HOUSE OF REPRESENTATIVES
COMMITTEE ON APPROPRIATIONS
REP. THOMAS A. ALBERT
CHAIR
COMMITTEE MEETING MINUTES
Tuesday, December 14,
2021
9:30
AM
Room 352, House Appropriations, State Capitol
Building
The House Committee on Appropriations was called to order by Chair Albert.
The clerk read a letter from Speaker Wentworth removing Representative Fink from the
committee and appointing Representative Marino to the committee.
The Chair requested attendance be called:
Present: Reps. Albert, Whiteford, Allor, Brann, Frederick, Hornberger, Marino,
VanSingel, Yaroch, Bollin, Glenn, Lightner, Maddock, VanWoerkom, Beson, Borton,
Tate, Hammoud, Peterson, Sabo, Tyrone Carter, Hood, Cynthia Johnson, Brabec, O'Neal,
Steckloff, Thanedar, Weiss.
Absent: Rep. Slagh.
Excused: Rep. Slagh.
Representative Whiteford moved to adopt the meeting minutes from December 8, 2021.
There being no objection, the motion prevailed by unanimous consent.
The Chair laid HB 5523 before the committee:
HB 5523
(Rep. Calley)
A bill to make, supplement, and adjust
appropriations for various state departments and
agencies for the fiscal year ending September 30,
2022; to provide for certain conditions on
appropriations; and to provide for the expenditure
of the appropriations.
Representative Whiteford moved to adopt substitute (H-4) to HB 5523. The motion prevailed
28-0-0:
FAVORABLE ROLL CALL
Yeas: Reps. Albert, Whiteford, Allor, Brann, Frederick, Hornberger, Marino, VanSingel,
Yaroch, Bollin, Glenn, Lightner, Maddock, VanWoerkom, Beson, Borton, Tate,
Hammoud, Peterson, Sabo, Tyrone Carter, Hood, Cynthia Johnson, Brabec, O'Neal,
Steckloff, Thanedar, Weiss.
Nays: None.
Pass: None.
Representative Steckloff offered the following amendments to HB 5523(H-4):
1. Amend page 4 following line 7, by inserting:
Federally qualified health center alternative payment methodology
55,800,000
2. Amend page 4, line 16 after "revenues" by striking out "681,775,700" and inserting
"718,313,500" and adjusting the subtotals, totals, and section 201 accordingly.
3. Amend page 20, following line 26, by inserting:
"Sec. 311. By September 30 of the current fiscal year, from the funds appropriated in
part 1 for federally qualified health center alternative payment methodology, the department
of health and human services shall collaboratively develop and seek any appropriate federal
approvals to implement a statewide alternative payment methodology (APM) for federally
qualified health centers (FQHCs) in the medical assistance program and Healthy Michigan
program as authorized in section 1902(bb)(6) of the Social Security Act. The statewide APM
must move away from a reliance on volume-based payment for patient visits with licensed
independent practitioners toward a population-based payment model that does all of the
following:
(a) Encourages the use of a multi-disciplinary healthcare team including both licensed
and lay members of the healthcare workforce.
(b) Provides flexibility to implement innovative healthcare delivery practices and
transform services as the evidence base for various services evolves.
(c) Supports a variety of in-person and virtual connection options between patients
and their health care team.
(d) Assesses quality of care and health outcomes using a reasonable set of measures,
and rewards quality and health outcome improvement.
(e) Aligns with the department of health and human services's alternative payment
model goals and strategies for health plans serving in the medical assistance program and
Healthy Michigan program, and promotes health plan payment coordination with the FQHC
APM.
(f) Represents an administratively simpler payment approach." and renumbering
remaining sections accordingly.
Representative Steckloff moved to adopt the amendments to HB 5523 (H-3). The motion did
not prevail 12-16-0:
UNFAVORABLE ROLL CALL
Yeas: Reps. Tate, Hammoud, Peterson, Sabo, Tyrone Carter, Hood, Cynthia Johnson,
Brabec, O'Neal, Steckloff, Thanedar, Weiss.
Nays: Reps. Albert, Whiteford, Allor, Brann, Frederick, Hornberger, Marino, VanSingel,
Yaroch, Bollin, Glenn, Lightner, Maddock, VanWoerkom, Beson, Borton.
Pass: None.
Representative Tyrone Carter offered the following amendments to HB 5523 (H-4):
1. Amend page 3 following line 28, by inserting:
ARP – health care hero payments
450,000,000
2. Amend page 4, line 15 after "fund" by striking out "395,000,000" and inserting
"845,000,000" and adjusting the subtotals, totals, and section 201 accordingly.
3. Amend page 17, following line 3, by inserting:
"Sec. 306. (1) From the funds appropriated in part 1 for ARP – health care hero
payments, the department of health and human services shall work with Michigan-based
health care entities to provide $2,500.00 to nurses, respiratory therapists, laboratory
technicians, environmental service workers, direct care workers, paramedics, and food
service workers that have been employed by a Michigan-based health care entity for at least 1
year between March 1, 2020 and September 30, 2021. Part-time employees must have
averaged at least 20 hours per week during a 12-month period.
(2) Nurses that qualify for the funds appropriated in subsection (1) may receive an
additional $2,500.00.
(3) The department of health and human services shall provide funds to Michigan-
based health care entities based on employment estimates. Health care employers must
distribute the funds appropriated in this section to their qualifying employees within 60 days
of receiving the funds from the department of health and human services. Any funds not paid
to employees must be returned to the department of health and human services." and
renumbering remaining sections accordingly.
Representative Tyrone Carter moved to adopt the amendments to HB 5523 (H-4). The motion
did not prevail 12-16-0:
UNFAVORABLE ROLL CALL
Yeas: Reps. Tate, Hammoud, Peterson, Sabo, Tyrone Carter, Hood, Cynthia Johnson,
Brabec, O'Neal, Steckloff, Thanedar, Weiss.
Nays: Reps. Albert, Whiteford, Allor, Brann, Frederick, Hornberger, Marino, VanSingel,
Yaroch, Bollin, Glenn, Lightner, Maddock, VanWoerkom, Beson, Borton.
Pass: None.
Representative Hood offered the following amendments to HB 5523 (H-4):
1. Amend page 3 following line 28, by inserting:
ARP – future health care hero scholarship program
200,000,000
2. Amend page 4, line 15 after "fund" by striking out "395,000,000" and inserting
"595,000,000" and adjusting the subtotals, totals, and section 201 accordingly.
3. Amend page 17, following line 3, by inserting:
"Sec. 306. (1) From the funds appropriated in part 1 for ARP – future health care hero
scholarship program, the department of health and human services shall work with the
department of labor and economic opportunity and the department of treasury to create a
future health care hero scholarship program for all of the following health care-related
programs and certificates:
(a) Bachelor of Science in Nursing (BSN).
(b) Emergency Medical Technician.
(c) Laboratory Technician.
(d) Licensed Clinical Social Worker (LCSW).
(e) Licensed Practical Nurse (LPN).
(f) Nurse Practitioners (NP).
(g) Medical Technician.
(h) Paramedic.
(i) Pharmacy Technician.
(j) Phlebotomy Technician.
(k) Physician Assistant.
(l) Radiologic Technologist.
(m) Registered Nurse.
(2) The future health care hero scholarship program must only be made available to
residents of this state who commit to work at heath care facility for at least 4 years after
completing the health care-related program or certificate. The department of health and
human services, the department of labor and economic opportunity and the department of
treasury, may permit certain, limited exceptions to this subsection.
(3) The future health care hero scholarship program must be a "last dollar" scholarship
program and may not exceed $15,000.00 per year and may not exceed 2 years per qualifying
individual." and renumbering remaining sections accordingly.
Representative Hood moved to adopt the amendments to HB 5523. The motion did not
prevail 12-16-0:
UNFAVORABLE ROLL CALL
Yeas: Reps. Tate, Hammoud, Peterson, Sabo, Tyrone Carter, Hood, Cynthia Johnson,
Brabec, O'Neal, Steckloff, Thanedar, Weiss.
Nays: Reps. Albert, Whiteford, Allor, Brann, Frederick, Hornberger, Marino, VanSingel,
Yaroch, Bollin, Glenn, Lightner, Maddock, VanWoerkom, Beson, Borton.
Pass: None.
Representative Frederick moved to report out HB 5523 with recommendation, as substitute
(H-4). The motion prevailed 28-0-0:
FAVORABLE ROLL CALL
Yeas: Reps. Albert, Whiteford, Allor, Brann, Frederick, Hornberger, Marino, VanSingel,
Yaroch, Bollin, Glenn, Lightner, Maddock, VanWoerkom, Beson, Borton, Tate,
Hammoud, Peterson, Sabo, Tyrone Carter, Hood, Cynthia Johnson, Brabec, O'Neal,
Steckloff, Thanedar, Weiss.
Nays: None.
Pass: None.
Representative Allor moved to excuse Representative Slagh from the meeting. There being no
objection the motion prevailed by unanimous consent.
There being no further business before the committee, Rep. Thomas Albert adjourned the
meeting at 9:42 AM.
Representative Thomas Albert, Chair
Matt Carnagie
Committee Clerk
mcarnagie@house.mi.gov