2023 House Bill 4496 / Public Act 99

Human services: medical services; general changes to the medical assistance program; provide for.

An act to amend 1939 PA 280, entitled “An act to protect the welfare of the people of this state; to provide general assistance, hospitalization, infirmary and medical care to poor or unfortunate persons; to provide for compliance by this state with the social security act; to provide protection, welfare and services to aged persons, dependent children, the blind, and the permanently and totally disabled; to administer programs and services for the prevention and treatment of delinquency, dependency and neglect of children; to create a state department of social services; to prescribe the powers and duties of the department; to provide for the interstate and intercounty transfer of dependents; to create county and district departments of social services; to create within certain county departments, bureaus of social aid and certain divisions and offices thereunder; to prescribe the powers and duties of the departments, bureaus and officers; to provide for appeals in certain cases; to prescribe the powers and duties of the state department with respect to county and district departments; to prescribe certain duties of certain other state departments, officers, and agencies; to make an appropriation; to prescribe penalties for the violation of the provisions of this act; and to repeal certain parts of this act on specific dates,” by amending sections 105b and 109f (MCL 400.105b and 400.109f), section 105b as added by 2007 PA 100 and section 109f as amended by 2017 PA 224; and to repeal acts and parts of acts.

Senate Fiscal Agency Analysis

House Bill 4496 (H-4) would amend the Social Welfare Act to delete a requirement that the MDHHS include in a Federal waiver request intending to secure Federal funds for the medically uninsured non-Medicaid population of the State language allowing it to establish programs to incentivize positive health behaviors and to create pay-for-performance incentives.

Introduced in the House

May 2, 2023

Introduced by Rep. Graham Filler (R-93) and 19 co-sponsors

Co-sponsored by Reps. Will Snyder (D-87), Carol Glanville (D-84), Tullio Liberati (D-2), Carrie Rheingans (D-47), Mike McFall (D-8), Samantha Steckloff (D-19), Erin Byrnes (D-15), Helena Scott (D-7), Jaime Churches (D-27), Kevin Coleman (D-25), Rachel Hood (D-81), John Fitzgerald (D-83), Tyrone Carter (D-1), Veronica Paiz (D-11), Donavan McKinney (D-14), Dale Zorn (R-34), Alabas Farhat (D-3), Abraham Aiyash (D-9) and Phil Green (R-67)

Referred to the Committee on Health Policy

May 25, 2023

Reported with substitute H-4

June 13, 2023

Substitute H-4 concurred in by voice vote

Passed in the House 83 to 24 (details)

Motion to give immediate effect by Rep. Abraham Aiyash (D-9)

The motion prevailed by voice vote

Received in the Senate

June 15, 2023

Referred to the Committee on Health Policy

June 20, 2023

Reported without amendment

June 21, 2023

Referred to the Committee of the Whole

June 27, 2023

Reported without amendment

Passed in the Senate 25 to 12 (details)

Motion to give immediate effect by Sen. Sam Singh (D-28)

The motion prevailed by voice vote

Signed by Gov. Gretchen Whitmer

July 19, 2023