A bill to make appropriations for the department of health and human services for the fiscal year ending September 30, 2024; and to provide for the expenditure of the appropriations.
An appropriations bill for the Department of Health and Human Services for FY '24.
Introduced
by
Referred to the Committee on Appropriations
Reported with substitute S-1
Referred to the Committee of the Whole
1. Amend page 9, line 8, after “operations” by striking out “1,500,000” and inserting “100”.
2. Amend page 9, line 23, after “$” by striking out “729,166,400” and inserting “727,666,500”.
3. Amend page 10, line 9, after “$” by striking out “303,831,300” and inserting “302,331,400”.
4. Amend page 23, following line 26, by inserting:
“Child and family campus project
6,000,000”
5. Amend page 23, following line 28, by inserting:
“Community health programs
10,000,000
Community health residency program
100”
6. Amend page 24, following line 4, by inserting:
“Critical access hospital renovation
100”
7. Amend page 24, following line 16, by inserting:
“Genemarkers
100”
8. Amend page 24, following line 17, by inserting:
“Health care worker housing initiative
100”
9. Amend page 24, following line 24, by inserting:
“Michigan medicine survival flight program
100”
10. Amend page 24, following line 27, by inserting:
“Nursing staff supports
100”
11. Amend page 25, following line 7, by inserting:
“Sexual assault nurse examiner program
100”
12. Amend page 25, following line 11, by inserting:
“Warming center services
800,000”
13. Amend page 25, line 14, after “$” by striking out “145,060,600” and inserting “161,861,300”.
14. Amend page 25, line 16, after “$” by striking out “145,060,600” and inserting “161,861,300” and adjusting the subtotals, totals, and section 201 accordingly.
15. Amend page 105, line 25, after “allocate” by striking out “$1,500,000.00” and inserting “$100.00”.
16. Amend page 106, line 2, after “section,” by striking out “$750,000.00” and inserting “$50.00”.
17. Amend page 106, line 8, after “section,” by striking out “$750,000.00” and inserting “$50.00”.
18. Amend page 118, line 18, after “of” by striking out “$2,800,000.00” and inserting “$100.00”.
19. Amend page 118, following line 25, by inserting:
“(f) The department shall allocate a grant of $100.00 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, located in a city with a population between 50,000 and 110,000 and is within a county with a population between 265,000 and 290,000 according to the most recent federal decennial census to establish 3 opioid treatment program and suicide prevention facilities capable of serving at least 500 patients on an outpatient basis. To be eligible for funds under this subdivision the nonprofit organization must be accredited by the Council for the Accreditation of Rehabilitation Facilities and have been providing outpatient services in this state since 1986.
(g) The department shall allocate a grant of $1,300,000.00 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, located in a city with a population between 100,000 and 600,000 and in a county with a population greater than 1,500,000 according to the most recent federal decennial census that provides recreational therapy, healthy living, and substance use intervention services for a program to prevent substance abuse for youth fighting drug and alcohol misuse.”.
20. Amend page 188, line 22, after “age.” by striking out the balance of the line through “section.” on line 24.
21. Amend page 193, following line 2, by inserting:
“Sec. 1808. The department shall provide preference to health plans that are owned by nonprofit hospitals or integrated health systems licensed in Michigan in the rebid for the comprehensive health plan contract for Michigan’s Medicaid program.”.
22. Amend page 202, line 16, after “on” by striking out “October 1” and inserting “January 1”.
23. Amend page 221, line 15, after the first “to” by striking out the balance of the line through “the” on line 16 and inserting “support the implementation of a”.
24. Amend page 221, line 16, after “Medicaid” by striking out the balance of the line through “an” on line 17.
25. Amend page 221, line 18, after the first “methodology” by inserting “for federally qualified health centers (FQHCs)”.
26. Amend page 221, line 19, after “population-based” by striking out “capitated”.
27. Amend page 221, line 20, after “patient” by striking out “per-month”.
28. Amend page 221, line 21, after “center.” by inserting “Funds appropriated in this section shall be used both to support alternative payment methodology implementation costs incurred by the department and to provide funding to support the preparation and success of FQHCs participating in the alternative payment methodology.”.
29. Amend page 221, line 22, after “(2)” by inserting “The unexpended funds appropriated in part 1 for alternative payment model transition are designated as a work project appropriation. Unencumbered or unallotted funds shall not lapse at the end of the fiscal year and shall be available for expenditures under this section until the project has been completed. All of the following are in compliance with section 451a of the management and budget act, 1984 PA 431, MCL 18.1451a:
(a) The purpose of the project is to design and implement a FQHC Medicaid alternative payment methodology as well as provide funding to help FQHCs prepare for and be successful in their alternative payment methodology participation.
(b) The project will be accomplished by utilizing state employees, contracting with vendors, and providing funding to FQHCs.
(c) The estimated cost of the project is $15,000,000.00.
(d) The tentative completion date is September 30, 2028.
(3)”.
30. Amend page 221, line 23, after “of” by striking out “5” and inserting “several”.
31. Amend page 221, line 24, after “years” by inserting “with pre-implementation and preparation occurring this fiscal year and implementation of the alternative payment methodology in the following fiscal year, with additional FQHCs having the opportunity to begin participation in the alternative payment methodology in subsequent fiscal years”.
32. Amend page 221, line 25, after “(” by striking out “3” and inserting “4”.
33. Amend page 221, line 26, after “Association” by inserting “on the design of the alternative payment methodology,”.
34. Amend page 221, line 26, after “FQHCs” by striking out “or areas of the state”.
35. Amend page 221, line 27, after “necessary” by striking out the balance of the line through “(1)” on line 29 and inserting “care delivery and system changes required for the alternative payment methodology described in subsection (1), and to develop funding approaches that support the preparation and success of FQHCs participating in the alternative payment methodology”.
36. Amend page 227, line 24, after the first “to” by striking out the balance of the line through the first “the” on line 25.
37. Amend page 227, line 25, after the first “to” by striking out the balance of the line through “centers” on line 26 and inserting “improve services and supports to unpaid family and informal caregivers”.
38. Amend page 227, line 27, after “payment” by striking out “divided equally between the” and inserting “to”.
39. Amend page 227, line 27, after “aging” by inserting “using the interstate funding formula approved by the commission on services to the aging”.
40. Amend page 235, following line 24, by inserting:
“Sec. 1994. From the funds appropriated in part 1 for warming center services, the department shall allocate $800,000.00 to a city with a population between 50,000 and 110,000 according to the most recent federal decennial census and located in a county with a population between 265,000 and 290,000 according to the most recent federal decennial census to support an emergency housing program for adults that provides shelter and case management services.
Sec. 1995. From the funds appropriated in part 1 for child and family campus project, the department shall appropriate $6,000,000.00 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, and is located in a city with a population between 50,000 and 110,000 according to the most recent federal decennial census and located in a county with a population between 265,000 and 290,000 according to the most recent federal decennial census to construct and renovate a consolidated facility on a site formerly owned by a hospital system. To be eligible for funds under this section, the nonprofit organization must have been established in 1911 and have a stated mission to strengthen and support children, families, and individuals as they evolve and grow in a changing community.
Sec. 1996. From the funds appropriated in part 1 for critical access hospital renovation, the department shall allocate $100.00 to a critical access hospital located in a county with a population between 3,750 and 5,750 according to the most recent federal decennial census to implement multiple infrastructure renovations, including all of the following, to improve patient care:
(a) Remodeling and upgrading family clinics to meet current codes and practices.
(b) Expanding operating room and recovery facilities for basic orthopedic surgeries.
(c) Improving windows, parking lots, and other areas.
Sec. 1997. From the funds appropriated in part 1 for sexual assault nurse examiner program, the department shall allocate $100.00 of state general fund/general purpose revenue for a sexual assault nurse examiners program at a hospital in a city with a population between 21,600 and 21,700 according to the most recent federal decennial census within a county with a population between 64,300 and 64,400 according to the most recent federal decennial census. Funds must be used to support staff compensation and training, victim needs, and community awareness, education, and prevention programs.
Sec. 1998. From the funds appropriated in part 1 for nursing staff supports, the department shall appropriate $100.00 to the Michigan Nurses Association to support nursing staff training and education initiatives.
Sec. 1999. From the funds appropriated in part 1 for genemarkers, the department shall allocate $100.00 to Ferris State University to develop and provide for a test that identifies genetic risk factors correlated with opioid use disorder.
Sec. 2000. (1) From the funds appropriated in part 1 for community health residency programs, the department shall allocate $100.00 to implement a residency program in nonprofit health center in a city with a population of between 61,000 and 63,000 and within a county with a population between 1,270,000 and 1,275,000 according to the most recent federal decennial census.
(2) The unexpended portion of funds appropriated in part 1 for the residency program is designated as a work project appropriation. Any unencumbered or unallotted funds shall not lapse at the end of the fiscal year and shall be available for expenditure for the project under this section until the project has been completed. The following is in compliance with section 451a(1) of the management and budget act, 1984 PA 431, MCL 18.1451a:
(a) The purpose of the work project is to provide funding for the start-up costs and ensure the first cohort graduates within three years while awaiting federal funding.
(b) The project will be accomplished by a nonprofit 501(c)(3) health center organization.
(c) The total estimated cost of the work project is $100.00.
(d) The estimated completion date is September 30, 2028.”.
Substitute S-1 concurred in by voice vote
1. Amend page 4, line 8, after “positions” by striking out “56.0” and inserting “43.0”.
2. Amend page 4, line 11, after “-FTEs” by striking out “20.0” and inserting “19.0”.
3. Amend page 4, line 13, after “programs” by striking out “--FTE”.
4. Amend page 4, line 13, after “programs--FTE” by striking out “1.0”.
5. Amend page 4, line 19, after “IIJA” by striking out “--FTEs”.
6. Amend page 4, line 19, after “IIJA--FTEs” by striking out “11.0”.
7. Amend page 5, line 3, after “positions” by striking out “4,111.2” and inserting “4,106.2”.
8. Amend page 5, line 21, after “administration--FTEs” by striking out “212.2” and inserting “207.2”.
9. Amend page 5, line 21, by striking out “26,881,900” and inserting “26,114,100”.
10. Amend page 6, line 18, after “$” by striking out “1,455,626,900” and inserting “1,454,859,100”.
11. Amend page 6, line 26, after “revenues” by striking out “270,282,500” and inserting “269,898,600”.
12. Amend page 7, line 4, after “$” by striking out “714,102,800” and inserting “713,718,900”.
13. Amend page 10, line 24, after “positions” by striking out “83.0” and inserting “79.0”.
14. Amend page 11, line 4, after “rights--FTEs” by striking out “26.0” and inserting “22.0”.
15. Amend page 11, line 4, by striking out “3,563,800” and inserting “2,909,200”.
16. Amend page 11, line 7, after “$” by striking out “252,830,300” and inserting “252,175,700”.
17. Amend page 11, line 16, after “$” by striking out “36,165,000” and inserting “35,510,400”.
18. Amend page 15, line 19, after “positions” by striking out “409.4” and inserting “404.9”.
19. Amend page 15, line 24, after “program--FTEs” by striking out “25.5” and inserting “21.0”.
20. Amend page 15, line 24, by striking out “56,287,900” and inserting “55,599,400”.
21. Amend page 16, line 4, after “$” by striking out “195,715,500” and inserting “195,027,000”.
22. Amend page 16, line 15, after “$” by striking out “84,010,100” and inserting “83,321,600”.
23. Amend page 16, line 18, after “positions” by striking out “189.1” and inserting “187.1”.
24. Amend page 17, line 7, after “prevention--FTEs” by striking out “8.9” and inserting “6.9”.
25. Amend page 17, line 7, by striking out “13,518,800” and inserting “13,212,800”.
26. Amend page 17, line 8, after “$” by striking out “272,225,600” and inserting “271,919,600”.
27. Amend page 17, line 18, after “$” by striking out “90,597,900” and inserting “90,291,900” and adjusting the subtotals, totals, and section 201 accordingly.
The amendment failed by voice vote
1. Amend page 2, line 2, after “$” by striking out “35,484,062,500” and inserting “35,489,453,400”.
2. Amend page 2, line 6, after “$” by striking out “35,469,385,600” and inserting “35,474,776,500”.
3. Amend page 2, line 17, after “$” by striking out “6,337,463,100” and inserting “6,342,854,000”.
4. Amend page 18, line 9, after “program” by striking out “4,609,100” and inserting “10,000,000”.
5. Amend page 18, line 19, after “$” by striking out “88,438,800” and inserting “93,829,700”.
6. Amend page 18, line 23, after “$” by striking out “44,542,800” and inserting “49,933,700” and adjusting the subtotals, totals, and section 201 accordingly.
The amendment failed 18 to 20 (details)
1. Amend page 5, line 4, after “$” by striking out “222,199,700” and inserting “250,370,300”.
2. Amend page 5, line 9, after “fund” by striking out “284,951,100” and inserting “286,277,500”.
3. Amend page 6, line 1, after “payments” by striking out “295,901,300” and inserting “303,396,300”.
4. Amend page 6, line 4, after “program” by striking out “12,739,000” and inserting “14,304,400”.
5. Amend page 6, line 18, after “$” by striking out “1,455,626,900” and inserting “1,494,184,300”.
6. Amend page 6, line 24, after “families” by striking out “322,421,600” and inserting “328,354,232”.
7. Amend page 6, line 25, after “revenues” by striking out “105,283,700” and inserting “105,873,037”.
8. Amend page 6, line 26, after “revenues” by striking out “270,282,500” and inserting “287,113,006”.
9. Amend page 6, line 28, after “chargeback” by striking out “36,896,600” and inserting “37,285,485”.
10. Amend page 7, line 1, after “collections” by striking out “1,500,000” and inserting “1,536,129”.
11. Amend page 7, line 3, after “revenues” by striking out “2,000,000” and inserting “2,048,172”.
12. Amend page 7, line 4, after “$” by striking out “714,102,800” and inserting “728,834,539” and adjusting the subtotals, totals, and section 201 accordingly.
The amendment failed 18 to 20 (details)
1. Amend page 2, line 2, after “$” by striking out “35,484,062,500” and inserting “35,490,062,500”.
2. Amend page 2, line 6, after “$” by striking out “35,469,385,600” and inserting “35,475,385,600”.
3. Amend page 2, line 17, after “$” by striking out “6,337,463,100” and inserting “6,343,463,100”.
4. Amend page 11, following line 3, by inserting:
“Narcotics awareness program
6,000,000”
5. Amend page 11, line 7, after “$” by striking out “252,830,300” and inserting “258,830,300”.
6. Amend page 11, line 16, after “$” by striking out “36,165,000” and inserting “42,165,000” and adjusting the subtotals, totals, and section 201 accordingly.
7. Amend page 119, following line 5, by inserting:
“Sec. 919. From the funds appropriated in part 1 for narcotics awareness program, the department shall allocate $6,000,000.00 to a nonprofit organization organized under the laws of this state that is exempt from federal income tax under section 501(c)(3) of the internal revenue code of 1986, 26 USC 501, and with headquarters in a charter township with a population between 100,000 and 105,000 according to the most recent federal decennial census within a county with a population between 700,000 and 1,000,000 according to the most recent federal decennial census. To be eligible to receive funding, the nonprofit organization must have a stated mission to offer community-based, compassionate, best-practice/evidence-based services to those suffering from addiction, as well as their loved ones, and to erase the stigma of addiction and instill compassion and hope.”.
The amendment failed 18 to 20 (details)
1. Amend page 2, line 2, after “$” by striking out “35,484,062,500” and inserting “35,496,062,500”.
2. Amend page 2, line 6, after “$” by striking out “35,469,385,600” and inserting “35,481,385,600”.
3. Amend page 2, line 17, after “$” by striking out “6,337,463,100” and inserting “6,349,463,100”.
4. Amend page 24, following line 4, by inserting:
“Critical access hospital renovation
12,000,000”
5. Amend page 25, line 14, after “$” by striking out “145,060,600” and inserting “157,060,600”.
6. Amend page 25, line 16, after “$” by striking out “145,060,600” and inserting “157,060,600” and adjusting the subtotals, totals, and section 201 accordingly.
7. Amend page 235, following line 24, by inserting:
“Sec. 1992. From the funds appropriated in part 1 for critical access hospital renovation, the department shall allocate $12,000,000.00 to a critical access hospital located in a county with a population between 3,750 and 5,750 according to the most recent federal decennial census to implement multiple infrastructure renovations, including all of the following, to improve patient care:
(a) Remodeling and upgrading family clinics to meet current codes and practices.
(b) Expanding operating room and recovery facilities for basic orthopedic surgeries.
(c) Improving windows, parking lots, and other areas.”.
The amendment failed by voice vote
1. Amend page 158, following line 18, by inserting:
“Sec. 1303. The department shall not contract with an organization that provides elective abortions, abortion counseling, or abortion referrals, for services that are to be funded with state restricted or state general fund/general purpose funds appropriated in part 1 for family planning local agreements. An organization under contract with the department shall not subcontract with an organization that provides elective abortions, abortion counseling, or abortion referrals, for services that are to be funded with state restricted or state general fund/general purpose funds appropriated in part 1 for family planning local agreements.
Sec. 1304. The department shall not use state restricted funds or state general funds, or allow grantees or subcontractors to use those funds, appropriated in part 1 in the pregnancy prevention program or family planning local agreements appropriation line items for abortion counseling, referrals, or services.
Sec. 1305. (1) From the funds appropriated in part 1 for family planning local agreements and the pregnancy prevention program, the department shall not contract with or award grants to an entity that engages in 1 or more of the activities described in section 1(1) of 2002 PA 360, MCL 333.1091, if the entity is located in a county or health district where family planning or pregnancy prevention services are provided by the county, the health district, or a qualified entity that does not engage in any of the activities described in section 1(1) of 2002 PA 360, MCL 333.1091.
(2) The department shall give priority to counties or health districts where no contracts or grants currently exist for family planning or pregnancy prevention services before contracting with or awarding grants to an entity that engages in 1 or more of the activities described in section 1(1) of 2002 PA 360, MCL 333.1091, if that entity is located in a county where family planning and pregnancy prevention services are provided by the county, the health district, or another qualified entity that does not engage in the activities described in section 1(1) of 2002 PA 360, MCL 333.1091.”.
The amendment failed 18 to 20 (details)
1. Amend page 97, following line 6, by inserting:
“Sec. 661. From the funds appropriated in part 1, the department shall create policy changes to decrease the average application time for the child development and care program by 50% and increase funding for marketing efforts to aid in communication about the child development and care program from funds appropriated in the current fiscal year.”.
The amendment failed 18 to 20 (details)
1. Amend page 48, following line 29, by inserting:
“Sec. 243. By November 1 of the current fiscal year the director of the department shall hold a public forum to explain the rationale for the elimination of the position of director of the victim services division within the department. The director must address the expected impact on the elimination of this position on crime victim advocacy efforts in this state and detail actions taken by the department to mitigate this harm.”.
The amendment failed 18 to 20 (details)
1. Amend page 14, line 12, after “grants” by striking out “98,579,300” and inserting “98,681,900”.
2. Amend page 14, line 28, after “$” by striking out “182,885,300” and inserting “182,987,900”.
3. Amend page 15, line 16, after “$” by striking out “36,468,000” and inserting “36,570,600” and adjusting the subtotals, totals, and section 201 accordingly.
4. Amend page 141, following line 24, by inserting:
“Sec. 1153. From the funds appropriated in part 1 for crime victim justice assistance grants, the department shall allocate $102,600.00 of state general fund/general purpose revenue for a sexual assault nurse examiners program at a hospital in a city with a population between 21,600 and 21,700 according to the most recent federal decennial census within a county with a population between 64,300 and 64,400 according to the most recent federal decennial census. Funds must be used to support staff compensation and training, victim needs, and community awareness, education, and prevention programs.
(2) The crime victim services commission may review the uses of funds appropriated in this section to determine if it merits utilization of the crime victim’s rights fund on an ongoing basis in subsequent fiscal years.”.
The amendment failed 18 to 20 (details)
1. Amend page 24, following line 23, by inserting:
“Maternal health services
220,000”
2. Amend page 25, line 14, after “$” by striking out “145,060,600” and inserting “145,280,600”.
3. Amend page 25, line 16, after “$” by striking out “145,060,600” and inserting “145,280,600” and adjusting the subtotals, totals, and section 201 accordingly.
4. Amend page 211, following line 18, by inserting:
“Sec. 1948. From the funds appropriated in part 1 for maternal health services the department shall allocate $220,000.00 in general fund/general purpose revenue to support a 9.5% inflationary increase to maintain sustainability at existing nurse family partnership sites.”.
The amendment failed 18 to 20 (details)
1. Amend page 150, line 3, after “1187.” by inserting “(1)”.
2. Amend page 150, following line 13, by inserting:
“(2) No funding shall be provided under this section unless the department is able to confirm that the regional water authority has reduced rates for any customer whose payments were used to service outstanding debt and payments for the municipality with outstanding debt and payments described in subsection (1) equal to the total per customer amount of debt service costs incurred.”.
The amendment failed 19 to 19 (details)
1. Amend page 149, following line 6, by inserting:
“Sec. 1183. The department shall not require a medical first response service to submit data for purposes of the Michigan emergency medical services information system if the medical first response service is located in a county with a population of less than 85,000 according to the most recent federal decennial census and is composed of only medical first responders who provide services without expecting or receiving money, goods, or services in return for providing those services. A medical first response service described in this section shall ensure that a medical first responder provides, in writing, at least all of the following information to an emergency medical technician, emergency medical technician specialist, or paramedic, arriving at the scene after the medical first responder:
(a) The time of the initial medical first responder’s arrival at the scene.
(b) The patient’s condition at the time of the initial medical first responder’s arrival at the scene.
(c) Information gathered from a patient assessment, including, but not limited to, the patient’s vital signs and level of consciousness.”.
The amendment failed 18 to 20 (details)
1. Amend page 5, line 28, after “34.0” by striking out “57,837,700” and inserting “69,437,700”.
2. Amend page 6, line 18, after “$” by striking out “1,455,626,900” and inserting “1,467,226,900”.
3. Amend page 6, line 24, after “families” by striking out “322,421,600” and inserting “331,121,600”.
4. Amend page 6, line 26, after “revenues” by striking out “270,282,500” and inserting “271,210,500”.
5. Amend page 7, line 4, after “$” by striking out “714,102,800” and inserting “716,074,800” and adjusting the subtotals, totals, and section 201 accordingly.
6. Amend page 73, line 16, after “shall” by striking out “maintain” and inserting “increase”.
7. Amend page 73, line 19, after “programs” by striking out “at an amount not less than the amount”.
8. Amend page 73, line 20, after “30,” by striking out “2021” and inserting “2023 by 20%”.
The amendment failed 18 to 20 (details)
1. Amend page 74, following line 15, by inserting:
“Sec. 532. The department shall annually certify that the rates paid to private child placing agencies are actuarially sound and shall provide a copy of the rate certification to the private child placing agencies.”.
The amendment failed by voice vote
1. Amend page 88, following line 14, by inserting:
“Sec. 595. The department shall review all juvenile justice residential facilities that have closed in the previous fiscal year and re-examine department closed facilities. By February 1 of the current fiscal year the department shall submit a report to the report recipients required in section 246 of this part on this review. The report must include, but is not limited to, the reasons for each facility closure, the findings of the re-examinations of department closed facilities, and potential for, or status of, any of the closed facilities re-opening.”.
The amendment failed 18 to 20 (details)
1. Amend page 88, following line 14, by inserting:
“Sec. 596. The department shall work towards facilitating the opening of adequate bed capacity at private operated child caring institutions and juvenile justice residential facilities to accommodate all youth awaiting placement within one fiscal year.”.
The amendment failed 18 to 20 (details)
1. Amend page 88, following line 14, by inserting:
“Sec. 597. (1) The department shall examine their policies for county juvenile justice facilities and identify any burdensome policies that may pressure these facilities to close. The department shall identify three of the burdensome policies and eliminate them in the current fiscal year.
(2) By September 30 of the current fiscal year the department shall submit a report to the report recipients required in section 246 of this part on the three burdensome policies identified under subsection (1) which were eliminated and the rationale behind the elimination.”.
The amendment failed by voice vote
1. Amend page 46, following line 24, by inserting:
“Sec. 233. If the state administrative board, acting under section 3 of 1921 PA 2, MCL 17.3, transfers funds from an amount appropriated under this article, the legislature may, by a concurrent resolution adopted by a majority of the members elected to and serving in each house, inter-transfer funds within this article for the particular department, board, commission, office, or institution.”.
The amendment failed by voice vote
1. Amend page 41, following line 15, by inserting:
“Sec. 225. From the funds appropriated in part 1 for any funds used for creative, media advertising, and clearinghouse services, the department shall submit a report to the report recipients required in section 246 of this part that on the complete details on Michigan Department of Technology, Management, and Budget contract number 210000000594, including, but not limited to, a list of all funding awards by fund source by vendor and by media campaign for the previous 5 fiscal years, a list of all funding awards by fund source by vendor and by media campaign for the current fiscal year, a list of all subgrantees and vendors that have received funding awards through contractor funded under this subsection for the previous 5 fiscal years, the comprehensive annual communication/marketing plan for the current fiscal year, detailed measurements of the effects that each media campaign had in achieving program outcomes on the target audience identified, and a description of the efforts undertaken to measure the specific behavior changes that occurred due to appropriations made under this section. The reports should not include any mention of general effects or general awareness of media campaigns.”.
The amendment failed 18 to 20 (details)
1. Amend page 2, line 2, after “$” by striking out “35,484,062,500” and inserting “35,492,017,500”.
2. Amend page 2, line 6, after “$” by striking out “35,469,385,600” and inserting “35,4799,340,600”.
3. Amend page 2, line 17, after “$” by striking out “6,337,463,100” and inserting “6,345,418,100”.
4. Amend page 8, line 9, after “Michigan” by striking out “12,045,000” and inserting “20,000,000”.
5. Amend page 8, line 17, after “$” by striking out “5,675,088,700” and inserting “5,683,043,700”.
6. Amend page 9, line 1, after “$” by striking out “98,674,500” and inserting “106,629,500” and adjusting the subtotals, totals, and section 201 accordingly.
7. Amend page 97, line 3, after “allocate” by striking out “$12,045,000.00” and inserting “$20,000,000.00”.
The amendment failed 17 to 20 (details)
1. Amend page 2, line 2, after “$” by striking out “35,484,062,500” and inserting “35,490,147,900”.
2. Amend page 2, line 6, after “$” by striking out “35,469,385,600” and inserting “35,475,471,000”.
3. Amend page 2, line 11, after “revenues” by striking out “24,684,928,200” and inserting “24,689,504,400”.
4. Amend page 2, line 17, after “$” by striking out “6,337,463,100” and inserting “6,338,972,300”.
5. Amend page 21, line 17, after “services” by striking out “21,317,200” and inserting “22,206,600”.
6. Amend page 21, line 23, after “services” by striking out “6,065,327,300” and inserting “6,068,087,400”.
7. Amend page 21, line 24, after “plan” by striking out “5,784,701,500” and inserting “5,787,137,400”.
8. Amend page 22, line 15, after “$” by striking out “19,482,979,700” and inserting “19,489,065,100”.
9. Amend page 22, line 18, after “revenues” by striking out “14,135,119,000” and inserting “14,139,695,200”.
10. Amend page 22, line 24, after “$” by striking out “2,506,457,200” and inserting “2,507,966,400” and adjusting the subtotals, totals, and section 201 accordingly.
The amendment failed by voice vote
1. Amend page 14, line 15, after “15.6” by striking out “18,340,200” and inserting “33,082,200”.
2. Amend page 14, line 18, after “1.0” by striking out “200,000” and inserting “360,800”.
3. Amend page 14, line 24, after “0.5” by striking out “5,097,300” and inserting “9,194,500”.
4. Amend page 14, line 28, after “$” by striking out “182,885,300” and inserting “201,885,300”.
5. Amend page 15, line 16, after “$” by striking out “36,468,000” and inserting “55,468,000” and adjusting the subtotals, totals, and section 201 accordingly.
The amendment failed 18 to 20 (details)
1. Amend page 14, line 8, after “grants” by striking out “2,000,000” and inserting “14,000,000”.
2. Amend page 14, line 28, after “$” by striking out “182,885,300” and inserting “194,885,300”.
3. Amend page 15, line 16, after “$” by striking out “36,468,000” and inserting “48,468,000”.
4. Amend page 143, line 22, after “allocate” by striking out “$2,000,000.00” and inserting “$14,000,000.00”.
The amendment failed 18 to 20 (details)
1. Amend page 17, line 6, after “15.0” by striking out “4,621,900” and inserting “9,371,900”.
2. Amend page 17, line 8, after “$” by striking out “272,225,600” and inserting “276,975,600”.
3. Amend page 17, line 18, after “$” by striking out “90,597,900” and inserting “95,347,900” and adjusting the subtotals, totals, and section 201 accordingly.
The amendment failed by voice vote
1. Amend page 194, line 4, by striking out the entirety of Sec. 1808 and inserting:
“Sec. 1808. The department shall provide preference to health plans that are owned by nonprofit hospitals or integrated health systems licensed in Michigan, or that are wholly or majority-owned by nonprofit health plans based and licensed in Michigan, in the rebid for the comprehensive health plan contract for Michigan’s Medicaid program.”
The amendment passed by voice vote
Passed in the Senate 20 to 18 (details)
Referred to the Committee on Appropriations
