billion in gross spending, compared to $12.533 billion, which was the FY 2008-2009 amount enrolled in 2008. Of this, $8.323 billion is federal money (which includes $529 million of “stimulus” deficit spending), compared to the FY 2008-2009 amount of $7.225 billion, and $4.595 billion is from state tax and other revenues, compared to $5.323 billion enrolled the previous year (another $48.6 million of the gross amount was transferred to other deparments).

Referred to the Committee on Appropriations

April 1, 2009

Reported without amendment

With the recommendation that the substitute (H-1) be adopted and that the bill then pass.

April 22, 2009

Substitute offered

To adopt a version of this budget that expresses the fiscal and policy preferences of the Demovcratic-majority in the House on various spending items and programs. For details see <a href="http://www.legislature.mi.gov/documents/2009-2010/billanalysis/House/pdf/2009-HLA-4436-3.pdf">analysis</a> from the non-partisan House Fiscal Agency. This version was subsequently superseded by another substitute with more spending.

The substitute passed by voice vote

Substitute offered by Rep. Gary McDowell (D-107)

To replace the previous version of the bill with one that revises some details and adds another $48 million in spending.

The substitute passed by voice vote

Amendment offered by Rep. Kathy Angerer (D-55)

To revise details in autism program grant.

The amendment passed by voice vote

Amendment offered by Rep. Gary McDowell (D-107)

The amendment passed by voice vote

Passed in the House 65 to 44 (details)

The House verson of the Fiscal Year 2009-2010 Department of Community Health budget. This would appropriate $13.481 billion in gross spending, compared to $12.533 billion, which was the FY 2008-2009 amount enrolled in 2008. Of this, $8.960 billion is federal money (which includes $936 million of “stimulus” deficit spending), compared to the FY 2008-2009 amount of $7.225 billion, and $4.460 billion is from state tax and other revenues, compared to $5.323 billion enrolled the previous year.

Received in the Senate

April 23, 2009

Referred to the Committee on Appropriations

June 23, 2009

Reported without amendment

With the recommendation that the substitute (S-1) be adopted and that the bill then pass.

June 24, 2009

Substitute offered

To adopt a version of this budget that expresses the fiscal and policy preferences of the Republican-majority in the Senate on various spending items and programs. For details see <a href="http://www.legislature.mi.gov/documents/2009-2010/billanalysis/Senate/pdf/2009-SFA-4436-F.pdf">analysis</a> from the non-partisan Senate Fiscal Agency.

The substitute passed by voice vote

Amendment offered by Sen. Liz Brater (D-18)

To limit the subsitution of less costly mental health antipsychotic prescriptions drugs for Medicaid patients.

The amendment passed 19 to 17 (details)

Amendment offered by Sen. Deborah Cherry (D-26)

To add more spending for local immunization programs; an "Alzheimers information network"; chronic disease programs; "chronic disease prevention" programs; smoking prevention programs; low income dental care subsidies; a pregnancy prevention program; government-subsidized nutrition programs; and more.

The amendment failed 16 to 20 (details)

Amendment offered by Sen. Deborah Cherry (D-26)

To add $126 million for community mental health programs.

The amendment failed 16 to 20 (details)

Amendment offered by Sen. Deborah Cherry (D-26)

To increase spending by $37 million for various Medicaid items.

The amendment failed by voice vote

Amendment offered by Sen. Hansen Clarke (D-1)

To increase add funding so as to avoid a 4 percent cut to the reimbursements paid to health care providers when they treat Medicaid patients. These reimbursements are substantially below market rates and were already reduced 4 percent this year by a budget-cutting executive order.

The amendment failed 14 to 22 (details)

Amendment offered by Sen. Deborah Cherry (D-26)

The amendment failed 16 to 20 (details)

Amendment offered by Sen. Deborah Cherry (D-26)

To increase spending on certain senior citizen "community services" by $955,100.

The amendment failed 16 to 20 (details)

Amendment offered by Sen. Deborah Cherry (D-26)

To revise funding source and provider details related to "MIChild" dental care subsidies. MIChild extend Medicaid services to children and adults who are above the regular low income thresholds.

The amendment failed 16 to 20 (details)

Amendment offered by Sen. Deborah Cherry (D-26)

To strip out a provision requiring the department to identify a private vendor to provide durable medical equipment, prosthetics, orthotics, and supplies for individuals enrolled in the fee-for-service Medicaid program.

The amendment failed 14 to 21 (details)

Amendment offered by Sen. Deborah Cherry (D-26)

To increase spending on a college loan subsidy program for medical students willing to locate in certain areas considered by the government to be "underserved".

The amendment failed 16 to 19 (details)

Amendment offered by Sen. Deborah Cherry (D-26)

To remove a provision that would make only Prepaid Inpatient Health Plans (PIHP) eligible for Medicaid community substance abuse prevention, education, and treatment program money.

The amendment failed by voice vote

Amendment offered by Sen. Martha G. Scott (D-2)

To increase spending by $126 million on community mental health programs.

The amendment failed 17 to 19 (details)

Amendment offered by Sen. Martha G. Scott (D-2)

To not make changes in the funding distribution formula for mental health non-Medicaid funds.

The amendment failed 18 to 17 (details)

Amendment offered by Sen. Gretchen Whitmer (D-23)

To require the department to seek payment from drug companies for Medicaid patients who experienced negative health effects from drugs if the law proposed by <a href="http://www.michiganvotes.org/2009-SB-19">Senate Bill 19</a> is passed, which would allow lawsuits to be filed against drug makers for drugs approved by the U.S. Food And Drug Administration (FDA) that were sold in Michigan since 1996.

The amendment failed 16 to 20 (details)

Amendment offered by Sen. John Gleason (D-27)

To add $5 million for subsidies for COBRA health insurance continuation coverage for workers who were laid off since Sept. 1, 2008 who are also eligible for certain health care subsidies in the federal "stimulus" spending legislation.

The amendment failed 16 to 20 (details)

Amendment offered

To limit the subsitution of less costly mental health antipsychotic prescriptions drugs for Medicaid patients.

The amendment failed 15 to 21 (details)

Motion by Sen. Liz Brater (D-18)

The motion passed by voice vote

Amendment offered by Sen. Bill Hardiman (R-29)

To insert a $100 "placeholder" for a cooperative effort between the department, the Department of Human Services, and the State Police on a particular homeless mental health/substance abuse program. This allows negotiations to proceed between the House and Senate on a funding source.

The amendment passed by voice vote

Passed in the Senate 20 to 16 (details)

The Senate verson of the Fiscal Year 2009-2010 Department of Community Health budget. This would appropriate $12.859 ,billion in gross spending, compared to $12.533 billion, which was the FY 2008-2009 amount enrolled in 2008. Of this, $8.692 billion is federal money (which includes approximately $1 billion of “stimulus” deficit spending), compared to the FY 2008-2009 amount of $7.225 billion, and $4.120 billion is from state tax and other revenues, compared to $5.323 billion enrolled the previous year.

Received in the House

June 25, 2009

Failed in the House 0 to 109 (details)

To concur with a Senate-passed version of the bill. The vote sends the bill to a House-Senate conference committee to work out the differences.

Received in the Senate

Sept. 30, 2009

The House-Senate conference report for the Fiscal Year 2009-2010 Department of Community Health budget. This would appropriate $13.092 billion in gross spending, compared to $12.533 billion, which was the FY 2008-2009 amount originally adopted. Of this, $8.949 billion is federal money (which includes approximately $1 billion of “stimulus” deficit spending) compared to $7.225 billion the previous year, and $4.143 billion is from state tax and other revenues, compared to $5.323 billion the previous year.

Passed in the Senate 20 to 17 (details)

Received

Motion by Sen. Alan L. Cropsey (R-33)

To give the bill immediate effect, without which the budget will not go into effect until April 1, 2010. A two-thirds majority is required.

The motion failed 22 to 15 (details)

Received in the House

Sept. 30, 2009

Passed in the House 56 to 52 (details)

The House-Senate conference report for the Fiscal Year 2009-2010 Department of Community Health budget. This would appropriate $13.092 billion in gross spending, compared to $12.533 billion, which was the FY 2008-2009 amount originally adopted. Of this, $8.949 billion is federal money (which includes approximately $1 billion of “stimulus” deficit spending) compared to $7.225 billion the previous year, and $4.143 billion is from state tax and other revenues, compared to $5.323 billion the previous year.

Signed with line-item veto by Gov. Jennifer Granholm

Oct. 29, 2009