to adopt substitute (H-4) to HB 5523.
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.